ED Management – April 1, 2018
April 1, 2018
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New research suggests that transitional care nurses with geriatrics training can help facilitate the discharge of older patients who present to the ED for care. Investigators found that such interventions can reduce hospitalization in this patient group, enabling patients to avoid hospital-associated risks such as functional and cognitive declines and healthcare-associated infections.
In recognition of the fact that older adults present unique care needs, ACEP has taken a leading role in a new effort to provide Geriatric Emergency Department Accreditation to EDs that meet the standards spelled out in the Geriatric Emergency Department Guidelines, a series of recommendations the ACEP board of directors and several other national emergency medicine and geriatrics organizations endorsed in 2014.
Still, by the end of February, data show that flu activity remained widespread in every state except Oregon and Hawaii, and health officials warn frontline providers that flu activity is likely to remain elevated for several more weeks.
To improve communications between EMS providers and the ED, The Valley Hospital in Ridgewood, NJ, adopted an app that enables prehospital providers to notify the ED electronically that a patient is on the way, along with any key clinical information. The approach replaces the need for phone or radio notifications, which can tie up ED-based staff or get missed when the ED is busy.