ED Manag. 2008 Dec;20(12):138-9.
Elderly ED patients present unique challenges, including potential falls, the need for family's help to complete their history, and the need for specialized community services following discharge. Several Canadian EDs have successfully addressed these problems with the creation of a new position: the geriatric emergency management (GEM) nurse. The nurses must obtain a clinical nursing specialty. It also is recommended that they have an emergency and geriatric working background of at least two years. GEMs conduct a comprehensive geriatric assessment to identify potential risks, and they aid in discharge assessments. GEMs educate patients and their families regarding geriatric issues and available community services.
老年急诊科患者面临着独特的挑战，包括潜在的跌倒风险、需要家人帮助完善病史，以及出院后需要专门的社区服务。加拿大的几家急诊科通过设立一个新职位成功解决了这些问题：老年急诊管理（GEM）护士。这些护士必须获得临床护理专业资质。还建议他们拥有至少两年的急诊和老年护理工作背景。GEM护士进行全面的老年评估以识别潜在风险，并协助进行出院评估。GEM护士就老年问题和可用的社区服务对患者及其家属进行教育。
