ORL-head and neck nursing : official journal of the Society of Otorhinolaryngology and Head-Neck Nurses最新文献_第3页

Guest Editorial. 客人编辑。

ORL-head and neck nursing : official journal of the Society of Otorhinolaryngology and Head-Neck Nurses Pub Date : 2016-01-01 DOI: 10.5172/rsj.351.15.3.231

M. Hickey

引用次数: 0

Pain management prior to nasogastric tube placement: atomized lidocaine. 鼻胃管置入前的疼痛处理:雾化利多卡因。

ORL-head and neck nursing : official journal of the Society of Otorhinolaryngology and Head-Neck Nurses Pub Date : 2015-01-01

Michele Farrington, Debra Bruene, Michele Wagner

{"title":"Pain management prior to nasogastric tube placement: atomized lidocaine.","authors":"Michele Farrington, Debra Bruene, Michele Wagner","doi":"","DOIUrl":"","url":null,"abstract":"Nasogastric tube (NGT) insertion is often painful for patients of all ages. Randomized clinical trials in adult patients support the use of some form of topical lidocaine in reducing pain associated with NGT insertion. A review of pediatric evidence also confirms that NGT insertion is painful and provides guidance in determining lidocaine concentrations, dosages, and administration methods. The Iowa Model of Evidence-Based-Practice to Promote Quality Care provided the framework for development of a weight-based standard of practice (SOP) for administration of atomized lidocaine prior to NGT insertion for all patients. To facilitate usage, the orders for NGT placement and atomized lidocaine administration were linked in the electronic health record (EHR). Atomized lidocaine was administered via a patient-specific intranasal mucosal delivery device. Evaluation measures included pre- and post-implementation questionnaires which measured discomfort with NGT insertion in pediatric patients (0-10 scale; pre-implementation mean = 7.4; post-implementation mean = 6.5), monitoring utilization of atomized lidocaine via automated dispensing cabinet reports, soliciting comments from families and users, and monitoring institutional patient safety (incident) and adverse drug reaction reports. No patient safety or adverse drug reactions related to atomized lidocaine were identified post-implementation. Patients of all ages have benefited from administration of weight-based intranasal atomized lidocaine to decrease pain caused by NGT insertion. Ongoing safety evaluation and research is warranted since this is the first known report in the literature describing implementation of a weight-based dosing SOP.","PeriodicalId":79417,"journal":{"name":"ORL-head and neck nursing : official journal of the Society of Otorhinolaryngology and Head-Neck Nurses","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33064625","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

Early Intervention for Neonatal Ear Deformities. 新生儿耳畸形的早期干预。

ORL-head and neck nursing : official journal of the Society of Otorhinolaryngology and Head-Neck Nurses Pub Date : 2015-01-01

Wendy Mackey

引用次数: 0

Vocal fold injection products. 声带注射产品。

ORL-head and neck nursing : official journal of the Society of Otorhinolaryngology and Head-Neck Nurses Pub Date : 2015-01-01

Carolyn Waddington

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Decreasing Emergency Department Visits and Hospital Admission in the Pediatric Tracheostomy Population. 减少急诊科就诊和住院儿童气管切开术人群。

ORL-head and neck nursing : official journal of the Society of Otorhinolaryngology and Head-Neck Nurses Pub Date : 2015-01-01

Kristi McGowin

{"title":"Decreasing Emergency Department Visits and Hospital Admission in the Pediatric Tracheostomy Population.","authors":"Kristi McGowin","doi":"","DOIUrl":"","url":null,"abstract":"Providing a child with a tracheostomy is often a life saving intervention. However, the impact on the family is frequently life changing. Parents of children with tracheostomies require specialized training in order to provide safe care for their child in the home setting. The purpose of this project was to investigate the outcomes of a parent education program delivered by a nurse practitioner and its impact on patient follow up for children with tracheostomies living at home. This quasi-experimental evidenced based project was based on an intervention group of five parent-child dyads and a control group of 23 parent-child dyads. It took place at a local children's hospital. This project compares the number of emergency room visits, inpatient admissions, phone calls and ENT clinic visits between the two groups. A significant increase in the number of phone calls to the clinic was found in the intervention group (p = 0.018). However, there was no significant change in the number of emergency room visits or inpatient admissions in the intervention group. The small number of participants in the intervention group limits the applicability of the results, however clinical significance exists. This study demonstrated that a structured parent education program with scheduled follow up with a nurse practitioner provides a positive impact on the care of the pediatric tracheostomy patient.","PeriodicalId":79417,"journal":{"name":"ORL-head and neck nursing : official journal of the Society of Otorhinolaryngology and Head-Neck Nurses","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34052984","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

Diagnostic Considerations of Ultrasound versus Computed Tomography for Pediatric Inflammatory Neck Infections. 超声与计算机断层扫描对儿童炎症性颈部感染的诊断考虑。

ORL-head and neck nursing : official journal of the Society of Otorhinolaryngology and Head-Neck Nurses Pub Date : 2015-01-01

Kristina L Keppel, Ashley Dorrington

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Nuggets of Knowledge and Opportunity. 知识和机会的金块。

ORL-head and neck nursing : official journal of the Society of Otorhinolaryngology and Head-Neck Nurses Pub Date : 2015-01-01

Wendy Mackey

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Case Presentation: Incidental Finding of a Rare Syndrome in 13-Year-Old Girl. 病例介绍:偶然发现一个罕见的综合征在13岁的女孩。

ORL-head and neck nursing : official journal of the Society of Otorhinolaryngology and Head-Neck Nurses Pub Date : 2015-01-01

Melissa Dziedzic, Wendy Mackey

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The Power of Gratitude to Nurses. 感谢护士的力量。

ORL-head and neck nursing : official journal of the Society of Otorhinolaryngology and Head-Neck Nurses Pub Date : 2015-01-01

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Nurses and Lobbying. 护士和游说。

ORL-head and neck nursing : official journal of the Society of Otorhinolaryngology and Head-Neck Nurses Pub Date : 2015-01-01

Sharon Jamison

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