{"title":"Nurse practitioners in Australian emergency departments","authors":"Toni G McCallum Pardey (Issue Editor)","doi":"10.1016/S1328-2743(05)80024-0","DOIUrl":"10.1016/S1328-2743(05)80024-0","url":null,"abstract":"<div><p>With most of 2004 behind us the Nurse Practitioner (NP) movement continues to gain momentum. Several emergency departments throughout the country have now employed Emergency NPs or transitional Emergency NPs (a registered nurse who is currently seeking authorisation). While NSW leads the way in the number of authorised NPs, the other states and territories are at various stages along the path to their widespread implementation. However, each state or territory has taken a slightly different approach to NPs, with different authorisation processes, different educational requirements, different prescribing regulations, and different scopes of practice. Once authorised as an NP in one Australian state or territory, the NP should automatically be granted reciprocal authorisation in any other Australian state or territory, just as registration as a nurse is reciprocal, although this is yet to be tested.</p><p>Those who thought the fight to implement NPs into the Australian health care workforce was over should think again. It is not enough just to employ NPs, full support of the concept is also required. This means NPs must receive adequate support, adequate resources, adequate office space and equipment, adequate non-clinical time, and adequate educational opportunities.</p><p>It is essential that the issue of uniform standards of practice be addressed at a national level. The following National Nursing Organisation consensus statements is supported by the Australian Government Department of Health and Ageing.</p></div>","PeriodicalId":100148,"journal":{"name":"Australian Emergency Nursing Journal","volume":"7 2","pages":"Pages 3-4"},"PeriodicalIF":0.0,"publicationDate":"2004-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1328-2743(05)80024-0","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84657384","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Margaret Fry (Emergency Clinical Nurse Consultant), Dr Jenny Thompson (Staff Specialist), Dr Adam Chan (Director)
{"title":"Patients regularly leave emergency departments before medical assessment: A study of did not wait patients, medical profile and outcome characteristics","authors":"Margaret Fry (Emergency Clinical Nurse Consultant), Dr Jenny Thompson (Staff Specialist), Dr Adam Chan (Director)","doi":"10.1016/S1328-2743(04)80111-1","DOIUrl":"10.1016/S1328-2743(04)80111-1","url":null,"abstract":"<div><p>In 2001 New South Wales Health reported an increase in the number of patients who did not wait for treatment in emergency departments. Because so little was known about this group of patients a study was conducted to indentify: (1) the characteristics and reasons for patients leaving prior to medical assessment; (2) patients' illnesses or conditions, urgency code and nature of ED encounter; and (3) DNW patient outcomes. A 13 question telephone survey was conducted which focused on the presenting complaint, waiting times, staff communication and patient outcomes.</p><p>During the three-month study, 64% of eligible patients were contacted. The reasons they gave for leaving were largely because of the time delay in being seen, but some left because their condition resolved or they felt too ill to stay or they received treatment or reassurance from the triage nurse. A small number of patients left because of safety concerns in the waiting room, because they had other commitments or because staff were rude. Some patients left to go to other facilities; almost 70% of patients sought medical attention within 24 hours of leaving the ED.</p><p>The endemic problem of overcrowding is placing demands on EDs to review and reform service delivery. While the study was conducted in a tertiary referral centre this ED is characteristic of most others across Australia. Outcome analysis of this vulnerable group is required.</p></div>","PeriodicalId":100148,"journal":{"name":"Australian Emergency Nursing Journal","volume":"6 2","pages":"Pages 21-26"},"PeriodicalIF":0.0,"publicationDate":"2004-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1328-2743(04)80111-1","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87547900","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Unravelling the complex factors impacting on emergency department communication","authors":"","doi":"10.1016/S1328-2743(04)80086-5","DOIUrl":"https://doi.org/10.1016/S1328-2743(04)80086-5","url":null,"abstract":"","PeriodicalId":100148,"journal":{"name":"Australian Emergency Nursing Journal","volume":"6 2","pages":"Page 20"},"PeriodicalIF":0.0,"publicationDate":"2004-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1328-2743(04)80086-5","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136424025","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}