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Complex > ED Care > Flashcards

ED Care Flashcards

1
Q

Most common reasons for ED

A 
Abdominal pain
Chest pain
Breathing difficulty
Injuries (esp falls)
Headache
Fever 
*pain
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2
Q

Describe what the forensic nurse examiner does

A 
Specialty team member
Obtain pt hx
Collect forensic evidence
Offer counseling/follow up for victims of rape, child abuse, domestic violence 
*there are also sexual assault examiners
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3
Q

Psychiatric crisis nurse team

A
  • pt with chronic mental health disorders
  • evaluate pt with emotional behaviors or mental health illness
  • facilitate treatment plan like admission to psych unit
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4
Q

Older adults who are on beds or stretchers should always…

A

Have side rails up
Have access to call light
Reorient and reassess older pt mental status

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5
Q

Who are the vulnerable pop that are in the ED

A

Uninsured or underinsured
Poor
Homeless
Older adults

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6
Q

What are the care competencies of nursing in ED

A 
Pt assessment (noticing)
Priority setting/clinical decision making (crucial in triage)
Multitasking 
Documental 
Communication
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7
Q

What is the team approach in ED

A

Teamwork and inter professional collaboration

  • communication
  • standard of practice
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8
Q

Who are the health care workers in ED

A 
Prehospital care providers
Emergency medical team (EMT)
Paramedics who are ALS providers 
Emergency medicine physician 
Emergency nurses
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9
Q

What is the hand off communication

A

Standardization approach prevents errors caused by poor communication
Ie/SBAR

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10
Q

What is the patient safety and quality care (QSEN)

A

1) pt identification
2) injury prevention for patients
3) risk for errors and adverse events
4) injury prevention for staff (standard precautions)

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11
Q

In the ED what are the major concerns

A

Staff and patient SAFETY

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12
Q

What are the common pt safety issues

A
  • pt identification
  • fall risk
  • skin breakdown invulnerable pop
  • high risk for medical errors or adverse events
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13
Q

What are the certifications for ED nursing

A

Basic life support
Advanced cardiac life support
Pediatric advanced life support

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14
Q

Non invasive assessment and management skills for airway maintenance and CPR

A

Basic life support

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15
Q

Invasive airway management pharm and electrical therapies

A

Advanced cardiac life support

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16
Q

Neonatal and pediatric resuscitation

A

Pediatric advanced life support

17
Q

System for sorting and classifying pt into priority levels depending on illness and injury severity

A

Triage ED

18
Q

Who gets served first in the ED

A

Pt who presents with highest acuity needs to receive the quickest eval
Pt with lower acuity may wait longer
RN, physician or PA triage the pts

19
Q

Is there a universally accepted triage system in the US

A

No

20
Q

What is the tier level triage system

A

1) emergent
2) urgent
3) nonurgent

21
Q

What is the emergent level

A
  • life threatening
  • resp distress
  • stroke
  • active hemorrhage
  • unstable VS
  • chest pain
22
Q

What is the urgent level

A
  • quick not life threatening
  • severe abdominal pain
  • renal colic
  • fractures (displaced or multiple)
  • soft tissue injury (complex and multiple)
  • new onset resp infection (esp pneumonia)
23
Q

Describe nonurgent level

A
  • skin rash
  • strains and sprains
  • colds
  • simple fracture
24
Q

Describe the 5 tier system

A

Acuity and predictions of resources to categories

  • emergency severity index
  • Canadian triage
  • acuity scale
25
Q

What can be a pt safely risk

A

Mistriage

26
Q

What is mandated federal law concerning ED

A

To perform ER screening exam on all pt despite inability to pay

27
Q

How to act around vulnerable pop

A

-demonstrates behaviors that promote trust

28
Q

What does trauma in HC mean

A 
Bodily injury (unintentional or intentional)
*trauma centers have roots in military medicine
29
Q

Trauma center is only as good as what

A

The overall trauma system that supports it

30
Q

What are the critical elements of trauma system:

A
  • access to communication technology
  • timely availability to EM
  • rapid transport to trauma center
  • early provision of services
  • system wide prevetion and research
31
Q

What is a trauma system

A

Organized and integral approach to trauma care

32
Q

What is the key role of emergency nurse

A

Health teaching

  • discharge instructions
  • health education
  • home safety issues
  • consider reading level and language
33
Q

Family presence during resuscitation…

A

Is gaining more acceptance

34
Q

How to act with death in the ED

A

concrete communication (death/died)

Complex (38 decks)

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