Emergency nursing is a specialization in the field of clinical nursing that focuses on the treatment of patients who need immediate medical intervention to prevent long-term injury or death. In addition to addressing “true emergencies,” emergency nurses are increasingly caring for people who are unwilling or unable to receive primary medical care elsewhere and are coming to emergency services for assistance. Indeed, only a small percentage of emergency department ( ED) patients have emergency conditions such as stroke, heart attack, or major trauma. Emergency nurses also appear to treat those with acute alcohol and/or opioid addiction, psychological and behavioral disorders, and those that have been abused.
Emergency nurses are most frequently employed in emergency hospital services, although they may also work in emergency medical centers, sports arenas, medical transport aircraft, and ground ambulances.
Hospitals became more popular around the 1800s and there was an increase in emergency care. The first development of the emergency room was originally called the ‘First Aid Room.’ Originally, nurses were only wearing wounds, applying eye ointments, treating minor burns with salves and bandages, and attending patients with minor illnesses such as colds and sore throats.
They need strong physical dexterity, hearing, and vision. They must understand the principles of human development, anatomy, physiology, pharmacology, they must also have a working knowledge of the many legal issues affecting health care, such as consent, the handling of evidence, mandatory reporting of child and elderly abuse, and involuntary psychiatric conditions. They need to be adept and comfortable working with patients of many different backgrounds, cultures, religions, ages, and types of disabilities. They must also be able to deal with situations that are difficult, emotional, or embarrassing. Emergency nurses will always learn how to take care of themselves physically and mentally.
These can be divided into
Emergency nurses interview a patient with a health history, a list of current medications to be used, and allergies. He or she is performing a physical examination. This is often a minimal examination on the basis of a patient’s main concern and seldom a full head-to-toe examination. The ED nurse regularly reassesses the patient to identify any alteration, progress, decompensation, or transition. This can be performed after the medication has been given to determine its effectiveness or at some time periods as necessary for the condition of the patient.
The ED nurse must have a plan of what to do with the patient, where and in what order. Managing ED patient care includes decisions such as whether the patient can take X-rays before blood is drawn, what tasks to delegate to unlicensed assistants (UAPs) and how many visitors are allowed in the patient’s room, among others.
- Managing care and task
There are procedures that only the physician can perform, but many others are performed by the emergency nurse. These include inserting intravenous ( IV) lines, urinary catheters, and nasogastric ( NG) tubes; collecting blood samples from veins and arteries; dressing wounds; applying splints, administering medications; and, in some jurisdictions, training for suture wounds. In some cases, emergency nurses may order certain tests and medications in accordance with the “Collective Practice Guidelines” or “Standing Orders” established by the emergency medical staff of the hospital.
The reports of the emergency nurse are recorded in the patient’s medical records. They are used by other members of the healthcare team who are caring for the patient. ED nurses must keep the emergency physician informed of the condition of the patient; if it worsens suddenly, the doctor must be informed immediately. If the patient is admitted to a hospital room or transferred to another facility, he or she must “give a report” to the nurse at the patient’s destination.
In addition to simply keeping the patient and his or her family up-to-date during the stay, the emergency nurse is holding training sessions with them. Topics also include how to take the prescribed drug, how to avoid complications, when to go back to the ED, and a patient’s diagnosis. These are often short interactions, and the nurse must evaluate what information the patient needs, how to explain the subject in detail, and the patient’s willingness to learn. In order to do this, the nurse must consider the level of education of the patient, the level of pain, the level of education, the cultural influences, age, vision or hearing deficiencies and other factors.