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Deb Zirkle

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ENA Initiatives

Discharge Processes for Patients Receiving Schedule II and III Medications for Pain Management in the Emergency Department

Schedule II and III narcotics are frequently prescribed for use in treating acute pain while a patient is in the emergency department. Although guidelines exist on the prescription of these medications after discharge (2012), criteria for discharge from the emergency department after Schedule II and III narcotics are given are difficult to find. Pediatric literature makes suggestions for both the emergency department and the ambulatory surgery setting; however Pediatric patients, however, are never discharge. Furthermore, there is a paucity of literature on the current discharge practices for adult (over the age of 18) patients who have received Schedule II and III narcotics in the emergency department. Therefore, patients may spend more or less time than they need in the emergency department, with the attendant patient safety and throughput issues. This variability in discharge practices directly impacts  the practice of emergency nursing, as emergency nurses are the frontline caregivers for patients who have received Schedule II or III narcotics during in the emergency department. The purpose of this study is to understand common practices in the discharge of patients receiving Schedule II and III narcotics in the emergency department in terms of dosage, time, availability of care resources at home, and other discharge criteria


Recruitment status: Focus group recruitment is now closed. Please check back for an opportunity to participate in the second phase of this study.



Collaborative Initiatives


National Implementation of the Comprehensive Unit-Based Safety Program to Reduce Catheter-Associated Urinary Tract Infections

ENA is committed to participating in the AHRQ-funded, hospital-based safety initiative to reduce catheter-associated urinary tract infections (CAUTI) nationwide. ENA’s essential role in this national implementation project is to educate its members about CAUTI prevention in the emergency department and identifying members to participate in a national network of clinical faculty. Identified faculty will be developed to coach and mentor hospital units participating in the project, participate in site visits, develop content and incorporate emergency department curriculum into train-the-trainer programs within the project, and provide strategic guidance. In addition to a network of national faculty, ENA will have the opportunity to identify and develop regional CAUTI emergency department nurses.


Lead Institution: Health Research & Educational Trust (HRET)

Recruitment status: Please check back for updates.

Additional Information:

AHRQ Press Release                

AHRQ Comprehensive Unit-based Safety Program (CUSP)      

On the CUSP to Stop Hospital-Associated Infections (HAI)         


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Content Type: ENA Content Pages
Version: 68.0
Created at 7/14/2009 8:02 PM by Deb Zirkle
Last modified at 2/25/2014 5:16 PM by i:0#.f|enamembershipprovider|