Emergency Department Plans of Care Incorporating Standardized Nursing Language (NIC/NOC/NANDA)

2.50
Hdl Handle:
http://hdl.handle.net/10755/162863
Type:
Presentation
Title:
Emergency Department Plans of Care Incorporating Standardized Nursing Language (NIC/NOC/NANDA)
Abstract:
Emergency Department Plans of Care Incorporating Standardized Nursing Language (NIC/NOC/NANDA)
Conference Sponsor:Emergency Nurses Association
Conference Year:2003
Author:Delrue, Karen, RN, MSN, CEN
P.I. Institution Name:Spectrum Health, Clinical Nurse Specialist, Emergency Services
Contact Telephone:616/454-6686
Clinical Topic: The objectives for this project were threefold: (a) To develop plans of care that incorporated acuity based protocol based on ENA standards, (b) to address universal issues like anxiety/fear, pain, safety, knowledge, and discharge planning, and (c) to define ED nursing care standards utilizing NIC/NOC/NANDA to both facilitate the continuity of care within the organization and to provide clear expectations for the provision of patient care for ED nursing staff. The plans of care are written for physiological systems, not specific medical diagnosis. The ENA Core Curriculum 5th ed. was used as a primary resource. Implementation: The Emergency Department participated in an organizational re-design project, which incorporated the nursing languages (NIC/NOC/NANDA), as the standard for interdisciplinary documentation. The advanced practice nurse developed the ED plans of care with input from emergency department nursing and physician staff. Documentation forms were changed to support the new practice model. Staff education and support was provided and evaluation and revisions continue. The changes resulted in a written plan of care for every ED patient and the means to evaluate patient progress towards an identified outcome. Outcomes: Several results of the improvement project have been realized: (a) All patients have a documented plan of care; (b) there are written ED nursing "standards" that have clearly defined the expectations of nursing staff. These have been greatly appreciated especially by new ED nursing staff and preceptors; (c) patient progress towards outcomes is documented; and (d) regulatory issues (pain, safety, and knowledge) are easily addressed, documented and tracked. Specific ED outcome data is not currently available due to the recent implementation. Formal data on the impact of the change will be available mid-June. Recommendations: Utilizing the standardized nursing languages in the Emergency Department is providing a succinct method to take nursing assessment data to an identified patient problem, that has an expected outcome and defined nursing interventions that are ED specific. Every ED patient has a written plan of care that covers the regulatory requirements of pain, safety, knowledge and discharge planning as well as an individualized plan for their complaint. Also, the format is a highly efficient tool that provides guidance to the novice practitioner and clearly defines the role of nurses in the ED. By utilizing the "same language," regulatory issues are addressed consistently and communication between emergency department nurses and nurses from other departments in the organization are improved. [Clinical Poster]
Repository Posting Date:
27-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Emergency Nurses Association

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleEmergency Department Plans of Care Incorporating Standardized Nursing Language (NIC/NOC/NANDA)en_GB
dc.identifier.urihttp://hdl.handle.net/10755/162863-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Emergency Department Plans of Care Incorporating Standardized Nursing Language (NIC/NOC/NANDA)</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Emergency Nurses Association</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2003</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Delrue, Karen, RN, MSN, CEN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Spectrum Health, Clinical Nurse Specialist, Emergency Services</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">616/454-6686</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">karen.delrue@spectrum-health.org</td></tr><tr><td colspan="2" class="item-abstract">Clinical Topic: The objectives for this project were threefold: (a) To develop plans of care that incorporated acuity based protocol based on ENA standards, (b) to address universal issues like anxiety/fear, pain, safety, knowledge, and discharge planning, and (c) to define ED nursing care standards utilizing NIC/NOC/NANDA to both facilitate the continuity of care within the organization and to provide clear expectations for the provision of patient care for ED nursing staff. The plans of care are written for physiological systems, not specific medical diagnosis. The ENA Core Curriculum 5th ed. was used as a primary resource. Implementation: The Emergency Department participated in an organizational re-design project, which incorporated the nursing languages (NIC/NOC/NANDA), as the standard for interdisciplinary documentation. The advanced practice nurse developed the ED plans of care with input from emergency department nursing and physician staff. Documentation forms were changed to support the new practice model. Staff education and support was provided and evaluation and revisions continue. The changes resulted in a written plan of care for every ED patient and the means to evaluate patient progress towards an identified outcome. Outcomes: Several results of the improvement project have been realized: (a) All patients have a documented plan of care; (b) there are written ED nursing &quot;standards&quot; that have clearly defined the expectations of nursing staff. These have been greatly appreciated especially by new ED nursing staff and preceptors; (c) patient progress towards outcomes is documented; and (d) regulatory issues (pain, safety, and knowledge) are easily addressed, documented and tracked. Specific ED outcome data is not currently available due to the recent implementation. Formal data on the impact of the change will be available mid-June. Recommendations: Utilizing the standardized nursing languages in the Emergency Department is providing a succinct method to take nursing assessment data to an identified patient problem, that has an expected outcome and defined nursing interventions that are ED specific. Every ED patient has a written plan of care that covers the regulatory requirements of pain, safety, knowledge and discharge planning as well as an individualized plan for their complaint. Also, the format is a highly efficient tool that provides guidance to the novice practitioner and clearly defines the role of nurses in the ED. By utilizing the &quot;same language,&quot; regulatory issues are addressed consistently and communication between emergency department nurses and nurses from other departments in the organization are improved. [Clinical Poster]</td></tr></table>en_GB
dc.date.available2011-10-27T10:35:26Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-27T10:35:26Z-
dc.description.sponsorshipEmergency Nurses Associationen_GB
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