NSG 3050 – Trans to Baccalaureate Nsg
Week 4 – Peer Response Instructions
- Substantially respond to at least two other student posts in a way that prompts further input or provides another viewpoint. Describe a situation from your nursing professional experience that backs up your viewpoint and discuss the social, moral, political and economic factors impacting your position.
- Please respond to peers thoughtfully, add value to the discussion, and apply ideas, insights, or concepts from scholarly sources, such as: journal articles, assigned readings, textbook material, lectures, course materials, or authoritative websites.
- Provide a rationale for your response with at least one scholarly source using an APA in-text citation and full reference.
Morgan Harrison
Jul 31 at 11:20am
The intervention I’ve chosen to research is the Ceribell EEG. We use this device in the emergency department to quickly detect seizure activity in altered and/or unresponsive patients that may be having non convulsant seizures.
To review this content, I went to the galen library and typed in “Ceribell in emergencies”. I then went to the left side of the screen and adjusted the dates so that I could quickly weed out old articles. I found it very easy to use the Galen online library.
The article I researched did support the use of Ceribell EEG in the emergency setting. It explained that the only way to detect a seizure in a non convulsant status epilepticus patient is by use of EEG. The problem is EEG is typically delayed or not used all together in the ER. A study was performed using the Ceribell EEG. The results showed that out of 38 patients enrolled in the study, the Ceribell EEG was used to catch and treat the one patient that was having non convulsive seizures. The study also showed physicians were able to avoid antiseizure medications in patients that didn’t need it because the Ceribell was able to rule out underlying seizures (Wright et al., 2021).
Wright, N. M. K., Madill, E. S., Isenberg, D., Gururangan, K., McClellen, H., Snell, S., Jacobson, M. P., Gentile, N. T., & Govindarajan, P. (2021). Evaluating the utility of Rapid Response EEG in emergency care. Emergency Medical Journal (EMJ), 38(12), 923–926. https://doi.org/10.1136/emermed-2020-210903
Jason Bierly
Jul 31 at 1:19pm
The process I used for finding my peer-reviewed article was simple. I entered crisis prevention and intervention training into the subject box and refined my search with the publication date from 2016 and the EBSCO search engine found numerous articles. I was able to find the article “What Are You Afraid of? Managing Staff Fears and Anxiety with Agitated Patients”.
The intervention I chose was what to do when a patient is agitated. The intervention of deescalating agitated patients is used daily in the psychiatric hospital and ER. Our facility uses the Crisis Prevention and Intervention (CPI) training. According to the article, a study showed that 20% of nurses have been physically assaulted, 43% were threatened with physical assault, and 55% were verbally assaulted (Stewart & Reeves, 2021). These figures show that workplace violence is 20% more prevalent in the healthcare field than other fields and shows the need for interventions, such as CPI, to help deescalate a patient and help alleviate fear and anxiety during these situations. The article delves into the use of implementing psychiatric simulation training, psychiatric emergency crisis support (teams that are trained to respond to situations regarding an agitated patient), enhanced CPI training, and self-care education. Armed with these interventions and education, nursing staff feel less anxious and feel better prepared to handle an agitated patient.
This article supports the actions at my hospital. We have CPI certification training yearly. We use, what we refer to as, the BERT team that specializes in deescalating patients. They respond to situations throughout the hospital in the event a patient becomes highly agitated, and our hospital uses a de-escalation meeting, after these events, to encourage people involved to voice how they thought the situation was handled and to voice any problems associated with the handling of the patient.
Stewart, C., & Reeves, L. (2021). What Are You Afraid Of? Managing Staff Fear and Anxiety With Agitated Patients. Journal of the American Psychiatric Nurses Association, 27(2), 156–161. https://doi.org/10.1177/1078390320902815
