OHSU cares for acutely and critically ill patients in our Emergency Department. We provide the latest evidence-based care and have a reputation for effective teamwork. Emergency nurses understand the importance of their independent scope of practice and engage in dependent scope of practice decision making with the team. Emergency nurses also provide patient and family-centered care for the full spectrum of illnesses.
The OHSU Emergency Department provides around-the-clock multidisciplinary services to clients of all ages across the life span. The department hosts a Level 1 Trauma Center, Triage (including Fast-track and Rapid Medical Evaluations), Pediatric Emergency Services, Adult Acute Care, Adult Critical Care, Observation Unit, and Acute Psychiatric Care. Patients arrive to the ED via ambulance, walk-in, through the transfer center (Trauma & PANDA), and via Rapid Response Team. The unit sees approximately 100 patients per day and has 21 beds as well as a 4 bed Rapid Medical Evaluation Area.
The ED is responsible for assessing patient needs, planning and coordinating interventions and consultations. Procedures and treatments provided in the ED include but are not limited to: placing venous access, medication, fluid and blood administration, radiography, extremity splinting and reduction, laceration repair, moderate and deep sedation, intubation, cardioversion, D&Cs, sexual assault exams, cardiopulmonary resuscitation and imminent deliveries. Patient population and diagnoses vary from minor to critical care and include: chest and abdominal pain, extremity injuries and trauma, migraine, overdose, seizure, dehydration, heart failure, respiratory distress, acute stroke, acute STEMI, acute psychosis/psychological emergencies, infection, and sepsis. Patients may frequently present with alcohol or drug abuse history, and complex medical histories. The ED Team works determine if the patient requires admission or discharge with resources and referrals. The nurse-to-patient ratio is 1:1 or 1:5 based on the patients dynamic stability and acuity.
The OHSU Clinical registered nurse (RN) provides compassionate, evidence-based, and efficient care to individuals, families, communities and patient populations. The Clinical RNs care delivery is consistent with the Oregon Nurse Practice Act, the ANA Scope and Standards of Practice, and the ANA Code of Ethics. The Clinical RN demonstrates the professional role obligations of scientist, leader, practitioner, and knowledge transferor [Onsomble Model of the Professional Role]. Professional accountability enriches the Clinical RNs engagement as a leader in promoting an inter-professional culture of collaborative decision-making, innovation, life-long learning, and teamwork. The Clinical Nurse exemplifies the principles of a Culture of Safety by committing to a Just Culture, a Reporting Culture, Learning Culture, and an Engaged Informed Culture.
The Emergency Department Internship is designed to support an individualized new hire experience to integrate nursing professional practice and population-based concepts in the emergency care specialty. The goal of the internship is to validate critical thinking and provide opportunities to verify performance at an advanced beginner level. Success in the program is dependent on the new hires ability to reflect, evaluate practice against professional standards, self-direct learning, and manage the dynamic emergency care environment safely as an advanced beginner.