Hastings Cent Rep. 2016 Sep;46 Suppl 1:S35-8. doi: 10.1002/hast.630.
Excellent patient care within the emergency department requires interdisciplinary training, teamwork, and communication to manage the chaos of the environment. Specifically, invasive procedures required to manage airway, breathing, and circulation via intubation, chest compressions, and establishing intravenous access can provide a direct benefit to save lives but also have the potential to harm both patients and health care clinicians alike; emergency health care clinicians can be exposed to significant amounts of blood and body fluids as well as other threats of physical and psychological harm. The ethical components of care in this environment are often under-recognized due to the need for rapid patient assessment and immediate action. Moreover, challenges to practice that can include lack of qualified personnel, equipment, and other resources to provide safe care to a large volume of patients can lead to moral distress in ED staff. Because the ED is a high-uncertainty, high-acuity environment, continuing interprofessional communication, collaboration, and planning is critical. Opportunities for multidisciplinary policy dialogue and the development of professional guidelines can make the ED a safer environment for both patients and providers.
在急诊科提供优质的患者护理需要跨学科的培训、团队合作和沟通，以应对环境的混乱。具体来说，通过插管、胸外按压和建立静脉通路等侵入性操作来管理气道、呼吸和循环，可以直接为挽救生命提供帮助，但也有可能对患者和医疗保健临床医生造成伤害；急诊医疗保健临床医生可能会接触到大量的血液和体液，以及其他身体和心理伤害的威胁。由于需要快速评估患者并立即采取行动，因此这种环境下的护理伦理部分往往未被充分认识。此外，实践中的挑战可能包括缺乏合格人员、设备和其他资源，无法为大量患者提供安全护理，这可能会导致 ED 工作人员感到道德困境。由于急诊科是一个高不确定性、高急症的环境，因此持续的跨专业沟通、协作和规划至关重要。多学科政策对话和专业指南制定的机会可以使急诊科成为患者和提供者都更安全的环境。
