RESUMEN
PURPOSE: To determine the nursing staff's knowledge of the proper procedure for measuring orthostatic vital signs. METHODS: The Knowledge of Orthostatic Vital Signs Survey was sent via email to direct staff on 31 patient-care units in a large hospital system. RESULTS: Eighty percent of the participants were RNs and 12% were unlicensed assistants. Survey results showed that many respondents did not know how to properly size the cuff and were uncertain about the timing of measurements with position changes. Fifty-seven percent of respondents did not correctly identify abnormal findings with regard to the systolic BP, but 80% were aware of the diastolic BP drop in orthostatic hypotension. CONCLUSION: This survey identified gaps in the staff's knowledge about the proper procedure for measuring orthostatic vital signs.
Asunto(s)
Hipotensión Ortostática , Presión Sanguínea , Determinación de la Presión Sanguínea , Humanos , Hipotensión Ortostática/diagnóstico , Signos VitalesRESUMEN
The implementation of a functional model of care in hospitalized older adults has had a positive impact on length of stay (LOS), 30-day re-admission rate, and fall rate. Estimated savings associated with the 3-month post-intervention LOS reduction was $200,000.
Asunto(s)
Enfermería Geriátrica/normas , Modelos de Enfermería , Atención de Enfermería/normas , Atención Dirigida al Paciente/economía , Atención Dirigida al Paciente/normas , Guías de Práctica Clínica como Asunto , Anciano , Anciano de 80 o más Años , Femenino , Humanos , Tiempo de Internación/economía , Tiempo de Internación/estadística & datos numéricos , Masculino , Persona de Mediana Edad , Objetivos Organizacionales , Alta del Paciente/economía , Alta del Paciente/estadística & datos numéricos , Readmisión del Paciente/economía , Readmisión del Paciente/estadística & datos numéricos , Estados UnidosRESUMEN
Learn to protect a patient with dementia from the disabling effects of delirium.