Our PICU physicians are asking that all PICU admissions from the ED have a bedside handoff in the PICU. Basically, they want a senior resident/PEM fellow to escort the patient to the PICU (about 6-7 min away from the Peds ED) and then give a detailed hand-off (much like rounding) to a multi-disciplinary team in the PICU including RN, MD, and RT.
Their request is incredibly costly for the peds ED as our residents and fellows are usually not expendable.
Have other institutions tried this and found a way that it works? We certainly see the benefit for that one single patient, but it comes at a cost of caring for the rest of the ED.
Thanks in advance for any advice you can offer.
Michael Mitchell, MD
Medical Director-Pediatric ED
Michael S. Mitchell, MD
Assistant Professor of Emergency Medicine
Section of Pediatric Emergency Medicine
Wake Forest University School of Medicine
Medical Center Boulevard
Winston-Salem, NC 27157
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