The use of nurse-initiated treatments is expanding in order to enhance the efficiency and calibre of care given to kids who visit the emergency room. To illustrate how Advanced Nursing Directives effectively incorporate validated clinical scoring systems into practise, a clinical pathway for kids who arrive at our paediatric emergency department (PED) with a suspected appendicitis will be developed. The most recent studies on nurse-initiated protocols, validated clinical grading systems for emergency rooms, and Advanced Nursing Directives will all be included in this review (ANDs). Two further instances of advanced nursing directives for typical clinical PED presentations will be provided last but not least.
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