ABSTRACT
Family presence at codes is a concept that often elicits differing opinions from healthcare workers with regard to implementation, evaluation, and efficacy of the process. The oncology nursing service at Banner Good Samaritan Medical Center created a protocol to operationalize the guidelines of family presence at codes. The protocol was based on the Emergency Nurses Association guidelines from 2001 and modified to complement the current practice environment and culture of the units. Evaluation surveys were created for both the family members present and staff involved in the process.
Subject(s)
Cardiopulmonary Resuscitation/psychology , Family/psychology , Oncology Nursing , Adult , Cardiopulmonary Resuscitation/nursing , Child , Clinical Protocols , Critical Care , Humans , Patients' Rooms , Social Support , Surveys and QuestionnairesSubject(s)
Acinetobacter Infections/prevention & control , Acinetobacter baumannii , Communicable Diseases, Emerging/prevention & control , Critical Care/organization & administration , Drug Resistance, Multiple, Bacterial , Acinetobacter Infections/epidemiology , Acinetobacter Infections/microbiology , Acinetobacter baumannii/drug effects , Acinetobacter baumannii/genetics , Anti-Bacterial Agents/therapeutic use , Arizona/epidemiology , Centers for Disease Control and Prevention, U.S. , Colistin/analogs & derivatives , Colistin/therapeutic use , Communicable Diseases, Emerging/epidemiology , Communicable Diseases, Emerging/microbiology , Disease Outbreaks/prevention & control , Disease Outbreaks/statistics & numerical data , Disease Reservoirs/microbiology , Environmental Microbiology , Equipment Contamination/prevention & control , Genes, Bacterial/genetics , Genes, MDR/genetics , Humans , Infection Control/organization & administration , Minocycline/analogs & derivatives , Minocycline/therapeutic use , Nursing Staff, Hospital/education , Nursing Staff, Hospital/supply & distribution , Risk Factors , Tigecycline , Total Quality Management , United States/epidemiologyABSTRACT
Staff turnover in critical care units is a persistent problem. This very brief, pilot study examines the effects of hardiness and its impact on critical care nurses.
Subject(s)
Adaptation, Psychological , Attitude of Health Personnel , Burnout, Professional/prevention & control , Intensive Care Units , Nursing Staff, Hospital/psychology , Personality , Adult , Anthropology, Cultural , Avoidance Learning , Burnout, Professional/psychology , Exploratory Behavior , Female , Hospitals, Teaching , Humans , Intensive Care Units/organization & administration , Internal-External Control , Interprofessional Relations , Job Satisfaction , Male , Middle Aged , Models, Psychological , Motivation , Nursing Methodology Research , Organizational Culture , Personnel Loyalty , Pilot Projects , Problem Solving , Qualitative Research , Southwestern United States , Surveys and QuestionnairesABSTRACT
The increasing complexity and acuity of the patient population at a southwest United States medical center was a catalyst in updating, revising, and distributing a current extravasation guideline document to caregivers. The guidelines provide information on initial treatment for nurses and the process for documentation and tracking of extravasations. The authors describe how a synthesis of the Nursing and Pharmacy partnership at Banner Good Samaritan Medical Center resulted in the creation of current extravasation guidelines for the facility.
Subject(s)
Critical Care/standards , Extravasation of Diagnostic and Therapeutic Materials/therapy , Practice Guidelines as Topic , Critical Care/methods , Documentation/standards , Extravasation of Diagnostic and Therapeutic Materials/diagnosis , Humans , Interdepartmental Relations , Nurse Clinicians/organization & administration , Nursing Assessment/standards , Nursing Records/standards , Nursing Staff, Hospital/organization & administration , Pharmacy Service, Hospital/organization & administration , Southwestern United States , Trauma CentersABSTRACT
The delivery of optimum nursing care to morbidly obese patients in critical care presents unique challenges in critical thinking, planning, and teamwork. The purpose of this article is to review the special needs of this patient population and to provide a template to guide proactive nursing care planning in critical care settings.
Subject(s)
Critical Care/methods , Nurse's Role , Obesity, Morbid/nursing , Obesity, Morbid/surgery , Adult , Comorbidity , Cost of Illness , Critical Care/psychology , Critical Care/standards , Diabetes Mellitus/etiology , Fatal Outcome , Gastric Bypass/adverse effects , Humans , Hypertension/etiology , Hypothyroidism/etiology , Lifting , Male , Obesity, Morbid/complications , Obesity, Morbid/epidemiology , Obesity, Morbid/psychology , Patient Care Planning , Patient Care Team/organization & administration , Practice Guidelines as Topic , Pressure Ulcer/etiology , Transportation of Patients , United States/epidemiologyABSTRACT
This article presents a program developed at one facility to help provide palliative care services to patients in the intensive care units.
