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ER Nursing

This document outlines the key concepts of emergency nursing including its objectives, principles, scopes, roles, qualifications, and processes. The main goals of emergency nursing are to provide urgent medical care to prevent loss of life or limb and restore health. Emergency nurses must be skilled in treating a wide range of illnesses and injuries quickly and effectively through principles like airway management, circulation support, and ongoing assessment.

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Donalyn Amahan
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1K views29 pages

ER Nursing

This document outlines the key concepts of emergency nursing including its objectives, principles, scopes, roles, qualifications, and processes. The main goals of emergency nursing are to provide urgent medical care to prevent loss of life or limb and restore health. Emergency nurses must be skilled in treating a wide range of illnesses and injuries quickly and effectively through principles like airway management, circulation support, and ongoing assessment.

Uploaded by

Donalyn Amahan
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
  • Overview: Lists the main topics covered in the manual including emergency nursing principles and management.
  • Learning Objectives: Outlines the goals of the course, focusing on knowledge and skills in emergency nursing care.
  • Definition of Terms: Defines key terms in emergency care, outlining critical conditions and the urgency of interventions.
  • Emergency Nursing: Describes the specialization within nursing focused on prompt patient care to prevent severe outcomes.
  • Principles of Emergency Nursing: Highlights essential actions and evaluations in providing efficient emergency care.
  • Principles of Emergency Management: Details proactive measures in emergency response, encompassing early intervention and patient transport.
  • Scopes of Emergency Nursing: Explores the wide range of responsibilities in emergency nursing across all age groups.
  • Training and Qualifications: Lists essential certifications and training needed for emergency nurses including BLS and ACLS.
  • Role of Nurses: Describes the various roles of nurses in patient care, including education and leadership.
  • Emergent vs Urgent Care: Differentiates between emergent and urgent scenarios, outlining common situations and priorities.
  • Assess and Intervene: Provides guidelines on patient assessment and intervention strategies.
  • Emergency Cases: Discusses various emergencies including cardiac, trauma, and shock treatments.
  • Emergency Nursing Process: Describes the nursing process including assessment, planning, intervention, and evaluation.

Prepared by: Rhalf Anthony C.

Tenorio, RN
• Objective
• Concept of Emergency Nursing
• Principles of Emergency Nursing
• Scopes of Emergency Nursing
• Required Classification for Nursing
• Medical Emergencies
Learning Objectives
At the end of this course,
• Students will be able to discuss the basic
principles of emergency nursing care.

• Students will be able to perform different roles of


a Emergency Department Nurse.

• Students will be able to prioritize action


according to the needs of the situation.
Learning Objectives
• At the end of this course,
• Students will be able to provide effective
emergency care for the patient

• Students will be able to communicate


effectively with patients and their families and
other colleagues.
Definition of Terms
• Emergency has been defined as a condition
determined clinically or considered by the
patient or his/her relatives as requiring urgent
medical services, failing which, it could result
to loss of life or limb – WHO

• Emergency is defined as unforeseen


combination of circumstances which call for
immediate action
Definition of Terms
• Medical Emergency is a situation when patient
requires urgent and high quality medical care
to prevent loss of life or limb and/or to initiate
action for the restoration of normal healthy
life.

• It is an injury or illness that is acute and


possess an immediate risk to person’s life.
Emergency Nursing
• Is a specialty within the field of professional
nursing focusing on the care of patients who
require prompt medical attention to avoid
long term disability or death

• The Key difference is that an Emergency Nurse


is skilled at dealing with people in the phase
of when diagnosis is not yet been made and
the cause of the problem is not yet known
Principles of Emergency Nursing
• Establish a patent airway and provide
adequate ventilation
• Evaluate and restore cardiac output by
controlling hemorrhage and its consequences,
preventing and treating shock and maintaining
or restoring effecting circulation
• Determine the patient patient’s ability to
follow commands and evaluate motor skills
and papillary size and reactivity
Principles of Emergency Nursing
• Carry out a rapid initial and ongoing physical
examination
• Start Cardiac Monitoring
• Protect and clean wounds, apply sterile
dressing
• Identify allergies and medical history that is
significant
• Document the vital sign, neurologic status and
intake and output
Principles of Emergency Management
• Early Detection
• Early Reporting
• Early Response
• Good on scene care
• Care During Transport
• Transport to definitive care
Scopes of Emergency Nursing
• "ER overcrowding is a growing and severe
problem" - Require crisis intervention
worldwide

• The patient population presenting Emergency


Department spans the age continuum from
neonates to geriatics
Scopes of Emergency Nursing
• Emergency Nurses must be ready to treat a wide
variety of illnesses or injury situations, ranging
from the sore throat to the heart attack

• Is a specialty area of the of the nursing profession


like no other. To provide quality patient care of
the for people of all ages, emergency nurses must
possess both general and specific knowledge
about health care to provide quality patient care
for all ages.
Scopes of Emergency Nursing
• Nursing Interventions are accomplished
interdependently in consultation with or
under the direction of a physician.

• The emergency room staff work as a team


Training and Qualifications
• Basic Life Support (BLS)
• Advanced Cardiac Life Support (ACLS)
• Pediatric Advanced Life Support (PALS)
• Advanced Trauma Life Support ( ATLS)
• Advanced Trauma Nursing Course (ATNC)
• Mobile Intensive Care Nurse (MICN)
Role of Nurses
• Patient Care

• Education

• Collaborative Task

• Leadership and Management

• Triage
Triage
• It is the process of determining the priority of
patients‘ treatments based on severity of their
condition.

• Triage nurse is responsible for assessing patients


and determining their need for medical
assistance. The criteria used to evaluate a patient
include types of injury or illness, its severity,
symptoms, patient explanation of emergency and
vital signs
EMERGENT VS URGENT
• Emergent care is medical care that directly
addresses threats to life or limb or eyesight

• Urgent care is considered when it is not life


threatening but requires care in a timely
manner
Assess and Intervens
• Primary Survey Secondary
A – Airway E - Exposure
B – Breathing F - Full set of VS
C – Circulation G – Give Comfort
D – Disability H – History collection
I - Inspect the post
surface
AMPLE Survey
A – Allergies
M – Medical History
P – Past Health History
L – Last Meal
E – Events/Environmental preceding illness or
injuries
Emergency Cases
• Cardiac Emergencies
• Neurological Emergencies
• Pulmonary Emergencies
• Shock (Anaphylaxis, Hypovolemic)
• Trauma
• Poisoning
• Burn
• Hypo/Hyperglycemic Crisis
TRAUMA
Emergency Nursing Process
• Assessment - First and Secondary Survey
• Planning – control the bleeding and maintain
blood volume and prevent infection
• Intervention
– Cleanse the wound
- Apply Compression on external bleeding
- Insert Large bore IV Line if needed insert another
Line
- Diagnostic Exam
- Maintain NPO
Emergency Nursing
• Intervention
– Tetanus Prophylaxis and antibiotics
- Prepare for surgery

• Evaluation
- Reassess the patient before transferring the
patient to the room

Prepared by: Rhalf Anthony C. Tenorio, RN
• Objective • Concept of Emergency Nursing • Principles of Emergency Nursing • Scopes of Emergency Nursing • Required Classif
Learning Objectives At the end of this course, • Students will be able to discuss the basic principles of emergency nursing
Learning Objectives • At the end of this course, • Students will be able to provide effective emergency care for the patien
Definition of Terms • Emergency has been defined as a condition determined clinically or considered by the patient or his/h
Definition of Terms • Medical Emergency is a situation when patient requires urgent and high quality medical care to preven
Emergency Nursing • Is a specialty within the field of professional nursing focusing on the care of patients who require p
Principles of Emergency Nursing • Establish a patent airway and provide adequate ventilation • Evaluate and restore cardiac
Principles of Emergency Nursing • Carry out a rapid initial and ongoing physical examination • Start Cardiac Monitoring • Pr

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