ED Structure & Processes

Question 1

Australian Triage Scale (incl wait times and peformance indicators):

Answer 1

1- LIFE THREAT
2- IMMINENT life threat, or time sensitive
(stroke, torsion)
3- POTENTIAL life threat, or time sensitive
(headache, vomiting)
4- Potentially SERIOUS
(# without NV, swollen joint)
5- Not serious
(ADT)

Question 2

How to write a clinical guideline:

Answer 2

• Define issue
• Engage stakeholders
• Set objective and timeframe
• Research the topic
  —> Benchmarking
  —> Literature
• Circulate a draft for comment
• Implement
• Audit

Question 3

ACEM recommendations for SSU design:

Answer 3

Seperate, but close to ED
Dedicated beds with O2 and suction
Dedicated patient toilet/shower
Separation of adults/kids
Dedicated staff station

’Consider’: recliners, kitchenette, ensuite, own pan room

Question 4

ACEM SSU Performance Indicators:

Answer 4

<15% admitted

<10% overstay

If there <1hr, must have documentation of why it was appropriate/that care was provided.

Question 5

ACEM SSU Exclusion criteria:

Answer 5

Duration expected >24 hours
Admitted under team
Unstable
Undifferentiated/ unclear plan
Complex needs unable to be met

Question 6

Overcrowding definition:

Answer 6

ED function impeded as number of patients exceeds physical space or staffing available in ED.

Question 7

Access Block Definition:

Answer 7

Admitted patients staying in ED in excess of 8 hours due to lack of available inpatient beds.