Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association
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The emergency department (ED) education team at the Queen's Medical Centre, Nottingham, has developed a process to promote effective teamwork in major trauma management. To introduce this process to ED staff, the team developed a multiprofessional education and training programme. This article describes the development process, explains how and why it was undertaken, and provides details of the education and training programme. It also highlights the challenges met by the education team during implementation.
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Christmas and New Year festivities notoriously result in increased attendance at emergency departments (EDs). The knock-on effect of this in Solihull, in the West Midlands, is that, when ambulance staff and police accompany patients to hospital, the locality is temporarily under-resourced by these services. To address this problem, a collaborative project was implemented to enable advanced clinical practitioners, with consultant support, to assess, treat and potentially discharge patients from a specially constructed emergency facility situated in Solihull town centre. This has reduced the number of ED admissions and transfers, and resulted in significant cost and time savings for the ambulance service.
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As a result of a merger between NHS Direct in Wales and the Welsh Ambulance Services NHS Trust, an initiative in which nurses assess the presenting symptoms of people who call for emergency services has been launched. This article describes how the initiative has ensured that patients receive the services they need, reduced the number of inappropriate ambulance call-outs and helped the nurses involved to improve their practice.