Icu Support Center

A 45 year old male was admitted to ICU following an exploratory laparotomy which showed a ruptured appendix and peritonitis. The procedure began as a laparoscopic cholecystectomy but the initial finding was pus throughout the peritoneal cavity and a normal gallbladder. An open exploratory laparotomy where a ruptured appendix was discovered which was removed and a washout was performed. The patient had a two day history of abdominal pain prior to his admission through A&E. He had no previous medical or surgical history. The patient smoked 20/day and drank alcohol at the weekends. Once admitted to ICU, he was intubated and ventilated on bilevel ventilation and sedated with propofol and fentanyl. In theatre he received two

The ICU should be equipped with a recliner in every patient room, therefore 12 more recliners need to be purchased. Signage inside the patient’s room can be made by printing and laminating the AACN Early Progressive Mobility Protocol from their website with minimal cost. Total estimated cost including 12 recliners and staff education time: $ 10,200. Re-teaching will be implemented at staff meetings on a quarter-yearly basis and the ICU nurses will have the opportunity to provide constructive feedback. HCAP statistics will provide data regarding length of stay in the ICU, Ventilator and Health-care Acquired Pneumonias and Wound care will contribute the data for Decubitus occurrence.

The benefits of telehealth consultations are immeasurable; clients are able to access a knowledgeable health care professional and receive a telephone triage/assessment and recommendations. This allows the patient to have immediate access to good health advice and quicker solutions. Telemedicine is one of the many vehicles of telehealth; for example, the cardiologist orders an outpatient Holter Monitor trial to evaluate arrhythmias. The technician calls the patient at the sign of any abnormal rhythm and investigate the activity performed when the reading fluctuation then the reported is communicated to the cardiologist. If warranted, the cardiology staff will contact the patient with instructions schedule an immediate appointment. Telehealth services resources would benefit the client in this next example, an individual’s come in for a sick visit expecting a prescription to be written for their illness; they receive informative instructions because of the nature of the

monitored by medical professionals. According to McKnight (2012), “Studies indicate patients with telehealth care are noted to have a 25% reduction in the number of inpatient hospital days and a 19% reduction in the rate of hospitalizations” (p. 4).

Clinicians recognize risk factors assess, better diagnose and manage patients and reduce mortality rates. (Trenary, 2007)Describes how Banner Health Care System uses a system called eICU where patients are cared for by intensivists, experienced critical care nurses and health unit secretaries working from a remote location on the campus of Banner Desert Medical Centre. From this location care clinicians can see and hear six different units in five different hospitals .Their aim is to increase this added support to all ICU patients within their Banner Health Care System across the seven states in twenty different facilities. .Using the eICU system the ICU rooms are fitted with a camera, microphone and a speaker .The camera is activated when initiated by the bedside team when there is an alert received from the eICU system .There is no recording availability so the system is HIPAA compliant .This system adds an additional support to the nurse patient ration at bedside. A similar system is used in the Ob department to support the nurses and help to reduce complications during childbirth

• Hospitals and patients can explain to insurance companies the nature of patients and the probability of re-hospitalization when they do not use telemonitoring devices.

The purpose of the analysis was to highlight potential revenue lost in the Intensive Care Unit by illustrating the lack of charges submitted and lack of a user-friendly system in place to capture the supplies used. Currently there is an unclear process that is carried out across the facility. not just in the ICU division. Each unit has a different way to capture charges, and some couldn’t speak to the process at all. The current ICU analyzed has one Assistant Nurse Manager (ANM) that charges for items by entering items used off a list that is to be filled out by the bedside nurse or charge nurse. Adding the product information into the new EMR under the patient visit charges for the high cost items. If this ANM is not working, the items did

Telehealth is the monitoring via remote exchange of physiological data between a patient at home and health care professionals at hospitals or clinics to assist with diagnosis and treatment. As our society ages and health care costs increase, government and private insurance payers are seeking technological interventions. Technological solutions may provide high quality healthcare services at a distance, utilize professional resources more effectively, and enable elderly and ill patients to remain in their own homes. Patients may experience decreased hospitalization and urgent care settings, and out of home care may not be required as the patient is monitored at home. However, no study has been able to prove telehealth

They “conducted real-time best-practice audits for selected evidence-based practices, reviewed care plans and daily goal sheets, and ensured adherence with the local intensivists’ plans” (Kahn 2011). The tele-Intensivists made sure evidence-based practice was followed to prevent ICU complications. They were being proactive versus reactive. This could be why they saw a decrease in mortality

The delivery of health care has always been influenced by technological developments and innovations. This is particularly true in modern health care professionals where they are obsessed with technology and rush to apply them. One of the most recent applications of ICT – Information and computer technology- is telehealth. Telehealth is the use of communication, diagnostic and information technology to provide health care when patients and providers are geographically separated [2], Technologies include videoconferencing, the internet, store -and-forward imaging, streaming media, terrestrial and wireless communications. Telehealth could be as simple as two health professionals discussing a case over the telephone or as

Long-standing medical conditions such as Chronic Obstructive Pulmonary Disease (COPD) and Congestive Heart Failure (CHF) present several challenges to hospitals. Caregivers can nurse patients back to baseline health status; however, when that patient returns home, lifestyle choices can trigger a quick return to the emergency room and a readmission. Telehealth monitoring was designed to monitor one of the highest readmission health crisis—CHF. The article chosen used both an extended research time and quantitative baseline. The authors found that previous research on short-term telehealth monitoring was insufficient to determine a reduction in readmissions. The study also found minimal positive results when CHF patients were monitoring for extended

Telenursing could have some ethical issues that need to be addressed at an early stage. The nurse should be able to use the machine so that communication with the patient and treatment would be easy. The nurse should also master the skills of a good listener, communicator and observer because she solemnly depends on these skills in judging the health status of the patient. The nurse should also show caring and concern to boost the self-worth of the patient. She should also be courageous and patient with the sick to ensure that the best services are delivered. The nurses could experience some dilemmas in deciding the best advice to give leading to stress. During such moments, the nurse should relax and give the best advice they can think of.

The next day we were in telemetry we got to talk to a telemetry nurse, Matthew. He explained to us a lot about the different floors in the hospital and how telemetry is mostly for people with heart or respiratory issues, which is why they have to be hooked up to the machine. The machine they are hooked up to looks mainly at their heart beat. He

There are several forms of technology that is used to monitor, assist patients with self-care management, assist physicians with delivering care to their patients, including consultation with specialist, and overcoming barriers with transportation. “60% of the healthcare executives, physicians, and nurses in this inaugural survey said that telemedicine was a high priority for 2015“ (Vockley, 2015, para. 7) Telemedicine

Today’s technology allows telenursing care to be provided in formats beyond nurse staffed telephone triage lines. Video cameras, the internet, and the installation of monitoring equipment in a patient’s home increases the range of nursing services that can be provided to patients outside of acute care facilities, and