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Related Concept Videos

SBAR II: Application of SBAR01:14

SBAR II: Application of SBAR

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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
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Types of Reports III: Telephone and Verbal Reports01:26

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Telephone and Verbal Reports in healthcare settings are two communication methods for conveying therapeutic instructions from healthcare providers to nurses or other healthcare staff.
Here's an overview of each type:
Telephone Orders
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Introduction Cardiac Emergencies01:30

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Cardiac emergencies are critical situations involving the heart that require immediate medical intervention to prevent severe complications or death. These emergencies often arise from underlying heart conditions that impair the heart's ability to function correctly.Types of Cardiac EmergenciesThe most common types of cardiac emergencies include Acute Coronary Syndrome (ACS), myocardial infarction (MI), cardiac arrest, and heart failure.Acute Coronary Syndrome (ACS)Acute Coronary Syndrome (ACS)...
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Cardiopulmonary Resuscitation III: AED Use01:23

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Introduction to AEDAn Automated External Defibrillator (AED) is a portable medical device that analyzes the heart's rhythm and, if necessary, delivers an electrical shock to help the heart re-establish an effective rhythm during sudden cardiac arrest (SCA). SCA occurs when the heart suddenly and unexpectedly stops beating, leading to a loss of blood flow to the brain and other vital organs. In such emergencies, time is of the essence, and using an AED, combined with Cardiopulmonary...
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Methods of Documentation V: CBE01:23

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Charting by Exception, or CBE, is a method of documentation used in healthcare, particularly in nursing, that focuses on documenting only significant or abnormal findings rather than recording every detail. This approach aims to streamline the documentation process, improve efficiency, and ensure that healthcare providers can quickly identify deviations from normalcy in patient assessments.
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Methods of Documentation VII: EMR01:30

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Electronic Medical Records (EMRs) primarily center around electronically documenting patients' health information within a single healthcare organization or practice. They contain essential clinical data related to a patient's medical history, diagnoses, medications, treatment plans, lab results, and other pertinent information relevant to the specific encounter or episode of care. EMRs are designed to streamline documentation and workflow processes within individual healthcare...
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Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
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Is the Emergency Department an Inappropriate Venue for Code Status Discussions?

Daniel G Miller1,2, J Priyanka Vakkalanka1,3, Morgan B Swanson1,3

  • 1Department of Emergency Medicine, 4083University of Iowa Carver College of Medicine, Iowa, IA, USA.

The American Journal of Hospice & Palliative Care
|July 3, 2020
PubMed
Summary
This summary is machine-generated.

Emergency departments (EDs) can effectively facilitate code status discussions (CSDs). A policy mandating code status orders in the ED increased Do-Not-Resuscitate (DNR) preferences identified before admission, without changing inpatient DNR orders.

Keywords:
advance care planningelectronic health recordsemergency departmentemergency medicinequality improvementresuscitation orders

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Area of Science:

  • Emergency Medicine
  • Medical Ethics
  • Health Policy

Background:

  • Historically, Emergency Departments (EDs) were perceived as sites for aggressive, life-prolonging care.
  • Increasingly, EDs are becoming venues for critical care discussions, including code status.

Purpose of the Study:

  • To evaluate the impact of a mandatory code status order (CSO) policy in the ED on Do-Not-Resuscitate (DNR) preferences.
  • To determine if ED-based code status discussions (CSDs) influence patient choices regarding life-prolonging care.

Main Methods:

  • Retrospective analysis of quality improvement data.
  • Comparison of six-month periods before and after policy implementation.
  • Inclusion of patients admitted through the ED.

Main Results:

  • The percentage of patients with DNR preferences identified in the ED pre-admission rose from 0.4% to 5.3%.
  • The rate of defining code status in the ED at admission increased significantly from 2.4% to 98.6%.
  • DNR orders placed during inpatient admission remained statistically unchanged.

Conclusions:

  • The ED is a suitable setting for conducting code status discussions.
  • Mandatory CSOs in the ED increase the identification of patient preferences prior to admission.