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hy is the history of emergency nursing so surprising? The transition from "Emergency Room" to "Triangle Stage"
Acute nursing is a specialized field of nursing that focuses on patients who need prompt medical attention to avoid long-term disability or death. As the healthcare system evolves, acute care is no longer limited to addressing "true emergencies" but is increasingly caring for patients who are unable or unwilling to obtain primary care elsewhere. In reality, only a small fraction of patients who visit the emergency department (ED) have true emergencies, such as stroke, heart attack, or major trauma.
"The evolution of emergency care reflects society's changing health needs and advances in medical technology."
As hospitals became more widespread and emergency care emerged, the creation of emergency rooms was an important milestone in this transformation. The earliest emergency rooms were called "first aid rooms," and nursing care at that time focused on dressing wounds, applying eye ointment, treating minor burns, and treating simple illnesses such as colds and sore throats. Guided by the "first come, first served" rule, this meant that many patients who needed emergency treatment did not receive timely attention, which was also the starting point for the initial establishment of the concept of "triage."
The history of triage can be traced back to centuries of war emergency management, but it was not used for the first time in non-disaster emergency departments until 1963 at Yale New Haven Hospital in Connecticut, USA. . Since then, the concept of triage has matured as emergency departments have evolved.
Skills and knowledge of emergency nursing
Emergency nursing requires specialized skills and diverse knowledge. A day in the life of an emergency room nurse is often a test both physically and mentally. They are required to perform a variety of movements such as sitting, standing, walking, stretching, squatting and lifting throughout an eight- or 12-hour shift. Additionally, they must have good manual dexterity, hearing and vision, and an understanding of human development principles, anatomy, physiology and pharmacology.
"Emergency nurses must have excellent adaptability to make accurate judgments and decisions in a rapidly changing environment."
Role of the Emergency Nurse
In the emergency department, emergency nurses assess and monitor patients and manage their care. They need to be prepared at all times to respond to various situations quickly and effectively. The functions that emergency nurses are typically involved in during their work can be divided into five categories: assessment, care planning and management, execution of tasks, communication, and teaching.
Triage nurse
The triage nurse is the first professional in the emergency department and is responsible for performing the initial assessment of patients arriving at the emergency department and assigning them to a triage category based on their findings. This role requires the triage nurse to have quick, accurate physical examination skills and the ability to recognize life threats early.
Emergency Department Billing Nurse
Experienced emergency nurses are assigned as billing nurses or team leaders in the emergency department and are responsible for the operation and process management of the entire clinic.
Challenges of emergency care
Emergency nursing is an exciting but challenging job that often requires responding to unexpected situations and surges in patient volumes. This often causes emergency nurses to face significant physical and mental stress. In some cases, emergency nurses may experience physical and verbal attacks from patients or bystanders, which undoubtedly further increases the hardships of the profession.
ConclusionEmergency nursing is a continually evolving specialty, adapting to modern health needs in terms of technology, roles, and challenges. As an important pillar of this field, emergency nurses shoulder great responsibilities and challenges and provide critical care services to millions of patients. In such a rapidly changing environment, what new challenges and opportunities do future emergency nurses need to be prepared to face?
