Sheehy’s
Emergency Nursing: Principles and Practice 7th Edition
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Legal Considerations
Ability to Prioritize
Valid Reliable Triage Systems
Immediate Bedding
Triage Documentation
Special Considerations
Implementing Diagnostics and Interventions
Reassessment of Patients Waiting
Modifying the Triage Process
Triage Process Improvement
Summary
9. Patient Assessment
Initial Assessment
Ongoing Assessment
Special Patient Populations
Summary 10. Pain
Pathophysiology of Pain
Pain Theories
Physiologic Consequences of Pain
Myths and Barriers to Pain Management
Adult Pain Management
Pediatric Pain Management
Summary
11. Wound Management
Anatomy and Physiology
Skin Changes with Aging
Wound Healing
Wound Evaluation
Wound Preparation
Control of Hemorrhage
Local Anesthesia
Wound Closure
New Technology in Wound Closure
Wound Dressings
Wound Prophylaxis
Specific Wounds
12. Family Presence During Resuscitation and Invasive Procedures
Evidence
Organizational Support
Implementation
Education
Evaluation
Summary
13. Management of the Critical Care Patient in the Emergency Department
Critical Care in the Emergency Department
Mechanical Ventilation
Invasive Monitoring
Sepsis
Care of the Family
Summary
14. Palliative and End-of-Life Care in the Emergency Department
Overview of Palliative and End-of-Life Care
Palliative Care Principles in The Emergency Department
Communication Issues in Palliative and End-of-Life Care
Bioethical Considerations
Care for The Caregiver
Summary
15. Organ and Tissue Donation
Overview and History
Organ Donation Best Practices
Other Strategies to Increase Organ Donation
The Donation Process
The Procurement Process
Financial Considerations
Summary
16. Air and Surface Patient Transport
Historical Perspective
Types of Transport
Airway and Breathing
Hemodynamic Stabilization
Neurological Stabilization
Musculoskeletal Stabilization
Emotional and Psychosocial Support of The Patient and Family
Stresses of Transport
Transport of The Pediatric Patient
Safety
Summary
17. Health Emergency Management
Evolution of Emergency Management
Emergency Management Programs
Summary
18. Chemical, Biological, Radiologic, Nuclear (CBRN) Threats
Weapons of Mass Destruction: The Threat
Nuclear-Radiologic Threats
Biologic Agents
Chemical Agents
Summary
Unit IV. Medical and Surgical Emergencies
19. Communicable Diseases and Organisms in the Health Care Setting
Infection Prevention in the Acute Care Setting
Pathogens of Concern
Human Immunodeficiency Virus/AIDS
Summary
20. Fluids, Fluid Replacement, Electrolytes, and Vascular Access
Pathophysiology
Water
Fluid Replacement
Electrolytes
Fluid and Electrolyte Abnormalities
Vasular Access and Pathophysiology
Summary
21. Shock Emergencies
Pathophysiology
Categories of Shock
Clinical Manifestations of Shock
Management of the Patient in Shock
History
Hemodynamic Monitoring
Laboratory and Diagnostic Testing for Shock Emergencies
Emergency Nursing Management
Complications Associated With Shock
Special Populations
Summary
22. Respiratory Emergencies
Anatomy and Physiology
Patient Assessment
Specific Pulmonary Emergencies
Summary
23. Cardiovascular Emergencies
Anatomy and Physiology
Specific Cardiovascular Emergencies
Summary
24. Neurologic Emergencies
Anatomy and Physiology
Patient Assessment
Emergency Nurse Management of The Patient with Neurologic Conditions
25. Gastrointestinal Emergencies
Anatomy and Physiology
Patient Assessment and Triage
Specific Gastrointestinal Emergencies
Summary
26. Renal and Genitourinary Emergencies
Anatomy and Physiology
Patient Assessment
Specific Conditions
Prevention
Summary
27. Obstetric and Gynecologic Emergencies
Anatomy and Physiology
Assessment
First-Trimester Emergencies
Antepartum Emergencies
Third-Trimester Emergencies
Delivery
Postpartum Emergencies
Other Obstetric Emergencies
Specific Gynecologic Emergencies
Summary
28. Endocrine Emergencies
Endocrine System Physiology
Patient Assessment
Selected Endocrine Emergencies
Summary
29. Hematologic and Oncologic Emergencies
Anatomy and Physiology
Patient Assessment
Specific Hematologic Emergencies
Specific Oncologic Emergencies
Summary
30. Environmental Emergencies
Thermal Emergencies
Drowning
Diving Emergencies
Venomous
Bites and Stings
Tick-Borne Illness
Mammal Bites
Wilderness Medicine
31. Toxicologic Emergencies
Patient Management
Specific Toxicologic Emergencies
Summary
32. Dental, Ear, Nose, Throat, and Facial Emergencies
Anatomy
Dental Emergencies
Ear Emergencies
Nasal Emergencies
Throat Emergencies
Facial Emergencies
Summary
33. Ocular Emergencies
Epidemiology
Anatomy and Physiology
Patient Assessment
Patient Management
Specific Ocular Emergencies
Summary
Dedication
For the amazing emergency nurses who taught us, thank you and may we have learned well.
For those making a difference beside us, may we support each other through the good times and the tough times.
For the next generation, thank you for energizing us with your enthusiasm and may we have left a trail making the journey easier.
Elsevier
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St. Louis, Missouri 63043
SHEEHY’S EMERGENCY NURSING: PRINCIPLES AND PRACTICE,
SEVENTH EDITION ISBN 978-0-323-48546-3
Copyright © 2020, Elsevier Inc. All rights reserved.
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Contributors
Sherri-Lynne Almeida, Dr.PH, MSN, M.Ed,RN, CEN, FAEN , Nurse Executive, Clinical Practice Office, Michael E. DeBakey, VA Medical Center, Houston, Texas
Vicki Bacidore, DNP, APRN, ACNP-BC, CEN , Assistant Professor, Niehoff School of Nursing, Loyola University Chicago, Emergency Nurse Practitioner, Emergency Medical Services, Loyola University Medical Center, Maywood, Illinois
Jessica Balcom, MSN, FNP
Family Nurse Practitioner, Emergency Department, Banner Payson Medical Center, Payson, Arizona
Adjunct Nursing Instructor, Grand Canyon University, Phoenix, Arizona
Cynthia S. Baxter, DNP , Chief Nurse Ambulatory Care, Nursing Services, VA Medical Center, Clinical Instructor, College of Nursing, University of Kentucky, Lexington, Kentucky
Sarah Berry, DNP, RN, AGCNS-BC, CEN , Clinical Nurse Specialist, Nursing Education and Research, Beaumont Hospital, Troy, Michigan
Cynthia Blank-Reid, MSN, RN, CEN, TCRN , Trauma Clinical Nurse Specialist, Department of Trauma and Surgical Critical Care, Surgical Clinical Reviewer - National Surgical Quality Improvement Program, Performance Improvement Department, Temple University Hospital, Philadelphia, Pennsylvania
Nancy Bonalumi, DNP, MS,. BSN , President, NMB Global Leadership LLC, Lancaster, Pennsylvania
Beth Broering, MSN, RN, CEN, CCRN, TCRN, CCNS, CAISS, FAEN , Trauma/Burn Program Director, Trauma Center, VCU Medical Center, Richmond, Virginia
Gina Carbino, BSN, RN, CEN, CPEN, TCRN, CCRN, PCCN, SANEA , Clinical Education Manager - Emergency Care Center, Patient Care Operations, The University of Vermont Health NetworkChamplain Valley Physicians Hospital, Plattsburgh, New York
Mary Jo Cerepani, DNP, FNP-BC, ENP-C, FAANP, FAEN , Adjunct Faculty, School of Nursing, University of Pittsburgh, Nurse Practitioner, MyHealth@Work/Emergency Medicine, The University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania
Garrett K. Chan, PhD, APRN, FAEN, FPCN, FCNS, FNAP, FAAN
President & CEO, HealthImpact, Oakland, California
Associate Clinical Professor, School of Nursing, University of California, San Francisco, San Francisco, California
Clinical Associate Professor, School of Medicine, Stanford University, Stanford, California
Sharon Saunderson Coffey, DNP, FNP-C, ACNS-BC, FAEN
Clinical Assistant Professor, College of Nursing, University of Alabama in Huntsville, Huntsville, Alabama
Nurse Practitioner, Athens-Limestone Hospital, Athens, Alabama
Kierstin Jeana Cohen, BSN, RN , Staff Nurse, Pediatric ICU, Children’s National Medical Center, Washington DC
Michael De Laby, MSN, CCRN, CFRN, TCRN, EMT-P , Assistant Director, Emergency Medical Services, County of Orange, Health Care Agency, Santa Ana, California
Nancy J. Denke, DNP, RN, ACNP-BC, FNP-BC, CEN, CCRN, FAEN
Toxicology Consultants of Arizona, Scottsdale, Arizona
Associate Faculty, Arizona State University, Phoenix, Arizona
Angela Dillahunty, BSN, RN, CA-CP SANE, SANE-A, SANE-P , Forensic Nurse Examiner, Program Coordinator, CHRISTUS Health St. Elizabeth, Beaumont, Texas
Andi Foley, DNP, RN, ACCNS-AG, CEN, TCRN , Emergency
Services Clinical Nurse Specialist, CHI Franciscan: St Francis Hospital
Chris M. Gisness, RN, MSN, BC FNP-C, ENP-C, CEN, TCRN, FAEN , Emory University, Department of Emergency Medicine, Emory University, Atlanta, Georgia
Randy Hamm, DNP, RN, CEN, CCRN , Assistant Professor, School of Nursing, Barton College, Wilson, North Carolina
Amy Herrington, DNP , Assistant Faculty, Nursing, University of Saint Augustine for Health Sciences, Saint Augustine, Florida
Renee Semonin Holleran, FNP-BC, PhD, CEN, CCRN (emeritus), CFRN and CTRN (retired), FAEN
Nurse Practitioner, Pain Management, Veterans Health Administration, Salt Lake City, Utah
Former Chief Flight Nurse, University Air Care, University Hospital, Cincinnati, Ohio
Former Manager of Adult Transport, Intermountain Life Flight, Intermountain Health Care, Salt Lake City, Utah
Family Nurse Practitioner, Hope Free Clinic, Midvale, Utah
Patricia Kunz Howard, PhD, RN, CEN, CPEN, TCRN, NE-BC, FAEN, FAAN , Enterprise Director, Emergency Services, University of Kentucky HealthCare, Lexington, Kentucky
Kathleen Sanders Jordan, DNP, MS, RN, FNP-BC, ENP-C, SANE-P, FAEN , Clinical Associate Professor, School of Nursing, University of North Carolina at Charlotte, Nurse Practitioner, Emergency
Medicine, Mid-Atlantic Emergency Medical Associates, Charlotte, North Carolina
Betty Kuiper, DNP, APRN, ACNS-BC, CEN , Research Manager, Baptist Health Paducah, Paducah, Kentucky
Lorie Ledford, MSN, BSN
Staff Nurse, Emergency Department, Mayo Clinic Arizona, Chairperson, Board of Directors, Board of Certification for Emergency Nursing, Oak Brook, Illinois Flight Nurse, Alia MedFlight, Phoenix, Arizona
Katherine Logee, RN, MSN, FNP-BC, CPNP, CNE , Registered Nurse, Emergency Department, Adventist Plus/Rideout, Marysville, California
Heather Martin, DNP, RN, PNP-BC , Senior Pediatric Emergency Medicine Nurse Practitioner, University of Rochester Medical Center, Rochester, New York
Lisa Matamoros, DNP, RN-BC, CEN, CHSE, CPEN , Senior Simulation Education Specialist, Johns Hopkins All Children’s Hospital, St. Petersburg, Florida
Tamara C. McConnell, MSN, RN, LNC, PHN , Director, Emergency Medical Services, County of Orange, Health Care Agency, Santa Ana, California
Nancy McGowan, PhD , Associate Professor, School of Nursing, The University of Texas Health Science Center at San Antonio, San Antonio, Texas
Terri McGowan Repasky, APRN, CNS, MSN, BSN, EMT-P, CEN , Clinical Nurse Specialist Emergency/Trauma, Heart & Vascular Nurse Manager Accreditation, Tallahassee Memorial Hospital, Tallahassee, Florida
Joanne Ingalls McKay, RN, MSN, CEN , Healthcare Consultant, McKay Healthcare Consulting, Dearborn, Michigan
Laurie Nolan-Kelley, DNP, MSN, BA
Clinical Nurse Leader, Trauma and Orthopedics, DartmouthHitchcock Medical Center, Lebanon, New Hampshire
Associate Professor, School of Nursing and Health Professions, ColbySawyer College, New London, New Hampshire
Colleen Mary Pedrotty, BSCH, MSHA, MSN
Clinical Education Specialist, St Mary Medical Center, Langhorne, Pennsylvania
SANE, NOVA, Warwick, Pennsylvania
Wanda S. Pritts, BSN, MSN , Clinical Nurse Specialist, CEN, CCRN, Clinical Education, Placentia-Linda Hospital, Placentia, California
Catherine T. Recznik, BSN, MSN, PhD, RN, CEN, CPEN
Assistant Professor, Nursing, Franciscan University, Steubenville, Ohio
Senior Professional Staff Nurse, Casual, Emergency Department, UPMC St. Margaret, Pittsburgh, Pennsylvania
Paul C. Reid, MSN, RN, CEN , LVRS Nurse Coordinator, Lung Center, Temple University Hospital, Philadelphia, Pennsylvania
Ruthie Robinson, PhD, RN, CNS, FAEN, CEN, NEA-BC , Director, Graduate Nursing Studies, JoAnne Gay Dishman School of Nursing, Lamar University, Beaumont, Texas
Bill Schueler, MSN, RN, CEN, CPPS, WVTS
Patient Safety Specialist, Quality Management & Medical Staff Services, Providence Health & Services, Portland, Oregon
Owner, WJS Services, LLC, Beaverton, Oregon
Vicki Sweet, MSN, RN, CEN, FAEN
ALS/CQI Coordinator, Emergency Medical Services, County of Orange, Health Care Agency, Santa Ana, CA
Associate Faculty, Health Sciences & Human Services, Saddleback College, Mission Viejo, CA
Colleen Vega, MSN, CNS, ACHPN
Clinical Nurse Specialist, Palliative Care, Stanford Healthcare, Stanford, California
Clinical Nurse Specialist, Palliative Care/Emergency Room, El Camino Hospital, Mountain View, California
Lecturer, Nursing, San Francisco State University, San Francisco, California
Amy Waunch, RN, MSN, FNP , Trauma Program Manager, Children’s Hospital of Orange County, Orange, California
Patricia Weismann, MSN, RN, CEN, TCRN, CPPS , Director of Patient Safety, Methodist Texsan Hospital, Associate Director of Emergency Services, Adult Emergency Department, Methodist Hospital, San Antonio, Texas
Joni Lee Winter, DNP, MSN, FNP-BC, AGACNP-BC, ENP, CEN
Lead Nurse Practitioner, Hospital Medicine, EAMC-Lanier, Valley, Alabama
Nurse Practitioner, Emergency Department, Wellstar West Ga (Apollo MD), LaGrange, Georgia
Nurse Practitioner, Inpatient Surgical Unit, CTCA-SERMC, Newnan, Georgia
Gordon H. Worley, MSN, RN, FNP-C, ENP-C, CEN, CFRN, EMT-P, FAWM
Assistant Clinical Professor, Betty Irene Moore School of Nursing, University of California Davis, Sacramento, California
Nurse Practitioner, Emergency Department, Sutter Amador Hospital, Jackson, California
Nurse Practitioner, Urgent Care, Western Sierra Medical Clinic, Grass
