Advanced Nursing Directives: Integrating Validated Clinical Scoring Systems into Nursing Care in the Pediatric Emergency Department

In an effort to improve the quality and flow of care provided to children presenting to the emergency department the implementation of nurse-initiated protocols is on the rise. We review the current literature on nurse-initiated protocols, validated emergency department clinical scoring systems, an...

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Main Authors: Erin Kate deForest, Graham Cameron Thompson
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Nursing Research and Practice
Online Access:http://dx.doi.org/10.1155/2012/596393
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author Erin Kate deForest
Graham Cameron Thompson
author_facet Erin Kate deForest
Graham Cameron Thompson
author_sort Erin Kate deForest
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description In an effort to improve the quality and flow of care provided to children presenting to the emergency department the implementation of nurse-initiated protocols is on the rise. We review the current literature on nurse-initiated protocols, validated emergency department clinical scoring systems, and the merging of the two to create Advanced Nursing Directives (ANDs). The process of developing a clinical pathway for children presenting to our pediatric emergency department (PED) with suspected appendicitis will be used to demonstrate the successful integration of validated clinical scoring systems into practice through the use of Advanced Nursing Directives. Finally, examples of 2 other Advanced Nursing Directives for common clinical PED presentations will be provided.
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spelling doaj-art-561ef6ff54d04f869b9a5d6735c692622025-08-20T02:04:58ZengWileyNursing Research and Practice2090-14292090-14372012-01-01201210.1155/2012/596393596393Advanced Nursing Directives: Integrating Validated Clinical Scoring Systems into Nursing Care in the Pediatric Emergency DepartmentErin Kate deForest0Graham Cameron Thompson1Pediatric Emergency Medicine, Alberta Children’s Hospital, Calgary, AB, CanadaPediatric Emergency Medicine, Alberta Children’s Hospital, Calgary, AB, CanadaIn an effort to improve the quality and flow of care provided to children presenting to the emergency department the implementation of nurse-initiated protocols is on the rise. We review the current literature on nurse-initiated protocols, validated emergency department clinical scoring systems, and the merging of the two to create Advanced Nursing Directives (ANDs). The process of developing a clinical pathway for children presenting to our pediatric emergency department (PED) with suspected appendicitis will be used to demonstrate the successful integration of validated clinical scoring systems into practice through the use of Advanced Nursing Directives. Finally, examples of 2 other Advanced Nursing Directives for common clinical PED presentations will be provided.http://dx.doi.org/10.1155/2012/596393
spellingShingle Erin Kate deForest
Graham Cameron Thompson
Advanced Nursing Directives: Integrating Validated Clinical Scoring Systems into Nursing Care in the Pediatric Emergency Department
Nursing Research and Practice
title Advanced Nursing Directives: Integrating Validated Clinical Scoring Systems into Nursing Care in the Pediatric Emergency Department
title_full Advanced Nursing Directives: Integrating Validated Clinical Scoring Systems into Nursing Care in the Pediatric Emergency Department
title_fullStr Advanced Nursing Directives: Integrating Validated Clinical Scoring Systems into Nursing Care in the Pediatric Emergency Department
title_full_unstemmed Advanced Nursing Directives: Integrating Validated Clinical Scoring Systems into Nursing Care in the Pediatric Emergency Department
title_short Advanced Nursing Directives: Integrating Validated Clinical Scoring Systems into Nursing Care in the Pediatric Emergency Department
title_sort advanced nursing directives integrating validated clinical scoring systems into nursing care in the pediatric emergency department
url http://dx.doi.org/10.1155/2012/596393
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