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A seventy-three-year-old man and his wife walked into the ED at 3:00 a.m. He told the nurse at the desk that he was having chest pain. He later died of a massive heart attack after being sent home from the ED.

Answer :

The emergency department (ED) is a dynamic part of a hospital or institute. It is difficult for medical professionals in the ED to deal with a wide variety of patients who have a variety of medical conditions.

It is difficult to recognize these cases and make a quick diagnosis with sufficient evidence from tests, procedures, or radiology. Because patient safety and medical errors frequently account for the majority of patient deaths, the ED needs to follow strict guidelines or protocols to ensure the safety of patients.

  • Strategy or system for walking emergency cases in ED

1. Evaluate patient vitals and condition immediately subsequent to receiving to ED, legitimate actual examination time gave is extremely imperative adversary any conclusion,

2. Communicate with the patient or a family member who has been with the patient, and try to get clear information about the patient's complaints so you can make a clear treatment plan .

3. Assess whether the patient has special needs; it is critical to know the patient's complete medical history through EMS

4. Inform the patient about the steps that must be taken to arrive at a definitive diagnosis

5. Every patient has the right to health care, which can be obtained in a variety of ways. Patients who have insurance should inquire about whether the provider's services will be covered by their policy.

6. If a patient is unable to receive treatment at their institute or hospital, you should refer them to health care providers. The treatment is provided by government hospitals

7. Before transferring the patient to a different hospital or health care provider, an emergency department patient without insurance support can receive at least the fundamental initial treatment.

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Complete question as follows:

Man dies of massive heart attack after being sent home from eD

A seventy-three-year-old man and his wife walked into the ED at 3:00 a.m. He told the nurse at the desk that he was having chest. pain and tingling in his arm. The nurse phoned the physician on duty who was upstairs. The nurse spoke with the doctor, handed the phone to the patient who spoke with the physician for sev- eral minutes, then, handed the phone back to the nurse. The nurse spoke with the physician again, then hung up and told the man and his wife to go home and call his personal physician in the morning. She explained that his insurance did not cover treat- ment at their facility and that the pain and tingling was probably nothing—just old age. The couple left the hospital and walked the three blocks back to their home and up the four flights to their apartment. While taking his shirt off to get into bed, the man had a massive heart attack and died instantly.

For the following case study, create at least one policy or design a procedure to handle the following circumstances.

What is your plan to deal with the staff and the media when this happens at your facility? What preventive plans can be put into place to avoid this happening again? how would you handle this situation during the event?

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