Defining the role of the pediatric critical care nurse practitioner in a tertiary care center

2000 ◽  
Vol 28 (7) ◽  
pp. 2626-2630 ◽  
Author(s):  
Shari L. Derengowski ◽  
Sharon Y. Irving ◽  
Pamela V. Koogle ◽  
Robert M. Englander
2013 ◽  
Vol 2013 ◽  
pp. 1-6
Author(s):  
Quang N. Ngo ◽  
Doreen M. Matsui ◽  
Ram N. Singh ◽  
Shayna Zelcer ◽  
Alik Kornecki

To determine the incidence of anemia among pediatric critical care survivors and to determine whether it resolves within 6 months of discharge.Design. A prospective observational study. Patients with anemia upon discharge from the pediatric critical care unit (PCCU) underwent in hospital and post hospital discharge followup (4–6 months) for hemoglobin (Hb) levels.Setting. A medical-surgical PCCU in a tertiary care center.Patients. Patients aged 28 days to 18 years who were treated in the PCCU for over 24 hours.Measurements and Main Results. 94 (24%) out of 392 eligible patients were anemic at time of discharge. Patients with anemia were older, median 8.0 yrs [(IQR 1.0–14.4) versus 3.2 yrs (IQR 0.65–9.9) (P<0.001)], and had higher PeLOD [median 11 (IQR 10–12) versus 1.5 (1–4) (P<0.001)], and PRISM [median 5 (IQR 2–11) versus 3 (IQR 0–6) (P<0.001)] scores. The Hb level normalized in 32% of patients before discharge from hospital. Of the 28 patients who completed followup, all had normalization of their Hb in the absence of medical intervention.Conclusions. Anemia is not common among patients discharged from the PCCU and recovers spontaneously within 4–6 months.


Author(s):  
Rahul S. Patel ◽  
Alana L. Christie ◽  
Philippe E. Zimmern

1996 ◽  
Vol 16 (2) ◽  
pp. 120-127 ◽  
Author(s):  
V Keough ◽  
J Jennrich ◽  
K Holm ◽  
W Marshall

The students and faculty enrolled in the first TNP class have set a standard for future TNPs: a rigorous course of education with advanced practice and scholarship within an advanced practice collaborative model. Because of the increasingly number of trauma victims and the highly specialized care they require, nurses must come forward and provide quality care. The TNPs and their faculty must promote further recognition of the TNP role, become leaders in the field of acute care, and continue to develop and maintain collaborative relationship with physicians in support of advanced practice nursing in many areas of tertiary care. The first three graduates of the trauma/critical care practitioner class are now employed in advanced practice roles and are applying their education within trauma/critical care settings. Two of the students are trauma nurse practitioners in a community hospital, and one is a critical care nurse practitioner in a university hospital. Currently, there is an acute care nurse practitioner certification examination that is appropriate for nurses in the field of trauma/critical care. Co-sponsored by the AACN Certification Corporation and the American Nurses Credentialing Center, this examination is offered twice a year, in June and October. AACN is active in supporting and promoting the TNP role and, in conjunction with the American Nurses Association, has developed new standards of care and scope of practice to include this expanded role for the advanced practice nurse. The future for this exciting and demanding role looks bright for the advanced practice nurse interested in the care of the acutely ill patient. The time is right for this collaboration between nurses and physicians.


1992 ◽  
Vol 12 (3) ◽  
pp. 72-75 ◽  
Author(s):  
SW Benica ◽  
CB Longo ◽  
JH Barnsteiner

This study provides nursing administrators with data regarding stressors of the pediatric critical care nurse in order of priority. Death of patients was the only item isolated and compared to the other stress categories. It is suggested that death of patients be compared to all other items on the audit. The authors recommend expanding this study by asking two additional questions: Does the amount of time spent caring for dying patients correlate with the nurses' estimate of patient deaths and is there a relationship between the time spent caring for patients who die and perception of death as a stressor? This information can be utilized at the unit level in the development of stress management activities. At the hospital administrator level, this information can assist in the expansion of retention and recruitment strategies.


1992 ◽  
Vol 12 (3) ◽  
pp. 10-19
Author(s):  
S Appel-Hardin

Noninvasive temporary pacing is safe and easy to use, but must be utilized early to be maximally effective. Early implementation of NTP can be enhanced if the critical care nurse is given the autonomy to implement NTP from an established protocol or unit standing orders.


2020 ◽  
Vol 29 (8) ◽  
pp. 2129-2136
Author(s):  
Martín A. Rodríguez ◽  
Nardy N. Rivero-Carrera ◽  
Joanny C. Rey-Puente ◽  
Natali Serra-Bonett ◽  
Soham Al Snih

2016 ◽  
Vol 22 (8) ◽  
pp. S88
Author(s):  
Monique R. Robinson ◽  
Christine Koniaris ◽  
Michael Zacharias ◽  
JaMia Washington ◽  
Lauren Donnelly ◽  
...  

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