Introduction to nursing emergencies

Introduction to nursing emergencies

1. INTRODUCTION TO EMERGENCY NURSING BY ASOKAN R

2. Emergency Nursing is a nursing specialty in which nurses care for patients in the emergency or critical phase of illness or injury. What is Emergency Nursing?

3. Define the assessment process Describe the components of a Primary & Secondary assessment Appropriately implement nursing care of the emergency patient. Assist with common emergency department procedures. Communicate effectively with the local EMS agency. Describe the critical thinking process and nursing interventions for the Emergency patient. Objectives

4. Florence Nightingale was the first emergency nurse, providing care to the wounded in the Crimean War in 1854. The Emergency Department Nurses Association (EDNA) was organized in 1970. A competency-based examination, first administered in 1980, provides Certification in Emergency Nursing; certification is valid for 4 years. EDNA developed Standards of Emergency Nursing Practice, published in 1983, to be used as a guideline for excellence and outcome criteria against which performance is measured and evaluated. In 1985, the Association name was changed to Emergency Nurses Association (ENA), recognizing the practice of emergency nursing as role-specific rather than site-specific . Historical Development of Emergency Nursing

5. Think like an ED nurse Assess like an ICU nurse Organize like a Med- Surg nurse Connect like a psych nurse, and Implement like an expert. Who is the Expert nurse in giving emergency care?

6. . How will prepare and train the Emergency Nurse? Strong medical-surgical, critical-care, or cardiac background. Broad clinical knowledge, excellent skills, flexible and adaptable approach, and strong inter-personal and teaching ability. Certification courses in adult advanced life support, and core-curricula in Emergency Nursing. Continues education and training throughout the career. Advanced degrees are available.

7. High degrees of knowledge and skills with diagnostic and decision-making power. Perform urgently needed activities in autonomous fashion. Collaborative team approach with other health professionals. Capable of providing a broad spectrum of skills in other settings. Providing care and treatment of those injuries or illnesses. Providing the educational and psychosocial evaluations and support to return the patient successfully. H ow is "Emergency Nursing" different from other nursing?

8. Triage is a sorting process designed to assure that the sickest patients get the proper resources first. Objective is rapid recognition of quickly deteriorating conditions. Triage

9. Class I - Immediate life-threatening. Class II - Stable, but needs to taken care of patient. This patient is in no acute distress. Class III - Stable reassessment every 30 minutes. Class IV - Stable in no acute distress. Comprehensive Triage: Four Urgency Categories

10. Level I: Requires resuscitation. Level II: Emergent Level III: Urgent Level IV: Less Urgent Level V: Non-urgent Five Level Triage

11. Clinical assessment and Priority Setting Primary assessment. Life-threatening conditions should be detected immediately. Physician-nurse communication is vital to the patient’s positive outcome. Ongoing patient assessment. Patient Assessment

12. Objective Subjective Verbal Observed Assessment tools

13. Patient presents 1. RAPID PRIMARY ASSESSMENT Life threatening condition? / Non-life threatening condition? Basic life support Once patient is stable 2. INITIAL ASSESSMENT 3. FOCUSSED ASSESSMENT If the patient has trauma then a TRAUMA ASSESSMENT is required before the focused assessment. 4. Contact MEDICAL OFFICER To follow Medical consultation flowchart. UNIVERSAL ASSESSMENT PROCESS

14. Assesses the patient, prepares the room with necessary equipment, documents, coordinates care and gives medications. Manage airways and ventilators. Obtain lab specimens, assist with removal of clothing to facilitate the secondary survey, do EKGs, dressings to wounds, splint application, and urethral catheterization. Do the necessary requested x-rays and procedures. Contact family members and assist with transfer arrangements if necessary. Guidelines for Effective Management of the Patient

15. Patient Care—Care for patients and families in hospital emergency departments, ambulances, helicopters, urgent care centers, ships, sports areas, industry, government, and anywhere someone may have a medical emergency or where injury prevention is a concern. Education—Programs to promote wellness and prevent injuries, such as alcohol awareness, child passenger safety, gun safety, bicycle and helmet safety and domestic violence prevention. Leadership and Research—Work as administrators, managers, and researchers in emergency health care. Role of emergency nurse

16. The research process has stimulated nurses to seek answers to problems directly visible in their own clinical environment. Evidence-based Practice

17. Several federal organizations that advise research topics like Emergency Nurses Association ( ENA), American Association of Critical Care Nurses (AACN), American Nurses Association (ANA), & National Institute of Health (NIH). These organizations encourage research in areas of emergency nursing. Con.

18. Nursing Emergency is a vital resource for all nurses working with emergency patients, and provides an essential care to both Monitoring the Critically Ill Patient and Treating the Critically Ill Patient. Integrates theory with practice Adopts an evidence based approach Refers to National guidelines and key initiatives Includes legal and ethical issues in nursing emergency. Conclusion

19. .