X-rays Trauma Request's by the Triage And Intake Nurse Intake and Referral Nurse: X-TRAIN Study
概览
- 阶段
- 不适用
- 干预措施
- 未指定
- 疾病 / 适应症
- Limb Injury
- 发起方
- Centre Hospitalier Régional d'Orléans
- 入组人数
- 400
- 试验地点
- 1
- 主要终点
- Duration between triage and exit of emergency unit
- 状态
- 已完成
- 最后更新
- 2年前
概览
简要总结
The number of consultations in emergency departments is increasing day by day, and the time to treat patients is getting longer. Different French studies have shown a significant reduction in the time spent in the emergency department after the implementation of the national protocol for the delegation of early radiography prescriptions. The investigators hypothesised that an early request for a standard X-ray by the intake and referral nurse in the case of isolated trauma to the extremities of a limb (from the knee to the toes and from the shoulder to the fingers) enables a reduction in medical management time and, consequently, in the time spent in the emergency department for the patient.
详细描述
This study is divided into two steps to three month. * The first step of the study corresponds to the current standard of care (SoC) in the emergency department of Orléans. In this first step, the intake and Referral Nurse (IRN) will carry out the usual triage and refer the participant to the appropriate emergency department before being appointed by the physician. The radiography will be requested after the medical consultation. * In the second step, the intake and referral nurse will carry out the usual triage and then request one, or more, radiography(ies) depending on the standard protocol. This ensures that the physician has access to the imaging before the consultation with the patient. If necessary, the X-ray technician is authorized to refuse the exams or complete the request, the choice of the incidence is up to him/her according to the intake and referral nurse.
研究者
入排标准
入选标准
- •Patient older than 15 years and 3 months admitted in adult emergency department of regional hospital center of ORLEANS with a simple and isolated trauma having occurred less than 48 hours prior to admission of a limb extremity (from the knee to the toes or from the shoulder to the fingers), and with no previous imagery assessment within 48 hours prior to admission in the emergency department.
排除标准
- •Multiple trauma
- •Patient with at least one Vittel criteria (except age)
- •Patient refusing the protocol
- •Hemodynamic instability and/or disorder of consciousness
- •Sensory and/or vascular disorders downstream of the traumatized area
- •Protected population (under guardianship or curators)
- •Patient under court protection
- •Pregnant or breastfeeding woman or one who declares herself to be pregnant or breastfeeding
- •Patient with an expired blood alcohol level \> 0.4 mg/L and/or positive blood alcohol level
- •Patient with diagnosed dementia
结局指标
主要结局
Duration between triage and exit of emergency unit
时间窗: immediatly after the procedure
Total duration in minutes in the emergency department with or without anticipated request of X-ray
次要结局
- IRN's feeling about the anticipated request for X-ray (assessed as per anonym Quality of Life at Work questionnaire)(immediatly after the procedure)
- Total duration of the stay(immediatly after the procedure)
- X-ray technician's feeling about the anticipated request for X-ray (assessed as per anonym Quality of Life at Work questionnaire)(immediatly after the procedure)
- Physician's feeling about the anticipated request for X-ray (assessed as per anonym Quality of Life at Work questionnaire) Physician's feeling about the anticipated request for X-ray (assessed as per anonym Quality of Life at Work questionnaire)(immediatly after the procedure)
- Appropriateness of the X-rays requested by the IRN as per guidelines(immediatly after the procedure)
- Number of additional X-ray prescribed by the physician after physician assessment.(immediatly after the procedure)