By Carol Rutenberg & M. Elizabeth Greenberg
According to present perform, nursing conception, examine and adventure, those authors current a balanced, common sense, reality-based method of the perform of mobile triage nursing. This ebook is a must-read for everybody operating within the fields of ambulatory care and telehealth nursing, from supervisor to educator or front-line nurse. Physicians, directors and others curious about the supply of care over the phone also will locate this a useful source in realizing the perform of mobilephone triage nursing. This booklet has been counseled by means of the yankee Academy of Ambulatory Care Nursing (AAACN).
TABLE OF CONTENTS
Foreword
Introduction
1. cell Triage as a automobile for Nursing Care within the twenty first Century
2. The foundation and Evolution of cellphone Triage
3. Misconceptions approximately mobilephone Triage
4. cell Triage as expert Nursing Practice
5. Nursing law and Scope of Practice
6. versions Directing the perform of phone Triage
7. choice Making in mobile Triage
8. medical perform half I: The sufferer Interview
9. medical perform half II: facing tough Situations
10. scientific perform half III: sufferer Assessment
11. medical perform half IV: Use of selection help instruments and Documentation
12. probability administration and customary Pitfalls in cellphone Triage
13. caliber in mobilephone Triage
14. software layout and Implementation half I: Organizational tradition and Staffing
15. software layout and Implementation half II: entry, name circulate, and coverage improvement
16. most sensible Practices
17. commonly asked Questions
Epilogue: the longer term Is Now
Appendix A: forums of Nursing Survey concerning Nursing rules and Scope of perform in mobilephone Triage
Appendix B: mobilephone Triage coverage handbook define
Index
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Example text
However, this scenario illustrates one reason nurses might tend to over-rely on decision support tools. In an effort to control practice and reduce risk, organizations with policies promoting inflexible application of decision support tools potentially stifle critical thinking and diminish the role of clinical judgment. RNs and health care executives must realize the use of medically approved decision support tools does not relieve the RNs of accountability for their decision making. ) Meanwhile, with the proliferation of formalized telephone triage services (usually in call center settings), those responsible for organizing and managing these programs looked to the non-medical call center industry for direction.
With this new practice, there was a steep learning curve for the health care industry. During this time patients were offered alternatives and even occasionally denied access to the EDs by telephone triage nurses who believed the patient’s condition didn’t warrant that level of care. Although the intent was to save money and manage the demand on health care resources, attempts to keep patients who were perceived to be of low acuity out of the EDs often resulted in a delay in care which eventually led to increased costs, poor outcomes, and occasionally, litigation.
The lack of ownership and direction from the nursing profession has further increased the chasm between what we’re doing and what we ought to be doing. In other words, there is a disconnect between nursing theory and actual clinical practice. 27 The Art and Science of Telephone Triage SUMMARY Lack of clear direction from nursing has helped perpetuate misconceptions about telephone triage. In Chapter 3 we will discuss many of these misconceptions because they must be put to rest before we can move forward.