I work in two separate ERs, one tests, and one does not test in ER, only if patient becomes in-patient, due to droplet precautions and to rule out differentials in care. The ER that does not test, seems to have septic work ups more often, because they don't test. In the ER that did have testing available I witnessed at that facility management was frustrated with testing for flu and was explaining to providers that CDC does not recommend testing and stated, "if it walks like a dog, barks like a dog" you should assume. Management needing shorter LOS times, The providers were not agreeing stating if that is the case and we don't run flu, how do we know if patients need antibiotics or not. Part of me thinks assessment are key, if you are going to limit test to short the length of stay and pass along the best plan of care, but diagnostics are necessary also, no two patients present the same. This is a sensitive topic.
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Holly Knight
President, Southside Atlanta ENA Chapter 458
ENA Georgia Southside Atlanta Chapter 458
Locust Grove GA
(404)273-8411
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