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ER/Triage Handoffs

ER/Triage Handoffs. Rick Hilger, MD October 23, 2008. Don’t forget the basics. Name Age Diagnosis Recommended care plan Admit Observation Phone consult (“can I pass something by you?”). “I have an admission for you”. “I have an admission for you”.

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ER/Triage Handoffs

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  1. ER/Triage Handoffs Rick Hilger, MD October 23, 2008

  2. Don’t forget the basics • Name • Age • Diagnosis • Recommended care plan • Admit • Observation • Phone consult (“can I pass something by you?”)

  3. “I have an admission for you”

  4. “I have an admission for you” • Likely a correct statement 90% of the time, BUT……. • Is absolute • Paternal • Does not welcome dialogue/feedback • Places triage in a position of “blocking admissions”

  5. Possible alternatives? • “I have a patient to discuss with you that I think needs admission” • “I’ve got a 45yo female with low risk CP who we think needs observation”

  6. “I’ll do any surgery for $129.95”

  7. ER/Triage Handoffs • If it’s a social admit, please say so up front • Saves both services time • Flexibility in pt’s care plan appreciated if Triage finds additional information in EPIC • Triage more familiar with: • Subspecialists • Clinic physicians

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