Sunday, October 6, 2019

Nursing Response to Suspected Excessive opioid Overdose in Palliative Research Paper

Nursing Response to Suspected Excessive opioid Overdose in Palliative Care Patient - Research Paper Example However, in this case the answer was negative and the triage process was moved to decision section B. Decision section B, the triage staff, decides whether the patient can safely wait or can not to be given medical attention. If the patient is not able to hold on then the process is moved to decision section C. However, in this scenario, the patient can not wait much longer and thus the patient is categorized as ESI level 2. In ESI level 2, Three chief question are put into consideration. These questions are: (1) Is the patient in serious risk situation? (2) Is the patient disoriented? (3) Is the patient in serious distress? The triage healthcare provider obtains patient subjective and objective assessment to respond to these questions. From the short and quick interview, gross examination, and the six sense from the triage, healthcare provider in ER identifies the patient to be at high risk (Nielsen, Siersma, Nielsen, and Rasmussen, 2012). In ESI sub level1a above, the healthcare pr ovider perform the assessment of the patient. It is extremely complicating and of high risk when taking care of a patient under the overdose of the opioid. The triage healthcare provider has the responsibility of assessing the patient for any suspicion of the narcotic overdose. Some of the symptoms for a suspected opioid overdose the staff comes up with in this case are; slowing level of consciousness, low respiratory rate, decrease of the pupils in size, and poorly reactive pupils. Overdose of Opioid weakens the respiratory and the CNA. In the flowchart above the second step, ESI sub-level 2b, is the stimulation of the patient, it clearly suggest the patient to be stimulated by administering oxygen... ESL algorithm produces fast, reproducible, and clinically stratification of patients into five steps. It is better to operationalize a case scenario to demonstrate health flow use of ESI. Consider the case scenario represented in the flowchart above, The patient is Opioid overdosed and is admitted into the ER. For the ER staff to assist the patient they will have to create an ESL module that will facilitate the optimal care of the patient. ER staff initiates the drafting of the flow chart above using ESI triage tool. The tool aide the staff to formulate a sequence of analytical steps to assist the patient. ESI triage tool groups patients into five categories 1= most serious and 5= less serious. ESI postulate a method of classifying patients in ER by both resource needs and acute. ESI in the ER is to prioritize all incoming patients to denote those who can not wait to be seen. The staff in ER perform a quick, determined assessment, and assigns the patient a triage level, which is the key measure of how much longer a patient can safely hold on before treatment. It is vital to identify the workflow in ER can be extended further to achieve functionality that is not addressed by the external presentations included in the above levels. This can be postulated by programming new external application of certain problem.

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