International emergency nursing
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Observational Study
Recognition, response and outcomes of sepsis: A dual site retrospective observational study.
To describe clinical recognition, response and outcomes of patients with sepsis. ⋯ Sepsis can develop at various stages throughout the patient's journey. In this small sample, ED recognition was associated with longer ED stay, likely due to more interventions. Whilst guidelines recommend antibiotics be administered within 60 min of triage, this was not achieved for most patients. Given the dynamic nature of sepsis, future indicators may focus on time from recognition rather than time from triage.
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Observational Study
Workload Indicators of Staffing Need as a tool to determine nurse staffing for a high volume academic Emergency Department: An observational study.
Determination of staffing requirement for an Emergency Department (ED) is often difficult due to random arrivals of a complex mix of cases, fluctuating volumes and lengths of stay. Most staffing strategies are based on patient census, lengths of stay, patient dependency or patient classification systems. However, the actual quantity of workload is seldom employed as a basis to calculate staffing. ⋯ The Workload Indicators of Staffing Need is a simple, easy to use method that can prospectively measure direct and indirect nursing activities and translate workload into nursing full time equivalents for the ED. This method is also useful to identify activities that do not require nursing professional skills and prescribe the skill mix of staff.