Option 1 (we call them 2fers, 3fers etc) and it is a very common scenario.
On Mon, Aug 10, 2009 at 9:56 PM, Dave Smith <[log in to unmask]> wrote:
> Due to a recent that has come up in my institution, I was curious how other
> centers handle "family plan" visits. This refers to the family bringing
> multiple children to the PED for mostly minor chief complaints. For the
> sake of this discussion, we will assume none of the children has a
> significantly emergent medical problem (no asthmatics with 80% room air
> sats, no one in severe DKA, no septic neonates).
> Let's take three scenarios (assume the children are fully immunized, no
> other problems except what's noted below, etc):
> A. Two siblings: 8 year old, 6 year old...both with 101 fevers and sore
> throats for 2 days, otherwise healthy, mother states she "wants check for
> B. Three children: 8 year old, 3 year old, and 11 month old--8 year old
> has asthma and has been coughing but is afebrile...mom is out of meds and
> wants a refill, child is wheezing but in no distress and room air sats are
> 96%, the 3 year old and 11 month old have ringworm
> C. Four children: 15 year old with forearm pain from a blow in football
> practice yesterday, 10 year old with ear pain, 5 year old who has thrown up
> three times today and had a fever of 101, and a 2 year old who just started
> with fever 6 hrs ago, no other symptoms.
> The question is how you handle these visits at your institution:
> 1. Do you register and triage them together, putting them all in the same
> room to be seen simultaneously?
> 2. Do you register and triage them together, but only put them in a room
> one at a time, seeing the next one only after the previous one is
> 3. Do you do everything separately...meaning having the first child be
> registered, triaged and evaluated before the next child goes through the
> 4. Do you do something else?
> 5. Does how you handle theses family visits change depending on scenario's
> A, B, or C?
> 6. Do you have any written policy regarding these kinds of visits or are
> they handled mostly by "common law" procedure?
> 7. Have concerns been raised regarding medical errors in rooms with
> multiple children from one family and have any steps been taken to address
> those concerns with formal policies or procedures?
> If you don't wish to bog down the list with the replies, just reply
> directly to my email address. I thank everyone in advance for their input.
> R. David Smith, MD
> Children's Acute Care
> For more information, send mail to [log in to unmask] with the
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