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Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association最新文献

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Characteristics and outcomes of people in suicidal crisis at two emergency departments: a service evaluation. 两个急诊科自杀危机患者的特征和结果：服务评估。
Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association Pub Date : 2024-05-14 DOI: 10.7748/en.2024.e2204
Lottie Anstee, Sabrina Richards, Chetan Shah, Rakesh Magon, Asif Zia
{"title":"Characteristics and outcomes of people in suicidal crisis at two emergency departments: a service evaluation.","authors":"Lottie Anstee, Sabrina Richards, Chetan Shah, Rakesh Magon, Asif Zia","doi":"10.7748/en.2024.e2204","DOIUrl":"https://doi.org/10.7748/en.2024.e2204","url":null,"abstract":"<p><p>Emergency departments (EDs) provide critical opportunities for nurses to support suicide prevention. This article details a service evaluation that was undertaken to explore the characteristics and outcomes of people in suicidal crisis at two EDs in the East of England during June 2023. Data routinely collected by the ED mental health liaison team were combined with a retrospective case note review of the local NHS mental health trust's electronic patient records. Attendees had a mean age of 35 years and seven months, and were often diagnosed with depression or emotionally unstable personality disorder. Most had a history of self-harm and were currently known to mental health services. Suicide-specific interventions were rarely recorded by nurses and relapse behaviours were prevalent after presentation. Local and national suicide prevention strategies should encourage nurses to address gaps in support, thereby improving patients' experiences in and beyond the ED.</p>","PeriodicalId":94315,"journal":{"name":"Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140917569","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}
引用次数: 0
Blunt mechanism chest wall injury: initial patient assessment and acute care priorities. 钝器致胸壁损伤：患者初步评估和急症护理优先事项。
Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association Pub Date : 2024-04-30 Epub Date: 2023-03-12 DOI: 10.7748/en.2024.e2181
Edward Baker, Ceri Battle, Geraldine Lee
{"title":"Blunt mechanism chest wall injury: initial patient assessment and acute care priorities.","authors":"Edward Baker, Ceri Battle, Geraldine Lee","doi":"10.7748/en.2024.e2181","DOIUrl":"10.7748/en.2024.e2181","url":null,"abstract":"<p><p>Blunt mechanism chest wall injury (CWI) is commonly seen in the emergency department (ED), since it is present in around 15% of trauma patients. The thoracic cage protects the heart, lungs and trachea, thereby supporting respiration and circulation, so injury to the thorax can induce potentially life-threatening complications. Systematic care pathways have been shown to improve outcomes for patients presenting with blunt mechanism CWI, but care is not consistent across the UK. Emergency nurses have a crucial role in assessing and treating patients who present to the ED with blunt mechanism CWI. This article discusses the initial assessment and acute care priorities for this patient group. It also presents a prognostic model for predicting the probability of in-hospital complications following blunt mechanism CWI.</p>","PeriodicalId":94315,"journal":{"name":"Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association","volume":" ","pages":"34-42"},"PeriodicalIF":0.0,"publicationDate":"2024-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140103093","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}
引用次数: 0
Maintaining a safe environment in emergency department waiting rooms. 维护急诊科候诊室的安全环境。
Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association Pub Date : 2024-03-05 Epub Date: 2023-12-19 DOI: 10.7748/en.2023.e2189
Suzanne Robinson
{"title":"Maintaining a safe environment in emergency department waiting rooms.","authors":"Suzanne Robinson","doi":"10.7748/en.2023.e2189","DOIUrl":"10.7748/en.2023.e2189","url":null,"abstract":"<p><p>Increasing demand, overcrowding and insufficient resources have led to situations where patient care is delivered in emergency department (ED) waiting rooms. For nurses undertaking triage in the ED waiting room, overcrowding is challenging, particularly in terms of assessing patients in a timely fashion, monitoring patients for clinical deterioration and ordering investigations. Additionally, long waiting times and a lack of information can lead to communication breakdowns with patients and, at times, patient confrontations with ED staff. This article explores the effects of the busy environment in ED waiting rooms on patients and staff such as triage nurses and waiting room nurses.</p>","PeriodicalId":94315,"journal":{"name":"Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association","volume":" ","pages":"33-41"},"PeriodicalIF":0.0,"publicationDate":"2024-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138815874","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}
引用次数: 0
How to triage patients in the emergency department. 如何给急诊科的病人分诊。
Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association Pub Date : 2023-11-16 DOI: 10.7748/en.2023.e2186
Hugh Gorick
{"title":"How to triage patients in the emergency department.","authors":"Hugh Gorick","doi":"10.7748/en.2023.e2186","DOIUrl":"https://doi.org/10.7748/en.2023.e2186","url":null,"abstract":"<p><p>Triaging patients can be a complicated process, with multiple modes of assessment taking place simultaneously, and nurses need to be confident and competent in their assessment skills. This article explains the necessary preparation for triage and outlines the steps that nurses need to take when triaging a patient in the emergency department. • Triage requires a targeted patient assessment, using both clinical judgement and triage tools to determine appropriate acuity categories.• Different scales and algorithms are used in triage, so it is essential to clearly communicate the acuity categories assigned to patients.• A structured approach to patient assessment can guide decision-making and identify issues.• Various diagnostic tests can be used to facilitate the triage process, but care needs to be taken to ensure the process is not prolonged by their use. REFLECTIVE ACTIVITY: 'How to' articles can help to update your practice and ensure it remains evidence based. Apply this article to your practice. Reflect on and write a short account of: • How this article might improve your practice when assessing the acuity of patients in triage.• How you could use this information to educate nursing students or your colleagues on the appropriate technique and evidence base regarding the triaging of patients in the emergency department.</p>","PeriodicalId":94315,"journal":{"name":"Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136400943","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}
引用次数: 0
'Corridor care' in the emergency department: managing patient care in non-clinical areas safely and efficiently. 急诊科的“走廊护理”：安全高效地管理非临床区域的患者护理。
Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association Pub Date : 2023-10-31 Epub Date: 2023-10-11 DOI: 10.7748/en.2023.e2187
Christopher Williams
{"title":"'Corridor care' in the emergency department: managing patient care in non-clinical areas safely and efficiently.","authors":"Christopher Williams","doi":"10.7748/en.2023.e2187","DOIUrl":"10.7748/en.2023.e2187","url":null,"abstract":"<p><p>Overcrowding in the emergency department (ED) is a significant issue and often leads to nursing care being delivered in areas not intended for clinical use, a practice commonly referred to as 'corridor care'. Delivering care in non-clinical areas negatively affects patient safety and poses unique professional challenges for emergency nurses while also reducing their well-being. To end - or at least reduce - corridor care, system-level interventions are needed. In the meantime, there are practical solutions that can be implemented at an individual and departmental level to mitigate some of the risks associated with it. This article discusses a pragmatic approach to patient care, and explores opportunities for nurses to mitigate risks and enhance safety and efficiency, in overcrowded EDs.</p>","PeriodicalId":94315,"journal":{"name":"Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association","volume":" ","pages":"34-41"},"PeriodicalIF":0.0,"publicationDate":"2023-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41224711","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}
引用次数: 0
Trauma pain management in the emergency department: use of methoxyflurane as a patient-administered analgesic. 急诊创伤疼痛管理:甲氧基氟醚作为患者给药镇痛药的使用
Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association Pub Date : 2022-06-16 DOI: 10.7748/en.2022.e2124
C. Wood
{"title":"Trauma pain management in the emergency department: use of methoxyflurane as a patient-administered analgesic.","authors":"C. Wood","doi":"10.7748/en.2022.e2124","DOIUrl":"https://doi.org/10.7748/en.2022.e2124","url":null,"abstract":"Evidence suggests that pain is highly prevalent among patients with traumatic injuries who attend emergency departments (EDs), yet accurate assessment and management of patients with acute pain can be challenging in this setting. Effective and rapid pain management is beneficial for patients and can support timely discharge from the ED, which is particularly important in the context of the coronavirus disease 2019 (COVID-19) pandemic. This article describes a service development project that introduced the use of a patient-administered analgesic, methoxyflurane, for patients with traumatic injuries with moderate to severe pain in one ED. The author outlines the benefits and rationale for using methoxyflurane as a first-line analgesic in this patient group and describes the main elements of training sessions for emergency nurses and other ED clinicians in the administration and supervision of patient-administered methoxyflurane.","PeriodicalId":94315,"journal":{"name":"Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association","volume":"23 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74916554","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}
引用次数: 0
Acute behavioural disturbance: recognition, assessment and management. 急性行为紊乱：识别、评估和管理。
Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association Pub Date : 2022-03-31 DOI: 10.7748/en.2022.e2126
Matthew Peel
{"title":"Acute behavioural disturbance: recognition, assessment and management.","authors":"Matthew Peel","doi":"10.7748/en.2022.e2126","DOIUrl":"https://doi.org/10.7748/en.2022.e2126","url":null,"abstract":"<p><p>Acute behavioural disturbance (ABD) is a clinical emergency which typically affects overweight men in their mid-thirties who chronically misuse illicit stimulants. People with ABD are most likely to be seen in police custody or emergency departments, therefore nurses working in these areas must be able to recognise the signs and symptoms and know how to respond appropriately. Presentation varies, but the signs and symptoms commonly include extreme agitation, hyperthermia, hostility and exceptional strength without fatigue. Further, it is important to recognise that people with ABD are at risk of developing metabolic acidosis, hyperkalaemia, rhabdomyolysis or disseminated intravascular coagulation. This article gives an overview of ABD and describes the main elements of management and treatment.</p>","PeriodicalId":94315,"journal":{"name":"Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139907268","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}
引用次数: 0
Ensuring effective intercultural communication in the emergency department. 确保急诊部门有效的跨文化沟通。
Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association Pub Date : 2022-03-03 DOI: 10.7748/en.2022.e2122
D. Tuohy, Evans Wallace
{"title":"Ensuring effective intercultural communication in the emergency department.","authors":"D. Tuohy, Evans Wallace","doi":"10.7748/en.2022.e2122","DOIUrl":"https://doi.org/10.7748/en.2022.e2122","url":null,"abstract":"Globalisation and migration trends are reflected in emergency departments (EDs), which increasingly care for patients and employ staff from diverse cultural and/or ethnic backgrounds. EDs are busy, pressured and unpredictable environments where effective communication with patients and families is challenging at the best of times. This is compounded by language and cultural barriers experienced by patients and families whose background differs from the prevailing culture. Cultural differences and language comprehension may also be a challenge for overseas nurses recruited to the ED, who may need support from colleagues and organisations. ED nurses therefore need to be competent in intercultural communication. This involves combining optimal interpersonal skills with cultural awareness, knowledge and sensitivity.","PeriodicalId":94315,"journal":{"name":"Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association","volume":"15 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74279858","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}
引用次数: 5
Factors that affect nurses' triage decisions in the emergency department: a literature review. 影响急诊科护士分诊决定的因素:文献综述。
Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association Pub Date : 2022-02-28 DOI: 10.7748/en.2022.e2123
Hugh Gorick
{"title":"Factors that affect nurses' triage decisions in the emergency department: a literature review.","authors":"Hugh Gorick","doi":"10.7748/en.2022.e2123","DOIUrl":"https://doi.org/10.7748/en.2022.e2123","url":null,"abstract":"Accurate triaging of patients in emergency departments (EDs) is crucial, since triage determines how quickly patients are assessed and treated. Understanding the factors that influence ED nurses' triage decisions is important to ensure that patients are prioritised appropriately and cared for in a timely manner. This article reports and discusses the findings of a literature review on the factors that affect nurses' triage decisions in the ED. Triage decisions by nurses in EDs are influenced by several factors relating to the patient, the nurse, the triage algorithm and the environment where triage takes place. Nurses' ability to triage patients accurately is negatively affected by high patient numbers, inadequate staffing levels, lack of privacy and lack of training.","PeriodicalId":94315,"journal":{"name":"Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88949816","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}
引用次数: 6
Assessing and managing people exposed to conducted energy device (Taser) discharge. 评估和管理暴露于传导能量装置(泰瑟)放电的人员。
Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association Pub Date : 2022-02-08 DOI: 10.7748/en.2022.e2125
Matthew Peel, David Tremlett
{"title":"Assessing and managing people exposed to conducted energy device (Taser) discharge.","authors":"Matthew Peel, David Tremlett","doi":"10.7748/en.2022.e2125","DOIUrl":"https://doi.org/10.7748/en.2022.e2125","url":null,"abstract":"The use of conducted energy devices - better known under the brand name Taser - by police officers is subject to scrutiny. Consequently, the clinical assessment and management of people who have been exposed to Taser discharge is also subject to scrutiny. In 2021 the Conducted Energy Device Joint Working Group published a new guideline on assessment in police custody after Taser discharge. The guideline enables any appropriately trained and competent healthcare professional, including nurses, to undertake post-Taser assessments and determine the person's fitness to be detained in police custody. This would be done in the first instance by nurses working in police custody suites, but emergency department (ED) nurses may also be involved, as people who have been 'tasered' may need referral to the ED. This article explains how Tasers work, their physiological effects and potential complications, and the required approaches to clinical assessment and management as outlined in the new guideline.","PeriodicalId":94315,"journal":{"name":"Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association","volume":"13 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91014248","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}
引用次数: 0
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