Critical Thinking in the Emergency Department: Skills to by HCPro Inc., Shelley Cohen RN BS CEN

By HCPro Inc., Shelley Cohen RN BS CEN

Serious considering within the Emergency division: talents to evaluate, learn, and Act is a brand new, easy-to-read source that explains the rules in the back of severe pondering and the way to inspire nurses to take advantage of severe considering tools. This crucial publication presents suggestions for managers and nurse educators to take advantage of in constructing severe pondering abilities, in addition to instruments and assets to take advantage of in school room education periods. serious pondering within the Emergency division covers the way to lead school room classes on constructing those talents, together with profitable school room methods and studying ideas. methods to boost a tradition of serious pondering, from training new grads via undesirable sufferer results to encouraging skilled nurses via atmosphere expectancies.

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Headache). Critical Thinking in the Emergency Depar tment ©2006 HCPro, Inc. 1 Assess before acting Question: One-day postoperative patient complains of pain. Nurses should first a. administer the ordered prn analgesic c. obtain a description of the pain b. assess for the presence of bowel sounds d. check the vital signs Answer: C. Do not assume the pain is postoperative. Postoperative patients can have MIs or cholecystitis. Prioritization with individual patients Maslow Self-actualization needs Esteem needs Safety needs Physiologic needs ABCD: A before B before C before D A Airway If the patient is talking, the airway is intact B Breathing Normal respirations are quiet and effortless C Circulation Pink, warm, orientation r/t perfusion D Disability Pain Neurological assessment Mental status changes Quick Tip: 30-2-CAN DO means patient is adequately oxygenated and perfused to allow you to proceed.

Memorize the Institute for Healthcare Improvement (IHI) or other guidelines for activating a Rapid Response Team (see reference in resources section of Chapter 9). The IHI and other organizations have established recognized criteria for dealing with patients who could be critical and deteriorating. If anyone criticizes being contacted, cite the higher authority. ” Contacting the physician • Take the initiative and introduce yourself to the physicians who admit frequently to your unit. • Rehearse introductory statements/scripts for common needs.

Philadelphia: Hanley & Belfus. , and L. Manning. 2002. , 3rd ed. Gulf Shore, AL: ICAN. Salter, C. 2001. ” The Fast Company 53: 114–126. Shore, D. , and P. G. Zimmerman. 1997. ” Journal of Emergency Nursing 23 (4): 363–366. Zimmermann, P. G. and R. D. Herr. 2006. Triage Nursing Secrets. St. Louis: Mosby/Elsevier. Zimmermann, P. G. 2006. ” Journal of Emergency Nursing 32 (1): 106–109. Zimmermann, P. G. 2006. ” In P. G. Zimmermann and R. D. Herr, Triage Nursing Secrets. St. Louis: Elsevier. Zimmermann, P.

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