Archive for the ‘Critical Care’ Category
We Are Not Mutts - The Critical Care Transport RN
Some things are simply a mystery and so goes the perceived role and importance that the Critical Care Transport (CCT) RN plays in the healthcare field. Other professionals seem to view us like mutts - a little bit of everything but certainly not a thoroughbred in anything.
I once heard a co-worker describe the job as something between a magnified EMT and a bench warmer. Such flattery - but what can you do?
Anyhow, I just wanted to set the record straight, so to speak, by pointing out the value and importance that the CCT RN brings to the table.
What’s so ironic about the perception is that most CCT RN’s are veteran nurses from the ICU or ER with certifications that give new meaning to the use of acronyms. Many hold certifications that consist of ACLS, PALS, CCRN, CEN, TNCC, PHTLS, ATLS and anyway - you get the picture.
Emergency Medical Alert Systems For Individuals
When making your decision on an emergency medical alert system, you will need to decide if you want a system that is paid for up front and monitors monthly for free, or if you want to use a system that charges you monthly for as long as you use the service. One of the more popular choices is a system that is self-contained and you only pay upfront for the equipment. These types of systems will cost roughly $200 or less. Other systems will charge $40-$80 per month for their service. By paying for your system once, you don’t have monthly payment fees and you own the emergency medical alert system outright.This system contains a console base and a basic panic button as the pendant. The base is where you will program the numbers of the people who will respond to the emergency. New research has shown that there is less delay in the response to the medical emergency if you program people that you know and love into the call program. These people can come from family, friends, neighbors or even co-workers. The numbers don’t even have to be local; the program system allows long distance telephone numbers as well as the 911 response number. It is suggested that the 911 response number be the last number in the call sequence. When the emergency medical alert systems are activated, the call program begins consecutively calling the numbers you had configured until a real person is reached.
HBOT Makes HEADlines
Head injury can also be a depressed skull fracture. A depressed skull fracture is common after forceful impacts by blunt objects-most commonly, hammers, rocks and other heavy but fairly small objects. This type of injury can cause dents in the skull bone and may be fatal and require surgery.
Then there is the basilar skull fracture. A head injury that is a fracture of the bones that form the base of the skull. It is a result of a severe blunt head trauma of significant force. This injury may cause infection as the fracture allows air or fluid inside to enter the skull. Surgery may or not be necessary unless other injuries are involved.
These are just the types of head injuries, but there is only one type of modern alternative medicine that can help cure it. It is hyperbaric oxygen treatment. Hyperbaric oxygen treatment is an FDA approved treatment and already being used by over 400 facilities in the U.S.
Nutritional Support in Critically Ill Patients
1. Enteral Nutrition
2. Parenteral nutrition
It is worth remembering that enteral nutritional is always the preferred route. The reason is clear.
1. Enteral nutrition helps mucosal integrity and thereby it minimizes the risk of bacterial colonization.
2. Reduces gastro-intestinal bleeds
3. Sepsis and its complications are reduced.
There has been an extensive study done on the role of aminoacids and fatty acids but the conclusions have been inconclusive.
Now lets talk about the 2.Parenteral nutrition
If the enteral nutrition is not applicable or worse has failed then parenteral nutrition is the way to go.
But remember that its costly affair and not many patients may be able to afford it especially if you are a doctor in the third world country.
Problems with parenteral nutrition {complications}
1. Catheter related sepsis
2. Intestinal mucosal atrophy
3} Standard solutions related problems.
Apart from Nutritional support lets consider the other support a critically ill patients need.
1. Ventilatory Support
Modes-Controlled mandatory ventilation
—Synchronized intermittent mandatory ventilation
—Positive pressure ventilation and
NICU - Neonatal Intensive Care Unit
Parents with a baby in the neonatal intensive care unit must first understand the reason why their infant is in a critical care unit. While many mothers may know of a certain condition or anomaly ahead of time, there are many times that a mother will unexpectedly go into labor, delivering a preterm infant, or have a baby with a condition, illness, or anomaly that is completely unexpected.
Regardless of how and why the infant came into the NICU, it can be a tough ordeal for any parent. Remember that the NICU staff is not only there to care for the infants, but to help parents through the ordeal as well. A mother or father should remember to ask any and all questions they have, as it is very important they completely understand the condition of their baby.
Nursing Magazine Subscriptions Build Skills and Confidence for Nurses
There are many rewards and challenges met by nurses every day, the greatest reward is knowing that they have the knowledge and skills to save lives and relieve suffering. Some of the following publications are great examples, and can be purchased online for the lowest publisher authorized prices available.
American Journal Of Nursing Magazine is the premier professional journal for nurses, AJN, American Journal of Nursing provides comprehensive and in-depth information to help nurses stay current in their profession. Content includes practical, hands-on clinical articles on essential topics.
Nursing 2007 Magazine keeps nurses informed on clinical and professional updates on medications, the latest news on diseases and new equipment.
Men in Nursing Magazine is peer-reviewed in four areas: clinical, technological, career and personal with special attention to numerous key areas. Men in Nursing Magazine.
LPN 2007 Magazine a new peer reviewed journal that focuses on the skills needed by practical nurses to safely deliver bedside care to their patients in any practice setting by strengthening his or her clinical skills & build confidence.
Advanced CPR Training Manikin (Adult)
CPR Manikin Functional Features:
-Airway Simulating
-The Compression indicated by Indicating lights, Counter and audio instruction
*When the compression position is right, it will be indicated by the light, which is located in the central position in the chest, with green flash. And wrong position will be indicated by red flash. The compression times is indicated by the counter, which is located on the left side of the monitor. Some procedures will be guided by audio instruction.
* When the compression strength is in appropriate range (within the depth in 4-5 cm), the green light will be on. And when not in appropriate range: depth> 5 cm, the red light will be on; depth
- Mouth-to-Mouth ventilation indicated by Indicating lights, Counter and audio caution:
*When the volume reaches 500ml-600ml for one time ventilation, it will be indicated by green light. The correct ventilation times is counted by the counter.
Trends in Pediatric Critical Care Nursing
The need for more specialized pediatric critical care nursing stems from changes in health care delivery systems and the fact that patients are having more dynamic and complex health care needs. In an effort to create a more seamless, synchronized and effective method of care delivery, some health care professionals are advocating that these two roles, the CNS and NP, be merged into one advanced nursing role.
Pediatric critical care nursing is specialized, in that it focuses on the pediatric patient. However an advanced practice nurse, such as the NP, has further training and the knowledge required for taking histories, performing physical exams, making a diagnoses, and prescribing medications. The CNS focuses more on patient and staff education; they are valued for their unique contributions to case management, care coordination, and patient teaching.
Leaving Out the Less-Than-Critical Care During Your Emergency Hospital Visit
It is your right as a patient to receive care, or to refuse care. Know your patient’s Bill of Rights. If you do not know it, the hospital can provide a copy upon your arrival.
You will receive an initial intake. This is important information that the Emergency Room doctors need to know. However, after your initial intake, evaluation, and first treatments, you should be critical of the care you receive.
If your visit lasts more than several hours, begin to think critically about your care and your bill. Will you be staying overnight? At what point do you become an inpatient? At what point will you start getting charged as an inpatient, versus an emergency visit?
If you start to receive extra treatments during your emergency care that do not seem critical to your immediate healing, ask your primary care provider if they are urgently necessary.
How to Get Quick and Efficient Emergency Medical Care
It helps to know how the system works so you will be properly prepared. You want to see a nurse and a medical doctor as soon as possible.
You are usually greeted by a triage nurse who will assess the priority of your medical need. This person will provide a visual cursory exam and then ask several questions. It is in your best interest to have your medical history prepared. This will make sure it is complete and accurate.
So, before you endure a medical emergency write your medical history on an index card (or any good paper). Be sure to include all allergies and conditions you have. List all previous illnesses (but not minor colds, cuts and such) You may want to put this card in a special place so you can easily find it or tell someone where it is. Perhaps your wallet would be the best place to put this information.








