9/20/2023 0 Comments Clinical decisions unit![]() ![]() ‘Medico Cork’ is the communications call sign for the National Maritime Telemedical Assistance Service provided by the ED at Cork University Hospital. The ED provides medical advice and support to vessels at sea. This is reversing the order of seeing patients i.e. A senior doctor and nurse will undertake this for patients who do not require a trolley to be examined. On occasions when the department is overwhelmed, in an attempt to speed up patient flow “fast tracking” is undertaken for patients in the minor category. Patients who are triaged as category 1 or 2 will be transferred to a treatment area where they will be prioritised for treatment before they are transferred to another area of the ED or a different department in the hospital. Some patients will undergo a secondary assessment by a nurse and may be asked to return to the waiting room until a treatment area is available. You will then be asked to return to the waiting room, until a treatment area is available. You will be assigned a triage category based on your medical need and informed of that category. The triage system that is in operation in the department is known as The Manchester Triage System. This system categorises patients into 5 different categories ranging from life threatening injuries and illnesses to problems of a primary care nature. ![]() Triage is a system of prioritising patients so those in most need are seen first. The ANP also has a role in research, education and development of clinical practice.Īll patients that present at the emergency department are first of all assessed by what is known as Triage (preliminary evaluation) which is undertaken by a very experienced Emergency Department nurse. The ANP will identify themselves to each patient when they meet in the department and will be wearing a turquoise coloured uniform with their job title printed on their tunic pocket. In certain circumstances it will be necessary for the ANP to refer patients to other specialties. The ANP service endeavours to provide all care by a single practitioner including assessment, examination, investigation, treatment, arrangement of follow-up and discharge. Minor eye, ear, nose and throat problems.Limb injuries (including sprains, strains and fractures).The ANP service is subject to audit and evaluation and is committed to continual update and development in response to evolving evidence based care and service need.Ĭurrently the ANP service is only available on week days but with plans to expand the service in response to service need it is hoped that these hours can be expanded.Ī sample of the types of injuries and illness cared for by the ANP service includes: The ANP will be educated to master’s degree level (minimum) and have undertaken significant education, training and supervision in clinical examination, investigation and treatment of minor illnesses and injuries prior to receiving national accreditation to practice. The Emergency Department at Cork University Hospital (CUH) was the first health service in the Cork/Kerry region to introduce Advanced Nursing Practice in 2006.Īdult patients (over 16 years old) attending the department with minor injuries and illnesses may be seen by an Advanced Nurse Practitioner (ANP) and have their condition diagnosed and treated by them. ![]()
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