The Role of an Emergency Room Nurse The role of an emergency room nurse can be demanding and may require a nurse to use many different nursing skills at certain times to take care of a variety of patients. The main role is the nurse must be skilled in client assessment, priority setting, critical thinking, multitasking, and communication. The nurse must be knowledgeable and able to make some decisions independently. The nurse also needs to be able to prioritize so the pts who are at highest risk of major injury or complications are treated first. In a busy ER, time management is important too because there may be a lot of pts waiting for care. The nurse must be mentally prepared for rapid change and be able to keep calm in hectic …show more content…
Next, the emergency nurse must still do a head to toe assessment, depending on the signs and symptoms exhibited by the pt. Another ER assessment done in trauma pts is the use of the “primary survey,” which organizes the approach to the pt so that immediate threats to life are rapidly identified and effectively managed. The primary survey is based on the mnemonic “ABC” and “DE” for major trauma. This is the order of priority. The A=airway/cervical spine, B=breathing, C=circulation, D=disability, and E=exposure. Sometimes nursing diagnoses are noted if the pt is at high risk of injury. Next the doctor assesses the pt, so no nursing diagnosis are planned or implemented at this time. The doctor then makes the decision is the pt needs to be admitted to the hospital or if the pt will be discharged home with instructions for continued care or follow ups. If the pt is admitted, the nurses will start to put together nursing diagnosis which will be planned, implemented, and evaluated when the pt moves a room in the hospital. In the ER pt care is coordinated by use of team work. One nurse will start to assess the pt. The receptionist will get a wristband printed up. The ER nurse will report to the ER doctor prior to the pt being seen by the doctor. The nurse also collaborates with x-ray and ultrasound technicians, respiratory therapists, lab technicians, and
When nurses function as part of a unit, and when they act as part of a team, the job itself is easier and more efficient. (Ward, 2013). In order to be efficient, the health professional needs to incorporate skills into their daily job environment. Skills such as demonstrating commitment to team goals, following communication practices that minimize risks associated with handoffs among providers and across transitions in care, and act with integrity, consistency and respect for differing views. (QSEN, 2014). A nurse should initiate requests for help when appropriate to situation, initiate actions to resolve conflict, and communicate with team members. (QSEN, 2014).
S first, because of the worsening back pain, which can be indicative of a potential rupture and therefore be life threatening. The RN would have the UAP take vitals and report within specific parameters to maintain a close watch over Mr. S. This is the only thing the UAP would be able to do within their scope of practice but she would be alleviating the workload. Next, the RN would assess Mr. R who is reporting severe pain due to an arterial ulcer. She would use the universal pain scale and would ask what his pain level is from a 0-10. Depending on his response, the RN would then proceed by administering pain medication depending on the rating of the pain and the physicians order. The RN would then ask the LPN/LVN to administer the pain meds but only if they are PO. If it were an IV pain medication, the RN would have to administer due to the scope of practice. In 2009, Chornick found that the scope of practice for each staff member needs to be clear and delegation needs to be administered to the competent individuals who are able to perform each task according to the current situation. After administering the pain medication, the RN would need to return to Mr. R within 30 minutes to reassess the pain level and make sure the pain had subside. After treating Mr. R, the RN would assist Ms. A by providing teaching of the Doppler study that would be performed and answer any questions she may have prior to the
Anyone believing protest against Yulin and the Dog meat trade has some sort of reverse psychology effect and is making the dog meat eating population grow is a mindless idiot who hasn't got a clue as to what they are talking about.
There are many components to a hospital or medical facility. All of them are necessary to have a properly functioning environment. The emergency department of a hospital is a fast paced world. You have to be constantly on your toes and prepared for whatever may come through the doors. There are many people that work in an emergency room to make it run smoothly. Techs, nurses, CNA’s, LVN’s, and doctors all work side by side to help those who are critically injured. Without all these people it would be complete chaos.
para. 1). Registered Nurses should be emotionally stable, so they can help the families through rough times (“Registered Nurses” U.S. para. 47). An RN also needs to be organized, and to make sure the patient gets what they need when needed (“Registered Nurses” U.S. para. 48). All RN’s will need to have the patients medical issues, and problems handy and to give the patients, and their medicines when the patients need it (“Registered Nurses” U.S. para. 8). An RN will usually records what the patient is doing, sometimes work with medical machinery, talk to doctors about the patient, and help the patient and the patient’s family on how to deal with their medical problems (“Registered Nurses” U.S. para. 8). Another important thing that an RN will need is to have the physical stamina and to be ready to lift or transfer patients (“Registered Nurses” U.S. para. 49). An RN will have to be able to lift at least 10 pounds, maybe even 20 pounds (“Registered Nurse” para. 4). A person in this career should have an energy level that is somewhat high, has a skill that is interpersonal, and a knowledge that is a little scientific (“Career” para. 6). If you happen to be an RN in a nursing home, an RN will watch over the LPN’s and CNA’s, may start fluids for the patient, make plans for treatments, and manage the patients health
A nurse is a healthcare professional, who in collaboration with other members of a health care team is responsible for the treatment, safety, and recovery of acutely or chronically ill individuals. Nurses are also accountable for the health promotion and maintenance of families, communities, populations, and the treatment of life-threatening emergencies in a wide range of health care settings. Nurses perform a range of clinical and non-clinical functions
A major component of the care Paramedics provide is the assessment of a patient’s physical status, which is the ground for any further treatment. The assessment method that an Advanced Care Paramedic follows is a systematic assessment referred to as the Primary Survey. The aim of this fundamental assessment is to give an initial diagnosis of the patient as well as identifying any imminent threats to the patient. This assessment is used so that a Paramedic can decide how to treat the patient while staying within the boundaries of their scope of practice. Throughout this essay the concept of a primary survey within the scope of practice of an Advanced Care Paramedic will be understood. Additionally
One of the responsibilities is doing an admission if the admission nurse is not available to do so. When doing an admission you have to make sure that you have all of the information that is needed for insurance and to make sure the patient is going to get all of the care that they are going to need to help keep them comfortable. Another responsibility is making sure that all of the patients have all of the medication that they need to help keep them comfortable. Keeping patients comfortable until they pass away is what hospice does. Another responsibility that nurses have to do is to make sure that all of the charts are up-to-date and to check for any changes in the patients.
The first job is an registered nurse, a registered nurse performs emergency medical procedures. They also clean and sanitize the instruments. The equipment and the supplies have to be maintained throughout the day. We refer patients for treatments and talk about the illness they have with them and the family. Analyze complications and any risk problems
Because patients need round-the-clock care, working hours include days, nights, weekends and holidays. Nurses spend considerable time walking, bending, stretching and standing, so they must follow proper body mechanics to guard against injury. Because of the fast-paced and variable environment of emergency rooms, ER Nurses must possess good stress coping skills and be able to relate to people of all ages and backgrounds. They must be able to work accurately around frequent interruptions. Nurses may face hazards from exposure to chemicals and infectious diseases. In addition, they treat patients that may be confused, irrational, agitated, and/or uncooperative. Along with all this you need. At a minimum for most entry-level emergency room (ER) nursing careers, applicants must have a diploma from an accredited
When I become a professional nurse, I will show compassion so I am able to provide effective care to patients who are undergoing physical pain and emotional stress. I must remain cool, calm and collected, even under hectic emergency conditions, so I can perform complex tasks correctly. I must have good communication skills so I can listen carefully to patient concerns and doctor instructions, and convey information to both medical professionals and non-medical staff in a discreet manner. I must also have the ability to think critically so I can assess changes in an individual’s health that prove significant. Finally, I must be well organized so they can juggle the needs of several patients at the same
Urgency of acute care varies depending on the situation but can range to anything from emergency surgeries, to injuries, chronic illnesses, and also for the recovery of those procedures. Majority of the patients in acute care settings are critically ill. Nursing responsibilities in acute care settings are vital to patient’s recovery due to the front line position nurses play as well as the wide variety of tasks carried out. Assessments are made during every encounter the nurse has with the patient along with monitoring the patient’s progress. Nurses are responsible for recognizing symptoms the patient may be experiencing due to illness or injury and whether they fall in the spectrum of normal reactions. Vital signs are measured routinely and can be indicators of the patient’s current status. When vitals are questioned diagnostic tests can be arranged to further assess possible comorbidities the patient may have. Care plans are made to plan interventions the health care team can take to help patients through challenges they face, both physical and mental. Nurses administer medications as well as first aid as needed. They are responsible for maintaining special equipment patients may require including monitors and ventilators are well.
Nurses may play different roles in the field, but their responsibilities are all very similar. Nurses must be confident in everything they do and be patient with people. They should have strong listening
Nurses are known as the heart of health care. Being a nurse is a demanding job that requires commitment, but does not lack rewards. A fact stated by the American Association of Colleges of Nurses claims that “Nurses comprise the largest single component of hospital staff, are the primary providers of hospital patient care, and deliver most of the nation 's long-term care” (“Nursing Fact Sheet”). With many roles throughout the healthcare system as a whole, nurses are a large, very important role that interacts with every other part of the health care system. They have great qualities that not everyone has. They are highly compassionate, caring, professional, diligent and understanding individuals. A nurse experiences people at their worst and still care for patients in a way that no one else would. All these honest points prove that nurses are the most important members of the health care system because, nurses spend the most time with patients, nurses are the managers of patient care; they are teachers and are great with conflict resolution.