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
Author(s): Lynn Sayre Visser, Anna Sivo Montejano
Publisher: Springer
Year: 2019
Language: English
Pages: 417
Tags: Triage, Emergency Nurses
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
