Main menu:

Google


Subscribe to EMResource.org

To subscribe to our newsletter simply add your email below. A confirmation email will be sent to you!



Our Books

A to Z Pocket Pharmacopoeia

Emergency Medicine Quick Essentials


Side Kick



Links:

* EMERGENCY MEDICINE RESOURCES *

TO NAVIGATE THE SITE USE THE MENU BAR TO THE LEFT OR USE ANY OF THE HOTLINKED PHRASES OR IMAGES BELOW

FREE EMERGENCY MEDICINE CASE OF THE MONTH EMAIL

  1. Enter email into subscribe box at the right —————–>>>
  2. Click link in confirmation email (check your junk mail)

GREAT EMERGENCY MEDICINE POCKET REFERENCE BOOKS

  • Click line above or an image on the side-bar to the right

FREE EMERGENCY MEDICINE ULTRASOUND LIBRARY

  • Click line above or any image below
ruq-fast-labelled.JPGpulmonary embolism.JPGAAA with intimal clot

FREE RADIATION STEWARDSHIP RESOURCES

  • For radiation doses for various studies and strategies to minimize unnecessary testing click line above


Comments: none

EM/ED resources for EM/ED providers

Welcome to EMresource.ORG. (ERpocketbooks.com has now become EMresource.org in order to reflect our added content).  In addition to emergency medicine pocket reference books, we now boast many additional products as well as free educational content aimed primarily at ED and urgent care practitioners.  Use the menu on the left or the hotlinks below to browse the site.  To subscribe to the Emergency Medicine Case of the Month use the box on the right to enter your email address, then go to your inbox (or junk folder) to click the confirmation link.

 


Comments: 1

contact us /subscribe/ view products


Comments: 1

Type-D patients & Sign-Outs

We all know about personality types like “Type A”, but there are also patient types, especially when it comes to effective communication during shift changes and sign-outs.  We all understand the challenges of sign-out, and no one likes to get stuck with a patient who is difficult to discharge or has a hundred questions, especially when the patient was not even your patient to begin with.

My favorite thing to hear after I finish providing verbal aftercare along with a treatment plan and return precautions to a patient and asking them, “Are you comfortable with the plan I just laid out and do you have any questions?” is the patient asking me “Yes – who can take out this IV and when can I leave?”.

My least favorite things to hear might include: “Something is causing this and I’m not leaving until you figure it out!” or “I want to talk to your supervisor.”

In the interest of good communication with your colleagues and to make taking over sign-outs a little more predictable I would like to categorize the two types of patients above as TYPE-E for “Easy” and TYPE-D for “Difficult“.  It is helpful to know ahead of time when you are walking in to discharge a patient who just had a negative million dollar work up if they are a TYPE-D patient.  “Forewarned is forearmed” I think the expression goes.

  • TYPE-D PATIENTS: Are DIFFICULT.  May be Difficult to Discharge.  Often want lots of unnecessary tests.  May want unnecessary medications (perhaps Dilaudid or Demerol).  Are more likely to be DRUG-SEEKERS.  Often don’t want to leave.  May want unnecessary admission.
  • TYPE-E PATIENTS: Are EASY going.  Are thrilled when you find nothing dangerous.   Want to EXIT and get on with their life.  Are usually quite EASY to satisfy.

So the next time you sign out a patient ending with “… they can go home if the CT is negative and I’ve already prepared the aftercare” consider also telling your relief if that patient is “Type-D” or “Type-E” so they can be prepared before they enter the room.


Comments: none