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RUCN

Clinical Resources

Triage

Position Statement -Triage Nurse

Position Statement form the College of Emergency Nursing Australasia (CENA) to define the role of triage nurses and the minimum triage nurse practice standards

Guideline for Implementing ATS

Guideline for implementing the ATS in Emergency Departments developed by the Australian College for Emergency Medicine (ACEM)

Mental Health Triage Tool

Summary of indicators for ATS category allocation in mental health presentations

ATS Summary of Physiological Predictors

One page document summarising the adult physiological predictors at triage

Emergency Triage Education Kit (ETEK) 2nd Edition

Package providing a consistent approach to education for nurses preparing for triage role; including application of ATS, communication and decision-making skills

Patient Assessment & Clinical Reasoning 

A-E Assessment

TBC

TBC

Clinical Reasoning Cycle

Example of CNE working through patient assessment and clinical reasoning cycle with two nursing students

Einthoven’s Triangle

Video explaining Einthoven's Triangle, Limb, Augmented and Precordial Leads

Cardiac Action Potential

Video explaining the action potentials present in cardiac myocytes

History Taking and Documentation

How to Take a Patient History (full guide)

Guide to taking a comprehensive patient history by a final year medical student.

Clinician's Corner: Taking a good patient history

Video outlining 3 tips to level up your patient history, beyond the basic framework.

Taking a Best Possible Medication History

Video from ACSQHC on the importance and process of obtaining the best possible medication history (BPMH) from patients.

ED Nursing Documentation: Read, React, Reconcile

An interesting article highlighting some common issues with ED documentation, and lessons we can learn from real life legal proceedings.

Extracting Tips for Improved Documentation

An article from the Australian Nursing and Midwifery Journal about the importance of improved documentation.

Deterioration and Transfer

Standardised Inotrope and Vasopressor Guidelines Learning Package

This learning package outlines the actions, clinical effects, indications and clinical considerations for nine commonly used inotropes and vasopressors in Australia.

BehaviourWorks Australia Interhospital Transfer

Interview with Dr Breanna Wright on factors that impact and influence rural and regional transfers.

Hot Debriefs using STOP Process

5-minute video explaining the STOP for Five Minutes Hot debrief tool.

Paediatrics

Paediatric Assessment Triangle (PAT)

Video outlining the PAT and how to apply it to the initial assessment of a child

ViCTOR Back to Basics Series

Series of videos demonstrating how to conduct vital signs in children aged 0 – 18 years.

H is for Hospital

Resources and videos designed for children to help explain common procedures in the ED

The undifferentiated sick infant

From the Paediatric Emergency Playbook by Tim Horeczko, a practicing emergency physician caring for patients of all ages

Mental Health

Essential Elements for Recognising and Responding to Deterioration in a Person’s Mental State

National Consensus Statement outlining 10 essential elements across three categories: processes of care, therapeutic practice, and organisational supports.

Caring for People Displaying Acute Behavioural Disturbance

A clinical guide to improving care in emergency settings provided by Safer Care Victoria.

Visual Summary

A visual representation of the above clinical guide on Caring for People Displaying Acute Behavioural Disturbance

Useful Websites

ACSQHC Clinical Care Standards

ACSQHC Clinical care standards that may be relevant to practice in Urgent Care – i.e. Acute Anaphylaxis, Acute Coronary Syndromes, Acute Stroke etc.

Rural & Remote Nursing Generalist Framework 2023-2027

Framework describing the unique context of practice and core capabilities for rural and remote Registered Nurses in Australia.

CENA 5-Minute Fridays

Released weekly, these are bite-sized education publications by CENA on patient presentations relevant to ED/UCCs.

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