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Emergency Nurse: the Journal of the RCN Accident and Emergency Nursing Association

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https://www.readbyqxmd.com/read/29219259/nursing-management-of-childhood-chickenpox-infection
#1
Grace Boyd, Paul Anthony Heaton, Rachel Wilkinson, Siba Prosad Paul
Chickenpox is an extremely contagious infectious disease caused by varicella zoster virus (VZV). It is a common childhood illness characterised by an itchy vesicular rash and fever, which usually resolves spontaneously without medical intervention. Serious, and rarely fatal, complications can occur, including pneumonia, central nervous system infection, overwhelming secondary bacterial infections, especially with Group A streptococcus, and necrotising fasciitis. Therefore it is crucial that emergency department (ED) nurses can recognise the signs and symptoms that indicate deterioration...
December 8, 2017: Emergency Nurse: the Journal of the RCN Accident and Emergency Nursing Association
https://www.readbyqxmd.com/read/29219258/military-preceptees-journey-in-the-emergency-department
#2
Marta Fullstone, Olivia Hall
This article is an account of the experiences of two newly qualified military graduates who became preceptees in an emergency department (ED). It considers the emotions felt, the benefits of previous nursing experience, and the importance of reflection and support from colleagues. The article also suggests that ED experience can shape nurses' ability to undertake operational and non-operational military nursing roles.
December 8, 2017: Emergency Nurse: the Journal of the RCN Accident and Emergency Nursing Association
https://www.readbyqxmd.com/read/29219257/evaluation-of-a-mental-health-liaison-team-part-2-the-themes-and-their-effect-on-practice
#3
Alex McClimens, Shona Kelly, Mubarak Ismail, Jeff Breckon
Hospitals and emergency departments (EDs) are caring for increasing numbers of patients who present with underlying mental health issues. Managing these patients can be challenging for clinical staff who often lack the specialist knowledge and skills required to provide appropriate care. This article, part two of two on the evaluation of a newly formed mental health liaison team (MHLT) working in a general hospital, focuses on the perceptions and experiences of the MHLT participants, and explores three sub-themes derived from the interview data...
December 8, 2017: Emergency Nurse: the Journal of the RCN Accident and Emergency Nursing Association
https://www.readbyqxmd.com/read/29125259/implementation-of-a-model-of-emergency-care-in-an-australian-hospital
#4
Tracey Millichamp, Shannon Bakon, Martin Christensen, Kate Stock, Sarah Howarth
AIM: Emergency departments are characterised by a fast-paced, quick turnover and high acuity workload, therefore appropriate staffing is vital to ensure positive patient outcomes. Models of care are frameworks in which safe and effective patient-to-nurse ratios can be ensured. The aim of this study was to implement a supportive and transparent model of emergency nursing care that provides structure - regardless of nursing staff profile, business or other demands; improvement to nursing workloads; and promotes individual responsibility and accountability for patient care...
November 10, 2017: Emergency Nurse: the Journal of the RCN Accident and Emergency Nursing Association
https://www.readbyqxmd.com/read/29125258/evaluation-of-a-mental-health-liaison-team-part-1-background-and-literature-review
#5
Alex McClimens, Shona Kelly, Mubarak Ismail, Jeff Breckon
Hospitals and emergency departments (EDs) are caring for increasing numbers of patients who present with underlying mental health issues. Management of these patients can be challenging for clinical staff who often lack the specialist knowledge and skills required to provide appropriate care. In April 2015, a mental health liaison service was introduced in Rotherham Hospital as part of a two-year pilot scheme. The aim was to provide assessment and treatment of adults with mental health problems admitted to the hospital...
November 10, 2017: Emergency Nurse: the Journal of the RCN Accident and Emergency Nursing Association
https://www.readbyqxmd.com/read/29125257/improving-door-to-needle-times-for-patients-with-suspected-neutropenic-sepsis
#6
Tracy Wild
Neutropenic sepsis is a potentially life-threatening complication of chemotherapy and has an associated mortality of 2% to 21%. Patients can deteriorate rapidly and are usually advised to attend their local emergency department (ED) for urgent assessment and antibiotic therapy within one hour of arrival. Delivery of this emergency care is, however, inconsistent, and at times suboptimal, due to a lack of awareness of the condition and of clinical expertise. This article discusses a collaborative project between an acute oncology service and an ED, which has improved and sustained compliance with this standard through a range of initiatives, including revised and integrated sepsis guidelines, education, sepsis champions and a fast-track patient pathway...
November 10, 2017: Emergency Nurse: the Journal of the RCN Accident and Emergency Nursing Association
https://www.readbyqxmd.com/read/29115768/lean-thinking-in-emergency-departments-concepts-and-tools-for-quality-improvement
#7
Frances Bruno
The lean approach is a viable framework for reducing costs and enhancing the quality of patient care in emergency departments (EDs). Reports on lean-inspired quality improvement initiatives are rapidly growing but there is little emphasis on the philosophy behind the processes, which is the essential ingredient in sustaining transformation. This article describes lean philosophy, also referred to as lean, lean thinking and lean healthcare, and its main concepts, to enrich the knowledge and vocabulary of nurses involved or interested in quality improvement in EDs...
October 12, 2017: Emergency Nurse: the Journal of the RCN Accident and Emergency Nursing Association
https://www.readbyqxmd.com/read/29115767/care-delays-in-patients-with-signs-and-symptoms-of-acute-myocardial-infarction
#8
Susan Sanders
AIM: More than six million patients with signs and symptoms suggestive of a heart attack present to emergency departments (EDs) in the US each year. Of those diagnosed with acute myocardial infarction (AMI), one third die in the acute phase. Rapid ED triage can reduce the mortality rate, yet there are still delays in patient care. The aim of this study is to explore the relationship between patient and nurse characteristics, patient presentations, delays in triage, and delays in obtaining electrocardiograms (ECGs) of patients with signs and symptoms of AMI...
October 12, 2017: Emergency Nurse: the Journal of the RCN Accident and Emergency Nursing Association
https://www.readbyqxmd.com/read/29115766/recognition-and-nursing-management-of-sepsis-in-early-infancy
#9
Mary Fenton-Jones, Anna Cannon, Siba Prosad Paul
Neonatal sepsis describes serious bacterial or viral infections that manifest in the first 28 days of life, causing significant morbidity and mortality. Although most babies with early-onset neonatal sepsis are born and managed in hospital, some are born in the community, or discharged early from postnatal wards. Consequently, emergency department (ED) nurses and other healthcare professionals need to be able to identify and treat these infants effectively to improve long-term outcomes. This article discusses neonatal sepsis, including causative organisms, types of neonatal sepsis and why neonates are vulnerable to infection...
October 12, 2017: Emergency Nurse: the Journal of the RCN Accident and Emergency Nursing Association
https://www.readbyqxmd.com/read/29115757/parkinson-s-disease-nursing-care-in-emergency-settings
#10
Vicky Queen
In the UK 127,000 people are diagnosed with Parkinson's disease, many of whom are frequently admited to hospital. However, Parkinson's disease is not usually the primary cause of admission. Emergency department (ED) nurses must be aware of the medication needs of people with Parkinson's disease and how these can be met in emergency setings to ensure the stability of their condition and to prevent the development of neuroleptic malignant syndrome, a potentially fatal condition caused by abrupt omission of Parkinson's medication...
September 14, 2017: Emergency Nurse: the Journal of the RCN Accident and Emergency Nursing Association
https://www.readbyqxmd.com/read/29115756/assessing-for-head-injury-in-alcohol-intoxicated-patients
#11
Ciara Hoban
Each year, 1.4 million people with recent head injuries attend emergency departments in England and Wales. The incidence of head injury in acutely intoxicated patients is estimated to be as high as 65%. One of the challenges of assessing and managing patients who have consumed drugs or alcohol is that the signs and symptoms of this type of intoxication are also risk factors for intracranial complications and head injury, which makes differentiation between the two diagnoses difficult. This article examines the literature on assessment and management of intoxicated patients with head injuries to identify the challenges faced by healthcare professionals undertaking neurological assessments...
September 14, 2017: Emergency Nurse: the Journal of the RCN Accident and Emergency Nursing Association
https://www.readbyqxmd.com/read/28703072/-it-s-up-to-nurses-to-tell-politicians-how-it-is
#12
Layla Haidrani
What is your job? I am a practising advanced nurse practitioner in urgent first contact care and visiting professor of prescribing and medicines at Birmingham City University. I also have roles with the Resuscitation Council UK and the British National Formulary. As an independent consultant, I work with organisations to investigate errors, as well as chairing and presenting conferences.
July 13, 2017: Emergency Nurse: the Journal of the RCN Accident and Emergency Nursing Association
https://www.readbyqxmd.com/read/28703071/reporting-occupational-violence-in-emergency-departments
#13
(no author information available yet)
A study has revealed that emergency department (ED) staff across all roles receive verbal abuse from patients, but that nurses are more likely to be physically assaulted and are less likely to feel safe.
July 13, 2017: Emergency Nurse: the Journal of the RCN Accident and Emergency Nursing Association
https://www.readbyqxmd.com/read/28703070/when-disaster-strikes-how-the-emergency-services-provide-a-rapid-response
#14
Erin Dean
As the major trauma centre for north west London, St Mary's Hospital cared for casualties from the two terrorist attacks in the capital - in Westminster and Borough Market - as well as victims of the fire at Grenfell Tower (pictured).
July 13, 2017: Emergency Nurse: the Journal of the RCN Accident and Emergency Nursing Association
https://www.readbyqxmd.com/read/28703069/training-plan-makes-most-of-budget
#15
(no author information available yet)
A nurse-led collaboration between emergency departments (EDs) across south east England is allowing staff greater access to training and sharing best practice.
July 13, 2017: Emergency Nurse: the Journal of the RCN Accident and Emergency Nursing Association
https://www.readbyqxmd.com/read/28703068/new-competency-framework-for-emergency-nurses
#16
Matthew Mckew
A competency framework for emergency nurses and those wanting a career in the role has been launched in an effort to aid recruitment and retention.
July 13, 2017: Emergency Nurse: the Journal of the RCN Accident and Emergency Nursing Association
https://www.readbyqxmd.com/read/28703066/cardiopulmonary-resuscitation-on-a-moving-boat
#17
(no author information available yet)
A study has found that surf lifeguards can deliver good-quality cardiopulmonary resuscitation (CPR) on moving inflatable rescue boats, but that it is less effective than when delivered onshore.
July 13, 2017: Emergency Nurse: the Journal of the RCN Accident and Emergency Nursing Association
https://www.readbyqxmd.com/read/28703065/around-the-world
#18
(no author information available yet)
1 Sixth Annual International Emergency Care Conference 6-7 September, Melbourne, Australia tinyurl.com/IECC-2017.
July 13, 2017: Emergency Nurse: the Journal of the RCN Accident and Emergency Nursing Association
https://www.readbyqxmd.com/read/28703064/guidance-on-oxygen-use-in-adults
#19
Kimberley Hackett
Essential facts Oxygen is one of the most commonly used drugs in emergency medicine and before publication of the first British Thoracic Society (BTS) 2008 guideline, emergency departments and ambulance services gave oxygen to almost all breathless or seriously ill patients.
July 13, 2017: Emergency Nurse: the Journal of the RCN Accident and Emergency Nursing Association
https://www.readbyqxmd.com/read/28703063/caring-for-children-with-autism-spectrum-condition-in-paediatric-emergency-departments
#20
Ben Richards
The needs of children with autism spectrum condition (ASC) in paediatric emergency departments (EDs) can often be overlooked. EDs are high-stress environments for children with ASC, which can result in meltdowns, making the diagnostic process challenging. There should be provision for children with ASC, who can have sensory, behavioural and communication needs, in the same way that analgesia is provided for children in pain. This article promotes a multi-strategy approach to making reasonable adjustments to help meet the needs of these children and provide them with a positive hospital experience...
July 13, 2017: Emergency Nurse: the Journal of the RCN Accident and Emergency Nursing Association
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