Rapid Access Guide For Triage And Emergency Nurses: Chief Complaints With High Risk Presentations

Description

Rapid Access Guide for Triage and Emergency Nurses: Chief Complaints With High-Risk Presentations is the first pocket-sized clinical manual focusing on patient-driven chief complaints. Designed to assist in rapidly recognizing potential life-threatening or life-altering conditions, this guide can be used in a variety of healthcare settings. Content covers each body system and its most common chief complaints along with first-line questions, assessments, and interventions to prompt the user. Red flag findings, easily identified by the flag icon, denote critical signs and symptoms, while a light bulb icon helps the user locate key tips. The guide includes evidence-based practice guidelines, reference tables, and checklists for at-a-glance retrieval of information. Most chapters contain space for taking notes, inscribing important phone numbers, or pasting facility specific policies and procedures. Key Features: - Common chief complaints with essential tips - Unique patient presentations - Triage processes, clinical red flags, screening tools - Pediatric and older adult considerations - Disaster response - Active shooter or violent situation action steps Cover......Page 1 Title......Page 4 Copyright......Page 5 Contents......Page 8 Reviewers......Page 10 Preface......Page 11 Acknowledgments......Page 12 Abbreviations......Page 14 Share Rapid Access Guide for Triage and Emergency Nurses: Chief Complaints With High Risk Presentations......Page 20 Goals of Triage......Page 21 Level 5......Page 22 The Patient Arrival......Page 23 ED Metrics......Page 24 Priority Setting......Page 25 The Goal of This Guide......Page 26 Chapter Layout (For Chief Complaint Chapters 8 to 25)......Page 27 What This Guide Is......Page 30 STEMI Checklist......Page 31 Suspected Stroke Checklist......Page 32 Suspected Severe Sepsis Screening and Treatment Checklist......Page 34 Red Flag Findings......Page 37 Quick Assessment......Page 38 Vital Sign Tips......Page 39 Mnemonics......Page 40 Remember......Page 41 Pediatric Considerations Resources......Page 42 A–B–C–D–E of the Older Adult......Page 44 Causes of Delirium: DELIRIUM......Page 45 Older Adult Considerations Resources......Page 46 Remember......Page 47 Miscellaneous (Consider NOT Placing in Waiting Room)......Page 48 Precautions: Preventing Spread of Germs......Page 49 Concepts and Definitions......Page 51 Documentation......Page 52 Report to Risk Management......Page 53 Patient Behaviors and Comments......Page 54 Introduction to Chapters 8 to 25......Page 55 Assessment......Page 56 High-Risk Patient Presentations......Page 57 Reassessment......Page 58 Red Flag Findings......Page 59 Key Tips for Respiratory Emergencies......Page 60 Red Flag Findings......Page 73 Key Tips for Cardiac Emergencies......Page 74 Cardiac Emergency Resources......Page 88 Red Flag Findings......Page 95 Key Tips for Neurologic Emergencies......Page 96 Neurologic Emergency Resources (Tables 10.1–10.6)......Page 108 Red Flag Findings......Page 114 Key Tips for Abdominal Emergencies......Page 115 Abdominal Emergency Resources......Page 138 Red Flag Findings......Page 141 Key Tips for Obstetric Emergencies......Page 142 Obstetric Emergency Resources......Page 159 Red Flag Findings......Page 163 Key Tips for Gynecologic Emergencies......Page 164 Gynecologic Emergency Resources......Page 172 Red Flag Findings......Page 173 Key Tips for Male Reproductive Emergencies......Page 174 Red Flag Findings—High-Risk Presentations......Page 185 Key Tips for Behavioral Health Emergencies......Page 186 Red Flag Findings......Page 204 Key Tips for Toxicology Emergencies......Page 205 Red Flag Findings......Page 223 Eye Emergency—Key Tips......Page 224 Red Flag Findings......Page 238 Key Tips for ENT Emergencies......Page 239 Red Flag Findings—High-Risk Presentations......Page 256 Key Tips for Musculoskeletal Emergencies......Page 257 Red Flag Findings......Page 277 Key Tips for Bite and Sting Emergencies......Page 278 Red Flag Findings......Page 294 Infectious Emergency Key Tips......Page 295 Mechanism of Injury Trauma Triage Criteria......Page 309 Special Considerations for Trauma Triage Criteria......Page 310 Key Tips for Trauma Emergencies......Page 311 Trauma Emergency Resources......Page 327 Red Flag Findings......Page 331 Key Tips for Burn Emergencies......Page 332 Burn Emergency Resources......Page 341 Key Tips for Unique Situation Emergencies......Page 343 Resource Numbers......Page 358 Recognition of a Potential Threat......Page 359 Incident Occurs Inside the Facility......Page 361 Suspicious Package or Improvised Explosive Device Discovered......Page 362 Incident Occurs Inside Your Department......Page 363 Stop the Bleed: The Critical First Minutes Post Injury......Page 364 Treating the Bleeding......Page 365 Key Contact Numbers......Page 367 Definitions......Page 368 The General Staff Section......Page 369 Disaster Incidents and Response......Page 370 Recommended Control Zones for Decontamination......Page 372 Donning/Doffing of Level C Ensemble for CBRN* Decontamination......Page 373 Color-Coded Triage System......Page 375 Older Adult Considerations......Page 377 Emergency Management Resources......Page 378 References......Page 391 Additional Reading......Page 393 Index......Page 397