Emergency departments (EDs) often experience reduced patient flow, which results in low capacity, increased congestion and delays in patient care. Advanced nurse practitioners (ANPs) possess the skills required to relieve these pressures and enhance care delivery. This article describes how introducing ANP-led rapid assessment triage in an ED has enabled these practitioners to use advanced practice skills in assessment and intervention, and to request early diagnostic processes to improve patient flow. The system enables the ANPs to identify high-acuity patients who can be cared for in the ED without the need for admission, while ensuring their safety, rapid assessment and timely interventions.
{"title":"Developing an advanced nurse practitioner approach to clinical assessments.","authors":"C. Prescott, Nick Stackhouse","doi":"10.7748/en.2017.e1614","DOIUrl":"https://doi.org/10.7748/en.2017.e1614","url":null,"abstract":"Emergency departments (EDs) often experience reduced patient flow, which results in low capacity, increased congestion and delays in patient care. Advanced nurse practitioners (ANPs) possess the skills required to relieve these pressures and enhance care delivery. This article describes how introducing ANP-led rapid assessment triage in an ED has enabled these practitioners to use advanced practice skills in assessment and intervention, and to request early diagnostic processes to improve patient flow. The system enables the ANPs to identify high-acuity patients who can be cared for in the ED without the need for admission, while ensuring their safety, rapid assessment and timely interventions.","PeriodicalId":94315,"journal":{"name":"Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association","volume":"38 1","pages":"33-37"},"PeriodicalIF":0.0,"publicationDate":"2017-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87478407","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
It is clear from the National Confidential Enquiry into Patient Outcome and Death (NCEPOD) report published last month that hospitals are failing to integrate physical and mental healthcare. As a result, patients with mental health issues are receiving poor care and nurses are too often failing to refer such patients to the appropriate specialist support.
{"title":"We must integrate services for people with mental health issues.","authors":"P. Scott","doi":"10.7748/en.24.9.5.s1","DOIUrl":"https://doi.org/10.7748/en.24.9.5.s1","url":null,"abstract":"It is clear from the National Confidential Enquiry into Patient Outcome and Death (NCEPOD) report published last month that hospitals are failing to integrate physical and mental healthcare. As a result, patients with mental health issues are receiving poor care and nurses are too often failing to refer such patients to the appropriate specialist support.","PeriodicalId":94315,"journal":{"name":"Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association","volume":"68 1","pages":"5"},"PeriodicalIF":0.0,"publicationDate":"2017-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73778689","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
My daughter recently complained about me being 'always on the phone'.
我女儿最近抱怨我“总是打电话”。
{"title":"Keep your wits in the Twittersphere.","authors":"J. Youd","doi":"10.7748/en.24.9.17.s23","DOIUrl":"https://doi.org/10.7748/en.24.9.17.s23","url":null,"abstract":"My daughter recently complained about me being 'always on the phone'.","PeriodicalId":94315,"journal":{"name":"Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association","volume":"1 1","pages":"17"},"PeriodicalIF":0.0,"publicationDate":"2017-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89814851","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
In a workplace emergency recently I was able to competently and confidently provide airway ventilation to a patient in cardiac arrest. Why? Because I had practised for such an eventuality during simulation training.
{"title":"In emergency care, simulation training matters.","authors":"Neal Aplin","doi":"10.7748/en.24.9.16.s20","DOIUrl":"https://doi.org/10.7748/en.24.9.16.s20","url":null,"abstract":"In a workplace emergency recently I was able to competently and confidently provide airway ventilation to a patient in cardiac arrest. Why? Because I had practised for such an eventuality during simulation training.","PeriodicalId":94315,"journal":{"name":"Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association","volume":"24 1","pages":"16"},"PeriodicalIF":0.0,"publicationDate":"2017-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90671954","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
People with mental health problems receive poor treatment because hospital staff frequently lack the knowledge or confidence to care for them appropriately.
有精神健康问题的人得不到良好的治疗，因为医院工作人员往往缺乏适当照顾他们的知识或信心。
{"title":"Research highlights 'double whammy' of poor care.","authors":"E. Dean","doi":"10.7748/en.24.9.6.s2","DOIUrl":"https://doi.org/10.7748/en.24.9.6.s2","url":null,"abstract":"People with mental health problems receive poor treatment because hospital staff frequently lack the knowledge or confidence to care for them appropriately.","PeriodicalId":94315,"journal":{"name":"Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association","volume":"11 1","pages":"6"},"PeriodicalIF":0.0,"publicationDate":"2017-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78548963","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Aim This article describes the modification and testing of a triage tool, the patient pathway assessment score (PPAS), which could be used by all grades of nursing staff to triage patients in a medical assessment area (MAA). The aim was to increase patient satisfaction and reduce waiting times. Method Staff scored all patients using PPAS, but used the existing triage process to assign patients to one of the MAA's two pathways. Two researchers reviewed patients' notes retrospectively to determine which pathway they should have followed and compared this to the outcome that would have occurred if the PPAS score had been used. Results Full, rather than theoretical, use of the PPAS tool could have reduced patient waiting times, as 55 (24%) out of 231 patients would have been allocated to the correct pathway. Conclusion The tool could improve patients' journeys through the MAA by ensuring they are allocated to the correct pathway. It is now implemented in practice.
{"title":"Evaluating the use of patient pathway scores in medical assessments.","authors":"Sarah A. Rothery, H. Green, C. Hale","doi":"10.7748/en.2017.e1602","DOIUrl":"https://doi.org/10.7748/en.2017.e1602","url":null,"abstract":"Aim This article describes the modification and testing of a triage tool, the patient pathway assessment score (PPAS), which could be used by all grades of nursing staff to triage patients in a medical assessment area (MAA). The aim was to increase patient satisfaction and reduce waiting times. Method Staff scored all patients using PPAS, but used the existing triage process to assign patients to one of the MAA's two pathways. Two researchers reviewed patients' notes retrospectively to determine which pathway they should have followed and compared this to the outcome that would have occurred if the PPAS score had been used. Results Full, rather than theoretical, use of the PPAS tool could have reduced patient waiting times, as 55 (24%) out of 231 patients would have been allocated to the correct pathway. Conclusion The tool could improve patients' journeys through the MAA by ensuring they are allocated to the correct pathway. It is now implemented in practice.","PeriodicalId":94315,"journal":{"name":"Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association","volume":"10 1","pages":"27-31"},"PeriodicalIF":0.0,"publicationDate":"2017-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76275850","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This comprehensive textbook addresses the history of disaster management, terminology, concepts, principles and trends. While the book refers mainly to Australian policies and guidelines, international examples are offered too.
{"title":"Disaster Health Management: A Primer for Students and Practitioners Fitzgerald Gerry Tarrant Mike Aitken Peter et al Disaster Health Management: A Primer for Students and Practitioners 352pp £39.99 Routledge 9781138911185 1138911186 [Formula: see text].","authors":"A. Gloster","doi":"10.7748/en.24.9.17.s21","DOIUrl":"https://doi.org/10.7748/en.24.9.17.s21","url":null,"abstract":"This comprehensive textbook addresses the history of disaster management, terminology, concepts, principles and trends. While the book refers mainly to Australian policies and guidelines, international examples are offered too.","PeriodicalId":94315,"journal":{"name":"Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association","volume":"1 1","pages":"17"},"PeriodicalIF":0.0,"publicationDate":"2017-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89937457","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
What is your job? I am a lecturer practitioner and senior charge nurse in the emergency department (ED) at King's College Hospital NHS Foundation Trust, London. My role focuses on clinical practice, education, research and management. I am also undertaking a PhD investigating the effect of complex interventions on long-term outcomes for patients with significant blunt thoracic trauma.
{"title":"'Seize every opportunity'.","authors":"Layla Haidrani","doi":"10.7748/en.24.9.39.s27","DOIUrl":"https://doi.org/10.7748/en.24.9.39.s27","url":null,"abstract":"What is your job? I am a lecturer practitioner and senior charge nurse in the emergency department (ED) at King's College Hospital NHS Foundation Trust, London. My role focuses on clinical practice, education, research and management. I am also undertaking a PhD investigating the effect of complex interventions on long-term outcomes for patients with significant blunt thoracic trauma.","PeriodicalId":94315,"journal":{"name":"Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association","volume":"1 1","pages":"39"},"PeriodicalIF":0.0,"publicationDate":"2017-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88986548","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Deprivation of liberty (DoL) is a complicated subject that healthcare professionals may find challenging. Understanding and applying safeguards against DoL can be difficult because regulations and guidance are complex and varied.
{"title":"Deprivation of Liberty: Collected Guidance The Law Society Deprivation of Liberty: Collected Guidance 400pp £29.95 Law Society Publishing 9781784460433 1784460435 [Formula: see text].","authors":"M. Cornock","doi":"10.7748/en.24.9.17.s22","DOIUrl":"https://doi.org/10.7748/en.24.9.17.s22","url":null,"abstract":"Deprivation of liberty (DoL) is a complicated subject that healthcare professionals may find challenging. Understanding and applying safeguards against DoL can be difficult because regulations and guidance are complex and varied.","PeriodicalId":94315,"journal":{"name":"Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association","volume":"6 1","pages":"17"},"PeriodicalIF":0.0,"publicationDate":"2017-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74251007","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Emergency departments (EDs) in the UK are facing unprecedented increases in attendance, and the ability to safely assess, diagnose, treat, refer or discharge patients is a national challenge. This article discusses one component of a comprehensive ED strategy created to address serious concerns identified by regulators and develop and improve services in the department at Medway NHS Foundation Trust, Kent.
{"title":"Improving patient safety through the introduction of a formal triage process.","authors":"Cliff Evans, C. Hughes, J. Ferguson","doi":"10.7748/en.2017.e1647","DOIUrl":"https://doi.org/10.7748/en.2017.e1647","url":null,"abstract":"Emergency departments (EDs) in the UK are facing unprecedented increases in attendance, and the ability to safely assess, diagnose, treat, refer or discharge patients is a national challenge. This article discusses one component of a comprehensive ED strategy created to address serious concerns identified by regulators and develop and improve services in the department at Medway NHS Foundation Trust, Kent.","PeriodicalId":94315,"journal":{"name":"Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association","volume":"24 1","pages":"19-25"},"PeriodicalIF":0.0,"publicationDate":"2017-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81572791","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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