World Library  
Flag as Inappropriate
Email this Article

Emergency nursing

Article Id: WHEBN0008154069
Reproduction Date:

Title: Emergency nursing  
Author: World Heritage Encyclopedia
Language: English
Subject: Nursing, Triage, Emergency medicine, Australasian College for Emergency Medicine, International Federation for Emergency Medicine
Collection: Nursing Specialties
Publisher: World Heritage Encyclopedia

Emergency nursing

Emergency Nursing is a nursing specialty in which nurses care for patients in the emergency or critical phase of their illness or injury.

In contrast to practically every other specialty of nursing, in which a patient arrives with a diagnosis applied by a physician and the nurse must manage the patient's care according to that diagnosis, emergency nurses work with patients in whom a diagnosis has not yet been made and the cause of the problem is not known. Emergency nurses frequently contact patients in the emergency department before the patient sees a physician. In this situation, the nurse must be skilled at rapid, accurate physical examination, early recognition of life-threatening illness or injury, the use of advanced monitoring and treatment equipment, and in some cases, the ordering of testing and medication according to "advance treatment guidelines" or "standing orders" set out by the hospital's emergency physician staff. Emergency nurses most frequently are employed in hospital emergency departments, though they may also work in free-standing urgent care clinics. Behavioral health patients have become an increasing concern for emergency nurses.


  • Certified Emergency Nurse (CEN, USA) 1
  • Emergency Nurse Practitioner (ENP) 2
    • In the UK 2.1
    • In the US 2.2
  • Emergency Care Practitioner (UK) 3
  • Additional emergency nursing training and qualifications 4
  • References 5
  • External links 6

Certified Emergency Nurse (CEN, USA)

The Certified Emergency Nurse (CEN) designation is applied to a Emergency Nurses Association (ENA), which also administers certification exams for pediatric emergency nursing (CPEN) (in coopertation with the Pediatric Nursing Certification Board (PNCB)), critical-care ground transport nursing (CTRN) and flight nursing (CFRN). The certification is valid for four years, and can be renewed either by passing another examination or by completing 100 continuing education units (CEUs) in the specialty. There is also an online "open book exam" renewal option.

As of 2012, the BCEN has designated over 26,000 active CENs in the United States and Canada.[1]

Currently the CEN exam has 175 questions of which 150 are used for testing purposes (25 are sample questions). The passing score is 70% and the candidate has 3 hours to take the exam. The test is administered in testing centers nationwide.

Emergency Nurse Practitioner (ENP)

In the UK

A specialist nurse who will independently assess, diagnose, investigate, and treat a wide range of common accidents and injuries working autonomously without reference to medical staff. They primarily treat a wide range of musculoskeletal problems, skin problems and minor illness. They are trained in advanced nursing skills. Under the National Health Service grading system, ENPs are typically graded Band 6 or 7.

In the US

An advanced practice nurse who assesses, diagnoses, and treats a variety of common illnesses, injuries and disease processes in emergency care settings. ENPs are trained in advanced nursing and medical skills such as x-ray interpretation, ophthalmic slit lamp examination, suturing, local and regional anesthesia, abscess incision and drainage, advanced airway techniques, fracture reduction, and casting and splinting.

Emergency Care Practitioner (UK)

A specialist nurse or specialist paramedic who works in the pre-hospital setting dealing with a wide range of medical or emergency problems. Their primary function is to assess, diagnose and treat a patient in the home in an emergency setting.

This is a new profession that has developed as a result of political changes in the United Kingdom which has resulted in doctors (general practitioners) opting out of "out of hours" medical care in many areas. This role is now being fulfilled by ECP's in many areas.

Additional emergency nursing training and qualifications


  1. ^ "CEN Frequently Asked Questions". Board of Certification of Emergency Nursing. Retrieved 9 May 2012. 

External links

  • Emergency Nurses Association - Scope of Emergency Nursing Practice
  • RCS Edinburgh - Faculty of Pre-Hospital Care
  • Emergency Nurse
  • - An Emergency Nursing Blog
  • Emergency Nurses Association
  • Board of Certification of Emergency Nursing
This article was sourced from Creative Commons Attribution-ShareAlike License; additional terms may apply. World Heritage Encyclopedia content is assembled from numerous content providers, Open Access Publishing, and in compliance with The Fair Access to Science and Technology Research Act (FASTR), Wikimedia Foundation, Inc., Public Library of Science, The Encyclopedia of Life, Open Book Publishers (OBP), PubMed, U.S. National Library of Medicine, National Center for Biotechnology Information, U.S. National Library of Medicine, National Institutes of Health (NIH), U.S. Department of Health & Human Services, and, which sources content from all federal, state, local, tribal, and territorial government publication portals (.gov, .mil, .edu). Funding for and content contributors is made possible from the U.S. Congress, E-Government Act of 2002.
Crowd sourced content that is contributed to World Heritage Encyclopedia is peer reviewed and edited by our editorial staff to ensure quality scholarly research articles.
By using this site, you agree to the Terms of Use and Privacy Policy. World Heritage Encyclopedia™ is a registered trademark of the World Public Library Association, a non-profit organization.

Copyright © World Library Foundation. All rights reserved. eBooks from Hawaii eBook Library are sponsored by the World Library Foundation,
a 501c(4) Member's Support Non-Profit Organization, and is NOT affiliated with any governmental agency or department.