Emergency Department Essay

Could you imagine working as a EMT and not knowing what could happen at anytime that you are on the job. As you can tell this job is in very high demand, people are in need of people to run emergency vehicles. Emergency Medical Technicians have been in need since the 1960s, Emergency Medical Technicians have to go through extensive training and meet education requirements to be able to do this job. There are many different things that Emergency Medical Technicians do while on the job, there are also very many levels to being an Emergency Medical Technicians.

Healthcare workers in the United States work together to provide the best possible care for patients that come into their facility. Patients go through different waves of health care professionals before seeing an actual physician. Healthcare systems use a nurse practitioner, which is a registered nurse with more education and specialization, to help treat a patient in a timely manner. According to the American Academy of Nurse Practitioners, NPs have been providing care to patients for over 45 years. The year 2011 has seen 140,000 practicing nurse practitioners in the United States alone, with 9,000 more expected to enter the work force (American Academy of Nurse Practitioners a, 2010). With statistics demonstrating great expectations of

been restricted on what they can and can’t do including signing certain documents and orders they can prescribe. With the Affordable Care Act the demand for primary care providers is growing (Gadbois, Miller, Tyler, & Intrator, 2015). This means that the need for APRNs is rising and the need change is approaching. In the primary care setting, there is a variety of medical staff working including medical assistance, LPNs, and RNs. This can become more for the APRN when delegating medication administration. When the APRN cannot delegate medication administration the quality of patient care is sacrificed and is not productive in providing care to the patients.

The implications and effects on patients waiting long hours to be seen in the ED are immense. In a recent study done over five years in Ontario hospitals showed the risk of adverse events and even deaths increased with the length of stay in the ED (Science Daily, 2011). When EDs become overcrowded the quality of care changes and declines; which is extremely dangerous. Authors of the study calculated that if ED length of stay was cut by only an hour that 150 fewer Ontarians would die each year (Science Daily, 2011). Wait times can also negatively affect patients financially, untreated medical conditions can lead to reduced productivity and inability to work leading to increased financial strains (Fraser Institute, 2014). As well as delayed access to care can result in more complex interventions needed. Therefore an initiative is needed to provide patients with timely, efficient care when accessing

While the demand of healthcare need increasers the United States facing a physician shortage. In recent years the number of nurse practitioners (NPs) and physician assistants (PAs) has significantly increased and they are taking the part in providing healthcare cervices to the majority of patients. I believe nurse practitioners and physician assistants can practice independently from doctors and be free of oversight. Expanding the scope of NPs and PAs is essential to overcome the healthcare crisis we are facing; it will increase patient satisfaction and stabilizing the healthcare economy.

When there are Nurse Practitioners that are filling in for doctors, this can improve quality. The way that this takes place is to have these individuals work with select amounts of patients. This creates smaller teams and more personalized attention in providing these services. This is when mistakes will decrease with health care professionals doing more for everyone. Once this happens, is when the underlying quality of care will rise. (“Scope of Practice,” 2010)

deficiencies that appears in the United States has placed the spotlight on the advanced practice nurses, involving nurse practitioners (NPs) and physician assistants (PAs) to make up for the insufficiency physicians (Kleinpell, Ward, Kelso, Mollenkopf, & Houghton, 2015). With the NPs and PAs coming into the for forth to provide patients with high-quality healthcare at reduce costs. The PAs and NPs continue to inform patients on new medical advancement and treatment pertaining the patients? health conditions to ensure patients continue up-to-date knowledge and to encourage

If patients were truly offloaded to NP’s by the triage system it would be cost effective based upon the service rate. But this did not happen. In fact, the percent of patients seen by NPs decreased from 40% to 28%, and the percent patients seen by MDs increased from 41% to 48% (excluding patients that requested a particular provider).

This chapter provides an overview that describes the basic types of hazards threatening the United States and provides definitions for some basic terms such as hazards, emergencies, and disasters. The chapter also provides a brief history of emergency management in the federal government and a general description of the current emergency management system—including the basic functions performed by local emergency managers. The chapter concludes with a discussion of the all-hazards approach and its implications for local emergency management.

When this situation occurs, the APRN will have to go through an inconvenient procedure or process to certify his/her note by a physician for approval before supplies are ordered. It is not an efficient or effective way to deliver patient care as the process is delayed; causing the patient to wait for his/her items to arrive. Since, APRNs are not recognized as primary care physicians in some states, it inhibits the nurse practitioner (NP) from creating a provider-patient relationship and rapport that is significant when providing therapeutic treatment (Poghosyan, Lucero, Rauch, & Berkowitz,

Challenges to overcome with this issue may be that physicians could feel as though the nurse practitioner (NP) is not adequately equipped as the doctor would be when dealing with patient care. According to the American Medical Association, “physicians have longer and more rigorous training than NPs, nurse practitioners are incapable of providing quality, safe care at the same level of physicians” (Hain & Fleck, 2014). This statement reflects negatively upon nurse practitioners but also coincides with the inability of a nurse practitioner to practice “to the fullest extent of their education and training” (Hain & Fleck, 2014). Only roughly “one-third of the nation has adopted full practice authority licensure and practice laws for NPs” (Hain & Fleck, 2014). This is another dilemma in and of itself within the health care setting and could be one of the reasons as to why NP are not reimbursed one-hundred percent for their

Despite many efforts to improve staffing numbers, there is often still a staff shortage among staff in hospitals and acute care settings. While the most obvious solution to short staffing is to hire more nurses, there are also other ways to make staffing more effective. A patient acuity tool is a staffing instrument that can be used to decide how much time and attention each individual patient requires. By knowing the acuity level of each patient, charge nurses can decide how many patients each nurse can be assigned to at a time. This essay describes the way a patient acuity instrument improves healthcare outcomes by promoting patient-centered care and improving on key nurse competencies including teamwork and collaboration, quality improvement, and safety measures.

The role that nurse practitioner (NP) plays within the increasing complex health care system is a constant changing role with the Consensus Model and the introduction of the Affordable Care Act in 2010. The scope of the nurse practitioner (NP) includes the care of the young, the old, the sick and the well. The educational needs of a nurse practitioner vary greatly from that of a Registered Nurse (RN), in the amount of education as well as the focus of the education. NPs provide coordinated primary care with the use of comprehensive health histories and physical examinations, diagnosing and treating acute and chronic illnesses, the management of medications and therapies, ordering and interpreting tests results, and educating and

The preponderance of literature on the subject of patient acuity classification systems demonstrates that this traditional measure of budgetary decisions in the

The emergency room has become the new primary care facility for the millions of uninsured in the United States. Thanks to an “unfunded mandate passed into law in 1986,” hospitals that participate in the Medicare program must “screen and treat anyone with an emergency medical condition” (Stephens & Ledlow, 2010). This unfortunately leads to emergency rooms full of people who may have something as simple as a sinus infection which then makes it really difficult for someone with a real emergency that did not require ambulatory transport to be seen in a timely manner. Another unfortunate result of this is that “over 1,100 emergency departments closed over the past decade” (Stephens & Ledlow, 2010).