The tracheostomy clinical nurse specialist: an essential member of the multidisciplinary team

2014 ◽  
Vol 128 (2) ◽  
pp. 171-173 ◽  
Author(s):  
R Crosbie ◽  
J Cairney ◽  
N Calder
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Multidisciplinary Team ◽  
Clinical Nurse Specialist ◽  
Nurse Specialist ◽  
Intensive Care Unit Treatment ◽  
Common Procedure ◽  
Clinical Nurse ◽  
The Creation

AbstractBackground:Tracheostomies are a common procedure within the specialties of otolaryngology and intensive care. The ENT department at Monklands Hospital has developed the position of tracheostomy clinical nurse specialist to improve the management of tracheostomy patients. There is evidence to support the development of a multidisciplinary team for the management of tracheostomy patients following intensive care unit treatment; however, the creation of a specific tracheostomy clinical nurse specialist position has not been widely endorsed in the literature.Objective:This paper describes the role of the tracheostomy clinical nurse specialist, advocating this position within the multidisciplinary team.

Improving Family Communications at the End of Life: Implications for Length of Stay in the Intensive Care Unit and Resource Use

2003 ◽  
Vol 12 (4) ◽  
pp. 317-324 ◽  
Author(s):  
Tom Ahrens ◽  
Valerie Yancey ◽  
Marin Kollef
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Length Of Stay ◽  
End Of Life ◽  
Resource Utilization ◽  
Intervention Group ◽  
Clinical Nurse Specialist ◽  
Control Group ◽  
Nurse Specialist ◽  
Clinical Nurse

• Background Inadequate communication persists between healthcare professionals and patients and patients’ families in intensive care units. Unwanted or ineffective treatments can occur when patients’ goals of care are unknown or not honored, increasing costs and care. Having the primary physician provide medical information and then having a physician and clinical nurse specialist team improve opportunities for patients and their families to process that information could improve the situation. This model has not been tested for its effect on patients’ outcomes and resource utilization.• Objectives To evaluate the effect of a communication team that included a physician and a clinical nurse specialist on length of stay and costs for patients near the end of life in the intensive care unit.• Methods During a 1-year period, patients judged to be at high risk for death (N = 151) were divided into 2 groups: 43 patients who were cared for by the medical director teamed with a clinical nurse specialist and 108 patients who received standard care, provided by an attending physician.• Results Compared with the control group, patients in the intervention group had significantly shorter stays in both the intensive care unit (6.1 vs 9.5 days) and the hospital (11.3 vs 16.4 days) and had lower fixed ($15 559 vs $24 080) and variable ($5087 vs $8035) costs.• Conclusions Use of a physician and a clinical nurse specialist focused on improving communication with patients and patients’ families reduced lengths of stay and resource utilization.

The role of the urology clinical nurse specialist in the multidisciplinary team meeting

2011 ◽  
Vol 5 (2) ◽  
pp. 59-64 ◽  
Author(s):  
Benjamin W Lamb ◽  
Paula Allchorne ◽  
Nick Sevdalis ◽  
Charles Vincent ◽  
James SA Green
Keyword(s):  
Multidisciplinary Team ◽  
Clinical Nurse Specialist ◽  
Nurse Specialist ◽  
Multidisciplinary Team Meeting ◽  
Clinical Nurse ◽  
Team Meeting

Rationalisation of non-sterile latex disposable gloves in clinical settings – a brief study using the purchase of expertise consultancy model

2003 ◽  
Vol 4 (1) ◽  
pp. 10-19
Author(s):  
Duncanson V
Keyword(s):  
Secondary Care ◽  
Cost Benefit Analysis ◽  
Cost Benefit ◽  
Clinical Nurse Specialist ◽  
Small Study ◽  
Clinical Settings ◽  
Nurse Specialist ◽  
Benefit Analysis ◽  
Clinical Nurse

T his article describes a small study aimed at making a purchasing recommendation to the purchasing manager, providing a cost-benefit analysis of the most commonly used brands of non-sterile latex examination gloves. One of the nine makes of glove tested remained consistent with the agreed criteria for assessment and, if introduced as the only option available, would result in a saving of $15,150 per annum on Site A of a recently merged secondary care Trust. Also, the importance of the consultancy role of the clinical nurse specialist in improving practice was demonstrated.

Role of the Breast Clinical Nurse Specialist in bilateral risk reduction mastectomy decision–making

2017 ◽  
Vol 43 (5) ◽  
pp. S9-S10
Author(s):  
Charlotte Weston ◽  
Sarah Adomah ◽  
Vanda Ribeiro ◽  
Karen Thomas ◽  
Nichola Snuggs ◽  
...  
Keyword(s):  
Decision Making ◽  
Risk Reduction ◽  
Clinical Nurse Specialist ◽  
Nurse Specialist ◽  
Clinical Nurse
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