• Rapid intraosseous vascular access while wearing personal protective equipment 

      Borron, Stephen W.; Montez, Diana F.; Haas, Patti; Philbeck, Thomas; Arias, Juan C. (2011-10-17)
      Purpose: The ability to obtain rapid vascular access for fluid or medication administration is standard of care when working in emergency conditions. Hazardous material incidents require more sophisticated levels of personal ...
    • Triage space redesign to facilitate application of relationship based care 

      Barnard, Amy G. (2011-10-17)
      Purpose: The previous Emergency Department triage space was inadequate to meet the hospital's mission and vision to provide a patient centered focus of care. The Goal established for this project was to create an environment ...
    • Observation Assistants: Sitter Effectiveness and Industry Measures 

      Harding, Andrew D. (2011-10-17)
      [ENA Leadership Conference] Evidence-based Practice Presentation: Observation Assistants: Sitter Effectiveness and Industry MeasuresPurpose: The use of observation assistants (sitters) is a means for direct observation ...
    • Hemolysis of Blood Specimens: Increasing Time in the Emergency Department 

      Young, Sherry; Hiles, Julie (2011-10-17)
      [ENA Leadership Conference] Evidence-based Practice Presentation: Hemolysis of Blood Specimens: Increasing Time In The Emergency DepartmentPurpose: The nurses in a rural Emergency Department (ED) noted an increased ...
    • Retrieving a Reputation: A Story of an ED Turnaround 

      Montesino, Becky (2011-10-17)
      Purpose: The Emergency Department of a large suburban, level 2 hospital has been associated with very long waiting times (an average of 18 hours from presentation to disposition), hallway beds as regular treatment areas ...
    • HIV risk reduction behaviors in adolescent females; The influence of mastery and self-esteem 

      Long-Middleton, Ellen R. (10/27/2011)
      Purpose. The purpose of the study was to test the moderator effect of mastery on the relationship between self-esteem and HIV risk reduction behaviors. Aims. The aims of this study were to: 1) examine the relationships ...
    • Increasing the Compliance of Suicidal and Homicidal Ideation Assessment in the Emergency Center 

      Alford, Dorothy (2011-12-21)
      [ENA Annual Conference 2011 - Evidence-based Practice Presentation]Increasing the Compliance of Suicidal and Homicidal Ideation Assessment in the Emergency CenterPurpose: National Patient Safety Goal 15 A focuses on ...
    • SOS - Save our staff: Designing a safer emergency department 

      Henderson, Amanda; Colen-Himes, Faith (2013-12-09)
      Purpose: Emergency department staff voiced concerns of increased physical and verbal assaults by patients/visitors. Department design and security presence were not optimal. Staff felt ineffective in how to de-escalate ...
    • No hablo Ingles: Emergency department lived experiences of Spanish-speaking patients 

      Steckel, Arleen N.; Bellucci, Danielle; Mount, Julie; Hueber, Dawn; Dowdy, Eileen M.; Zazzera, Erin; Feiler, Mary; Masciello, Susan (2013-12-09)
      Purpose: Few studies have specifically targeted the experience of Spanish-speaking patients in the Emergency Department. Studies have shown that patient populations are growing more diverse. This presents challenges to the ...
    • Saving hearts: Reducing emergency department door-to-electrocardiogram times 

      Huber, Monica; Cline, Kristen; Huether, Robin; McMurphy, Patty; Vogelsang, Paula; Batterman, Tori; Schelhaas, Rebekah (2014-08-04)
      Purpose: The American Heart Association (AHA) recommends that electrocardiograms (EKGs) be obtained on all potential Acute Coronary Syndrome (ACS) patients within ten minutes of Emergency Department (ED) arrival. This ...
    • As simple as 1-2-3: Recruit, respect, retain 

      Howard, Chantal; Flanagan, Leighann; Exterkamp, Laura (2014-08-04)
      Purpose: Poor nurse retention incurs an enormous and often unrecognized cost to an organization which can be measured in more than dollars. Barriers to staff retention include personal life changes, colleague callouts, and ...
    • Time is brain, team is key 

      Howard, Chantal; Flanagan, Leighann (2014-08-04)
      Purpose: The American Heart Association has set 60 minutes as the goal for “door to needle” time for the treatment of Acute Ischemic Stroke. The objective of this quality assurance project was to significantly ...
    • Optimizing emergency department throughput with improved triage processes 

      Bimber, Tammy (2014-08-04)
      Purpose: Triage processes in the emergency department (ED) have a significant impact on patient throughput. Efficient ED throughput is vital to provide safe and high quality patient care and to prevent ED overcrowding. The ...
    • The role of nurses in an interdisciplinary care team responding to mass fatality disasters: Promoting equity and access to care 

      Hassmiller, Susan B; Adams, Lavonne M.; Weeks, Susan Mace (12/19/2014)
      The majority of individuals cared for by international relief organizations responding to multi-fatality disasters are those with limited access to care; therefore, human care inequities are frequently apparent.  This ...
    • Intraosseous and venous blood lactate levels correlate; PT/INR do not 

      Montez, Diana F.; Puga, Tatiana; Miller, Larry; Garcia, Mireya; Davlantes, Chris; Saussy, Juliette; Philbeck, Thomas (2015-02-04)
      Purpose: Intraosseous (IO) vascular access is useful for fluid and medication delivery and blood sampling when intravenous access is difficult or impossible. Serum lactate is a potentially useful biomarker when managing ...
    • Protecting patients against CVC and PIV-related infections: An ED survey 

      Gonzaga-Reardon, Marites; Stults, Jessica; Nuno, Mary Kay (2015-02-04)
      Background: As regulatory requirements related to infection control practices and reimbursement continues to expand, emergency nurses can play a vital role in infection prevention before, during, and after IV therapy. Since ...
    • Triage patient flow redesign in an urban academic emergency department 

      Gonzaga-Reardon, Marites; Altman, Patricia; Valentine, Runay; Serafin, Frederick (2015-02-04)
      Purpose: The purpose of this process improvement project is to evaluate whether the implementation of “Lean approach” interventions in the triage redesign of an urban academic emergency department improves ...
    • Safe transport of telemetry patients with ED RN's - Unintended consequences 

      Schram, Marcia; D'Elia, Ann Marie; Williams, Christine; Tano, Monika; Magris, Noemy Yvette; Ortiz, Monique; Fuentes, Vivian; Bernal, Johanna; San Juan, Maria (2015-02-04)
      Purpose: Maintaining safe transport of telemetry patients from the Emergency Department (ED) by having an ED RN accompany them has become a priority in recent years. Unfortunately, many ED’s do not have the resources ...
    • Post mortem nursing care effectiveness as perceived by mortuary practitioners 

      Hand, Mikel W. (9/3/2015)
      Background: Death is a common event in hospitals. The majority of patients who die receive post mortem nursing care. The interventions used by nurses in providing this are largely derived from tradition rather than empirical ...
    • Optimizing Usability of Electronic Medical Records to Meet and Measure Quality Initiatives 

      Shultz, Sarah E.; Hand, Mikel W. (9/3/2015)
      Purpose: The purpose of this evidence based practice project is to improve usability of the Electronic Medical Record (EMR) to demonstrate consistent compliance with venous thromboembolism (VTE) and heart failure (HF) ...

      Powered by KnowledgeArc