RESUMEN
As always in acute and critical care, preparation is fundamental to positive patient and family outcomes. Although integration of diverse age populations may occur rarely in a unit, strategic planning should be in place for such occurrences,with relevant competencies considered, addressed, and evaluated on a continuing basis.
Asunto(s)
Unidades de Cuidado Intensivo Pediátrico , Unidades de Cuidados Intensivos , Adolescente , Adulto , Niño , Humanos , Adulto JovenRESUMEN
Experienced acute and critical care nurses are poised to be high-impact leaders in the current, ever-changing health care landscape. These professionals need new skills to carry them to the next level, as they are called on to lead in a new age filled with increasing complexities. This article provides strategies for nurses to consider and reflect on throughout their leadership journey.
Asunto(s)
Liderazgo , Enfermeras Administradoras , Enfermería , Conducta Cooperativa , Cuidados Críticos , Femenino , Humanos , Comunicación Persuasiva , Recursos HumanosRESUMEN
Team members in the PICU need to have an understanding of the potential for professional boundary violations. These lines are dynamic and easily blurred and may be crossed during well-intentioned interactions. We hope that knowledge of the warning signs will help health care providers and patients and families remain in the zone of helpfulness.(3)
Asunto(s)
Unidades de Cuidado Intensivo Pediátrico , Competencia Profesional , Humanos , Grupo de Atención al PacienteAsunto(s)
Cuidados Críticos/métodos , Enfermedad Crítica , Ambiente , Tecnología Química Verde/instrumentación , Unidades de Cuidado Intensivo Pediátrico , Enfermería Pediátrica/métodos , Niño , Salud Ambiental , Tecnología Química Verde/métodos , Humanos , Enfermería Pediátrica/instrumentación , Estados UnidosAsunto(s)
Bachillerato en Enfermería/organización & administración , Práctica Clínica Basada en la Evidencia/educación , Investigación en Evaluación de Enfermería/educación , Evaluación de Resultado en la Atención de Salud , Curriculum , Docentes de Enfermería , Humanos , Gestión de la Calidad TotalRESUMEN
This report provides a description and discussion of a 19-year-old, 65-kg male, with a large mediastinal mass, right pleural effusion, and pericardial effusion, requiring urine alkalinization during a propofol infusion. The patient required NaHCO3 boluses, urine pH, electrolyte, arterial blood gas and lactate monitoring, and discontinuation of the propofol. The authors suggest that caution be used when prescribing a propofol infusion for patients who are at risk of tumor lysis syndrome and the need for urine alkalinization.
Asunto(s)
Neoplasias del Mediastino/orina , Derrame Pericárdico/orina , Derrame Pleural Maligno/orina , Síndrome de Lisis Tumoral/orina , Adulto , Anestésicos Intravenosos/administración & dosificación , Humanos , Concentración de Iones de Hidrógeno , Masculino , Neoplasias del Mediastino/terapia , Derrame Pericárdico/terapia , Derrame Pleural Maligno/terapia , Propofol/administración & dosificación , Bicarbonato de Sodio/administración & dosificación , Síndrome de Lisis Tumoral/terapiaRESUMEN
As professionals who care for the sickest children, we want to provide the best evidence-based care available. While there are questions still to be answered, it is clear that when propofol is administered to children, it should be done in a manner that is intentional, well planned, and consistent with national guidelines and regulatory groups. Haphazard administration of propofol will place children at risk.