Nursing care of emergency psychiatric patients in outpatient emergency medical care

Cilj istraživanja: analizirati sestrinsku skrb za hitnog psihijatrijskog bolesnika, pri čemu je naglasak na sestrinskoj skrbi za te bolesnike u izvanbolničkoj hitnoj medicinskoj pomoći. Rasprava: Hitna psihijatrijska stanja jesu akutni poremećaji raspoloženja, mišljenja, ponašanja ili socijalnih odnosa koja zahtijevaju hitnu intervenciju jer ugrožavaju bolesnikov život ili predstavljaju opasnost za njegovu okolinu, kao što su suicidalnost, psihomotorni nemir i agresivnost, delirij, akutna anksiozna stanja, akutna psihotična reakcija, akutni afektivni poremećaji, akutna intoksikacija alkoholom i/ili psihoaktivnim tvarima te neke nuspojave određenih lijekova. Medicinska sestra/medicinski tehničar kao dio tima izvanbolničke hitne medicinske pomoći u timu s liječnikom ili bez liječnika procjenjuje bolesnikovo zdravstveno stanje na mjestu intervencije, postavlja sestrinske dijagnoze te intervenira u skladu sa svojim iskustvom i ovlastima. Kako bi uspostavila efikasnu komunikaciju s bolesnikom kojeg je nužno hitno hospitalizirati medicinska sestra/medicinski tehničar koristi razne tehnike, a prema potrebi ordinira i terapiju kako bi se bolesnik umirio, nakon čega se bolesnik prevozi u bolničku ustanovu na liječenje. Zaključak: Medicinska sestra/medicinski tehničar ima zahtjevnu i odgovornu ulogu kao član tima izvanbolničke hitne medicinske pomoći u intervencijama vezanima za hitna psihijatrijska stanja te zbrinjavaju hitnih psihijatrijskih bolesnika.Objectives: To analyze nursing care for emergency psychiatric patients, with the emphasis on nursing care for these patients in outpatient emergency medical care. Discussion: Emergency psychiatric conditions are acute disorders of mood, thinking, behavior or social relations that require immediate intervention because they endanger the patient's life or pose a danger to his environment, such as suicidality, psychomotor restlessness and aggressiveness, delirium, acute anxiety states, acute psychotic reaction, acute affective disorders, acute intoxication with alcohol and/or psychoactive substances and some side effects of certain drugs. The nurse/medical technician, as part of the outpatient emergency medical care team, in a team with or without a doctor, assesses the patient's health condition at the point of intervention, makes nursing diagnoses and intervenes in accordance with his experience and powers. In order to establish effective communication with the patient who needs to be hospitalized urgently, the nurse/medical technician uses various techniques and, if necessary, prescribes therapy to calm the patient down, after which the patient is transported to a hospital for treatment. Conclusion: The nurse/medical tehnician has a demanding and responsible role as a member of the outpatient emergency medical care team in interventions related to urgent psychiatric conditions and care for emergency psychiatric patient