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Crit Care Nurs Clin North Am · Sep 2004
The experience of four outcomes managers: an institutional approach to weaning patients from long-term mechanical ventilation.
- Sidenia Earven, Charles Fisher, Rose Lewis, Paul Merrell, Suzanne M Burns, and University of Virginia Long Term Mechanical Ventilation Team.
- University of Virginia Health System, Charlottesville, VA, USA.
- Crit Care Nurs Clin North Am. 2004 Sep 1;16(3):395-411, ix.
AbstractCare of patients requiring long-term mechanical ventilation (LTMV) is the focus of many hospitals nationwide. Because the care of patients who require LTMV is complex and morbidity and mortality are high, associated costs often exceed reimbursement. This article describes a successful institutional program for the care of the patient population requiring LTMV using advanced practice nurses (APNs) in the role of outcomes managers (OMs). So that others may benefit from the experiences of the clinicians, this article describes the historical background, the selection and qualifications of APNs, the process APNs use to manage and monitor the patients, role challenges, and associated outcomes.
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