GEM nurses are familiar with the complexity of older adults such as atypical presentation of disease, frailty, multi-morbidity, cognitive impairment, and polypharmacy. They use specialized screening tools to identify possible issues and barriers to safe discharge. Some of these issues can be functional, like diminished hearing/vision or loss of balance. Others may be mental, such as patients experiencing dementia or depression. They’re also able to identify social barriers, like a lack of family support or difficult living conditions and coordinate care for optimal transitions.

Frail older adults who visit the ED are more likely to have multimorbidity and take multiple medications. GEM nurses have training to address complex medical needs and medication burden.

GEM nurses aid in ensuring consistency and collaboration during a transition of care, whether within the hospital or to a skilled nursing facility, or the patient’s home. GEM nurses play an important role in helping patients access services that can increase their quality of life and provide support outside of the hospital. In many facilities, they’re involved in educating other health care personnel and developing geriatric management procedures.

Older adults have the highest ED use, experience high rates of revisitation, and are more likely to stay in the ED for long lengths of time. They are also more likely to be admitted and re-admitted in the future. This represents significant financial spending from both the health care system and individuals.

Evidence shows that GEM nurses reduce the need for repeated ED visits and admissions by providing specialized, individualized care. By connecting patients to supports and services outside of the hospital setting, they also decrease the likelihood of a re-visit. Training and hiring GEM nurses are an effective way to reduce healthcare costs in the short and long term – especially given staffing and budget limitations in so many hospitals and systems.

Several organizations have courses for registered nurses who want or need geriatric care education. The Emergency Nurses Association (ENA) are champions of geriatric emergency nursing; they’ve developed a variety of resources and offer comprehensive Geriatric Emergency Nursing Education (GENE) courses.

The Geri-EM Online modules are available through the Online Learning section at gedcollaborative.com where geriatric health care professionals can access timely modules on topics like Medication Management and Cognitive Impairment. Continuing education credits are available for nurses as well.

GEDC’s Skills Fair Modules is an online leaning platform specifically for ED clinicians, including nurses and nurse practitioners. This collection of free courses cover important topics in the treatment and management of geriatric patients.

Geriatric Emergency Management nurses are effective, cost-saving additions to emergency department personnel. They provide specialized skills that improve outcomes and patient well-being. Note that a registered nurse with geriatric emergency nursing education is also required for Geriatric Emergency Department Accreditation (GEDA).