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Pre-hospital assessment by a single responder: The Swedish ambulance nurse in a new role
University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
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2015 (English)In: International Emergency Nursing, ISSN 1755-599X, E-ISSN 1878-013XArticle in journal (Refereed) Epub ahead of print
Abstract [en]

When a person with vague symptoms calls 112, the dispatchers often have difficulty prioritising the severity of the call. Their only alternative has been to send an ambulance. In Gothenburg, Sweden, a nurse-manned single responder (SR) was initiated to assess this patient group. The study aims to describe patient characteristics and assessment level made by the SR nurse among patients assessed by the dispatcher as low priority and/or vague symptoms. A consecutive journal review was conducted. During six months, 529 patients were assessed; 329 (62%) attended the emergency department (ED) or inpatient care (IC). Of these, 85 patients (26%) were assessed as high priority. Only 108 were assessed as being in need of ambulance transport. ED/IC patients were significantly older. Two hundred (38%) stayed at the scene (SS) (n = 142) or were referred to primary care (PC) (n = 58). Of the 200 SS/PC patients, 38 (19%) attended the ED within 72 hrs with residual symptoms, 20 of whom were admitted to a ward. Nine patients (4% of 200 SS/PC patients) required inpatient treatment and 11 patients stayed overnight for observation. These results suggest a relatively high level of patient safety and the usefulness of an SR among patients assessed by the dispatcher as low priority.

Place, publisher, year, edition, pages
2015.
Keyword [en]
Assessment; Triage; Single responder, Pre-hospital care, Ambulance nurse, Emergency medical dispatcher
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:hb:diva-5414DOI: 10.1016/j.ienj.2015.09.001PubMedID: 26472522Scopus ID: 2-s2.0-84951852177OAI: oai:DiVA.org:hb-5414DiVA: diva2:885206
Available from: 2015-12-18 Created: 2015-12-18 Last updated: 2017-05-02Bibliographically approved

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Herlitz, JohanAxelsson, Christer
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CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf