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When can cardiorespiratory observations cease after emergency department procedural sedation with titrated IV propofol
220 lung in the terminal stage was waiting for a bed in the emergency department in Taiwan. Gordon’s functional evaluation of health conditions was used as a guide for data collection. Results following nursing assessment showed five health problems—–pain, sleep pattern disturbance, selfcare deficit, anticipatory grieving and hopelessness. Nursing intervention focused on providing individual care and using the techniques of listening, accompanying, respect and empathy. The difficulties related to a short-term period of stay in the hospital and the environmental issues affecting the emergency nursing care will be discussed in the paper. The nursing experience from this study can help emergency nurses who may care for patients in similar cases in the future, perform more effectively. Keywords: Adenocarcinoma; Access block; Emergency nursing doi:10.1016/j.aenj.2007.09.088 When can cardiorespiratory observations cease after emergency department procedural sedation with titrated IV propofol Delia O’Brien∗ , Nerys Brackman∗ , Greg Treston, James Schabort Redcliffe Hospital, Redcliffe, QLD, Australia Procedural sedation for orthopaedic and surgical procedures is performed frequently in the emergency department (ED). Studies have indicated that there is often resistance to the implementation of procedural sedation policies from medical and nursing staff, who fear that the ED will become blocked with patients requiring one-on-one nursing for protracted periods during their recovery from procedural sedation. In the Redcliffe Hospital ED, procedural sedation using titrated IV propofol is commonplace. This presentation will discuss the nursing and medical interventions required for the first 600 patients, and show that nursing observations can be concluded early in the recovery period. Average time to discharge will be shown to be less than one hour from first dose of propofol. Results of the study show that it was not demonstrated that an extended length of time in the emergency department was required to recover these patients from their sedation. No bed block was created in the ED with an increase in the number of procedural sedations.
Abstracts Patient satisfaction with an emergency nurse practitioner service: Results from two metropolitan emergency departments Michelle Grummisch 1,∗ , Grainne Lowe 2 1
Emergency Department, Box Hill Hospital, Box Hill, VIC, Australia 2 Emergency Department, Angliss Hospital, Upper Ferntree Gully, VIC, Australia Background: Introduction of the emergency nurse practitioner role within Eastern Health aimed to improve patient access to care, facilitate patient flow through the emergency department and reduce waiting times for patients presenting with minor illness and injury. However, it is also necessary to ensure that the service provided is of high quality and meets the needs of the patients appropriately. Eastern Health has undertaken a study to measure patient satisfaction with the existing emergency nurse practitioner service at two emergency departments. This study aims to evaluate the quality of care received by patients treated by the emergency nurse practitioner service. Methods: All patients treated by the nurse practitioner or nurse practitioner candidate are to be given a questionnaire designed specifically to evaluate patient satisfaction with the nurse practitioner service. Questions are aimed at evaluating quality of the service under the domains of overall patient satisfaction with the service, satisfaction with communication and quality of information given with regards to the presenting problem, facilitation of support by family and friends and willingness to be treated by the nurse practitioner in the future. The survey also aims to evaluate the quality of a brochure given to all ambulant patients presenting to triage that gives patients a general overview of the emergency nurse practitioner service. Results: As this study is currently in progress, results are expected to be available by July 2007. It is anticipated that the results will show that patients are satisfied with the standard of care they receive when treated by the nurse practitioner. It is also hoped that the results will identify any shortfalls in the quality of care given by emergency nurse practitioners at Eastern Health and to facilitate the promotion and sustainability of the nurse practitioner role at Eastern Health. Keywords: Emergency department; Emergency nurse practitioner; Patient satisfaction doi:10.1016/j.aenj.2007.09.090
doi:10.1016/j.aenj.2007.09.089 Melton Health Urgent Care—–A new direction Megan Hosken Melton Health, Melton, VIC, Australia This poster presentation will feature an overview of the new Melton Health, which is to be opened in February 2006, and a focus on the Urgent Care where a Medical Officer and a Nurse Practitioner deliver health care. Melton Health is unique as it is one of Victoria’s first Super Clinics that provides urgent care, diagnostics, and treatment and follow up care and is an alternative to hospital-based services for same day and outpatient care. These super clinics pro-
Abstracts Patient satisfaction with an emergency nurse practitioner service: Results from two metropolitan emergency departments Michelle Grummisch 1,∗ , Grainne Lowe 2 1
Emergency Department, Box Hill Hospital, Box Hill, VIC, Australia 2 Emergency Department, Angliss Hospital, Upper Ferntree Gully, VIC, Australia Background: Introduction of the emergency nurse practitioner role within Eastern Health aimed to improve patient access to care, facilitate patient flow through the emergency department and reduce waiting times for patients presenting with minor illness and injury. However, it is also necessary to ensure that the service provided is of high quality and meets the needs of the patients appropriately. Eastern Health has undertaken a study to measure patient satisfaction with the existing emergency nurse practitioner service at two emergency departments. This study aims to evaluate the quality of care received by patients treated by the emergency nurse practitioner service. Methods: All patients treated by the nurse practitioner or nurse practitioner candidate are to be given a questionnaire designed specifically to evaluate patient satisfaction with the nurse practitioner service. Questions are aimed at evaluating quality of the service under the domains of overall patient satisfaction with the service, satisfaction with communication and quality of information given with regards to the presenting problem, facilitation of support by family and friends and willingness to be treated by the nurse practitioner in the future. The survey also aims to evaluate the quality of a brochure given to all ambulant patients presenting to triage that gives patients a general overview of the emergency nurse practitioner service. Results: As this study is currently in progress, results are expected to be available by July 2007. It is anticipated that the results will show that patients are satisfied with the standard of care they receive when treated by the nurse practitioner. It is also hoped that the results will identify any shortfalls in the quality of care given by emergency nurse practitioners at Eastern Health and to facilitate the promotion and sustainability of the nurse practitioner role at Eastern Health. Keywords: Emergency department; Emergency nurse practitioner; Patient satisfaction doi:10.1016/j.aenj.2007.09.090
doi:10.1016/j.aenj.2007.09.089 Melton Health Urgent Care—–A new direction Megan Hosken Melton Health, Melton, VIC, Australia This poster presentation will feature an overview of the new Melton Health, which is to be opened in February 2006, and a focus on the Urgent Care where a Medical Officer and a Nurse Practitioner deliver health care. Melton Health is unique as it is one of Victoria’s first Super Clinics that provides urgent care, diagnostics, and treatment and follow up care and is an alternative to hospital-based services for same day and outpatient care. These super clinics pro-