Journal of emergency nursing : JEN : official publication of the Emergency Department Nurses Association
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Meta Analysis
Nurses and Efficacy of Ultrasound-guided Versus Traditional Venous Access: A Systemic Review and Meta-analysis.
Ultrasound-guided venous cannulation is an increasingly popular tool for peripheral intravenous catheter placement among nursing providers as opposed to standard of care landmark-based placement methods. This systematic review and meta-analysis assessed the use of ultrasound-guided versus landmark-based catheter cannulation among nursing providers across existing literature. ⋯ This study demonstrated the advantage of nurses' ultrasound-guided venous cannulation over landmark-based cannulation methods for first successful placement, although other outcomes were not significantly different between methods. Additional multisite studies with adequately powered sample sizes are necessary to confirm these findings.
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Randomized Controlled Trial
A Comparison of Two Different Tactile Stimulus Methods on Reducing Pain of Children During Intramuscular Injection: A Randomized Controlled Study.
Pediatric patients in the emergency department often require intramuscular injection procedures, which may lead to pain, fear, and anxiety. The purpose of this study was to test a novel nonpharmacological intervention to reduce needle-related pain in the pediatric emergency department. ⋯ The results of this study support the effectiveness of the Palm Stimulator to reduce perceived pain in children during intramuscular injection administration in the pediatric emergency department.
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Endotracheal intubation is a lifesaving procedure frequently performed in emergency departments. It is associated with some potential risks. Rapid and reliable confirmation of endotracheal tube placement during intubation is critical. Nurses play an important role in the care of patients in various settings. Ultrasound can be performed and interpreted not only by physicians but also by nurses. The aim of this study was to evaluate how well nurses without previous ultrasound experience can determine both esophageal and tracheal localization of endotracheal tubes in cadavers after a short ultrasound training. ⋯ The results support that ultrasound can be performed by nurses for the confirmation for esophageal and tracheal intubations quickly and accurately.
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Observational Study
Periodic Resuscitation Cart Checks and Nurse Situational Awareness: An Observational Study.
The periodic check of the function and integrity of the resuscitation cart is very important to ensure that the cart is prepared for use to provide emergency care to critical patients. Little is known about situational awareness during the periodic inspection of resuscitation carts. The purpose of this study was to measure hospital clinical nurses' situational awareness immediately after completion of a check of the resuscitation cart content and to directly observe and assess the resuscitation cart readiness in the selected hospitals. ⋯ Much work needs to be done, because inadequate situational awareness during the periodic check of the resuscitation cart content can affect patient safety in life-threatening emergencies.