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Nurse: Intensive Care Unit

Group project

Dena Vongchanh

on 25 September 2012

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Transcript of Nurse: Intensive Care Unit

Intensive Care Unit Nurse Expectations:
work long hours
deal with life and death situations daily
have excellent teamwork, multi-tasking, and interpersonal skills
Be able to monitor and operate various life support equipment
Proficient in carefully obtaining and recording important data
Manage medication doses, anesthetic and ventilation
Provide regular status updates to patient and family members so they can make informed decisions regarding treatments, etc.
Assist ICU doctors, and provide them with documentation of patient interactions Expectations and Duties Created by Leslie Diep, Angela Endicott, Vera Hermano, and Dena Vongchanh Level 1-service to patients who:
Is at risk of their condition deteriorating
Moved down from higher levels
Can be met on an acute ward
Level 2- service to patients who:
Require detailed observation
Needs support for single-failed organ system
Needs short-term ventilation
Needs post-operative care
Moved down from level 3
*Do patient transfer agreement protocols to transfer patients to level 3
Level 3- service to patients who:
Require advanced/ prolonged respiratory support alone
Need basic respiratory support together with the support of at least two organ systems Three Levels Critical Care Nurse: Day In The Life Associated Professional Organizations American Association of Critical Care Nurses
American Thoracic Society
Critical Care Societies
Society of Critical Care Medicine Professional Journals American Associate of Critical Care Nurses Largest specialty nursing program and organization in the world
Represents over 500,000 nurses
Been serving nurses since 1969
Dedicated to creating a healthcare system driven by the needs of patients
Keeps ICU nurses up to date with technology and treatment techniques
Strives to be the voice for ICU nurses and establish healthy work environment American Thoracic Society Mission Statement: To improve health worldwide by advancing clinical care and public health in respiratory disease, critical illness, and sleep disorders Experiences of Patients, Families, and Their Nurses Founded in 1906 as ASA to prevent, treat, and control tuberculosis
Renamed as ATS in 1960
15,000+ physicians, research scientists, nurses & other healthcare professionals (25% of them live outside the United States) Critical Care Societies Collaborative (CCSC) Non-profit organization
Represents 150,000 critical care professionals
Brings important issues to the public
Uses multi-professional expertise to optimize the care for the critically ill through communication, education, research, and advocacy
Works with other clinicians, patients, administrators, and many others - Past studies have examined how nurses can meet the needs of the critically ill patients and their families and the effects of their relative critical illness on the families themselves. This study was able to clarify the experiential descriptions, essential relationships, and meaning of structures of the intensive care unit experiences of the 15 participants during critical illness, and strategies to improve nursing practice, research, and education are presented. Specialties include: Critical care, thoracic surgery, behavioral science, sleep medicine, allergy/immunology, pulmonology Prevent Intensive Care Unit Delirium Society of Critical Care Medicine Mission Statement: To secure the highest quality care for all critically ill and injured patients Founded by 29 physicians in Los Angeles (all had a common interest in caring for the critically ill)
Now based in Chicago, Illinois - Sleep-wake cycle disturbance is a common experience of delirious patients. Although promoting healing is the primary objective in the ICU, allowing patients long periods of uninterrupted sleep and rest is inherently challenging. Nurses are compelled to closely monitor vital signs, administer necessary medications and treatments, and facilitate diagnostic and laboratory tests, resulting in frequent disruptions to rest and sleep. Sleep deprivation has known detriments to healing and is counter to optimal physiological functioning. Clinicians struggle to balance essential care with evidence-based interventions to promote sleep. SCCM is made up of almost 16,000 members. Some of these include... Intensivists: certified physician specialists that work closely with critical care patients over time
Critical Care Nurses: RNs specializes in critical care that become very close to the patient and their family
Critical Care Pharmacists/Pharmacologists: physicians/doctors of pharmacy that monitor the medications of the patient
Respiratory Therapists: Work with the critical care team to monitor/adjust ventilators & respiratory technology for patients MISSION: to provide expert knowledge and influence ICU nurses to keep the promise they made to patients Bibliography Educational Requirements To be an ICU nurse, a nursing degree and licensure as an RN are required. RN Educational Requirements ADN (Associates Science of Nursing) Usually takes 2-3 years to complete
can be taken before pursuing a BSN
can be used to immediately apply for entry-level position BSN (Bachelor of Science in Nursing) Takes 4 years to complete
Similar requirements to the ADN, but includes more lectures & clinical experience
Better option for applicants to administrative positions and those who want to enroll in graduate programs Nevada Licensing Requirements 1) Graduation from an approved nursing school with a nursing certificate, degree, or diploma
2) Pass the NCLEX (National Council Licensure Examination)
3)Have a United States SSN
4) Completion of fingerprint cards
5) Receival of fingerprint cards by the Board •www.mycollegesandcareers.com/career-industries/health-care/ICU-nurse/ICU-nurse-job-description/
•http://wx2mz2qh4l.search.serialssolutions.com/?ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info:sid/summon.serialssolutions.com&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Intensive+Care%2C+Intensive+Information&rft.jtitle=Health+Data+Management&rft.au=Elizabeth+Gardner&rft.date=2010-05-31&rft.issn=1079-9869&rft.volume=18&rft.issue=5&rft.spage=54&rft.externalDBID=H EDM&rft.externalDocID=2108935801
•http://ovidsp.tx.ovid.com/sp-3.6.0b/ovidweb.cgi?WebLinkFrameset=1&S=HADLFPDCPKDDDKHJNCPKCGFBJIIMAA00&returnUrl=ovidweb.cgi%3f%26Full%2bText%3dL%257cS.sh.18.19%257c0%257c00003465-201003000-00015%26S%3dHADLFPDCPKDDDKHJNCPKCGFBJIIMAA00&directlink=http%3a%2f%2fgraphics.tx.ovid.com%2fovftpdfs%2fFPDDNCFBCGHJPK00%2ffs047%2fovft%2flive%2fgv024%2f00003465%2f0000346 5-201003000-00015.pdf&filename=The+Intensive+Care+Unit%3a+Experiences+of+Patients%2c+Families%2c+and+Their+Nurses.&pdf_key=FPDDNCFBCGHJPK00&pdf_index=/fs047/ovft/live/gv024/00003465/00003465-201003000-00015
•http://ovidsp.tx.ovid.com/sp-3.6.0b/ovidweb.cgi?WebLinkFrameset=1&S=OGNEFPCCHLDDDKCONCPKHEJCDLFOAA00&returnUrl=ovidweb.cgi%3f%26Full%2bText%3dL%257cS.sh.18.19%257c0%257c00003465-201111000-00003%26S%3dOGNEFPCCHLDDDKCONCPKHEJCDLFOAA00&directlink=http%3a%2f%2fgraphics.tx.ovid.com%2fovftpdfs%2fFPDDNCJCHECOHL00%2ffs046%2fovft%2flive%2fgv023%2f0 0003465%2f00003465-201111000-00003.pdf&filename=Preventing+Intensive+Care+Unit+Delirium%3a+A+Patient-Centered+Approach+to+Reducing+Sleep+Disruption.&pdf_key=FPDDNCJCHECOHL00&pdf_index=/fs046/ovft/live/gv023/00003465/00003465-201111000-00003
•http://www.cbsalary.com/national-salary-chart.aspx?kw=Intensive+Care+Unit+Nurse&specialty=Intensive+Care+Unit+Nurse&tid=7610 Special Regulations and Regulatory Agencies Opportunities Locally Salaries locally and nationally Nationally - Carlin $81,725
- Carson City $92,044
- Elko $74,627
- Falton $81,725
- Las Vegas $81,981
- Reno $81,189 The median annual salary is $74,382
and the staff receive comprehensive benefits including health insurance, paid time off and employer contributions toward a 401(k) or pension plan. Locally Nationally According to the U.S. Department of Labor, the ICU unit remains strong for all RNs, with "587,000" new jobs expected to be created by 2016. - Renown Regional Medical Center
Imagining/PICU Line RN (Full-Time)
- No current opening at St. Mary's
- UMC in Las Vegas, NV
Charge Nurse Peds ICU (Full-Time)
Charge Nurse Trauma ICU (Full-Time)
- Chicago, IL; Northwestern Memorial Hospital
Staff Nurse - Neonatal ICU (Full-Time)
- Los Angeles, CA; California Hospital Medical Center
Registered Nurse (RN) CVICU (Full-Time)
- New York City, NY; Columbia University Medical Center
Clinical Nurse I - RN Endoscopy Cardiothoracic ICU (Part-Time) Special Regulations Regulatory Agencies - American Association of Critical Care Nurses (AACN)
Promote consumer health by establishing high standards of professional practice excellence through certification for nurses who care for acutely and critically ill patients
- Society of Critical Care Medicine (SCCN)
This is one of the largest multi-purpose organization that ensures excellence and consistency in the critical care field
- Board of Registered Nursing (BRN)
This is a state governmental agency created to regulate the practice of RN nurses I.) Assessment: The nurse caring for acute and critically ill patients collects relevant patient health data.
II.) Diagnosis: The nurse caring for acute and critically ill patients analyzes assessment data in determining diagnoses.
III.) Outcome identification: The nurse caring for acute and critically ill patients develops plans of care that identify individualized, expected outcomes for patients.
IV.) Planning: The nurse caring for acute and critically ill patients develops plans of care that prescribe interventions to attain expected outcomes.
V.) Implementation: The nurse caring for acute and critically ill patients implements interventions identified in the plans of care.
VI.) Evaluation: The nurse caring for acute and critically ill patients evaluates patients’ progress toward attaining expected outcomes.
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