Emergency department crowding affects triage processes
Emergency Department (ED) crowding is a global problem associated with poor quality of care and negative patient outcomes (Carter et al., 2013). Crowding is associated with delays in ED care (Ackroyd-Stolarz et al., 2011; Bernstein et al., 2009; Hong et al., 2013; Hwang et al., 2006; McCarthy et al., 2008; Moskop et al., 2009; Pines et al., 2007; Pines et al., 2009; Pines et al., 2010; Schull et al., 2004; United Stat es Government Accountability Office, 2009). (Source: International Emergency Nursing)
Source: International Emergency Nursing - February 28, 2016 Category: Nursing Authors: M. Christien van der Linden, Barbara E.A.M. Meester, Naomi van der Linden Source Type: research
Systematic review: Is Metoclopramide more effective than Sumatriptan in relieving pain from migraine in adults in the Emergency Department (ED) setting?
Migraine headache is a common disease from which, in England, 6.7 million people suffer (Neurological Alliance, 2014). Patients attending Emergency Departments (ED) internationally for migraine symptoms account for 1 –3% of total ED attendances a year (Kelly and Holdgate, 2006; Smitherman et al., 2013). In the Global Burden of Disease Survey 2013 (Vos et al., 2015), migraine was ranked as the sixth most prevalent disorder worldwide with years lost to disability. (Source: International Emergency Nursing)
Source: International Emergency Nursing - February 28, 2016 Category: Nursing Authors: Donna Barleycorn Source Type: research
Anesthesia with topical lidocaine hydrochloride gauzes in acute traumatic wounds in triage, a pilot study
Treatment of acute wounds in the Emergency Department can be painful for the patient as this can imply cleaning a wound using irrigation or wound closure with sutures or staples. Therefore, local anesthetics, particularly the amino-amides such as lidocaine or prilocaine, are frequently used to facilitate wound treatment (Giordano et al., 2015). These can be injected into the wound edges or used loco-regionally by infiltration. They can also be applied topically. The authors of a recent Cochrane Review concluded that topical anesthetics are possibly efficient in providing sufficient analgesia for skin suturing (Eidelman e...
Source: International Emergency Nursing - February 28, 2016 Category: Nursing Authors: Milan L. Ridderikhof, Noukje Leenders, Helma Goddijn, Niels W. Schep, Philipp Lirk, J. Carel Goslings, Markus W. Hollmann Source Type: research
A nurse-initiated pain protocol in the ED improves pain treatment in patients with acute musculoskeletal pain
• The nurse-initiated pain protocol improved analgesic provision and administration• A high percentage of patients refused to take analgesics• Protocol implementation shortened time to analgesics, especially to first opioid• Mean pain relief increased; with analgesic treatment even up to 2 NRS-points• A high percentage of patients still suffered moderate to severe pain at ED discharge (Source: International Emergency Nursing)
Source: International Emergency Nursing - February 23, 2016 Category: Nursing Authors: JGJ Pierik, SA Berben, MJ IJzerman, MI Gaakeer, FL Van Eenennaam, AB van Vugt, CJM Doggen Source Type: research
A nurse-initiated pain protocol in the ED improves pain treatment in patients with acute musculoskeletal pain
While acute musculoskeletal pain is a frequent complaint among patients in the emergency department (ED), its management is often neglected, placing patients at risk of oligoanalgesia. (Source: International Emergency Nursing)
Source: International Emergency Nursing - February 22, 2016 Category: Nursing Authors: Jorien G.J. Pierik, Sivera A. Berben, Maarten J. IJzerman, Menno I. Gaakeer, Fred L. van Eenennaam, Arie B. van Vugt, Carine J.M. Doggen Source Type: research
Factors influencing clinicians' perceptions of interruptions as disturbing or non-disturbing: a qualitative study.
• ED clinicians perceived interruptions as both non-disturbing and disturbing• These perceptions was influenced by the character of several identified factors• The same kind of interruption could be perceived both ways when characters changed• Interruptions perceived as disturbing might affect patient safety negatively• Focus should be on reducing interruptions perceived as disturbing by clinicians (Source: International Emergency Nursing)
Source: International Emergency Nursing - February 3, 2016 Category: Nursing Authors: Lena M. Berg, Ann-Sofie Källberg, Anna Ehrenberg, Jan Florin, Jan Östergren, Therese Djärv, Juliana J. Brixey, Katarina E. Göransson Source Type: research
Factors influencing clinicians' perceptions of interruptions as disturbing or non-disturbing: A qualitative study
A large number of preventable errors occur in health care. In the USA alone, some 98,000 hospital deaths (many preventable) per year are related to health system errors (Kohn et al., 1999). In a recent Swedish report, it was estimated that adverse events occurred in 14% of all patient care activities and approximately 62% of these were preventable, equivalent to about 124,000 patient-years (Swedish Association of Local Authorities and Regions, 2014). Errors are often attr ibuted to frequent interruptions that may have detrimental effects on patient safety (Laxmisan et al., 2007; McGillis Hall et al., 2010; Westbrook an...
Source: International Emergency Nursing - February 2, 2016 Category: Nursing Authors: Lena M. Berg, Ann-Sofie K ällberg, Anna Ehrenberg, Jan Florin, Jan Östergren, Therese Djärv, Juliana J. Brixey, Katarina E. Göransson Source Type: research
An unusual case of atrial fibrillation
• Atrial fibrillation is a common emergency department presentation• This case study describes a case of AF with no known risk factors.• The identified antecedent was a protein supplement glutamine• This case highlights the possible risk associated with such supplements. (Source: International Emergency Nursing)
Source: International Emergency Nursing - February 2, 2016 Category: Nursing Authors: Geraldine Lee, Rani Khatib Tags: Case Study Source Type: research
An unusual case of atrial fibrillation
A 46 year old female presented to an emergency department (ED) late in the evening complaining of palpitations. The patient reported ongoing symptoms for 30 minutes at the time of presentation and had self-referred to the ED. On arrival, her main symptoms were ‘pounding heart’, a fluttering feeling in the throat and mild chest discomfort. The patient was triaged as category 2 using the Manchester Triage Scale and a 12-lead ECG confirmed Atrial Fibrillation (AF). The patient was admitted to the resuscitation area to a monitored bed. (Source: International Emergency Nursing)
Source: International Emergency Nursing - February 1, 2016 Category: Nursing Authors: Geraldine Lee, Rani Khatib Tags: Case Study Source Type: research
TEMPORARY REMOVAL: African emergency nursing curriculum: Development of a curriculum model
The publisher regrets that this article has been temporarily removed. A replacement will appear as soon as possible in which the reason for the removal of the article will be specified, or the article will be reinstated.The full Elsevier Policy on Article Withdrawal can be found at http://www.elsevier.com/locate/withdrawalpolicy. (Source: International Emergency Nursing)
Source: International Emergency Nursing - January 8, 2016 Category: Nursing Authors: Tricia Scott, Petra Brysiewicz Source Type: research
African emergency nursing curriculum: Development of a curriculum model
The African Emergency Nursing Curriculum (AENC) provides a consensus document to guide the development of harmonised standards of emergency nursing theory and practice across Africa for the benefit of the emergency patient population. The need to strengthen emergency care systems to address the global burden of disease is increasingly recognised (Wolf et al., 2012). Most low-income countries lack organised emergency care systems and therefore suffer the highest rates of injury, from primary health burdens such as maternal death due to complications of pregnancy, and acute medical complications of communicable diseases inv...
Source: International Emergency Nursing - January 8, 2016 Category: Nursing Authors: Tricia Scott, Petra Brysiewicz Tags: Contemporary Issues Source Type: research
African emergency nursing curriculum: Development of a curriculum model
The African Emergency Nursing Curriculum (AENC) provides a consensus document to guide the development of harmonised standards of emergency nursing theory and practice across Africa for the benefit of the emergency patient population. The need to strengthen emergency care systems to address the global burden of disease is increasingly recognised (Wolf et al., 2012). Most low-income countries lack organised emergency care systems and therefore suffer the highest rates of injury, from primary health burdens such as maternal death due to complications of pregnancy, and acute medical complications of communicable diseases in...
Source: International Emergency Nursing - January 7, 2016 Category: Nursing Authors: Tricia Scott, Petra Brysiewicz Tags: Contemporary Issues Source Type: research
Editorial board
(Source: International Emergency Nursing)
Source: International Emergency Nursing - January 1, 2016 Category: Nursing Source Type: research
Sharps injuries among emergency department nurses in one tertiary care hospital in Ghana
Exposure to bloodborne pathogens is the most serious occupational health risk encountered within the healthcare profession worldwide (Leow et al., 2012; Wicker et al., 2008). In a study of US hospitals, nurses accounted for nearly half of all needlestick injuries (Chen and Jenkins, 2007). Additionally, sharps injuries often go unreported. In a survey of 259 US emergency healthcare workers (physicians, nurses, and technicians), nurses were found to report only two-thirds of sharps injuries (Tandberg et al., 1991). (Source: International Emergency Nursing)
Source: International Emergency Nursing - December 22, 2015 Category: Nursing Authors: Jody R. Lori, Marjorie C. McCullagh, Alicia Krueger, Rockefeller Oteng Source Type: research
Sharps injuries among emergency department nurses in one tertiary care hospital ghana
• A high incidence of sharps-related injuries and associated exposure to bloodborne pathogens was found among the sample studied.• Nearly 30% of subjects surveyed reported a sharps-related injury in the past 12 months.• Over ½ the subjects completing the survey were aware the protocol to report a sharps-related injury.• Less than 10% of subjects could list all three essential components of the hospital protocol to be followed when a sharps injury occurs. (Source: International Emergency Nursing)
Source: International Emergency Nursing - December 22, 2015 Category: Nursing Authors: Jody R. Lori, Marjorie C. McCullagh, Alicia Krueger, Rockefeller Oteng Source Type: research
