ICU Vent Patients: A Case Study

After finishing interview with standardized patient, I explained everything to my group members and they updated the patient medication chart with necessary changes with discrepancies we found out including plan we came up to implement those

Computerize provider order entry has had a tremendous impact on improving patient safety and health care outcomes. As a post-operative unit secretary, I often had the wonderful task of transcribing physician orders. I spent more time trying to contact the physician’s to ensure that I understood their handwriting then actually transcribing the order. There were numerous medication errors made through the assumption of transcribed orders. Consequently, computerized provider order entry helped to significantly reduce those risks. However, I have witness computerized provider order entry errors made by clinicians that the system fails to recognize. For example, a patient reported taking an anxiety medication X 2.5mg PO daily upon admission. Four

All this is important for the good of the patient and especially the healthcare team.

Karen Meunier, is the education consult for New Orleans’s Childrens Hospital Ventilator Assisted Care Program (VACP). Mrs. Meunier educated the audience on the history of ventilators. Next, Mrs. Meunier stated the criteria for the children who are enrolled in the Ventilator Assisted Care Program. Overall, these children either have a neuromuscular, brain and/or spinal cord injury, and/or birth related diagnosis. The children in the program live at home in Louisiana, under the age of 26, Medicaid eligible, and require daily mechanical support of respiratory efforts. Lastly, Mrs. Meunier informs the audience about each member in the VACP staff. The VACP staff includes an education consultant, respiratory therapist trainer, two case managers,

Ventilator-associated pneumonia is a bacterial infection that occurs in the lower respiratory system within the first 48 hours of endotrachal intubation (Lewis, Dirksen, Heitkemper, Bucher, & Camera, 2011). Although any hospital patient is susceptible to pneumonia, ventilator dependent patients are at the highest risk of acquiring pneumonia. The purpose of this paper is to identify the risk factors, incidences, and preventions of ventilator-associated pneumonia (VAP) using a quantitative research study performed in Malaysia. “The aim of this

Along with Verbal Orders/Read-Backs the unacceptable abbreviations this area is of concern because the only part that is not within standards is the “U” (which is used to abbreviate unit) which actually increased from 17% to 63%. This is very alarming because the units of medications that the patient is receives is very import to the treatment if not life threatening. When the nursing staff cannot understand the orders they have to take time away from patient care to get clarification from the Doctor. This is not always a timely process

The American Association for Respiratory Care is a non-profit organization which provides numerous resources for registered respiratory therapists all over the United States. Membership through the AARC renders an abundance of incentives such as professional development, respiratory care education, social networking opportunities, continuing education programs and much more. The American Association for Respiratory Care truly believes in the cause of respiratory therapy and in the rights of their patients to receive competent respiratory care. Their advocacy team works with local, state and federal governments concerning public policies that affect their patients as well as their profession.

Patient is a 58 year old female admitted and brought in by ambulance on February 16, 2017 due to PEA (pulseless electrical activity) arrest at home. This patient has a history of hypertension, diabetes type 2, chronic obstructive pulmonary disease (COPD) and found to have a mild pulmonary hypertension with possible interstitial lung disease, mixed connective tissue disease, peripheral neuropathy and bipolar disorder. According to patient’s spouse, the night before the incident, the patient was acting like her usual self and went to sleep around 2330 with her oxygen in place. She was found unresponsive and had foaming at the mouth and was gasping for air. Her code status did not require resuscitation

The following documents chosen were peer-reviewed articles with different methods of study: 1. Measurement of physiologic responses to mobilization in critically ill adults. It is a systematic review article. The purpose of the study is to measure physiologic response to mobilization of critically ill patients. The limitation of the study is that there is only one physiologic variable that was expended (Borg scale) and the criteria for this review are unstated (Crist, McVay, & Marocco, 2013, p. 12). In conclusion, the author recommends a biomarker such as a cytokine level may be utilized to get a more precise measure of the true physiologic response to mobilization (Amidei, 2012, p. 71). 2. Early mobilization in the Intensive Care Unit: A Systematic

Communication is a tool that nurse leaders should master in order to send information, perception and understanding to achieve work activities and goals. Effective communication involves frequent, clear, and direct messaging of thoughts and ideas. The three elements leaders should include in creating and enhancing effective communication are trust, respect, and empathy. For this paper I will discuss some of the issues found in chapter seven’s critical thinking exercise. Nurse Olivia Whitt, who is in charge of an interdisciplinary team, faces several issues regarding communicating with the organization’s physicians about a critical pathway development for ventilator-dependent patients, the dietician who wants to integrate dietary protocols for the pathway and a home health care representative who at the moment is too involved with accreditation issues.

The team who was taking care of Mr. P, before the CA and during CA, provided outstanding care. Especially in term coordination care and communicating with the ICU team. They travel with Mr. P to CT scan and competed the above CT scans on the way to ICU. After Mr. P arrive to the ICU, hypothermia protocol was initiated using order set. The facility hypothermia protocol was also reviewed. Other route orders such as basic metabolic panel (BMP) and ABG with lactate was placed and monitor every four hours. Referrals for cardiology, neurology, respiratory therapy, and pastoral care were placed immediately. Before the end of shift, occupational and physical therapy consult was placed too. NSE, to evaluate neurologic outcome, serial frequent neurology

Primary and long term treatment for CCHs is placement of a permanent tracheostomy. This most common invasive procedure involves the child being placed on positive pressure ventilation during the night. Depending on the severity of alveolar hypoventilation, some patients may require around the clock ventilation. The suggested ventilator mode for these patients iare spontaneous intermittent mandatory ventilation (SIMV). SIMV delivers a set number of fully assisted breaths whether the breaths are patient triggered, flow-limited trigger, or time-triggered. Additional spontaneous breaths by the patient are unassisted with no ventilator help. Ventilators should be used in the spontaneous intermittent mandatory ventilation (SIMV) mode. Another recommendation is the use of an uncuffed tracheostomy to minimize granuloma formation. Ventilator settings can compensate for air leaks around the tracheotomy tube by increasing volume and peak airway pressure as necessary. Mild hyperventilation in

With all the newer options, do we have a lower incidence in ARDS, or mortality rates from mechanical ventilation? As a clinician have you been educated on the latest information and choose to use the latest modes of mechanical ventilation? With the improvements in our mechanical ventilators, modes of ventilation, years of experience, and research that has been completed, should we have better outcomes?

Greetings my fellow classmates, I am Calvin Tanoto and today I will be presenting on the mechanical ventilator.

At this point this student has moved in the direction of reviewing studies based on ventilator associated pneumonia (VAP). Moreover, considering VAP bundles, with a detailed interest into their effectiveness both as a bundle and which accompanying parts may be more effective than others. VAP bundles have become a standard of care, and there is plenty of evidence which supports the need for them to be initiated. However, there are some studies that question their usefulness and categorically delve into specific aspects that have been found to be ineffective; yet are still utilized. A potential PICO question could be: Ventilator Associated Pneumonia (VAP) afflicts between 9-27% of patients and is the leading cause of death amongst Hospital-associated