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Vital signs monitoring in Australasian emergency departments : Development of a consensus statement from ACEM and CENA
Connell, Cliff Craig, Simon Crock, Carmel Kuhn, Lisa Morphet, Julia Unwin, Maria
Connell, Cliff
Craig, Simon
Crock, Carmel
Kuhn, Lisa
Morphet, Julia
Unwin, Maria
Abstract
Background: Emergency Department (ED) care is provided for a diverse range of patients, clinical acuity and conditions. This diversity often calls for different vital signs monitoring requirements. Requirements often change depending on the circumstances that patients experience during episodes of ED care.
Aim: To describe expert consensus on vital signs monitoring during ED care in the Australasian setting to inform the content of a joint Australasian College for Emergency Medicine (ACEM) and College of Emergency Nursing Australasia (CENA) position statement on vital signs monitoring in the ED.
Method: A 4-hour online nominal group technique workshop with follow up surveys.
Results: Twelve expert ED nurses and doctors from adult, paediatric and mixed metropolitan and regional ED and research facilities spanning four Australian states participated in the workshop and follow up surveys. Consensus building generated 14 statements about vital signs monitoring in ED. Good consensus was reached on whether vital signs should be assessed for 15 of 19 circumstances that patients may experience.
Conclusion: This study informed the creation of a joint position statement on vital signs monitoring in the Australasian ED setting, endorsed by CENA and ACEM. Empirical evidence is needed for optimal, safe and achievable policy on this fundamental practice.
Keywords
Emergency Department, Vital Signs, Patient, Assessment, Patient Safety, Emergency Nursing, Emergency Medicine
Date
2024
Type
Journal article
Journal
Book
Volume
27
Issue
3
Page Range
207-217
Article Number
ACU Department
School of Nursing, Midwifery and Paramedicine
Faculty of Health Sciences
Faculty of Health Sciences
Relation URI
Event URL
Open Access Status
Published as ‘gold’ (paid) open access
License
CC BY 4.0
File Access
Open
Notes
© 2024 The Authors. Published by Elsevier Ltd on behalf of College of Emergency Nursing Australasia.
This is an open access article under the CC BY license (http:// creativecommons.org/licenses/by/4.0/).
This is an open access article under the CC BY license (http:// creativecommons.org/licenses/by/4.0/).