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Download e-book for iPad: AACN by Burns, Suzanne M.; Chulay, Marianne

By Burns, Suzanne M.; Chulay, Marianne

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Extra resources for AACN

Example text

TABLE 1-11. PERIPHERAL PULSE RATING SCALE • • • • • 0 Absent pulse ϩ1 Palpable but thready; easily obliterated with light pressure ϩ2 Normal; cannot obliterate with light pressure ϩ3 Full ϩ4 Full and bounding Verify all monitoring system alarm parameters as active with appropriate limits set. Note the size and location of invasive monitoring lines such as arterial, central venous, and pulmonary artery (PA) catheters. Confirm that the appropriate flush solution is hanging and that the correct amount of pressure is applied to the flush solution bag.

PLANNING CARE FOR CRITICALLY ILL PATIENTS AND THEIR FAMILIES • • • • • Improved patient outcomes Increased quality and continuity of care Improved communication and collaboration Identification of hospital system problems Coordination of necessary services and reduced duplication • Prioritization of activities • Reduced length of stay (LOS) and health-care costs Multidisciplinary plans of care are developed by a team of individuals who closely interact with a specific patient population. It is this process of multiple disciplines communicating and collaborating around the needs of the patient that creates benefits for the patients.

It is important to assess the family’s needs and resources to develop interventions that will optimize the impact of the family on the patient and their interactions with the health-care team. Areas for family needs assessments are outlined in Table 1-5. SELECTED BIBLIOGRAPHY ONGOING ASSESSMENT After the admission quick check and the comprehensive admission assessments are completed, all subsequent assessments are used to determine trends, evaluate response to therapy, and identify new potential problems or changes from the comprehensive baseline assessment.

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