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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/30392719/pediatric-readiness-in-the-emergency-department
#1
Katherine Remick, Marianne Gausche-Hill, Madeline M Joseph, Kathleen Brown, Sally K Snow, Joseph L Wright
No abstract text is available yet for this article.
October 30, 2018: Journal of Emergency Nursing: JEN: Official Publication of the Emergency Department Nurses Association
https://www.readbyqxmd.com/read/30342767/is-this-a-psychiatric-emergency-or-something-more
#2
Tracy Scaletti
No abstract text is available yet for this article.
October 17, 2018: Journal of Emergency Nursing: JEN: Official Publication of the Emergency Department Nurses Association
https://www.readbyqxmd.com/read/30322677/emergency-nurse-input-changing-the-outcome-for-a-patient-with-pseudoaneurysm
#3
Kimberly P Toole, Catherine Frank
No abstract text is available yet for this article.
October 12, 2018: Journal of Emergency Nursing: JEN: Official Publication of the Emergency Department Nurses Association
https://www.readbyqxmd.com/read/30322676/insights-from-a-tertiary-care-intraosseous-insertion-practice-improvement-registry-a-2-year-descriptive-analysis
#4
Margaret Dymond, Domhnall O'Dochartaigh, Matthew J Douma
INTRODUCTION: Few practice improvement registries exist that describe opportunities to improve intraosseous (IO) use. The goal of this project was to assess the success rate of the procedure by emergency nurses and identify opportunities to improvement. Secondary goals were to assess success rates based on clinician type, age of patient, and procedural factors. METHODS: Emergency nurses assigned to the resuscitation area of a tertiary care emergency department completed an education module and skill lab on IO placement...
October 12, 2018: Journal of Emergency Nursing: JEN: Official Publication of the Emergency Department Nurses Association
https://www.readbyqxmd.com/read/30322675/changing-team-member-perceptions-by-implementing-teamstepps-in-an-emergency-department
#5
Connie Obenrader, Marion E Broome, Tracey L Yap, Florame Jamison
INTRODUCTION: The emergency department is an environment where teamwork and communication are of utmost importance and are the foundation for improved patient satisfaction, staff satisfaction, patient safety, and the reduction of clinical errors. An ED staff perceptions of communication and teamwork influences their ability to provide efficient, high quality care to patients. METHODS: The ED team consisted of 57 employees, including nurses, mid-level providers, and non-licensed individuals, who work within, or directly with, the department...
October 12, 2018: Journal of Emergency Nursing: JEN: Official Publication of the Emergency Department Nurses Association
https://www.readbyqxmd.com/read/30293816/does-a-provider-in-triage-and-rapid-medical-evaluation-help-with-left-without-being-seen-rates-and-ed-crowding
#6
Monique Jesionowski, John Riordan, Beth Quatrara
INTRODUCTION: Attempting to reduce ED crowding, the ED team at a rural academic medical center and specialty hospital implemented rapid medical evaluation (RME) with and without a provider in triage (PIT). The purpose of this performance improvement project was to explore how these interventions affected crowding metrics of door-to-disposition time, ED length of stay (LOS), and left without being seen (LWBS) rates for all patients. METHODS: Using a prospective 2-group design, the pre-RME population served as the historical control group, and postintervention groups included both RME with and without PIT...
October 4, 2018: Journal of Emergency Nursing: JEN: Official Publication of the Emergency Department Nurses Association
https://www.readbyqxmd.com/read/30293815/antidepressant-induced-hallucinations-rhabdomyolysis-and-hyperkalemia-in-the-geriatric-population-a-case-overview
#7
Juli Verkler
No abstract text is available yet for this article.
October 4, 2018: Journal of Emergency Nursing: JEN: Official Publication of the Emergency Department Nurses Association
https://www.readbyqxmd.com/read/30293814/connecting-chronically-ill-uninsured-patients-who-use-the-emergency-department-as-a-medical-home-a-process-improvement-project
#8
Kysha Cerisier
INTRODUCTION: The use of the emergency department by uninsured patients with chronic health problems may adversely affect those patients' health outcomes. Successful interventions have involved the use of patient navigators to connect the uninsured adult population with medical coverage and a medical home. The aim of this project was to use principles of patient navigation in a nurse-led process improvement intervention to connect uninsured patients to medical homes. METHOD: ED nurses were trained to refer uninsured patients with chronic health problems to care coordinators when they were discharged from emergency departments...
October 4, 2018: Journal of Emergency Nursing: JEN: Official Publication of the Emergency Department Nurses Association
https://www.readbyqxmd.com/read/30274666/management-of-opioid-overdose-victims-outside-the-emergency-department-a-case-discussion
#9
Angela Clark, Jeannie Burnie, Randall Johann, Rachel Baker, Christine Hassert
No abstract text is available yet for this article.
September 28, 2018: Journal of Emergency Nursing: JEN: Official Publication of the Emergency Department Nurses Association
https://www.readbyqxmd.com/read/30274665/the-relationship-between-personality-characteristics-tenure-and-intent-to-leave-among-emergency-nurses
#10
Nancy Winters
INTRODUCTION: Emergency nursing turnover rates are high in the United States. Little is known about the role of personality characteristics in the turnover decisions of emergency nurses. Intent to leave is often measured to determine the likelihood of turnover versus retention of employees. The aim of this study is to examine the relationship among personality characteristics, employment tenure, and intent to leave among emergency nurses. METHODS: Using a descriptive, correlational design, data were collected using the HEXACO-PI-R personality inventory and demographic data...
September 28, 2018: Journal of Emergency Nursing: JEN: Official Publication of the Emergency Department Nurses Association
https://www.readbyqxmd.com/read/30268339/catching-quality-before-it-falls-preventing-falls-and-injuries-in-the-adult-emergency-department
#11
Ashley Stoeckle, Jackeline I Iseler, Renee Havey, Cassandra Aebersold
PROBLEM: Although hospital falls and injuries are a significant patient safety concern, research is limited regarding falls and injuries in the emergency department. The purpose of this quality improvement project is to identify and implement evidence-based interventions to prevent patient falls and injuries in the emergency department. METHODS: Literature was reviewed to identify best practices for fall prevention in the emergency department. Data sources included Journal Storage, PubMed, Cumulative Index for Nursing and Allied Health Literature, and Cochrane Database of Systematic Reviews...
September 26, 2018: Journal of Emergency Nursing: JEN: Official Publication of the Emergency Department Nurses Association
https://www.readbyqxmd.com/read/30195863/sepsis-screening-in-triage-to-decrease-door-to-antibiotic-time
#12
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
#13
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
#14
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
#15
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
#16
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
#17
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/30236302/choosing-between-single-center-and-multicenter-data-collection
#18
Christian N Burchill
No abstract text is available yet for this article.
September 2018: Journal of Emergency Nursing: JEN: Official Publication of the Emergency Department Nurses Association
https://www.readbyqxmd.com/read/30236301/ultra-rapid-reversal-of-rocuronium-induced-paralysis-with-sugammadex-in-the-emergency-department
#19
Makenna A Smack, Meredith Moore, Chris Hong, Dante Gravino
No abstract text is available yet for this article.
September 2018: Journal of Emergency Nursing: JEN: Official Publication of the Emergency Department Nurses Association
https://www.readbyqxmd.com/read/30236300/a-different-spin-to-emergency-nursing-spain-part-1
#20
George W Contreras, Ana Lopez, Marta Perez Garcia
No abstract text is available yet for this article.
September 2018: Journal of Emergency Nursing: JEN: Official Publication of the Emergency Department Nurses Association
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