在体外膜氧化中护理角色
Michelle Parrett1, Cassia Yi, Brooke Weaver
1Michelle Parrett is an assistant ECMO coordinator and ECMO lead at UC San Diego Health, La Jolla, CA, where Cassia Yi is a clinical coordinator in the Mechanical Circulatory Support Program, Brooke Weaver is an ECMO lead, Meghan Jones is an NP in the Division of Cardiothoracic Surgery, Judy Davidson is a nurse scientist, Mazen Odish is an assistant professor of medicine in the Division of Pulmonary and Critical Care Medicine, and Travis Pollema is an associate clinical professor of surgery in the Division of Cardiovascular and Thoracic Surgery and medical director of the UC San Diego ECMO Program. Marites B. Almachar is a cardiac acute care float advanced practice provider and teaching associate in the Division of Cardiology at the University of Washington Medical Center, Seattle. Contact author: Michelle Parrett, mparrett@health.ucsd.edu . Cassia Yi, Mazen Odish, and Travis Pollema are Extracorporeal Life Support Organization instructors. The authors and planners have disclosed no potential conflicts of interest, financial or otherwise.
身体外膜氧化 (ECMO) 为严重的心脏或肺衰竭提供机械支持. 本文探讨了ECMO护理角色,护理模式,以及专业RN人员的成本节约策略.
科学领域:
- 心血管医学 心血管医学
- 肺部病理学 肺部病理学
- 关键的护理关键的护理
背景情况:
- 身体外膜氧化 (ECMO) 是一种重要的机械循环支持,用于严重的呼吸或心力衰竭,对标准治疗无反应.
- ECMO是一种复杂,昂贵的干预措施,需要密集的多学科护理.
- 接受ECMO的患者病情危急,需要专门的团队.
研究的目的:
- 在ECMO计划中划分护士的多方面的角色.
- 检查各种ECMO交付护理模型.
- 评估雇佣ECMO专家注册护士 (RN) 的财务利益,并引入ECMO领导角色.
主要方法:
- 审查目前的ECMO计划结构和人员.
- 在ECMO患者管理中分析护理职责.
- 评估护理模式和专门护理人员的成本效益.
主要成果:
- ECMO需要一个协调的团队,包括医生,输液师,护士和呼吸治疗师.
- 具体的护理角色对于ECMO的成功实施和患者的治疗结果至关重要.
- 一个RN ECMO专业模型显示了节省成本的潜力.
结论:
- 优化ECMO护理角色和护理模式对于计划的成功至关重要.
- 专门的RN人员,包括ECMO领导,可以提高效率,并可能降低成本.
- 多学科合作是管理重症ECMO患者的关键.
相关概念视频
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