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APA FORMAT:

Lambe, Currey, & Considine. (2016). Frequency of vital sign assessment and clinical
deterioration in an Australian emergency department . Australasian
Emergency Nursing Journal, 217-222.

Summary:
The study aims to investigate the frequency and nature of vital sign collection
and clinical deterioration in emergency care. Due to the increase in increasing sign
of vital sign abnormalities, it increases the risks and possibilities of in-hospital
mortality, unplanned ICU admission and calling every now and then the Rapid
Response Team. This article also show us that nowadays, there is also an increase
in-hospital deaths, unexpected in-hospital deaths, ICU admissions and more known
is a longer length of hospital stay. The vital signs that were observed and included
are measurement of respiratory rate, oxygen saturation, heart rate, systolic blood
pressure, temperature and level of consciousness. The study was a descriptive
exploratory approach. The study was conducted in an Emergency Department in
Metropolitan Melbourne. They have called their rapid response team as a medical
emergency team with a criteria of predefined vital sign, clinician concern criteria in
order to know the clinical deterioration, escalation of care process and an expected
response. The common complaints during triaging are the following: Abdominal
pain, shortness of breath, chest pain and febrile illness. A stratified random
sampling were used by the speaker and around 200 patients were recruited. The
data collection were consists of three sections, these are patients presenting
problem, time of triage and time of emergency department discharge and overall
emergency department length of stay.
Findings:
Results have shown that there is statistically differences in median length of
stay in both groups, Also both the median number of vital signs collected with a
duration of the patients episode Of ED care and median number of vital signs per
hour. Results presented that RR, O2 Saturation, systolic BP and heart rate were
measured with a median of 4 times per ED stay while the GCS and temperature
were completely assessed less often with a median of 3 times per ED stay. In terms
of clinical deterioration, 21 patients fulfilled the one Medical Emergency Team (MET)
activation criteria, while six patients fulfilled two MET criteria and two patients have
fulfilled the three MET criteria during their ED stay. Also, it was shown that the most
common causes of clinical deterioration were tachypnea and tachycardia. Alongside
with this, Vital signs were measured and from the results it has shown that there is
an at least one vital sign abnormality while a patient is in ED. This concludes that
patients were assessed of their vital signs less than hourly, and commonly not
assessed in the ED which can also cause clinical deterioration of a person.
This study have identified the frequency and nature of vital sign assessment
in the ED. Clinical deterioration have occurred one out of seven patients. And one in

five vital signs documented were outside of accepted normal ranges which
highlighted the important role of emergency nurses in patient assessment and
ongoing surveillance.

(Lambe, Currey, & Considine, 2016)

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