1.Overview+of+CC+Nursing.2023.pdf

Overview of Critical Care Nursing Objectives 1. Define critical care nursing. 2 2. Describe the evolution of critical care. 3. Discuss the purposes and functions of professional organizations that support critical care practice. 4. Explain certification options...

Overview of Critical Care Nursing Objectives 1. Define critical care nursing. 2 2. Describe the evolution of critical care. 3. Discuss the purposes and functions of professional organizations that support critical care practice. 4. Explain certification options for critical care nurses. 5. Describe standards of professional practice for critical care nursing. 6. Explain the characteristics of critical care nurses. 7. Describe quality and safety initiatives related to critical care nursing. 8. Explain the purpose of evidence-based practice. 9. Describe a healthy work environment. 10. Discuss the need for a collaborative plan of care for the critically ill patient. 11. Identify current trends and issues in critical care nursing. Critical Care Nursing Deals with human responses to critical illness or injury Physiological Psychological Focus on both the patient’s and family’s responses Evolution of Critical Care 4 Began with polio units, recovery rooms, and coronary care units Patient outcomes improved Also, the astronauts and the monitoring that was created. Critical Care in the 21st Century 5 Specialization Variety of settings Inpatient Outpatient Home care eICU Competencies for Acute and Critical Care Nurses 6 Professional Organizations 7 Support critical care nurses and practice Key organizations American Association of Critical-Care Nurses Society of Critical Care Medicine American Association of Critical-Care Nurses (AACN) 8 Founded in 1969 Largest specialty organization in world Mission Assist acute and critical care nurses to attain knowledge and influence to deliver excellent care Values An ethic of care that focuses on compassion, collaboration, accountability, and trust Web site: www.aacn.org Copyright © 2017 Elsevier Inc. All rights reserved.  AACN Membership Benefits Slide 9 Professional journals and continuing education offerings Critical Care Nurse American Journal of Critical Care AACN Advanced Critical Care (reduced rate) Practice Alerts Evidence-based interventions Elsevier items and derived items © 2009, 2005, 2001 by Saunders, an imprint of Elsevier Inc.  AACN Membership Benefits Slide 10 (continued)  Continuing education › National Teaching Institute (NTI)  Support from local chapters  Scholarships  Research grants  Student rate for membership  Discounted rate for certification exams Elsevier items and derived items © 2009, 2005, 2001 by Saunders, an imprint of Elsevier Inc.  Slide 11 Elsevier items and derived items © 2009, 2005, 2001 by Saunders, an imprint of Elsevier Inc.  Critical Care Certification Slide 12  Purpose Validate knowledge Promote professional excellence Help nurses to maintain up-to-date knowledge  AACN Certification Corporation oversees process  Based on AACN Synergy Model for Patient Care Needs of patients and families drive practice Elsevier items and derived items © 2009, 2005, 2001 by Saunders, an imprint of Elsevier Inc. AACN’s Vision 13 Create a health care system driven by patient’s and family’s needs in which critical care nurses make their optimum contributions Figure 1-3. The American Association of Critical-Care Nurses Synergy Model for Patient Care. (From Curley M. Patient-nurse synergy: optimizing patients’ Copyright © 2017 Elsevier Inc. All rightsoutcomes. reserved. American Journal of Critical Care. 1998;7:69.)  AACN Critical Care Slide 14 Certification Bedside practice CCRN: Adult, Neonatal, and Pediatric PCCN for those working in step-down units Advanced practice CCNS Critical Care Clinical Nurse Specialist ACNPC Acute Care Nurse Practitioner Subspecialty certification Cardiac medicine Cardiac surgery Elsevier items and derived items © 2009, 2005, 2001 by Saunders, an imprint of Elsevier Inc. Standards 15 Guide clinical practice Establish goals for patient care Provide assessment of outcomes AACN Standards for Acute and Critical Care Nursing Practice Process of nursing practice Expectation of the nurse AACN Standards for Healthy Work Environments 16 Another scenario… 17 The 6 Standards 18 See homework assignment 19 Due Thursday before class.  Society of Critical Care Slide 20 Medicine (SCCM) Founded in 1970 Multidisciplinary membership Physicians Nursing section Other critical care team members Website www.sccm.org Journal: Critical Care Medicine New Horizons: The Science and Practice of Acute Medicine Pediatric Critical Care Medicine  SCCM Vision Slide 21 Health care system in which all critically ill and injured persons receive care Multiprofessional health care team Directed by physician specializing in critical care— intensivist Elsevier items and derived items © 2009, 2005, 2001 by Saunders, an imprint of Elsevier Inc. Trends and Issues 22 Critical care patients more complex Multisystem organ dysfunction Complicated by aging population Increasing costs for care Challenged to reduce costs and length of stay Transfer of higher acuity patient from the critical care unit to other units or home Critical Care Nurse Characteristics 23 Technical competence Relationship building Ability to multitask and set priorities Very protective of patients High level of organization Critical Thinking Challenge 24 Discuss strategies for reducing or preventing stress and burnout in critical care nurses. Focus on Quality and Safety 25 Errors and harm must be prevented Nurses are challenged to reduce errors and promote a safe environment Several initiatives Joint Commission National Patient Safety Goals Institute for Healthcare Improvement Quality and Safety Education for Nurses (QSEN) National Patient Safety Goals 26 The Joint Commission National Patient Safety Goals Examples relative to critical care nursing Communication Medication safety Reduce infections Reconcile medications Harms Targeted for Reduction 27 Adverse drug events Infections Catheter-associated urinary tract infections (CAUTI) Central line–associated bloodstream infections (CLABSI) Surgical site infections Ventilator-associated pneumonia (VAP) Injuries from falls and immobility Obstetric adverse events Pressure ulcers Venous thromboembolism (VTE) Importance of Evidence-Based Practice 28 Implement practice based on evidence Evaluate research Hierarchy of evidence Communication 29 Communication important for safe care Much information derived from airlines Crew resource management Standardized approaches SBAR and SBAP  Situation  Background  Assessment  Recommendation (Plan) Collaboration 30 Create a culture of safety where everyone works together Mutual respect Mutual recognition Aim during multiprofessional daily rounds Briefings are another approach Other Trends and Issues 31 Reducing hospital readmission rates Increasing use of technology Electronic medical records Physician order entry Ethical issues associated with prolonging life and futile treatment Telemedicine and eICU Trends and Issues 32 Aging population Transfer of patients from the critical care unit while still acute Aging workforce Trends and Issues 33 Shortage of critical care nurses Importance of recruitment, orientation, and retention Ongoing debate about hiring new graduates to work in critical care units Questions?? 34 Copyright © 2013, 2009, 2005, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc.