一个护士驱动的新生儿肠道接入装置安置确认协议
Kim V Cooley1, Patricia W Denning
1Neonatal Intensive Care Unit, Emory University Hospital Midtown (Dr Cooley); and Department of Pediatrics, Neonatal Intensive Care Unit, Emory University Hospital Midtown, and Emory University School of Medicine and Children's Healthcare of Atlanta, Atlanta, Georgia (Dr Denning).
概括
一项用于确认在早产婴儿中安置肠道接入装置 (EAD) 的新协议改善了护理知识和遵守基于证据的实践. 护士驱动的协议实现了92%的遵守率,减少了对未经验证的方法的依赖.
科学领域:
- 新生儿护理 新生儿护理
- 改善医疗保健的质量.
- 医疗器械安全 医疗器械安全
背景情况:
- 过早出生的婴儿通常需要鼻胃/腹胃肠道接入装置 (EAD) 来进行营养和药物输送.
- 准确的EAD提示确认对于预防并发症至关重要.
- 目前的做法依赖于有限的方法,如厘米标记和未经验证的视觉/听觉检查.
研究的目的:
- 实施一个以证据为基础的协议,以确认EAD安置.
- 在实施后90天内实现90%的新议定书遵守率.
主要方法:
- 根据最佳实践建议,实施了一项由护士驱动的,基于证据的协议.
- 教育重点是插入测量和胃pH测量.
- 确认方法包括X射线图,插入测量,厘米标记和胃pH值.
- 审计和问卷调查评估了实施前后的做法.
主要成果:
- 对EAD插入和验证的护理知识得到了改进.
- 胃pH值测量被纳入常规实践中.
- 在确认时使用听觉显著下降.
- 护理人员对该协议的遵守率达到92%.
结论:
- 该研究为实施护士驱动的EAD安置确认协议提供了一个成功的模型.
- 高的遵守率证明了该协议的可行性.
- 需要进一步的研究来证实有效性,并建立新生儿特定的共识.
相关概念视频
Enteral Nutrition I: Orogastric and Nasogastric Feeding
240
Enteral nutrition delivers nutrients directly to the stomach or small intestine through a tube. This method is appropriate for patients who cannot eat but still have a functioning digestive system. It is also beneficial for individuals with swallowing difficulties, anorexia, malabsorption, or those who have undergone gastrointestinal (GI) surgery.
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...
240
Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding
103
Enteral nutrition encompasses various methods of delivering nutrition directly to the gastrointestinal (GI) tract, bypassing traditional oral intake. It is particularly beneficial for patients who cannot eat by mouth but have a functioning digestive system. Key methods include nasointestinal feeding, gastrostomy, and jejunostomy, each suited to different clinical scenarios based on the patient's needs and condition.
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
103
Parentral Nutrition: Centeral and Peripheral Parental Nutrition
123
Parenteral Nutrition (PN) delivers essential nutrients directly into the bloodstream, bypassing the digestive system. It is commonly used for individuals with severe digestive disorders or conditions that prevent normal nutrient absorption.
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
123
Endotracheal Intubation I: Procedure
1.1K
Endotracheal or ET intubation is a critical medical procedure used to secure a patient's airway, often in acute respiratory distress, apnea, upper airway obstruction, ineffective clearance of secretions, high risk for aspiration, or during general anesthesia.
The ET tube comprises various components, including a standard adaptor to attach a bag-valve-mask (BVM) or ventilator, a cuff, a pilot balloon, and radiopaque markings along its length to measure the insertion distance. The tube sizes...
The ET tube comprises various components, including a standard adaptor to attach a bag-valve-mask (BVM) or ventilator, a cuff, a pilot balloon, and radiopaque markings along its length to measure the insertion distance. The tube sizes...
1.1K
Tracheostomy Care I: Pre-procedural Steps
169
A tracheostomy is a surgical technique that involves making an incision in the neck to provide access to the trachea. It is frequently used in medical conditions such as airway obstruction and prolonged mechanical ventilation. Effective nursing management is crucial for the long-term success of a tracheostomy.
Required Equipment
The equipment necessary for tracheostomy care includes:
Required Equipment
The equipment necessary for tracheostomy care includes:
169
Endotracheal Intubation II: Nursing Management
558
Endotracheal intubation is a critical procedure that can be lifesaving for many patients with respiratory distress or failure. The role of nursing in managing endotracheal tubes is pivotal, as it involves pre-intubation preparation, assisting during the procedure, and post-extubation care.
1. Nursing Care of Patients Before Intubation
Before the endotracheal intubation procedure, nurses play an essential role in ensuring the process goes smoothly. The nurses must be familiar with intubation...
1. Nursing Care of Patients Before Intubation
Before the endotracheal intubation procedure, nurses play an essential role in ensuring the process goes smoothly. The nurses must be familiar with intubation...
558


