ED Core Measures
CBC, BMP, Inital Lactate, Chest Xray, 1 liter bolus of Lactated Ringers
What is a SIRS or Sepsis TIP?
A quick evaluation performed during the first encounter with a patient to identify immediate life threats
What is the Rapid Primary Assessment?
Improves patient satisfaction, builds trust, decreases anxiety and decreases suffering
What is Bedside Shift Report and/or Purposeful Rounding?
Five level triage algorithm that categorizes patients
What is the Emergency Severity Index (ESI)?
Vital Signs are reassessed every 2-3 hours
What is ESI Level 3?
Viral Syndrome, Substance Use, or Treatment Already Initiated
What are reasons that a patient can be opted out for SIRS /Sepsis TIP?
The process of prioritizing patients based on the severity of their condition.
What is triage?
Use clear, calm, non-threatening respectful language and tone.
Active listening and validation
Offer choices if possible
What is Therapeutic Communication?
Follow Air Crew instructions at all times
What is Helipad Safety Procedures?
Reassessed at least every 2 hours
What is Pain?
Pain "Nose to Navel"
What is Chest Pain?
Heart Rate, Blood Pressure, Temperature, Respiratory Rate, Pulse Oximetry, and Pain Level
What is a complete set of Vital Signs?
Pain, Potty, Position, Personal Belongings, Privacy and Personal Connection.
What are the 6Ps of Purposeful Rounding?
The goal is to complete orders related to the patient's chief complaint.
What are ED TIPs?
This level is repeated in 2 hours on patient who meet Sepsis protocol
What is Lactate?
12 Lead EKG
What needs to be completed within 10 mins of arrival to ED?
Can range from a simple examination to a complex examination involving labs, diagnostic imaging and on call specialists
What is a Medical Screening Exam (MSE)?
Answering the "Red Phone" in the department
Where is the emergency?
Patient who is less than 90 days old with a temperature greater than 38 degrees C (100.4 degrees F)
What is a High Risk Vital Sign?
This assessment is completed every 15 minutes and this means your patient is a one to one.
What is Violent Restraints?
The last time the patient was seen without the presenting symptoms
What is Last Know Well?
RED - Immediate
YELLOW - Delayed
GREEN - Minor
BLACK - Deceased/Expectant
What is START or JumpSTART Triage?
Observations of patient's overall appearance, work of breathing, and level of distress
What is an Across the Room Impression/Assessment?
This asks the patient to verbally report the intensity of their pain on a scale of 1-10.
What is the Visual Analog Pain Scale?
Your patient fell in the bathroom in your Emergency Department. This needs to be completed
What is the Fall Risk Assessment tool?