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Emergency Severity Index Exam 2024/2025 Questions With Completed & Verified Solutions.
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Emergency Severity Index Exam 2024/2025 Questions With Completed & Verified Solutions.
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Emergency Severity IndexNecessary Skill needed for emergency nursing - ANS Anticipation
To the patients you are looking for
To the team with whom you are working emergency care is a team of pursuit
*Fundamental to this process is knowing the patient outcome, seeing how they are progressing
and establishing whether your identification of their problems was correct or not.
Initial Assessment - ANS Do a rapid head-to-toe visual scan of the patient. Look at: -respiratory
rate and effort
-pallor
-positioning
-perfusion
-hemorrhage-visible signs of blood loss -signs of distress-physical and psychological
*Do not forget the history-the clues to what is wrong with your patient will be in what has
happened. Listen to those who have brought the patient to the ED.
Teamwork - ANS Multidisciplinary teamwork is fundamental to successful emergency care. For
effective teamwork, excellent communication and honesty are crucial. Particularly in emergency
situations, where anticipation and proficiency are of utmost importance; training ,learning and
rehearsing together for incidents can pay dividends in team performance. Clearly defined roles
and responsibilities among the team can reduce ambiguity and duplication of effort,particularly
in challenging situations. The information provided by prehospital personnel is very important
esp in the stage of rescucitation.
Emergency Severity Index: A Triage Tool for Emergency Departments - ANS The Emergency
Severity Index (ESI) is a five-level emergency department (ED) triage algorithm that provides
clinically relevant stratification of patients into five groups from 1 (most urgent) to 5 (least urgent)
on the basis of acuity and resource needs. The Agency for Healthcare Research and Quality
(AHRQ) funded initial work on the ESI. In 2019, the Emergency Nurses Association acquired
the ESI five-level emergency triage system. Since its acquisition, ENA has focused on improving
the triage learning platform to help emergency nurses better understand ESI and better identify
patients who should be seen first, while prioritizing the care of patients with less urgent
conditions.
ESI Content - ANS Acuity assessment
- Airway, breathing, circulation
- Potential for life, organ, or limb threat
- How soon the patient needs to be seen
, Expected resource assessment
- Number of resources as estimated by the triage nurse that a patient is expected to consume
in order for a disposition decision to be reached
Five explicitly defined categories
- Mutually exclusive
- Allows for rapid sorting
Differs from a complete assessment
- Gathering sufficient information to assign an ESI Level
- Quiz Sorting
Levels of ESI - ANS ESI Level 1 - Immediate attention
ESI Level 2 - High risk
ESI Level 3 - Multiple Resources needed and vitals aren't dangerous
ESI Level 4 - One resource is required to stabilize
ESI Level 5 - Does not require any resources to be stabilized
ESI Algorithm - ANS Patient Dying? (A) - Yes - 1
No
Shouldn't wait? (B) - Yes - 2
No
How many resources? (C)
None - 5
One - 4
Many
Vital Signs (D) No - 3
- Consider 2
ESI Level 1 Definition - ANS • Patient is physiologically unstable
• Requires immediate aggressive life-saving interventions
• MD evaluation
• Nursing care
• Team response
*most patients will be hospitalized
ESI Level 1 question to ask yourself - ANS - Is the patient dying?
- Are immediate interventions required?
- Think ABCDs
ESI Level 1 Examples - ANS • Cardiac or respiratory arrest
• Overdose with a respiratory rate of 8
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