Scope of Emergency Nursing Fall 2025 PDF

Critical Care & Emergency Department You can edit this Scope text for your presentation. of Emergency Nursing  Objectives Be By the end of this lecture...

Critical Care & Emergency Department You can edit this Scope text for your presentation. of Emergency Nursing  Objectives Be By the end of this lecture, the student will be able to: Define the concept of emergency nursing. the scope of emergency nursing including an emergency Discuss nurse, patient & environment. List five values & five characteristics of an emergency nurse. the at least 4 medical & surgical conditions admitted to Enumerate the emergency environment (ED). Describe the main characteristics of the emergency environment. five causes of violence in the emergency department List (ED). at least five measures to overcome the health risks (e.g., Mention violence) in the ED. Definitions of Emergency Nursing is a specialty within the field of professional nursing focusing on the care of patients who require urgent/immediate & prompt medical attention to avoid long-term disability or death. deals with human responses to any trauma or sudden illness that requires immediate intervention to prevent imminent severe damage or death. Definitions of Emergency Nursing involves the episodic (primary care until the definitive is provided) care of people of all ages with physical and/or psychological health problems. These health problems: (1) may result from injury and/or illness, (2) are usually acute, and (3) require further, often immediate, investigation and/or intervention. Scope of Emergency Nursing  Scope of Emergency Nursing EMERGENCY NURSING CARE is Emergency provided to acutely ill/injured Care Nurse patients/victims by an Emergency Care Nurse (one of the emergency team) in a Specialized Emergency Injured/Acutely Center Environment. Ill Patient of Scope Emergency Care Environment  Scope of Emergency Nursing:  Emergency Nurse An emergency nurse is a professional who has certain V A L U E S. Values of Emergency Nurse The emergency nurse…… 1) Provides care that is comprehensive, accurate & ongoing. 2) Utilizes clinical judgment to analyze assessment data & make nursing diagnoses. 3) Identifies expected outcomes, & evaluates the care provided against these. 4) Proactively modifies care plans to ensure they meet a patient's needs. 5) Recognizes their learning needs & engages in professional development.  Scope of Emergency Nursing:  Emergency Nurse An emergency nurse is a professional who has certain V A L U E S Values of Emergency Nurse The emergency nurse…… 6) Ensures open & timely communication with patients, families & other staff. 7) Provides care that is patient-centered & collaborative, wherever possible. 8) Adheres to accepted, established & relevant practice standards &laws. 9) Engages in professional activities & behavior. 10) Values life, dignity, worth, autonomy & individuality, etc.  Scope of Emergency Nursing:  Emergency Nurse An emergency nurse is a professional one who has certain C H A R A C T E R I S T I C S (qualities).  Characteristics of Emergency Nurse The emergency nurse must be…… 1) Able to remain calm in high-stress & high-pressure situations. 2) Stay flexible in tricky situations is essential. 3) Vigilant (conscious/oriented). 4) Critical thinker & decision maker. 5) Responsible. 6) Have caring & sympathetic behaviors. 7) Details oriented.  Scope of Emergency Nursing:  Emergency Nurse An emergency nurse is a professional who has certain C H A R A C T E R I S T I C S (qualities). Characteristics of Emergency Nurse The emergency nurse must be…… 8) Stable & able to cope with emergencies & other stressors. 9) Have a body of knowledge. 10) Have awareness of social services. 11) Can collaborate effectively with pre-hospital care providers. 12) Being an advocate. 13) Team collaboration. 14) Understanding cultural diversity.  Scope of Emergency Nursing:  Emergency Nurse Roles of Emergency Nurse: 1) Assessing & identifying patients’ health care problems in crisis situations. 2) Establishing priorities. 3) Applying the life-support measures. 4) Monitoring & assessing acutely ill & injured patients continuously. 5) Supporting & attending to families.  Scope of Emergency Nursing:  Emergency Nurse Roles of Emergency Nurse: 6) Teaching patients & families within a time- limited high-pressured care environment. 7) Planning & facilitating the patient’s safe discharge & follow-up care in the home & the community 8) Supervising allied health personnel. 9) Applying issues of legal implications.  Scope of Emergency Nursing:  Emergency Patient/Victim The patient is the center of the scope of emergency nursing. People of all ages with diagnosed or undiagnosed health problems of varying complexity. Patients seeking emergency care may be unstable “have complex health problems & require vigilant & intensive nursing care or may have minor problems.  Scope of Emergency Nursing:  Emergency Patient/Victim Common Illnesses & Injuries Seen in the Emergency Department: Traumatic organs & Orthopedic injuries Injuries Injuries from violence & abuse, spinal trauma Cardiovascular disorders such as chest pain Medical Conditions Respiratory disorders" asthma, pulmonary embolism, respiratory failure, Shock, etc  Scope of Emergency Nursing:  Emergency Care Environment An emergency department (ED), also known as an accident & emergency department (A&E), emergency room (ER), or casualty department, Is a medical treatment facility specializing in caring for the acute care of patients who present without prior appointment; either by their own means or by that of an ambulance.  Scope of Emergency Nursing:  Emergency Care Environment Characteristics of the Emergency Care Environment Unpredictable numbers of patients, & unknown patient variables which include severity, urgency, & diagnosis. Unanticipated situations requiring intervention, allocation of limited resources, and need for immediate care as perceived by the patient/others.  Common Issues in Emergency Department 1) Limiting Exposure to the Health Risks  2) Violence The incidence of physical assault on ED nursing staff is increasing. Factors Contributing to Violence in the Common Issues Emergency Department in Emergency – Overcrowding Department – Long wait times – Pain – Alcohol, and Drug abuse – Large numbers of psychiatric patients, – Gang-related violence.  Safety Measures to Overcome Violence in the Emergency Department 1) Limit access to the department. 2) Metal detectors. Common 3) Visitor’s policy with visitor passes or Issues in badges. Emergency 4) Visible uniformed security guards or police officers with a commanding Department presence. 5) Continuous surveillance with closed- circuit cameras in strategic locations such as ED entrance waiting rooms, and triage rooms.  Safety Measures to Overcome Violence in the Emergency Department Common 6) Panic buttons & other methods Issues in for RNs & other personnel to Emergency call for immediate security Department assistance. 7) Early identification & early intervention can effectively defuse most situations & prevent violence. Managing the Violent Patient in the Emergency Room (ER)  Management of Agitated Patients Assume all violent patients are armed until proven otherwise. Make sure they are not armed. Remove the patient to a quiet area. The setting should be private but not isolated. Nothing should be between the clinician and the door/exit. Increased waiting times correlate with the escalation of aggression. Often seeing a patient right away can help de-escalate them. Management of Agitated Patients 1 Verbal Techniques 2 Non-Verbal Cues 3 Physical Restraints 4 Chemical Restraints  Management of Agitated Patients Verbal Techniques Don’t Don’t criticize Set Offer Use command Set limits – Offer Use concise Don’t Don’t i.e., tell the choices & simple command the criticize or patient (empower language. patient to interrupt the violence will the patient). ‘calm down’. patient or not be Patients often tolerated. respond interpret this defensively. as a challenge.  Management of Agitated Patients Non - Verbal Techniques Try Be Avoid Address Maintain Always try Be non- Avoid direct Address the Maintain verbal confrontation eye contact. violence personal space al but directly – i.e., – at least 2 arm techniques lengths. Don’t first. attentive ask the patient be provocative without if they feel – relax your conveying like hurting hands and body weakness. themselves or posture, and do someone else. not stare at the patient.  Management of Agitated Patients Physical Restrain  Management of Agitated Patients Chemical Restraint The chemical restraints whenever the nurse/doctor can administer them ie while the physical restraints are being applied  Common Issues in Emergency Department 3) Ethical & Legal Issues in ED will be discussed in detail in the upcoming lecture.  Thank You For Your Attention Questions/Comments