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Will this case be flagged for Quality Improvement in the STEMI/NSTEMI Paradigm?

Dr. Smith's ECG Blog

Nurse notes: the silent scream of the heart The emergency nursing notes document the patient complaining of chest pain refractory to nitro, with a rising trop: 2200: ECG shown to ED MD 0020: repeat ECG shown to ED MD, patient complain of midsternal chest pain 0520: nitro x 3.

EKG/ECG 79
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"To every thing there is a season. "

Advanced Emergency Nursing from AENJ

As with a well-run ‘mega-code’, these are rehearsals for future events that may present suddenly. The memory-tracks and physical enactments can improve actual responses and performance. Sincerely, Tom Trimble, RN All opinions are solely those of the author. Readers must verify validity to their own practice.

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August 2023 News From the College

ACEP Now

ACEP Calls for Action on Boarding, Corporatization, and Surprise Billing ACEP’s advocacy team has been busy this summer, advocating for emergency physicians on important issues. 2023 CPT Documentation Guidelines FAQ Updated, Expanded ACEP has updated its 2023 CPT Documentation Guidelines, expanding from 39 to 70 questions.

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Interhospital Transfer Capabilities Still Pose Major Issues

ACEP Now

3 The additional lengthy ED stays for transfer patients are equally resource-intense for emergency physicians and especially emergency nurses. The issue of inpatient boarding compromising ED operations has been widely reported.

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When will it be? And, why? -- The Silver Tsunami of Nursing

Advanced Emergency Nursing from AENJ

But the admitted patient 'without a bed" could not go upstairs to a lower ratio unit (Tele or ICUs) until a bed there was available, so the patient remained at 1:4, unless tying up the Code Room at 1:1. The only options for respite were to take a leave of absence or accept a lower % appointment: i.e,

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Ballistic Follies

Advanced Emergency Nursing from AENJ

It is critically important to document the physical findings in a plain-seeing, plain-speaking, non-judgmental manner that will not color or taint future investigations. Accurate time entries are important to document. Natural psycho-physiological responses may alter perceptions during the life-threatening event. By John Fund.

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ILCOR goes Annual! AHA gives focused recommendations.

Advanced Emergency Nursing from AENJ

The following quotes from the ILCOR and AHA documents, under fair-use doctrine, will help summarize for you the changes. Omitted for brevity, please see original document. New evidence will be reviewed, graded as to quality, recommendations proposed, and new research areas for the coming cycle prioritized.

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