Emergency Nursing

Nursing Emergency Preparedness Education Coalition (NEPEC), formerly the International Nursing Coalition for Mass Casualty Incidents http //WWW. me. Vanderbilt, eda/nursing/coalitions/ INCMCE/overview, html Internet Disaster Information Network http //WWW. disaster, net/index. html Joint Commission on Accreditation of Healthcare Organizations... 

Ensure availability of translators for all levels of clinic (e.g., security, screeners, nurses, emergency). 

Describe the Nursing Emergency Preparedness Education Coalition s (NEPEC) goals for increasing nursing s role in nafional and internafional preparedness plans. 

Nursing Emergency Preparedness Education Coalition (NEPEC), formeriy known as the International Nursing Coalition for Mass Casuaity Education (INCMCE). (2003). Educational competencies for registered nurses responding to mass casuaity incidents. Retrieved May 23, 2006, from http // www.aacn.nche.edu/Education/pdf/INCMCECompetencies. pdf... 

NURSING EMERGENCY PREPAREDNESS EDUCATION COALITION, FORMERLY KNOWN AS THE INTERNATIONAL NURSING COALITION FOR MASS CASUALTY EDUCATION ... 

Director of Nursing Emergency Services Southern Ohio Medical Center Portsmouth, Ohio... 

As the founder of the International Nursing Coalition for Mass Casualty Education in March 2001 (now the Nursing Emergency Preparedness Education Coalition), which now represents over 80 nursing organizations, friends of nursing, and subject matter experts, 1 was not privy to any special vision. 1 knew that our public health infrastructure was rickety—at best—and that, in the event of any kind of mass casualty event, nurses would be expected to be in the forefront. 1 also... 

Monitoring and Managing Adverse Drug Reactions The nurse observes the patient at frequent intervals, especially during the first 48 hours of therapy. It is important to report to the primary health care provider the occurrence of any adverse reaction before the next dose of the drug is due The nurse should report serious adverse reactions, such as a severe hypersensitivity reaction, respiratory difficulty, severe diarrhea, or a decided drop in blood pressure, to the primary health care provider immediately because a serious adverse reaction may require emergency intervention. 

When a patient is to receive an adrenergic agent for shock, the nurse obtains the blood pressure, pulse rate and quality, and respiratory rate and rhythm. The nurse assesses the patient s symptoms, problems, or needs before administering the drug and records any subjective or objective data on the patient s chart. In emergencies, the nurse must make assessments quickly and accurately. This information provides an important database that is used during treatment. 

Acute bronchospasm causes severe respiratory distress and wheezing from the forceful expiration of air and is considered a medical emergency, ft is characterized by severe respiratory distress, dyspnea, forceful expiration, and wheezing. The nurse must report these symptoms to the primary health care provider immediately. 

When diazoxide or nitroprusside isused fora hypertensve emergency, the nurse placesthe patient in a supine position immediately before, as well as after, administration of the drug. The rate of infusion (nitroprussde) or rate of direct IV administration (diazoxide) and the patient s blood pressure are monitored closely during and after administration of the drug because severe hypotension can occur. The blood pressure and pulse rate may need to be monitored every 15 minutes until the blood pressure is reduced to safe levels The systolic pressure should not drop below 60 mm Hg. 

Ms. tbnes is admitted to the emergency department in hypertensive crids. Nitroprusdde therapy is begun, and you are asked to monitor this patient. Discuss important pomts that the nurse should keep in mind when adminidering this drug. Identify methods you would use to monitor the patient and prevent complications. 

A patient enters the emergency department with an acute MI. Thrombolytic therapy is begun with streptokinase Discuss ongoing assessments that are important for the nurse to perform. 

EMETICS Because treatment of poison ingestion is an emergency, the nurse immediately obtains equipment for treatment. The nurse obtains the drag, an emesis basin, towels, specimen containers for sending contents of the stomach to the laboratory for analysis, and a suction machine and places them near the patient. The nurse obtains the patient s blood pressure, pulse, and respiratory rate and performs a brief physical examination to determine what other damages or injuries, if any, may have occurred. 

Unless otherwise directed, the IV solution should be administered at room temperature If the solution is refrigerated, the nurse allows the solution to warm by exposingit to room temperature 30 to 45 minutes before use The average length of time for infusion of 1000 mL of an IV solution is 4 to 8 hours. The only exception is when there is a written or verbal order by the primary health care provider to give the solution at a rapid rate because of an emergency. In this instance, the order must specifically state the rate of administration as drops per minute, milliliters per minute, or the period of time over which a specific amount of fluid is to be infused (eg, 125 mL/h or 1000 mLin 8 hours). Calculation of IV flow rates is discussed in Chapter 3. 

Medicare program revisions to pa3mient policies under the physician fee schedule for calendar year 2003 and inclusion of registered nurses in the personnel provision of the critical access hospital emergency services requirement for frontier areas and remote locations. Final rule with comment period. Fed Regist 2002 67 79965-80184. 

CRNA Certified Registered Nurse Anesthetist ER Emergency room... 

This would also include first responders such as emergency medical technicians, emergency room nurses, doctors, technicians, firefighters, police officers, clinicians, laboratorians, health department personnels, epidemiologists, as well as researchers and related professionals. 

OTCs) are used as subjects in bioequivalency studies. Such persons, often, university students, have been regarded as human test tubes in whom bioequivalency is evaluated. However, with the emergence of a school of thought that believes that bioequivalency should be a clinical mirror for the behavior of the test and reference products, this situation may change. Pregnant and nursing females are normally excluded from all bioequivalency studies. 

Roberge RJ, Martin TG, Dean BS, et al. 1994. Ceramic lead glaze ingestions in nursing home residents with dementia. Am J Emerg Med 12 77-81. 

The response to chemical and biological warfare weapons, terrorism attacks, and even influenza mini-epidemics can require an immense number of federal/state/ county/city/private workers and medical personnel ranging from physicians to registered nurses to emergency medical technicians and paramedics. As an example, the writer has actually seen an incident where thirty-one agencies from all levels of... 

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