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Focus Charting in Emergency Unit - si.mahidol.ac.th · Focus Charting...
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Focus Charting กลุ่มผู้ป่วย ER พยาบาลอุษณีย์ ฟองศรี งานการพยาบาลตรวจรักษาผู้ป่วยนอก ผ่ายการพยาบาล โรงพยาบาลศิริราช
Transcript of Focus Charting in Emergency Unit - si.mahidol.ac.th · Focus Charting...
Focus Chartingกลุ่มผู้ป่วย ER
พยาบาลอุษณีย์ ฟองศรี
งานการพยาบาลตรวจรักษาผู้ป่วยนอก
ผ่ายการพยาบาล โรงพยาบาลศิริราช
Contents
Responsibility of Unit
CPG
Focus List
Recording Focus Charting
Lesson Learn
Responsibility of Unit
24-hour emergent and urgent
services for all patients presented to
the Emergency Department at Siriraj
Hospital excluding those requiring
trauma services
Triage process for all patients prior to
allocate to specific clinics
Responsibility of Unit
Providing non-trauma service in all
specialties for emergent patients
Responsibility of Unit
Providing urgent, semi-urgent and some non urgent medical
care out of official hours
Providing continued care for patients requiring short
observation
Providing outpatient for those requiring continued antibiotic
treatment
Responsibility of Unit
2551 2552 2553 2554
100,878 104,734 112,991 97032
URGENT CARE
2551 2552 2553 2554
14,003 14,21115,063 15644
ER
CPG
Stroke Fast Track
STEMI Fast Track
Septic Shock Fast Track
Focus List
OTHER SUPPORTING PROCESSES
PATIENT CARE PROCESS
TRIAGE PROCESS
Focus on Triage Process
Neurologicalsystem
PsychiatricStatus
System
Focus Heart
Cardio vascularsystem
Abdomen &Genitourinary
system
Respiratory System
Focus on Triage Process
Neurological
system
Ataxia
Severe HeadacheSeizures
WeaknessLoss of Consciousness
Alteration of Consciousness
Intervention
Cardio
Vascular
System
Chest pain
Palpitation
Arrhythmia
Syncope
Hypotension
Severe Hypertension
Intervention
Focus on Triage Process
Respiratory
SystemDyspnea
RetractionHemoptysis
Desaturation Stridor
Cyanosis
Intervention
Focus on Triage Process
Abdomen &
Genitourinary
System
Severe pain
Severe vomiting
Vaginal bleeding
Urinary Retention
BBA
Massive GI bleeding
Intervention
Focus on Triage Process
Focus on Triage Process
Psychiatric
Status
Drug overdose
R
Aggressive behaviorSuicidal attempt
Intervention
Focus on Patient care
Investigation
Continuing care
Consultation
Investigation
• Lab• EKG• X-ray• Ultrasound
Treatment• Intubation• Resuscitation • Blood
transfusion• Nebulization• Oxygenation
Risk• Fall• Restraints
Focus
Intervention
Focus on Supporting processes
Admission
Referral
Transfer
• Privilege
• Billing
• Pharmacy
• Transition
• Hospital Admission
• Referral
• End of life
Focus
Evaluation
Recording Focus Charting
Informing OPD Card
Recording on Nurse section
Recording Focus Charting
Recording Focus Charting
Recording Focus Charting
Lesson Learn
