List Archives

Mon Oct 15 21:18:25 BST 2007

Can't hold patients longer in ER.  Recent study revealed increased mortality
in ICU patients who chill in the ER.  ER nurses are great.  One of the
reasons that they are ER nurses is because they like for patients to come
and go.  

Need to work with administration to fix this problem.  I would track times
and complications.  ER nurses aren't use to giving scheduled meds.  They
will be missed.  Look into that.  Meet with administration monthly until the
problem is solved.  

Good luck. 

E

Errington C. Thompson, MD, FACS, FCCM
Trauma/Surgical Critical Care
Author - Letter to America
Asheville, NC

-----Original Message-----
From: trauma-list-bounces at trauma.org [mailto:trauma-list-bounces at trauma.org]
On Behalf Of Lorri McCourt-ODonnell
Sent: Monday, October 15, 2007 9:26 AM
To: trauma-list at trauma.org
Subject: Standing Orders for trauma patients

Hi,

  I work in a ED/Level I Trauma Center outside of Chicago.  I am interested
if anyone uses standing orders for patients in the ED, given that we hold
patients longer in the ED.   I am interested if anyone has any they would be
willing to share to save the nurses time and the residents from being
continually paged for pain meds etc.

  Thanks,

  Lorri McCourt-O'Donnell RN, BSN, TNS, CEN
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Standing Orders for trauma patients