I am a PGY III at Childrens Medical Center at Brooklyn. In our ER the
Admitting Officer (AO) is a senior resident. Officially all admissions to the
floor must go through him/her. Theretically, they have the right to overide an
admission. This obviously only applies to admissions advised by a junior
resident, if it an attending requesting the admission, the admision goes
through. Also, we have a set of admissions protocols. Some I find are a
little out of date. For one thing we still admit all pts with a positive chest
under 1 year of age, with or with respiratory distress. The reason for this,
as I see it, is to cover for a error in clinical judment by an AO. I was
interested in finding out if any other ERs have strict admission protocols, and
if so I would be intersted in getting a copy.
And yes, we still admit and tap all first time febrile seizures.
Kevin Bruce Norowitz, MD
Childrens Medical Center at Brooklyn
"What am I surgeon or a moon shuttle conductor?"
Dr. McCoy, Star Trek
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