668: UTILITY OF HYDROGEN PEROXIDE DISINFECTION IN DECREASING PATHOGENS IN A CRITICAL CARE ENVIRONMENT

Abstract Introduction The ongoing COVID-19 pandemic has presented unforeseen threats and stresses to healthcare systems around the world, most notably in the ability to provide critical care. Aim To assess surgical NCHD experience in providing critical care and working in an intensive care environment. Method An electronic survey was distributed amongst surgical trainees and then amongst individual surgical departments. Ten questions were included in the survey assessing the NCHD’s experience with aspects of critical care. Results 39 respondents including 16 specialist registrars, 3 senior registrars, 11 registrars and 9 senior house officers. 18% of respondents had previous experience in anaesthetics or intensive care. 23% self-reported being competent in performing endotracheal intubation. 15% self-reported being competent in the use of CPAP and BiPaP, 5% did not know what these were. 20% self-reported being competent in the use of AIRVO. 15% self-reported being competent in placing central and arterial lines. 15% self-reported being competent in starting and adjusting inotropes/vasopressors. 49% reported completing a CCRISP or BASIC course. 85% felt that a rotation in anaesthesia should be a routine part of surgical training. Conclusions Whilst there is critical care experience amongst the surgical NCHD cohort there remains room for further development.

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Benner’s Framework and Clinical Decision-Making in the Critical Care Environment

Nursing Science Quarterly ◽

10.1177/0894318416680536 ◽

2016 ◽

Vol 30 (1) ◽

pp. 52-57 ◽

Cited By ~ 6

Author(s):

Kristi J. Stinson

Keyword(s):

Decision Making ◽

Critical Care ◽

Clinical Experience ◽

Strong Correlation ◽

Clinical Decision Making ◽

Clinical Decision ◽

Decision Making Process ◽

Clinical Experiences ◽

Care Environment ◽

Decision Making Processes

Completed as part of a larger dissertational study, the purpose of this portion of this descriptive correlational study was to examine the relationships among registered nurses’ clinical experiences and clinical decision-making processes in the critical care environment. The results indicated that there is no strong correlation between clinical experience in general and clinical experience in critical care and clinical decision-making. There were no differences found in any of the Benner stages of clinical experience in relation to the overall clinical decision-making process.

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Hemodynamic Monitoring in the Critical Care Environment

Advances in Chronic Kidney Disease ◽

10.1053/j.ackd.2012.10.006 ◽

2013 ◽

Vol 20 (1) ◽

pp. 21-29 ◽

Cited By ~ 10

Author(s):

Laurence Busse ◽

Danielle L. Davison ◽

Christopher Junker ◽

Lakhmir S. Chawla

Keyword(s):

Critical Care ◽

Hemodynamic Monitoring ◽

Care Environment

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Is the post-critical care environment safe for tracheostomy patients?

Critical Care ◽

10.1186/cc13519 ◽

2014 ◽

Vol 18 (Suppl 1) ◽

pp. P329

Author(s):

J Siah ◽

S Begum ◽

S Wijayatilake ◽

G De La Cerda ◽

T Jovaisa

Keyword(s):

Critical Care ◽

Care Environment

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Prolonged Stabilization During a Mass Casualty Incident at Sea in the Era of Distributed Maritime Operations

Military Medicine ◽

10.1093/milmed/usaa147 ◽

2020 ◽

Vol 185 (11-12) ◽

pp. 2192-2197

Author(s):

William G Day ◽

Elizabeth Cooper ◽

Khanh Phung ◽

Benjamin Miller ◽

Joseph DuBose ◽

...

Keyword(s):

Internal Medicine ◽

Critical Care ◽

Whole Blood ◽

Mass Casualty Incident ◽

Mass Casualty ◽

Special Forces ◽

Care Environment ◽

Medical Evacuation ◽

Maritime Operations ◽

Pulmonary Morbidity

Abstract In August 2017, the USS Bataan received a mass casualty incident (MCI) of 6 foreign special forces operators after a helicopter crash. All 6 patients were medically evacuated successfully to the USS Bataan, and all patients survived and were successfully returned to their allied country. Four of the patients received whole blood with 2 receiving over 10 units of blood or massive transfusions. One patient required 44 units of blood, and at 1 point in his resuscitation, he received 12 units of whole blood every 30 minutes. Due to administrative factors outside of the ship’s control, these 6 patients had prolonged stabilization during the MCI. This factor differentiates this MCI on the USS Bataan from previous cases. Internal medicine trained physicians with their expertise in inpatient care, postsurgical management, and critical care were instrumental in sustaining these casualties in this prolonged stabilization environment. In the era of distributed maritime operations, where casualty-receiving ships will experience more geographic and resource isolation, there is a potential for the need for prolonged stabilization above the 6 to 12-hour window typical of role II platforms. The known increase in cardiac and pulmonary morbidity and mortality with medical evacuation delay highlights the importance of internal medicine physicians in the role II setting. It is critical that we emphasize the inpatient and critical care principles of these patients in the prolonged field care environment.

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Rethinking the Critical Care Environment: Luxury or Necessity?

AACN Clinical Issues Advanced Practice in Acute & Critical Care ◽

10.1097/00044067-200108000-00002 ◽

2001 ◽

Vol 12 (3) ◽

pp. 336-344 ◽

Cited By ~ 4

Author(s):

Phyllis Beck Kritek

Keyword(s):

Critical Care ◽

Care Environment

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Nurturing Innovation in the Critical Care Environment: Transforming Care at the Bedside

Critical Care Nursing Clinics of North America ◽

10.1016/j.ccell.2008.08.009 ◽

2008 ◽

Vol 20 (4) ◽

pp. 465-469 ◽

Cited By ~ 3

Author(s):

Lisa Donahue ◽

Sandra Rader ◽

Pamela Klauer Triolo

Keyword(s):

Critical Care ◽

Care Environment

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The emotional intelligence of registered nurses commencing critical care nursing

Curationis ◽

10.4102/curationis.v39i1.1606 ◽

2016 ◽

Vol 39 (1) ◽

Cited By ~ 1

Author(s):

Yvette Nagel ◽

Amanda Towell ◽

Elzabe Nel ◽

Fiona Foxall

Keyword(s):

Emotional Intelligence ◽

Critical Care ◽

Registered Nurses ◽

Short Form ◽

Well Being ◽

Self Control ◽

Critical Care Nursing ◽

Care Environment ◽

Critical Care Units ◽

Care Nursing

Background: Critical care is described as complex, detailed healthcare in a unique, technologically rich environment. Critical care nursing requires a strong knowledge base and exceptional clinical and technological skills to cope in this demanding environment. Many registered nurses (RNs) commencing work in these areas may lack resilience, and because of the stress of the critical care environment, coping mechanisms need to be developed. To prevent burnout and to enable critical care nurses to function holistically, emotional intelligence (EI) is essential in the development of such coping mechanisms.Objective: The aim of this study was to describe the EI of RNs commencing work in critical care units in a private hospital group in Gauteng, South Africa.Method: The design used for this study was a quantitative descriptive survey. The target population were RNs commencing work in critical care units. Data were collected from RNs using the Trait Emotional Intelligence Questionnaire – Short Form and analysed using the Statistical Package for the Social Sciences software.Results: The sample (n = 30) had a mean age of 32 years. Most of the participants (63%) qualified through the completion of a bridging course between 2010 and 2012. The majority (62%) of the sample had less than 2 years’ experience as RNs.Conclusion: The EI of RNs commencing work in a critical care environment was indicative of a higher range of Global EI, with the well-being factor scoring the highest, followed by the emotionality factor, then self-control, with the sociability factor scoring the lowest.

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