Trofino (n.d) states that to succeed in the nursing profession, nurses must be ready for a high-touch, high-caring and high-tech profession where learning never cease. According to the Singapore Nursing Board (2014), nurses are required to maintain their competencies through continuing nursing education in order to deliver safe patient care and to keep updated with the advances and innovations in healthcare.
Working in the Emergency Department (ED)
Television programme has always potrays the ED to be a place filled with blood, guts and pus. However in actual fact, the ED tend to see more cases of Chest Pain (CP), Abdominal Pain (AP) and other medical ailments that patient may present with. However, we could be dealing with a patient who presents with a simple dislocation of the shoulder in one moment and in an instance, preparing to receive a patient who is having a cardiac arrest. That is the beauty of working in the ED, situation and the types of cases we attend to, changes all the time. Burgess (n.d.) mentions that in order for a nurse to be able to function in the ED, the nurse are required to have shrewd assessment skills, flexibility to adapt to ever evolving situations and the ability to keep cool and calm in a highly stressed environment.
The different areas in the ED.
The ED consist of many different area assigned to treat different level acuity of patients. The areas that are present in my ED are:
Resuscitation Room or “Resus” (P1) – this is the area where the most critically injured and seriously ill patients will be cared for in individual panels. The staff to patient ration usually will be about two patients to one nurse. The ED is equippped to treat and stablised emergency paediatric patients.
Critical Care Area (P2) – this is the area where the majority of patients who have moderate medical illness or less serious injury but who need to be cared for on trolleys or monitored closely.
Ambulatory Area (P3) – This is the area where minor injuries, wounds, musculoskeletal injuries or fractures are likely to be cared for as well as some minor illness.
Observation Ward – This is the area where the patients are usually located to once they have been assessed by a physcian and waiting for laboratory test result or waiting for bed placement up in the ward. This area also has the capabilities to house patients who require a very short admission (usually less than 24 hours) known as protocol. Examples include; stable head injuries, minor overdoses, elderly patients requiring a period of physiotherapy and continued supportive services once home. A senior doctor in the ED will usually do a daily ward round in the observation ward.
Background of Nurses Functioning in the Resuscitation Area (P1)
Prior to being assigned to function in the Resuscitation Area (RA), the nurse must have atleast work in the ED for a minimun of one year. The nurses must also have completed Basic Electrocardiography (ECG) course and must be have completed the Triage Course. Once the management has deemed that the nurses are competent to perform as a triage officer, they will be selected to attend another set of course to prepare them to function in the RA. The course is titled as Medical-Trauma Resuscitation Course (MTRC). In this course, the nurses undergo theory and practical training in all aspect of managing patient that may present to the RA. The course covers topics like assisting in a Cardiac Arrest Resuscitation, assisting in Rapid Sequence Intubation, management of patients with Acute Myocardial Infarction, Acute Ischaemic Stroke, Acute Haemorrhagic Stroke and other medical emergencies that may present to the RA. After succesful completion of the course, the nurses will then be assigned to function in the RA. Once assigned to the area, the nurses are expected to be able to assist in any medical emergencies situations and assists in any life saving procedure. Due to the nature of...
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