Critical care nurse
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Knowledge of how oxygen is dissolved in the blood, transmitted through the bloodstream, and factors that affect oxygen delivery to body cells, is essential to the nursing management of the critically ill patient whose inherent physiologic mechanisms have been compromised by life-threatening illness. This article begins with a simplified review of respiration, progresses through a discussion of oxygen tension in the blood and hemoglobin transport of oxygen, and ends with a discussion of factors that affect the oxyhemoglobin dissociation curve.
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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.