Chapter 8: Concepts of Emergency and Trauma Nursing The Emergency Department Environment of Care Ensure that background noise does not impact patient safety Demographic Data and Vulnerable Populations Provide care for people across the life span with a broad spectrum of issues, illnesses and injuries (as well as various religious and cultural values) o Especially vulnerable populations: the homeless, the poor and older adults Some of the most common reasons people seek ED care: o Abd pain, chest pain, breathing difficulties, injuries (esp falls in older adults), HA, fever, and pain (the most common symptom) Special Nursing Teams Forensic nurse examiners (RN-FNEs) – educated to obtain p thx, collect forensic evidence, and offer counseling and follow-up care for victims of rape, child abuse, and domestic violence; trained to recognize evidence of abuse and to intervene on the pts behalf (SANEs specialize in helping victims of sexual assault) o Interventions include: providing information about developing a safety plan, how to escape a violent relationship, document injuries and collect physical and photographic evidence, provide testimony in court as to what was observed during the exam and info about the care provided Psychiatric crisis nurse team – the availability of mental health nurses can improve the quality of care delivered to pts who require specialized interventions in the ED and can offer valuable expertise to the emergency health care staff o Ex: the team evaluates pts with emotional behaviors/mental illness and facilitates the follow up treatment plan, including possible admission to the appropriate psych facility o Also interact with pts and families when sudden illness, serious injury, or death of a loved one may have caused a crisis Interdisciplinary Team Collaboration
A team approach to emergency care using collaboration is considered a standard of practice The nurse coordinates care with all levels of health care team providers from prehospital emergency medical services (EMS) to physicians, hospital techs, and professional and ancillary support staff o Prehospital care providers – typically the first caregivers that pts see before transport to the ED by ambulance or helicopter EMT (emergency medical tech) – offer basic life support interventions such as oxygen, basic wound care, splinting, spinal immobilization, and monitoring of V/S Paramedics – advanced life support providers who can perform advanced techniques including: cardiac monitoring, advanced airway management and intubation, establishing IV access and administering drugs en route to the ED o Emergency medicine physician – medical professionals with specialized education and training in emergency pt management o Professional and ancillary staff – function in support roles Includes: radiology and ultrasound techs, respiratory therapists, lab techs, social workers, case managers, nursing assistants, and clerical staff
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- Winter '16
- Nursing, pts, assault, Physical trauma, Trauma center