Journal of emergency nursing : JEN : official publication of the Emergency Department Nurses Association
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Although major strides have been made with regard to organ and tissue donation, there continues to be a lack of available donors. Currently more than 100,000 persons are awaiting a life-saving transplant, and 1 million others have conditions such as blindness, dermal burns, and malfunctioning heart valves that could be improved with a tissue transplant. Because approximately 40 persons can benefit from just one donor and because many families are comforted knowing that their loved one was able to help others in need, tissue donation efforts are a priority for health care professionals. ⋯ This article discusses the development and implementation of a tissue donation advocacy program in a rural emergency department. Planning, training, and recommendations for others wishing to implement a similar program are highlighted. Preliminary outcome information and planned evaluations are included.
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"Time out for patient safety" is a simple and effective tool to improve communication among caregivers based on the use of critical language that has been effective in the perioperative setting, airline industry, and military. In the emergency department it is non threatening and focuses attention on safe patient care. "Time out for patient safety" complements the use of other standardized communication techniques such as SBAR in clinical situations in which immediate intervention is mandatory for patient safety. ⋯ The concept was well received by the group. Future research is needed to address outcomes for effectiveness.