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Initial assessment: gaining impressions and 'normal cases'

L Sbaih1

  • 1Manchester Metropolitan University, Department of Health Studies, UK.

Accident and Emergency Nursing
|July 25, 1998
PubMed
Summary
This summary is machine-generated.

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Accident and Emergency (A & E) nurses gain initial patient impressions by understanding

Area of Science:

  • Nursing
  • Emergency Medicine
  • Clinical Assessment

Background:

  • The third paper in a series on Accident and Emergency (A & E) nursing.
  • Focuses on the critical initial assessment phase.

Purpose of the Study:

  • To describe how A & E nurses perform initial patient assessments.
  • To highlight the importance of forming an initial impression.
  • To explore the use of 'normal case' knowledge in assessment.

Main Methods:

  • Observational study of A & E nursing practices.
  • Analysis of initial patient assessment techniques.
  • Qualitative description of clinical reasoning.

Main Results:

  • Initial patient assessment relies on developing a rapid impression.

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  • Nurses utilize established knowledge of 'normal' presentations.
  • This forms the basis for further diagnostic and treatment decisions.

    • Conclusions:

    • Effective initial assessment by A & E nurses is crucial.
    • Leveraging knowledge of 'normal cases' enhances diagnostic accuracy.
    • This skill is fundamental to efficient emergency care.