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Related Concept Videos

Nursing Assessment01:29

Nursing Assessment

9.7K
The two sources for collecting information are primary and secondary. After gathering information, interpretation and validation help to complete the data. The purpose of assessment is to establish data with the initial information, to interpret data about the patient's perceived needs and health problems, and to respond to these problems identified.
The nurse collects all aspects of the patient's health in the initial assessment, establishing priorities for ongoing focused assessments...
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Acute Coronary Syndrome V: Nursing Management01:26

Acute Coronary Syndrome V: Nursing Management

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Nursing Assessment:Nursing management of acute coronary syndrome (ACS) involves taking the patient's history, focusing on primary complaints such as chest pain, dyspnea, and excessive sweating (diaphoresis), as well as other symptoms like back or jaw pain, nausea, vomiting, palpitations, dizziness, and fatigue. The nurse also reviews the patient's history of cardiac events, risk factors such as hypertension, diabetes, smoking, family history, and current medications.In the objective assessment,...
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Cardiomyopathy VII: Pre and Post Operative Nursing Management01:28

Cardiomyopathy VII: Pre and Post Operative Nursing Management

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Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
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Assessment of the Abdomen II: Percussion01:18

Assessment of the Abdomen II: Percussion

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Percussion is a fundamental technique used to assess the liver, spleen, and abdominal organs by tapping the abdomen and interpreting the resulting sounds. This method helps identify fluid, distention, and masses through variations in sound, such as the high-pitched tympany of air-filled areas and the dullness of solid masses. Understanding how to percuss these organs provides valuable information for healthcare professionals in diagnosing conditions early.
Percussion
Percussion is an essential...
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SBAR II: Application of SBAR01:14

SBAR II: Application of SBAR

6.8K
SBAR is an effective communication tool used by healthcare professionals to communicate patient information accurately. SBAR stands for Situation, Background, Assessment, and Recommendation. For a better understanding, an example is given below.
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
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Assessment of the Abdomen I: Inspection and Auscultation01:25

Assessment of the Abdomen I: Inspection and Auscultation

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Introduction
The abdominal examination is a cornerstone of clinical medicine, serving as a critical tool in diagnosing various gastrointestinal (GI) diseases. It involves a systematic approach that includes inspection and auscultation, each with distinct yet complementary roles in assessing the abdomen. This article will delve into these two primary methods healthcare professionals use to examine the abdomen.
Inspection of the Abdomen
The first step in any abdominal examination is inspection....
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Acuity Assessment in Obstetrical Triage.

Robert J Gratton1, Neila Bazaracai2, Ian Cameron2

  • 1Department of Obstetrics & Gynaecology, Schulich School of Medicine & Dentistry, University of Western Ontario, London ON; London Health Sciences Centre, London ON.

Journal of Obstetrics and Gynaecology Canada : JOGC = Journal D'Obstetrique Et Gynecologie Du Canada : JOGC
|April 2, 2016
PubMed
Summary
This summary is machine-generated.

The Obstetrical Triage Acuity Scale (OTAS) demonstrates reliable and valid use in assessing obstetric patient acuity across different hospital settings. This standardized tool improves patient care and flow.

Keywords:
Obstetrical triagereliabilityvalidity

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Area of Science:

  • Obstetrics and Gynecology
  • Healthcare Quality Improvement
  • Nursing Practice

Background:

  • Standardized assessment tools are crucial for effective obstetric triage.
  • Existing tools may lack comprehensive validation or inter-institutional applicability.
  • The Obstetrical Triage Acuity Scale (OTAS) was developed to address these needs.

Purpose of the Study:

  • To evaluate the inter-rater reliability (IRR) and intra-rater reliability (ITR) of the Obstetrical Triage Acuity Scale (OTAS) in tertiary and community hospitals.
  • To establish the validity of OTAS by correlating acuity levels with resource utilization.
  • To present the first revision of OTAS, incorporating expert recommendations.

Main Methods:

  • Nurses from three hospitals (tertiary and community) assessed clinical scenarios using OTAS for IRR.
  • A subset of nurses at the tertiary site were retested after nine months to determine ITR.
  • Validity was assessed by correlating OTAS acuity levels with laboratory tests, ultrasound use, nursing workload, and provider attendance.

Main Results:

  • OTAS demonstrated significant and comparable IRR across different hospital settings.
  • Significant ITR was confirmed in a repeated assessment cohort.
  • OTAS acuity levels showed significant correlations with various resource utilization measures, including investigations, workload, and provider attendance.
  • The scale was revised with four new acuity modifiers.

Conclusions:

  • OTAS is the first obstetrical triage scale with proven reliability and validity.
  • It facilitates standardized acuity assessments within and between healthcare institutions.
  • The scale supports improved patient care and flow management based on acuity.