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E-grāmata: Emergency Nursing 5-Tier Triage Protocols

  • Formāts: 320 pages
  • Izdošanas datums: 28-Sep-2019
  • Izdevniecība: Springer Publishing Co Inc
  • Valoda: eng
  • ISBN-13: 9780826137913
  • Formāts - PDF+DRM
  • Cena: 48,83 €*
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  • Formāts: 320 pages
  • Izdošanas datums: 28-Sep-2019
  • Izdevniecība: Springer Publishing Co Inc
  • Valoda: eng
  • ISBN-13: 9780826137913

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"The process of triage occurs in a variety of settings around the world, from the battlefield to the private medical office. Each venue may have different goals and practices are dependent upon the location of the incident or place of service, patient care needs and available medical resources., A triage process is essential to assist the care provider in prioritizing the needs of those seeking care, working to minimize or prevent a delay in care to the patient with the highest acuity risk. Triage methods and sources have evolved over many decades, and now address the needs of different practice settings"--

“The authors not only encourage data gathering, they emphasize the qualities of personal interactions, courtesy and sensitivity, and consideration to upgrade triage category when history is hampered by youth, age, impairment of faculties, or language ability that might otherwise conceal potential problems. Appropriate treatments to initiate at triage are indicated where needed. This book puts forward a practical way of coming back to basics and helps categorize priority for patients. As an educator or manager, I would feel confident that, with it, my nurses are being prepared to make safe decisions with an accurate program that reflects current thinking in triage strategy.”

-Tom Trimble, RN, CEN, BA, ASN, AA

Editor and Publisher

Emergency Nursing World

This critical-thinking blueprint for the triage nurse delivers essential knowledge for accurate decision-making in emergency triage situations. Formatted to provide easily accessible and retrievable information, the manual facilitates rapid recognition and understanding of acuity levels and their application to patient care. The newly updated second edition reflects current health conditions and scenarios in EDs, urgent care centers, offices, and first aid centers, both domestic and international. It contains important new information on program development, training, and quality management along with useful tips and tools. Completely new protocols, additional case studies, and quality management guidelines and tools further add to the merit of the second edition.

The resource addresses a wide range of both adult and pediatric conditions that are system-based and listed in alphabetical order. Each protocol has been developed to ensure accuracy and consistency, regardless of which 5-tier triage system is in use. Abundant case studies and multiple appendices provide additional information to support the protocols, broadening the nurse’s scope of knowledge and prompting in-depth examination of potentially lethal conditions. Additionally, appendices contain valuable training materials for program development, training, and quality management tips and tools.

New to the Second Edition:

  • Updated protocols reflecting current health conditions/situations in EDs, urgent care centers, offices, and first aid centers
  • Important new information on program development, training, and quality management tips and tools
  • Additional material including mass casualty, exposure (biological, chemical, disease), military care, infections (isolation concerns), behavioral issues (violence), and narcotic overdose
  • New case studies
  • Developing a triage program
  • Quality management guidelines and tools

Key Features:

  • Facilitates consistency in triage decisions among different nurses
  • Uses health care resources appropriately and efficiently
  • Sets minimum expectations for triage decisions
  • Guides nurses in asking the right questions, determining how soon the patient must be seen, and interventions to consider
  • Serves as a valuable reference for both new and experienced nurses
  • Serves as a training tool in orientation

Recenzijas

The authors not only encourage data gathering, they emphasize the qualities of personal interactions, courtesy and sensitivity, and consideration to upgrade triage category when history is hampered by youth, age, impairment of faculties, or language ability that might otherwise conceal potential problems. Appropriate treatments to initiate at triage are indicated where needed. This book puts forward a practical way of coming back to basics and helps categorize priority for patients. As an educator or manager, I would feel confident that, with it, my nurses are being prepared to make safe decisions with an accurate program that reflects current thinking in triage strategy." - Tom Trimble, RN, CEN, BA, ASN, AA Editor and Publisher Emergency Nursing World

Preface ix
Acknowledgments xiii
Protocols
1 Abdominal Pain, Adult
1(2)
2 Abdominal Pain, Pediatric
3(2)
3 Alcohol and Drug Use, Abuse, Overdose, and Dependence
5(2)
4 Allergic Reaction
7(2)
5 Altered Mental Status
9(2)
6 Ankle Pain and Swelling
11(2)
7 Anxiety
13(2)
8 Asthma
15(2)
9 Back Pain
17(2)
10 Bee Sting
19(2)
11 Bites, Animal and Human
21(2)
12 Bites, Insect and Tick
23(2)
13 Bites, Marine Animal
25(2)
14 Bites, Snake
27(2)
15 Body Art Complications
29(8)
16 Breast Problems
37(2)
17 Breathing Problems
39(4)
18 Burns
43(2)
19 Chest Pain
45(2)
20 Cold Exposure, Hypothermia/Frostbite
47(2)
21 Cold Symptoms
49(3)
22 Confusion
52(1)
23 Contusion
53(2)
24 Cough
55(2)
25 Crying Baby
57(2)
26 Depression
59(2)
27 Diabetic Problems
61(2)
28 Diarrhea, Adult
63(2)
29 Diarrhea, Pediatric
65(2)
30 Ear Problems
67(2)
31 Electric Shock/Lightning Injury
69(2)
32 Extremity Injury
71(2)
33 Eye Injury or Problems
73(2)
34 Feeding Tube Problems
75(2)
35 Fever
77(2)
36 Finger and Toe Problems
79(2)
37 Foreign Body, Ear
81(2)
38 Foreign Body, Ingested
83(2)
39 Foreign Body, Inhaled
85(2)
40 Foreign Body, Rectum or Vagina
87(2)
41 Foreign Body, Skin
89(2)
42 Genital Problems, Female
91(2)
43 Genital Problems, Male
93(2)
44 Headache
95(2)
45 Head Injury
97(2)
46 Heart Rate, Rapid
99(2)
47 Heart Rate, Slow
101(2)
48 Heat Exposure
103(2)
49 Hip Pain/Injury
105(2)
50 Hives
107(2)
51 Hypertension
109(2)
52 Itching Without a Rash
111(2)
53 Jaundice
113(2)
54 Jaundice, Newborn
115(2)
55 Knee Pain and/or Swelling
117(2)
56 Laceration
119(2)
57 Lightheadedness/Fainting
121(2)
58 Menstrual Problems
123(2)
59 Mouth Problems
125(2)
60 Neck Pain
127(2)
61 Nosebleed
129(2)
62 Poisoning, Exposure or Ingestion
131(2)
63 Pregnancy, Abdominal Pain
133(2)
64 Pregnancy, Back Pain
135(2)
65 Pregnancy, Vaginal Bleeding
137(2)
66 Pregnancy, Vaginal Discharge
139(3)
67 Pregnancy, Vomiting
142(1)
68 Puncture Wound
143(2)
69 Rash, Adult and Pediatric
145(2)
70 Rectal Problems
147(2)
71 Seizure
149(3)
72 Seizure, Pediatric Febrile
152(1)
73 Sexual Assault
153(2)
74 Shoulder Pain
155(2)
75 Sinus Pain and Congestion
157(2)
76 Sore Throat
159(3)
77 Stroke
162(1)
78 Suicidal Behavior
163(2)
79 Sunburn
165(2)
80 Toothache/Tooth Injury
167(2)
81 Traumatic Injury
169(3)
82 Urinary Catheter Problems
172(1)
83 Urination Problems
173(2)
84 Vaginal Bleeding, Abnormal
175(2)
85 Vomiting
177(2)
86 Weakness
179(3)
87 Wound Infection
182(1)
88 Wrist Pain and Swelling
183(2)
Appendices
A Triage Program Development
185(12)
B Key Questions to Ask Triage Nurses
197(3)
C Triage Pearls
200(3)
D Triage Training Outline
203(3)
E Triage Training Exercises
206(12)
F Triage Assessment Skills Checklist
218(3)
G Chart Audit Tool
221(1)
H Triage Log
222(1)
I Differential Assessment of Abdominal Pain
223(3)
J Differential Assessment of Chest Pain
226(3)
K Headache: Common Characteristics
229(2)
L MVA Triage Questions
231(3)
M Mechanisms of Injury: Adult
234(2)
N Mechanisms of Injury: School Age and Adolescent (7--17 years old)
236(2)
O Mechanisms of Injury: Toddler and Preschooler (1--6 years old)
238(2)
P Mechanisms of Injury: Infant (birth to 1 year old)
240(2)
Q Drugs of Abuse
242(9)
R Poisonings
251(6)
S Biological Agents/Chemical Agents
257(29)
T Communicable Diseases, Colds Versus Flu, and Sexually Transmitted Diseases
286(11)
Bibliography 297(4)
Index 301
Valerie Aarne Grossman, MALS, BSN, is Nurse Manager of Medical Imaging at Highland Hospital, an affiliate of the University of Rochester Medical Center.