Triage Nurse Initiated Radiographs According to OAR

NCT01654393 | Unknown

• 1 other identifier: H12-01352
• Study Type: interventional
• Target: 142
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of the study is to help doctors in emergency departments know whether triage nurse initiated radiographs, in accordance to the Ottawa ankle rule, before emergency physician assessment will shorten emergency patients' visit. The investigators will examine the number of missed fractures between the two groups, the emergency physicians' willingness to apply OAR and triage nurses' satisfaction.

Conditions

Ankle Fracture

Keywords

Triage nurse; Ottawa ankle rules

Outcome Measures

Primary Outcomes (1)

• Median length of stay (LOS) of patients presenting to a tertiary care academic center with blunt ankle injuries

  Median LOS will be measured and compared among patients with ankle injuries that were assessed by OAR trained triage nurses who applied the OAR and ordered X-rays if necessary vs those patients who were triaged as per usual practice, with no OAR application.

  6 months

Secondary Outcomes (5)

• Fracture missed by Triage Nurse:

  Estimated at 6 months.

• Triage nurses' satisfaction

  estimated at 6 months

• Percent agreement regarding necessity for X-ray between emergency nurse and physician

  estimated at 6 months

• Emergency physician's compliance with OAR

  estimated at 6 months

• Patient satisfaction with triage nurse initiated imaging

  Estimated at 6 months

Study Arms (2)

OAR group

EXPERIMENTAL

Patients with ankle injuries who are assessed by OAR trained triage nurses applying the OAR.

Other: Triage nurses applying the OAR

Control for OAR Triage Nurses

NO INTERVENTION

Patients with ankle injuries that are seen by OAR triage nurses but not assessed in accordance with the OAR.

Interventions

Triage nurses applying the OAR OTHER

Triage nurses applying the OAR during assessment and ordering foot/ankle x-rays as necessary.

OAR group

Eligibility Criteria

• Age: 19 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Patients aged ≥ 19 presenting with an isolated blunt ankle injury

You may not qualify if:

• Injury \>10 days
• Isolated skin injury
• Referred patient with outside x-ray
• Obvious fracture or deformity
• Polytrauma
• Pregnancy
• Diminished sensation due to neurological deficit
• Uncooperative, intoxicated or patients with altered mental status
• Patients returning for reassessment of same injury
• Injury due to or suspicious for domestic violence

Sponsors & Collaborators

• Vancouver Coastal Health: lead
• University of British Columbia: collaborator

Study Sites (1)

Vancouver General Hospital

Vancouver, British Columbia, V5Z 1M9, Canada

RECRUITING

MeSH Terms

Conditions

Ankle Fractures

Condition Hierarchy (Ancestors)

Fractures, Bone; Wounds and Injuries; Ankle Injuries; Leg Injuries

Study Officials

• Lyne Filiatrault, MD, FRCPC

  Vancouver Coastal Health Authorities

  PRINCIPAL INVESTIGATOR

• Wailliam W Lee, MD

  Vancouver Costal Health Authorities

  PRINCIPAL INVESTIGATOR

• Ryiad Abu-Laban, MD, MHSc, FRCPC

  Vancouver Costal Health Authorities

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Jan Buchanan, BSN

CONTACT

6048754205; Jan.Buchanan@vch.ca

Lyne Filiatrault, MD

CONTACT

filiatra@mail.ubc.ca

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, CARE PROVIDER
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER GOV
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Emergency Physician

Study Record Dates

• First Submitted: July 27, 2012
• First Posted: July 31, 2012
• Study Start: July 1, 2012
• Primary Completion: January 1, 2013
• Study Completion: February 1, 2013
• Last Updated: September 12, 2012

Record last verified: 2012-09

Locations

CA (1)