This document provides an overview of emergency department nursing, including the skills and roles required, common patient presentations, triage systems, and important considerations for assessment and teamwork. ED nurses must be able to multi-task and make quick, confident decisions while advocating for patients, who may present with issues ranging from minor injuries to massive trauma. Proper assessment involves obtaining a thorough history and considering cultural factors to understand a patient's perspective. Effective teamwork between nurses, doctors, technicians, and interpreters is also essential for providing optimal emergency care.

1. Foundations of ED Nursing Overview EMS Culture

2. What it takes Multi-tasking Stress handling Competent Quick thinking Team Player Confident decision maker Strong advocate for your patient

3. What do we do Witness and intervene from Birth to Death Jack of all trades Treat homeless to heiress Stabilize and transfer Broken fingernails to cardiac arrest Simple fever to MASSIVE trauma

4. ED Nursing Positions Staff Nurse Charge Nurse Case Manager Researcher Flight Nurse Pre-Hospital Nurse Practitioner

5. ED Flow

6. ESI Triage Score Sheet

7. Case Example (Triage) 50 y.o Male with Chest Pain 20 y.o Female with chest pain 3 week old with fever 37 y.o with suicidal ideation

8. EMTALA Emergency Medical Treatment and Active Labor Act All patient must have medical screening exam regardless of ability to pay “ NO ONE CAN BE TURNED AWAY”

9. EMS System (Brief Overview) ED care initiated

10. EMS Types Ground Transport Ambulance Air Transport Air Evac, Transfers Ground or Air

11. Things to think about with EMS Usually limited information See it before you believe it Prepare for the worst Test ALL THE IV’s Act quickly, work as a team.

12. ED patient Assessment Focused But complete History means everything Get the story It tells you a lot

13. ABCDEFGHI An easy way to prioritize assessment in the ED We will go more in depth in TRAUMA

14. Team Work MD- Nurse working relationship Trust is key Know your stuff Tech- nurse Don’t over delegate Use their expertise Check their work Nurse-Nurse Trust is Key Know your teams strengths and weaknesses Work together

15. Patient Cultural Considerations Essential to understand culture Quick emergent interventions depend on this knowledge Talk to the family, but get an interpreter Hear the story from the patients mouth Different treatments at home Herbs/blessings

16. Course organization Top complaints in each system Top interventions for each complaint Nursing considerations Quiz