auraseer's New Writeupshttp://everything2.com/?node=New%20Writeups%20Atom%20Feed&foruser=auraseer2018-11-17T03:37:39Zpolice wellness check (log)http://m.everything2.com/user/auraseer/writeups/police+wellness+checkauraseerhttp://m.everything2.com/user/auraseer2018-11-17T03:37:39Z2018-11-17T03:37:39Z<p>I type a name into the <a href="/title/electronic+medical+record">medical records system</a>. Spinning icons show that the search is in progress. Results... one found. <em>Thank God</em>, I think, <em>it's not a common name</em>. The phone number matches what I scribbled on the pad in front of me. I hit Enter to open that chart.</p>
<p>A dialog pops up: <a href="/title/HIPAA">Confidential record</a>. This patient is not in your care area. Click Yes to contact your supervisor for authorization. Click No to cancel access.</p>
<p>Next to the Yes and No buttons there's a third one, much larger, labelled in bright red with bold letters: <strong><em><a href="/title/In+Case+Of+Emergency%252C+Break+Glass">Break the glass</a></em></strong>. I click that one.</p>
<p>The chart opens, and a window full of patient information shows up. Along the bottom there's a red banner that says: Emergency Mode. All Access Logged.</p>
<p>I scroll down far enough to find an address. I grab the desk phone and dial a few digits. Somebody picks up on the first ring.</p>
<p>"<a href="/title/911">911</a> dispatch.<!-- close unclosed tag --></p>…Emergency Severity Index (idea)http://m.everything2.com/user/auraseer/writeups/Emergency+Severity+Indexauraseerhttp://m.everything2.com/user/auraseer2012-08-29T22:35:14Z2012-08-29T22:35:14Z<p>The Emergency Severity Index, ESI, is a <a href="/title/triage">triage</a> system. That means it is a set of rules that <a href="/title/healthcare">healthcare</a> providers use to prioritize care. Though many triage systems exist, ESI is designed specifically for use in hospital <a href="/title/emergency+department">emergency department</a>s, and is the one most often used by hospitals in the United States.</p>
<p>Under ESI rules, every patient who shows up is assigned an <a href="/title/acuity">acuity</a> level from 1 to 5, with level 1 being the most urgently in need of care. Patients are seen in order of acuity, so a person having a <a href="/title/myocardial+infarction">heart attack</a> doesn't have to wait in line behind someone with a <a href="/title/paper+cut">paper cut</a>.</p>
<p>Since triage is a fast process that does not take the time for a head-to-toe assessment, levels are broad categories based on initial presentation. They are assigned based on the apparent immediacy of the case and, for lower levels, the expected amount of <a href="/title/resources">resources</a> required in evaluation or treatment. (The <a href="/title/evidence+based+practice">rationale</a> is that patients who need more care also<!-- close unclosed tag --></p>…triage (idea)http://m.everything2.com/user/auraseer/writeups/triageauraseerhttp://m.everything2.com/user/auraseer2012-08-23T20:23:48Z2012-08-23T20:23:48Z<p>"Triage" is a French word meaning a separation or sorting. In a medical context, that's exactly what it is: sorting patients, separating <a href="/title/sick">sick</a> from <a href="/title/less+sick">less sick</a>.</p>
<p>Emergency medical care is not <a href="/title/FIFO">first-come, first-served</a>. If a patient with a finger <a href="/title/laceration">laceration</a> arrives in the <a href="/title/emergency+department">emergency department</a> first, and then a patient with an acute <a href="/title/heart+attack">heart attack</a> comes in second, the heart attack gets rushed into a room and the cut finger gets to wait. Triage is the process of ensuring that care goes first to those who are in the most urgent need.</p>
<p>Though <a href="/title/priority">prioritization</a> happens in all medical care, and especially all <a href="/title/nurse">nursing</a> care, not all of it is called triage. The word connotes rapid <a href="/title/assessment">assessment</a> of an unknown patient before care has begun.</p>
<p>Many different triage systems exist, each designed to meet a particular set of goals. What they have in common is that they are <a href="/title/systematic">systematic</a>. Emergency situations do not allow enough time for arguments or confusion over what is being<!-- close unclosed tag --></p>…nurse (person)http://m.everything2.com/user/auraseer/writeups/nurseauraseerhttp://m.everything2.com/user/auraseer2012-08-15T02:11:59Z2012-08-15T02:11:59Z<p><a href="/title/Nursing">Nursing</a> is the science and art of providing care to the sick, injured, and infirm. A nurse is someone trained and licensed¹ in that practice.</p>
<p>The <a href="/title/United+States">US</a> recognizes two kinds of nurse. Their exact responsibilities and <a href="/title/scope+of+practice">scope of practice</a> vary, as specified by each individual state's <a href="/title/Nurse+Practice+Act">Nurse Practice Act</a>, but the basics are approximately the same across the country.</p>
<p>A <a href="/title/Licensed+Practical+Nurse">Licensed Practical Nurse</a> (LPN) typically has one year of career training before licensure. LPN education focuses on how to care for patients in stable condition with predictable outcomes. They can do the great majority of physical nursing tasks, such as passing <a href="/title/medication">medication</a>, dressing a <a href="/title/wound">wound</a>, placing a <a href="/title/foley+catheter">foley catheter</a>, and so on. However, they receive little background in the underlying sciences of disease and medicine. For that reason they are not permitted to perform tasks that require assessment and independent action, such as administering <a href="/title/transfusion">blood products</a> or <a href="/title/pronouncing+death">pronouncing death</a>. An LPN<!-- close unclosed tag --></p>…rebolting (idea)http://m.everything2.com/user/auraseer/writeups/reboltingauraseerhttp://m.everything2.com/user/auraseer2009-05-16T06:12:07Z2009-05-16T06:12:07Z<p>Rebolting is the practice of updating and replacing <a href="/title/protection">protection</a> on
<a href="/title/sport+climbing">sport climbing</a> routes. That means inspecting the <a href="/title/bolt">bolts</a> on
established routes, removing any that are too old or otherwise <a href="/title/gonna+kill+somebody">untrustworthy</a>, and installing strong new ones in their
place.</p>
<p>Bolts merit this special concern because they're a
<a href="/title/tragedy+of+the+commons">communal resource</a>. All the rest of a climber's
equipment is his own personal responsibility-- from his <a href="/title/climbing+shoes">shoes</a> to his <a href="/title/rope">rope</a> to his <a href="/title/helmet">helmet</a>-- but the bolts are a
permanent fixture installed by a stranger. Climbers trust <a href="/title/life+and+limb">life and
limb</a> to the strength of each bolt, so even though the majority are
quite safe, the unsafe minority could cause injuries or death.</p>
<p>When
a sport route is established, the <a href="/title/first+ascensionist">first ascensionist</a> (or "FA")
installs the series of bolts for use by later climbers. However there's
no such thing as a <a href="/title/license">license</a> to place bolts, or even a universal class
that one is required to take first, so it's<!-- close unclosed tag --></p>…Fling (fiction)http://m.everything2.com/user/auraseer/writeups/Flingauraseerhttp://m.everything2.com/user/auraseer2008-05-14T20:36:49Z2008-05-14T20:36:49Z<p>"Who threw that <a href="/title/Buick">Buick</a>?" The group's playful chatter suddenly fell into
embarrassed <a href="/title/awkward+silence">silence</a>. "David? Joseph? Come on, admit it." The amplified
voice <a href="/title/listen+twice+as+much+as+you+speak">paused</a> a moment, but no response was given. "I'm not laughing
here. If I can't turn my back for ten seconds without you <a href="/title/men+like+large+amounts+of+kinetic+energy">chucking
stuff into the air</a>, none of you are going to pass."<br /><br />The
students looked back and forth at each other, at their shoes, at their
<a href="/title/dashboard">dashboards</a>. No one <a href="/title/Permission+to+speak+freely">said</a>
anything.<br /><br />A
weary sigh <a href="/title/came+through">came through</a> the loudspeakers. "Fine, I don't even need to
know who did it <a href="/title/the+first+time+always+sucks">this time</a>. Just don't let
it happen again." <a href="/title/Paperwork">Papers</a> rustled, the familiar sound of the
<a href="/title/judgement">evaluation</a> logbook. "Let's try once
more before lunch. This time remember you need to grab the cars <em>at the front end</em>,
where the <a href="/title/engine+block">engine block</a> is. If you try from the<!-- close unclosed tag --></p>…