Authors

Juan José Ruiz Sánchez

Position

Enfermero. Unidad de Gestión Clínica (UGC) Lora del Río (Sevilla).

Contact address

C/ San Francisco, 3, Bloque 3, 1º B. 14700 Palma del Río (Córdoba).

Contact email: juanjorusa@hotmail.com

Abstract

Within the advanced classification and management of emergency care demand in Primary and Hospital Care permanent positions, the triage has demonstrated great efficacy for managing emergencies. Given the high frequency of banal or minor episodes, and in order to contribute to an improved solution for said problem, the Andalusian Health System has established a sub-procedure of Emergency Nursing Care, in order to assist in the treatment of banal episodes, where patients have been classified as Priority 5. The implementation of the triage, using as tools the shared management of the demand and the advanced administration of medication, achieves an improved access for patients, by intensifying the level of care, and opens a second door of access to the urgent demand for care, which is nowadays practically limited to the physician, besides increasing the satisfaction for the care received. Even though good results have been obtained, and there is evidence available about the triage, this is a process which has not been established in all Primary Care Clinical Management Units in the Andalusian Health Service. Further research is required about said tools implemented in the advanced classification of emergencies in permanent positions and in the final action in the Emergency Nursing Office. The object of the present article is to share, through the description of a clinical case, the experience conducted in the Clinical Management Unit in Lora del Río, in order to show the problem-solving ability of nursing professionals in out-of-hospital emergencies, using the shared management of demand.

Keywords:

Emergency Nursing; triage; shared management of the demand; Emergency Nursing Office; healthcare qualitysatisfaction

Versión en Español

Título:

Atención enfermera extrahospitalaria en una urgencia ocular. Gestión compartida de la demanda