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Advanced Emergency Nursing Journal

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https://www.readbyqxmd.com/read/27792076/a-review-on-the-reversal-of-the-old-and-new-anticoagulants
#1
(no author information available yet)
No abstract text is available yet for this article.
October 2016: Advanced Emergency Nursing Journal
https://www.readbyqxmd.com/read/27792075/reducing-inappropriate-antibiotic-prescribing-for-adults-with-acute-bronchitis-in-an-urgent-care-setting-a-quality-improvement-initiative
#2
Tamara L Link, Mary L Townsend, Eugene Leung, Sekhar Kommu, Rhonda Y Vega, Cristina C Hendrix
Acute bronchitis is a predominantly viral illness and, according to clinical practice guidelines, should not be treated with antibiotics. Despite clear guidelines, acute bronchitis continues to be the most common acute respiratory illness for which antibiotics are incorrectly prescribed. Although the national benchmark for antibiotic prescribing for adults with acute bronchitis is 0%, a preliminary record review before implementing the intervention at the project setting showed that 96% (N = 30) of adults with acute bronchitis in this setting were prescribed an antibiotic...
October 2016: Advanced Emergency Nursing Journal
https://www.readbyqxmd.com/read/27792074/recognition-of-asymptomatic-hypertension-in-an-urban-emergency-department-where-are-we-now
#3
Kimberly Souffront, Christina Gestal, Gail DʼEramo Melkus, Lynne Richardson
Persistently elevated blood pressure ([BP]; hypertension [HTN]) occurs at higher rates in the emergency department ([ED]; 44%) than in the general population (27%) and disproportionately affects black patients and older adults. The American College of Emergency Physicians recommends referral to primary care for HTN confirmation and management when patients are asymptomatic and their BP is persistently elevated (). However, adherence to this clinical policy is suboptimal. The purpose of this study was to examine the prevalence of asymptomatic HTN, rates of BP reassessment and referral, and factors associated with it among adult patients who visit the ED and who were discharged a decade after this policy was disseminated...
October 2016: Advanced Emergency Nursing Journal
https://www.readbyqxmd.com/read/27792073/the-triage-interruptions-assessment-tool-an-instrument-development
#4
Kimberly D Johnson, Gordon L Gillespie, Kimberly Vance
Interruptions contribute to catastrophic errors in health care. Interruptions are breaks in the performance of a human activity initiated by a source internal or external to the recipient. Errors during the initial triage assessment can lead to errors in estimating the acuity of a patient and resources required for appropriate care. To advance the science, a valid and reliable instrument to measure this phenomenon is required. The purpose of this mixed-methods/exploratory sequential study was to develop an instrument sensitive to the uniqueness of the triage assessment that would categorize and measure the number and causes of triage interruptions...
October 2016: Advanced Emergency Nursing Journal
https://www.readbyqxmd.com/read/27792072/unique-educational-needs-of-emergency-nurse-practitioners
#5
Vicki A Keough, Dina Tell, Colleen Andreoni, Paula Tanabe
The purpose of this study is to identify the unique educational needs of emergency nurse practitioners (ENPs). A survey from 167 nurse practitioners (NPs) practicing in the emergency department (ED) settings was analyzed. A variety of certified NPs practice in EDs: family NPs (30%), adult NPs (18%), acute care NPs (40%), and some with 2 or more certifications (12%). NPs come with a variety of basic educational preparations. The top educational needs specific to ENP preparation identified were managing critically ill patients, pharmacology, interpretation of laboratory tests, electrocardiograms, radiographs, and computed tomographic scans, suturing superficial lacerations, and mentoring by MDs and NPs...
October 2016: Advanced Emergency Nursing Journal
https://www.readbyqxmd.com/read/27792071/presentation-of-testicular-torsion-in-the-emergency-department
#6
Melanie Ann Kroger-Jarvis, Gordon Lee Gillespie
Testicular torsion is a urological emergency affecting 3.8 per 100,000 males younger than 18 years. Differential diagnosis of the acutely painful scrotum is crucial for the advance practice nurse to understand. Advanced practice nurses should consider the differential diagnosis of testicular torsion for any patient with testicular pain despite the patient's age, history, or physical examination findings. The standard of care for a patient with testicular pain to rule out testicular torsion is a Doppler ultrasound scan and an emergent urology consult...
October 2016: Advanced Emergency Nursing Journal
https://www.readbyqxmd.com/read/27792070/a-review-on-the-reversal-of-the-old-and-new-anticoagulants
#7
Abby Mynatt Bailey, Matthew C Blackburn, John M Crowley, Kari S Horn, Amy E Schultz, Stephanie Baker Justice
It is not uncommon for providers in the emergency department to take care of patients who are taking anticoagulant therapy in the outpatient setting. However, the bigger challenge is caring for these patients when they present with bleeding that could be secondary to 1 or more of these medications. In recent years, this class of medications has expanded from warfarin to include direct thrombin inhibitors and Factor Xa inhibitors. As this class of medications has evolved, so has the approach to the reversal of these agents...
October 2016: Advanced Emergency Nursing Journal
https://www.readbyqxmd.com/read/27792069/management-of-hand-injuries-part-ii
#8
Elda G Ramirez, K Sue Hoyt
Hand injuries are a frequent emergency department occurrence and account for most upper extremity injuries. Proper assessment and management of hand injuries can reduce morbidity and prevent long-term disability. "Assessment of Acute Hand Injuries" Part I was discussed in the Advanced Emergency Nursing Journal (). Part II herein discusses the epidemiology, radiographs, and the management of hand lacerations, fingertip injuries, and fractures. Part III will discuss the management of tendon, ligamentous, neurovascular, and other special hand injuries along with the management of selected chronic hand conditions...
October 2016: Advanced Emergency Nursing Journal
https://www.readbyqxmd.com/read/27792068/does-persistent-pain-following-a-motor-vehicle-crash-impact-functional-status-in-older-adults
#9
Matthew E Proud, Patricia Kunz Howard
Review of recent evidence with translation to practice for the advanced practice nurse (APN) role is presented using a case study module for "Persistent Pain Among Older Adults Discharged Home From the Emergency Department After Motor Vehicle Crash: A Prospective Cohort Study." This longitudinal inquiry enrolled 161 patients 65 years or older seeking care in an emergency department (ED) following a motor vehicle crash. Interviews were conducted at the initial ED visit and at 6 weeks, 6 months, and 1 year. Variables of interest were persistent pain, depressive symptoms, and interference with activities of daily living, with an end goal of impact on functionality...
October 2016: Advanced Emergency Nursing Journal
https://www.readbyqxmd.com/read/27792067/standards-of-practice-for-emergency-nurse-practitioners
#10
Theresa M Campo, Margaret J Carman, Dian Evans, Karen Sue Hoyt, Kyle Kincaid, Elda G Ramirez, Eric Roberts, Ken Stackhouse, Jennifer Wilbeck, Arlo Weltge
No abstract text is available yet for this article.
October 2016: Advanced Emergency Nursing Journal
https://www.readbyqxmd.com/read/27792066/scope-of-practice-for-emergency-nurse-practitioners
#11
Theresa M Campo, Margaret J Carman, Dian Evans, Karen Sue Hoyt, Kyle Kincaid, Elda G Ramirez, Eric Roberts, Ken Stackhouse, Jennifer Wilbeck, Arlo Weltge
No abstract text is available yet for this article.
October 2016: Advanced Emergency Nursing Journal
https://www.readbyqxmd.com/read/27792065/aaenp-emergency-nurse-practitioner-scope-and-standards-of-practice
#12
(no author information available yet)
No abstract text is available yet for this article.
October 2016: Advanced Emergency Nursing Journal
https://www.readbyqxmd.com/read/27482996/dislocation-of-the-temporomandibular-joint-and-relocation-procedures
#13
(no author information available yet)
No abstract text is available yet for this article.
July 2016: Advanced Emergency Nursing Journal
https://www.readbyqxmd.com/read/27482995/can-team-triage-improve-patient-flow-in-the-emergency-department-a-systematic-review-and-meta-analysis
#14
Thomas Ming, Aaron Lai, Pui-Man Lau
This systematic review was performed as a feasibility study for revamping the triage service of an emergency department (ED) in a district hospital. In view of the overcrowding problem that plagues EDs worldwide, we reviewed evidence from randomized controlled trials (RCTs) to determine whether ED team triage improves patient flow in comparison with single-nurse triage. We measured improvement in patient flow in terms of the reduction in length of stay (LOS) or wait time (WT) for all ED patients. Adopting the Cochrane methodology, we searched and evaluated data sources for RCTs comparing patients assessed by an ED triage team, with patients receiving single-nurse triage at the same site...
July 2016: Advanced Emergency Nursing Journal
https://www.readbyqxmd.com/read/27482994/dental-procedures
#15
Denise R Ramponi
Dental problems are a common complaint in emergency departments in the United States. There are a wide variety of dental issues addressed in emergency department visits such as dental caries, loose teeth, dental trauma, gingival infections, and dry socket syndrome. Review of the most common dental blocks and dental procedures will allow the practitioner the opportunity to make the patient more comfortable and reduce the amount of analgesia the patient will need upon discharge. Familiarity with the dental equipment, tooth, and mouth anatomy will help prepare the practitioner for to perform these dental procedures...
July 2016: Advanced Emergency Nursing Journal
https://www.readbyqxmd.com/read/27482993/the-sexual-assault-nurse-examiner-s-interactions-within-the-sexual-assault-response-team-a-systematic-review
#16
Phyllis Adams, Linda Hulton
Many emergency department nurses care for the sexually assaulted victim, when sexual assault nurse examiner (SANE) programs are not available. Therefore, it is important for emergency department nurses to understand the roles of both the SANE and the sexual assault response team (SART). The purpose of this systematic review was to identify the current research on the integration of the SANE among the SART and evaluate the gaps in research of the SANE's role, attitude, behavior, and satisfaction within the collaborative SART...
July 2016: Advanced Emergency Nursing Journal
https://www.readbyqxmd.com/read/27482992/shift-in-emergency-department-provider-attitudes-toward-patients-with-sickle-cell-disease
#17
Caroline E Freiermuth, Susan Silva, David M Cline, Paula Tanabe
Patients with sickle cell disease frequently seek care in the emergency department. They have reported experiencing negative attitudes from emergency providers. This study was undertaken to evaluate change in emergency provider attitudes toward patients with sickle cell disease over a 2.5-year time period when several educational efforts were ongoing. The General Perceptions about Sickle Cell Disease Patients Scale was used to measure emergency provider attitudes at 2 emergency departments at baseline, 6 months, and 30 months into the project...
July 2016: Advanced Emergency Nursing Journal
https://www.readbyqxmd.com/read/27482991/case-report-postpartum-cough-and-dyspnea
#18
Eileen M Czerwinski
Peripartum/postpartum cardiomyopathy (PPCM) is a rare condition associated with pregnancy in which there is left ventricular (LV) dysfunction resulting in symptoms of heart failure (). This occurs in previously healthy women and is seen in the last month of pregnancy or during the first 5 months postpartum (). Incidence ranges from 1 in 1,300 to 1 in 15,000 pregnancies in the United States (). A case study is presented of a patient with severe impairment of LV function seen in the emergency department (ED)...
July 2016: Advanced Emergency Nursing Journal
https://www.readbyqxmd.com/read/27482990/n-acetylcysteine-use-in-non-acetaminophen-induced-acute-liver-failure
#19
Chelsey M McPheeters, Vanessa M VanArsdale, Kyle A Weant
This article will review the available evidence related to the management of non-acetaminophen induced acute liver failure with N-acetylcysteine. Randomized controlled trials and a meta-analysis were included in this review. The efficacy of N-acetylcysteine in the treatment of acute liver failure from causes other than acetaminophen toxicity was evaluated. The efficacy of N-acetylcysteine in non-acetaminophen-induced acute liver failure is limited to specific patient populations. Patients classified as Coma Grade I or II are more likely to benefit from the use of this agent...
July 2016: Advanced Emergency Nursing Journal
https://www.readbyqxmd.com/read/27482989/dislocation-of-the-temporomandibular-joint-and-relocation-procedures
#20
Thomas White, Viki Hedderick, Denise R Ramponi
Temporomandibular joint (TMJ) dislocation requires prompt medical attention due to the crucial impact of airway, nutrition acquisition, and communication. Recognition of this injury by the practitioner, based on clinical presentation and history, is paramount for identification of accurate diagnosis and prompt treatment of TMJ dislocation. Relocation or reduction methods vary on the basis of the severity of the injury and whether it is an acute or chronic dislocation.
July 2016: Advanced Emergency Nursing Journal
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