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Journal of Emergency Nursing: JEN: Official Publication of the Emergency Department Nurses Association

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https://www.readbyqxmd.com/read/30195863/sepsis-screening-in-triage-to-decrease-door-to-antibiotic-time
#1
Maggy Mitzkewich
INTRODUCTION: Identifying patients with sepsis at triage can lead to a decrease in door-to-antibiotic time. Our community hospital emergency department's mean door-to-antibiotic time was 105.3 minutes, falling short of the Surviving Sepsis Campaign guideline's benchmark goal of 60 minutes. One of the most common reasons for treatment delays was that patients with sepsis were not identified upon entrance to the emergency department. A solution to the delay was to implement a practice improvement project by having the triage nurse screen all patients for sepsis upon entrance to the emergency department...
September 5, 2018: Journal of Emergency Nursing: JEN: Official Publication of the Emergency Department Nurses Association
https://www.readbyqxmd.com/read/30195862/novel-use-of-a-nurse-led-telemedicine-team-in-acute-stroke-a-retrospective-review-of-the-impact-on-a-regional-health-care-system
#2
Susan B Fowler, Christian A Rosado, Jennifer Jones, Suzanne Ashworth, Darlene Adams
INTRODUCTION: Despite the increasing incidence of acute ischemic stroke in the United States, many health care facilities remain unprepared to manage patients with acute stroke, including the administration of intravenous alteplase (recombinant tissue plasminogen activator [rTPA]). This has led to an opportunity for telemedicine systems to facilitate these evaluations and acute medical stroke treatment decisions. However, even telemedicine systems can fail to provide timely evaluation and management of the patient with acute stroke...
September 5, 2018: Journal of Emergency Nursing: JEN: Official Publication of the Emergency Department Nurses Association
https://www.readbyqxmd.com/read/30166117/active-shooter-training-in-the-emergency-department-a-safety-initiative
#3
Leslie Sanchez, Virginia B Young, Mary Baker
PROBLEM: Active shooter incidents are becoming more common, and although they are still rare compared with other shooting sites, incidents have increased in health care facilities. Agencies such as the Federal Bureau of Investigation, The Joint Commission, and the Emergency Nurses Association have emphasized that an action plan and training are essential for hospital preparedness. METHODS: Planning an active shooter simulation for the emergency department was a complex project and involved collaboration between the hospital's Emergency Management team, simulation staff, security, and ED leadership, which included the educators and clinical nurse specialist...
August 24, 2018: Journal of Emergency Nursing: JEN: Official Publication of the Emergency Department Nurses Association
https://www.readbyqxmd.com/read/30149896/intersection-of-human-trafficking-and-the-emergency-department
#4
Laura Lamb-Susca, Paul Thomas Clements
Health care is being challenged both nationally and globally as a result of the significant expansion of human trafficking (HT). Every day, people are being bought, sold, and smuggled like modern-day slaves. Victims are used solely for the purposes of sexual exploitation, labor, and services. HT is a transnational criminal enterprise that recognizes neither boundaries nor borders. The frequency of HT is nondeterminable. There are no absolute documented statistics that show a prevalence of HT, as most of it is covert...
August 24, 2018: Journal of Emergency Nursing: JEN: Official Publication of the Emergency Department Nurses Association
https://www.readbyqxmd.com/read/30126617/medical-and-nursing-staff-education-reduces-use-of-prophylactic-ondansetron-with-opioids-in-the-emergency-department
#5
Hussain T Bakhsh, Stephen J Perona
INTRODUCTION: We aimed to evaluate the effect of a pharmacist-led educational intervention on administration of ondansetron in patients receiving IV opioid analgesia in the emergency department. METHODS: This study is a retrospective chart review undertaken in a single-community emergency department. During October and November 2015, emergency medicine pharmacists completed an educational initiative targeting medical and nursing staff designed to reduce prophylactic administration of ondansetron...
August 17, 2018: Journal of Emergency Nursing: JEN: Official Publication of the Emergency Department Nurses Association
https://www.readbyqxmd.com/read/30122301/staff-perception-of-interprofessional-simulation-for-verbal-de-escalation-and-restraint-application-to-mitigate-violent-patient-behaviors-in-the-emergency-department
#6
Wendy Krull, Theresa M Gusenius, Danyel Germain, Lisa Schnepper
PROBLEM: Violent behaviors in the emergency department are on the rise. Mitigation efforts are essential for staff and patient safety. The goal of this quality improvement project was to improve staff perception of knowledge, skills, abilities, confidence, and preparedness when managing violent patient behaviors using interprofessional simulation training and to evaluate staff learning style satisfaction and self-confidence using simulation. METHODS: Interprofessional participants received individual computer-based training and simulation training on de-escalation techniques and restraint application...
August 16, 2018: Journal of Emergency Nursing: JEN: Official Publication of the Emergency Department Nurses Association
https://www.readbyqxmd.com/read/30121121/the-effect-of-parental-presence-on-pain-and-anxiety-levels-during-invasive-procedures-in-the-pediatric-emergency-department
#7
Dilek Sönmez Sağlık, Seda Çağlar
INTRODUCTION: Parental presence during invasive procedures is important in family-centered-care. Family-centered-care is a basic principle of pediatric nursing. METHODS: This randomized controlled trial included data from 111 cases in the Pediatric Emergency Department of Istanbul University, Istanbul Medical Faculty, during October 2016-January 2017 (parental involvement group, n = 40; parental presence group, n = 40; parental absence group, n = 31). Information form, State-Trait Anxiety Inventory, State-Trait Anxiety Inventory for Children and Visual Analogue Scale were used to collect data...
August 15, 2018: Journal of Emergency Nursing: JEN: Official Publication of the Emergency Department Nurses Association
https://www.readbyqxmd.com/read/30097208/a-sticky-situation-meconium-aspiration-in-the-emergency-department
#8
Lisa Huang, Elizabeth J Winokur
No abstract text is available yet for this article.
August 7, 2018: Journal of Emergency Nursing: JEN: Official Publication of the Emergency Department Nurses Association
https://www.readbyqxmd.com/read/30078616/a-28-year-old-woman-with-tetanus
#9
Sharon S Coffey, Angela Hollingsworth
No abstract text is available yet for this article.
August 2, 2018: Journal of Emergency Nursing: JEN: Official Publication of the Emergency Department Nurses Association
https://www.readbyqxmd.com/read/30078615/severe-post-traumatic-hypothermia-in-a-burned-patient
#10
Paweł Podsiadło, Sylweriusz Kosiński, Tomasz Darocha, Tomasz Derkowski, Andrzej Krajewski, Robert Gałązkowski
No abstract text is available yet for this article.
August 2, 2018: Journal of Emergency Nursing: JEN: Official Publication of the Emergency Department Nurses Association
https://www.readbyqxmd.com/read/30055767/hemorrhage-in-the-pregnant-trauma-patient
#11
Diane Gurney
No abstract text is available yet for this article.
July 25, 2018: Journal of Emergency Nursing: JEN: Official Publication of the Emergency Department Nurses Association
https://www.readbyqxmd.com/read/30017423/emergency-nurses-department-design-recommendations-for-improved-end-of-life-care
#12
Renea L Beckstrand, Elise M Corbett, Janelle L B Macintosh, Karlen E Beth Luthy, Ryan J Rasmussen
INTRODUCTION: Although death is common in emergency departments, there is limited research regarding ED design as an obstacle to end-of-life care. This study identifies emergency nurses' recommendations regarding ways designs have negative or positive impact on care for dying patients and their families. METHODS: A 25-item questionnaire was sent to a national random sample of 500 emergency nurses. Inclusion criteria were nurses who could read English, worked in emergency departments, and had cared for at least 1 patient at the end of life (EOL)...
July 13, 2018: Journal of Emergency Nursing: JEN: Official Publication of the Emergency Department Nurses Association
https://www.readbyqxmd.com/read/29960719/use-of-group-concept-mapping-to-identify-patient-domains-of-uncertainty-that-contribute-to-emergency-department-use
#13
Kristin L Rising, Shannon K Doyle, Rhea E Powell, Amanda M B Doty, Marianna LaNoue, Angela M Gerolamo
INTRODUCTION: Prior research suggests that uncertainty related to symptoms is a driver of emergency department (ED) use, and that patients often leave the ED with uncertainty not being addressed. Our objective was to engage patients to identify domains that contribute to feelings of uncertainty and decisions to use the ED. METHODS: We used Group Concept Mapping, a quasi-qualitative/quasi-quantitative method, to elicit patients' views on how uncertainty related to experiencing symptoms contributes to decisions to access the ED...
June 28, 2018: Journal of Emergency Nursing: JEN: Official Publication of the Emergency Department Nurses Association
https://www.readbyqxmd.com/read/29976322/reducing-lwbs-rates-with-a-focused-friendly-face-out-front
#14
Andi Foley, Holly Cook, Chantel Arnone, Rudolph King
No abstract text is available yet for this article.
July 2018: Journal of Emergency Nursing: JEN: Official Publication of the Emergency Department Nurses Association
https://www.readbyqxmd.com/read/29976321/pediatric-phlebotomy-taking-the-bite-out-of-dracula
#15
Patricia A Normandin, Stacey A Benotti
No abstract text is available yet for this article.
July 2018: Journal of Emergency Nursing: JEN: Official Publication of the Emergency Department Nurses Association
https://www.readbyqxmd.com/read/29976320/a-clinic-on-the-edge-of-genocide
#16
Tim Cunningham
No abstract text is available yet for this article.
July 2018: Journal of Emergency Nursing: JEN: Official Publication of the Emergency Department Nurses Association
https://www.readbyqxmd.com/read/29976319/-say-boo-to-the-flu-introduction-of-the-seasonal-influenza-peer-vaccination-programme-in-the-emergency-department-and-amau
#17
Lisa Donaghy, Patrick Martin
No abstract text is available yet for this article.
July 2018: Journal of Emergency Nursing: JEN: Official Publication of the Emergency Department Nurses Association
https://www.readbyqxmd.com/read/29976317/avoid-insulin-related-adverse-events-when-treating-hyperkalemia
#18
Susan F Paparella
No abstract text is available yet for this article.
July 2018: Journal of Emergency Nursing: JEN: Official Publication of the Emergency Department Nurses Association
https://www.readbyqxmd.com/read/29976316/this-one-is-scary
#19
Stephen P Wood
No abstract text is available yet for this article.
July 2018: Journal of Emergency Nursing: JEN: Official Publication of the Emergency Department Nurses Association
https://www.readbyqxmd.com/read/29976315/decreasing-malpractice-risk-in-the-emergency-department
#20
David Warren
No abstract text is available yet for this article.
July 2018: Journal of Emergency Nursing: JEN: Official Publication of the Emergency Department Nurses Association
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