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Advanced Emergency Nursing Journal

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https://www.readbyqxmd.com/read/30059379/outpatient-treatment-of-uncomplicated-urinary-tract-infections-in-the-emergency-department
#1
(no author information available yet)
No abstract text is available yet for this article.
July 2018: Advanced Emergency Nursing Journal
https://www.readbyqxmd.com/read/30059378/synthesis-of-research-articles-to-examine-reporting-of-the-educational-preparation-and-practice-parameters-of-emergency-nurse-practitioners
#2
Gloria I Smith, Marilyn J Hodgins
It has been reported that the outcomes of care are affected not only by the educational preparation and experience of the practitioner but also by the parameters of his or her practice. Given differences that exist internationally in the enactment of the emergency nurse practitioner (ENP) role, a synthesis of research articles was conducted to examine the educational preparation and experience of ENPs, the role(s) they assume as determined by their patient population, and the outcomes used to evaluate their practice...
July 2018: Advanced Emergency Nursing Journal
https://www.readbyqxmd.com/read/30059377/exploring-the-sexual-assault-response-team-perception-of-interprofessional-collaboration-implications-for-emergency-department-nurses
#3
Phyllis Adams, Linda Hulton
There is little research on the dynamics of the sexual assault response team (SART) members' interprofessional collaboration (IPC) practice. The study purposes were to (1) explore the perceptions of IPC among SART members; (2) evaluate the use of Perception of Interprofessional Collaboration Model Questionnaire with the SART; and (3) discuss the implications of the Interprofessional Core Competencies for emergency department nurses and sexual assault nurse examiners. This cross-sectional mixed-methods study (n = 49) was implemented using 4 SART teams in a mid-Atlantic state...
July 2018: Advanced Emergency Nursing Journal
https://www.readbyqxmd.com/read/30059376/implementation-of-a-smoking-cessation-education-program-in-the-emergency-department
#4
Juan M González, Lila de Tantillo, Kenya Snowden, Karina Gattamorta, Johis Ortega
Tobacco use is a major threat to public health. Current guidelines suggest that healthcare professionals in the emergency department provide routine smoking cessation screening and interventions. Evidence suggests that an educational intervention among registered nurses in the emergency department may increase education and referral for smoking cessation of patients who use tobacco products. An educational module regarding smoking cessation counseling was provided to registered nurses in the emergency department at a private hospital in South Florida...
July 2018: Advanced Emergency Nursing Journal
https://www.readbyqxmd.com/read/30059375/interdisciplinary-design-to-improve-fast-track-in-the-emergency-department
#5
Carol Anne Celona, Andrew Amaranto, Robin Ferrer, Matt Wieland, Stacy Abrams, Farley Obusan, Sharon LoPuzzo, Valsamma Joy
Delays in medical care will increase risks for patients. For this reason, timeliness of care is a public health priority and the one of the missions for this facility. The goal of this process improvement project was to enhance timeliness of care by restructuring fast track. Door-to-provider time, treat and release time, and the number of patients who left without being seen by a provider were monitored. Nurse practitioners were introduced into advanced practice provider mix and the development of care teams was implemented...
July 2018: Advanced Emergency Nursing Journal
https://www.readbyqxmd.com/read/30059374/educational-innovations-for-continuing-education-jumpstart-modules-for-advanced-practice-providers
#6
Jennifer Wilbeck, Margaret Betsy Babb Kennedy
There is increasing interest and evidence for the "flipped classroom" as a learner-centered approach to promote active engagement and enhance translation of knowledge into practice. However, there is little published work regarding application of the pedagogical approach to continuing education (CE) for advanced practice providers. The goal of CE is for providers to stay up-to-date with current best practices and skills, yet most CE activities employ teacher-centered, lecture-based methods focused on transmission of knowledge rather than application of knowledge...
July 2018: Advanced Emergency Nursing Journal
https://www.readbyqxmd.com/read/30059373/maximizing-success-with-rapid-sequence-intubations
#7
Tony L Smith, Jessica Van Meter
Within emergency care settings, rapid sequence intubation (RSI) is frequently used to secure a definitive airway (i.e., endotracheal tube) to provide optimal oxygenation and ventilation in critically ill patients of all ages. For providers in these settings, a deeper understanding of the indications, associated medications, and adjunctive techniques may maximize success with this common procedure. Identification of difficult airways, using mnemonics and standardized criteria prior to the procedure allows, the clinician additional time for assimilation of additional resources and tools to increase the likelihood of first-pass success with intubation...
July 2018: Advanced Emergency Nursing Journal
https://www.readbyqxmd.com/read/30059372/stevens-johnson-syndrome-a-challenging-diagnosis
#8
Wesley D Davis, Phillip A Schafer
Stevens-Johnson syndrome is a rare, yet life-threatening, delayed-type hypersensitivity reaction characterized by mucocutaneous epidermal necrolysis. Toxic epidermal necrolysis is a severe manifestation of Stevens-Johnson syndrome, defined as greater than 30% skin detachment. Stevens-Johnson syndrome with toxic epidermal necrolysis is characterized as an adverse cutaneous drug reaction and is associated with the use of sulfonamides, antiepileptics, and some classes of nonsteroidal anti-inflammatory drugs. The case presented in this report is that of a 17-year-old female who presented to her primary care provider with a chief complaint of headache; she was initially diagnosed with a urinary tract infection and prescribed nitrofurantoin (Macrobid)...
July 2018: Advanced Emergency Nursing Journal
https://www.readbyqxmd.com/read/30059371/a-20-year-old-trauma-patient-with-suspected-malignant-hyperthermia-following-induction-with-succinylcholine-a-case-study
#9
Kaitlyn Luckey-Smith, Kevin High
Malignant hyperthermia (MH) is a life-threatening hypermetabolic state that can occur following induction with depolarizing neuromuscular blockade and volatile anesthesia gases. Because succinylcholine is a common choice for prehospital and emergency department inductions, it is important for staff to be able to recognize and effectively treat an MH crisis. This case study highlights a 20-year-old male trauma patient who presented to a Level I trauma center and was intubated for declining mental status. He developed suspected MH following his anesthetic induction with succinylcholine...
July 2018: Advanced Emergency Nursing Journal
https://www.readbyqxmd.com/read/30059370/outpatient-treatment-of-uncomplicated-urinary-tract-infections-in-the-emergency-department
#10
Douglas Schutz, Simon C Watson, Geoffrey Hayden, Kyle A Weant
One of the most commonly treated infections in the emergency department (ED) is an uncomplicated urinary tract infection. Multiple classes of antibiotics are frequently used to treat this condition, but not all have equivalent efficacy, and many may confer risks to not only the patient but society as a whole if used on a large scale. These antibiotic selections should also be guided by local antimicrobial susceptibility patterns, and general multidisciplinary recommendations for therapy should be developed on a local scale to assist prescribing patterns...
July 2018: Advanced Emergency Nursing Journal
https://www.readbyqxmd.com/read/30059369/tibial-plateau-fractures
#11
Denise R Ramponi, Tara McSwigan
Tibial plateau fractures can result from direct trauma or indirect compressive forces. These injuries often result in significant soft tissue disruption, ligamentous disturbance in addition to bone fractures. Diagnostic imaging findings in plain radiographs include fat-fluid level in the suprapatellar bursa, malalignment of the femoral condyles and tibial edges, and increased trabecular density in the lateral epicondyle. Patients in whom a tibial plateau fracture is suspected with negative radiographs should have computerized tomography imaging performed...
July 2018: Advanced Emergency Nursing Journal
https://www.readbyqxmd.com/read/30059368/emergency-department-use-of-intravenous-prochlorperazine-for-acute-migraine
#12
Calli Cook, Brittany Newberry
The Research to Practice Column is designed to improve translational research critique skills of nurse practitioners (NPs). In this issue, the article "Randomized study of IV prochlorperazine plus diphenhydramine vs IV hydromorphone for migraine" is discussed in the context of a patient with an acute headache presenting to the emergency department (ED). The study was designed to assess the efficacy of intravenous prochlorperazine and diphenhydramine as compared with intravenous hydromorphone for patients with acute migraine in the ED...
July 2018: Advanced Emergency Nursing Journal
https://www.readbyqxmd.com/read/30059367/building-bridges-to-advance-specialty-practice-updates-and-accomplishments-by-the-american-academy-of-emergency-nurse-practitioners
#13
Dian Dowling Evans
No abstract text is available yet for this article.
July 2018: Advanced Emergency Nursing Journal
https://www.readbyqxmd.com/read/29715258/comparison-of-sepsis-3-criteria-versus-sirs-criteria-in-screening-patients-for-sepsis-in-the-emergency-department
#14
Brian W Gilbert, Lanae Faires, Amber Meister, Joel Huffman, Rebecca K Faber
The objective of our study was to assess the percentage of patients who met qSOFA criteria, SIRS criteria, both, or none of either criterion and received an International Classification of Diseases, Tenth Revision (ICD-10) code for sepsis after admission from the emergency department (ED). This was a single-center retrospective chart review of medical patients admitted through the ED. Patients were included if they were older than 18 years, were admitted to an inpatient unit through the ED, and received antibiotics within 48 hr of admission...
April 2018: Advanced Emergency Nursing Journal
https://www.readbyqxmd.com/read/29715257/evaluation-of-richmond-agitation-sedation-scale-rass-in-mechanically-ventilated-in-the-emergency-department
#15
Marianne K Pop, Katelyn R Dervay, Mary Dansby, Carolina Jones
The purpose of this study was to assess Richmond Agitation Sedation Scale (RASS) goal implementation in mechanically ventilated patients sedated in the emergency department (ED), compliance with RASS, and goal achievement. This study was a retrospective chart review at a large Level I trauma academic medical center. Patients who were intubated in the ED or en route to the ED between October 1, 2013, and October 1, 2014, were eligible for inclusion if they met the following criteria: aged 18 years or older, 24 hr or more on mechanically ventilated support receiving continuous sedation and/or analgesia during the first 48 hr of admission, and a hospital stay of 6 days or more...
April 2018: Advanced Emergency Nursing Journal
https://www.readbyqxmd.com/read/29715256/an-interprofessional-web-based-teaching-module-to-enhance-competency-of-the-advanced-practice-nursing-clinical-education-in-the-emergency-department
#16
Kumhee Ro, Christy Weiland, Mo-Kyung Sin
Many advanced practice registered nursing (APRN) students struggle to thrive in their clinical rotation due to the wide variability in their clinical knowledge. To address the variability and gaps in knowledge, we created an interprofessional web-based, self-directed curriculum for APRN students that is clinically relevant and specific to the emergency department (ED) rotation. The modules are a product of collaboration between the medical, nursing, and pharmacy faculty at an academic medical center. This web-based curricular preceptorship model that incorporates new technology and innovation in clinical rotations can provide an opportunity to enhance the clinical education of the APRN students in the ED...
April 2018: Advanced Emergency Nursing Journal
https://www.readbyqxmd.com/read/29715255/an-emergency-medicine-residency-for-nurse-practitioners-the-new-york-presbyterian-weill-cornell-medicine-experience
#17
Flavio G Gaudio, Rosa Borensztein
Growing numbers of nurse practitioners (NPs) are entering emergency medicine at a time when emergency departments are experiencing an increasing practice intensity and acuity. In this context, to further prepare NPs for a career in emergency medicine, postgraduate educational programs have emerged in the United States: from post-master's programs with 300-400 clinical hours in emergency medicine to intense residency or fellowship tracks with 2,000-3,000 clinical hours of training. This article describes the development and general organization of one such residency at New York Presbyterian Hospital-Weill Cornell Medical Center, while also noting several broader trends in emergency medicine and emergency NPs in the workforce...
April 2018: Advanced Emergency Nursing Journal
https://www.readbyqxmd.com/read/29715253/recognizing-measles-mumps-and-rubella-in-the-emergency-department
#18
Tracie Gadler, Nicole Martinez, Jill Ogg-Gress
Measles, mumps, and rubella have impacted millions of American lives over the last 100 years. During the last century, researchers have identified viral diseases, developed a combination vaccine, and have continued ongoing research when outbreaks have occurred. Despite the high incidence of vaccinated individuals, these highly communicable diseases continue to flourish within clusters of outbreaks throughout the United States. Emergency medicine providers play a key role in early recognition and diagnosis of the disease...
April 2018: Advanced Emergency Nursing Journal
https://www.readbyqxmd.com/read/29715252/ocular-chemical-burns-secondary-to-accidental-administration-of-e-cigarette-liquid
#19
Yvonne McCague
Chemical burns to the eye represent a true ocular emergency, requiring immediate and proficient attention to preserve visual function. Although there have been very few reports of serious ocular burns secondary to the accidental administration of electronic cigarette liquid, this case report discusses the risk of same because of product confusion between electronic cigarette liquid and ocular preparations. This article presents a patient's case including patient history and management in the emergency department...
April 2018: Advanced Emergency Nursing Journal
https://www.readbyqxmd.com/read/29715251/time-spent-in-the-emergency-department-and-outcomes-in-patients-with-severe-sepsis-and-septic-shock
#20
RaeAnn Hirschy, Ethan Sterk, Rachel Dobersztyn, Megan A Rech
A majority of patients with severe sepsis and septic shock are first evaluated in the emergency department (ED). Methods such as screening tools have proven advantageous in earlier identification, allowing for timely initiation of treatment. Delay in symptom presentation and ED overcrowding contribute to deferment of sepsis bundle components and admission. To examine the impact of time from ED arrival to inpatient admission on mortality and length of stay (LOS) in patients with severe sepsis or septic shock...
April 2018: Advanced Emergency Nursing Journal
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