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Medical Priority Dispatch System Protocols

Emergency Communication Nurses' Ability to Correctly Select Abdominal Pain as the Appropriate Protocol in Telephonic Nurse Triage System

Mark Conrad Fivaz, MD, Jeff J. Clawson, MD, Christopher Olola, PhD, Greg Scott, MBA, EMD-QI, Matt Zavadsky, MS, Gigi Marshall, MSN, Elaine Messerli, BSN, RN

Oct 01, 2020|AEDR 2020 Vol. 8 Issue 2|Original Research

Abdominal pain is the most common symptom with which patients present to the emergency department (ED), and overall visits to EDs in the U.S. are growing twice as fast as the overall population. Interventions that can safely mitigate such a high usage of ED resources would be a great asset in the delivery of effective and efficient ED care. One such intervention is a secondary triage of patients calling 911 for an ambulance who were subsequently triaged as a non-urgent low-acuity caller. Emergency medical services (EMS) using secondary...

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The Distribution of Recommended Care Levels by Age, Gender, and Trauma vs Medical Classification within the Emergency Communication Nurse System

Mark Conrad Fivaz, MD, Jennie McQueen, RN, Tracey Barron, BS, Jeff J. Clawson, MD, Greg Scott, MBA, EMD-QI, Isabel Gardett, PhD, Brett Patterson, Matt Zavadsky, MS, Neal Richmond, MD, FACEP, Christopher Olola, PhD

Mar 22, 2015|AEDR 2015 Vol. 3 Issue 1|Original Research

An examination of the Emergency Communications Nurse-determined Recommended Care Levels (RCLs), for calls transferred for secondary nurse-triage has not been performed. The outcome of such an investigation would help to gain a more complete picture of the type of care ultimately recommended for these patients. The Emergency Communications Nurse System (ECNS) studied contained 22 RCLs, ranging from urgent levels, including a country-specific 3-digit number Emergency response (911), and Emergency care as soon as possible to less time-dependent, low priority levels, such...

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The Distribution of 911 Triaged Call Incident Types within the Emergency Communication Nurse System™

Greg Scott, MBA, EMD-QI, Jennie McQueen, RN, Mark Conrad Fivaz, MD, Isabel Gardett, PhD, Matt Zavadsky, MS, Neal Richmond, MD, FACEP, Jeff J. Clawson, MD, Christopher Olola, PhD

Aug 07, 2014|AEDR 2014 Vol. 2 Issue 2|Original Research

This study examined the distribution of the MPDS® Chief Complaint protocols and determinant codes assigned by the EMD as eligible for nurse triage, as well as the distribution of the Chief Complaint protocols contained in the Emergency Communications Nurse System™ (ECNS™) secondary nurse triage process, as determined by the emergency communications nurse (ECN). Protocol distribution was also examined by patient gender. This study characterized protocol and gender distributions to provide a better understanding of the types of patients and their associated...

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