It is ridiculous to expect an ED team to be off site for that much time.
We always have our PICU fellow come down for a consult and if they do accept a patient, then verbal update is given over the phone subsequently at the time of transfer.
A fellow does accompany critically ill children but not for sign out; rather to care for the patient en route.
From: Pediatric Emergency Medicine Discussion List [mailto:[log in to unmask]] On Behalf Of Khan, Naghma
Sent: Thursday, August 10, 2017 2:27 PM
To: [log in to unmask]
Subject: Re: Peds ED-PICU Handoff
This is absurd.
What makes absolute sense is that they come down to the ED with their multi-disciplinary team to pick up the patient.
> On Aug 10, 2017, at 2:10 PM, Michael S. Mitchell/Emergency Medicine <[log in to unmask]> wrote:
> Good afternoon.
> 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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