Abstract：
:BACKGROUND Many hospitals have well-planned nursing competency assessment programs, but these are meant to measure competency in traditional bedside roles, not in tele-intensive care unit (tele-ICU) nurses practicing remotely. OBJECTIVE To determine whether current tele-ICU programs have a formal competency assessment program and to determine when and how competency of tele-ICU nurses is assessed. Method A 20-question survey was provided to a convenience sample of the 44 known tele-ICU programs nationally. RESULTS Of the surveys distributed, 75% were completed and returned. A formal competency assessment policy for assessing nurses' competency at the time of hire, during orientation, and ongoing was in place at the workplaces of 85% of respondents. The most common methods for competency validation were performance appraisal and observation, although peer review and self-assessment also were used. Respondents identified the following competencies as the highest priorities for defining tele-ICU nurse practice: effective listening, prioritization, collaboration, and effective use of tele-ICU application tools. CONCLUSION Although awaiting development of professional practice standards, many tele-ICU programs currently measure the competence of tele-ICU nurses through competency programs.
journal_name
Crit Care Nursejournal_title
Critical care nurseauthors
Goran SFdoi
10.4037/ccn2011552subject
Has Abstractpub_date
2011-10-01 00:00:00pages
17-29issue
5eissn
0279-5442issn
1940-8250pii
31/5/17journal_volume
31pub_type
杂志文章abstract：:Family engagement in rounds has been recommended to improve communication, but its impact on patient outcomes is unknown. At the authors' institution, nurses encouraged family presence at rounds as part of a larger project to enhance communication during rounding. In the case reported here, family engagement resulted ...
journal_title：Critical care nurse
pub_type： 杂志文章
doi：10.4037/ccn2019647
更新日期：2019-10-01 00:00:00
abstract：:Because of the potential severity of the associated complications, nurses have an essential role in the care of patients with HAT. Bedside nurses have the opportunity to report information that may indicate a change in a patient's condition after administration of heparin. This information could lead to diagnosis of h...
journal_title：Critical care nurse
pub_type： 杂志文章,评审
doi：
更新日期：1998-12-01 00:00:00
abstract：:Transplant cardiologists in our hospital have performed the percutaneously placed axillary-subclavian intra-aortic balloon pump procedure since 2007. This procedure allows patients to mobilize and walk while they wait for a heart transplant, rather than remaining on bed rest as they would with a traditional femoral in...
journal_title：Critical care nurse
pub_type： 杂志文章,评审
doi：10.4037/ccn2019729
更新日期：2019-04-01 00:00:00
abstract：:Critically ill patients require vigilant monitoring of tissue oxygenation, particularly oxygenation of the gut mucosa, because of the mucosa's fragile blood supply. With the advent of gastric tonometry, splanchnic tissue oxygenation can be measured in a minimally invasive and cost-effective manner. Requiring only a ga...
journal_title：Critical care nurse
pub_type： 杂志文章,评审
doi：
更新日期：1996-12-01 00:00:00
abstract：:During the springs and summers of 2009 to 2012, military and nongovernment organization nurses served side by side on hospital ships USNS Comfort and USNS Mercy to offer free humanitarian clinical services to developing nations in Central and South America and Southeast Asia. Translators were engaged to facilitate com...
journal_title：Critical care nurse
pub_type： 杂志文章
doi：10.4037/ccn2013584
更新日期：2013-08-01 00:00:00
abstract：:TEB is proving to be an exciting hemodynamic monitoring technique. It has been shown to accurately measure trends in the patient's volume and vasoactive state without the risks and discomfort of invasive monitoring. It can be applied easily and does not require specialized skill of nurses or physicians. A broad range ...
journal_title：Critical care nurse
pub_type： 杂志文章
doi：
更新日期：1994-10-01 00:00:00
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journal_title：Critical care nurse
pub_type： 杂志文章
doi：10.4037/ccn2011470
更新日期：2011-12-01 00:00:00
abstract：:To prepare a presentation, the critical care staff member must be willing to invest time and effort. Time and effort combined with an organized approach to the development process should result in a quality presentation. ...
journal_title：Critical care nurse
pub_type： 杂志文章
doi：
更新日期：1989-07-01 00:00:00
abstract：BACKGROUND:Delirium is a common neuropsychiatric diagnosis in intensive care units and often leads to extended hospital stays and an increased rate of complications. Delirium can be classified as hypoactive, hyperactive, or mixed. Hyperactive delirium is often accompanied by agitation, which is a predictive factor for ...
journal_title：Critical care nurse
pub_type： 杂志文章
doi：10.4037/ccn2020697
更新日期：2020-04-01 00:00:00
abstract：:The insertion of Silastic sheeting provides an opportunity for improved survival of patients with severe abdominal trauma. This new treatment modality represents a challenge to nurses to expand their knowledge base. ...
journal_title：Critical care nurse
pub_type： 杂志文章
doi：
更新日期：1994-04-01 00:00:00
abstract：:Background Vanderbilt University Hospital's original rapid response team included a critical care charge nurse and a respiratory therapist. A frequently identified barrier to care was the time delay between arrival of the rapid response team and arrival of the primary health care team. Objective To assess the impact o...
journal_title：Critical care nurse
pub_type： 杂志文章
doi：10.4037/ccn2014847
更新日期：2014-02-01 00:00:00
abstract：BACKGROUND:Patients who have radiological imaging with contrast material are at risk for contrast medium-induced nephropathy, reduced renal function, longer hospitalizations, and renal failure requiring dialysis. OBJECTIVE:To determine whether the Mehran risk scoring tool can be used to predict changes in hospitalized...
journal_title：Critical care nurse
pub_type： 杂志文章
doi：10.4037/ccn2011746
更新日期：2011-02-01 00:00:00
abstract：CLINICAL RELEVANCE:Clostridioides (formerly Clostridium) difficile infection is among the most identified causes of health care-associated infections in US hospitals and remains a major public health problem. The incidence and severity of C difficile infection are high among critically ill patients. Treating critically...
journal_title：Critical care nurse
pub_type： 杂志文章
doi：10.4037/ccn2019841
更新日期：2019-10-01 00:00:00
abstract：:This article discusses congenital heart defects that are marginal candidates for biventricular repair and highlights the anatomic considerations upon which the surgical decision is based. Specifically, the article reviews the importance of capacitance and compliance of the ventricles and their associated atrioventricu...
journal_title：Critical care nurse
pub_type： 杂志文章
doi：10.4037/ccn2018679
更新日期：2018-10-01 00:00:00
abstract：:There are many traditional beliefs about the need to restrict visitors on coronary care units (CCUs). Some hospitals, however, have modified their visiting policies. This article identifies factors related to the setting and control of visiting policies on CCUs. ...
journal_title：Critical care nurse
pub_type： 杂志文章
doi：
更新日期：1992-02-01 00:00:00
abstract：OBJECTIVE:Preparation of drug solutions used with electronic syringe infusion pumps plays a crucial role in the delivery of an accurate drug concentration. Is there a correlation between drug concentrations during syringe pump infusion and preparation protocols? METHOD:Norepinephrine, insulin, and sufentanil were prep...
journal_title：Critical care nurse
pub_type： 杂志文章
doi：10.4037/ccn2016756
更新日期：2016-08-01 00:00:00
abstract：:Hematologic assessment is part of the routine assessment of acute and critically ill patients. Nurses must be aware of the reference ranges for complete blood cell counts and common coagulation profiles. A case study is presented of an elderly patient, taking warfarin for atrial fibrillation, who falls and sustains a ...
journal_title：Critical care nurse
pub_type： 杂志文章
doi：10.4037/ccn2012596
更新日期：2012-10-01 00:00:00
abstract：BACKGROUND:Catheter-associated urinary tract infections are preventable adverse outcomes that increase hospital morbidity, mortality, and costs. These infections are particularly prevalent in intensive care units. OBJECTIVES:To describe the success of an 18-bed neurological intensive care unit in using several nurse-i...
journal_title：Critical care nurse
pub_type： 杂志文章
doi：10.4037/ccn2017742
更新日期：2017-06-01 00:00:00
abstract：:The most common cause of death due to the H1N1 subtype of influenza A virus (swine flu) in the 2009 to 2010 epidemic was severe acute respiratory failure that persisted despite advanced mechanical ventilation strategies. Extracorporeal membrane oxygenation (ECMO) was used as a salvage therapy for patients refractory t...
journal_title：Critical care nurse
pub_type： 杂志文章
doi：10.4037/ccn2011186
更新日期：2011-10-01 00:00:00
abstract：:IL-2 is a biotherapeutic drug and a biological response modifier. This drug has not been approved by the Food and Drug Administration for general use but continues to undergo clinical trials. Candidates for this therapy are patients with advanced carcinoma that has not responded to standard modalities of treatment. Ad...
journal_title：Critical care nurse
pub_type： 杂志文章
doi：
更新日期：1994-12-01 00:00:00
abstract：:Sjo2 monitoring has several important limitations, such as catheter reliability, sampling error, and lack of regional specificity. However, combining Sjo2 monitoring with other available technologies can facilitate optimization of treatment and improve outcomes in patients with severe brain injuries. ...
journal_title：Critical care nurse
pub_type： 杂志文章,评审
doi：
更新日期：2001-12-01 00:00:00
abstract：:This 6-month retrospective study provided our medical center with a profile of the population of patients readmitted within 31 days of discharge. We found that chronic illness and age greater than 65 years were the high risk factors related to patient readmissions. These 2 attributes are common in critical care patien...
journal_title：Critical care nurse
pub_type： 杂志文章
doi：
更新日期：2001-04-01 00:00:00
abstract：:More patients in the intensive care unit are surviving their critical illnesses because of advances in medical care. This change in survival has led to an increased awareness of the emotional consequences of being critically ill. Posttraumatic stress disorder has been identified in approximately 9% to 27% of criticall...
journal_title：Critical care nurse
pub_type： 杂志文章,评审
doi：10.4037/ccn2015758
更新日期：2015-06-01 00:00:00
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journal_title：Critical care nurse
pub_type： 杂志文章,评审
doi：
更新日期：1998-02-01 00:00:00
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journal_title：Critical care nurse
pub_type： 杂志文章
doi：
更新日期：1994-06-01 00:00:00
abstract：:Music therapy is an effective intervention for critically ill patients for such purposes as anxiety reduction and stress management. The therapy is readily accepted by patients and is an intervention patients thoroughly enjoy. The MAIT is one resource that nurses caring for critically ill patients can use to implement...
journal_title：Critical care nurse
pub_type： 杂志文章,评审
doi：
更新日期：1999-06-01 00:00:00
abstract：BACKGROUND:Immobility contributes to many adverse effects in critically ill patients. Early progressive mobility can mitigate these negative sequelae but is not widely implemented. Appreciative inquiry is a quality improvement method/change philosophy that builds on what works well in an organization. OBJECTIVES:To ex...
journal_title：Critical care nurse
pub_type： 杂志文章
doi：10.4037/ccn2020251
更新日期：2020-08-01 00:00:00
abstract：:Staff nurse preceptors are integral members of effective critical care orientation programs. Much of the success of the orientation experience and orientee satisfaction depends on them. A critical care preceptor workshop containing a review of the orientation program and the application of educational principles in cr...
journal_title：Critical care nurse
pub_type： 杂志文章
doi：
更新日期：1993-02-01 00:00:00
abstract：:As surgery for complex congenital heart disease is becoming more advanced, an increasing number of patients are surviving into adulthood, yet many of these adult patients remain in the pediatric hospital system. Caring for adult patients is often a challenge for pediatric nurses, because the nurses have less experienc...
journal_title：Critical care nurse
pub_type： 杂志文章,评审
doi：10.4037/ccn2016131
更新日期：2016-08-01 00:00:00
abstract：:Malnutrition is common in critically ill patients and is associated with poor outcomes for patients and increased health care spending. Enteral nutrition is the method of choice for nutrition delivery. Enteral nutrition delivery practices vary widely, and underfeeding is widespread in critical care. Interruptions in e...
journal_title：Critical care nurse
pub_type： 杂志文章,评审
doi：10.4037/ccn2014243
更新日期：2014-08-01 00:00:00
