Mabrook A F, Dale B
Department of Accident and Emergency Medicine, Crawley Hospital, West Sussex.
J Accid Emerg Med. 1998 Jul;15(4):266-8. doi: 10.1136/emj.15.4.266.
To evaluate activities of a nurse led minor injuries unit based in a community hospital situated eight miles away from its sister district hospital in Crawley to demonstrate whether nurses can provide an alternative service.
"Walk in" service provided by emergency nurse practitioners (ENPs) working within protocols and parameters with supervision from the accident and emergency consultant during the period of May 1995 to April 1996.
Within the 12 month period, ENPs treated 6944 new patients. Altogether 234 patients were transferred to Crawley Hospital for further treatment. The ENPs reviewed 1611 patients and the consultant 1342; 1945 patients required radiographs and 793 were given medication; 553 patients were referred to other health care professionals. Almost all patients were happy to see a nurse and all were satisfied with the treatment they received.
With careful planning, adequate supervision, and support from multidisciplinary teams nurses can provide a worthwhile and effective service for a local community.
评估一家位于社区医院的由护士主导的轻伤科室的活动情况，该社区医院距离克劳利的姊妹区医院有八英里，以证明护士是否能够提供替代服务。
1995年5月至1996年4月期间，急诊护士从业者（ENP）在事故与急诊顾问的监督下，按照规程和参数提供“即到即看”服务。
在这12个月期间，急诊护士从业者治疗了6944名新患者。共有234名患者被转至克劳利医院接受进一步治疗。急诊护士从业者复查了1611名患者，顾问复查了1342名；1945名患者需要进行X光检查，793名患者接受了药物治疗；553名患者被转介给其他医疗保健专业人员。几乎所有患者都很高兴由护士诊治，并且对所接受的治疗都很满意。
通过精心规划、充分监督以及多学科团队的支持，护士能够为当地社区提供有价值且有效的服务。
