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A tool used in clinic to determine maximum time a patient wait for medical assessment and treatment

   

Added on  2021-04-24

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Running head: EMERGENCY DEPARTMENT 1Emergency CareStudent’s nameProfessor’s nameInstitution AffiliationDate

EMERGENCY DEPARTMENT 2Task 1Australasian Triage scalea).It is a tool used in clinic to determine the maximum time a patient wait for medicalassessment and treatment. It ensures that patients presented to the emergency departmentare attended to according to the clinical earnestness and assigned to the most suitableassessment and treatment section. It consists of five levels according to the patient’sconditions. These include category 1 for patients who needs immediate assessment andtreatment, category 2 for patients who can wait for 10 minutes, category 3 for patients who canwait for 30 minutes, category 4 for patients who can wait for 60 minute and category 5 forpatients who can wait for 120 minutes before assessment and treatment (Ebrahimi, Heydari,Mazlom, & Mirhaghi, 2015). According to the Australasian Triage scale Gail Peters can be put incategory two because she needs to be attended to soonest possible. Gail has osteoarthritis,hypertension and old age which requires attention immediately. Gail also has pain anddistortion on her right leg, she cannot remember event after her fall, multiple scratches on herlegs and hands and alert orientation. This means Gail Peters needs to be assessed and treatedin the shortest time possible. b). I would allocate Gail peters to the intensive care unit in the emergency department. Thereason behind this decision is that, Gail is in severe pain, heart beat rate is below the normalrate, temperature is below normal rate and the blood pressure is slightly below the normal rateaccording to nurse assessment that means she needs serious attention of the nurses. Otherbody conditions like respiratory rate and oxygen level seem to be normal but the othersymptoms contradict the normal body functioning. This is an indication that Gail peters is in acritical condition hence she needs to be allocated in the intensive care unit in emergencydepartment and not just a normal care unit so that she can get immediate and appropriatenursing care. (Marin, Weaver, Yealy & Mannix, 2014).Task 2

EMERGENCY DEPARTMENT 3a). Gail’s primary survey results indicates that she is not in bad state. The body condition isnormal without any impairment. The injuries on the body were not so severe to the extent ofinterfering or alter her body functioning. The Glasgow Coma Scale result are 15/15 meaningthat her brain has mild injuries which can only result in neurological symptoms which aretemporary. Hence there is no need for secondary survey because there is no indication of acuteand severe injuries (Middleton, 2012).b). electrocardiogram- it is a test that is used check whether the electrical activity of theheart is functioning normally or not. It is important to carry out electrocardiogram test for Gailto check whether her heart rhythms are normal. The heart beat rates may be very fast, irregularor very slow. Also, it is important to conduct electrocardiogram test to examine whether thereis heart attack which may cause heart muscles to be damaged (Jeroudi, et al 2015).c). The electrocardiogram strip shows normal sinus rhythm. A normal sinus rhythm is asinus morphology with an upright p waves in lead II biphasic and lead VI. The key features fornormal sinus rhythm are that there are p waves before every Q-wave R-wave S-wave complexand there is sinus morphology. Task 3The specific body systems to conduct focused assessment for Gail peter include;respiratory system, blood pressure, the body temperature, the brain functioning, heart rate andthe affected muscles. It is important to assess about the respiratory rate for the patient toestablish if number of breaths for a full minute is normal in order to know whether there is anyrespiratory distress. Assessment for blood pressure is necessary because the nurse is able toestablish whether the patient has high blood pressure, low blood pressure or the bloodpressure is at its normal rate. Body temperatures may raise above normal due to certainconditions so it is important to measure or to assess whether the patient’s body temperaturesare at a normal rate (Weber, & Kelley, 2013). The nurse needs to assess the patient’s brainsystem to establish whether it is functioning normally or not. The nurse also needs to assess theheart beat rate per minute to establish whether they are slow, irregular, faster or normal. Gailhad pain due to a fall, hence this might have altered her heart beat rate. The skin muscles for

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