BOOK
Pediatric Critical Care, An Issue of Critical Nursing Clinics, E-Book
Jerithea Tidwell | Brennan Lewis
(2017)
Additional Information
Book Details
Abstract
The Guest Editors have assembled expert authors to contribute current reviews devoted to critical care in pediatrics. The articles are devoted to Simulation and Impact on Code Sepsis; Cardiac Rapid Response Team/Modified Cardiac PEWS Development; Impact on Cardiopulmonary Arrest Events on Inpatient Cardiac Unit; Promoting Safety in Post-Tracheostomy Placement Patients in the Pediatric Intensive Care Unit Through Protocol; Innovation in Hospital-Acquired Pressure Ulcers Prevention in Neonatal Post-Cardiac Surgery Patients; Utilizing an Interactive Patient Care System in an Acute Care Pediatric Hospital Setting to Improve Patient Outcomes; Advances in Pediatric Pulmonary Artery Hypertension; and Creating a Safety Program in a Pediatric Intensive Care Unit or Assessing Pain in the Pediatric Intensive Care Patients to name a few. Readers will come away with information that is actionable in the pediatric ICU.
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front Cover | Cover | ||
| Pediatric Critical Care\r | i | ||
| Copyright\r | ii | ||
| Contributors | iii | ||
| CONSULTING EDITOR | iii | ||
| EDITORS | iii | ||
| AUTHORS | iii | ||
| Contents | vii | ||
| Preface: Bundles, Guidelines, Protocols, and More: A Pediatric Medley | vii | ||
| Reducing Fresh Tracheostomy Decannulations Following Implementation of a Fresh Tracheostomy Guideline | vii | ||
| Caring for Kids: Bridging Gaps in Pediatric Emergency Care Through Community Education and Outreach | vii | ||
| Pediatric Mild Traumatic Brain Injury and Population Health: An Introduction for Nursing Care Providers | vii | ||
| When Nursing Assertion Stops: A Qualitative Study to Examine the Cultural Barriers Involved in Escalation of Care in a Pedi ... | viii | ||
| Case Study of High-Dose Ketamine for Treatment of Complex Regional Pain Syndrome in the Pediatric Intensive Care Unit | viii | ||
| Airways and Injuries: Protecting Our Pediatric Patients from Respiratory Device-Related Pressure Injuries | viii | ||
| Effective Management of Pain and Anxiety for the Pediatric Patient in the Emergency Department | viii | ||
| Unbundling the Bundles: Using Apparent and Systemic Cause Analysis to Prevent Health Care–Associated Infection in Pediatric ... | ix | ||
| Putting the Family Back in the Center: A Teach-Back Protocol to Improve Communication During Rounds in a Pediatric Intensiv ... | ix | ||
| Continuous Capnography in Pediatric Intensive Care | ix | ||
| Massive Transfusion Protocol Simulation: An Innovative Approach to Team Training | x | ||
| CRITICAL CARE NURSING\rCLINICS OF NORTH AMERICA\r | xi | ||
| FORTHCOMING ISSUES | xi | ||
| September 2017 | xi | ||
| December 2017 | xi | ||
| March 2018 | xi | ||
| RECENT ISSUES | xi | ||
| March 2017 | xi | ||
| December 2016 | xi | ||
| September 2016 | xi | ||
| Preface:\rBundles, Guidelines, Protocols, and More: A Pediatric Medley | xiii | ||
| Reducing Fresh Tracheostomy Decannulations Following Implementation of a Fresh Tracheostomy Guideline | 131 | ||
| Key points | 131 | ||
| INTRODUCTION | 132 | ||
| BACKGROUND | 132 | ||
| METHODS | 133 | ||
| FRESH TRACHEOSTOMY GUIDELINE COMPONENTS | 134 | ||
| BEDSIDE EQUIPMENT | 134 | ||
| OPERATING ROOM TO INTENSIVE CARE UNIT TRANSITION | 136 | ||
| DAILY CARES | 136 | ||
| EMERGENCY ALGORITHMS | 137 | ||
| FRESH TRACH GUIDELINE IMPLEMENTATION | 138 | ||
| KEY TRAINING ASPECTS | 140 | ||
| RESULTS | 140 | ||
| SUMMARY | 140 | ||
| REFERENCES | 141 | ||
| Caring for Kids | 143 | ||
| Key points | 143 | ||
| INTRODUCTION | 143 | ||
| METHODS | 145 | ||
| Sample | 147 | ||
| Results | 147 | ||
| LIMITATIONS | 151 | ||
| DISCUSSION | 151 | ||
| SUMMARY | 152 | ||
| REFERENCES | 153 | ||
| PEDIATRIC EMERGENCY SERVICES NETWORK (PESN) AND TRAUMA SERVICES EDUCATION EVALUATION TOOL | 154 | ||
| Pediatric Mild Traumatic Brain Injury and Population Health | 157 | ||
| Key points | 157 | ||
| TRAUMATIC BRAIN INJURY IN THE UNITED STATES | 157 | ||
| IMPACT OF PEDIATRIC TRAUMATIC BRAIN INJURY ON THE HEALTH SYSTEM | 158 | ||
| SIGNIFICANCE OF TRAUMATIC BRAIN INJURY ON POPULATION HEALTH | 160 | ||
| HEALTH-RELATED QUALITY OF LIFE | 160 | ||
| REDUCING IMPACTS OF MILD TRAUMATIC BRAIN INJURY DURING HOSPITALIZATION | 162 | ||
| THE CARE PROVIDER’S ROLE IN PEDIATRIC TRAUMATIC BRAIN INJURY | 162 | ||
| SUMMARY | 163 | ||
| REFERENCES | 164 | ||
| When Nursing Assertion Stops | 167 | ||
| Key points | 167 | ||
| BACKGROUND | 167 | ||
| OBJECTIVE | 169 | ||
| DESIGN, DATA COLLECTION, AND PARTICIPANTS | 169 | ||
| SETTING | 170 | ||
| RESULTS (THEMES) | 170 | ||
| DISCUSSION | 174 | ||
| LIMITATIONS | 175 | ||
| SUMMARY | 175 | ||
| ACKNOWLEDGMENTS | 175 | ||
| REFERENCES | 175 | ||
| Case Study of High-Dose Ketamine for Treatment of Complex Regional Pain Syndrome in the Pediatric Intensive Care Unit | 177 | ||
| Key points | 177 | ||
| INTRODUCTION | 177 | ||
| METHODS | 178 | ||
| CASE | 178 | ||
| THE BUDAPEST CLINICAL DIAGNOSIS FOR CHRONIC REGIONAL PAIN SYNDROME | 179 | ||
| INTRAVENOUS KETAMINE DOSING PROCEDURE | 179 | ||
| PHARMACOLOGIC MANAGEMENT | 180 | ||
| ADVANCED PRACTICE NURSE COLLABORATION | 182 | ||
| DISCUSSION | 182 | ||
| SUMMARY | 185 | ||
| REFERENCES | 185 | ||
| Airways and Injuries | 187 | ||
| Key points | 187 | ||
| INTRODUCTION | 187 | ||
| Background | 188 | ||
| NONINVASIVE POSITIVE PRESSURE VENTILATION | 190 | ||
| History | 190 | ||
| Skin Injury from Noninvasive Positive Pressure Ventilation | 191 | ||
| Interface Options | 191 | ||
| METHODS | 192 | ||
| Change Process: One Hospital’s Evidence-Based Practice Journey to Implement Noninvasive Positive Pressure Ventilation–Relat ... | 192 | ||
| HOSPITAL-ACQUIRED PRESSURE INJURIES PREVENTION PRACTICE CHANGES FOR NONINVASIVE POSITIVE PRESSURE VENTILATION | 193 | ||
| OUTCOMES RELATED TO NONINVASIVE POSITIVE PRESSURE VENTILATION PRACTICE CHANGES | 194 | ||
| TRACHEOSTOMY | 195 | ||
| History | 195 | ||
| Literature Review | 195 | ||
| Skin injury from tracheostomies and tracheostomy securement devices | 195 | ||
| Lack of Consensus in the Literature | 196 | ||
| Tracheostomy tube type | 196 | ||
| Neck protectants | 196 | ||
| Tracheostomy Securement Device Tightness and Change Frequency | 196 | ||
| METHODS | 197 | ||
| Change Process: One Hospital’s Evidence-Based Practice Journey to Implement Tracheostomy-Related Hospital-Acquired Pressure ... | 197 | ||
| Description of population | 197 | ||
| Staff Education and Engagement | 197 | ||
| Nursing and Medical Leadership Engagement | 198 | ||
| Patient and Family Education | 199 | ||
| Skin Rounds | 199 | ||
| HOSPITAL-ACQUIRED PRESSURE INJURIES PREVENTION PRACTICE CHANGES FOR TRACHEOSTOMY | 199 | ||
| Skin Assessment Under Tracheostomy Securement Devices | 199 | ||
| Neck Protectant Under Tracheostomy Securement Devices | 199 | ||
| Securement Device Tightness | 200 | ||
| Securement Device Change Frequency | 200 | ||
| OUTCOMES RELATED TO TRACHEOSTOMY PRACTICE CHANGES | 200 | ||
| DISCUSSION | 200 | ||
| SUMMARY | 202 | ||
| REFERENCES | 202 | ||
| Effective Management of Pain and Anxiety for the Pediatric Patient in the Emergency Department | 205 | ||
| Key points | 205 | ||
| INTRODUCTION | 205 | ||
| ETHICAL AND MORAL OBLIGATIONS FOR PAIN MANAGEMENT | 206 | ||
| BARRIERS TO ADEQUATE PAIN MANAGEMENT | 206 | ||
| ASSESSMENT OF PAIN | 206 | ||
| Search for Potential Causes of Pain | 208 | ||
| Observe Patient Behaviors | 208 | ||
| Use of Behavioral Pain Tools | 209 | ||
| Proxy Reporting of Pain | 209 | ||
| Analgesic Trial | 209 | ||
| MANAGEMENT OF PAIN | 209 | ||
| Nonpharmacologic Interventions | 209 | ||
| Pharmacologic Interventions | 210 | ||
| Use of Pain Protocols | 212 | ||
| SPECIFIC PRESENTATIONS | 212 | ||
| Abdominal Pain | 212 | ||
| Traumatic Injuries | 212 | ||
| Chronic Pain | 212 | ||
| SUMMARY AND DISCUSSION | 213 | ||
| ACKNOWLEDGMENTS | 213 | ||
| REFERENCES | 213 | ||
| Unbundling the Bundles | 217 | ||
| Key points | 217 | ||
| INTRODUCTION | 217 | ||
| APPARENT CAUSE ANALYSIS | 220 | ||
| CASE REVIEW APPARENT CAUSE ANALYSIS | 224 | ||
| Identify | 224 | ||
| Interview | 224 | ||
| Chart Review | 225 | ||
| Request for Further Information | 225 | ||
| Review Data | 225 | ||
| Huddle | 225 | ||
| Report | 225 | ||
| SYSTEMIC CAUSE ANALYSIS | 227 | ||
| CASE STUDY SYSTEMIC CAUSE ANALYSIS | 229 | ||
| RESULTS | 229 | ||
| SUMMARY | 229 | ||
| REFERENCES | 230 | ||
| Putting the Family Back in the Center | 233 | ||
| Key points | 233 | ||
| BACKGROUND | 233 | ||
| LITERATURE REVIEW | 234 | ||
| THEORETIC FRAMEWORK | 236 | ||
| METHODS | 241 | ||
| Setting | 241 | ||
| ASSESSMENT AND PROBLEM IDENTIFICATION | 241 | ||
| Interventions | 241 | ||
| Outcome Measures/Data Collection | 242 | ||
| Project Design | 244 | ||
| Implementation and Evaluation | 245 | ||
| RESULTS | 245 | ||
| DISCUSSION | 247 | ||
| Financial Investment | 247 | ||
| IMPLICATIONS FOR THE CLINICAL NURSE SPECIALIST ROLE | 248 | ||
| SUMMARY | 249 | ||
| ACKNOWLEDGMENTS | 249 | ||
| REFERENCES | 250 | ||
| Continuous Capnography in Pediatric Intensive Care | 251 | ||
| Key points | 251 | ||
| INTRODUCTION | 251 | ||
| Principals of Continuous End-tidal Monitoring | 251 | ||
| Basic physiology | 251 | ||
| Types of measurement | 253 | ||
| DISCUSSION | 253 | ||
| Clinical Applications | 253 | ||
| Airway | 253 | ||
| Breathing | 254 | ||
| Circulation | 255 | ||
| Cardiopulmonary resuscitation | 255 | ||
| Pulmonary blood flow and estimation of cardiac output | 255 | ||
| Diagnosis specific | 256 | ||
| SUMMARY | 256 | ||
| REFERENCES | 257 | ||
| Massive Transfusion Protocol Simulation | 259 | ||
| Key points | 259 | ||
| INTRODUCTION | 259 | ||
| BACKGROUND | 260 | ||
| METHOD | 261 | ||
| Collaboration in Education Planning | 261 | ||
| Simulation Objectives | 261 | ||
| Scenario Preparation | 261 | ||
| Communication and Organization | 262 | ||
| RESULTS | 263 | ||
| SUMMARY | 266 | ||
| REFERENCES | 266 | ||
| MTP PACK SHEET | 267 | ||
| MTP POST-TEST. | 268 |