Glasgow Coma Scale Technique for Predicting Trauma and Patient Awareness in Hospitals in the Emergency Department: Certificate of Training and Emergency Nurses

Abstract

The Glasgow Coma Scale (GCS) technique, developed since 1974, is used by nurses and other health care professionals to facilitate documentation of the scale-up of consciousness, assessment of consciousness needed in patients with head injuries, intracranial hemorrhage and many more. GCS can be used in many cases in hospitals not only to assess the presence of head trauma but to assess several conditions that require an awareness assessment. GCS is also needed to determine clinical decisions in the emergency department at the hospital. The purpose of the study, assess the ability of emergency nurses who already have training certificates in determining the value of patient awareness in hospitals using GCS neurological assessment and analyze the relationship between nurses who have a minimum training certificate with the ability of nurses to use GCS in the Government General Hospital Emergency Department. The method used is descriptive-analytic with a chi-square relationship test approach with a sample of all emergency nurses as many as 73 people spread across the three hospitals. The sample has nurses' inclusion criteria who have emergency department training certificates and served in the emergency room. Exclusion criteria were nurses who served structurally (head of the room and deputy head of the room) and were on leave/permission/sick/not on duty. Samples were taken based on total sampling and crosssectional. The results showed that the nurse's competence in performing GCS techniques was 58.3% in the good category and 41.7% in the poor category based on the mean value, 7.6 of the five cognitive questions and five competency questions in the case. This study also showed that there was no relationship between ownership of emergency nursing competency certificates with nurse competence in GCS indicated by p-value> 0.05. Conclusions GCS is indeed an instrument in assessing decreased awareness and evaluation of medical emergencies but is not affected by competency certificates for nursing.