hellow ,, I need your help to solve(answer)this question,pleasd? It is after midnight and you are dispatched to "laceration to the arm" you arrive to find a young man who tells you he was cut. you notice that his bleeding is controlled, and his vital signs are within acceptable ranges.As you apply dressing to his wound, another dispatch comes over radio for " unconscious assault victim, police officers on the scene." you are one block away. what do you do?
Esme12, ASN, BSN, RN 4 Articles; 20,908 Posts Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma. Has 43 years experience. Sep 24, 2013 Are you in nursing school? What country are you in? Nurses in the US for the most part are not out in the community. This is an emergent triage questions. I do not know the legalities in other countries and leaving the side of one patient for another.....in the US another ambulance would be called.However...If you think about this according who needs the help the most with the highest acuity....about your ABC's ........which one appears less acute? The patient awake and alert with a superficial laceration?? or the patient beaten unconscious and possibly unable to maintain their airway?Who needs the medical attention more?
sama alghad 17 Posts Sep 24, 2013 I am emergency nursing,,from palestine,,but we are studying your bookso i want clear answerwhat i can do ,,I think thatI should complete dressing for first one to prevent worsining in his condition,, and mal report for vital sign(make calling to health provider)then go to another one,,what are you think?
Esme12, ASN, BSN, RN 4 Articles; 20,908 Posts Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma. Has 43 years experience. Sep 24, 2013 You are right....but the laws are different here and our emergency nurses are in the hospitals they are not in the streets. If these two patients come into the triage area of the hospital the patient with the laceration would get a quick set of vitals and a drsg...they would be told to wait and the more acute/critical of the two...the unconscious one...would be seen first and taken into the emergency apartment. Our ER nurses are not out in the streets....If they were they would finish with the superficial laceration quickly and go to the more critical of the two patients which would be the unconscious patient
sama alghad 17 Posts Sep 24, 2013 that is mean (at begining i must finish the dressing then go to fastly to unconscios one)
Esme12, ASN, BSN, RN 4 Articles; 20,908 Posts Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma. Has 43 years experience. Sep 24, 2013 I don't know the protocols in Palestine....I would finish with the patient quickly....quick vitals, drsg, follow protocol set fourth by your facility/area/where you live and move to the more critical patient. Yes.
sama alghad 17 Posts Sep 24, 2013 we study your protocol,so what I said is true as your protocol.thanks alot for your helpingwith my best wishes
Esme12, ASN, BSN, RN 4 Articles; 20,908 Posts Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma. Has 43 years experience. Sep 24, 2013 Yes ...it is true of triage protocol....((HUGS))All the best to you as well!!!!
Esme12, ASN, BSN, RN 4 Articles; 20,908 Posts Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma. Has 43 years experience. Sep 24, 2013 LOLOLOL.....welcome to AN!
203bravo, MSN, APRN 1,204 Posts Sep 24, 2013 this sounds more like a paramedic question --- especially since there is dispatch and you are a block away --- i can tell you from a medic standpoint.. you do not abandon your current pt for another.... however, some of these specifics may be covered by state EMS laws.thus as illogical as it may sound -- you would not leave the laceration for the unconscious. you would stabilize and transport the patient that you have made patient contact with.. the patient/physician relationship has been established once a paramedic arrives on scene.
Esme12, ASN, BSN, RN 4 Articles; 20,908 Posts Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma. Has 43 years experience. Sep 24, 2013 this sounds more like a paramedic question --- especially since there is dispatch and you are a block away --- i can tell you from a medic standpoint.. you do not abandon your current pt for another.... however, some of these specifics may be covered by state EMS laws.thus as illogical as it may sound -- you would not leave the laceration for the unconscious. you would stabilize and transport the patient that you have made patient contact with.. the patient/physician relationship has been established once a paramedic arrives on scene.I found the question difficult as the student is in Palestine (the country)...the state EMS laws don't apply outside of the US.....and US nurses are not usually outside of the hospital setting working the streets.
