Nurses Etc. Staffing
APP is expected to work independently in our fast track 'VUE'. It is a 10 bed area within the emergency department. The attending physicians are available 24hrs a day for cases to review or evaluate; lend guidance or answer questions as needed.
Currently we have an 11a-11p shift we would like to staff 7 days a week. There are permanent providers on the schedule for a portion of the month. Lansing ED is single doctor covered from 2a until 8a 7 days a week. We have a staggered start schedule with maximum coverage for doctors in the afternoon with 3 doctors on duty from 2p-6p which is our busiest time. There is one APP shift daily from 11a-11p. We do have Emergency medicine residents averaging two shifts a day at varied times. There would be no supervision requirements for resident cases, those are handled by the doctors.
Cerner EMR
50 bed hours
60% of hospital admins are received from the ED
20% ED patients admitted to the hospital per day
Level 3
Annual ER volume - 40,150
Fast Track to ED
Admin Orders: We request a bed and house officer inputs admission orders. This is mostly done by IM and surgical residents.
Are deliveries received in ED or sent directly to Labor & Delivery: Sent to L&D
Referral/transfer protocol: pediatrics go to Sparrow; other transfers depend on diagnosis. Stroke to McLaren Flint. Trauma if severe to Sparrow
Services available:
24hr Radiology
24hr Labatory
AABB Blood Bank
Pathology
OR
All Surgical Specialties
Currently we have an 11a-11p shift we would like to staff 7 days a week. There are permanent providers on the schedule for a portion of the month. Lansing ED is single doctor covered from 2a until 8a 7 days a week. We have a staggered start schedule with maximum coverage for doctors in the afternoon with 3 doctors on duty from 2p-6p which is our busiest time. There is one APP shift daily from 11a-11p. We do have Emergency medicine residents averaging two shifts a day at varied times. There would be no supervision requirements for resident cases, those are handled by the doctors.
Cerner EMR
50 bed hours
60% of hospital admins are received from the ED
20% ED patients admitted to the hospital per day
Level 3
Annual ER volume - 40,150
Fast Track to ED
Admin Orders: We request a bed and house officer inputs admission orders. This is mostly done by IM and surgical residents.
Are deliveries received in ED or sent directly to Labor & Delivery: Sent to L&D
Referral/transfer protocol: pediatrics go to Sparrow; other transfers depend on diagnosis. Stroke to McLaren Flint. Trauma if severe to Sparrow
Services available:
24hr Radiology
24hr Labatory
AABB Blood Bank
Pathology
OR
All Surgical Specialties