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Related Concept Videos

Planning Nursing Care I01:21

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The planning phase of the nursing process helps nurses set priorities, outline patient-centered goals and expected outcomes, and tailor nursing interventions to align with the aligned care plan. Through the planning phase, the nurse applies critical thinking skills to align and develop interventions according to the patient's needs. It provides continuity of care allowing patients to receive the maximum benefit from treatment. It serves as a pilot plan for allocating individual staff to a...
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Nursing Clinical Information System (NCIS)
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An integrated healthcare system (IHS) is a set of organizations that provides for or arranges to provide coordinated and continuous service to a defined population. The IHS takes responsibility for that particular population's health status and outcome, both clinically and fiscally. An integrated healthcare system is a well-organized, well-coordinated, and collaborative network. The integrated delivery system is a network that connects different healthcare providers to deliver organized,...
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In the ever-evolving field of public health, statistical analysis serves as a cornerstone for understanding and managing disease outbreaks. By leveraging various statistical tools, health professionals can predict potential outbreaks, analyze ongoing situations, and devise effective responses to mitigate impact. For that to happen, there are a few possible stages of the analysis:
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Planning Nursing Care II01:29

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A nursing care plan can present in two forms: informal and formal. Informal is a care plan for the individual use of the nurse and goals they wish to accomplish during their shift. Informal care plans are not included in the patient chart. A formal nursing care plan is a written or computerized guide that organizes patient care. It is further subdivided into two: standardized and individualized care plans. Standardized care plans are pre-populated care plans for specific patient populations,...
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Design for Implementation of a System-Level ICU Pandemic Surge Staffing Plan.

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  • 1Department of Critical Care Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA.

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|July 23, 2020
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Summary

An ICU staffing algorithm was developed to manage surges in patient volume during the COVID-19 pandemic. This tiered-provider strategy ensured adequate staffing across diverse hospital types, maintaining care quality during critical events.

Keywords:
advanced practice providerscoronavirus disease 2019disasterpandemicstaffingworkforce

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Area of Science:

  • Healthcare Management
  • Critical Care Medicine
  • Public Health Preparedness

Background:

  • The COVID-19 pandemic has severely strained intensive care units (ICUs) globally.
  • ICU provider staffing in the US operates near capacity, risking care disruption during patient surges.
  • Proactive planning for ICU staffing augmentation is crucial for managing local surges.

Purpose of the Study:

  • To describe the design, dissemination, and implementation of an ICU provider staffing algorithm for surge capacity.
  • To create a system-wide framework for managing physician, advanced practice provider, and nurse anesthetist staffing during critical events.

Main Methods:

  • Development of a system-wide ICU surge provider staffing algorithm.
  • Implementation across a 40-hospital health system.
  • Balancing local needs with system resource supply, including enhanced tele-ICU capabilities.

Main Results:

  • The algorithm was successfully designed and implemented by the University of Pittsburgh Medical Center's Integrated ICU Service Center.
  • Surge staffing models were developed to meet local demands while utilizing system resources.
  • Tele-ICU capabilities were rapidly enhanced and expanded.

Conclusions:

  • The ICU pandemic surge staffing algorithm, utilizing a tiered-provider strategy, proved adaptable for various hospital settings (rural to academic).
  • The framework facilitated rapid adaptation to specific local needs during patient volume surges.
  • This approach provides a model for hospitals and health systems to maintain staffing preparedness for acute patient volume increases.