ER Nursing

Prepared by: Rhalf Anthony C.
Tenorio, RN
• Objective
• Concept of Emergency Nursing
• Principles of Emergency Nursing
• Scopes of Emergency Nursing
• Required Classification for Nursing
• Medical Emergencies
Learning Objectives
At the end of this course,
• Students will be able to discuss the basic
principles of emergency nursing care.
• Students will be able to perform different roles of

a Emergency Department Nurse.
• Students will be able to prioritize action

according to the needs of the situation.
Learning Objectives
• At the end of this course,
• Students will be able to provide effective
emergency care for the patient
• Students will be able to communicate

effectively with patients and their families and
other colleagues.
Definition of Terms
• Emergency has been defined as a condition
determined clinically or considered by the
patient or his/her relatives as requiring urgent
medical services, failing which, it could result
to loss of life or limb – WHO
• Emergency is defined as unforeseen

combination of circumstances which call for
immediate action
Definition of Terms
• Medical Emergency is a situation when patient
requires urgent and high quality medical care
to prevent loss of life or limb and/or to initiate
action for the restoration of normal healthy
life.
• It is an injury or illness that is acute and

possess an immediate risk to person’s life.
Emergency Nursing
• Is a specialty within the field of professional
nursing focusing on the care of patients who
require prompt medical attention to avoid
long term disability or death
• The Key difference is that an Emergency Nurse

is skilled at dealing with people in the phase
of when diagnosis is not yet been made and
the cause of the problem is not yet known
Principles of Emergency Nursing
• Establish a patent airway and provide
adequate ventilation
• Evaluate and restore cardiac output by
controlling hemorrhage and its consequences,
preventing and treating shock and maintaining
or restoring effecting circulation
• Determine the patient patient’s ability to
follow commands and evaluate motor skills
and papillary size and reactivity
Principles of Emergency Nursing
• Carry out a rapid initial and ongoing physical
examination
• Start Cardiac Monitoring
• Protect and clean wounds, apply sterile
dressing
• Identify allergies and medical history that is
significant
• Document the vital sign, neurologic status and
intake and output
Principles of Emergency Management
• Early Detection
• Early Reporting
• Early Response
• Good on scene care
• Care During Transport
• Transport to definitive care
Scopes of Emergency Nursing
• "ER overcrowding is a growing and severe
problem" - Require crisis intervention
worldwide
• The patient population presenting Emergency

Department spans the age continuum from
neonates to geriatics
• Emergency Nurses must be ready to treat a wide
variety of illnesses or injury situations, ranging
from the sore throat to the heart attack
• Is a specialty area of the of the nursing profession

like no other. To provide quality patient care of
the for people of all ages, emergency nurses must
possess both general and specific knowledge
about health care to provide quality patient care
for all ages.
• Nursing Interventions are accomplished
interdependently in consultation with or
under the direction of a physician.
• The emergency room staff work as a team

Training and Qualifications
• Basic Life Support (BLS)
• Advanced Cardiac Life Support (ACLS)
• Pediatric Advanced Life Support (PALS)
• Advanced Trauma Life Support ( ATLS)
• Advanced Trauma Nursing Course (ATNC)
• Mobile Intensive Care Nurse (MICN)
Role of Nurses
• Patient Care
• Education
• Collaborative Task
• Leadership and Management
• Triage
Triage
• It is the process of determining the priority of
patients‘ treatments based on severity of their
condition.
• Triage nurse is responsible for assessing patients

and determining their need for medical
assistance. The criteria used to evaluate a patient
include types of injury or illness, its severity,
symptoms, patient explanation of emergency and
vital signs
EMERGENT VS URGENT
• Emergent care is medical care that directly
addresses threats to life or limb or eyesight
• Urgent care is considered when it is not life

threatening but requires care in a timely
manner
Assess and Intervens
• Primary Survey Secondary
A – Airway E - Exposure
B – Breathing F - Full set of VS
C – Circulation G – Give Comfort
D – Disability H – History collection
I - Inspect the post
surface
AMPLE Survey
A – Allergies
M – Medical History
P – Past Health History
L – Last Meal
E – Events/Environmental preceding illness or
injuries
Emergency Cases
• Cardiac Emergencies
• Neurological Emergencies
• Pulmonary Emergencies
• Shock (Anaphylaxis, Hypovolemic)
• Trauma
• Poisoning
• Burn
• Hypo/Hyperglycemic Crisis
TRAUMA
Emergency Nursing Process
• Assessment - First and Secondary Survey
• Planning – control the bleeding and maintain
blood volume and prevent infection
• Intervention
– Cleanse the wound
- Apply Compression on external bleeding
- Insert Large bore IV Line if needed insert another
Line
- Diagnostic Exam
- Maintain NPO
Emergency Nursing
• Intervention
– Tetanus Prophylaxis and antibiotics
- Prepare for surgery
• Evaluation
- Reassess the patient before transferring the
patient to the room

ER Nursing

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Prepared by: Rhalf Anthony C.

• Students will be able to perform different roles of

• Students will be able to prioritize action

• Students will be able to communicate

• Emergency is defined as unforeseen

• It is an injury or illness that is acute and

• The Key difference is that an Emergency Nurse

• The patient population presenting Emergency

• Is a specialty area of the of the nursing profession

• The emergency room staff work as a team

• Leadership and Management

• Triage nurse is responsible for assessing patients

• Urgent care is considered when it is not life

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