Flow of a patient through the ED Flashcards

1
Q

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

A

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

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2
Q

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

A

Walk-In or EMS

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3
Q

What are the parts of Triage

A

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

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4
Q

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

A

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

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5
Q

What are the 5 vital signs?

A

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

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6
Q

What happens after triage?

A

Bed placement

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7
Q

What happens during the nurse assessment?

A

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

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8
Q

What happens after bed placement?

A

Nurse assessment

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9
Q

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

A

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

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10
Q

Is a level 5 acuity high or low?

A

Low

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11
Q

Is a level 1 acuity high or low?

A

High

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12
Q

What are the 3 parts of the H&P?

A

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

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13
Q

H&P

A

History and Physical

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14
Q

What are the 3 pars of the H&P?

A

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

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15
Q

Hx

A

Past history

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16
Q

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

A

(1) HPI (2) ROS

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17
Q

HPI

A

History of Present Illness

18
Q

ROS

A

Review of Systems

19
Q

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

A

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

20
Q

PMHx

A

Past medical history

21
Q

PSHx

A

Past surgical history

22
Q

FHx

A

Family History

23
Q

SHx

A

Social History

24
Q

What is the objective part of the H&P?

25
PE
Physical Exam
26
What happens after the H&P?
The physician places his/her orders
27
What happens after the physician places his/her orders?
Differential diagnosis
28
What is the differential dx?
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
29
What are the 4 possible physician orders?
(1) Lab studies (2) Imaging studies (3) Procedures (4) Medications
30
What happens after the physician places his/her orders?
Results and ED Course (Patient re-evaluations and consults with specialists)
31
What happens after the results and ed course?
Final Dx (Using MDM the physician review results that rule out Ddx and reach Dx)
32
MDM
Medical Decision Making
33
DDx
Differential Diagnoses
34
Dx
Final Diagnosis
35
What are the 3 possible dispositions of a pt in the ER?
(1) Discharge (2) Admit (3) Transfer
36
What happens after the check-in and chief complaint?
Physician assessment
37
What happens after the physician assessment?
Objective orders and results
38
What happens after objective orders and results?
Medical Decision Making
39
What happens after Medical Decision making?
Disposition
40
What are the 2 parts of medical decision making?
(1) Results and ED Course (2) Dx