Harbor:RME Manual: Difference between revisions
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== RME Provider Manual == | == RME Provider Manual == | ||
=== Patient Flow=== | |||
*Quick team huddle at beginning of shift | |||
** Physician, NP's, RME charge, LVN | |||
** Determine team roles (who will primarily screen/discharge) | |||
** Write names with spectralink numbers on the whiteboard (there are 4 phones!) | |||
* Priority is to provide MSE to all patients presenting to the ED | |||
# Chest Pain (door to EKG <10 min) | |||
## To “review” the EKG: Double click eyeglasses, write “NO STEMI Activation”, and click “ED review and close” | |||
## NP may review if read is “Normal Sinus” otherwise the physician needs to review in ORCHID | |||
# Focal neuro deficit (door to eval <10 min, door to code stroke activation <15 min) | |||
# ESI 2 then 3 | |||
# Many of the ESI 4 & 5 Patients may be seen and discharged concurrently | |||
## If additional workup is needed on these patients, place orders and they should be placed in rooms 7 & 8 for the Fast Track NP/resident | |||
* Communicate with RME charge for patient flow - they will find a bed for critical patients | |||
=== Patient Screening Process === | |||
* Optimal flow is to concurrently see the patients with the triage nurses (move between rooms) | |||
* Once the patient is seen | |||
=== NP Independent Workup Guidelines === | === NP Independent Workup Guidelines === | ||
=== NP Independent Discharge Guidelines === | === NP Independent Discharge Guidelines === | ||
=== Timesheets === | |||
* Daytime (099) - 6am, 9am, 10am | |||
* Evening bonus (517) - 12n, 2pm, 4pm | |||
* Night Bonus (504) - 6pm or 8pm | |||
* Weekend Bonus (539) - Friday 6pm through | |||
* 703-843: accrued OT (any work over 40 hours; maximum of 81 hours) | |||
* 701-843: Paid OT (only when offered by director or Lead NP) or Part-time accrued | |||
* 037: mandatory training (computer modules, skills lab) | |||
* 024: Military time | |||
[[Category:Admin]] | [[Category:Admin]] | ||
Revision as of 18:45, 6 April 2016
RME Provider Manual
Patient Flow
- Quick team huddle at beginning of shift
- Physician, NP's, RME charge, LVN
- Determine team roles (who will primarily screen/discharge)
- Write names with spectralink numbers on the whiteboard (there are 4 phones!)
- Priority is to provide MSE to all patients presenting to the ED
- Chest Pain (door to EKG <10 min)
- To “review” the EKG: Double click eyeglasses, write “NO STEMI Activation”, and click “ED review and close”
- NP may review if read is “Normal Sinus” otherwise the physician needs to review in ORCHID
- Focal neuro deficit (door to eval <10 min, door to code stroke activation <15 min)
- ESI 2 then 3
- Many of the ESI 4 & 5 Patients may be seen and discharged concurrently
- If additional workup is needed on these patients, place orders and they should be placed in rooms 7 & 8 for the Fast Track NP/resident
- Communicate with RME charge for patient flow - they will find a bed for critical patients
Patient Screening Process
- Optimal flow is to concurrently see the patients with the triage nurses (move between rooms)
- Once the patient is seen
NP Independent Workup Guidelines
NP Independent Discharge Guidelines
Timesheets
- Daytime (099) - 6am, 9am, 10am
- Evening bonus (517) - 12n, 2pm, 4pm
- Night Bonus (504) - 6pm or 8pm
- Weekend Bonus (539) - Friday 6pm through
- 703-843: accrued OT (any work over 40 hours; maximum of 81 hours)
- 701-843: Paid OT (only when offered by director or Lead NP) or Part-time accrued
- 037: mandatory training (computer modules, skills lab)
- 024: Military time