burns/emergency department link nurse—facilitating best practice burn management
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ents. Evaluation of this process is currently beingndertaken.
eywords: Transient Ischaemic Attack; TIA; Rapid Accesslinic; ABCD2 score; Risk stratification
eference
1]. Crimmins DS, Levi CR, Gerraty RP, Beer CD, Hill KM, on behalfof the National Stroke Foundation Acute Stroke GuidelinesExpert Working Group. Acute stroke and transient ischaemicattack management—–time to act fast. Internal Medicine Journal2009;39:325—31.
oi:10.1016/j.aenj.2010.08.290
valuation of clinical nursing practice guideline for pre-enting deep vein thrombosis in critically ill traumaatients
raneed Songwathana, Kesorn Promlekb, Kanittha Nakaa
Surgical Nursing Department, Faculty of Nursing, Prince ofongkla University, ThailandSurgical Intensive Care Unit, Songklanakarind Hospital,ongkhla, Thailand
Deep vein thrombosis (DVT) is a third leading causef morbidity in critically ill trauma patients but could berevented by performing appropriate risk assessment andreventive strategies. The purpose of this study was tovaluate the implementation of a Clinical Nursing Practiceuideline (CNPG) for preventing deep vein thrombosis inritically ill trauma patients at Songklanagarind Hospital,hailand. The CNPG content has 37 items developed fromvidence-based knowledge related to prevention of DVT.orty-two nurses participated in this study. The effective-ess of this CNPG was evaluated in terms of (1) feasibilitynd difficulty of using the CNPG, (2) nurse’s satisfaction inmplementation of CNPG, (3) the patient’s femoral bloodow velocity before and after 7 days. Data were analyzedsing frequencies and percentages.
Nurses performed 30 of the items more than 90% of theime. The items with the highest level of use were providingnformation of DVT prevention and performing ankle exer-ise. 79% of nurses rated their satisfaction at high (M = 8.06,D = 0.96). There was no significant difference in femoralenous blood flow velocity before and after 7 days and with-ut signs of DVT. The findings indicated that the use ofvidence-based clinical practice guidelines for DVT preven-ion could enhance quality of care in terms of early detectionor DVT and maintaining femoral blood flow velocity in thoseatients who are at risk.
eywords: Emergency nursing; Trauma; Clinical nursingractice guideline; DVT
oi:10.1016/j.aenj.2010.08.291
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Conference Abstracts
urns/emergency department link nurse—–Facilitatingest practice burn management
ridget Henderson, Sheila Kavanagh, OAM, Phil Coward
Royal Adelaide Hospital, North Terrace, SA 5000, Australia
Over the last 5 years the Adult Burns Service, Royaldelaide Hospital (RAH) has seen a steady increase in theumbers of patients with a burn injury presenting. Themergency Department (ED) at RAH has 145 FTE nurses onoster. A number of challenges to providing consistent, hightandard burn care for all patients in the emergency depart-ent were identified. These included:
Management of Hypothermia.Utilisation of guidelines.Communication concerns re patient management.Difficulty in providing timely, recurrent education for EDstaff relating to Burn care.Lack of staff/patient education resources.
Objectives: The aims of the project included:
. Development of clinical and educational resources.
. Improvement of staff and patient education.
. Implementation of a quality improvement cycle.
Method: An ED/burns liaison nurse was appointed at 1ay per week for a period of 12 months.
An assessment of perceived barriers to optimal serviceelivery from the perspective of both Emergency depart-ent and Burns Unit nursing staff was undertaken.A range of resources/strategies were developed and
mplemented.An evaluation of the project was undertaken toward the
nd of the 12-month period.Results: A systematic programf staff education was implemented. Clinical and patientesources were developed.
This paper will report the implementation and evaluationf this project.
eywords: Burns; Emergency Department; Education
oi:10.1016/j.aenj.2010.08.292
Recurrent ED presenters—–An analysis of patient char-cteristics and clinical problems resulting in frequenteattendance’
arkham Donna, Graudins Andisb
Care Co-ordinator, Southern Health, Monash Medical Cen-re Clayton, Emergency Department, AustraliaProfessor of Emergency Medicine Research, Southern Clin-
cal School and School of Public Health and Preventiveedicine, Monash University, Australia
-mail addresses: [email protected]. Donna), [email protected] (G. Andis).
Background: Emergency Departments (ED) are oftentilised by patients frequently presenting with complexealth care needs including multiple coexisting medicalroblems, as well as long-standing social, behavioural and