scholarly journals Direct and indirect nursing care time in an Intensive Care Unit

2014 ◽  
Vol 22 (1) ◽  
pp. 150-157 ◽  
Author(s):  
Luciana Emi Kakushi ◽  
Yolanda Dora Martinez Évora
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Electronic Medical Records ◽  
Nursing Care ◽  
Medical Records ◽  
Private Hospital ◽  
Direct Care ◽  
Health Records ◽  
Indirect Care

OBJECTIVE: to identify the direct and indirect nursing care time in an Intensive Care Unit. METHOD: a descriptive/exploratory study conducted at a private hospital. The Nursing Activities Score classification system was used to estimate the direct care time, and electronic health records were used to estimate the indirect care time. The data were collected from March to June 2011. RESULTS: the findings indicate that the average nursing care time was 29.5 hours, consisting of 27.4 hours of direct care and 2.1 hours of indirect care per patient/day. The nursing care time was higher on weekends and holidays, with predominant use of electronic medical records at night. CONCLUSION: ascertaining nursing care times will contribute to a quantitative evaluation of human resources, assisting in the determination of workloads and workforce size.

scholarly journals A HOSPITALIZAÇÃO DO ADOLESCENTE NA ÓTICA DOS PROFISSIONAIS DE ENFERMAGEM

2018 ◽  
Vol 9 (2) ◽  
Author(s):  
Nathália Da Silva Pimentel Reis ◽  
Maria Fabiane Galdino Dos Santos ◽  
Inez Silva De Almeida ◽  
Helena Ferraz Gomes ◽  
Dayana Carvalho Leite ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Nursing Care ◽  
Medical Records ◽  
Rio De Janeiro ◽  
Descriptive Study ◽  
Tertiary Hospital ◽  
Legal Aspects ◽  
Quantitative Approach ◽  
Patient Identification

Objetivo: Compreender a ótica dos profissionais de enfermagem sobre a hospitalização de adolescentes. Metodologia: Pesquisa qualitativa, descritiva, utilizando entrevista com perguntas semi-estruturadas, realizada em uma enfermaria especializada em saúde do adolescente no Rio de Janeiro, no período de fevereiro a abril de 2016, com 15 profissionais de enfermagem. Resultados: A partir da análise de conteúdo de Bardin, definiram-se três categorias: a inexperiência no cuidado de enfermagem ao adolescente como um desafio, especificidades da adolescência, e sentimentos gerados pela hospitalização do adolescente no profissional de enfermagem. Conclusão: Conclui-se que os profissionais de enfermagem se colocaram inexperientes em cuidar desse público e declararam que o cuidado a essa população é um desafio para a equipe.Descritores: Adolescente, Enfermagem, Hospitalização.THE ADOLESCENT’S HOSPITALIZATION IN THE OPTICS OF NURSING PROFESSIONALSObjective: Analyze the contents of nursing notes in patients’ records in an intensive care unit (ICU) of a public tertiary hospital in Fortaleza, CE. It is a descriptive study with quantitative approach that analyzed 151 medical records of patients admitted to an ICU, from September 2014 to February 2015, whose 48 hour and discharge notes were evaluated. Data revealed notes with poor content, which did not express the patients’ situation, nor the nursing care provided. Data concerning date, time, and patient identification were adequate. However, the COREN number and the professional’s signature raised concern given the high percentage of non-compliance regarding ethical and legal aspects. Nursing notes did not reflect the severity of patients, nor the dynamics in the ICUDescriptors: Adolescent, Nursing, HospitalizationADOLESCENTE EN PERSPECTIVA DE LOS PROFESIONALES DE ENFERMERÍAComprender la óptico del profesional de enfermería de hospitalización de los adolescentes. Metodología: cualitativos, investigación descriptiva, utilizando entrevistas con preguntas semi-estructuradas en una sala especializada para la salud de los adolescentes en Río de Janeiro, en el período de febrero a abril 2016 con 15 profesionales de enfermería. Resultados: A partir del análisis de contenido de Bardin, definido tres categorías: la falta de experiencia en la atención de enfermería a la adolescente como un desafío, características de los adolescentes y los sentimientos generados por la hospitalización de los adolescentes en profesionales de enfermería. Conclusión: Se concluye que los profesionales de enfermería se colocaron inexpertos en cuidar de ese público y declararon que el cuidado a esa población es un desafío para el equipo.Descriptores: Adolescente, Enfermería, Hospitalización

scholarly journals Outcome of COVID-19 and Match-Population Analysis with Compassionate Use of Remdesivir

2020 ◽  
Vol 1 ◽  
pp. 2-4
Author(s):  
Olga Vasylyeva ◽  
Tara Chen ◽  
John Hanna
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Electronic Medical Records ◽  
Medical Records ◽  
Population Analysis ◽  
Exclusion Criterion ◽  
Invasive Ventilation ◽  
Inclusion Criteria ◽  
Compassionate Use ◽  
Reported Data

Abstract: Objectives:  To analyze treatment outcomes for patients with COVID-19 with and without compassionate use of Remdesivir. Methods:  A retrospective review of electronic medical records for patients who did not receive Remdesivir due to unavailability. Match-population analysis based on inclusion criteria for compassionate use Remdesivir of the patient population who received Remdesivir as reported in literature and patients without Remdesivir.  Results: Sixty-six percent of patients met the criteria for compassionate use Remdesivir, 41% required intensive care unit admission, 20% invasive ventilation, and 10% died. The median time of hospitalization for survivors was eight days.  In the separate group of patients who did not meet the criteria for compassion use Remdesivir, mortality among patients with CrCl > 30 ml min, an exclusion criterion, was significantly higher as compared with patients with CrCl < 30 ml min. Conclusion: When compared with previously reported data from patients who received compassionate use Remdesivir, our population had notably fewer patients requiring invasive ventilation. 

scholarly journals PENERAPAN PENGGUNAAN COMFORT SCALE DI RUANG INTENSIVE CARE UNIT DI SATU RUMAH SAKIT SWASTA DI INDONESIA [IMPLEMENTATION COMFORT SCALE IN INTENSIVE CARE UNIT AT ONE PRIVATE HOSPITAL IN INDONESIA]

2021 ◽  
Vol 8 (2) ◽  
pp. 146
Author(s):  
Dwi Christian Silitonga ◽  
Siska Natalia ◽  
Elfrida Silalahi
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Medical Records ◽  
Private Hospital ◽  
Muscle Tone ◽  
Body Movement ◽  
Sampling Technique ◽  
Purposive Sampling ◽  
Quantitative Descriptive ◽  
Assessment Format

<p><em>The Comfort Scale is a standard pain assessment format for measuring the level of psychological distress in critically ill patients, children under 18 years of age and adults who use sedation and are on a ventilator. This study aims to determine the application of the comfort scale in the Intensive Care Unit room. There are no research been conducted related to the application of the use of the comfort scale in a private hospital in West Indonesia. This research used quantitative descriptive with documentation study. The population in this study were patient medical records. The sampling technique used was purposive sampling and obtained a sample of 75 medical records of patients treated at the Intensive Care Unit (ICU) from January to July 2017 with a level of delirium to coma on a ventilator and using sedation drugs. The results of this study stated that out of 75 patient medical records were 11 (14.67%) the files was fill complete with the assessments comfort scale. There were four items has lower scores: crying (18.7%), body movement (28.0%), muscle tone (21.3%), facial tension (17.3%). There were 10 (13.33%) medical records for which there were no special ICU records. Recommendations for further research to carried out research in the ICU room and examining ICU nurses in conducting pain assessments so that the results of the assessment in comfort scale is accordance with all they have done.</em></p><p><em><br /></em><strong>BAHASA INDONESIA </strong><em>Comfort Scale</em> merupakan suatu standar format pengkajian nyeri untuk mengukur tingkat distress psikologis pada pasien kritis anak-anak dibawah usia 18 tahun dan dewasa yang menggunakan sedasi dan terpasang ventilator. Penelitian ini bertujuan untuk mengetahui penerapan penggunaan comfort scale di ruang <em>Intensive Care Unit</em> (ICU). Sejauh penelitian ini dilakukan, belum ada penelitian terkait penerapan penggunaan <em>comfort scale</em> di satu RS Swasta di Indonesia, sedangkan pendokumentasian erat kaitannya dengan kualitas pelayanan yang diberikan kepada pasien. Desain penelitian ini menggunakan deskriptif kuantitatif dengan studi dokumentasi. Populasi dalam penelitian ini adalah rekam medik pasien. Teknik pengambilan sampel yang digunakan adalah <em>purposive sampling</em> dan diperoleh sampel sejumlah 75 rekam medik pasien yang dirawat di ICU dari bulan Januari hingga Juli 2017 dengan tingkat kesadaran delirium sampai dengan koma yang terpasang ventilator serta menggunakan obat sedasi. Hasil penelitian ini menyatakan bahwa dari 75 rekam medik pasien terdapat 11 (14,67%) file pasien lengkap terisi pengkajian comfort scale. Ada empat item yang mendapatkan nilai rendah : tangisan (18,7%), gerakan tubuh (28,0%), tonus otot (21,3%), tegangan wajah (17,3%). Terdapat 10 (13,33%) rekam medik yang tidak terdapat catatan khusus ICU. Rekomendasi untuk penelitian selanjutnya dapat melakukan penelitian di ruang ICU dan meneliti perawat ICU dalam melakukan pengkajian nyeri sehingga hasil pengkajian comfort scale sesuai dengan yang dilakukan oleh perawat.</p>

scholarly journals ANÁLISE DOS REGISTROS DE ENFERMAGEM APÓS COLETA DE SECREÇÃO TRAQUEOBRÔNQUICA PARA CULTURA: IMPORTÂNCIA ÉTICA E LEGAL

2018 ◽  
Vol 9 (1) ◽  
Author(s):  
Josi Andrade Da Silva ◽  
Vládia Teles Moreira ◽  
Rita Neuma Dantas Cavalcante De Abreu ◽  
Tatiana De Medeiros Colletti Cavalcante ◽  
Rubens Nunes Veras Filho ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Pseudomonas Aeruginosa ◽  
Intensive Care ◽  
Nursing Care ◽  
Medical Records ◽  
Tracheal Aspirate ◽  
Descriptive Study ◽  
Quantitative Approach ◽  
Terapia Intensiva

Conhecer os principais micro-organismos obtidos por meio da cultura de secreção traqueobrônquica e analisar os prontuários quanto aos registros de enfermagem sobre a descrição das características do material obtido durante a aspiração de secreção traqueobrônquica para cultura. Metodologia: trata-se de um estudo documental, descritivo com abordagem quantitativa, realizado com uma amostra de 85 registros nos prontuários dos pacientes internados na Unidade de Terapia Intensiva (UTI). Resultados: o estudo apontou que 60% das culturas do aspirado traqueal foi negativa. Dentre as culturas positivas, Pseudomonas aeruginosa foi o micro-organismo mais prevalente. Quantos aos registros de enfermagem sobre o procedimento realizado pelo enfermeiro foram observados registros curtos deste procedimento. Conclusão: este estudo destaca um maior percentual de culturas negativas nas amostras colhidas; carência dos registros detalhados dos procedimentos de enfermagem conforme recomendações do conselho de classe.Descritores: cuidados de enfermagem, sucção, cuidados críticos.ANALYSIS OF NURSING RECORDS AFTER COLLECTION OF TRACHEOBRONCHIAL SECRETION FOR CULTURE: ETHICAL AND LEGAL IMPORTANCEObjectives: To know the main microorganisms obtained by means of the culture of tracheobronchial secretion and to analyze the charts on the nursing records on the description of the characteristics of the material obtained during the aspiration of tracheobronchial secretion for culture. Methodology: This is a descriptive, descriptive study with a quantitative approach, carried out with a sample of 85 records in the medical records of patients admitted to the Intensive Care Unit (ICU). Results: the study indicated that 60% of tracheal aspirate cultures were negative. Among the positive cultures, Pseudomonas aeruginosa was the most prevalent microorganism. How many of the nursing records about the procedure performed by the nurse were observed short records of this procedure. Conclusion: this study highlights a higher percentage of negative cultures in the samples collected; Lack of detailed records of nursing procedures as recommended by the class council.Descripitors: nursing care, suction, critical care.ANÁLISIS DE LOS REGISTROS DE ENFERMERÍA DESPUÉS DE LA RECOGIDA DE SECRECIONES TRAQUEOBRONQUIALES PARA LA CULTURA: IMPORTANCIA ÉTICA Y LEGALObjetivos: Conocer los principales microorganismos obtenidos por medio de la cultura de secreción traqueobronquica y analizar los prontuarios en cuanto a los registros de enfermería sobre la descripción de las características del material obtenido durante la aspiración de secreción traqueobronquial para cultivo. Metodología: Se trata de un documental, estudio descriptivo con un enfoque cuantitativo, realizado con una muestra de 85 registros en las historias clínicas de los pacientes ingresados en la Unidad de Cuidados Intensivos (UCI). Resultados: El estudio encontró que el 60% de los cultivos de aspirado endotraqueal fue negativo. Entre los cultivos positivos, Pseudomonas aeruginosa fue el microorganismo más prevalente. Como los registros de enfermería en el procedimiento realizado por las enfermeras se observaron registros cortos de este procedimiento. Conclusión: Este estudio pone de manifiesto un mayor porcentaje de cultivos negativos en las muestras; la falta de un registro detallado de los procedimientos de enfermería según lo recomendado por el consejo de clase.Descriptores: cuidados de enfermería, chupar, cuidados críticos

scholarly journals Development of a Risk Score for QT Prolongation in the Intensive Care Unit Using Time-Series Electrocardiogram Data and Electronic Medical Records

2021 ◽  
Vol 27 (3) ◽  
pp. 182-188
Author(s):  
Tae Young Kim ◽  
Byung Jin Choi ◽  
Yeryung Koo ◽  
Sukhoon Lee ◽  
Dukyong Yoon
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Clinical Practice ◽  
Electronic Medical Records ◽  
Real World ◽  
Medical Records ◽  
Qt Prolongation ◽  
Icu Patients ◽  
Scoring Model ◽  
Risk Scoring

Objectives: Drug-induced QT prolongation can lead to life-threatening arrhythmia. In the intensive care unit (ICU), various drugs are administered concurrently, which can increase the risk of QT prolongation. However, no well-validated method to evaluate the risk of QT prolongation in real-world clinical practice has been established. We developed a risk scoring model to continuously evaluate the quantitative risk of QT prolongation in real-world clinical practice in the ICU.Methods: Continuous electrocardiogram (ECG) signals measured by patient monitoring devices and Electronic Medical Records data were collected for ICU patients. QT and RR intervals were measured from raw ECG data, and a corrected QT interval (QTc) was calculated by Bazett’s formula. A case-crossover study design was adopted. A case was defined as an occurrence of QT prolongation ≥12 hours after any previous QT prolongation. The patients served as their own controls. Conditional logistic regression was conducted to analyze prescription, surgical history, and laboratory test data. Based on the regression analysis, a QTc prolongation risk scoring model was established.Results: In total, 811 ICU patients who experienced QT prolongation were included in this study. Prescription information for 13 drugs was included in the risk scoring model. In the validation dataset, the high-risk group showed a higher rate of QT prolongation than the low-and low moderate-risk groups.Conclusions: Our proposed model may facilitate risk stratification for QT prolongation during ICU care as well as the selection of appropriate drugs to prevent QT prolongation.

scholarly journals Riscos para o desenvolvimento de úlceras por pressão em idosos utilizando as subescalas de Braden

2019 ◽  
Vol 77 (15) ◽  
Author(s):  
Belarmino Santos de Sousa Júnior ◽  
Ana Elza Oliveira de Mendonça ◽  
Fernando Hiago da Silva Duarte ◽  
Cíntia de Carvalho Silva
Keyword(s):  
Health Care ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
High Risk ◽  
Nursing Care ◽  
Medical Records ◽  
Descriptive Study ◽  
Ethics Committee ◽  
Terapia Intensiva ◽  
Very High

Introdução: O avanço tecnológico e científi co vem possibilitando o aperfeiçoamento dos serviços e cuidados desaúde, no entanto, o surgimento de Úlceras por Pressão (UP), em pacientes hospitalizados permanece elevado,principalmente em idosos que necessitam de cuidados intensivos. Objetivo: Analisar os riscos no desenvolvimentode UP em pacientes idosos, admitidos em uma Unidade de Terapia Intensiva (UTI), utilizando as subescalas deBraden. Método: Trata-se de um estudo descritivo, com abordagem quantitativa; a população consistiu de 20pacientes idosos acamados, de ambos os sexos. Para a coleta de dados utilizou-se de um instrumento estruturado ea análise dos prontuários, após aprovação do Comitê de Ética em Pesquisa. Resultados: A Escala de Braden (EB) foiaplicada durante o exame físico, e demonstrou risco muito elevado em 95% dos pacientes estudados e evidencioua presença de UP em 95% destes pacientes. Conclusões: A EB é de fácil aplicação na prática clínica do enfermeiro emostrou-se útil na avaliação de predição do risco de UP no grupo estudado.Palavras-chave: Unidades de terapia intensiva; Úlcera por pressão; Cuidados de enfermagem. ABSTRACTIntroduction: technological and scientifi c advancement has enabled the improvement of services and health care,however, the emergence of Pressure Ulcers (PU) in hospitalized patients remains high, especially in the elderlywho need intensive care. Objective: To analyze the risks in the development of PU in elderly patients admitted toan Intensive Care Unit (ICU) using the subscales Braden. Method: This is a descriptive study with a quantitativeapproach; population consisted of 20 elderly bedridden patients, of both sexes. For data collection was used astructured instrument and analysis of medical records, after approval by the Research Ethics Committee. Results:Braden Scale (SB) was applied during the physical examination, and demonstrated very high risk in 95% ofpatients studied and showed the presence of PU in 95% of patients. Conclusions: SB is easy to apply in clinicalnursing practice and proved useful in PU risk prediction assessment in this group.Keywords: Intensive care units; Pressure ulcer; Nursing care.

scholarly journals Equipment failure: conducts of nurses and implications for patient safety

2018 ◽  
Vol 71 (4) ◽  
pp. 1832-1840
Author(s):  
Gabriella da Silva Rangel Ribeiro ◽  
Rafael Celestino da Silva ◽  
Márcia de Assunção Ferreira ◽  
Grazielle Rezende da Silva ◽  
Juliana Faria Campos ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Nursing Care ◽  
Public Institution ◽  
Direct Care ◽  
Monitoring Systems ◽  
Equipment Failure ◽  
Systematic Observation ◽  
Thick Description ◽  
Equipment Failures

ABSTRACT Objectives: To identify equipment failures during handling by nurses and analyze the conduct of the professionals when these failures occur. Methods: Descriptive, exploratory and qualitative study, whose field was the intensive care unit of a public institution, and the participants were day nurses that worked providing direct care to patients. Data were produced in 2014 through systematic observation and interviews and were examined with thick description and content analysis. Results: The outcomes evinced the inadequate functioning of infusion bombs, users' errors related to the design of equipment and problems with batteries of artificial fans. These failures related to the management of equipment in the unit. Final considerations: It is necessary to strengthen the monitoring systems of safety conditions of equipment in intensive nursing care to prevent incidents.

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