SOLUTIONS |LATEST UPDATE
eICU - ANS -electronic intensive care unit
With advances in technology, the eICU has emerged as another setting for critical care nursing. In an
eICU, patients are monitored remotely by critical nurses and physicians. Implementation of eICU model
has reduced hospital and cc unit lengths of stay and has reduced mortality.
Competencies of Nurses Caring for Critically Ill (BOX 1.1) - ANS --Clinical judgement and clinical
reasoning skills
-Advocacy and moral agency in identifying and resolving ethical issues
-Caring practices that are tailored to the uniqueness of the patient and family
-Collaboration with patients, family members, and healthcare team members
-Systems thinking that promotes holistic nursing care
-Response to diversity
-Facilitator of learning for patients and family members, team members, and community
Professional organizations that support critical care practice? - ANS -includes the American Association
of Critical-Care Nurses (AACN) and the Society of Critical Care Medicine (SCCM)
American Association of Critical-Care Nurses (AACN) - ANS -professional organization est. in 1969 to
represent cc NURSES. Largest nursing specialty in the world dedicated to providing knowledge and
resources to those caring for acutely and critically ill patients.
Mission of organization is to drive excellence in patient care through knowledge and influence.
Benefits of AACN membership: continuing education offerings, educational advancement scholarships,
research grants, awards, and several official publications including Critical Care Nurse and American
Journal of Critical Care.
,AACN values.. - ANS -an ethic of care that focuses on compassion, collaboration, accountability, and
trust. Healthy work environment that promotes professional practice.
Society of Critical Care Medicine (SCCM) - ANS -MULTI-PROFESSIONAL society whose mission is to
ensure high-quality care for all critically ill patients. Vision is to have care to all critically ill patients
provided by an integrated team of professionals directed by an intensivist (physician who has education,
training, and board certification in managing critically ill and injured patients).
Membership is open to ALL PROVIDERS IN CC, including physicians, nurses, respiratory therapists, and
pharmacists. Publishes several journals including Critical Care Medicine.
CC nurses are eligible for certification through the.. - ANS -AACN (American Association of Critical-Care
Nurses)
Certification validates knowledge of cc nursing, promotes professional excellence, and helps nurses to
maintain a current knowledge base.
The AACN Certification Corporation oversees the critical care certification process.
The AACN certification credentials are based on a ______, which states that the needs of patients
families influence and drive competencies of nurses. - ANS -synergy model of practice
The synergy model of practice states that.. - ANS -the needs of patients families influence and drive
competencies of nurses.
Each patient & family is unique, with a varying capacity for health and vulnerability to illness. Patients
who are more severely compromised have more complex needs, and nursing practice is based on
meeting those needs.
The certifications for nurses in acute and critical care bedside practice are known as.. - ANS -CCRN and
PCCN
,What is the purpose of critical care certification? - ANS -Validate knowledge
Promote professional excellence
Maintain up-to-date knowledge base
CCRN - ANS -available for nurses who provide care of critically ill adult, pediatric, or neonatal
populations.
CCRN-E - ANS -available for nurses who work in eICUs
CCRN-K - ANS -ICU educators
PCCN - ANS -available for nurses who provide acute care in progressive care, telemetry, and similar
units.
AACN certification vs. SCCM certifications - ANS -AACN Certification
-CCRN (bedside ICU)
-CCRN-E (eICU)
-CCRN-K (ICU educators)
SCCM Certifications
-FCCS (fundamental critical care support)
-Pediatric FCCS
-Fundamental Disaster Management
QSEN is an initiative to - ANS -increase students' knowledge and concern for patient safety.
QSEN 6 core competencies - ANS -1. patient-centered care
2. teamwork and collaboration
3. evidence-based practice
, 4. quality improvement
5. informatics
6. safety
The Joint Commission has identified national patient safety goals to be addressed in hospitals, long-term
care facilities, and other agencies that it accredits. - ANS --Identify patients correctly
-Improve communication among healthcare providers
-Use medication safely
-Use alarms safely
-Prevent infection
-Identify safety risks
-Prevent complications associated with surgery and procedures
The AACN initiated a campaign to create work environments that are safe, healing, and humane.
Essential components of healthy work environments include.. - ANS -respect, responsibility, and
acknowledgement of the unique contributions of patients, families, nurses, and healthcare team
members.
Other aspects of a healthy work environment include effective decision making, appropriate staffing,
meaningful recognition, and authentic leadership.
Communication & collaboration provide the foundation for achieving a healthy work environment. A
healthy work environment promotes nurse retention and job satisfaction.
What can be barriers to effective handoff communication? - ANS --Physical settings (background noise,
lack of privacy, interruptions)
-Social setting (organizational hierarchy and status issues)
-Language (differences between people of varying racial and ethnic backgrounds of geographic areas)
-Communication medium (limitations of communications via telephone, email, paper, or computerized
records vs. face to face)