Highlights
FOREWORD
The standards for the emergency nursing specialist identify areas of nursing practice and behaviours that articulate the unique characteristics of the speciality of emergency nursing. The first edition of the Emergency Nurse Specialist Standards was developed to provide insight into and some broad practice guidelines for emergency nursing. The framework and research for these standards was undertaken by the standards sub-committee of the Australian Association of Emergency Nurses (AAEN), with input from many expert emergency nurses. The committees initial efforts are contained within this document, which was transferred to the College of Emergency Nursing Australasia (CENA) in 2003 to continue with standards work and foster continued excellence in this area.
Emergency nursing is a unique and specialised area of practice functioning within a distinct health delivery environment. The Australian emergency care population comprises people from all age groups, socio-economic and cultural backgrounds. Emergency care facilities accept and manage the full spectrum of physical, psychological and social health problems within this broad community. Emergency presentations are episodic and unscheduled. Management ranges from minimal intervention to life saving, advanced life support.
Providing competent, quality emergency nursing care requires specialised knowledge, skills and aptitude. Through clinical experience, postgraduate emergency education programs and research utilisation, emergency nurses acquire a highly developed and uniquely comprehensive generalised knowledge and a diverse range of skills specific to delivering timely, competent emergency care.
1 1 Performance Standard. Provides
a Conan and timely assessment of the undiagnosed patient-Asnbmience Creeds
a. Simultaneously collects and interprets clinical information and presenting problem
b. Identifies clinically relevant presenting symptoms and clinical history to inform assessment and differential diagnosis
c. Assesses and allocates the clinical urgency of all patients presenting to the emergency department. based on the Interpretation of presenting symptoms. clinical findings and relevant medical history to inform the provision of emergency care
d. Identifies deviation from the expected clinical course
e. Identifies potential for deterioration
I. Conducts ongoing timely and appropriate reassessment of patient.
1.2 Performance Standard: Anticipates and instigates appropriate treatment and management strategies for multiple undifferentiated patients within a dynamic environment. Performance Criteria
a. Prioritises the delivery of care for multiple patients in accordance with their clinical urgency
b. Interprets assessment findings to inform treatment and management priorities
c. Prioritises nursing interventions according to presenting patient symptoms and needs
d. Initiates appropriate, timely nursing interventions and coordinates appropriate team response based on presenting history and clinical urgency
e. Provides clinical support and expertise to interdisciplinary colleagues as necessary
f. Facilitates patient management and flow through the emergency department to ensure undifferentiated patients are cared for in an appropriately equipped clinical area.
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