[Efficacy of nurse consultants in a health emergency coordination center]

Emergencias. 2016 Jun;28(3):179-181.
[Article in Spanish]

Abstract

Objectives: To describe nurse consultants' work at the Health Emergency Coordination Center of Galicia (CCUSG-061) in terms of their ability to resolve problems and the appropriateness of their decisions.

Material and methods: Retrospective, observational, descriptive study that included all telephone calls attended by nurses between July 2013 and 2014. The results of a consultation were considered successful if a request for help was resolved without mobilization of resources and did not lead to a new call to the emergency service, a hospital admission, or a death in the next 24 hours.

Results: The nurses attended 37 553 calls, resolving 92% without mobilizing resources or patients. Ninety-seven percent of the calls resolved did not generate new calls or complications in the next 24 hours.

Conclusion: Nurses resolve most patients' emergency care requirements safely without moving patients or mobilizing health resources.

Objetivo: Describir la actividad del enfermero de consulta (EC) en la Central de Coordinación de Urgencias Sanitarias de Galicia-061 (CCUSG-061), en términos de capacidad de resolución de problemas y adecuación de decisiones.

Metodo: Estudio retrospectivo, observacional y descriptivo que incluyó todas las llamadas telefónicas atendidas por los EC entre julio de 2013 y 2014. Se consideró como resolución efectiva cualquier demanda que tras ser resuelta sin movilizar recursos no originase una nueva llamada telefónica, ingreso hospitalario o fallecimiento del paciente en las 24 horas siguientes.

Resultados: Los EC atendieron 37.553 llamadas, 92% resueltas sin necesidad de movilizar recursos o pacientes. De ellas, el 97% no fue objeto de rellamada, ni de complicaciones en las 24 horas siguientes.

Conclusiones: Los EC resuelven de forma segura la mayoría de las necesidades asistenciales de los pacientes, sin movilizar pacientes o recursos sanitarios.

Keywords: Emergency health services; Enfermero; Nursing; Servicios de emergencias; Triage; Triaje.

Publication types

  • Observational Study

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Child
  • Child, Preschool
  • Emergency Medical Services / organization & administration*
  • Emergency Nursing / methods
  • Emergency Nursing / organization & administration*
  • Female
  • Humans
  • Infant
  • Infant, Newborn
  • Male
  • Middle Aged
  • Outcome and Process Assessment, Health Care
  • Remote Consultation / methods
  • Remote Consultation / organization & administration*
  • Retrospective Studies
  • Spain
  • Telephone
  • Triage / methods
  • Triage / organization & administration*
  • Young Adult