A review of the Transitional Emergency Nurse Practitioner

Lutze, M; Ratchford, A; Fry, M

A review of the Transitional Emergency Nurse Practitioner

Lutze, M Ratchford, A Fry, M

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Publication Type:: Journal Article
Citation:: Australasian Emergency Nursing Journal, 2011, 14 (4), pp. 226 - 231
Issue Date:: 2011-11-01

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Field	Value	Language
dc.contributor.author	Lutze, M	en_US
dc.contributor.author	Ratchford, A	en_US
dc.contributor.author	Fry, M https://orcid.org/0000-0003-1265-7096	en_US
dc.date.issued	2011-11-01	en_US
dc.identifier.citation	Australasian Emergency Nursing Journal, 2011, 14 (4), pp. 226 - 231	en_US
dc.identifier.issn	1574-6267	en_US
dc.identifier.uri	http://hdl.handle.net/10453/29489
dc.description.abstract	Introduction: A retrospective exploratory study was conducted to (i) explore the practice patterns of a Transitional Emergency Nurse Practitioner (TENP) working across two urban Emergency Departments (ED); (ii) identify the demographic characteristics of the TENP patient cohort; and (iii) identify if TENP patients were appropriately and timely managed. Method: The study was conducted across two hospital sites over two consecutive years for a 3-month period. Data collection occurred during the months of December through to February. TENP patients were identified by hospital electronic medical record and were then grouped into a model that included 'Fast Track' or 'See and Treat' cohort. The cohorts were then analysed for diagnostic groups, age, sex, length of stay, triage category, and re-presentations. Results: The TENP worked a total of 600. h (Site 1 252. h; Site 2 348. h) across the study period. The TENP managed a total of 481 patients (262 Site 1; 220 Site 2) during the study period. The majority of patients (412; 84%) were managed in the 'See and Treat' cohort (Site 1 246, 94%; Site 2 166, 75%) and 70 patients (16%) were managed in the 'Fast Track' cohort (Site 1 16, 4%; Site 2 54, 25%). The median length of stay for TENP managed patients was 143. min, with 96% of patients leaving the ED in less than 8. h. There were no TENP unplanned re-presentations at either site. The TENP managed more male patients across both sites. The majority (75%) of patients the TENP managed had musculoskeletal and/or wound conditions or injuries. Conclusion: TENP practice across the two Sydney metropolitan ED sites was similar. The model adapted for Tertiary Referral centres was appropriate for smaller urban EDs. The study supports existing evidence of timely and appropriate care being delivered by TENPs across Australian EDs. Given the work practice similarities, the study demonstrates that State and/or National standards and policies could be developed for emergency advanced practice roles. © 2011 Elsevier Ltd.	en_US
dc.relation.ispartof	Australasian Emergency Nursing Journal	en_US
dc.relation.isbasedon	10.1016/j.aenj.2011.06.003	en_US
dc.subject.classification	Nursing	en_US
dc.title	A review of the Transitional Emergency Nurse Practitioner	en_US
dc.type	Journal Article
utslib.citation.volume	4	en_US
utslib.citation.volume	14	en_US
utslib.for	1110 Nursing	en_US
utslib.for	1117 Public Health and Health Services	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Nursing
pubs.organisational-group	/University of Technology Sydney/Strength - CHSP - Health Services and Practice
utslib.copyright.status	closed_access
pubs.issue	4	en_US
pubs.publication-status	Published	en_US
pubs.volume	14	en_US

Abstract:

Introduction: A retrospective exploratory study was conducted to (i) explore the practice patterns of a Transitional Emergency Nurse Practitioner (TENP) working across two urban Emergency Departments (ED); (ii) identify the demographic characteristics of the TENP patient cohort; and (iii) identify if TENP patients were appropriately and timely managed. Method: The study was conducted across two hospital sites over two consecutive years for a 3-month period. Data collection occurred during the months of December through to February. TENP patients were identified by hospital electronic medical record and were then grouped into a model that included 'Fast Track' or 'See and Treat' cohort. The cohorts were then analysed for diagnostic groups, age, sex, length of stay, triage category, and re-presentations. Results: The TENP worked a total of 600. h (Site 1 252. h; Site 2 348. h) across the study period. The TENP managed a total of 481 patients (262 Site 1; 220 Site 2) during the study period. The majority of patients (412; 84%) were managed in the 'See and Treat' cohort (Site 1 246, 94%; Site 2 166, 75%) and 70 patients (16%) were managed in the 'Fast Track' cohort (Site 1 16, 4%; Site 2 54, 25%). The median length of stay for TENP managed patients was 143. min, with 96% of patients leaving the ED in less than 8. h. There were no TENP unplanned re-presentations at either site. The TENP managed more male patients across both sites. The majority (75%) of patients the TENP managed had musculoskeletal and/or wound conditions or injuries. Conclusion: TENP practice across the two Sydney metropolitan ED sites was similar. The model adapted for Tertiary Referral centres was appropriate for smaller urban EDs. The study supports existing evidence of timely and appropriate care being delivered by TENPs across Australian EDs. Given the work practice similarities, the study demonstrates that State and/or National standards and policies could be developed for emergency advanced practice roles. © 2011 Elsevier Ltd.

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http://hdl.handle.net/10453/29489