RESUMO
A retrospective study was conducted to determine the effects of a well-functioning rapid response team (RRT) within one facility. A well-functioning RRT was associated with fewer cardiac arrests outside critical care settings and decreased critical care length of stay.
Assuntos
Parada Cardíaca/epidemiologia , Parada Cardíaca/prevenção & controle , Equipe de Respostas Rápidas de Hospitais , Centros Médicos Acadêmicos , Idoso , Cuidados Críticos , Feminino , Humanos , Tempo de Internação/estatística & dados numéricos , Masculino , Avaliação de Programas e Projetos de Saúde , Estudos Retrospectivos , Texas/epidemiologiaRESUMO
Nursing preceptors initiate new staff to the professional environment. To be successful, preceptors must be willing and knowledgeable in their role, both clinically and as an instructor. This study evaluated the effects of a 4-hour preceptor class to change preceptor behavior. Twenty-seven class participants commented on the class and their goals, and 18 completed a follow-up survey 2 months later. Among those 18, 90% had achieved at least one of their goals. One barrier to achieving planned changes was having the opportunity to precept over the time period. Participants indicated that improved listening skills, application of content, and team building all supported their improvement as a preceptor.
Assuntos
Informática Médica/tendências , Informática em Enfermagem/tendências , Computadores de Mão , Documentação , Processamento Eletrônico de Dados , Registros Eletrônicos de Saúde , Humanos , Imperícia/legislação & jurisprudência , Sistemas de Medicação , Planejamento de Assistência ao Paciente , Estados UnidosRESUMO
Nurses care for increasing numbers of patients requiring cardiac monitoring. Ability to identify cardiac rhythms is a key element in nurses' ability to promote patient safety. A quasi-experimental pilot study using a stratified random sample of 32 medical-surgical nurses examined accuracy of cardiac rhythm interpretation. Findings showed a statistically significant disparity in performance between registered nurses and licensed vocational nurses. These findings suggest a need to improve staff development in the area of cardiac rhythm interpretation.
Assuntos
Arritmias Cardíacas/diagnóstico , Eletrocardiografia , Enfermagem de Centro Cirúrgico , Cuidados Críticos , Eletrocardiografia/enfermagem , Humanos , Avaliação em EnfermagemRESUMO
Ventilator-associated pneumonia is a hospital-acquired infection that may develop in patients 48 hours after mechanical ventilation. The project goal was to determine whether a ventilator-associated pneumonia care bundle checklist embedded into an existing electronic health record would increase completeness of nursing documentation in an intensive care unit setting. With the embedded checklist, there were significant improvements in nursing documentation and a decreased incidence of ventilator-associated pneumonia.
