Quality and impact of nurse-initiated analgesia in the emergency department: a systematic review
There are over 7.5 million patient presentations to emergency departments (ED) in Australia each year[1], of which pain is the most frequent symptom; occurring in over 85% of all presentations[2]. Detection and management of pain is an essential component of quality patient care[3]. Despite this high prevalence, detection, assessment and management of pain is often neglected, resulting in an increased risk of poor physiological and psychological consequences for patients and sub-optimal performance of the health system[4]. (Source: International Emergency Nursing)
Source: International Emergency Nursing - May 29, 2018 Category: Nursing Authors: Wayne Varndell, Margaret Fry, Doug Elliott Source Type: research
A different crowd, a different crowding level? The predefined thresholds of crowding scales may not be optimal for all Emergency Departments
Emergency department (ED) crowding has emerged in recent years as an international problem, with reports of ED crowding in North America, Europe, Asia, Africa, and Australia (Lowthian et al., 2011; Pines et al., 2011). It is a major patient safety concern associated with poor patient outcomes, increased length of stay (LOS), and delays for triage and treatment (Carter et al., 2014; van der Linden et al., 2015). To decrease crowding and streamline patient flow, many initiatives have been described in the literature (Crawford et al., 2014; Kinsman et al., 2008). (Source: International Emergency Nursing)
Source: International Emergency Nursing - May 29, 2018 Category: Nursing Authors: M.Christien Van Der Linden, Merel Van Loon, Menno I. Gaakeer, John R. Richards, Robert W. Derlet, Naomi Van Der Linden Source Type: research
An Interprofessional Learning Experience for Trainee General Practitioners in an Academic Urban Minor Injuries Unit with Advanced Nurse Practitioners (Emergency)
Interprofessional education (IPE) is defined as an intervention where members of more than one health or social care profession, or both, learn interactively together for the explicit purpose of improving interprofessional collaboration or the health/wellbeing of patients or both [1]. The acknowledgement of the importance of IPE in fostering collaboration and teamwork is echoed throughout the literature [2,3]. That said, IPE is not without its challenges, because it necessitates an immense commitment toward the aim of improving interprofessional care and subsequent patient health outcomes [4]. (Source: International Emergency Nursing)
Source: International Emergency Nursing - May 26, 2018 Category: Nursing Authors: Laserina O Connor, Bernadette Carpenter, Cora O Connor, Julie O Driscoll Source Type: research
Comparison of the Emergency Severity Index versus the Patient Acuity Category Scale in an Emergency Setting
Overcrowding and long waiting times remain perennial issues in many emergency departments (EDs) globally, resulting in unsafe and inefficient care.[1] In light of the growing demand and strain on ED resources, accurate triage is essential to avoid overtriage, which exhausts ED resources prematurely, and undertriage, which puts patients at risk. Five-level triage systems have been developed in Australia, Canada, and the United States since the mid-1990s. These systems are significantly correlated with rates of admission for inpatient treatment, duration of emergency treatment, resource utilization, and mortality. (Source: I...
Source: International Emergency Nursing - May 12, 2018 Category: Nursing Authors: Fong Ru Ying, Sim Wee Sern, Ahmad Khairil Mohamed Jamil, Wilson Wai San Tam, Yanika Kowitlawkul Source Type: research
Editorial Board
(Source: International Emergency Nursing)
Source: International Emergency Nursing - May 1, 2018 Category: Nursing Source Type: research
‘Fast and frugal heuristics’: Clinical decision making in the Emergency Department
Advanced practice roles involve a number of clinical decisions including assessment, prescribing, referring and discharging patients (Appendix 3). The Advanced Nurse Practitioner (ANP) role requires the nurse to be an autonomous independent practitioner. The ANP utilises advanced clinical nursing knowledge and critical thinking skills to independently provide optimum patient care through caseload management of acute injuries and illness within the Emergency Department (ED). Therefore the ANP in the ED is faced with clinical decision making challenges on a daily basis. (Source: International Emergency Nursing)
Source: International Emergency Nursing - April 27, 2018 Category: Nursing Authors: Lynda J. Gibbons, Kathleen Stoddart Tags: Case study Source Type: research
‘Fast and Frugal Heuristics’: Clinical decision making in the Emergency Department.
Advanced practice roles involve a number of clinical decisions including assessment, prescribing, referring and discharging patients (Appendix 3). The Advanced Nurse Practitioner (ANP) role requires the nurse to be an autonomous independent practitioner. The ANP utilises advanced clinical nursing knowledge and critical thinking skills to independently provide optimum patient care through caseload management of acute injuries and illness within the Emergency Department (ED). Therefore the ANP in the ED is faced with clinical decision making challenges on a daily basis. (Source: International Emergency Nursing)
Source: International Emergency Nursing - April 27, 2018 Category: Nursing Authors: Lynda J. Gibbons, Kathleen Stoddart Source Type: research
Nurse-initiated radiographic-test protocol for ankle injuries: A randomized controlled trial
Ankle injuries are common complaints in emergency departments (EDs), which account for 3.5% and 4.5% of all presentations in the United Kingdom and North America [1,2]. Differentiating between an ankle sprain and a fracture without clinical decision rules or radiographic assistance is difficult. Although clinical decision rules are available, they are not fully adopted to predict ankle fractures. Therefore, most patients with ankle injuries are requested to undergo ankle or foot radiographic tests, but only 16 and 15% of the ankle and foot radiographs have shown a fracture [3]. (Source: International Emergency Nursing)
Source: International Emergency Nursing - April 20, 2018 Category: Nursing Authors: Jonathan Ka-Ming Ho, Janita Pak-Chun Chau, Jimmy Tak-Shing Chan, Caroline Hau-Yee Yau Source Type: research
Nurse-initiated radiographic-test protocol for ankle injuries: A randomized controlled trial
Ankle injuries are common complaints in emergency departments (EDs), which account for 3.5% and 4.5% of all presentations in the United Kingdom and North America (Centre for Disease Control and Prevention, 2013; Health and Social Care Information Centre, 2013). Differentiating between an ankle sprain and a fracture without clinical decision rules or radiographic assistance is difficult. Although clinical decision rules are available, they are not fully adopted to predict ankle fractures. Therefore, most patients with ankle injuries are requested to undergo ankle or foot radiographic tests, but only 16 and 15% of the ankle ...
Source: International Emergency Nursing - April 20, 2018 Category: Nursing Authors: Jonathan Ka-Ming Ho, Janita Pak-Chun Chau, Jimmy Tak-Shing Chan, Caroline Hau-Yee Yau Source Type: research
How effective is trauma simulation as an educational process for healthcare providers within the trauma networks? A systematic review
The World Health Organisation (WHO) [1] recognises traumatic injury is a public health problem in both high income and low to middle income countries and Kehoe et al. reported trauma to be the leading cause of death in people between the ages of 25 – 50 years and the second leading cause for those over 75 years [2]. (Source: International Emergency Nursing)
Source: International Emergency Nursing - March 31, 2018 Category: Nursing Authors: Donna Barleycorn, Geraldine A. Lee Source Type: research
How effective is trauma simulation as an educational process for healthcare providers within the trauma networks? A systematic review
The World Health Organisation (WHO) [1] recognises traumatic injury is a public health problem in both high income and low to middle income countries and Kehoe et al reported trauma to be the leading cause of death in people between the ages of 25 – 50 years and the second leading cause for those over 75 years [2].Table 1. (Source: International Emergency Nursing)
Source: International Emergency Nursing - March 31, 2018 Category: Nursing Authors: Donna Barleycorn, Geraldine A. Lee Source Type: research
A close encounter: Hand injuries in the ED
A 60 year old gentleman (Mr. Smith) presented to the emergency department (ED) with a right hand injury. He was triaged utilising the Manchester Triage Scale as a category 2 (Presenting complaint: Limb Problem, Discriminator: Severe pain), as his self-rated pain intensify was 8/10 using the pain ruler . He was streamed directly to the advanced nurse practitioner (ANP) for assessment. On questioning Mr. Smith reported that the injury had occurred while cutting timber on his farm. He had being holding a piece of timber with both hands while his neighbour attempted to cut it in half using a chainsaw . (Source: International Emergency Nursing)
Source: International Emergency Nursing - March 26, 2018 Category: Nursing Authors: Martin Duignan Tags: Case study Source Type: research
Assessing bottlenecks in Emergency Department flow of patients with abdominal pain
Crowding at Emergency Departments (EDs) is a major international problem [1]. It is associated with numerous adverse events, such as unsafe waiting times, elapsed target times to triage, delayed treatments, increased length of stay (LOS) and poor quality of care [2 –4]. High attendance rates at EDs reduce patient flow as transfer or discharge cannot keep pace with new arrivals [5]. During crowding, queuing in the waiting room for an ED bed, waiting times for triage and for diagnostic and therapeutic procedures, and waiting times for specialty consultations i ncrease [6–8], and patient satisfaction decreases [9–11]. (...
Source: International Emergency Nursing - March 26, 2018 Category: Nursing Authors: M. Christien Van Der Linden, Merel Van Loon, Nienke S.F. Feenstra, Naomi Van Der Linden Source Type: research
Perceptions of hospital emergency color codes among hospital employees in Korea
A hospital emergency code refers to the sign used by hospital staff, in the hospital or community, to prevent confusion and enhance prompt response with respect to emergency patients who require cardiopulmonary resuscitation (CPR) or to address mass casualties caused by disasters [1 –3]. Emergency codes are often color-coded because it is easier to quickly identify their meaning than that of characters [4]. Therefore, color codes are considered as a visual language that many people can understand without language barriers [5–7]. (Source: International Emergency Nursing)
Source: International Emergency Nursing - March 26, 2018 Category: Nursing Authors: Hyo-Jin Lee, Ogcheol Lee Source Type: research
A Close Encounter: Hand Injuries in the ED
A 60 year old gentleman (Mr. Smith) presented to the emergency department (ED) with a right hand injury. He was triaged utilising the Manchester Triage Scale as a category 2 (Presenting complaint: Limb Problem, Discriminator: Severe pain), as his self-rated pain intensify was 8/10 using the pain ruler. He was streamed directly to the advanced nurse practitioner (ANP) for assessment. On questioning Mr. Smith reported that the injury had occurred while cutting timber on his farm. He had being holding a piece of timber with both hands while his neighbour attempted to cut it in half using a chainsaw. (Source: International Emergency Nursing)
Source: International Emergency Nursing - March 26, 2018 Category: Nursing Authors: Martin Duignan Source Type: research
