Flow of a patient through the ED

Question 1

What are the steps of a patient’s ED flow?

Answer 1

(1) Check in and Chief Complaint (2) Physician Assessment (3) Objective Orders and Results (4) Medical Decision Making (5) Disposition

Question 2

What are the two ways a patient can come into the ED?

Answer 2

Walk-In or EMS

Question 3

What are the parts of Triage

Answer 3

(1) Chief Complaint (2) Vital Signs (3) Level of Acuity

Question 4

What are the 2 steps in the ED flow before orders?

Answer 4

(1) Check In and Chief Complaint (2) Physician Assessment

Question 5

What are the 5 vital signs?

Answer 5

(1) HR (2) BP (3) RR (4) T (5) SaO2

Question 6

What happens after triage?

Answer 6

Bed placement

Question 7

What happens during the nurse assessment?

Answer 7

(1) Confirm chief complaint (2) Review Allergies (3) Brief Past Medical Hx

Question 8

What happens after bed placement?

Answer 8

Nurse assessment

Question 9

What are the steps of the check in and chief complaint step?

Answer 9

(1) Arrival (2) Triage (3) Bed Placement (4) Nurse Assessment

Question 10

Is a level 5 acuity high or low?

Answer 10

Low

Question 11

Is a level 1 acuity high or low?

Answer 11

High

Question 12

What are the 3 parts of the H&P?

Answer 12

(1) Subjective (2) Past Hx (3) Objective

Question 13

H&P

Answer 13

History and Physical

Question 14

What are the 3 pars of the H&P?

Answer 14

(1) Subjective (2) Objective (3) Hx

Question 15

Hx

Answer 15

Past history

Question 16

What are the 2 parts of the subjective H&P?

Answer 16

(1) HPI (2) ROS

Question 17

HPI

Answer 17

History of Present Illness

Question 18

ROS

Answer 18

Review of Systems

Question 19

What are the 2 parts of the Hx H&P?

Answer 19

(1) PMHx, PSHx (2) FHx, SHx

Question 20

PMHx

Answer 20

Past medical history

Question 21

PSHx

Answer 21

Past surgical history

Question 22

FHx

Answer 22

Family History

Question 23

SHx

Answer 23

Social History

Question 24

What is the objective part of the H&P?

Answer 24

PE

Question 25

PE

Answer 25

Physical Exam

Question 26

What happens after the H&P?

Answer 26

The physician places his/her orders

Question 27

What happens after the physician places his/her orders?

Answer 27

Differential diagnosis

Question 28

What is the differential dx?

Answer 28

Based on the H&P, the physician generates a list of things that may be causing the pt’s subjective symptoms. Then the doctor places orders to “rule out” each differential

Question 29

What are the 4 possible physician orders?

Answer 29

(1) Lab studies (2) Imaging studies (3) Procedures (4) Medications

Question 30

What happens after the physician places his/her orders?

Answer 30

Results and ED Course (Patient re-evaluations and consults with specialists)

Question 31

What happens after the results and ed course?

Answer 31

Final Dx (Using MDM the physician review results that rule out Ddx and reach Dx)

Question 32

MDM

Answer 32

Medical Decision Making

Question 33

DDx

Answer 33

Differential Diagnoses

Question 34

Dx

Answer 34

Final Diagnosis

Question 35

What are the 3 possible dispositions of a pt in the ER?

Answer 35

(1) Discharge (2) Admit (3) Transfer

Question 36

What happens after the check-in and chief complaint?

Answer 36

Physician assessment

Question 37

What happens after the physician assessment?

Answer 37

Objective orders and results

Question 38

What happens after objective orders and results?

Answer 38

Medical Decision Making

Question 39

What happens after Medical Decision making?

Answer 39

Disposition

Question 40

What are the 2 parts of medical decision making?

Answer 40

(1) Results and ED Course (2) Dx