A nurse working in the emergency department (ED) decides which cubicles to place patients in to be seen by the health care provider
The nurse talks with one patient about the fall he sustained from his motorcycle and whether he is able to move all four extremities independently. What part of the role of the emergency department nurse is this nurse fulfilling? 1. Triage
2. Referral to hospital-identified policies and procedures
3. Following physician orders for admitting a patient
4. Following evidence-based practice
1
Rationale 1: The goals of triage include early and brief patient assessment, assignment of patients to the appropriate care area, and initiation of diagnostic and therapeutic interventions.
Rationale 2: The ED nurse must make on-the-spot decisions about how to prioritize care. There is insufficient time to refer to policy and procedures with each decision.
Rationale 3: The nurse is making an independent nursing judgment regarding which patient has the most urgent need to be seen and which cubicle provides the correct equipment and access.
Rationale 4: As there is no information about where this patient was placed based on the nurse's assessment, it is not possible to tell if evidence-based care was considered.
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