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Collaborative Approach to Organ Donation in a Level II Trauma Center. 二级创伤中心器官捐献的合作方法。
IF 2.2
AACN Advanced Critical Care Pub Date : 2023-06-15 DOI: 10.4037/aacnacc2023552
Jesse E Gibson, Teisha Campbell, Kyle Gibson, Kim Kottemann, Morgan A Krause, Leigh Pack
{"title":"Collaborative Approach to Organ Donation in a Level II Trauma Center.","authors":"Jesse E Gibson,&nbsp;Teisha Campbell,&nbsp;Kyle Gibson,&nbsp;Kim Kottemann,&nbsp;Morgan A Krause,&nbsp;Leigh Pack","doi":"10.4037/aacnacc2023552","DOIUrl":"https://doi.org/10.4037/aacnacc2023552","url":null,"abstract":"<p><strong>Background: </strong>Although a shortage of organ donors is a continuing global problem in health care, obtaining authorization for donation after an individual experiences a traumatic nonsurvivable event can be difficult.</p><p><strong>Objective: </strong>To improve organ donation practices at a level II trauma center.</p><p><strong>Methods: </strong>After reviewing trauma mortality cases and performance improvement metrics with their organ procurement organization's hospital liaison, leaders at the trauma center implemented a multidisciplinary performance improvement initiative to engage the facility's donation advisory committee, provide education for staff members, and increase program visibility to create a more donation-friendly culture for the facility.</p><p><strong>Results: </strong>The initiative led to an improved donation conversion rate and a greater number of organs procured. Continued education increased staff and provider awareness of organ donation, contributing to the positive outcomes.</p><p><strong>Conclusion: </strong>A multidisciplinary initiative that includes continuing staff education can improve organ donation practices and program visibility, ultimately benefiting patients in need of organ transplantation.</p>","PeriodicalId":46461,"journal":{"name":"AACN Advanced Critical Care","volume":"34 2","pages":"88-94"},"PeriodicalIF":2.2,"publicationDate":"2023-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9600363","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Introduction to Point-of-Care Ultrasonography. 点位超声检查简介。
IF 2.2
AACN Advanced Critical Care Pub Date : 2023-06-15 DOI: 10.4037/aacnacc2023867
Dorothy Liu, Erica Roth, Abhijit Pathak
{"title":"Introduction to Point-of-Care Ultrasonography.","authors":"Dorothy Liu,&nbsp;Erica Roth,&nbsp;Abhijit Pathak","doi":"10.4037/aacnacc2023867","DOIUrl":"https://doi.org/10.4037/aacnacc2023867","url":null,"abstract":"<p><p>Medical ultrasonography was first used as a diagnostic tool in 1942 by Theodore Karl Dussik to visualize brain structures. Use of ultrasonography broadened to the field of obstetrics in the 1950s and has since expanded to many other medical special-ties owing to ease of use, reproducibility, low cost, and lack of radiation. Advancements in ultrasonography technology have allowed clinicians to perform procedures with greater accuracy and to characterize tissue better than ever before. Piezoelectric crystals used to produce ultrasound waves have been replaced by silicon chips; artificial intelligence can be used to mitigate user variability; and more portable ultrasound probes are available for use with mobile devices. Ultrasonography requires training to be used appropriately, and patient and family education are crucial when performing an examination. Although some data are available regarding the amount of training needed for users to reach proficiency, this topic remains controversial and no standard currently exists.</p>","PeriodicalId":46461,"journal":{"name":"AACN Advanced Critical Care","volume":"34 2","pages":"106-112"},"PeriodicalIF":2.2,"publicationDate":"2023-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9600365","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Role of Mentorship in the Transition From Registered Nurse to Acute Care Nurse Practitioner in the Cardiothoracic Intensive Care Unit. 在心肺加护病房从注册护士到急症护理护士的转变中，师友的作用。
IF 2.2
AACN Advanced Critical Care Pub Date : 2023-03-15 DOI: 10.4037/aacnacc2023426
Lidia Hernandez, Mary Sullivan, Jesus Casida
{"title":"Role of Mentorship in the Transition From Registered Nurse to Acute Care Nurse Practitioner in the Cardiothoracic Intensive Care Unit.","authors":"Lidia Hernandez,&nbsp;Mary Sullivan,&nbsp;Jesus Casida","doi":"10.4037/aacnacc2023426","DOIUrl":"https://doi.org/10.4037/aacnacc2023426","url":null,"abstract":"","PeriodicalId":46461,"journal":{"name":"AACN Advanced Critical Care","volume":"34 1","pages":"53-58"},"PeriodicalIF":2.2,"publicationDate":"2023-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10849481","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Overcoming Stigma: Asking for and Receiving Mental Health Support. 克服耻辱:寻求和接受心理健康支持。
IF 2.2
AACN Advanced Critical Care Pub Date : 2023-03-15 DOI: 10.4037/aacnacc2023684
Alanna Bergman, Cynda Hylton Rushton
{"title":"Overcoming Stigma: Asking for and Receiving Mental Health Support.","authors":"Alanna Bergman,&nbsp;Cynda Hylton Rushton","doi":"10.4037/aacnacc2023684","DOIUrl":"https://doi.org/10.4037/aacnacc2023684","url":null,"abstract":"","PeriodicalId":46461,"journal":{"name":"AACN Advanced Critical Care","volume":"34 1","pages":"67-71"},"PeriodicalIF":2.2,"publicationDate":"2023-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10329256/pdf/nihms-1910894.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9763448","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Authentic Leadership: Pearls of Wisdom. 真正的领导:智慧的结晶。
IF 2.2
AACN Advanced Critical Care Pub Date : 2023-03-15 DOI: 10.4037/aacnacc2023422
Danielle Gabele, Tina Cartwright, Faye Christen, Erica Martinez, Lindsay McKenzie, Rachael Murray, Staci Peavler, Nancy Blake
{"title":"Authentic Leadership: Pearls of Wisdom.","authors":"Danielle Gabele,&nbsp;Tina Cartwright,&nbsp;Faye Christen,&nbsp;Erica Martinez,&nbsp;Lindsay McKenzie,&nbsp;Rachael Murray,&nbsp;Staci Peavler,&nbsp;Nancy Blake","doi":"10.4037/aacnacc2023422","DOIUrl":"https://doi.org/10.4037/aacnacc2023422","url":null,"abstract":"","PeriodicalId":46461,"journal":{"name":"AACN Advanced Critical Care","volume":"34 1","pages":"59-62"},"PeriodicalIF":2.2,"publicationDate":"2023-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9078669","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Improving Skin Care Protocol Use in the Intensive Care Unit to Reduce Hospital-Acquired Pressure Injuries. 改善重症监护室皮肤护理方案的使用以减少医院获得性压力损伤。
IF 2.2
AACN Advanced Critical Care Pub Date : 2023-03-15 DOI: 10.4037/aacnacc2023806
Amanda B Fischbein
{"title":"Improving Skin Care Protocol Use in the Intensive Care Unit to Reduce Hospital-Acquired Pressure Injuries.","authors":"Amanda B Fischbein","doi":"10.4037/aacnacc2023806","DOIUrl":"https://doi.org/10.4037/aacnacc2023806","url":null,"abstract":"<p><strong>Background: </strong>Patients in the intensive care unit have the highest rate of hospital-acquired pressure injuries (HAPIs). In the United States, treatment of HAPIs costs an estimated $9.1 to $11.6 billion annually, with each occurrence adding an average of $10 708 to a patient's total hospital cost. In addition to their financial impact, pressure injuries negatively affect patients physically, socially, and psychologically and are associated with increased morbidity and mortality.</p><p><strong>Objective: </strong>An intensive care unit had 42 HAPIs during a single fiscal year, with 45% of them related to lack of adherence to the institution's established evidence-based skin care protocol. This project was conducted to increase adherence to the protocol and thus reduce the incidence of HAPIs in the unit.</p><p><strong>Methods: </strong>This quality improvement initiative featured an evidence-based multifaceted intervention to increase adherence to the skin care protocol. A review of medical records was used to determine general skin care protocol adherence and to measure the monthly incidence of HAPIs in the unit.</p><p><strong>Results: </strong>The number of HAPIs in the unit decreased from 33 in the preintervention period to 11 in the postintervention period, a reduction of 67%. The rate of general skin care protocol adherence improved to as high as 76% by the end of the postintervention period.</p><p><strong>Conclusion: </strong>Use of an evidence-based multifaceted intervention can improve adherence to a skin care protocol in the intensive care unit, resulting in a reduced incidence of HAPIs and improved patient outcomes.</p>","PeriodicalId":46461,"journal":{"name":"AACN Advanced Critical Care","volume":"34 1","pages":"16-23"},"PeriodicalIF":2.2,"publicationDate":"2023-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10849483","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Staying Informed of Best Evidence to Guide Practice. 随时了解指导实践的最佳证据。
IF 2.2
AACN Advanced Critical Care Pub Date : 2023-03-15 DOI: 10.4037/aacnacc2023372
Mary Beth Flynn Makic, Ellie Svoboda
{"title":"Staying Informed of Best Evidence to Guide Practice.","authors":"Mary Beth Flynn Makic,&nbsp;Ellie Svoboda","doi":"10.4037/aacnacc2023372","DOIUrl":"https://doi.org/10.4037/aacnacc2023372","url":null,"abstract":"","PeriodicalId":46461,"journal":{"name":"AACN Advanced Critical Care","volume":"34 1","pages":"63-66"},"PeriodicalIF":2.2,"publicationDate":"2023-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10849477","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Diabetic Ketoacidosis Related to Hypertriglyceridemia-Induced Pancreatitis: A Case Report. 糖尿病酮症酸中毒与高甘油三酯血症引起的胰腺炎:1例报告。
IF 2.2
AACN Advanced Critical Care Pub Date : 2023-03-15 DOI: 10.4037/aacnacc2023337
Leigh B Bak
{"title":"Diabetic Ketoacidosis Related to Hypertriglyceridemia-Induced Pancreatitis: A Case Report.","authors":"Leigh B Bak","doi":"10.4037/aacnacc2023337","DOIUrl":"https://doi.org/10.4037/aacnacc2023337","url":null,"abstract":"<p><p>Both diabetic ketoacidosis and acute pancreatitis can result in critical illness. Although not the most common cause of acute pancreatitis, hypertriglyceridemia can account for up to 10% of cases. One source of hypertriglyceridemia is unrecognized diabetes and resultant hyperglycemia. Identifying the underlying cause of acute pancreatitis can guide the most appropriate therapy to resolve this critical illness. This case report addresses the use of insulin infusions to treat hypertriglyceridemia-induced pancreatitis in the setting of concomitant diabetic ketoacidosis.</p>","PeriodicalId":46461,"journal":{"name":"AACN Advanced Critical Care","volume":"34 1","pages":"33-38"},"PeriodicalIF":2.2,"publicationDate":"2023-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10849482","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The RaDonda Vaught Case: A Critical Conversation on Nursing Practice and Technology. RaDonda Vaught案例:关于护理实践和技术的关键对话。
IF 2.2
AACN Advanced Critical Care Pub Date : 2023-03-15 DOI: 10.4037/aacnacc2023873
Linda Harrington
{"title":"The RaDonda Vaught Case: A Critical Conversation on Nursing Practice and Technology.","authors":"Linda Harrington","doi":"10.4037/aacnacc2023873","DOIUrl":"https://doi.org/10.4037/aacnacc2023873","url":null,"abstract":"","PeriodicalId":46461,"journal":{"name":"AACN Advanced Critical Care","volume":"34 1","pages":"11-15"},"PeriodicalIF":2.2,"publicationDate":"2023-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10853721","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Euglycemic Diabetic Ketoacidosis Associated With SGLT2 Inhibitor Therapy: A Case Report. 与SGLT2抑制剂治疗相关的糖尿病酮症酸中毒1例报告。
IF 2.2
AACN Advanced Critical Care Pub Date : 2023-03-15 DOI: 10.4037/aacnacc2023830
Gwen Klinkner, Maggie Steingraber-Pharr
{"title":"Euglycemic Diabetic Ketoacidosis Associated With SGLT2 Inhibitor Therapy: A Case Report.","authors":"Gwen Klinkner,&nbsp;Maggie Steingraber-Pharr","doi":"10.4037/aacnacc2023830","DOIUrl":"https://doi.org/10.4037/aacnacc2023830","url":null,"abstract":"<p><p>Sodium-glucose cotransporter-2 inhibitors are now considered second-line treatment agents for type 2 diabetes and offer a unique treatment approach with added cardiorenal benefits. Drugs in this class increase the risk of euglycemic diabetic ketoacidosis, which may be difficult to diagnose if clinicians are not aware of the risk factors and subtle symptoms. This article describes a case of euglycemic diabetic ketoacidosis in a patient with coronary artery disease who was taking a sodium-glucose cotransporter-2 inhibitor and experienced acute mental status changes immediately after heart catheterization.</p>","PeriodicalId":46461,"journal":{"name":"AACN Advanced Critical Care","volume":"34 1","pages":"27-32"},"PeriodicalIF":2.2,"publicationDate":"2023-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10849479","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
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