Emergency Nursing care is the occasional care offered to people with physical or mental problems. These health issues:
- May be driven from a disorder or an injury
- Appear to be very serious
- Call for instant analysis
The emergency nurses usually take care of people of all ages the old and young. Those who are in need of immediate care are usually unwell mentally or physically, have acute health and also in need of intensive care. AS per nursing care, it focuses on the patient and patient alone following the needs of the patient as well as desires.
Emergency Nursing can be carried out in some settings like accident and emergency sectors, minor injury units and severe transport services, out-of-hours-walk-in centers and also in the armed forces. These settings usually permits presentation of a patient either it was unplanned or unscheduled missing warning either through referral or self-referral from another service. Emergency Nursing care is offered as required mostly outside the normal working hours and continues for 24 hours per day and 7 days per week.
What are the qualities of a successful emergency nurse?
There are no specific qualities required to become an emergency care nurse but there are a number of features that might make you suitable for the job.
An emergency nurse has to be capable of remaining peaceful in stress and also pressure situations and that includes displaying confidence in the center of doubt. The ability to handle a situation with care and confidence can make a difference in a patient’s level of luxury and peace.
Being flexible in some challenging situations is of great importance and you must be in a position of handling situations that have no warning and be able to roll with whatever goes around. Getting hungry for knowledge is another feature that will serve you better in emergency nursing. You have to be dedicated to lifelong learning because you can see anything in the emergency department. Empathy is the most important qualities an Emergency Nursing department nurse can have.
Settings of Emergency Nursing departments
Isolated settings with very few resources
Moderately remote areas with more resources within a few hours by road or air
Mid-size cities with a moderate amount of resources
Major metropolitan areas, usually a lot of resources
Large facilities that deal with a university or two, many resources available
Stand-Alone Emergency Nursing Department
Available in only certain states, not physically connected with a hospital
Dangerous environments after a disaster, few resources, regularly related with centralized or military response programs.
Duties of emergency nurses
There are a number of emergency nurses and most of them will participate on a lot of duties during the course of their profession so there is no possibility of picking only one but not all duties are meant for them so it is good to discover the various duties available in the emergency nursing.
A few descriptions of duties carried out by emergency nurses
These nurses usually perform their duties in Trauma Centers and immediately show up once suffering patients are driven in by a helicopter, ambulance or a private vehicle. This duty requires specialization and mostly an experience of at most two years. Undergo ENA’s Trauma Nursing Core Course for you to attain the goals of becoming a Trauma nurse.
The code nurse performs their duties in the code rooms where the sickest patients go in the emergency department. If there is zero beat and no breath you do not have to worry because the cede nurse will run the ACLS- based codes and later on offer emergency care for the seriously ill patients
The Triage nurse deals with patients who have vigorous signs and resources required to make up mind on whom will have an appointment first with the emergency department provider.
Disaster Response or Emergency Preparedness Nurse
During calamities all emergency department nurses usually respond first. You may not be certain on when a calamity may take place in your region causing your native emergency department to be the first point of call for sufferers of the incidence. All nurses have to undergo training on their response to calamities yearly according to the strategy of their facility.
Most emergency departments will have a calamity winner nurse whose duty is to ensure your department is ever updated on their disaster response plans and strategies. There is also distinctive native, state, centralized and military disaster reply group that usually hire nurses to be involved during calamities.
The duty of the flight nurse is to transport very serious sick patients by use of helicopters and planes to emergency departments from one emergency department to another. To become a flight, you are required to have an experience of 4-5 years and an a little experience in pre-hospital setting.
You should look forward to certified flight registered nurse certification immediately you commence your flight nurse career.
Critical-Care Transport Nurse
The duty of the critical nurses is to transport very ill patients via ambulance from one facility to another. They perform their duties out of an ambulance in help of care team of paramedics. There are some years of experience that the critical nurses should have undergone.
Pediatric emergency department nurse
The pediatric nurses’ deal with the care of patients below the age of 18years .It can be tricky to offer care for neonates to teenagers. To get ready for the pediatric emergency nursing, undergo an emergency nursing pediatric course. Emergency who work in Burn centers are specifically trained in burn victim resuscitation and burn care. Most metropolitan areas will have not more than one selected burn center with an emergency department.
Geriatric ED Nurse
The geriatric nurses deal with the care of elderly patients and are trained on the specialized care required by the older individuals. If you are in becoming a geriatric nurse you have to deal with the geriatric emergency nursing education course.
These are trained nurses who work in military hospitals, clinics or battle areas. A nurse has to be enlisted in one of the military branches to be considered for a military nurse position.
This is the ship captain in the emergency department and is responsible for patient assignments, staffing, and communication with the emergency department providers as well as nursing providers. The charge nurse is your best resource for everything and keeps the department in order when your shift begins to hit the fan. The charge nurse duty needs a number of years in experience and extra critical thinking and leadership skills.
Other duties of the Emergency Nursing are to:
Rank patient care based on need, staffing and acuity
Note, collect and document patient data according to nursing best practice
Identify problems with a patient and moves swiftly to implement appropriate intervention
Evaluate every patient's feedback to intervention like medications and cure
Manage and document medications as per hospital policy. Conversely, does not administer medications or prescriptions like opiates through emergency room intake
Record changes in patient status and reports accordingly; documents doctor response for actions to be taken
Record care plan that encompasses patient education component.
Show leadership with emergency response team, and ancillary personnel should the patient be admitted for further monitoring or stabilization
Mentor and engage with clinical and support staff to advance the education, communication and leadership of the department as individuals and as a whole.
Provide direction and instruction to patients' family members and advocates in a manner that is respectful of their dynamic and willingness to learn
Provide care to assigned patients
Perform the technical requirements of nursing care that fall within the scope of the nursing role at that facility
Accurately and quickly perform all duties
Exhibit good physical, mental and emotional health
Behave within the nursing professional code of ethics at all time
Have up-to-date knowledge of nursing theory and skills; be willing to continually upgrade to meet current challenges and professional developments
There are 5 phases of Emergency Nursing care
What you should expect immediately you get at an emergency care unit.
Phases of Emergency Nursing care
Stage 1 – Triage
In the triage phase, the patient’s condition is analyzed how acute it is and for patients who have very serious injuries are mostly offered instant treatment. This is the reason as to why you may find some patients being given medical care even if they got at the emergency section after you.
Immediately you get at the emergency section, emergency specialists usually determine the aim of your visit and a registered nurse will have to take the history of your medical and carry out a short term analysis of your symptoms. The level of your medical history and present condition may result to being assigned an urgency level by the triage nurse according to the scale below.
Level 1-Instant lifesaving intervention
Level 2- Emergency
Level 4- semi-crucial
At times an Emergency Nursing care may begin with analysis testing to minimize the time used while waiting for treatment. Once you realize that your condition is worsening, you should inform the emergency specialist. In the triage section, only one person is allowed to get along with the patient.
Stage 2 – Registration
Registration is crucial for two aims
It enables the emergency staff to collect information about the patient
Obtaining approval for patient’s treatment
The two are important in undergoing analytical tests to give the specialist a chance to get the best treatment idea for the patient. Patient admission professionals can register the patient while in bed if the patient has been taken straight to a treatment room.
Stage 3 – Treatment
Each and every patient who gets to the emergency section acquires treatment from a specialist. The patient’s condition may force a nurse to start an intravenous (IV) line that enables the nurse to fast administer medications or fluids that may be required by the doctor. A specimen of your blood or urine may be taken by a nurse or you may be sent for an x-ray before you are subjected to a physician.
Blood tests may also be ordered urgently by a doctor and the outcomes help emergency doctors to evaluate your condition. The outcomes may be out within a period of an hour or two while still in the emergency section. Also there are some tests that can take a lot of time for them to show results. As you undergo treatment, there is this nurse who will ensure that you are comfortable and also updated and a maximum number of two people are allowed to come in the patient’s room.
Stage 4 – Reexamination
The patient’s condition will have to be reexamined by an emergency department doctor once results are out because these results may give them extra comprehension of the type of treatment you require. The patient understands his or her body pretty well and how the patient feels about it might be as crucial as the test outcomes, so it is good for the patient to let the doctor or nurse know of any hurt or discomfort felt .
The patient’s personal doctor can be rang for extra information and if the patient do not have a personal doctor, he or she is brought up to an on-call Doctor. Once the patient has been reexamined, the doctor in charge decides if the patient should be admitted or given have to be treated then be discharged.
Stage 5 – Discharge
The main objective of the emergency department is to ensure that they keep you healthy once you have left their section. Every patient is given written guidelines to be followed at home once they are released from hospital. The guidelines help patients to have an idea of how they can carefully take care of their illness and also instructions for their prescribed medications and continuation of medical care.
It is advisable for patients to understand every instruction offered and in case of any challenge, can always feel free to contact the emergency department once they get home. The emergency department can also contact the patient to know his or her well-being and the patient’s feedback enables the emergency department to continue offering outstanding emergency care to the majority of their patients.