The four hour rule, that was introduced by the National Health Service of United Kingdom in November 2008 was adopted by the Australian Goverment in 2009 (Cadogan, 2009). According to the Four Hour Rule (cited in Cadogan, 2009), "98% of patients arriving at the emergency…
Introduction of such a rule has several implications, both positive and negative, both of which will be discussed in this essay.
The main positive outcome of this rule is formal addressing of the established "access block"of eight hours, which was a burden on the emergency departments and had adverse impact on the care of the patient. Thus, the new "access block" standard is four hours and this is enforced with high level of compliance, thereby solving the access block problem. Implementation of the rule forces hospital administrations to take responsibility for the access block problem. Also, ramifications pertaining to patient flow is beyond only ED problem and the hospital gets involved in it. Another major advantage of this rule is that it forces the staff to assess and manage patients at an early stage, thus enhancing the role of clinical judgment, without merely depending on laboratory diagnosis (Cadogan, 2009).
The four hour rule has some negative effects too. It causes increased stress because of increased number of after hour shifts, 24- hour emergency consultant cover and increase in weekend shifts. Such stress, without punitive penalties can lead to gaming of figures, facts and flow of patients. The stress can also cause reduction in the standard of care delivered in the emergency room. Also, the autonomy of the emergency physician can get denuded which can in turn impact the patients negatively. The rule increases the propensity for adverse patient outcomes and here are high chances for the patients to get discharged early without a proper diagnosis. Some experts opine that excellence in patient flow will be rewarded than appropriate patient care (Cadogan, ...
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(EMERGENCY NURSING DISCUSSION 3 Essay Example | Topics and Well Written Essays - 500 Words)
“EMERGENCY NURSING DISCUSSION 3 Essay Example | Topics and Well Written Essays - 500 Words”, n.d. https://studentshare.net/miscellaneous/399581-emergency-nursing-discussion-3.
............................................5 ENPs & Waiting Time............................................7 ENP Interaction with other Variables.....................8 Perception of Stakeholders on ENPs......................9 Conclusion..................
Introduction: The term emergency management traditionally refers to care given to patients with urgent and critical needs. The philosophy of emergency management has broadened to include the concept that an emergency is whatever the patient or the family considers it to be.
Many patients present to the Accident and Emergency with minor lacerations. These small wounds frequently require suturing for appropriate wound care. This is a very common presentation in the emergency departments of almost all hospitals, may it be tertiary, regional, or rural emergency departments.
One important point that needs to be catered when dealing causation is that we cannot make changes the second variable and expected its effect on the first variable. The causation theory is mostly effective when the relationship is between two variables. Two variables may not be necessary associated, because variable B which is dependent on A, may also be dependent on C.
According to the paper based on this case study, it is essential to identify the immediate priorities of care, how the patient would be triaged and why, provision of optimal care to the patient by services and support, and delivery of culturally appropriate care in the emergency room. The case study of the patient in the emergency care department is an example of the emergency care given to a youth belonging to a different culture, who is brought to the facility in a poor physical and mental condition as a result of unprovoked assault.
It helps to focus on the core attributes of nursing, while marginalising those characteristics which are not part of nursing. Thus, the metaparadigm allow nurse practitioners, theorists and researchers to concentrate
One of the examples of primary prevention that has witnessed nursing intervention is by undertaking the responsibility of an anesthetist, despite being a nursing professional. Moreover, nursing intervention in secondary prevention is prominent from the donation of over of 11,000 antibiotics to the patients during the trip.
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