Journal of emergency nursing : JEN : official publication of the Emergency Department Nurses Association
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Review Meta Analysis
The Effect of Family Presence During Resuscitation and Invasive Procedures on Patients and Families: An Umbrella Review.
The concept of family presence during resuscitation and invasive procedures is a controversial issue and has not been universally adopted by health care providers. Owing to the sheer number of studies in this field, we conducted this umbrella study to provide an overview of this concept with the aim of investigating the impact of family presence on patients, families, and resuscitation and invasive procedures. ⋯ The presence of parents and other immediate family members during resuscitation and invasive procedures has positive impacts on patients, families, and health care staff.
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To evaluate the empiric therapy prescribed for acute uncomplicated cystitis in the outpatient setting (emergency department and ambulatory care clinics) and to characterize uropathogens for discordance between the therapy prescribed and susceptibility. ⋯ Most of the cases of acute uncomplicated cystitis at the subject institution can be managed safely and effectively with nitrofurantoin or first-generation cephalosporins. Institutions should use national guidelines in conjunction with local resistance and prescribing patterns to improve antibiotic prescribing in the outpatient setting.
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Nurses are the primary clinicians who collect specimens for respiratory tract infection testing. The specimen collection procedure is time and resource-consuming, but more importantly, it places nurses at risk for potential infection. The practice of allowing patients to self-collect their diagnostic specimens may provide an alternative testing model for the current COVID-19 outbreaks. The objective of this paper was to evaluate the accuracy and patient perception of self-collected specimens for respiratory tract infection diagnostics. ⋯ As we continue to explore for testing models to combat the COVID-19 pandemic, self-collected specimens is a practical alternative to nurse specimen collection.
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A cesarean scar pregnancy is a rare, life-threatening obstetric emergency. Early recognition and prompt treatment of cesarean scar pregnancy is essential because of the risk for long-term reproductive complications associated with this condition. ⋯ This manuscript outlines the case of a patient presenting to the emergency department with a cesarean scar pregnancy that was promptly recognized and treated. It is important for emergency nurses to quickly recognize the risk factors and clinical presentation of a cesarean scar pregnancy to reduce maternal morbidity and mortality.
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Observational Study
A Time and Motion Analysis of Nursing Workload and Electronic Health Record Use in the Emergency Department.
The use of an electronic health record may create unanticipated consequences for emergency care delivery. We sought to describe emergency department nursing task distribution and the use of the electronic health record. ⋯ We observed that emergency nurses spent more time using the electronic health record as compared to other tasks. Increased usability of the electronic health record, particularly during high occupancy periods, may be a target for improvement.