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Clinical

Emergency Department

Triage in seconds on the ESI 1–5 scale with the first vitals, a tracking board of everyone in the department by acuity and waiting time, and a disposition — admit, discharge, transfer, left against advice, deceased — with its paperwork.

For:Triage nursesER physiciansCharge nurse

Where:Emergency › Triage · Tracking Board · ER Visits

The tracking board: acuity, location, time since arrival, who is waiting for what.
The tracking board: acuity, location, time since arrival, who is waiting for what.
Triage: arrival mode, complaint, first vitals, ESI level.
Triage: arrival mode, complaint, first vitals, ESI level.

How to

Triage an arrival

  1. Emergency › Triage › New: the patient (or Quick register for an unknown one), arrival mode, chief complaint, first vitals.
  2. Choose the ESI level; the time of triage is stamped.
  3. Assign a bay or a bed; the patient appears on the tracking board.

Work the tracking board

  1. Emergency › Tracking Board: sorted by acuity, then waiting time; colour by level.
  2. Click a patient to open the ER visit; Seen by doctor stamps the door-to-doctor time.
  3. Orders, results and vitals are on the visit as in any other.

Record the disposition

  1. On the ER visit, Disposition: Admit (opens the admission and books a bed), Discharge (with instructions), Transfer (destination, ambulance), Left against advice, Deceased.
  2. The length of stay is computed; the dashboard reports door-to-doctor and length of stay per shift.

See also: Admissions & Bed Board Visits (EMR) Ambulance, Diet, Housekeeping, CSSD & Mortuary

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