By Michele Angell Landrum ADN RN CCRN
This pocket-sized reference for brand new and pro extensive care unit (ICU) nurses includes serious wisdom awarded within the transparent, unique, truth evidence structure. It presents easy access to a extensive array of guidance, techniques, and kit utilized by ICU nurses day-by-day in addition to on a much less common basis.
The booklet covers evaluation and procedural talents, medicinal drugs, intravenous (IV) treatment, food, wound care, sterile box setup, and sufferer coaching. It allows gear mastery for breathing and cardiac care in addition to troubleshooting assistance for tracking and mechanical units. additionally incorporated is details on particular forms of serious care devices, similar to cardiac, surgical, neuro, and the burn unit. Documentation, boost directives, organ donations, palliative and end-of-life care also are mentioned.
The source addresses the necessities of The Joint fee and proposals of the facilities for affliction regulate and Prevention, similar to isolation precautions and use of non-public protecting apparatus. different very important info is equipped equivalent to common hemodynamic measurements, easy electrocardiographic (EKG) rhythms, 12-lead EKG electrode placement, and a don't Use abbreviation record within the appendix that might support hinder drugs errors.
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Additional resources for Fast Facts for the Critical Care Nurse: Critical Care Nursing in a Nutshell
Use a low-pressure mattress system, if available and if patient condition dictates need. Provide frequent oral care. Patients undergoing end-of-life care often exhibit terminal delirium and restlessness. Other signs and symptoms include nonpurposeful motor activity, changing level of consciousness, cognitive failure, agitation, and hallucinations. Haloperidol (Haldol), olanzapine (Zyprexa), risperidone (Risperdal), midazolam (Versed), and/or chlorpromazine chapter 4â•‡ treatment and palliative careâ•…â•… 33 (Thorazine) may be administered, if ordered, to combat these symptoms and provide comfort to the patient.
In 2004, the Joint Commission on Accreditation of Health care Organizations published the book Health Care at the Crossroads: Strategies for Narrowing the Organ Donation Gap and Protecting Patients. This book contains information about organ donation, suggested improvements for hospitals, and follow-up guidelines regarding donation. Critical care nurses often encounter situations where eye and/or organ donation is a possibility. It is important to provide emotional support and education to the family while attempting to honor the patient’s wishes, either for or against donation.
Seek help from the OPO, if needed. 3. When the OPO is contacted, the medical team caring for the patient is asked various questions, including the 24â•…â•… part iâ•‡ foundations of critical care patient’s age, current status, and medical history, to determine preliminary suitability for donation. 4. A physician who meets the health care institution’s guidelines for the appropriate skill set, training, and expertise regarding neurological status must make a declaration of brain death, defined as irreversible loss of all brain function, based on both clinical and radiological evidence.