Critical care nursing clinics of North America
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Crit Care Nurs Clin North Am · Jun 2003
ReviewCare of the critically ill patient in a military unique environment: a program of research.
The goal of the Air Force Nursing Research Program at WHMC is to conduct research on topics unique to Air Force and military nursing. The nine stressors of flight and the military environment of care have been used as a conceptual model to guide the development of research studies. The studies conducted to date describe how the environment affects practice and when the environment directly affects the patient. ⋯ In addition, the suction pressure will need to be increased to account for the effects of altitude without exceeding the pressure limits on the transport ventilator and causing catastrophic ventilator failure. Because there is not enough room on the litter for the chest tube drainage tubing to lay straight, it will be coiled and should dependent loops develop, they should be drained every 15 minutes. This is Air Force nursing research in practice.
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Crit Care Nurs Clin North Am · Jun 2003
Review Case ReportsManaging critical care casualties on the Navy's hospital ships.
In this article, a history of the hospital ships was recounted. Recent missions were described in terms of the ship and crew's capability based on education and mock training exercises. Patient flow was described and a case scenario was presented to illustrate surgically intensive management of critical care casualties. Finally, thoughts on the future of hospital ships were discussed.
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Crit Care Nurs Clin North Am · Jun 2003
Preparing to respond: Joint Trauma Training Center and USAF Nursing Warskills Simulation Laboratory.
Injuries related to the events of September 11, 2001, and continuing military actions associated with Operation Enduring Freedom underscore the accurate focus of the Joint Trauma Training Center and the Warskills Simulation Laboratory. These two programs ensure that nurses are prepared to respond to diverse medical situations worldwide. Outcome measures from both initiatives attest to the effectiveness of an integrated program that facilitates critical thinking skills and clinical judgment to increase the nurses' ability to provide trauma care to severely injured military personnel.
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Crit Care Nurs Clin North Am · Jun 2003
Blue water nursing: the role of Navy nurses on board US Navy combatant ships.
The independent and autonomous nature of blue water nursing makes its practice exceptionally demanding, exciting, and rewarding for Navy nurses assigned to US Navy combatant ships. Whether serving on board an aircraft carrier or an amphibious assault ship, the lone critical care nurse is responsible for a diverse mix of nursing care ranging from community health to critical care. Delivering this care in an austere shipboard environment at sea, often in isolated locations without regular available support from shore-based medical facilities, defines the blue water aspect of this nursing practice. ⋯ Because the nurse cannot do it all alone, taking the lead on providing training and clinical guidance to the Corpsmen is a key responsibility of the shipboard nurse. In this assignment, the critical care nurse also has a unique opportunity to make an impact the health and welfare of the ship's entire crew through wellness and prevention programs. Considering the personal and professional challenges and rewards of blue water nursing, most Navy nurses describe their tour of duty on board a combatant ship as the best assignment of their Navy career.