Registration Under Pressure
MCI Leadership Decisions
What Would You Do?
100

True or False: Patient arrives deceased, registration is required

True, all patients are required to be registered upon arrival.

100

An MCI alert is received. What is the first formal meeting called to activate the response?

What is the MCI Huddle?

100

A patient arrives unresponsive  without identification. Do you delay registration until ID is obtained?

What is No, proceed using MCI workflow?

200

Two patients arrive simultaneously with similar names. One registrar suggests 'we’ll sort it out later.' What patient safety risk is being created?

What is an overlay?

200

During the huddle, Patient Access is present alongside Nursing, Security, Providers, and Pharmacy. Why is Patient Access included so early?

What is because patient identification and tracking are critical to the response?

200

You discover two patients may have been registered under the same disaster record. What is your first action? 

What is immediately escalate and investigate the potential overlay?

300

A pediatric patient arrives during an active MCI without identification. Should Patient Access follow a different arrival process than would be used for an adult patient?

What is no? The patient should be arrived using the same MCI registration process as an adult while following the pediatric anonymous patient workflow  

(Using y-10 for the DOB) 

300

Staff begin independently changing workflows without direction. Which role should be coordinating operational decisions?

Who is the ED Incident Commander?

400

Epic is unavailable during an active MCI. What alternate workflow should Patient Access be prepared to use?

What are MCI Packets?

400

The incident is stabilizing and patient arrivals have stopped. What is the final Patient Access responsibility before returning to normal operations?

What is reconciling patient data?

400

During the event, staff debate whether speed or accuracy should take priority. What is the correct answer?

What is both, but accurate patient identification can never be sacrificed for speed?

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