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I would like to formally give you my personal advice on how to best handle this situation...
when you speak with the PICU Director, your response should be the following.....
"No"




Regards,
Todd Z


Dr. Todd Zimmerman

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-----Original Message-----
From: Khan, Naghma <[log in to unmask]>
To: PED-EM-L <[log in to unmask]>
Sent: Thu, Aug 10, 2017 1:45 pm
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.


Naghma

> 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
>
> For more information, send mail to [log in to unmask] with the message: info PED-EM-L
> The URL for the PED-EM-L Web Page is:
>                 http://listserv.brown.edu/ped-em-l.html

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For more information, send mail to [log in to unmask] with the message: info PED-EM-L
The URL for the PED-EM-L Web Page is:
                 http://listserv.brown.edu/ped-em-l.html