Publications by authors named "Nicholas Chmielewski"

Article Synopsis
  • The study investigates how crowding in emergency departments (ED) impacts resident education, specifically focusing on their ability to meet point-of-care ultrasound (POCUS) educational goals.
  • Researchers reviewed medical records from an academic trauma center over two years, analyzing the relationship between achieving POCUS scan targets and the ED's overcrowding levels.
  • Results indicated that higher ED crowding (as measured by the National Emergency Department Overcrowding Scale) significantly reduced the chances of residents completing their required POCUS scans, with other factors like the number of residents and availability of ultrasound devices also influencing success rates.
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The Academy of Emergency Nursing was established to honor emergency nurses who have made enduring and substantial contributions that have had significant impact and continue to advance the emergency nursing specialty. Nurses who have been recognized as having made enduring and substantial contributions to emergency nursing achieve fellow status in the Academy of Emergency Nursing and are conferred the credential, Fellow of the Academy of Emergency Nursing. Academy of Emergency Nursing Board Members want to dismantle any structural barriers, clarify any misunderstandings or mysteries, and support diverse candidates by providing clear and equitable resources about the path toward fellow designation and the application process.

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The accurate triage of arriving emergency department (ED) patients is a key component of emergency nursing practice. Overtriage assignment of patients misallocates scarce resources in a time of department overcrowding, whereas patient undertriage can create risks for negative patient outcomes secondary to care delays. Limited evidence is available regarding ED triage accuracy.

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The most common site for hospital sentinel events due to care delays, secondary to waiting and/or inefficient processes, occurs in the emergency department (ED). Decreasing patient length of stay in an ED is a key initiative for many hospitals in order to maximize both quality and efficiency. The purpose of this practice improvement project was to (1) standardize front-end processes across a 6-hospital health system, (2) move non-sorting-related clinical questions out of triage, and (3) improve door-to-triage and door-to-provider times.

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