Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association
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It is good to talk, but better to talk and listen. This truism is the subject of this self-help guide, in which the author asserts that talking without listening is merely the first level of interchange. he goes on to explain what it means to listen, and differences of interpretation between men and women.
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This article reports on the implementation of an adapted version of the Manchester triage system (Mackway-Jones et al 1997) in a Dutch hospital to allow trained nurse practitioners to treat patients with minor injuries or illnesses, and to assess, treat and discharge patients autonomously. The project has helped to prevent long waits in emergency departments for patients with less urgent conditions.
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The diverse health needs of patients presenting to emergency department (EDs) are such that precise handovers between staff are critical to ensure all aspects of care are communicated. The handover process in an ED in south western Sydney, Australia, did not always achieve this, so a new approach, in which handovers tak place next to patients, has been developed. This article outlines the background to the change, describes the new system and reports the results of its audit.