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So you say overcrowding is an issue at your hospital. Your ED is regularly filled with admitted holds (patients admitted to the hospital waiting for beds, for those non-emergency affiliated readers). Your emergency nursing staff is burdened with inpatient Read More...
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Monday, March 05, 2007 10:27 AM
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NJ ACEP in an effort to push overcrowding and surge capacity to the forefront recently held a townhall meeting/press conference on the topic. This was through a grant from national ACEP. The event was featured by the following press agencies: The Record Read More...
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Monday, February 19, 2007 3:12 PM
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The other day I saw a patient with abdominal pain. The patient had the pain for some time. They had a CT scan of the abdomen at an outpatient radiology facility the day before. I asked if she knew the result, and she said, “No, but can't you just Read More...
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Thursday, August 10, 2006 12:57 PM
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This article per Reuter's reveals something that I am not surprised about. Physicians especially in their privat offices are not using computers to document patient records, write prescriptions or to track patients' routine preventative care. Working Read More...
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Friday, June 09, 2006 10:36 AM
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Has anyone noticed the overabundance of people wearing iPods while they are working? In fact I even witnessed a nurse in my ED wearing one while she was working. I really did not know how to react. Turns out she isn’t the only one and staff have Read More...
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Monday, March 13, 2006 1:36 PM
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It astounds me how many job opportunities there are for Emergency Physicians all around the country. Every time I get the Annals of Emergency Medicine or Emergency Medicine News I browse the classifieds to see what is out there. I am pretty secure in Read More...
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Saturday, February 11, 2006 7:12 PM
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I know there are a lot of people out their who talk about how to manage your time. How to get the most out of your business day. Utilizing your weekend time to fit in the projects you wish to complete. But wait....what about managing the things you do Read More...
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Wednesday, February 08, 2006 8:34 PM
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You know the concept of protocol driven medicine has been around for a long time. Originally, developed to save money and perhaps time, where have they gone? Who uses them? The Ottawa ankle and knee rules, Nexis cervical spine criteria, Wells criteria Read More...
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Monday, December 05, 2005 12:41 PM
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GruntDoc quotes today the status of the Tort Reform Laws that took place in the last year. For those of us in the Northeast, we need to watch this closely. If it truly is working than we need to continue to fight for similar reforms in every state. I Read More...
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Monday, August 01, 2005 8:50 PM
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It is easy to become discouraged in a job where the potential to do harm to another human being is so high. Literally every patient you see, every medication you order, and every procedure you do is a bomb on the side of the road about to blow up in your Read More...
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Friday, March 25, 2005 1:18 PM
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So I am finishing up a shift in Fast-Track. So far I have seen 31 patients in 6.5 hours. A rather average day. Problem is everyone comes in at the same time. Can't people just get sick or injured in a more timely fashion. If everyone got sick in an orderly Read More...
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Tuesday, February 22, 2005 10:51 PM
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One of the things in my job description is to take care of patient complaints. A thankless job at best. Lately, the complaints have been extreme. For example: Patient complaining of a skin mass, it is worked up as if it may be a cancer. The final diagnosis Read More...
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Friday, February 11, 2005 1:45 PM
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So who runs your Emergency Department? Physicians, nurses, administration? Probably in most places it is a combination of all those. But who would run things the most efficiently. I have heard of places where the physicians group was going to hire all Read More...
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Wednesday, February 02, 2005 2:44 PM
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Do the physicians where you work treat all there patients with chest pain, myocardial infarction, stroke, CHF, etc, in a consistent, evidenced based manner? I bet not. The tradition in Emergency Medicine is that even if you have more than 1 physician Read More...
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Friday, December 03, 2004 10:12 AM
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The American College of Emergency Physicians starts its Annual Scientific Assembly this week. I have attended most of them in the last 4-5 years. The great thing is that they offer educational topics that you may not be able to get through other continuing Read More...
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Thursday, October 14, 2004 1:51 PM
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