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A Pharyngitis‐Delegated Medical Function in the Emergency Department The Preimplementation Process

A Pharyngitis‐Delegated Medical Function in the Emergency Department The Preimplementation... A sore throat is one of the leading complaints that bring patients to the emergency department each year. The majority of these patients have a viral illness that requires symptom management only. Canadian emergency departments are short-staffed and crowded with dissatisfied patients facing long waits, whereas nurses are not working to their full scope of practice. To address these issues, a delegated medical function was designed for the assessment, treatment, and management of pharyngitis (sore throat). J. Kotter’s (1996) Change Management Theory was used to guide this project, which would see nurses assessing patients with sore throats, ordering rapid strep antigen tests where necessary, and discharging patients from the emergency department when test results are negative. Key words: delegated medical function, ED care, nurse discharge, pharyngitis, quality care, scope of practice ORE THROAT or pharyngitis is one of tients presenting with sore throats will have the most common reasons for people a viral origin and not require antibiotic treat- Sto frequent Canadian emergency de- ment. Further to this, those patients who have partments (EDs). Last year, 320 people with suspected GAS pharyngitis and are cultured sore throats presented to one ED in Atlantic experience no untoward effect if treatment http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Advanced Emergency Nursing Journal Wolters Kluwer Health

A Pharyngitis‐Delegated Medical Function in the Emergency Department The Preimplementation Process

Macdonald, Marilyn
Advanced Emergency Nursing Journal , Volume 30 (4) – Oct 1, 2008
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Copyright
© 2008 Wolters Kluwer Health | Lippincott Williams & Wilkins
ISSN
1931-4485
eISSN
1931-4493
DOI
10.1097/TME.0b013e31818c06e6
Publisher site
See Article on Publisher Site

Abstract

A sore throat is one of the leading complaints that bring patients to the emergency department each year. The majority of these patients have a viral illness that requires symptom management only. Canadian emergency departments are short-staffed and crowded with dissatisfied patients facing long waits, whereas nurses are not working to their full scope of practice. To address these issues, a delegated medical function was designed for the assessment, treatment, and management of pharyngitis (sore throat). J. Kotter’s (1996) Change Management Theory was used to guide this project, which would see nurses assessing patients with sore throats, ordering rapid strep antigen tests where necessary, and discharging patients from the emergency department when test results are negative. Key words: delegated medical function, ED care, nurse discharge, pharyngitis, quality care, scope of practice ORE THROAT or pharyngitis is one of tients presenting with sore throats will have the most common reasons for people a viral origin and not require antibiotic treat- Sto frequent Canadian emergency de- ment. Further to this, those patients who have partments (EDs). Last year, 320 people with suspected GAS pharyngitis and are cultured sore throats presented to one ED in Atlantic experience no untoward effect if treatment

Journal

Advanced Emergency Nursing Journal – Wolters Kluwer Health

Published: Oct 1, 2008

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