Emergency Exam 242 Questions and
Complete Solutions Graded A+
ED environment - Answer: characterized by:
rapid change
multispecialty care
crowded, noisy conditions
crucial communications prehospital
helicopter personnel
complex age and demographic range of patients- babies to end of life
teamwork is essential- controlled chaos
reasons people seek ED care - Answer: pain
pain seekers use abd pain to get meds
injuries
abdominal pain
chest pain
breathing difficulty
headache
fever
MVA
most vulnerable - Answer: young
poor
homeless
underinsured
,usually wait until its bad enough to go to ER if they don't have insurance to cover
interdisciplinary team collaboration - Answer: prehospital care providers
emergency medical technicians: EMT/paramedics
emergency medical physician
nurse practitioners
physician assistants
support staff (lab, resp, PT/OT)
nurses including:
forensic nurse examiners, psychiatric crisis nurse team
forensic nurses - Answer: collect evidence
prehospital care provider - Answer: primary care provider
clinic
Communication is key to get patient history
staff and patient safety considerations - Answer: standard information hand off communication
PATIENT IDENITIFICATION
injury prevention for patients
risk for errors and adverse events due to fast paced environment
injury prevention for staff due to psych patients, bunch of family members, combative pts
ED nursing care competencies - Answer: patient assessment
, priority setting
clinical decision making
multitasking
documentation
communication
discharge teaching if patient is not admitted
emergency nursing: scope and practice - Answer: specialized education and training
experience and expertise
supervision of her health care providers
interdisciplinary with MD and/or NP
support/attend to families
principles of emergency care - Answer: triage- to sort
highest acuity=quickest treatment
triage RN is gatekeeper in ED
three tiered triage system - Answer: EMERGENCY: highest priority, life-threatening
URGENT: needs quick treatment but not immediately life threatening
NONURGENT: could wait several hours if needed without fear of deterioration
Complete Solutions Graded A+
ED environment - Answer: characterized by:
rapid change
multispecialty care
crowded, noisy conditions
crucial communications prehospital
helicopter personnel
complex age and demographic range of patients- babies to end of life
teamwork is essential- controlled chaos
reasons people seek ED care - Answer: pain
pain seekers use abd pain to get meds
injuries
abdominal pain
chest pain
breathing difficulty
headache
fever
MVA
most vulnerable - Answer: young
poor
homeless
underinsured
,usually wait until its bad enough to go to ER if they don't have insurance to cover
interdisciplinary team collaboration - Answer: prehospital care providers
emergency medical technicians: EMT/paramedics
emergency medical physician
nurse practitioners
physician assistants
support staff (lab, resp, PT/OT)
nurses including:
forensic nurse examiners, psychiatric crisis nurse team
forensic nurses - Answer: collect evidence
prehospital care provider - Answer: primary care provider
clinic
Communication is key to get patient history
staff and patient safety considerations - Answer: standard information hand off communication
PATIENT IDENITIFICATION
injury prevention for patients
risk for errors and adverse events due to fast paced environment
injury prevention for staff due to psych patients, bunch of family members, combative pts
ED nursing care competencies - Answer: patient assessment
, priority setting
clinical decision making
multitasking
documentation
communication
discharge teaching if patient is not admitted
emergency nursing: scope and practice - Answer: specialized education and training
experience and expertise
supervision of her health care providers
interdisciplinary with MD and/or NP
support/attend to families
principles of emergency care - Answer: triage- to sort
highest acuity=quickest treatment
triage RN is gatekeeper in ED
three tiered triage system - Answer: EMERGENCY: highest priority, life-threatening
URGENT: needs quick treatment but not immediately life threatening
NONURGENT: could wait several hours if needed without fear of deterioration
