Critical care nurse
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Critical care nurse · Apr 2022
Using a Standardized Rounding Tool to Improve the Incidence of Spontaneous Awakening and Breathing Trials.
Spontaneous awakening and breathing trials have been associated with shorter durations of mechanical ventilation and intensive care unit lengths of stay. ⋯ An evidence-based approach to weaning from mechanical ventilation and standardized rounding may be a cost-effective way to reduce mechanical ventilation duration and length of stay in a medical intensive care unit.
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Critical care nurse · Apr 2022
Increasing Nursing Documentation Efficiency With Wearable Sensors for Pressure Injury Prevention.
Documentation presents an overwhelming burden to bedside clinical nurses. Nurses must manually enter several hundred data points into electronic health record flow sheets, taking time from direct patient care and introducing opportunity for documentation errors. ⋯ Repositioning was documented more than 2.5 times as frequently with sensor technology as with manual data entry. Body position and reasons for delayed repositioning events were documented more completely with sensor technology. Automated documentation may improve the accuracy of electronic health records and reduce the documentation burden for nurses.
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Critical care nurse · Apr 2022
Implementing Quantitative Electroencephalogram Monitoring by Nurses in a Pediatric Intensive Care Unit.
Nonconvulsive seizures occur frequently in pediatric intensive care unit patients and can be impossible to detect clinically without electroencephalogram monitoring. Quantitative electroencephalography uses mathematical signal analysis to compress data, monitoring trends over time. Nonneurologists can identify seizures with quantitative electroencephalography, but data on its use in the clinical setting are limited. ⋯ An education program for quantitative electroencephalogram interpretation by nurse providers is feasible yet complex, requiring multiple reeducation cycles.