In response to the transfer of patients for radiology procedures. We
are a small community hospital and receive patients from a neighboring
hospital for CT's and VQ scans. Several years ago we changed our policy
and all patients get transferred to our ED with EMTALA forms completed
and report from the sending hospital. This was the result of a patient
from another hospital being unattended in radiology and crashing. It
was in the evening and the Emergency physician responded to the code
with nobody really knowing anything about the patient.
Kristie Potts, BSN, CEN
Trauma Coordinator
Holland Community Hospital
602 Michigan Ave.
Holland, MI 49423
Phone:(616) 394-3681
Fax: (616) 394-3390
E-mail: kristi@hoho.org
(616) 394-3681
kristi@hoho.org
>>> listar@mailman.listserve.com 05/28/03 01:01AM >>>
traumanurses Digest Tue, 27 May 2003 Volume: 02 Issue: 124
In This Issue:
[traumanurses] Re: computer charting on trauma patients
[traumanurses] Re: computer charting on trauma patients
[traumanurses] Transfers in for Diagnostic Studies
(no subject)
----------------------------------------------------------------------
Subject: [traumanurses] computer charting on trauma patients
From: "Jobey Job" <JJob@genesishcs.org>
Date: Tue, 27 May 2003 08:00:09 -0400
Our ED has just implemented computerized charting. We are using IBEX.
The
ED staff and physicians are fussing that they have to do paper trauma
flow
sheets. We are not using the computer trauma templates...yet.
Is anyboody using computerized charting for the trauma patient?
Thoughts on
how well it works. Our trauma medical director seems to think that it
is/will be very tough.
Thanks again,
Jobey G. Job RN, EMT-P
Genesis Healthcare System
Zanesville, Ohio
740-454-5242 Office
740-455-7581 Fax
*************************************************************************
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------------------------------
Subject: [traumanurses] Re: computer charting on trauma patients
Date: Tue, 27 May 2003 06:01:12 -0700
From: "Schroder, Robinelle" <Robinelle.Schroder@bannerhealth.com>
I am interested in this also. Our ED is going "live" with IBEX in
July
and we would like to know if anyone has used the Trauma portion.
Thanks!
Robinelle Schroder RN, BSN
Trauma Coordinator
Banner Good Samaritan Medical Center
925 E. McDowell Rd
Phoenix, AZ 85006
602-239-2391 office
602-239-4362 fax
-----Original Message-----
From: Jobey Job [mailto:JJob@genesishcs.org]=20
Sent: Tuesday, May 27, 2003 5:00 AM
To: TraumaNurses@traumaNurseSoc.org
Subject: [traumanurses] computer charting on trauma patients
Our ED has just implemented computerized charting. We are using IBEX.
The
ED staff and physicians are fussing that they have to do paper trauma
flow
sheets. We are not using the computer trauma templates...yet.
Is anyboody using computerized charting for the trauma patient?
Thoughts
on
how well it works. Our trauma medical director seems to think that it
is/will be very tough.
Thanks again,
Jobey G. Job RN, EMT-P
Genesis Healthcare System
Zanesville, Ohio
740-454-5242 Office
740-455-7581 Fax
************************************************************************
*
*****************Confidentiality Notice:******************************
************************************************************************
*
The information contained in this e-mail message, including any=20
attachments, is intended only for use of the individual or entity=20
named above (addressee). This e-mail may contain information=20
that is privileged, confidential and/or otherwise exempt from=20
disclosure under applicable law. If the reader of this message is=20
not the intended recipient, any disclosure, dissemination,=20
distribution, copying or other use of the communication or its=20
substance is prohibited. If you have received this e-mail in
error,=20
please reply to this e-mail indicating you are not the intended=20
recipient and immediately destroy all copies of this e-mail.
Receipt=20
by anyone other than the intended recipient is not a waiver of any=20
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************************************************************************
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not
comply will be unsubscribed. STN does not take any responsibility for
the information shared on this listserve. =20
------------------------------
From: "Crump, Dee - Trauma" <dcrump@parkviewmc.com>
Subject: [traumanurses] Re: computer charting on trauma patients
Date: Tue, 27 May 2003 07:33:03 -0600
Our ED is in the process of going to computer charting EDM a Meditech
module, at this point Trauma Activation patients and COR-O patient
documentation will continue on paper charts, until the staff has
gotten
better and more efficient with the computer documentation. They have
done
some parallel documentation and the least amount of time required for
routine ED patient has been 20 minutes and some as much as one and a
half
hours. It has created more chaos at this time.
Good Luck!
Dee Crump RN
Parkview Medical Center
Pueblo, CO
-----Original Message-----
From: Jobey Job [mailto:JJob@genesishcs.org]
Sent: Tuesday, May 27, 2003 6:00 AM
To: TraumaNurses@traumaNurseSoc.org
Subject: [traumanurses] computer charting on trauma patients
Our ED has just implemented computerized charting. We are using IBEX.
The
ED staff and physicians are fussing that they have to do paper trauma
flow
sheets. We are not using the computer trauma templates...yet.
Is anyboody using computerized charting for the trauma patient?
Thoughts on
how well it works. Our trauma medical director seems to think that it
is/will be very tough.
Thanks again,
Jobey G. Job RN, EMT-P
Genesis Healthcare System
Zanesville, Ohio
740-454-5242 Office
740-455-7581 Fax
*************************************************************************
*****************Confidentiality Notice:******************************
*************************************************************************
The information contained in this e-mail message, including any
attachments, is intended only for use of the individual or entity
named above (addressee). This e-mail may contain information
that is privileged, confidential and/or otherwise exempt from
disclosure under applicable law. If the reader of this message is
not the intended recipient, any disclosure, dissemination,
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substance is prohibited. If you have received this e-mail in error,
please reply to this e-mail indicating you are not the intended
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****************************************************************************
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This e-mail contains the thoughts and opinions of the sender and does
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This communication is intended only for the recipient(s) named above,
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------------------------------
From: "Workman, Cheryl" <Cheryl.Workman@mosescone.com>
Subject: [traumanurses] Re: computer charting on trauma patients
Date: Tue, 27 May 2003 10:26:04 -0400
I am in agreement with the trauma director. Our state DID NOT like the
computer printouts we had on our computerized ED charts. It was very
difficult to find a flow pattern. We had to go back to paper. Also
unless
the program offers multiple windows that are open simultaneously it
would be
very difficult to chart in a timely manner and by body system, etc. It
is
challenging at best with paper sometimes even now.
Cheryl Workman, MSN, RN, CEN
Trauma Nurse Coordinator
1200 North Elm Street
Greensboro, NC 27401-1020
Office - 336-832-7868
Voice Mail - 336-832-8852
Pager - 336-319-3625
Fax - 336-832-8855
Email - cheryl.workman@mosescone.com
-----Original Message-----
From: Schroder, Robinelle [mailto:Robinelle.Schroder@bannerhealth.com]
Sent: Tuesday, May 27, 2003 09:01
To: traumanurses@mailman.listserve.com
Subject: [traumanurses] Re: computer charting on trauma patients
I am interested in this also. Our ED is going "live" with IBEX in
July
and we would like to know if anyone has used the Trauma portion.
Thanks!
Robinelle Schroder RN, BSN
Trauma Coordinator
Banner Good Samaritan Medical Center
925 E. McDowell Rd
Phoenix, AZ 85006
602-239-2391 office
602-239-4362 fax
-----Original Message-----
From: Jobey Job [mailto:JJob@genesishcs.org]
Sent: Tuesday, May 27, 2003 5:00 AM
To: TraumaNurses@traumaNurseSoc.org
Subject: [traumanurses] computer charting on trauma patients
Our ED has just implemented computerized charting. We are using IBEX.
The
ED staff and physicians are fussing that they have to do paper trauma
flow
sheets. We are not using the computer trauma templates...yet.
Is anyboody using computerized charting for the trauma patient?
Thoughts
on
how well it works. Our trauma medical director seems to think that it
is/will be very tough.
Thanks again,
Jobey G. Job RN, EMT-P
Genesis Healthcare System
Zanesville, Ohio
740-454-5242 Office
740-455-7581 Fax
************************************************************************
*
*****************Confidentiality Notice:******************************
************************************************************************
*
The information contained in this e-mail message, including any
attachments, is intended only for use of the individual or entity
named above (addressee). This e-mail may contain information
that is privileged, confidential and/or otherwise exempt from
disclosure under applicable law. If the reader of this message is
not the intended recipient, any disclosure, dissemination,
distribution, copying or other use of the communication or its
substance is prohibited. If you have received this e-mail in error,
please reply to this e-mail indicating you are not the intended
recipient and immediately destroy all copies of this e-mail. Receipt
by anyone other than the intended recipient is not a waiver of any
privileged information.
************************************************************************
**********
*eSafe scanned this email for viruses, vandals and malicious content*
************************************************************************
**********
To Digest or put your listserve on "vacation hold" refer to listserve
page on the website. STN does not accept the following: Coarse or
vulgar language, disparaging or untruthful remarks about health care
professionals or institutions, job postings, or comments which
otherwise
would indicate a lack of respect or regard for trauma nursing or
anything deemed inappropriate by the webmaster. Subscribers who do
not
comply will be unsubscribed. STN does not take any responsibility for
the information shared on this listserve.
To Digest or put your listserve on "vacation hold" refer to listserve
page
on the website. STN does not accept the following: Coarse or vulgar
language, disparaging or untruthful remarks about health care
professionals
or institutions, job postings, or comments which otherwise would
indicate a
lack of respect or regard for trauma nursing or anything deemed
inappropriate by the webmaster. Subscribers who do not comply will be
unsubscribed. STN does not take any responsibility for the
information
shared on this listserve.
Moses Cone Health System
Greensboro, North Carolina 27401
------------------------------
From: "Clements, Rebecca K." <Clements.Rebecca@mayo.edu>
Subject: [traumanurses] Transfers in for Diagnostic Studies
Date: Tue, 27 May 2003 12:05:19 -0500
Hi all, (I apologize for this being so lengthy)
We are a non verified level II and we are looking at our policy
regarding acute ED transfer of trauma patients to our facility for
diagnostic studies such as a CT scan. Currently any facility can send a
patient from their ED directly to our radiology department for
diagnostic studies anytime of the day or night. The scans are completed
and the patient awaits the results in our radiology suite, the results
are called to the sending facilities physician. If the results are
negative the patient returns to the sending facility usually via BLS
ambulance, if the results are positive the sending physician then
telephones our ED and asks our ED physicians to see the patient. The
patient is then brought to the ED. Sometimes the patient may have
transfer papers sometimes no paperwork is ever sent from the sending
hospital (was it even a transfer?) The patient is usual only monitored
by our radiology staff that is performing the scan, the transport crew
assumes little if any responsibility for the patient while in our
facility and is usually a BLS crew. At our facility we do not have 24/7
Radiologist coverage so after 5pm all interpretation is done by
teleradiography. If our technologist picks up on a significant injury
before the report is back from teleradiology they will notify our ED
physician and the needs of the patient will be meet by our ED without
further to-do.
After this lengthy description. My questions are: Do your facilities
have similar processes? Do you have policies that you'd be willing to
share? If not, do you have alternative processes that you'd be willing
to share along with policies? Do you have the support of your ED
physicians on the process you have in place? What level trauma center
are you? Are you verified? One last question does this only apply to
trauma patients or does this process apply to all ED patients?
Becca
Rebecca Clements, RN BSN
Immanuel St. Joseph's-Mayo Health System
Trauma Services
1025 Marsh St
Mankato, MN 56002-8673
Office: 507-389-4822
Fax: 507-389-4873
clements.rebecca@mayo.edu
CONFIDENTIALITY NOTICE: This e-mail message, including any attachments,
is for the sole use of the intended recipient(s) and may contain
confidential and privileged information. Any unauthorized review use
disclosure or distribution is prohibited. If you are not the intended
recipient, please contact the sender by reply e-mail and destroy all
copies of the original message.
------------------------------
From: "Carolyn Koehler" <koehlercarolyn@hotmail.com>
Date: Tue, 27 May 2003 14:52:39 -0400
Subject: (no subject)
Does anyone have any policies on the use of Atrium ATS autotransfusion
bags
or internal defibrillators during ED resuscitation? Thank you
Carolyn Koehler APRN
koehlercarolyn@hotmail.com
_________________________________________________________________
MSN 8 with e-mail virus protection service: 2 months FREE*
http://join.msn.com/?page=features/virus
------------------------------
Subject: [traumanurses] Re: Transfers in for Diagnostic Studies
From: Judi_Muir@Bayhealth.org
Date: Tue, 27 May 2003 15:11:31 -0400
Rebecca,
We have had similar incidents. We have in the past, sent patients to
our
sister facility for CT scans when ours in down - and they do the same.
We
are both Level III verified facilities.
It is our policy that any trauma patient being transferred anywhere (in
the
hospital or to another hospital for any reason) must have an RN
accompany
them. Our transport service is only BLS also so transferring without a
nurse can turn into a nightmare. The nurse takes necessary paperwork
with
her/him and if any additional paperwork is necessary we fax it to the
other
facility.
Our radiology staffing is similar to yours with studies read via
teleradiology after 5 p.m.
The patient usually returns to our facility for further workup. If a
higher
level of care is deemed necessary based on CT results they can make
the
arrangements via phone at our facility and send the nurse and patient
from
our sister facility to a higher level of care from the CT suite with
film
copies and paperwork.
Not the ideal situation and fortunately not one we deal with daily.
Judi
Judi Muir, R.N.
Trauma Program Coordinator
Bayhealth Medical Center - MMH
21 W. Clarke Street
Milford, Delaware 19963
302-430-5687 (office)
302-430-5439 (fax)
302-677-9097 (pager)
"Clements, Rebecca K."
<Clements.Rebecca@mayo.edu> To:
traumanurses@mailman.listserve.com
Sent by: cc:
traumanurses-bounce@mailman.lis Subject:
[traumanurses] Transfers in for Diagnostic Studies
tserve.com
05/27/2003 01:05 PM
Please respond to traumanurses
Hi all, (I apologize for this being so lengthy)
We are a non verified level II and we are looking at our policy
regarding
acute ED transfer of trauma patients to our facility for diagnostic
studies
such as a CT scan. Currently any facility can send a patient from
their ED
directly to our radiology department for diagnostic studies anytime of
the
day or night. The scans are completed and the patient awaits the
results
in our radiology suite, the results are called to the sending
facilities
physician. If the results are negative the patient returns to the
sending
facility usually via BLS ambulance, if the results are positive the
sending
physician then telephones our ED and asks our ED physicians to see the
patient. The patient is then brought to the ED. Sometimes the patient
may
have transfer papers sometimes no paperwork is ever sent from the
sending
hospital (was it even a transfer?) The patient is usual only monitored
by
our radiology staff that is performing the scan, the transport crew
assumes
little if any responsibility for the patient while in our facility and
is
usually a BLS crew. At our facility we do not have 24/7 Radiologist
coverage so after 5pm all interpretation is done by teleradiography.
If
our technologist picks up on a significant injury before the report is
back
from teleradiology they will notify our ED physician and the needs of
the
patient will be meet by our ED without further to-do.
After this lengthy description. My questions are: Do your facilities
have
similar processes? Do you have policies that you'd be willing to share?
If
not, do you have alternative processes that you'd be willing to share
along
with policies? Do you have the support of your ED physicians on the
process you have in place? What level trauma center are you? Are you
verified? One last question does this only apply to trauma patients
or
does this process apply to all ED patients?
Becca
Rebecca Clements, RN BSN
Immanuel St. Joseph's-Mayo Health System
Trauma Services
1025 Marsh St
Mankato, MN 56002-8673
Office: 507-389-4822
Fax: 507-389-4873
clements.rebecca@mayo.edu
CONFIDENTIALITY NOTICE: This e-mail message, including any attachments,
is
for the sole use of the intended recipient(s) and may contain
confidential
and privileged information. Any unauthorized review use disclosure or
distribution is prohibited. If you are not the intended recipient,
please
contact the sender by reply e-mail and destroy all copies of the
original
message.
To Digest or put your listserve on "vacation hold" refer to listserve
page
on the website. STN does not accept the following: Coarse or vulgar
language, disparaging or untruthful remarks about health care
professionals
or institutions, job postings, or comments which otherwise would
indicate a
lack of respect or regard for trauma nursing or anything deemed
inappropriate by the webmaster. Subscribers who do not comply will be
unsubscribed. STN does not take any responsibility for the
information
shared on this listserve.
______________________________________________________________________
CONFIDENTIALITY NOTICE: The information contained in this e-mail
message
and any attachment(s) is intended only for
the confidential use of the intended recipient(s) named above. This
e-mail message and any attachment(s) may contain
confidential health information or other confidential information that
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legally privileged and exempt from disclosure under
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intended
recipient or the employee agent responsible for
delivering it to the intended recipient, you should be aware that any
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strictly prohibited. If this e-mail has been received
in error, please notify us immediately via e-mail at
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------------------------------
End of traumanurses Digest V2 #124
**********************************
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