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Online posts often contain more data than were really intended, says Michael Blaivas, MD, RDMS, professor of emergency medicine in the Department of Emergency Medicine at Northside Hospital Forsyth in Cumming, GA, and patients may be able to pick themselves out.
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As ED overcrowding becomes more widespread, the companion problem of ambulance diversion becomes increasingly acute at EDs across the nation.
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The patient asks, "Is it safe to take?" You pause, thinking, the FDA classifies it as a Category C, and everybody seems to use it, but how can anybody be sure? So, you finally respond, "It has been used a lot in pregnant patients and no harmful effects have been observed." But, you say to yourself, am I really confident? What would I do for myself or my spouse if in the same situation?
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Emergency physicians (EPs) often are called upon to perform a myriad of procedures. These procedures often are invasive and can carry a significant amount of risk. Recent studies have emphasized that EPs should routinely use ultrasound to help guide common procedures performed in the emergency department (ED).
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If you forget to tell an inpatient nurse that your ED patient has an allergy or was given a certain medication, the consequences could be dire.
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Minor respiratory complaints were all that a man reported to ED nurses at Hennepin County Medical Center in Minneapolis, but in fact, he was suicidal.
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Are you able to try sticking your patient more than once or twice? Can you wait for the best possible nurse to be free? Do you need to consider alternative access immediately?
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When John Provost, RN, started working in the ED in 2006 at St. Joseph's Hospital and Medical Center in Phoenix, AZ, he purchased a PalmPilot, then added some software with medical information.
