Official Course Description:   MCCCD Approval:  12/14/99
NCE205      19994-19996	LEC	3 Credit(s)	3 Period(s)
Emergency Room Nursing
Roles of emergency health team. Medical/legal issues specific to emergency room care. Triage classifications for specific emergency room situations. Nursing care for selected conditions, trauma, and disease processes. Organ donation issues, discharge procedures, and client education. Prerequisites: Registered nurse (RN), Licensed Practical Nurse (LPN) or currently enrolled in a nursing program.

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MCCCD Official Course Competencies:
NCE205   19994-19996	Emergency Room Nursing

1.	Explain the emergency medical system and specific roles of the emergency nurse, physician, and paramedical emergency staff. (I)
2.	Describe medical legal considerations specific to emergency nursing care. (I)
3.	Select specific triage classifications for given emergency room situations. (II)
4.	Plan, implement, and evaluate emergency nursing care for clients presenting with selected conditions, trauma, and disease processes. (III to XIV)
5.	Describe the specific treatment and procedure for care of the abused client. (XV)
6.	Identify protective measures and emergency interventions for psychiatric clients who may be disoriented and/or violent. (XV)
7.	Explain the role and responsibilities of the emergency room nurse in the organ donation process. (XV)
8.	Outline client discharge procedures in the emergency room. (XVI)
9.	Describe the importance of client education in the emergency room (XVII)

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MCCCD Official Course Outline:
NCE205   19994-19996	Emergency Room Nursing

I. Emergency Medical System A. Organization B. Role of the emergency room nurse C. Role of the emergency room physician D. Role of paramedical staff in the emergency room II. Triage in the Emergency Room A. Cardiac emergencies 1. chest pain 2. congestive heart failure 3. aortic dissection 4. pericarditis/tamponade 5. myocardial infarction/thrombolytics B. Hypertensive crisis C. Triage classifications III. Pulmonary Emergencies A. Pulmonary embolus B. Spontaneous pneumothorax C. Pleural effusion D. Pneumonia E. Asthma F. Chronic obstructive pulmonary disease G. Smoke inhalation/carbon monoxide H. Near drowning IV. Neurologic Emergencies A. Headache B. Seizures C. Cerebrovascular accidents D. Unconsciousness E. Head injuries F. Spinal cord injuries V. Abdominal Emergencies A. Appendicitis B. Pancreatitis C. Peptic ulcer disease/gastroesophageal reflux D. intestinal obstruction E. GI bleeding VI. Metabolic Emergencies A. Diabetic emergencies B. Thyroid emergencies C. Adrenal emergencies D. Electrolyte emergencies E. Related VII. Toxicological Emergencies A. Overdoses B. Food poisoning VIII. Environmental Emergencies A. Snakebites B. Spiders, bees, scorpions C. Heat related IX. Genitourinary Emergencies A. Renal trauma B. Bladder trauma C. Pyelonephritis D. Renal calculi E. Epididymitis F. Testicular torsion X. Infectious Diseases in the Emergency Room A. AIDS B. Bacteremia C. Cellulitis D. Hepatitis E. Herpes infections F. Meningitis G. Tuberculosis XI. Trauma Emergencies A. Wounds B. Penetrating trauma C. Bites D. Facial trauma E. Shock management F. Chest trauma G. Abdominal trauma H. Multiple trauma I. Burn trauma XII. Eye, Ear, Nose and Throat Emergencies A. Eye trauma B. Eye burns C. Medical problems of the eye D. Foreign bodies of the eye, nose and ears. E. Epistaxis F. Dental Emergencies XIII. Orthopedic Emergencies A. Soft tissue Injuries B. Fractures XIV. Obstetrical and Gynecological Emergencies A. Childbirth B. Bleeding in pregnancy C. Pelvic inflammatory disease XV. Miscellaneous Emergencies A. Sexual assault B. Domestic violence C. Child abuse D. Psychiatric Emergencies E. Organ Donation XVI. Pediatric Medical Emergencies A. Infectiuous diseases B. Trauma XVII. Discharge and Patient Education A. Discharge planning and orders B. Client instruction

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