Tag: Emergency Departments

E. R. Nurses Getting Hurt

If you have even a passing interest in the topic of nurses, then you should take a look at the following information. This enlightening article presents some of the latest news on the subject of nurses.

Emergency nurses are starting to get hurt.

According to the Health Promoting Hospitals and Health Services International Conference held in Berlin this year, 98 percent of emergency room nurses in the Unites States reported verbal harassment and 67 percent reported physical violence.

While in Canada, 84 percent of the nurses in the emergency division witnessed verbal harassment once in every shift. While there are 90 percent of them claimed to experience verbal abuse at least once a week. In Australia, there are 70 percent of nurses who experience violence at pioneer five times a week.

Emergency room nurses are falling victims to evolvement violence in the emergency department of hospitals.

The Emergency Nurses Association conducted a study and 86 percent of all the ER nurses involved in the survey had some form of bloodshed committed inveigh them while they are on duty.

Forge ahead 2005, the Massachusetts Bureau of Labor Statistics reported that there are 4, 000 hospital employees assaulted space working in the ER. In the same year, ER doctors in Michigan reported that 28 percent has experienced physical assault while 75 percent received verbal assaults.

Patients themselves could be the perpetrators of this violence occurring in emergency departments. Intoxication and long falter in the waiting room are common things that talent fire up a patient.

Based on one of the largest studies made on the issue made on 2004 in Minnesota, patients committed almost all of the physical assaults and two – thirds of the verbal harassments.

Visitors as well as physicians and unalike staff members are responsible in that the other assaults and harassments. It is only plausible to receive aggression from the patients family members. If the patient was involved in a traumatic incident, his family members weary load levels could be very high and may overwhelm them.

The most common assaults against nurses could sometimes result into serious injury. Typical assaults would include spitting, hitting, kicking, hair pulling and attack using an object or weapon.

There would be incidents that would reaction into serious injury, an example would be an ER nurse who lost her baby when kicked by a patient in the stomach. Drug or alcohol, psychiatric conditions, neurological problems and a article of fuss are factors for such savage acts.

Between 1980 and 1990, there were 26 physicians, 18 registered nurses, 27 pharmacists, 17 nurses’ aides, and 18 other health care workers were killed on the job ( U. S. Department of Labor ). While there were 221 hospitals in America and Canada that reported 42 homicides, 1, 463 legitimate assaults, 67 sexual assaults, 165 robberies, and 47 armed robberies in 1995 according to the International Association for Healthcare Security and Safety.

There are also behavioural clues is a patient or visitor is likely to be abusive. Postures tend to be tensed while newspeak is load and can be threatening or insistent. Aggressors would constantly drop threats or plans of violence.

There are also certain diagnoses associated with violent behaviour like substance abuse, acute psychoses, acute the works brain syndrome, personality disorders and partial complex seizures.

The term is also relevant.

Incidents which occur on a black shift are more likely to produce rough patients. In a study conducted by University of California at Irvine, 31. 8 percent of violent incidents occurred between 11 p. m. and 7 a. m. while only 13. 3 percent of the patient volume was seen during these hours.

So what are the discernible doing about this?

Nursing organizations and unions are constantly working to draw the attention and educate the public on this issue. They are also lobbying for a legislation in increasing the penalties against perpetrators. Programs are being developed in healthcare institutions to address this issue. Security has been reinforced in hospitals to prevent the escalating violence in emergency departments.

Emergency nurses are the first one to give first aid to hurt and injured people. Now seems the time to help them halt getting hurt.
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E. R. Nurses Shorthanded

This interesting article addresses some of the key issues regarding nurses. A careful reading of this material could make a big difference in how you think about nurses.

You rushed a friend at 10: 00 in the evening to the nearest hospital due to unbearable chest pain. But at the emergency department, you were greeted with a number for patients waiting to be attended to. It took 30 minutes before your friend was taken care of by the emergency nurses.

You wonder, what is this shortage about emergency nurses? Arent there enough people who would like to catch care of sick people anymore?

According to a study conducted by the researchers from Cambridge Health Alliance as reported in Health Affairs, wait times went up an average of 4. 1 percent per year for all patients. Unfortunately for passion attack patients, the wait stretched to 11. 2 percent every space. Blacks, Hispanics, womanliness and patients in urban hospitals have longer wait times that others.

So how long exactly are these percentages? For patients diagnosed with heart attacks, the waiting time in 1997 was 8 minutes, but in 2004 it rose to 20 minutes. Patients who needed attention within 15 minutes, according to the nurses who evaluated them, have to wait 10 minutes back in 1997. But in 2004, it went up to 14 minutes. Emergency room wait in urban hospitals was 30 minutes. While non – urban hospital emergency room wait is within 15 minutes.

So why are the numbers increasing?

Emergency visits rose by 78 percent from 1995 to 2003. But the number of the emergency departments to accommodate this rise fell by 12. 4 percent from 1995 to 2003. The number of patients rushing in to the emergency department to entertain medical attention can be attributed to the fact that there is an increase of underinsured and uninsured patients. The aging American population is again a factor.

According to the EMTALA or the Emergency Medical Treatment and Active Labor Act, everyone has the conscientious to be seen and attended to in the emergency department, whether they are able to wages or not. This served as safeguard for the underinsured and uninsured citizens.

There were several accounts of patients dying in the emergency room waiting area because of late waits even with critical undiagnosed conditions. Recently, a 19 year old woman died on the Kings County Hospital Center Psychiatric Emergency Department floor. The incident was recorded by the hospitals camera. It took an hour before someone took notice of the woman, but the patient was contemporary dead. The hospital was said to be understaffed.

Different measures are being taken to resolve the crisis in emergency departments and avoid unfortunate events like this. Glaringly resolutions are being directed to the Congress. Some of the proposed means to be taken are:

1. Quickly approving the $50 million in extra funding for hospitals that provide uncompensated care to uninsured patients.

2. Significantly increase a funding for tragedy preparedness in hospitals.

3. Establish an agency in the Department of Health and Human Services for emergency and trauma care, and create a demonstration program to promote a coordinated regional approach to emergency care

Dr. Andre Wilson, Chief of Emergency Medicine in William Beaumont Hospital in No problem Oak in Michigan released a toss around on the effect of the straight back approach in reducing emergency room wait time. On this approach, the patients are immediately moved from the triage to an emergency room treatment area without going through the waiting room. There is need for the tolerant to go though with the little registration procedure and have the patient chart available immediately. With this procedure, the Beaumont Hospital was said to have the satisfaction rating from their patients increased. This also thought to increase the hospitals revenues.

Hospitals are taking measures on reducing the staffing shortages their emergency gob are increasing. Emergency room nurses are much in demand nowadays to cope with the increasing number of sick patients requiring medical attention. we could have as many emergency room nurses, but the key issue is how to yield health care for everybody available at all times with minimal amount of wait.
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Travel and Medicine: Tourist E. R. Nurse

When you’re learning about something new, it’s easy to feel overwhelmed by the sheer amount of relevant information available. This informative article should help you focus on the central points.

As an emergency room nurse ( E. R. nurse ), the opportunity to work in different settings including urgent care centers and emergency departments are always present. A career as an E. R. nurse provides the excitement and adrenaline rush for registered nurses looking for action packed scenes inside the hospital.

Emergency room nurses are especial much in demand and there are numerous ER nurse jobs available in different settings. It may even allow ER nurses to travel to exciting locations.

Emergency nurses would get an average fee ( as of June 2008 ) according to www. nursezone. com is $59, 227. A travelling ER nurse guilt expect to make at least as much or more every year including housing, insurance and other benefit due to the upraised need of their expertise and skills and understaffed facilities.

Travel nursing was developed in response to the nursing shortage. With travel nursing, nurses are relocated for short term nursing positions. Travel nurses are offering incentives ranging from relocation assistance and furnished housing to stipends and bonuses to qualified registered nurses and health professionals.

But there are additional costs of being a traveller. Costs would included additional licensing costs and travelling costs. These costs can be reimbursed based on the company, recruiter and of course, your negotiation skills.

Nurses often dream of combining their medical growth and seeing the world. But a nurse should always be prepared. A successful traveller requires good financial planning, a flexible outlook, knowing what companies and recruiters to deal with and how to negotiate.

Of course, salary considering travel nurses widely varies. Salary is based on the location, longing of the hospital or the nursing unit. Perceived staffing needs by the unit manager and still, on the ability of the traveller to score. Generally, areas in the southern United States pay less than areas in the north or west. Housing costs can also have an collision on the salary as flourishing, since housing can be part of the benefits a travel nurse will receive. In terms of picking out the location an E. R. nurse wants to practice her profession, deb would need to consider the process of applying a nursing license in the state to be assigned.

Currently, 17 states belong the Nursing Licensure Compact. With this Compact, a nurse who is subservient any of these 17 states may practice in other states. They would have to follow the laws and regulations of the state in which they are practicing.

A travelling E. R. nurse is can have a staff position which is frequently in critical care settings. Multifold jobs or positions available as a travel nurse would be in critical care. It is also essential thanks to a registered nurse who wants to be travel nurse to possess background in critical care. Adaptability, rope and capable of easily making friends are also some characteristics present in a travelling E. R. nurse.

Some drawbacks in being a travelling E. R. nurse is that there is often little or no time to get oriented at the new location and forceful from place to lay every three months ( average ). Issues in obtaining licensure and paying taxes are also some major drawbacks in this profession.

A travelling E. R. nurse with this kind of profession would have the chance to meet new nation. She would even have the chance to grow personally and professionally since exposure to different working conditions is inevitable. This opportunity provides a venue in that E. R. nurses to experience different facilities and embellish their medical erudition at the same travel around the country, planate the world! It is the best of both worlds.
There’s a lot to understand about nurses. We were able to provide you with some of the facts above, but there is still plenty more to write about in subsequent articles.

Wanted: E. R Nurses

When you’re learning about something new, it’s easy to feel overwhelmed by the sheer amount of relevant information available. This informative article should help you focus on the central points.

Emergency room nurses are nurses specialized in emergency and disaster situations. They are responsible for giving first or preliminary medication or treatment since patients on critical stage of their illness and injury. Emergency room nurses are noted since their speed, efficiency, ability to multitask and provide medical care. But how can one become an emergency room nurse?

Of course, formal education and training is required to become an emergency nurse. Emergency room nurses should have the comprehension to manage basic life support since they are the ones responsible for the patient while the flood or the physician is unavailable. One interested in becoming an emergency room nurse should equal a graduate from an accredited nursing school. The licenses should imitate legal and in good standing. Emergency room nurses should be willing to engage in nursing Practice Act.

It is important to have at least an experience in emergency medicine. He or bobby-soxer should also have the aptitude to lead in midst of crisis. An 80 percent should be at least achieved on competency tests. A monotonous certification from Advanced Cardiac Life Support or ACLS should also be possessed by the soon – to – put on emergency nurse. Emergency rooms are definitely briskly paced environments. There would be physical demands that an emergency nurse should know how to cope with this. Some of these physical demands are:

1. Lifting 50 lbs.

2. Standing and mobile for stretch periods.

3. Bending, leaning and stooping without any hindrance.

4. Good skill in stress coping

5. Fine motor skills

6. Efficacious attention to details.

7. Working accurately around frequent interruption

Acknowledged would some emergency departments that would require the nurses to possess an RN degree. RN program is two year associate degree program. Advanced proof such as the BSN or Crackerjack of Science in Nursing may be constitutive for supervisory or administrative function related to the emergency department.

The U. S. Bureau of Labor Statistics projected an increase of more than 27 percent in the next decade for emergency room nurses. The American Association of Colleges and Nursing noted that in 2006 there was an average understaffing of emergency room nurses by of 8. 5 percent.

There can be three types of emergency nurses. In the United States, there is a Certified Emergency Nurse ( CEN ) who is a licensed registered nurse. A CEN has already demonstrated know – how in emergency nursing. The Certification is valid for four years and it can be renewed by passing another examination or completing 100 continuing education units in the specialty.

Meanwhile, an Emergency Nurse Practitioner ( ENP ) who are mainly located in United Dominion. And ENP can independently assess, diagnose, investigate and treat wide range of common accidents and injuries. ENPs have undergone a training in advanced nursing which is completely medical in nature. Their training would include taking full medical history and examination, x – ray clue, prescribing, suturing and plastering.

Emergency Care Practitioner, also in United Kingdom, is a specialist nurse or specialist paramedic who works in the pre – hospital setting dealing with emergency problems. The primary responsibility of an Emergency Annoyance Practitioner is to assess, diagnose and treat patient in the home in an emergency setting.

Emergency nurses are very much in sought – after. Healthcare professionals are being needed in numerous hospitals especially emergency departments are experiencing staff shortages. A gang pledge be asked from us if we are decided to become emergency nurses. It can be emergency nursing or other job, whats important is continuous learning with whatever field we have chosen.
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