in the emergency department at Presence Saint Joseph Medical Center. However, this past summer, my duties at the hospital changed slightly after another volunteer joined me in the emergency department. It was her first time volunteering at this hospital, so she knew very little about the hospital’s logistics. Being highly experienced in the emergency department, I acted as her mentor. In any other department of the hospital, volunteers can ease into their environment. But in the emergency department
According to the Houston Police Department emergency response plan (2014), “The purpose of the Emergency Response Plan is to designate major responsibilities, delineate relationships, describe expectations, and provide guidelines for the department’s response to emergency situations in general” (Houston Police Department, 2014). An emergency response plan (ERP), is designed to assist federal, state and local governments in catastrophic situations such as terrorist attacks, natural and man-made disasters
Over Crowding Overcrowding is another major factor in wait times in the emergency department . There is a strong link between overcrowding and length of stay of admitted patients in the hospital. When EMS is bringing in patients, and the waiting room is filling up, so are the emergency department beds. As fast as patients would like to be seen, it is not realistic. There has to be room in the hospital itself. Which means admitted patients that are on the floors have to be discharged or transferred
Emergency Department Crowding and Patient Flow Emergency department (ED) crowding and inefficient patient flow is one of the primary issues affecting hospital around the word. The problem of overcrowding responds to many aspects, including internal and external factors, but one thing is clear, improving patient flow and minimize ED crowding is a top priority for healthcare organizations these days (Di Somma et al., 2015). Improving patient flow through the emergency department and hospital setting
The Emergency Department is an interesting place especially for individuals who happen to work there. It is a fast-paced environment and presents a variety of situations of which require immediate, accurate, and most importantly, safe care. For some, the thought of working in an emergency department is an unpleasant one, but for those who thrive in fast-paced and often exciting environments it can be the optimal job description. However, it is imperative for those who work in emergency departments
SainteMarie Emergency Department Case 1. Some of the operational problems that Saintemarie Emergency Department is facing include issues with quality, work environment and economic issues, amongst others. In terms of quality, the wait-time targets are being met, however, a doctor sees only 2/3 of patients that enter the emergency department within the maximum delay period. This means that the quality of service suffers as well as patient safety for those that leave without seeing a doctor due to
I believe that if you asked a group of people to list off issues regarding an emergency department then they would say long wait times throughout the process and being moved around to different areas of the emergency department. From what I have heard the long waits can be associated with waiting to get back to a room, waiting to see a nurse, waiting to see a doctor, waiting to go to radiology or lab, waiting on results, waiting to be discharged, or waiting to be admitted. All of these things in
Theoretical Basis of Emergency Department Overcrowding Emergency Departments (EDs) worldwide are in a predicament due to the increasingly crushing nature of soaring demand, increased number of visits, overuse and misuse, and escalating costs. Adding to the catastrophe is the fact that for the past 20 years the number of ED’s have decreased due to closures. The disproportion of demand versus capacity has ultimately caused overcrowding, long wait times, and patients departing without being seen
Identification of the Problem Health care centers are important institutions within the society that is aimed at ensuring each and every individual is healthy and appropriate medical assistance is provided promptly. Within the emergency department, the nurses and other personnel faces numerous challenges ranging from lack of an appropriate strategy to poor motivation. The employees are not motivated and lack the internal urge to accomplish assigned tasks and fulfill defined responsibilities. Therefore
INTRODUCTION Emergency and Trauma nursing is a field in nursing that deals with traumatic events that need immediate attention of the health care professionals. Nurses are the first to be exposed to the trauma and have to act as quickly as possible to save the patient’s life. These traumatic events also pose a threat to the nurse’s mental, physical and emotional well-being. There are still gap in the existing knowledge of this research. This literature review consists of the research problem, research
providers. Lack of assistance in the emergency room can make ones illness to become worse, therefore, causes the patient to be forced to wait in emergency rooms for an extended period of time and when they are finally seen by a health care provider, the outcome is very poor due to lack of registered staff, physicians and proper assessment(Goldman & Macpherson, 2005, p.40). The objective of this paper is to discuss and critically analyze the conditions of emergency waiting rooms. The specific issue this
margins for EMC. EMTALA impacts Emanuel Medical Center because it will require mandatory treatment for emergency room visits by hospitals regardless of their ability to pay. EMC was established in 1917, which makes it an old, but bigger facility that can withstand a bigger capacity, sixteen thousand patients, of emergency visits per year. With the passing of this regulation, EMC emergency department treats forty-five thousand patients every year, and because the ED is small and greatly understaffed
1. What are the important facts of the case? There are numerous facts about this case that will be legally significant. The facts about the accident would include: 1. The patient being involved in an auto accident after escaping from a detention center 2. The patient seemed alert and claimed to be going through drug withdrawals 3. The patient stated he was in a methadone program but did not know his normal dosage 4. The dose of Methadone given was moderate 5. The patient was never an addict, nor
Systems Theory in the Emergency Department Being able to provide fast, appropriate, high-quality care in the emergency department (ED) setting can be complicated and should be the most valued goal by any healthcare organization. Organizations across the nation must be able to realize that the use of an open system for problem solving is the best approach to solving problems that are occurring with the organization. The use of system theory in the organization is to be able to clearly and concisely
sense of comfort I had been deprived of for the last hour. My mother and I were left alone, and I could sense concern on her face. She soon called my Dad who sat at home with my two younger sisters, eagerly waiting to hear about the details of my emergency visit so far.
Multiple studies from various emergency department show that the rates of violence in the emergency department are higher than other wards in hospitals. These studies looked at violence and intimidation directed towards the emergency department staff in various forms. These included intimidating behaviour, verbal abuse, shouting, physical threats, attempts of physical assault to actually getting physically assaulted. The Emergency Nurses Association (an American organization) surveyed 3500 nurses
Statistics The major concern of clients that have made an Emergency Department visit is due to pain. In fact, according to Tanabe and Buschmann 70 percent of patients who go to the Emergency Departments are going due to pain. (Duignan & Dunn, 2008, p. 30). Olioganalgesia is a prevalent issue in emergency health care. In a study by Wilson and Pendleton in 1989 on 198 patients, 56% patients received no pain medicine while waiting in the emergency room; 69% had to wait more than one hour to receive pain
It was becoming increasing clear to me that the hospital environment was a community that I knew one day I wanted to be a part of. For three summers, I shadowed one emergency room physician who has been an amazing role model and mentor. This exposure taught me not only a plethora of terms, but to think critically and quickly and to prioritize and reason in ways that had immediate benefit. I also learned a great deal about
On Sunday, April 17, once again I woke up super excited about working at the emergency department at JFK. After 7 days working in this unit, I feel more confident every day and I want to be as productive as I can. I arrived to work with 15 minutes of spare time. I knew it was supposed to be a busy day as usual on the weekends; therefore, I prepared myself in anticipation to apply some of the skills I have learned. The morning was uneventful and we spent time learning how to effectively prioritize
their clients. Emergency departments (ED) are no different, but are challenged with balancing quality with quantity in a timely manner. Unlike physician offices and hospital floors, EDs do not get to set a limit on the number of patients they see at a time. There is no control over patient arrival, which can and often does result in controlled chaos. The American College of Emergency Physicians (2014) reports “because of the unscheduled and episodic nature of health emergencies and acute illnesses