Clinical nurse specialist CNS
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The study was conducted to identify preoperative factors affecting the intraoperative core body temperature in abdominal surgery under general anesthesia. ⋯ We recommend prewarming and intraoperative warming through forced air warming devices and covering a patient with a warm blanket during transportation. This procedure is necessary for the abdominal surgical patients of advanced age with low weight and duration of general anesthesia to last more than 1 hour.
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The purpose of this project was to assess the feasibility of an evidence-based therapeutic hypothermia protocol in adult post-cardiac arrest (CA) patients in a university hospital in Pakistan. ⋯ The process used in the project can serve as a road map to other hospitals in resource-limited countries such as Pakistan that are motivated to improve post-CA outcomes. This experience reveals that advanced practice nurses can be instrumental in translation of evidence into practice in a healthcare system in Pakistan.
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The objective of this article is to address the role of the clinical nurse specialist (CNS) as a change agent in the implementation of a quality improvement program designed to prevent and assess delirium in ventilated patients at a community hospital. ⋯ The CNS's involvement as the change agent to implement the ABCDE Bundle is effective in the prevention and assessment of delirium in ventilated patients. The goal of the ABCDE Bundle is to extubate patients sooner and transfer them out of the ICU faster.
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The purpose was to describe the number, demographic characteristics, work patterns, exit rates, and work perceptions of nurses in Ontario, Canada, in 4 specialty classifications: advanced practice nurse (APN)-clinical nurse specialist (CNS), APN-other, primary healthcare nurse practitioner [RN(extended class [EC])], and registered nurse (RN) with specialty certification. The objectives were to (1) describe how many qualified nurses are available by specialty class; (2) create a demographic profile of specialist nurses; (3) determine the proportions of specialist and nonspecialist nurses who leave (a) direct patient care and (b) nursing practice annually; (4) determine whether specialist and nonspecialist nurses differ in their self-ratings of work environment, job satisfaction, and intention to remain in nursing. Employment patterns refer to nurses' employment status (eg, full-time, part-time, casual), work duration (ie, length of employment in nurses and in current role), and work transitions (ie, movement in and out of the nursing workforce, and movement out of current role). ⋯ Targeted strategies are required to retain CNS and APN-other in direct clinical practice roles.
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I am a clinical nurse specialist in a busy trauma center. Increasingly, we are using ketamine for procedures and pain management in adults. ⋯ Why has ketamine emerged again for adults? Also, we have seen a few cases of ketamine abuse over the past 3 months. Is ketamine abuse becoming more prevalent?