medic25 Posted October 8, 2009 Share Posted October 8, 2009 I'm looking for some ideas about the most common staffing configuration for ED's with fast track/urgent care sections. Please feel free to write in any other set ups you may use. Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted October 8, 2009 Moderator Share Posted October 8, 2009 pa/lpn/tech Link to comment Share on other sites More sharing options...
eze8923 Posted October 8, 2009 Share Posted October 8, 2009 pa/rn/tech Link to comment Share on other sites More sharing options...
primadonna22274 Posted October 8, 2009 Share Posted October 8, 2009 I should have clarified--this is for ED fast track: pa/md-do/ED tech/LPN or RN depending on who's available.... urgent care: PA/LPN or MA/rad tech Link to comment Share on other sites More sharing options...
Leeg Posted October 9, 2009 Share Posted October 9, 2009 Urgent Care (no ED): PA, 2 LPN's Link to comment Share on other sites More sharing options...
Melodie Posted October 9, 2009 Share Posted October 9, 2009 I run a hospital-owned (but off site) Urgent Care Center. We have a Medical Secretary, an X-ray Tech, an LPN, and a PA/NP staffed at all times. Link to comment Share on other sites More sharing options...
Contrarian Posted October 9, 2009 Share Posted October 9, 2009 PA and RN and X-ray tech... medicine/nursing with IV meds/imaging all covered Link to comment Share on other sites More sharing options...
brookspa Posted October 9, 2009 Share Posted October 9, 2009 Critical care ER: PA, RN, LPN or EMT-P Link to comment Share on other sites More sharing options...
brookspa Posted October 9, 2009 Share Posted October 9, 2009 oops should have read Critical "Access" ER sorry Link to comment Share on other sites More sharing options...
CVTPA Posted October 9, 2009 Share Posted October 9, 2009 Fast track in a separate building just outside Main ED. Staffed with 1 secretary, 2 billing clerks, 1 X Ray tech, 3 nurses (at least one is an RN), 1 MD, from 0800 till midnight 7 days a week. Single PA coverage from 0800 till 1:00 pm. 2 PA coverage from 1:00 pm till midnight. ED has a separate Pedi ER staffed with ED Pediatrician 24 hours/day, and single PA from 10 am till 0200. PA coverage from 10 PM till 0700 AM in main ED. Adding PA position in Triage and a swing shift PA in Main ED after first of year. 150,000++ pt visits/YR ED. Hope this helps Link to comment Share on other sites More sharing options...
Leeg Posted October 9, 2009 Share Posted October 9, 2009 Urgent Care (no ED): PA, 2 LPN's I should have added full radiology and lab until 5:00 pm and 1 xray/lab combo person until close and on Sat. Link to comment Share on other sites More sharing options...
Guest dave72 Posted October 11, 2009 Share Posted October 11, 2009 MLP, RN + LVN, and the occasional ED Tech to do splinting. Link to comment Share on other sites More sharing options...
csm_pa Posted October 11, 2009 Share Posted October 11, 2009 Urgent Care in Critical Access Hospital - PA, RN, EMT. 2 PAs during busy times. Next to ED Link to comment Share on other sites More sharing options...
jwells78 Posted October 14, 2009 Share Posted October 14, 2009 Worked with E for awhile and this setup seemed good to me: 10 bed Intermediate/ 11 bed Fastrack with a centralized nurses station; Intermediate- -2 RNs/ 1 LPN/ 1 tech/ 1 secretary Fastrack- -2 LPNs/ 1 tech/ 1 secretary -each section had it's own tech for lab draws and splints -I will say that the LPNs likely could have run the whole show with a tech for each (my opinion may be biased, but WTH) woops, forgot: 1 MD in intermediate; 2 PAs, one seeing pts on both sides, and one seeing only FT Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted October 14, 2009 Moderator Share Posted October 14, 2009 Worked with E for awhile and this setup seemed good to me: 10 bed Intermediate/ 11 bed Fastrack with a centralized nurses station; Intermediate- -2 RNs/ 1 LPN/ 1 tech/ 1 secretary Fastrack- -2 LPNs/ 1 tech/ 1 secretary -each section had it's own tech for lab draws and splints -I will say that the LPNs likely could have run the whole show with a tech for each (my opinion may be biased, but WTH) yup, those lpn's could easily run the show there. I think we could actually run intermediate without the docs at all actually. we have such a shortage of nurses and techs now that the techs often cover multiple areas. T.S. just quit to go to hyperbaric medicine so we are down 1 more lpn and randy got his rn and left. he will likely be at medex next yr. I just sent in his LOR. we run FT now with just 1 pa and 1 lpn and sometimes a tech and no secretary. the master chief works back there a lot and pretty much runs the show doing all 3 jobs. Link to comment Share on other sites More sharing options...
jwells78 Posted October 14, 2009 Share Posted October 14, 2009 Master chief D.W. I presume? 2L of mountain dew and G2G for 10 hours!!! lol:D Link to comment Share on other sites More sharing options...
mainah Posted October 14, 2009 Share Posted October 14, 2009 The emergency department where I am at doesn't use PAs at all. The fast track area has ~10 beds, staffed by 1 doc, 2 RNs, sometimes a secretary, and sometimes a tech. There are two hospitalist PAs, but other than that I don't know of any others in the hospital. Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted October 14, 2009 Moderator Share Posted October 14, 2009 Master chief D.W. I presume? 2L of mountain dew and G2G for 10 hours!!! lol:D you forgot the greasy burger...hey at least he quit smoking.... Link to comment Share on other sites More sharing options...
p911sc Posted October 17, 2009 Share Posted October 17, 2009 Ours is staffed 1 PA/ 1 LPN/ 1 ED Tech for 7 beds Link to comment Share on other sites More sharing options...
Guest juliannabelle Posted November 4, 2009 Share Posted November 4, 2009 Our Fast Track is adjacent to the ED triage area and currently has 3 beds, a fourth area which is just a chair (used for med refills, ankle sprains, suture removals, etc), plus a nook in a hallway where a stretcher can fit, or a chair... It is staffed by one mid-level and one nurse (he/she puts orders in computer as well), +/- a tech when available. We'll soon move into a new Fast Track area (down a hall from main ED) that will have 6 beds and this will be staffed by one mid-level and one nurse (and heavens-willing, a full time tech). The mid-level in the main ED will likely float to help out in fast track when it is busy. The MSE stuff (medical screening exams) will be done in the old fast track area. Currently we're doing MSEs (including lab draw and ECG) with just one little exam bed crammed in next to the triage nurses and it is not efficient. Link to comment Share on other sites More sharing options...
HappyDay Posted February 14, 2011 Share Posted February 14, 2011 Fast Track in an ER - 9 bed unit with 1 PA, 1 RN, 1 EDTech. Rest of ER has 27 beds in main ER with 2-3 MD, 7 RN and 3 ED tech; Peds ER has 16 beds with 1 MD, 1 Resident, 1PA, 3 RN 1 EDT; Psych ER has 6 beds with 1 RN and 1 ED tech. Fast track runs well with this combo at this hospital. Link to comment Share on other sites More sharing options...
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