RESUMEN
The Beacon Award for Critical Care Excellence recognizes individual critical care units that have met rigid criteria for excellence, exhibiting high-quality standards and exceptional care of patients and their families. Used as a framework for quality, the award criteria focus on structure, process, and outcomes that enable quality to emerge in the critical care environment. The journey toward meeting Beacon Award criteria can produce long-lasting changes that transform unit-based culture and lead to sustained excellence.
Asunto(s)
Distinciones y Premios , Cuidados Críticos , Atención de Enfermería , Servicio de Enfermería en Hospital/organización & administración , Calidad de la Atención de Salud , Humanos , Sociedades de Enfermería , Estados UnidosRESUMEN
The virtual or remote intensive care unit is a redesigned model of care that uses state-of-the-art technology to leverage the expertise and knowledge of experienced caregivers over a large group of patients in multiple intensive care units. The registered nurse working in this environment, or eRN, is an expert clinician familiar with evidence-based clinical initiatives that need to occur at the bedside to optimize outcomes for patients. The eRN assists the bedside team by providing a second layer of quality and safety. As the use of this technology continues to grow, a new dimension for critical care nursing practice is emerging that has dramatic implications for the future.
Asunto(s)
Unidades de Cuidados Intensivos , Sistemas de Atención de Punto , Teleenfermería , Interfaz Usuario-Computador , Humanos , Sistemas Multiinstitucionales , Grupo de Atención al Paciente/organización & administración , Calidad de la Atención de Salud , Estados UnidosRESUMEN
One of the 14 Forces of Magnetism requires a health care organization to have a professional model of care. The eligibility requirements stipulate that this model must be utilized throughout the health care system and that the same philosophy must be used throughout the system. The American Association of Critical-Care Nurses Synergy Model for Patient Care describes nursing practice based on eight patient characteristics, and also describes eight nurse competencies. The core concept of the model is that the needs or characteristics of patients and families influence and drive the characteristics or competencies of nurses. Synergy results when the needs and characteristics of a patient, clinical unit, or system are matched with a nurse's competencies. The synergy model is an excellent framework to organize the work of patient care throughout the health care system. It can be used and applied in various ways and provides a comprehensive framework for assuring success in building a philosophy that supports the Forces of Magnetism.
Asunto(s)
Cuidados Críticos , Modelos de Enfermería , Atención de Enfermería , Humanos , Relaciones Enfermero-Paciente , Sociedades de Enfermería , Estados UnidosRESUMEN
Surgical interruption of the inferior vena cava (IVC) as a means to prevent pulmonary embolism and its consequences has been entertained since the end of the 19th century. Initial methods were crude, however, but their deficiencies led to the development of newer techniques. Despite increasing indications and use of permanent IVC filters there remains controversy regarding their efficacy and complications. The purpose of this article is to review the pertinent literature and, it is hoped, aid in the development of a rational approach to the use of IVC filters. The evolving data regarding the retrievable filters are also discussed.