Neurodiagnostic testing in critically injured adults

1992 ◽  
Vol 12 (6) ◽  
pp. 64-73 ◽  
Author(s):  
PJ Mason
Keyword(s):  
Critical Care ◽  
Critically Ill ◽  
Diagnostic Testing ◽  
Critically Ill Patient ◽  
Care Nurse ◽  
Critical Care Nurse ◽  
Diagnostic Technology ◽  
Data Source

The recent expansion of diagnostic technology in healthcare now offers many devices for diagnostic testing. Each has strengths and weaknesses as a neurodiagnostic data source. Understanding these components allows the critical care nurse to prepare the patient and family adequately for tests and then use the results knowledgeably in planning care for the critically ill patient.

Anticonvulsants: Pharmacotberapeutic Issues in the Critically Ill Patient

1991 ◽  
Vol 2 (4) ◽  
pp. 639-656 ◽  
Author(s):  
Robert E. Dupuis ◽  
Jorge Miranda-Massari
Keyword(s):  
Critical Care ◽  
Critically Ill ◽  
Critically Ill Patients ◽  
Care Setting ◽  
Critical Care Setting ◽  
Critically Ill Patient ◽  
Care Nurse ◽  
Critical Care Nurse ◽  
Epilepsy Treatment

Critically ill patients often have or develop conditions that make them susceptible to seizures and epilepsy. Treatment frequently involves the use of anticonvulsants. In order to use these effectively, the critical care nurse must be aware of the indications and controversies surrounding their use, the pathophysiologic conditions that impact on the disposition, and appropriate dosing and monitoring of these agents in the critical care setting

Quality assurance and the critical care nurse

1991 ◽  
Vol 11 (9) ◽  
pp. 34-40
Author(s):  
P Brown-Stewart
Keyword(s):  
Quality Assurance ◽  
Critical Care ◽  
Critically Ill ◽  
Monitoring And Evaluation ◽  
Critical Care Nurses ◽  
Care Nurse ◽  
Critical Care Nurse ◽  
Appropriateness Of Care ◽  
External Sources ◽  
The Way

Care of the critically ill has become increasingly challenging due to demands from external sources to measure the quality and appropriateness of care provided. Quality assurance is the responsibility of every critical care nurse and requires vigilance as well as a knowledge of the principles of standards, monitoring and evaluation. Through quality assurance activities, the contribution of critical care nurses in the achievement of patient outcomes can be measured. Quality assurance challenges us to evaluate the way we practice, and assists us to continuously improve the way we provide care to critically ill patients.

scholarly journals Ensuring Breathing Comfort at the End of Life: The Integral Role of the Critical Care Nurse

2018 ◽  
Vol 27 (4) ◽  
pp. 264-269 ◽  
Author(s):  
Margaret L. Campbell
Keyword(s):  
Critical Care ◽  
Respiratory Distress ◽  
End Of Life ◽  
Critically Ill ◽  
Critically Ill Patients ◽  
Subjective Experience ◽  
Self Report ◽  
Care Nurse ◽  
Critical Care Nurse ◽  
Assessment And Treatment

This article describes the author’s program of clinical research focused on assessment and treatment of respiratory distress among critically ill patients at the end of life. Dyspnea is a subjective experience of breathing discomfort that occurs in the presence of cardiopulmonary and neuromuscular diseases. Dyspnea is one of the most common and most distressing symptoms experienced by critically ill patients. Many critically ill patients, particularly those not expected to survive, become cognitively impaired or unconscious and lose the ability to report symptoms, although dyspnea can be known only from a patient’s report. When self-reporting ability is lost, the critical care nurse must rely on signs indicative of a patient’s respiratory distress. The critically ill patient unable to self-report is vulnerable to under-recognition of symptom distress and subsequent over-treatment or undertreatment. When the patient is dying, there is only 1 chance to optimize the assessment and treatment of symptoms.

Cardiac arrest and cardiopulmonary resuscitation

2017 ◽  
Author(s):  
Sheila Adam ◽  
Sue Osborne ◽  
John Welch
Keyword(s):  
Cardiac Arrest ◽  
Critical Care ◽  
High Risk ◽  
Cardiopulmonary Resuscitation ◽  
Critically Ill ◽  
Critically Ill Patients ◽  
Care Nurse ◽  
Critical Care Nurse ◽  
Team Members ◽  
Cardiac Arrest Team

Critically ill patients are at high risk of cardiac arrest, and the critical care nurse needs to recognize early signs of deterioration, understand what can be done to prevent arrest, and understand the different functions of cardiac arrest team members. This chapter outlines the pathophysiology associated with cardiac arrest, reviews the management of arrest, the practicalities of the techniques and drugs used in cardiopulmonary resuscitation, and the care of the patient and family following both successful and unsuccessful resuscitation.

Outcomes sensitive to critical care nurse staffing levels: A systematic review

2021 ◽  
pp. 103110
Author(s):  
Pamela J.L. Rae ◽  
Susie Pearce ◽  
P. Jane Greaves ◽  
Chiara Dall'Ora ◽  
Peter Griffiths ◽  
...  
Keyword(s):  
Systematic Review ◽  
Critical Care ◽  
Nurse Staffing ◽  
Care Nurse ◽  
Critical Care Nurse ◽  
Staffing Levels

Critical Care Nurse Burnout in Veterans Health Administration: Relation to Clinician and Patient Outcomes

2021 ◽  
Vol 30 (6) ◽  
pp. 435-442
Author(s):  
David C. Mohr ◽  
Lakshmana Swamy ◽  
Edwin S. Wong ◽  
Meredith Mealer ◽  
Marc Moss ◽  
...  
Keyword(s):  
Critical Care ◽  
Patient Outcomes ◽  
Employee Satisfaction ◽  
Veterans Health Administration ◽  
Critical Care Nurses ◽  
Veterans Health ◽  
Health Administration ◽  
Care Nurse ◽  
Critical Care Nurse ◽  
Nurse Burnout

Background Critical care nurses have a burnout rate among the highest of any nursing field. Nurse burnout may impact care quality. Few studies have considered how temporal patterns may influence outcomes. Objective To test a longitudinal model of burnout clusters and associations with patient and clinician outcomes. Methods An observational study analyzed data from annual employee surveys and administrative data on patient outcomes at 111 Veterans Health Administration intensive care units from 2013 through 2017. Site-level burnout rates among critical care nurses were calculated from survey responses about emotional exhaustion and depersonalization. Latent trajectory analysis was applied to identify clusters of facilities with similar burnout patterns over 5 years. Regression analysis was used to analyze patient and employee outcomes by burnout cluster and organizational context measures. Outcomes of interest included patient outcomes (30-day standardized mortality rate and observed minus expected length of stay) for 2016 and 2017 and clinician outcomes (intention to leave and employee satisfaction) from 2013 through 2017. Results Longitudinal analysis revealed 3 burnout clusters among the 111 sites: low (n = 37), medium (n = 68), and high (n = 6) burnout. Compared with sites in the low-burnout cluster, those in the high-burnout cluster had longer patient stays, higher employee turnover intention, and lower employee satisfaction in bivariate models but not in multivariate models. Conclusions In this multiyear, multisite study, critical care nurse burnout was associated with key clinician and patient outcomes. Efforts to address burnout among nurses may improve patient and employee outcomes.

Basics of general anesthesia for the critical care nurse

2017 ◽  
Vol 12 (4) ◽  
pp. 36-42
Author(s):  
Kendra Greenberg ◽  
Suzanne Morrison
Keyword(s):  
Critical Care ◽  
General Anesthesia ◽  
Care Nurse ◽  
Critical Care Nurse

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
Keyword(s):  
Critical Care ◽  
Nurse Practitioner ◽  
Care Center ◽  
Tertiary Care ◽  
Tertiary Care Center ◽  
Pediatric Critical Care ◽  
Care Nurse ◽  
Critical Care Nurse
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