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CAPC Palliative Care Discussion Forum
Palliative Care and the ED

In Reply To: Developing PC in an ED
Next Reply: Re:Re:Developing PC in an ED
Next Message: Re:Developing PC in an ED

Post Re:Developing PC in an ED
Author: jbcassel [CAPC/PCLC Faculty]
Date: Jul 16, 2007 2:36 pm

If you haven't already looked at it I'd recommend the "Notes from the Field" article in the June 2007 Journal of Palliative Medicine.

Here at VCU we take similar approach in the ED as we do in any other location in the hospital. We do in-service trainings and education in the ED at least annually. Our consults are mostly limited to 8-6 M-F. The ED can admit directly into our PC Unit 24-7 with approval of the PC attending on call. We don't have any trigger criteria for consult or direct admission. We've been building steadily on positive experiences for several years.

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Re:Re:Developing PC in an ED (by stone on 10/04/2007)
Sorry so late to this post. If you do not have an inpatient unit and are using a consult model accessibility is key. What I do is respond in person during the weekdays and encourage the ED doctors to leave the patient info on our voice mail overnight. Education is important-as an emergency physician and palliative care physician the common thread is rapid control of symptoms and rapid assessment. If you want to really learn how to tailor the information for the ER crowd you can take the EPEC-EM course which provides the information in a way that ER staff relate to since it was written by both sides.

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