Critical care nurse
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Critical care nurse · Dec 2017
ReviewFamily Support During Resuscitation: A Quality Improvement Initiative.
Despite increasing support for family presence during cardiopulmonary resuscitation, a review of the literature revealed no published protocols or training curricula to guide hospitals in implementing a family support provider role. ⋯ Through the creation of an interdisciplinary curriculum, an institution can effectively train health care providers in a new resuscitation team role: the family support provider.
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Critical care nurse · Dec 2017
Comparative StudyImplementing a Multicomponent Intervention to Prevent Delirium Among Critically Ill Patients.
Delirium is common among the critically ill. Nonpharmacologic interventions are reportedly effective in reducing incident delirium, but limited data specific to this population exist. ⋯ The strategy was successful in reducing delirium. Self-removals of invasive implements decreased, an observation that has not been previously described. No difference in mortality rate was seen, as has been reported in other studies. Early participation of the whole team, shared leadership, and the provision of concrete tasks were key to the success of this multicomponent intervention.
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Critical care nurse · Dec 2017
Feasibility of a Nurse-Managed Pain, Agitation, and Delirium Protocol in the Surgical Intensive Care Unit.
Society of Critical Care Medicine guidelines recommend the use of pain, agitation, and delirium protocols in the intensive care unit. The feasibility of nurse management of such protocols in the surgical intensive care unit has not been well assessed. ⋯ A nurse-managed pain, agitation, and delirium protocol can be feasibly implemented in a surgical intensive care unit.