Emergency Department Journal of Nursing

What’s the Deal With Being Unprepared?  Patient’s Should Know...

What’s the Deal With Being Unprepared? Patient’s Should Know...

Tags: cardiac emergency emergency department emergency room ER experiences

My husband has had 2 chest pain events within a week. As a nurse working primarily in cardiac nursing most of my career, I knew that any family member entering the arena of chest pain treatment would bear the wrath of my watchful eye. This has been An eye-opening, untoward (in my opinion), experience and an experience that can become a learning moment for many, as my skilled eye in emergency room settings can cause “jading” of an experience, but the perception should carry forward.

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Case Study: A Systematic Approach to Early Recognition and Treatment of Sepsis

Case Study: A Systematic Approach to Early Recognition and Treatment of Sepsis

Tags: assessment Case Study emergency department guidelines mortality prevention risk factors sepsis standard of care treatment

The term sepsis is often misunderstood. The public and often healthcare workers are unaware of the severity and high mortality rates this infection process has upon the world. Sepsis has vague symptoms that make diagnosis difficult. Often, sepsis is diagnosed in the later stages, when more obvious yet severe symptoms occur. This case study discusses a female who presents to the emergency department with sepsis secondary to pneumonia. Over the course of three days, the patient’s health quickly deteriorates, demonstrating the rapid progression of sepsis. Clinical findings, such as vitals signs, lab abnormalities, and symptoms of sepsis are discussed. The term bundle of care is presented to educate the reader on the golden standard of care for treatment of sepsis. This case study intends to increase community awareness and education to health care providers as well as providing an evidenced-based treatment guideline. More education and raised awareness will help prevent a deadly yet treatable infectious process.

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Importance of Interprofessional Collaboration, Communication and Teambuilding

Importance of Interprofessional Collaboration, Communication and Teambuilding

Tags: appreciation collaboration communication emergency department team building

Collaboration is especially significant in the healthcare environment to meet the increasingly complex demands of patients with multiple co-morbidities. This article discusses the importance of interprofessional collaboration, communication, and team building.

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Six Sigma and Healthcare Finances

Six Sigma and Healthcare Finances

Tags: emergency department healthcare finance Medicare methodology performance sigma six sigma

This article is a brief primer on Six Sigma methodology and its impact on healthcare finance and nursing.

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One Day, One Shift, One Year

One Day, One Shift, One Year

Tags: birth delivering a baby emergency department Emergency nurse ER restroom

Nurse's experience of delivering a baby in the restroom of an ED.

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Health and Law

Health and Law

Tags: Ambulance Case Study emergency department emergency room ER health law

This legal case study involves a young woman who presented ambulatory to the emergency room with a gunshot wound to the head.

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Influenza: Expert Advice You Need Now

Influenza: Expert Advice You Need Now

Tags: advice child children emergency department Flu Influenza pediatrics The Flu

Among other advice for managing an influx of patients with possible flu, Dr. Whitley describes his experiences with clinical decisions such as which patients should be hospitalized and who can be safely managed at home during the ongoing influenza season. He also addresses the important issue of antiviral treatment and why he believes it is an essential component in the fight against influenza.

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A Mouthful of Death: Acetaminophen Overdose

A Mouthful of Death: Acetaminophen Overdose

Tags: acetaminophen death emergency department end of life liver injury overdose suicide

In the United States, attempted suicide accounts for more than two thirds of acetaminophen-related liver injuries, whereas accidental overdoses account for only one third of the cases.

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Family Presence During CPR in the Emergency Department 

Family Presence During CPR in the Emergency Department 

Tags: Bedside Manner cpr critical care emergency emergency department Emergency nurse family Family Presence nurse

A descriptive survey conducted in 2000 (Myers, et al 2000) investigated attitudes and beliefs of patients’ families and ER staff members about FWR. The survey reported that 98% of patients’ families indicated that they had a right to be present and would do it and would participate in FWR again; 100% of family members said that FWR was helpful to them, and 95% said it was helpful for the patient. It also showed that 70% of professionals surveyed after their participation in FWR actually produced a higher level of “professional” behavior along with a more “professional” bedside dialog amongst the health care team. The survey also indicated that having the family in the resuscitation room prompted the staff to take the patient’s dignity, privacy, and need for pain management into greater consideration when compared to an un-witnessed resuscitation effort. (Myers, et al 2000)

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