Journal of emergency nursing : JEN : official publication of the Emergency Department Nurses Association
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Review Case Reports
Case management and the expanded role of the emergency nurse.
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Many patients utilize hospital emergency services for non-emergent care. The lack of access to primary care providers, lack of insurance, and lack of information about when to use the emergency department have contributed to the crowding of emergency departments with non-emergent cases. Crowding has created longer wait times and an increased number of people leaving without a medical screening examination. ⋯ One identified need was the development of a protocol that addressed the timely staffing of the satellite area to improve stable patient flow. A volume-driven protocol was developed and implemented through the use of published evidence focused on essential endpoints of measurement. The process used for the development, implementation, and evaluation of the protocol was the Iowa Model of Evidence-Based Practice.