Emergency nursing
·
Emergency
nursing is a nursing specialty in which nurses care for patients in emergency
or critical phase of their illness or
injury
·
While
this is common to many nursing specialties , the key difference is that an
emergency nurse is skilled to dealing with the people in the phase when a
diagnosis has not known. Patients that present to the emergency department may
range from birth to geriatric.
Concept:
·
The
term emergency is used for those patients who require immediate action to
prevent further decorations or stabilising the condition till the availability
of the services close to the patients .
·
The
nurse as a team member plays significant role in the early assessment,
intervention either in the form of care or transferring the patient safely to
the health services
Scope of emergency nursing:
·
Emergency
nurse must be ready to treat a wide variety of illnesses or injury situations,
ranging from a sore throat to a heart attack
·
To
provide quality patient care for people of all ages, emergency nurses must
possess both general and specific care to provide quality patient care
·
The
emergency nurse has had specialized education, training, and experience to gain
expertise in assessing and identifying patients' health care problems in crisis
situations.
·
In
addition, the emergency nurse establishes priorities, monitors and continuously
assesses acutely ill and injured patients, supports and attends to families,
supervises allied health personnel, and teaches patients and families within a time
limited, high-pressured care environment.
·
Nursing
interventions are accomplished interdependently, in consultation with or under
the direction of a licensed physician or nurse practitioner
EMERGENCY MANAGEMENT
·
Emergency
management is the managerial function charged with creating the framework
within which communities reduce vulnerability to haards and cope with
disasters.
·
The
term emergency management traditionally refers to care given to patients with
urgent and critical needs.
Vision
emergency management seeks to promote safer, less vulnerable
communities with the capacity to cope with hazards and disasters
Mission
Emergency management protects communities by coordinating and
integrating all activities necessary to build, sustain, and improve the
capability to mitigate against, prepare for, respond to, and recover from
threatened or actual natural disasters, acts of terrorism, or other man-made
disasters.
Emergency department environment
Characterized by:
·
Rapid
change
·
Multispecialty
care
·
Crowded,
·
noisy
conditions
·
Crucial
communications with ambulance, staff, helicopter personnel
·
Complex
age and demographic range of clients
Interdisciplinary Team: Members
·
Prehospital
care providers
·
Emergency
medicine physician
·
Emergency
medical technicians
·
Support
staff
·
Paramedics
·
Inpatient
unit staff
Emergency Nursing Special Considerations
·
Client
identification
·
Client
safe from falls and skin breakdown
·
Risk
for errors and adverse events
·
Precautions
to protect the personal safety of emergency department staff
Emergency care: Emergency care can be defined as the
episodic and crisis-oriented care provided to patients with serious or
potentially life-threatening injuries or illnesses
Principles of Emergency management
are:
1. Comprehensive - emergency managers
consider and take into account all hazards, all phases, all stakeholders and
all impacts relèvant to disasters.
2. Progressive : emergency managers
anticipate future disasters and take preventive and preparatory measures to
build disaster-resistant and disaster-resilient communities
3. Risk-driven: emergency managers use
sound risk management principles (hazard identification, risk analysis, and
impact analysis) in assigning priorities and resources.
4. Integrated : emergency managers
ensure unity of effort among all levels of government and all elements of a
community
5. Collaborative : emergency managers
create and sustain broad and sincere relationships among individuals and
organizations to encourage trust, advocate a team atmosphere, build consensus,
and facilitate communication.
6. Coordinated: emergency managers
synchronize the activities of all relevant stakeholders to achieve a common
purpose
7. Flexible: emergency managers use
creative and innovative approaches in solving disaster challenges.
8. Professional: emergency managers
value a science and knowledge-based approach based on education, training,
experience, ethical-praclice,public stewardship and continuous improvement.
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