Deaconess Hospital was also told the exact thing at our consultation visit a
few weeks ago. You must have a PI process in place tracking this & it will
not be a problem for verification. Feel free to give me a call for further
questions concerning this PI process. I am willing to share what we have in
place to solve this issue. I can be reached at 812-450-3867. Thanks. Jill
Buttry, Trauma Program Manager
-----Original Message-----
From: John Bleicher [mailto:BLEICHER@saintpatrick.org]
Sent: Friday, December 19, 2003 9:27 AM
To: traumanurses@listserve.com
Subject: [traumanurses] Re: ED Physician Coverage
Hi - At last year's STN Conference Dr. Coscia, Chairman of the Verification
Review Board, stated that Level II centers would no longer be able to be
verified given the scenario you describe. A number of TMDs from Level II
centers around our state and, I believe, the rest of the country wrote
letters to the Board protesting this. We're less able to respond than you
are, as our general surgeons take call from home with an expected ED arrival
time of 15 minutes or less and we have single-doc coverage in our ED for 6
hours a night with no one else in-house to respond to codes. We were
subsequently told that we could continue to be verified so long as we have a
PI process in place that tracks this...how many times was the ED doc out of
the department when a trauma came in. We were very relieved at this, as I
truly believe that if this standard was in place our facility would not be
pursuing re-verification (coming up in a couple months) which would have
been a real loss to our community. John
John Bleicher, RN
Trauma Coordinator
St. Patrick Hospital and Health Sciences Center
500 West Broadway
Missoula, MT 59802
ph: 406-329-5603
fax: 406-329-5856
bleicher@saintpatrick.org
>>> smorriso@washoehealth.com 12/18/03 05:16PM >>>
Hi all
Our last review, 2002, the reviewer noted we had only one ED physician on at
night from 2am to 5am. He also noted this ED physician responded to
patients who coded in the hospital during those hours leaving the ED
uncovered for the duration of the code. His question to us was "What
happens when a Level 1 trauma comes in and the ED MD is somewhere else in
the hospital?"
This time period in the morning doesn't warrant 2 ED physician coverage.
Our trauma surgeon is in house, but doesn't sleep in the ED. He sleeps
about 5 min away. We are the only trauma center around and see 2200 to 2500
trauma patients a year. We also do not have residents, all our Doc's are
private practice who take trauma call. If you are a similar center could you
let me know how you handle this.
1. Do you have 2 ED docs on at all times?
2. Does someone else respond to codes in your hospital?
Any help with this topic would be greatly appreciated.
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