Critical care nurse
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Critical care nurse · Jun 2019
ReviewImproving Family Intensive Care Unit Experiences at the End of Life: Barriers and Facilitators.
Experiencing the end of life of a family member in the intensive care unit is clearly difficult. An important role of critical care nurses is to help family members through this challenging period. ⋯ Facilitators include specific aspects of communication, the nurse's role as the coordinator of care, bereavement care, promoting a "good death," and caring for health care providers. Barriers include medical uncertainty and differences in values and culture.
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Critical care nurse · Jun 2019
Routine Neurological Assessments by Nurses in the Pediatric Intensive Care Unit.
Brain injury with changes in clinical neurological signs and symptoms can develop while children are undergoing treatment in the intensive care unit. Critical care nurses routinely screen for neurological decline by using serial bedside neurological assessments. However, assessment components, frequency, and communication thresholds are not standardized. ⋯ Compliance with physicians' ordering and nurses' documentation of standardized neurological assessments significantly increased and had excellent sustainability. Further work is needed to determine the sensitivity of standardized nurses' neurological assessment tools for clinically meaningful neurological decline.
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Critical care nurse · Jun 2019
Review Comparative StudyStandard Versus Alternative Ventilator Modes: What's the Difference?