Disaster Knowledge, Skills, and Preparedness Among Nurses in Bengkulu, Indonesia: A Descriptive Correlational Survey Study
Registered nurses have to adequately prepare to respond to disasters, as they have become increasingly frequent worldwide. The aim of this study was to identify the factors influencing registered nurses ’ disaster preparedness in Bengkulu, Indonesia. (Source: Journal of Emergency Nursing: JEN)
Source: Journal of Emergency Nursing: JEN - July 1, 2020 Category: Nursing Authors: Asih-Dewi Setyawati, Yu-Ying Lu, Chieh-Yu Liu, Shu-Yuan Liang Tags: Research Source Type: research

Beyond the Horizon: Pathways to our Vision
It was midsummer 1970. I received a call to meet a family whose young son had just entered the local emergency department. The child was admitted, yet specific intervention was not forthcoming because the family was waiting for the doctor, who was not readily available. Their wait was long and worrisome. (Source: Journal of Emergency Nursing: JEN)
Source: Journal of Emergency Nursing: JEN - June 27, 2020 Category: Nursing Authors: Carmen Warner-Robbins Tags: Impressions Source Type: research

COVID Curve Guides India ’s Health Infrastructure Growth Needs
COVID-19 has led to many unprecedented situations across the world. With lockdowns and severe restrictions on movement and activities, countries have managed to slow down the COVID curve but developing countries like India are likely to face a humongous task of containing the virus spread in coming months. High population density, continuing economic activities, movement of people etc. will keep causing newer hotspots across India. We look at the compounded daily growth rates (CDGR) of USA, Spain, India and Brazil over the duration of the virus spread since January, 2020. (Source: Journal of Emergency Nursing: JEN)
Source: Journal of Emergency Nursing: JEN - June 19, 2020 Category: Nursing Authors: Vaibhav Pratap Singh, P. Haribabu, B.S. Bindhumadhava Tags: Letter to the Editor Source Type: research

Coronavirus Disease: 4 Million Cases Worldwide and the Importance of Multidisciplinary Health Care Teams During the Pandemic
On May 12, 2020 —International Nurses Day—4 million cases of coronavirus disease (COVID-19) were recorded, with a total of 292,000 deaths worldwide. Brazil, at that point, recorded a total of approximately 178,000 cases and 12,404 deaths caused by the disease. At that period in time, Brazil appeared in the seve nth position regarding number of cases, sixth in number of deaths, and second in number of active and serious cases (N = 8,318), with a low number of real-time polymerase chain reaction (RT-PCR) examinations per million inhabitants (N = 3,459). (Source: Journal of Emergency Nursing: JEN)
Source: Journal of Emergency Nursing: JEN - June 10, 2020 Category: Nursing Tags: LETTER Source Type: research

The Effectiveness of a Time Management Workshop on Job Stress of Nurses Working in Emergency Departments: An Experimental Study
One of the main risk factors for poor health is a high level of job stress. Time management skills can greatly reduce job stress. The current study aimed to evaluate the effectiveness of a one-time management training workshop on job stress among nurses working in emergency departments. (Source: Journal of Emergency Nursing: JEN)
Source: Journal of Emergency Nursing: JEN - June 10, 2020 Category: Nursing Authors: Azam Karbakhsh Ravari, Jamileh Farokhzadian, Monirsadat Nematollahi, Sakineh Miri, Golnaz Foroughameri Tags: Nurse Educator Source Type: research

COVID-19 – four million cases worldwide and the importance of multidisciplinary health care team during the pandemic
On 12th May 2020 at International Nurses day, 4 million cases of COVID-19 were recorded with a total of 292,000 deaths worldwide. Brazil, at that point, presented a total of ∼178,000 cases and 12,404 deaths caused by the disease. At that moment, Brazil appeared in the 7th position regarding number of cases, 6th in number of deaths and 2nd in number of active and serious cases (N=8,318) with a low number of real-time polymerase chain reaction (RT-PCR) exams per million inhabitants (N=3,459). During the COVID-19 pandemic multidisciplinary health care team (nurses, biologists, nutritionists, physiotherapists, medical doct...
Source: Journal of Emergency Nursing: JEN - June 10, 2020 Category: Nursing Authors: Camila Vantini Capasso Palamim, Fernando Augusto Lima Marson Source Type: research

Migraine Management in the Emergency Department
Headache is one of the most common complaints seen in the emergency department, accounting for more than 5 million visits annually.1 Headache is consistently the fourth to fifth leading cause of visits to the emergency department, accounting for approximately 3% of all ED visits annually.2 Many treatment options are available for headache, but the advanced practice provider must be aware of the different types of headaches to treat them effectively. Life-threatening neurologic conditions such as subarachnoid hemorrhage or meningitis should be ruled out before treatment. (Source: Journal of Emergency Nursing: JEN)
Source: Journal of Emergency Nursing: JEN - June 5, 2020 Category: Nursing Authors: Nycole Oliver Tags: Advanced Emergency Clinicians' Corner Source Type: research

Predictors of Nonurgent Emergency Visits at a Midsize Community-Based Hospital System: Secondary Analysis of Administrative Health Care Data
Nonurgent visits to the emergency department compromise efficiency in treating patients with urgent conditions and inversely influence the satisfaction of patients and staff. There is inconclusive evidence of the factors associated with nonurgent ED visits. Therefore, the purpose of this study was to explore the independent factors associated with nonurgent ED visits in a midsize community-based Canadian hospital system. (Source: Journal of Emergency Nursing: JEN)
Source: Journal of Emergency Nursing: JEN - June 4, 2020 Category: Nursing Authors: Maher El-Masri, Judy Bornais, Abeer Omar, Jamie Crawley Tags: Research Source Type: research

Do No Harm: A Multifactorial Approach to Preventing Emergency Department Falls —A Quality Improvement Project
Patient falls in the emergency department are a unique patient safety issue because of the often challenging nature of the environment. As there are a variety of potential causative factors for patient falls in the emergency department, this project employed a multifactorial approach to prevent patient falls in a Level 1 trauma center emergency department (adult only) in an urban tertiary care teaching hospital. (Source: Journal of Emergency Nursing: JEN)
Source: Journal of Emergency Nursing: JEN - June 4, 2020 Category: Nursing Authors: Nicole S. Cook, Brittany J. Komansky, Michael S. Urton Tags: Practice Improvement Source Type: research

Relationship of the Built Environment on Nursing Communication Patterns in the Emergency Department: A Task Performance and Analysis Time Study
The physical layout of the emergency department affects the way in which patients and providers move within the space and can cause substantial changes in workflow and, therefore, affect communication patterns between providers. There is no 1 ED design that enables the best patient care, and quantitative studies looking at ED design are limited. The goal of this study was to examine how different ED designs, centralized and decentralized, are associated with communication patterns among health care professionals. (Source: Journal of Emergency Nursing: JEN)
Source: Journal of Emergency Nursing: JEN - June 4, 2020 Category: Nursing Authors: Kailey Tindle, Allison David, Stephanie Carlisle, Billie Faircloth, J. Matthew Fields, Geoffrey Hayden, Bon Ku Tags: Research Source Type: research

Understanding Respiratory Rate Assessment by Emergency Nurses: A Health Care Improvement Project
Respiratory rate is the first sign of patient decline. Monitoring and recording respiratory rate are essential nursing competencies. However, health care system emergency nurses ’ ability to differentiate normal from abnormal respiratory rates was unknown. We conducted a health care improvement project to assess emergency nurses’ accuracy in “spot” and “formal” assessments, understand assessment practices, and determine competency and training needs. (Source: Journal of Emergency Nursing: JEN)
Source: Journal of Emergency Nursing: JEN - May 29, 2020 Category: Nursing Authors: Melissa L. Harry, Anna Mae C. Heger, Theo A. Woehrle, Laura A. Kitch Tags: Practice Improvement Source Type: research

Using a Mobile Phone Application Versus Telephone Assistance During Cardiopulmonary Resuscitation: A Randomized Comparative Study
This study aimed to compare the effectiveness of using a mobile phone application (app) versus telephone operator assistance in performing cardiopulmonary resuscitation (CPR) techniques in simulated settings. (Source: Journal of Emergency Nursing: JEN)
Source: Journal of Emergency Nursing: JEN - May 19, 2020 Category: Nursing Authors: Ver ónica V. Márquez-Hernández, Lorena Gutiérrez-Puertas, José Miguel Garrido-Molina, Alba García-Viola, Genoveva Granados-Gámez, Gabriel Aguilera-Manrique Tags: Research Source Type: research

Assessment of Rabies Prophylaxis Cases in an Emergency Service
The aim of the present study was to evaluate the demographic characteristics, exposure features, and prophylactic care aspects of cases that presented to the emergency department of 1 state hospital in Turkey between 2013 and 2017 because of the risk of rabies contact. (Source: Journal of Emergency Nursing: JEN)
Source: Journal of Emergency Nursing: JEN - May 14, 2020 Category: Nursing Authors: Fatma Kesmez Can, Erdal Tekin, Selma Sezen, Pat Clutter Tags: Research Source Type: research

Management of Traumatic Tooth Avulsion Using 2-Octyl Cyanoacrylate Tissue Adhesive Splint: A Case Report
Many Australians living in the country ’s rural and remote areas do not have timely access to dentists.1 In addition, people in these areas have lower levels of access to general practitioners and nurses in comparison with those who reside in inner-regional and major city areas.2 Communities in rural and remote Australia are dispersed widely and generally lack the population concentrations to warrant a full-time dentist.3 This limited access to dentists results in patients with acute oral conditions presenting to other primary care providers such as general practitioners, hospital emergency departments, pharmacies, A...
Source: Journal of Emergency Nursing: JEN - May 12, 2020 Category: Nursing Authors: Mathew Luther, Fergus W. Gardiner, Lara Bishop Tags: Case Review Source Type: research

Prevention of fogging of protective eyewear for medical staff during the COVID-19 pandemic
Coronavirus disease 2019 (COVID-19) has caused huge harm worldwide.1 COVID-19 is transmitted from person to person and spreads very quickly.2-3 Globally, 2,810,325 cases of COVID-19 have been confirmed by the WHO, including 193,825 deaths, as of 26 April, 2020. In China, there have been 84,338 cases and 4,642 deaths.4 As of February 29, 2020, an estimated 42,000 medical personnel have served as frontline staff during the worldwide pandemic.5 Although medical personnel have been indispensable during the COVID-19 pandemic, over 3,000 personnel in Hubei Province, China were infected during the early stage of the pandemic, bec...
Source: Journal of Emergency Nursing: JEN - May 7, 2020 Category: Nursing Authors: Yuli Hu, Lan Wang, Sanlian Hu, Fang fang Source Type: research

Dialysis Access Steal Syndrome
The current literature indicates that patients who are dependent on dialysis are more frequent users of ED services, with patients on dialysis presenting 8.5 times more frequently than the general population.1 Patients on dialysis are at risk for a variety of medical emergencies related to the complications of chronic renal disease and dialysis treatment. It is important for emergency nurses to recognize abnormalities upon assessment to promote optimal outcomes for these patients. One serious complication, although uncommon (6% incidence), is dialysis access steal syndrome. (Source: Journal of Emergency Nursing: JEN)
Source: Journal of Emergency Nursing: JEN - May 6, 2020 Category: Nursing Authors: Amber Adams, Ali Osman Tags: Case Review Source Type: research

A Cross-Sectional Examination on the Factors Related to Emergency Nurses ’ Motivation to Protect Themselves against an Ebola Infection
This study was aimed to investigate the predictors of emergency room nurse’s protection motivation. (Source: Journal of Emergency Nursing: JEN)
Source: Journal of Emergency Nursing: JEN - May 5, 2020 Category: Nursing Authors: Laurasona Leigh, Colleen Taylor, Tavis Glassman, Amy Thompson, Jiunn-Jye Sheu Tags: Research Source Type: research

Quality Improvement in the Emergency Department: A Project to Reduce Door-to-Electrocardiography Times for Patients Presenting with Chest Pain
The American Heart Association/American College of Cardiology guidelines recommend obtaining electrocardiography for patients who present to the emergency department with chest pain in less than 10  minutes of arrival. Reducing door-to-electrocardiography time is an important step in adhering to the recommended door-to-balloon times (≤ 90 minutes) for patients who present with ST-segment elevation myocardial infarction. (Source: Journal of Emergency Nursing: JEN)
Source: Journal of Emergency Nursing: JEN - May 5, 2020 Category: Nursing Authors: Barbara Maliszewski, Madeleine Whalen, Cathleen Lindauer, Kelly Williams, Heather Gardner, Diana-Lyn Baptiste Tags: Practice Improvement Source Type: research

Violence and Its Impact on the Emergency Nurse
In 2002, the World Health Organization declared workplace violence to be a global epidemic with a negative impact on the retention of health personnel and delivery of health care.1 The violence also results in significant economic, personal, and professional costs.1-3 In the United States, the prevalence of workplace violence in the health care industry is 4 times higher than in other private industries.4 Ease of public access, crowding, long wait times, presence of weapons, and other factors make the emergency department a highly vulnerable area,5-9 especially where triage occurs. (Source: Journal of Emergency Nursing: JEN)
Source: Journal of Emergency Nursing: JEN - May 1, 2020 Category: Nursing Authors: Lisa Wolf, Cydne Perhats, Altair Delao, 2019 ENA Position Statement Committee, Carla B. Brim, Judith Carol Gentry, Sue L. Leaver, AnnMarie R. Papa, Matthew Edward Proud, Cheryl Lynn Riwitis, Kathryn Starr Rogers, Elizabeth L. Stone, Jennifer Schieferle Uh Tags: ENA Position Statement Source Type: research

Efficacy of SANE Evidence Collection: A Minnesota Study
The first sexual assault nurse examiner (SANE) programs were developed in Memphis, Tennessee (1976), Minneapolis, Minnesota (1977), and Amarillo, Texas (1979). These programs were developed and worked in isolation from each other until the mid-1980s when they began to publish their work. This began a collaborative relationship between existing SANE programs and with other nurses interested in developing similar programs. In 1992, after a national listing of SANE programs appeared in the Journal of Emergency Nursing,1 31 programs were represented at the first national meeting of SANEs held in Minneapolis, sponsored by the S...
Source: Journal of Emergency Nursing: JEN - May 1, 2020 Category: Nursing Authors: Linda E. Ledray, Kathy Simmelink Tags: ENA 50th Anniversary Source Type: research

Drug Overdose, Loss of Consciousness, and Compartment Syndrome: A Life-Threatening Combination
Acute extremity compartment syndrome is considered an orthopedic emergency that has serious consequences if a correct diagnosis is not made rapidly. Patients who lose consciousness due to a drug overdose are known to collapse onto their extremities. The limbs are compressed for hours, placing them at an increased risk for acute extremity compartment syndrome and its sequelae. Compartment syndrome due to a compression of a limb from loss of consciousness secondary to drug overdose, presents unique issues to health care providers. (Source: Journal of Emergency Nursing: JEN)
Source: Journal of Emergency Nursing: JEN - May 1, 2020 Category: Nursing Authors: Austin L. Jones, James A. Rankin, Karen L. Then Tags: Clinical Source Type: research

Prehospital Medical Response to Active Shooter Incidents —The Rescue Task Force Concept
Acts of mass shooting violence plague our society. The Federal Bureau of Investigation (FBI) cites 27 active shootings in the United Stated in 2018.1 These incidents occurred in 16 states resulting in 213 casualties and 85 deaths.1 As this article is being written, Jersey City, New Jersey, is the latest community to fall victim to an active shooter situation. Characterized as an act of domestic terrorism, this December 9, 2019, incident resulted in the fatal shooting of Jersey City Police Detective Joseph Seals. (Source: Journal of Emergency Nursing: JEN)
Source: Journal of Emergency Nursing: JEN - May 1, 2020 Category: Nursing Authors: Steve Weinman Tags: Trauma Notebook Source Type: research

Collaborative Rescue from Double Trouble: Case Review
A 76-year-old woman was discovered down in the bathtub of her home, aphasic with right-sided paralysis by her husband, who called 911. She had no previous significant medical history, but her husband reported complaints of right arm and chest pain from the patient in the previous 2  days. Although transporting prehospital emergency medical service (EMS) providers did not perform a 12-lead electrocardiogram (ECG), they did place the patient on monitoring equipment for lead II heart rate, pulse oximetry, and noninvasive blood pressure measurements. (Source: Journal of Emergency Nursing: JEN)
Source: Journal of Emergency Nursing: JEN - May 1, 2020 Category: Nursing Authors: Jennifer M. Jones, Robin D. House, Christina Ucci Tags: Case Review Source Type: research

The ED Nurse Manager ’s Guide to Utilizing SWOT Analysis for Performance Improvement
The ED nurse manager thrives in a turbulent environment. However, complacency may sink in and produce a reluctance to change, thereby allowing the department to become a stagnant environment that may or may not be safe, innovative, or of high quality.1 Every ED nurse manager in a health care organization is asked to improve the elements of their department, whether that be quality, safety, or new services. This planning cannot take place without knowing the mission and vision of the organization through strategic planning. (Source: Journal of Emergency Nursing: JEN)
Source: Journal of Emergency Nursing: JEN - May 1, 2020 Category: Nursing Authors: Angela Hollingsworth, Mark Reynolds Tags: Experience Talks Source Type: research

Evidence-Based Nursing Care for Spinal Nursing Immobilization: A Systematic Review
A high degree of suspicion for spinal injury after trauma is commonplace in an emergency department, and spinal immobilization is considered an accepted intervention to prevent the progression of a potential injury. This systematic review was conducted to gain insight into the best research evidence related to nursing interventions for patients with trauma presenting with a suspected spinal injury. (Source: Journal of Emergency Nursing: JEN)
Source: Journal of Emergency Nursing: JEN - May 1, 2020 Category: Nursing Authors: Megan J. Geldenhuys, Charlene Downing Tags: Research Source Type: research

Intimate Partner Violence Screening in the Emergency Department: A Quality Improvement Project
Intimate partner violence is a serious public health issue that can be addressed through identification and early intervention. Although screening for intimate partner violence in health care settings is recommended by medical and nursing organizations, it is underperformed. The project objectives were to increase intimate partner violence screening rates, identification, and the referrals/resources provided. (Source: Journal of Emergency Nursing: JEN)
Source: Journal of Emergency Nursing: JEN - May 1, 2020 Category: Nursing Authors: Laura Karnitschnig, Shawn Bowker Tags: Practice Improvement Source Type: research

A Retrospective Records-Based Cohort of 1,082 Pediatric Forensic Cases Presenting to the Emergency Department
This study was conducted to determine the pediatric forensic case type and demographic characteristics of patients presenting to the emergency department. (Source: Journal of Emergency Nursing: JEN)
Source: Journal of Emergency Nursing: JEN - May 1, 2020 Category: Nursing Authors: Ay şe Şener Taplak, Filiz Tubaş, Sevinç Polat Tags: International Nursing Source Type: research

Report and Prevent: A Quality Improvement Project to Protect Nurses From Violence in the Emergency Department
Most nurses experience some form of workplace violence resulting in a stressful work environment, employee injury, and turnover. The aims of this project were to develop and evaluate strategies to improve the reporting of workplace violence as well as to empower emergency nurses to prevent assaults and protect themselves. (Source: Journal of Emergency Nursing: JEN)
Source: Journal of Emergency Nursing: JEN - May 1, 2020 Category: Nursing Authors: Roxanne Buterakos, Megan M. Keiser, Susan Littler, Carman Turkelson Tags: Practice Improvement Source Type: research

Violence Against Nurses in the Triage Area: A Mixed-Methods Study
Workplace violence is a serious occupational problem among nurses in emergency departments. The aim of this study was to better understand workplace violence experienced by triage nurses. (Source: Journal of Emergency Nursing: JEN)
Source: Journal of Emergency Nursing: JEN - May 1, 2020 Category: Nursing Authors: Paola Ferri, Serena Stifani, Angela Accoto, Loris Bonetti, Ivan Rubbi, Rosaria Di Lorenzo Tags: Triage Decisions Source Type: research

Prosecutor Preference for Forensic Nurse Testimony: Outcome of Expanding a Forensic Program
The objective was to evaluate the impact of using forensic nurse examiners for patients with trauma on prosecutors ’ preference for testimony in criminal court. (Source: Journal of Emergency Nursing: JEN)
Source: Journal of Emergency Nursing: JEN - May 1, 2020 Category: Nursing Authors: Gordon D. Reed, Anita Symonds, Amy Stier, Sarah Peluso, Sarah O. Watson Tags: Research Source Type: research

Increased Intravenous N-Acetylcysteine Dosing Following Massive Acetaminophen Ingestion: A Case Report
A young woman weighing 135  kg and with a medical history significant for depression presented to the emergency department after a suicide attempt with acetaminophen (APAP). The patient had been found unresponsive next to a bottle of immediate-release APAP, diphenhydrAMINE, and ibuprofen and had a Glasgow Coma Score of 3. Th e estimated APAP intake was 125 g 1 hour before the emergency medical services arrived. In the emergency department, the patient was intubated owing to altered mental status and lack of a gag reflex. (Source: Journal of Emergency Nursing: JEN)
Source: Journal of Emergency Nursing: JEN - May 1, 2020 Category: Nursing Authors: Kristen M. Audley, Jamie M. Rosini Tags: Case Review Source Type: research

Forensic Nurse Hospitalist: The Comprehensive Role of the Forensic Nurse in a Hospital Setting
Forensic nursing is an evolving specialty designed to address the unique, intersecting health and legal needs of patients who are victims, suspects, and perpetrators of trauma. The “Forensic Nurse Hospitalist” is proposed as a new term to describe the role of the nurse who is qualified by licensure and education as a specialist in forensic nursing and practices specifically in the hospital setting. The forensic nurse hospitalist can provide comprehensive, medicolegal care to patients receiving treatment for trauma-related injury and questionable death in the acute care setting. (Source: Journal of Emergency Nursing: JEN)
Source: Journal of Emergency Nursing: JEN - May 1, 2020 Category: Nursing Authors: Kelly Berishaj, Christina M. Boyland, Kristin Reinink, Virginia Lynch Tags: Clinical Source Type: research

Caring for Victims of Violence
As emergency nurses, we are at the frontline of the health care system and are the safety net of our communities. We truly see and care for many patients who have not received care elsewhere. We all know that nursing school provides us the foundation to be a nurse; however, few say that nursing school prepares us to actually be an EMERGENCY nurse. That only comes with experience. In the emergency department we care for patients across the entire lifespan, including any element that faces us: from the baby we just delivered, the pediatric patient with reactive airway disease, the victim of violence, the behavioral health pa...
Source: Journal of Emergency Nursing: JEN - May 1, 2020 Category: Nursing Authors: Michael Hastings Tags: President's Message Source Type: research

Forensics and Emergency Nursing
This Guest Editorial links my own career path with the intersection of forensics and emergency nursing. Advocacy for vulnerable patients affected by interpersonal violence has been a priority throughout my emergency career. I am an emergency nurse who applies forensic concepts at each patient encounter. Emergency nurses should consider forensic science concepts during patient care. For example, subtle chief complaint symptoms can actually be symptoms of interpersonal violence. In the following paragraphs I will share personal, impactful, and advocacy episodes in my emergency nursing career that have influenced me. (Source:...
Source: Journal of Emergency Nursing: JEN - May 1, 2020 Category: Nursing Authors: Patricia A. Normandin Tags: Guest Editorial Source Type: research

Typology of Interpersonal Violence Model With Applications in Emergency Nursing: Forensics and Interpersonal Violence Special Issue
The purpose of this editorial is to introduce the World Health Organization Violence Prevention Alliance ’s Typology of Interpersonal Violence model as the organizing framework for our forensic and interpersonal violence–themed issue of the Journal of Emergency Nursing (JEN).1,2 My everyday work as an editor, administrator, and scientist is informed and motivated by my clinical and leadership exper iences as a bedside nurse. The following memory from my emergency nursing practice continued to surface in my consciousness as our editorial team worked to bring this journal issue together:You should go home. (Sourc...
Source: Journal of Emergency Nursing: JEN - May 1, 2020 Category: Nursing Authors: Jessica Castner Tags: Editorial Source Type: research

Table of Contents
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Source: Journal of Emergency Nursing: JEN - May 1, 2020 Category: Nursing Source Type: research

Editorial Board
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Source: Journal of Emergency Nursing: JEN - May 1, 2020 Category: Nursing Source Type: research

Board of Directors
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Source: Journal of Emergency Nursing: JEN - May 1, 2020 Category: Nursing Source Type: research

Information for Readers
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Source: Journal of Emergency Nursing: JEN - May 1, 2020 Category: Nursing Source Type: research

CE Earn Up to 7.0 Contact Hours
June 3, 2022 (Source: Journal of Emergency Nursing: JEN)
Source: Journal of Emergency Nursing: JEN - May 1, 2020 Category: Nursing Tags: CE Tests Source Type: research

Telenursing in Incidents and Disasters: A Systematic Review of the Literature
Disasters of any kind can affect public health severely. A shortage of health care specialists, such as physicians and nurses, during a disaster is a challenge for health care systems. The use of technology is 1 emerging strategy for addressing the continually increasing demand for care. Moreover, nurses may use technology in their roles. Therefore, the purpose of this study was to identify the application of telehealth in disasters. (Source: Journal of Emergency Nursing: JEN)
Source: Journal of Emergency Nursing: JEN - April 29, 2020 Category: Nursing Authors: Mahdiye Nejadshafiee, Kambiz Bahaadinbeigy, Majid Kazemi, Mahmood Nekoei-Moghadam Tags: Research Source Type: research

Salt Toxicity: A Systematic Review and Case Reports
Salt toxicity is a rare form of hypernatremia that typically occurs after a single massive ingestion of salt over a short period of time (minutes/hours). It is a dangerous imbalance capable of causing significant neurological injury; quick recognition of salt toxicity is crucial to allow treatment before permanent brain injury occurs. The purpose of this review is to assist emergency nurses in gaining knowledge on the causes, pathophysiology, symptoms, and treatment of salt toxicity. (Source: Journal of Emergency Nursing: JEN)
Source: Journal of Emergency Nursing: JEN - April 24, 2020 Category: Nursing Authors: Norma A. Metheny, Mary M. Krieger Tags: Clinical Source Type: research

The Effect of Soft Tissue Injury Cold Application Duration on Symptoms, Edema, Joint Mobility, and Patient Satisfaction: A Randomized Controlled Trial
This study aimed to determine the effect of cold application time on symptoms, edema, and patient satisfaction in soft tissue injuries. (Source: Journal of Emergency Nursing: JEN)
Source: Journal of Emergency Nursing: JEN - April 24, 2020 Category: Nursing Authors: Senan Mutlu, Emel Y ılmaz Tags: Research Source Type: research

Can You Catch It? Lessons Learned and Modification of ED Triage Symptom- and Travel-Screening Strategy
Efficient identification and isolation of patients with communicable diseases limits exposure to health care workers, other patients, and visitors. In August 2014, our team developed and implemented an algorithm to triage suspected cases of Ebola virus disease in a midwestern United States emergency department and outpatient clinics based on patient travel history and symptoms. Here, we present the lessons learned and modifications to update the tool. (Source: Journal of Emergency Nursing: JEN)
Source: Journal of Emergency Nursing: JEN - April 24, 2020 Category: Nursing Authors: Michelle M. Schwedhelm, Jocelyn J. Herstein, Suzanne M. Watson, Amy L. Mead, Leo Maddalena, Devon D. Liston, Angela L. Hewlett Tags: Clinical Source Type: research

The Quality of Care in the Emergency Management of Cancer Patients with Febrile Neutropenia: A Records-Based Cohort
Febrile neutropenia is one of the most severe oncological emergencies associated with the treatment of cancer. Patients with febrile neutropenia are at grave risk of developing life-threatening sepsis unless there is rapid initiation of treatment. The aim of this study was to evaluate the quality of ED care of patients with febrile neutropenia using the 3 quality dimensions of safety, effectiveness, and timeliness of care. (Source: Journal of Emergency Nursing: JEN)
Source: Journal of Emergency Nursing: JEN - April 24, 2020 Category: Nursing Authors: Anas Alsharawneh, Joy Maddigan, Alice Gaudine, Holly Etchegary, Zhiwei Gao Tags: Research Source Type: research

Radiological Presentation of Coronavirus Disease
A male in his mid-80s presented to the emergency department with complaints of fever and cough for 6  days. On presentation, the patient was febrile to 38.7°C (101.6°F), tachypneic to 26 breaths per minute, and coughing. A portable chest X-ray was done (Figure 1) that revealed bilateral peripheral infiltrates. Chest computed tomography was performed as well and it confirmed multiple areas of pe ripheral bilateral infiltrate (Figure 2). The patient was ultimately diagnosed with coronavirus disease. (Source: Journal of Emergency Nursing: JEN)
Source: Journal of Emergency Nursing: JEN - April 22, 2020 Category: Nursing Authors: Aleksandr Gleyzer, Edward Milman Tags: Images Source Type: research

Radiological Presentation of COVID19
A male in his mid-80 ’s presented to the emergency department with complains of fever and cough for 6 days. On presentation patient was febrile to 101.6 F (38.7 C), tachypneic to 26 breath per minute and coughing. Portable chest x-ray was done (Image 1) that revealed bilateral peripheral infiltrates. Chest computed to mography was performed as well that confirmed multiple areas of peripheral bilateral infiltrate (Image 2). Patient was ultimately diagnosed with a COVID 19 (also known as SARS-CoV-2) illness. (Source: Journal of Emergency Nursing: JEN)
Source: Journal of Emergency Nursing: JEN - April 22, 2020 Category: Nursing Authors: Aleksandr Gleyzer, Edward Milman Tags: Images Source Type: research

Concise Review of the Clinical Approach to the Exclusion and Diagnosis of Pulmonary Embolism in 2020
Pulmonary embolism has extremely varied clinical presentations and can be difficult to diagnose. Clinical decision rules can help determine the probability of pulmonary embolism by assessment of the clinical presentation. After the diagnosis, several prognostic rules can be used to risk-stratify and facilitate outpatient treatment of pulmonary embolism. This review addresses the utility of clinical decision rules, biomarkers in the diagnosis of pulmonary emoblism, high-risk patient phenotypes, the use of this data to make disposition decisions for patients with a diagnosis of PE, and recent shifts in the management of pulm...
Source: Journal of Emergency Nursing: JEN - April 18, 2020 Category: Nursing Authors: Evan Mitchell Tomkiewicz, Jeffery Allen Kline Tags: Clinical Science Translation Review Source Type: research

Mental Well-Being of Nursing Staff During the Coronavirus Disease 2019 Outbreak: A Cultural Perspective
The mental health of health care professionals in general, and nursing staff in particular, has been challenged in the wake of the coronavirus disease 2019 (COVID-19) pandemic outbreak throughout the world. During previous outbreaks such as severe acute respiratory syndrome, psychological distress in frontline emergency nursing staff appeared gradually. Fear, anxiety, depression, psychological symptoms, post-traumatic symptoms, and a general decrease in overall well-being were observed.1 Isolation, high-risk working conditions, and direct contact with infected individuals could now become immediate factors of mental health...
Source: Journal of Emergency Nursing: JEN - April 17, 2020 Category: Nursing Tags: LETTER Source Type: research

Response to, “Nursing Skills Fair in an Austere Military Environment”
I have the highest regard for military nurses caring for our service members who place themselves in harm ’s way at our nation’s request. As a retired Deputy Commander, Nursing/Chief Nurse of a combat support hospital who spent a year in Iraq (2006-2007), I read with great interest the article by Ogle and Harville1 in the January 2020 Journal of Emergency Nursing, “Nursing Skills Fair in an Auster e Military Environment.” Their efforts show the resourcefulness, initiative, creativity, and problem-solving abilities of military nurses that are needed to overcome challenges in a deployed setting. (Sour...
Source: Journal of Emergency Nursing: JEN - April 17, 2020 Category: Nursing Tags: Letter Source Type: research