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Learn MoreThis blog is taken from a recent HealthStream webinar entitled “Understanding the Emergency Nurse’s Association’s (ENA) Emergency Severity Index Handbook, 5th Edition.” The webinar was moderated by HealthStream’s Dan Pawlus and featured presenters:
The Emergency Severity Index (ESI) triage system is used by more than 94% of U.S. hospitals. Despite this, research has found wide variance in triage accuracy rates. Recently the ENA released the fifth edition of its ESI Handbook and the ESI 2.0 online course which is now offered exclusively through ENA and HealthStream.
Triage is a multi-faceted and complex process. McCallum explained that it was clear that there was a lack of understanding about how to apply ESI which resulted in less-than-desirable triage accuracy. She went on to share that the tool’s algorithm is valid, reliable and has been well-researched across all age groups and in many different countries. ENA has updated the ESI education to help healthcare organizations feel more confident in the education and the ways in which they use it.
McCallum shared some of the updates that were included in the fifth edition of the handbook. Some of the research supporting the evidence was updated. In fact, more than 75 of the references are either new or have been updated to demonstrate that the algorithm tool is and remains valid and reliable. The update provides additional clarity aimed at improving understanding and reducing misinterpretations. The handbook includes detailed explanations for each decision point and updated decision point presentations for more accurate identification of levels 1 and 2 patients. In addition, a new part of the handbook addresses the role of racism, bias, and stigmas – all of which can impact the accuracy of a triage decision.
McCallum shared that the update clarifies what nurses need to know as well as where they can find it in the handbook. Further, she recommended that a copy of the handbook be kept at the triage desk and at every nurse’s station for quick reference.
The algorithm itself did not change, however, McCallum pointed out a wording change that would add clarity to the decision-making process and help nurses better understand when to re-evaluate triage decisions.
In addition, the handbook has updated vital signs by age group and has added additional age groups that include the standard vital sign ranges. Also included are the temperature ranges that support the sepsis criteria.
The updated handbook also includes a section on frequently asked questions.
Next, presenters addressed the updates to HealthStream’s ESI 2.0 course. All of the updates from the handbook are included in the course which now incorporates a voiceover – a feature that many learners will find beneficial. Knowledge checks to evaluate retention are still included and have been updated to reflect the content of the new handbook.
Additionally, there were some changes to the exams. The ESI Pediatric 2.0 now has pediatric-specific knowledge checks and exam questions and there are 25 new exam questions addressing the age-specific vital signs. A new exam structure now requires learners to answer 100% of Level 1 and Level 2 questions correctly.
McKone shared the three ESI course components:
The courses have a mobile first design with engaging and interactive modules designed to ensure that each patient receives high-quality, specialized emergency care. This proven approach can help your organization lower morbidity and mortality rates in the emergency department. In addition, the course has a pre-built curriculum that covers the updated handbook. CEUs are automatically tracked and recorded in the system and are easy to retrieve and report. McKone recommended that nurses review this course annually.
Finally, McKone urged customers to check to make sure that they are using the most recent ENA courseware and to check in with HealthStream if they are not using the 2.0 version of the courses.
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View All Learning & PerformanceHealthStream offers performance learning management solutions to help develop your healthcare staff into leaders and reduce turnover.
View All ProductsHealthStream works with healthcare organizations to create engaging and high-quality training videos for your staff and management.
View All ProductsImprove care quality and save money by making informed decisions about your healthcare facility and staff with HealthStream's reporting analytics solution.
View All ProductsHealthStream's proven methods for the improvement and overall engagement of your healthcare staff foster a positive workplace and increase retention rates.
View All ProductsWhen you enact HealthStream's quality compliance solutions, you can do so with the confidence your healthcare organization will meet all standards of care.
View All Quality & ComplianceBe confident in your staff’s ability to reduce risk by providing compliance training that changes behavior.
View All ProductsDevelop next-level people for next-level care by prioritizing quality and safety improvements.
View All ProductsEstablish a culture of belonging with education supporting DEI, wellness, engagement, and leadership development.
View All ProductsUtilize patient access solutions and advanced reimbursement solutions to manage clinical denials and improve your organization’s reimbursement strategy.
View All ReimbursementExpand the decision-making skills and effectiveness of your healthcare workforce with HealthStream's clinical development programs and services.
View All Clinical DevelopmentLearn about our advanced resuscitation training solutions. Our solutions are designed to help improve patient outcomes.
View All ProductsUnlocking the full potential of clinicians goes beyond aspiration – it’s a commitment we embody. Our competency development solutions help personalize learning for every clinician so you can confidently bridge the gap between theory and practice for your nurse residents while meeting the unique development needs of your seasoned clinician.
View All ProductsEnhance maternal & child nursing care with solutions focused on improving the quality of care for mothers, infants, and children.
View All ProductsAddress staffing challenges, standardize orientation and onboarding, and deliver an effective training program for your team to easily achieve and maintain certification with our critical, emergency, and acute care solutions.
View All ProductsWe understand the critical importance of earning and maintaining your patients' trust in the delivery of exceptional sedation and surgical outcomes. As a premier provider of healthcare education, we are committed to empowering you in promoting safer, more successful outcomes for each and every patient, without exception.
View All ProductsOur solutions are meticulously designed to cater to the diverse needs of patients, healthcare professionals, and organizations. Within this innovative framework, we have curated specialized subsets of solutions aimed at addressing the ever-evolving challenges faced by individuals dealing with illnesses or chronic conditions.
View All ProductsMake sure your healthcare staff can schedule out appointments and work schedules with ease using HealthStream's line of software solutions.
View All SchedulingHealthcare workforce management is essential. We provide advanced scheduling solutions for organizations to solve issues such as nurse retention
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View All CredentialingOur affordable CVO credentialing services establish patient safety by enabling primary source verification for your healthcare organization.
View All ProductsIntegrate with Epic to validate and add new providers directly to your provider master file.
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