We have done something very similar once we realized that the patient had
to be input into the system before we could enter orders and document.
When the initial step was a multipage triage form, this became too onerous
and we changed to a 2 step process. Quick receipt into the system with
simple name and identifying information with a chief complaint and ESI
score followed by a more extensive initial assessment.
John Lee, MD
On Sat, Feb 18, 2012 at 3:31 PM, Chamberlain, Jim <
[log in to unmask]> wrote:
> We have a registrar partnered with each triage nurse. The registrar enters
> the name and DOB to perform a"quick" registration, which gets the patient
> into the system. The nurse then documents the triage, which was occurring
> Full registration with insurance info, etc. occurs at the bedside
> Jim Chamberlain
> Washington, DC
> Sent from my Verizon Wireless 4G LTE DROID
> -----Original message-----
> From: Nancy Piotrowski <[log in to unmask]>
> To: [log in to unmask]
> Sent: Sat, Feb 18, 2012 13:58:44 EST
> Subject: EHR
> Our institution will be converting to an electronic health record this
> fall. I have some concerns regarding the triage process. The
> registration process must be completed prior to the RN having access to
> the patient document. If multiple patients are registered but not yet
> triaged how do you ensure critical patients are not sent to the waiting
> room until their turn to be assessed by the nurse?
> I've been told
> by a couple of other institutions that they've resorted to giving the
> registration personnel a list of chief complaints that they are to alert
> the nurse to. This seems like an absurd work around for getting the
> right patient to the right place at the right time. Not to mention a
> huge liability for the hospital.
> Any comments or suggestions?
> Nancy Piotrowski
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