Such Tasks Require A Multidisciplinary Approach

My area of practice is accident and emergency care. We Can Write Custom Essays on Area of Practice for You! Proper triage is a prerequisite for optimizing care in busy emergency departments. The Australasian triage scale (ATS) is a standard means of categorizing new admissions by prescribing maximum waiting time. As defined by the Australian College for Emergency Medicine (2000), patients can be ranked using five ascending scales between ATS1 to ATS5, which imply waiting time of 1 to 10, 30, 60 and 120 minutes, respectively. The triage is based on a battery of clinical indications, which define the critical interventions needed for patients who might be presented simultaneously in an emergency department. The patient population who I cared for are patients who have been assigned a triage category of ATS 3-5. The cases varied significantly and included medical, surgical, orthopaedics, gynaecology, plastics, trauma, preventative care and other disorders. Some patients were bright into the unit by ambulance, whereas others were able to walk in independently. Due to the limitations imposed on my practice (see below), I handed only patients aged 13 and above.

As a member of the nursing staff, I carried on a wide array of tasks, including comprehensive health history, physical examination, clinical assessment, differential diagnoses and planning of care. Such tasks require a multidisciplinary approach, since the interventions (in terms of both pharmacological and non-pharmacological measures) relate to different medical disciplines. Apart from being highly challenging, this aspect of my practice was also very rewarding, as I constantly interacted not only with generalists, but also with specialists from diverse professional backgrounds. In addition to following general and case-specific instructions, my responsibilities included deep acquaintance and constant vigilance in regard to life threatening clinical situations, including the initiation of essential care immediately after onset. In order to reduce the risk from employing an inexperienced staff member, I was excluded from caring for patients with ATS1 and 2, as well as below 13 years of age. It should be noted, however, that the tasks and responsibilities allocated to nurses might vary among regions and departments, as well as according to the individual nurse’s level of qualification. Independent prescribing for NPs has now been recognized as the preferred model in New Zealand, and as such requires designated mechanisms of education and licensing.

Most of the responsibility for ensuring a successful implementation of NPs in the country falls within the premise of the Nursing Council of New Zealand (NCNZ), the regulatory authority responsible for the registration of nurses. NCNZ’s principal purpose is to look after the health and wellbeing of members of the community by assuring that nurses are capable and fit to practice. The NCNZ has set several thresholds for the qualification of NPs, including a master’s degree (or equivalent) as well as 4 to 5 years of experience in a specific area of practice. Training programs must include comprehensive knowledge of pathophysiology, advanced methods of assessment, pharmacology, nursing research and practicum. 1. Professional responsibility and leadership: knowledgeable and skilled professional performance, including the ability to enhance patients’ and colleagues’ cooperation to optimize the outcomes of care. Typical indicators here are communication and follow-up activities, participation in joint efforts to promote health in the community and beyond (e.g., on the national level) and implementing novel methods of measurement and treatment. 2. Management of nursing care: professionalism in proving direct patient care.

4. Prescribing practice: thoughtful and professional execution of the prescribing rights given to NPs, including understanding the nature, the use and the risks embedded in the clinical situation and pharmacological intervention in question. By virtue of its role in the contemporary healthcare system, the Emergency department has the most heterogeneous array of tasks, in terms of both the patient population and the variety of clinical situations presented for care. Patients who will proceed from this point to most other departments will find a different reality, facing physicians and nurses practicing in highly specialized units. Similarly, the healthcare system as a whole adhere specialization and professional focus as a means to solve the scarcity of resources (first and foremost human capital), whereas the demand for healthcare services is soaring. Comprehensive utilisation of NPs allows hospitals to ensure adequate care despite clear human resource shortages and overcrowding in their Emergency departments. Corker and Kellepourey (2008) report that as many as 30% of the patients present in the Emergency department can be handled by NPs instead of physicians, while retaining patients satisfaction and compliance. The influence of emergency NPs on patient outcomes grows both quantitatively and qualitatively, with considerable contribution to the clinical and nonclinical (e.g., efficiency) operations of Emergency departments. These roles and indications from recent decades imply growing expectations from the emergency NP. All free online essays, sample essays and essay examples on Area of Practice topics are plagiarized and cannot be completely used in your school, college or university education. We work with experienced PhD and Master’s freelance writers to help you with writing any academic papers in any subject! We guarantee each customer great quality and no plagiarism!