Annotated Bibliography: Essentials Of Doctoral Education For Advanced Nursing Practice

As lifelong learning continues, it is important to focus on patients and family outcomes through teamwork collaboration, advocating, effective communication, and equally, self-driven to accomplish goals to create and coordinate activities to promote professional development, is why I have chosen to apply for the ambulatory nurse educator

ICU patients are at an increased risk of developing delirium, a significantly underdiagnosed neurologic condition (Gusmao-Flores, Salluh, Chalhub, & Quarantini, 2012). CAM-ICU is effectively incorporated into daily assessments by clinical staff. This process allows for clinicians to appropriately identify and treat delirium before there are adverse

Were there more deaths related to not following the Moderation Sedation policy? No additional deaths were found related to Moderate Sedation because the plan has worked. If additional deaths were found we would evaluate charts of patients who had a procedure done at bedside to see if the Moderate Sedation policy was followed. If not follow up would be needed to see why it was not followed, which would include speaking with the physician and nurse at bedside who performed the procedure.

Interdisciplinary Team Paper Janet Borngesser University of Alabama at Birmingham Interdisciplinary Leadership Role Development NUR 737 Dr. Martha Lavender July 15, 2015 Interdisciplinary Team Paper The neurocritical care intensive care unit (NICU) team has certainly undergone much change and transformation since the first neurocritical care physician and nurse practitioner (NP) took over the team and seven bed unit in 1999. Prior to this initial ‘team’ the NICU was managed by the neurosurgery attending and residents in between surgeries. The NICU team’s purpose was to improve and provide better care to the variety of complex neuro critical ill patient population at a 605 bed academic center in Metro Atlanta.

In these cases, the different forms of restraint can appear to attain the ultimate objective of seclusion. In a particular study, the cases of seclusions were recorded in several different pediatric psychiatric hospitals and wards to reveal that 94.8% of all seclusions required the use of physical or mechanical restraint to be achieved and that 4.5% of these same seclusions required the use of chemical restraint (Gullick 40). In the cases of these chemical

After observing these providers, I became increasingly intrigued by the profession. After a lot of research into this profession and shadowing multiple anesthetists, I knew I had found my calling. During my time at the Children’s Hospital, I learned that the Anesthesiologist Assistant is a skilled medical professional who works as part of the anesthesia care team in the operating room and receives direction from an Anesthesiologist. They have an extensive amount of training in the induction and maintenance of different anesthetics and also advanced monitoring techniques that allow them to keep the patient safe throughout the procedure. They are skilled providers who have training in inserting invasive catheters used for monitoring patient’s vitals, trained in advanced airway and life support techniques, and prepare an anesthetic plan with the licensed Anesthesiologist.

Each morning patients came in for assessment and the treatment team developed or altered existing treatment protocols. I longed to be part of this team, working to stabilize each patient so they could return home to pursue their goals. The nurses stood out to me as the team members at ground zero in the unit, working directly with patients, and advocating for them in meetings. As a Nurse Practitioner, I will provide this same standard of holistic care to my patients, taking into consideration their biological, social, psychological and cultural needs while developing and implementing treatment decisions.

Intensive care nurses need to know more about the benefit of therapeutic hypothermia,

The CIWA evaluation tool is sometimes replaced with the Richmond Agitation-Sedation Scale (RASS) and Confusion Assessment Method (CAM) assessment tools when patients reside in the ICU.24 These are well validated tools that evaluate the level of a patient’s agitation versus sedation and presence or absence of

The guidelines set by the NP’s Core competencies involves educational programs for nurse practitioner and are referred to as essentials behaviors for all NPs (The National Organization of Nurse Practitioner, ([NONPF],2017). As a future NP, this course has echoed the importance to critically examine information given by finding evidence to support and manage care for the individual or the population, which I will apply to my practice. This, in turn, will offer better treatment plan and optimize better patient outcome. Using the differential diagnosis to pinpoint the best possible diagnosis for individuals has helped me to use critical thinking about my patient and to find the appropriate plan of care.

I agree with you Walter. Nursing is a teamwork. In an acute hospital setting, an RN is assigned a set of patient to deliver care that means RN has full responsibility about these patients. In this case, RN who is the primary care nurse can complete her task by herself or delegate some of the task to the nursing assistant according to their scope of practice. The abilities to delegate, and supervise other healthcare workers is not an easy job.

Any positive CAM-ICU reports were sent to the physician and the physician and care team were encouraged to discuss delirium during daily rounds (Adams, 2015). If a patient had a positive CAM-ICU, nursing interventions were implemented to minimize the effects of the delirium. Reports show improved adherence to diagnostic tools, decreased usage of benzodiazepines, and increased implementation of nursing

More than once, CRNAs have mentioned that the anesthesia team often gets blamed for complications during surgery due to the subjective decisions being made and unpredictable outcomes. I want to contribute to the decrease in these negative connotations toward anesthesia by continuously improving my skills with best practice techniques and staying current on new advancements in the field. Being educated and confident in one’s decisions is a crucial aspect of providing the safest and most effective

In addition to supporting palliative patients in the OR, anesthesia providers need to be prepared to care for them outside the OR as well – whether in the ICU or PCU. CRNAs may be called upon to administer anesthesia for patients undergoing tracheostomies outside of the OR. Increasing numbers of ALS patients in PCUs are having beside tracheostomies (Chan & Devaiah, 2009). Interventional Radiology. CRNAs may also encounter palliative patients in IR.

This essay critically appraises a research article entitled “Sleep disturbance and sedation practices in the Intensive care unit - A postal survey in the Netherlands”. The proponents’ main interest is to gain insight on sleep deprivation and sedation practices and understand effective strategies to promote sleep in Intensive Care Units (ICU). Lack of sleep or frequent sleep disruption remains a significant concern among adult patients treated in Intensive Care Unit. According to Friese et al.