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Could you please forward a copy to me? Regards, Tim H-H. -----Original Message----- From: Accident and Emergency Academic List [mailto:[log in to unmask]]On Behalf Of Rowley Cottingham Sent: 29 April 2005 20:48 To: [log in to unmask] Subject: Re: Multiple clerkings The answer is not to clerk in the ED. We have pioneered the PAT approach; the primary assessment team. The idea behind this is that the patient is assessed by a senior doctor and nurse. The paperwork looks nothing like a clerking - deliberately. We do enough to make a decision - obvious admission (fine, resuscitate, off to medical assessment unit as soon as safe) or needs bloods to decide. This second group are passed to an SHO to clerk and probably go to the CDU to await results. The SHO can then update the senior doctor with the full clerking to facilitate decision making. The target time for PAT is 7 minutes, and it happens at entry. Currently we run this from 8am to 9pm. Works for us, although there are certainly other approaches that achieve the same end. I'll happily forward a copy of the latest version of the template to anyone interested rather than clogging up the list. Best wishes Rowley.