Herron D G, Nance J
Richland Memorial Hospital, Columbia, South Carolina.
Nurs Clin North Am. 1990 Mar;25(1):71-83.
Nursing management of patients with orthopedic fractures resulting from motor vehicle accidents is a frequent challenge for nurses in an emergency department setting. The nurse must have knowledge of the mechanics of injury, the classification of the resulting fracture types, and the usual medical interventions. In addition, emergency department nurses should follow plans of care that are based on nursing diagnoses so that appropriate nursing interventions can be determined and consistently provided. Initiation of these care plans must not be delayed until the patient is admitted to an inpatient nursing unit, but should be begun in the emergency unit setting. This article presents information that the emergency room nurse needs in order to make plans for nursing care, and discusses seven nursing diagnoses that are almost always appropriate for patients seen in the emergency department who are experiencing orthopedic fractures resulting from motor vehicle accidents.
在急诊科环境中，对因机动车事故导致骨科骨折患者的护理管理，对护士来说是一项常见的挑战。护士必须了解损伤机制、所产生骨折类型的分类以及常规医疗干预措施。此外，急诊科护士应遵循基于护理诊断的护理计划，以便确定并持续提供适当的护理干预措施。这些护理计划的启动不应延迟至患者被收治到住院护理单元，而应在急诊科环境中开始。本文提供了急诊室护士为护理计划所需的信息，并讨论了七个几乎总是适用于在急诊科就诊的因机动车事故导致骨科骨折患者的护理诊断。
