“Endless Vicious Circle ...” Psychosocial Difficulties and Needs of Nurses Working in the Emergency Department During the COVID-19 Pandemic
Emergency nurses are one of the groups at risk most during the COVID-19 pandemic. The purpose of the authors of this qualitative study was to reveal the psychosocial difficulties and needs of nurses working in the emergency department of a university hospital during the COVID-19 pandemic. This descriptive phenomenological study was conducted in the emergency department of a university hospital in the West of Turkey. In-depth interviews were conducted with 14 emergency nurses. Colaizzi's descriptive analysis method was used. Findings regarding the psychological difficulties and needs of nurses during the COVID-19 pandemic w...
Source: Advanced Emergency Nursing Journal - October 1, 2022 Category: Emergency Medicine Tags: ECG CASES COLUMN Source Type: research
Current Practices and Nurse Readiness to Implement Standardized Screening for Commercially and Sexually Exploited Individuals in Emergency Departments in Western Washington Hospitals
This study examines current screening practices of Western Washington emergency department nurses to determine nurse and facility readiness for improved identification. Interviews were conducted with nurses to understand their current screening practices for identifying potential victims of sexual exploitation; the acceptability of existing screening questions for use in their settings; and their opinions about the utility of a standardized screening tool for identifying victims and improving care. There is an absence of formal protocols and screening tools, limited clarity regarding roles and responsibilities in the ident...
Source: Advanced Emergency Nursing Journal - October 1, 2022 Category: Emergency Medicine Tags: ECG CASES COLUMN Source Type: research
Implementation of a Standardized Protocol for Telehealth Provider in Triage to Improve Efficiency and ED Throughput: A Quality Improvement Project
There has been a significant rise in the number of emergency department (ED) visits over the past 15 years despite the number of ED providers and treatment spaces remaining fixed (M. P. Lin et al., 2018). A hospital's need to quickly initiate care upon patient arrival is of paramount importance to combat these ED overcrowding trends. A teleprovider in triage (TPIT) program without a standardized operating protocol leads to significant provider practice variations and limits effectiveness of a TPIT program. The intention of this health care project was to reduce ED time metrics and reduce the number of patients who left bef...
Source: Advanced Emergency Nursing Journal - October 1, 2022 Category: Emergency Medicine Tags: ECG CASES COLUMN Source Type: research
An Electrical Storm Is Coming!: Ventricular Storm Case Study
A 65-year-old man presented to the emergency department (ED) for evaluation of epigastric and chest pain. On presentation, a 12-lead electrocardiogram revealed a patient in rapid atrial fibrillation (AFib) with anteroseptal myocardial infarction. Treatment of ST-elevation myocardial infarction (STEMI) and rapid AFib were initiated, and the patient was flown to a regional percutaneous coronary intervention center. Two weeks later, the patient presented to the same ED with a LifeVest external defibrillator (Zoll Medical, Chelmsford, MA). The patient received electrical shock in excess of 10 times from the LifeVest prior to E...
Source: Advanced Emergency Nursing Journal - October 1, 2022 Category: Emergency Medicine Tags: ECG CASES COLUMN Source Type: research
Evaluation and Management of Rectal Prolapse Among Geriatric Patients
No abstract available (Source: Advanced Emergency Nursing Journal)
Source: Advanced Emergency Nursing Journal - October 1, 2022 Category: Emergency Medicine Tags: NCPD Tests Source Type: research
Evaluation and Management of Rectal Prolapse Among Geriatric Patients
Evaluation and management of older adults within emergency care settings is often complex and has the potential for avoidable complications. In an effort to prevent harm to the patient, treatment strategies need to be multifactorial. For geriatric patients presenting with rectal prolapse, unique management strategies, including the use of granulated sugar and gentle pressure, may assist in the reduction of the prolapsed tissue. Additional interventions that are important to incorporate into the older adult's plan of care include gentle approaches to positioning, involvement of family/caregivers, avoiding harmful medication...
Source: Advanced Emergency Nursing Journal - October 1, 2022 Category: Emergency Medicine Tags: PROCEDURAL COLUMN Source Type: research
An Adolescent in the Emergency Department with Pelvic Pain: Imperforate Hymen
Imperforate hymen is a cause of pelvic pain in adolescent females who have not reached menarche. There is scant literature on adolescent gynecology for the emergency provider. The literature about the adolescent with imperforate hymen is usually in a case report format. A patient with imperforate hymen is presented in this article. The purpose of this case study was to review the urgent presentation of imperforate hymen. Advanced emergency providers need to consider the possibility of imperforate hymen in the list of differential diagnoses for pelvic pain in adolescent females. Prompt diagnosis of imperforate hymen allows ...
Source: Advanced Emergency Nursing Journal - October 1, 2022 Category: Emergency Medicine Tags: IMAGING Source Type: research
Urticaria Multiforme: An Uncommon Hypersensitivity Rash in Children
The differential diagnosis of rashes in children is challenging. Pediatric rashes indicate a broad spectrum of clinical conditions and include those that are benign and self-limiting to those that may indicate a serious multisystem inflammatory response. It is essential that emergency nurse practitioners have the knowledge and skill set to accurately identify the spectrum of rashes in the pediatric population to arrive at the correct diagnosis for patient management and avoid costly and unnecessary diagnostic testing. The purpose of this article is to describe a case report of a young child with urticaria multiforme, a com...
Source: Advanced Emergency Nursing Journal - October 1, 2022 Category: Emergency Medicine Tags: DERMATOLOGY DILEMMAS Source Type: research
Caution Ahead: Identifying Red Flag Signs and Symptoms in Patients With Migraine
Headache is a commonly encountered symptom in urgent care and the emergency department. Headache syndromes are classified a primary headache and do not require neuroimaging; however, patients should be assessed at each encounter for changes in their headache symptoms. This case highlights a patient who was suffering from a new headache type, characterized as different from her previous attacks and unyielding to her current acute and preventive treatment methods. The patient was sent for neuroimaging and found to have a mass within her sella turcica that required surgical intervention and removal. Assessing headache patient...
Source: Advanced Emergency Nursing Journal - October 1, 2022 Category: Emergency Medicine Tags: CASES OF NOTE Source Type: research
Acute Traumatic Spinal Cord Injury
No abstract available (Source: Advanced Emergency Nursing Journal)
Source: Advanced Emergency Nursing Journal - October 1, 2022 Category: Emergency Medicine Tags: NCPD Tests Source Type: research
Acute Traumatic Spinal Cord Injury
This article briefly summarizes the epidemiology and pathophysiology of spinal cord injuries and the therapies that may be recommended and initiated following a thorough assessment of the patient. (Source: Advanced Emergency Nursing Journal)
Source: Advanced Emergency Nursing Journal - October 1, 2022 Category: Emergency Medicine Tags: APPLIED PHARMACOLOGY Source Type: research
Emergency Department Use of the HINTS Exam
The Research to Practice column is designed to improve translational research critique skills of advanced practice nurses (APNs). In this issue, the article “Diagnostic Accuracy of the HINTS Exam in an Emergency Department: A Retrospective Chart Review” is discussed in the context of a patient presenting to the emergency department (ED) with acute dizziness. The study was designed to assess the efficacy and appropriate use of the HINTS exam in the ED. Assessing and evaluating dizziness is complex, and with the growing cost associated with the ED assessment of dizziness, appropriate use of the HINTS exam could reduce co...
Source: Advanced Emergency Nursing Journal - October 1, 2022 Category: Emergency Medicine Tags: RESEARCH TO PRACTICE Source Type: research
Guest Editorial: AAENP Introduces an ENP Academic Program Validation Process
No abstract available (Source: Advanced Emergency Nursing Journal)
Source: Advanced Emergency Nursing Journal - October 1, 2022 Category: Emergency Medicine Tags: FROM THE EDITOR Source Type: research
Disaster Response—A Global Concern: Are You Prepared to Care for Victims of Chemical, Biological, Radiological, and Nuclear Attacks?
No abstract available (Source: Advanced Emergency Nursing Journal)
Source: Advanced Emergency Nursing Journal - July 1, 2022 Category: Emergency Medicine Tags: NCPD Tests Source Type: research
Disaster Response—A Global Concern: Are You Prepared to Care for Victims of Chemical, Biological, Radiological, and Nuclear Attacks?
The threat of bioterrorism is increasing in lethality and numbers of events globally. Weapons of mass destruction include devices of chemical, biological, radiological, and nuclear origin and are often selected by terrorists because they are capable of causing widespread destruction, harm, and panic. Emergency personnel are often first to recognize and report potential terrorist activities. It is essential that emergency personnel maintain a high index of suspicion for symptom patterns that correspond with effects of bioterrorism agents. Health care providers must have a solid understanding of personal protective equipment...
Source: Advanced Emergency Nursing Journal - July 1, 2022 Category: Emergency Medicine Tags: Original Article Source Type: research
