Pengalaman Perawat Melakukan Triase Lima Level pada Pasien dengan Nyeri Dada

Authors

  • Zulmah Astuti Poltekkes Kemenkes Denpasar
  • Indah Winarni Poltekkes Kemenkes Denpasar
  • Ali Haedar Poltekkes Kemenkes Denpasar

DOI:

https://doi.org/10.33992/jgk.v7i2.1742

Keywords:

pengalaman perawat, triase, nyeri dada

Abstract

This aims of this Study is to explore the experience of nurses doing the five-level of triage process to patients with chest pain in the emergency department. This Study used a qualitative design with an  interpretive phenomenological approach . Data were collected through interviewed to the six nurses who worked recently in triage room in emergency department of Sanglah Hospital. Data were transcripts and analyzed using Miles & Huberman method. The results showed seven themes, their were the initial assessment of patients, the Act of first aid in patient, the assessment of hemodynamic, the further of examination, the assessment of chest pain, the consideration used in determining the level of urgency of the patient and the duration of triage process for each patient.

References

Australian Goverment Departement of Health and Ageing, 2007. Emergency Triage Education Kit, Triage Workbook. Canberra

Australian College for Emergency Medicine (ACEM), (2013) Policy On The Australian Triage Scale. Mealbourne

American International Health Alliance (AIHA), 2011. Clinical Practice Guideline for Primary Health Care Physicians. USAID

American Heart Association,. 2012. ACLS Provider Manual Suplemmentary Material; 3

Bhuiya, F.A., Pitts, S.R., McCaig., L.F, 2010. Emergency Department Visits for Chest Pain and Abdominal Pain: nited States, 1999–2008. Division of Health Care Statistics (NCHS); 43

Boris E. Coronado, B, Hector Pope, Griffith, J.,L., Beshansky, J.,R., Selker, H.P, (2004) Clinical Features, Triage, And Outcome Of Patients Presenting To The Ed With Suspected Acute Coronary Syndromes But Without Pain: A Multicenter Study; American Journal Of Emergency Medicine; 22(7)

Considine J, Ung L, Thomas S. (2000). Triage Nurses' Decisions Using The National Triage Scale For Australian Emergency Departments. Accident and Emergency Nursing

Emergency Nurses Associaton, 2011. Triage Qualifications; emergency Nurses Association Fitzgerald, Gerald and Jelinek, George and Scott, Deborah A. and Gerdtz, Marie F. 2009. Emergency Department

Triage Revisited. Emergency Medicine Journal; Quensland, Australia

Gilboy,N. Tanabe, P. Travers, D.A. Rosenau, A.M. Eitel, D.R. 2005. Emergency Severity Index,: Implementation Handbook. AHRQ; 4(5).

Karnath, B. Holden, M.D. Hussain. N. 2004. Chest Pain : Differentiating cardiac from Non cardiac Causes. Review of clinical sign. Hospital physician; University of Texas Medical Branch,

Galveston Marcus, G.M., Cohen, J., Varosy, P.D., Vessey, J., Rose, E., Massie, B.M., et al ,2007. The utility of gesture in patient with chest discomfort. Clinical research study. The American journal of medicine;120;83-89

Miles, M.B., & Huberman, A.M., 1994. Qualitative Data Analysis, 2nd. Ed, Sage Publications.

Pitts, S.R. Niska,. R.W. Xu, J. Burt, C.W. 2006. National Hospital Ambulatory Medical Care Survey. Emergency Departement Summary. Natl Health Stat Report

Pines, J.M, Joshua A. Isserman, J.A, Demian Szyld, D., Dean, A.J, McCusker, C.M, Hollander, J.E, 2010.The Effect Of Physician Risk Tolerance And The Presence Of An Observation Unit On Decision Making For ED Patients With Chest Pain. American Journal of Emergency Medicine; 28; 771–779

Pope, J.H. Aufderheide, T.P, Ruthazer, R. Woolard R.D. Feldmen, J.A. Beshansky J.R. et al. 2000. Missed Diagnoses Of Acute Cardiac Ischemia In The Emergency Departement. N engl J Med

Rohacek, M, Berolotti, A, Gr’’utzm’’uller, N., Simmen, U., Marty, H., Zimmermann, H., Exadatylos, A., Spyridon, 2012. Clinical Study: The Challenge of Triaging Chest Pain Patients: The Bernese University Hospital Experience. Hindawi Publishing Corporation Emergency Medicine International; 7

Sammons, S.S., 2012. Accuracy of Emergency Department Nurse Triage Level Designation and Delay in Care of Patients with Symptoms Suggestive of Acute Myocardial Infarction; Nursing Dissertations. Georgia State University; 27

Sanchis, J, Bodí,V, Núñez, J, Núñez,E, Bosch, E, Pellicer, M, Heras, M, Bardají, A, Marrugat, J, Llácer, A, 2010. Identification of very low risk chest pain using clinical data in the Emergency department. IJCA- 12584; 4

Schellein, O. Ludwig-Pistor, F. Bremerich, D.H. 2008. Manchester triage system: Process optimization in the interdisciplinary Emergency department. Anaesthesist

Downloads

Published

2014-12-31

Issue

Vol. 7 No. 2 (2014): JURNAL GEMA KEPERAWATAN

Section

Articles

Citation Check

License

Authors retain copyright and grant the journal the right of first publication, with the work simultaneously licensed under a Creative Commons Attribution License, which permits others to share the work with proper acknowledgment of authorship and initial publication in this journal.

Authors are permitted to enter into separate, additional contractual arrangements for the non-exclusive distribution of the published version of the work (e.g., posting it to an institutional repository or publishing it in a book), provided that the original publication in this journal is acknowledged.

Authors are also permitted and encouraged to post their work online (e.g., in institutional repositories or on their personal websites) prior to and during the submission process, as it can lead to productive exchanges and earlier and greater citation of published work (see the Open Access Effect).

Similar Articles

1 2 > >> 

You may also start an advanced similarity search for this article.