Emergency Nursing Flashcards
deals with human responses to any trauma or sudden illness that requires immediate intervention to prevent imminent severe damage or death
Emergency nursing
Care is provided in any setting to persons of all ages with actual or perceived alterations in
physical or emotional health.
when patients return frequently
Episodic
when it is the initial option for health
Primary
when patients need immediate and additional interventions.
Preventive care and acute care
is a specialty area of the nursing profession like no other.
Emergency Nursing
are used to monitor patient status continuously; these may pose safety hazards to patients, such as possible exposure to electric shock
Specialized electronic technology and techniques
classifies emergency patients for assessment and treatment priorities
Triage
- Triage decisions require _____and ____data rapidly and effectively to determine the type of priority situation present
Objective and subjective
situations are potentially life-threatening; they include such conditions as respiratory distress or arrest, cardiac arrest, severe chest pain, seizures, hemorrhage, severe trauma resulting in open chest or abdominal wounds, shock, poisonings, drug overdoses, temperatures over 105°F (40.5°C), emergency childbirth, or delivery complications
Emergent
situations are serious but not life-threatening if treatment is delayed briefly; they include such conditions as chest pain without respiratory distress, major fractures, burns, decreased level of consciousness, back injuries, nausea or vomiting, severe abdominal pain, temperature between 102 and 105°F (38.9 and 40.5° C), bleeding from any orifice, acute panic, or anxiety
Urgent
situations are not acute and are considered minor to moderately severe; they include such conditions as chronic backache or other symptoms, moderate headache, minor burns, fractures, sprains, upper respiratory or urinary infections, or instances in which a patient is dead on arrival
Nonemergent
Roles of the Emergency Nurse
Care provider
Educator
Manager
Advocate
provides comprehensive direct care to the patient and family.
Care provider
provides patient and family with education based on their learning needs and the severity of the situation and allows the patient to assume more responsibility for meeting health care needs
Educator
coordinates activities of others in the multidisciplinary team to achieve the specific goal of providing emergency care
Manager
ensures protection of the patient’s rights
Advocate
Functions of the Emergency Nurse
- Uses triage to determine priorities based on assessment and anticipation of the patient’s needs
- Provides direct measures to resuscitate, if necessary
- Provides preliminary care before the patient is transferred to the primary care area
- Provides health education to the patient and family
- Supervises patient care and ancillary personnel
- Provides support and protection for the patient and family
Legal issues affecting the provision of emergency nursing
Negligence
- Malpractice
- Good Samaritan Laws (these statutes may protect private citizens but usually do not apply to emergency personnel on duty or in normal emergency situations)
- Informed consent
- Implied consent
- Duty to report suspected crimes to the police
- Duty to gather evidence in criminal investigations; be aware of hospital policy and state laws for evidence collection
- Advanced directives, including durable power of attorney and living wills
Qualifications of an Emergency Nurse
- An emergency nurse is a registered nurse with specialized education and experience in caring for emergency patients.
- Emergency nurses continually update their education to stay informed of the latest trends, issues, and procedures in medicine today.
- Many take a special examination that proves their level of knowledge. After successful completion of this exam they are certified in emergency nursing.
- Some emergency nurses also acquire additional certifications in the areas of trauma nursing, pediatric nursing, nurse practitioner, and various areas of injury prevention
- Many emergency nurses acquire additional certifications in the areas of trauma nursing, pediatric nursing, nurse practitioner, and various areas of injury prevention