Triage nurse‐initiated X‐rays for limb injuries are accurate and efficient

Kelly, Anne‐Maree; McCarthy, Sandy; Richardson, Sally; Parris, W; Kerr, A. B.

doi:10.1111/j.1442-2026.1995.tb00211.x

Cited by 15 publications

(7 citation statements)

References 1 publication

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The results of Kelly, McCarthy, Richardson, Parris, and Kerr (1995) suggested that the average timesavings for the patient could be in the order of 45 min. Others studies found that the timesavings for patients ranged from 8 to 60 min when nurses initiated radiographs at the point of triage (Davies, 1994, Macleod & Freeland 1992Parris et al, 1997).…”

Section: Wait Times: Patient and Staff Satisfactionmentioning

confidence: 96%

Requesting Wrist Radiographs in Emergency Department Triage

Streppa

Schneidman

Biron

2014

Advanced Emergency Nursing Journal

View full text Add to dashboard Cite

Crowding is extremely problematic in Canada, as the emergency department (ED) utilization is considerably higher than in any other country. Consequently, an increase has been noted in waiting times for patients who present with injuries of lesser acuity such as wrist injuries. Wrist fractures are the most common broken bone in patients younger than 65 years. Many nurses employed within EDs are requesting wrist radiographs for patients who present with wrist complaints as a norm within their working practice. Significant potential advantages can ensue if EDs adopt a triage nurse-requested radiographic protocol; patients can benefit from a significant time-saving of 36% in ED length of stay (M. Lindley-Jones & B. J Finlayson, 2000)— when nurses initiated radiographs in triage. In addition, the literature suggests that increased rates of patient and staff satisfaction may be achieved, without compromising quality of radiographic request or quality of service (W. Parris,S. McCarthy, A. M. Kelly, & S. Richardson, 1997). Studies have shown that nurses are capable of requesting appropriate radiographs on the basis of a preset protocol. As there are no standardized set of rules for assessing patients, presenting with suspected wrist fractures, a training program as well as a diagnostic algorithm was developed to prepare emergency nurses to appropriately request wrist radiographs. The triage nurse-specific training program includes the following topics: wrist anatomy and physiology, commonly occurring wrist injuries, mechanisms of injury, physical assessment techniques, and types of radiographic images required. The triage nurse algorithm includes the clinical decision-making process. Providing triage nurses with up-to-date evidence-based educational material not only allowed triage nurses to independently assess and request wrist radiographs for patients with potential wrist fractures but also strengthening the link between competent nursing care and better patient outcomes. A review of the literature also found that such initiatives increase patient and staff satisfaction as well as promoting efficient use of right staff at the right time.

show abstract

Section: Wait Times: Patient and Staff Satisfactionmentioning

confidence: 96%

Requesting Wrist Radiographs in Emergency Department Triage

Streppa

Schneidman

Biron

2014

Advanced Emergency Nursing Journal

View full text Add to dashboard Cite

show abstract

“…Hence, the number and timing of laboratory-confi rmed cases were unrepresentative of the wider outbreak. In contrast, laboratory-supported infl uenza surveillance undertaken in parallel with diagnostic testing provided monitoring of the course of the outbreak relatively free of these effects ( Figure 1) and, as described elsewhere, enabled direct comparison of the outbreak with >10 years of seasonal infl uenza (3,7,8).…”

Section: Outbreak Monitoringmentioning

confidence: 99%

Reality Check of Laboratory Service Effectiveness during Pandemic (H1N1) 2009, Victoria, Australia

Catton¹,

Druce²,

Papadakis³

et al. 2011

Emerg. Infect. Dis.

View full text Add to dashboard Cite

show abstract

“…Hence, the number and timing of laboratory-confirmed cases were unrepresentative of the wider outbreak. In contrast, laboratory-supported influenza surveillance undertaken in parallel with diagnostic testing provided monitoring of the course of the outbreak relatively free of these effects (Figure 1) and, as described elsewhere, enabled direct comparison of the outbreak with >10 years of seasonal influenza ( 3 , 7 , 8 ). …”

Section: Outbreak Monitoringmentioning

confidence: 99%