Emergency nursing

Definition OF EMERGENCY
🎃an unforeseen combination of circumstances or the
resulting state that calls for immediate action
🎃an urgent need for assistance or relief

https://www.merriam-webster.com/dictionary/emergency
Definition OF Emergency Nursing
Emergency Nursing is the care of individuals of
all ages with perceived or actual physical or
emotional alterations of health that are
undiagnosed or require further interventions.
Emergency Nursing care is episodic, primary,
usually acute and occurs in a variety of settings.
Howard, P. K. & Steinmann, R. A. (Eds.). (2010). Sheehy’s Emergency
Nursing: Principles and Practice. 6th Edition. St. Louis, Missouri. Mosby
Elsevier.
Emergency nursing practice settings
➢ Hospital ED
Emergency nursing practice settings
➢ FSED
Free Standing
Emergency
Department
Two types of FSEDs
Hospital-Based Off-Campus Emergency Departments (OCED): Currently
the more common type of FSED, these are run by hospitals and are
considered similar to hospital outpatient departments. These facilities
must be:
🎃Licensed by the state and adherent to Medicare Conditions of
Participation.
🎃Financially and clinically integrated with the affiliated hospital.
🎃Located within a 35-mile radius of the affiliated hospital.
🎃Compliant with all of the requirements of their parent hospital’s ED,
including 24-hour per day operations and EMTALA obligations.
Two types of FSEDs
Independent Freestanding Emergency Centers/Departments
(IFEC or IFSED): These facilities are owned and operated by non-
hospital for-profit entities. IFECs are similar to OCEDs in terms of
the services they offer. They are not considered provider-based
EDs and are not recognized by the Center for Medicare and
Medicaid Services (CMS) as emergency departments; because of
this, these facilities are not bound by federal emergency
department regulations and do not have to comply with EMTALA.
Services provided

FSEDs offer a limited set of services in addition to

emergency care. These usually include:
🎃Imaging (x-ray, CT, ultrasound)
🎃Laboratory
🎃Physician visits
https://www.advisory.com/research/market-innovation-center/the-
growth-channel/2016/07/what-you-need-to-know-about-freestanding-
eds
Emergency nursing practice settings
➢ Prehospital care
Emergency nursing practice settings
➢ Air & Ground Transport
Emergency nursing practice settings
➢ Urgent Care Center
Free-standing ed vs urgent care centers
Freestanding ER’s are similar to a hospital ER, with one
key difference – it is not attached to a hospital, and
therefore cannot handle true emergencies.
Urgent care centers, on the other hand, are outpatient
clinics that treat most illnesses and injuries, but do not
handle life-threatening conditions like chest pain,
breathing difficulties, or severe bleeding.
https://www.southtampaimmediatecare.com/differences-between-free-
standing-emergency-rooms-and-urgent-care-centers.html
Free-standing ed vs urgent care centers
Freestanding ER’s generally target patients who require
routine care that is available in less costly settings, such as
urgent care centers, but are willing to pay a premium for a
bit of extra luxury and convenience.
Urgent care centers do not charge a “facility fee” on top of
a professional fee for the physician’s time. The “facility
fee” concept originally came about as a way for a hospital
to recoup some of their overhead costs, including
equipment, administration, and 24-hour staffing.
Emergency nursing practice settings
➢ Correctional Institutions
Emergency nursing practice settings
➢ Schools & Universities