Emergency Department Off-site Clinical

Sarah D. Leonard

Centofani School of Nursing, Youngstown State University

NURS 4840L: Complex Care Laboratory

Danyelle McMaster

April 8, 2024
 During my time at St. Elizabeth main campus emergency department, I encountered a

variety of patients, including one who experienced a brief episode of syncope, another suffering

from severe pain due to excessive alcohol consumption, a third presenting symptoms suggestive

of a cold but with remarkable severity, and lastly one suspected of excessive drug use. In this

bustling environment, the team consisted of the charge nurse, physicians, nurse practitioners,

social workers, patient care associates, paramedics, and housekeeping staff. Our tasks

encompassed administering medications, documenting vital signs, and providing support to

fellow nurses. The synergy among the nursing staff in the downtown ER was remarkable. Triage

involved recording vital signs while simultaneously receiving reports, often over the phone.

Instances requiring immediate attention, such as a highly intoxicated patient becoming agitated,

demanded coordinated efforts from the entire team. In one such scenario, my nurse administered

Ativan, while colleagues attended to vitals, reassured the patient, and ensured safety by applying

restraints.

Upon a patient's arrival at the hospital, the initial check-in process occurred at pivot,

followed by admission procedures conducted by the attending nurse. Assignments, typically

delegated by the charge nurse, were based on each nurse's designated area of responsibility.

Discharge ensued once lab and test results were satisfactory, and clearance was obtained from the

attending physician or social worker. Collaboration was key in our ER, emphasizing the

importance of teamwork in delivering prompt and effective care. A prevalent ethical dilemma in

any ER setting is the potential encounter with acquaintances or individuals known to the staff.

While the instinct to inquire about their condition may arise, it is imperative to uphold patient

privacy and provide professional, compassionate care. Despite the challenges, I found immense
satisfaction in the dynamic nature of the emergency department. The rapid pace and collective

effort aimed at delivering high-quality care within tight timelines were particularly rewarding.

The emergency department serves as the primary gateway for patients transitioning to other

hospital units, underscoring the crucial role of accurate baseline assessments by ED nurses.

Despite the demanding nature of the role, I encourage newcomers to immerse themselves in the

experience and offer assistance where needed. It's essential to understand that the constant

movement of nurses is a product of the fast-paced environment, dedicated to ensuring the well-

being of all patients. In conclusion, my experience in the emergency department was highly

fulfilling, and given the chance, I would eagerly embrace the opportunity again.