Day 1: ED Flow: Part 1

Question 1

Feeling vs. Fact

Answer 1

Subjective vs. Objective

Question 2

The main reason for the patient’s ED visit

Answer 2

Chief Complaint

Question 3

They physician’s thought process

Answer 3

Medical Decision Making

Question 4

Patient’s feeling vs. Physican’s assessment

Answer 4

Pain vs. Tenderness

Question 5

Normal, nothing of concern

Answer 5

Benign

Question 6

The doctor’s judgement of discomfort

Answer 6

Distress

Question 7

The state of having a fever, concerning for infection

Answer 7

Febrile

Question 8

New onset, likely concerning

Answer 8

Acute

Question 9

Long standing, not of direct concern

Answer 9

Chronic

Question 10

An individuals normal state of being

Answer 10

Baseline

Question 11

Listening with a stethoscope

Answer 11

Auscultation

Question 12

The act of pressing on an area (by the doctor)

Answer 12

Palpation

Question 13

Admitted to the hospital overnight

Answer 13

Inpatient

Question 14

Seen and sent home the same day

Answer 14

Outpatient

Question 15

Manages the ED patient flow

Answer 15

Charge Nurse

Question 16

Nurse Practitioner (LNP) or Physician Assistant (PA) that works under the supervision of a physical to diagnose and treat patients

Answer 16

Mid-Level Provider

Question 17

Records medical histories, symptoms, monitors the patient, starts IVs, administers medications, and assists with procedures

Answer 17

ED Nurse

Question 18

Administers “breathing treatments” and assists with managing a patient’s airway

Answer 18

Respiratory Therapist (RT)

Question 19

Helps the nurse and assists with procedures

Answer 19

ED Tech

Question 20

Places physician’s orders, answers phone calls, pages other specialists/doctors, and organizes the patient’s paperwork

Answer 20

Unit Secretary

Question 21

Documents the patient’s visit on behalf of the physician

Answer 21

Scribe

Question 22

Emergency Department Flow Before Orders

Answer 22

1. Walk In [Waiting Room]/ EMS [Ambulance Bay]
2. Triage [chief complaint, vital signs, level of acuity]
3. Bed Placement
4. Nurse Assessment [confirm chief complaint, review allergies, brief past medical history]
5. History and Physical (H & P)
   [SUBJECTIVE: HPI/ROS]
   [PAST HISTORY: PMHx/PSHx, FHx, SHx]
   [OBJECTIVE: PE]

Question 23

Emergency Department Flow After Orders

Answer 23

1. Differential Diagnosis
2. Physician Orders [laboratory studies, imaging studies, procedures, medications]
3. Results & ED Course
4. Final Diagnosis
5. Disposition

Question 24

Documentation Layout

Answer 24

1. History of Present Illness (HPI)
2. Review of Symptoms (ROS)
3. Past History
4. Physical Examination
5. ED Course
6. Disposition

Question 25

Patient Complaint goes in

Answer 25

HPI or ROS

Question 26

Past Diagnosis or Surgery

Answer 26

Past History

Question 27

Physician’s Observation

Answer 27

Physical Exam

Question 28

Objective Study

Answer 28

Results

Question 29

Re-Evaluation

Answer 29

ED Course

Question 30

Where they will go

Answer 30

Disposition

Question 31

Vital Signs Obtained by the Nurse

Answer 31

Blood Pressure
Heart Rate
Respiratory Rate
Temperature
Oxygen Saturation