Experiences with mobile intensive care nurses (MICNs)
Mobile intensive care nurses are called out to hospital wards when a patient’s condition is showing signs of deterioration. When are they called out, and what measures do they initiate?
Mobile intensive care nurses are called out to hospital wards when a patient’s condition is showing signs of deterioration. When are they called out, and what measures do they initiate?
A calm atmosphere with single rooms, flexible visiting hours and trust in the healthcare personnel can help the family members to serve as a resource for heart surgery patients with a prolonged stay in intensive care.
Readmitted patients are older, but their mortality rate is almost equal to that of non-readmitted patients. Patients readmitted within 72 hours are more likely to have an incomplete written transfer report.
The bereaved felt that they maintained a bond with their deceased family member through diaries that had been kept for the patients during their stay in ICU. The diaries also helped impart structure on a chaotic time and made it easier for the bereaved to vent their feelings.
Measures such as the ‘getting-to-know-you’ day, the ‘float nurse’ function at an early stage, group meetings and internal training greatly benefitted supervisors and students at Oslo University Hospital.
Ensuring a good patient trajectory is difficult. In order to be successful, it is essential that all healthcare professionals involved have a close, trust-based cooperation, also with patients and their families.
Following the Care Coordination Reform, more frail elderly patients have died after discharge from hospitals to nursing homes and more have been discharged to return home.
Mobile intensivsykepleiere rykker ut til sykehusavdelinger der pasienten viser tegn til forverring i helsetilstanden. Når tilkalles de, og hvilke tiltak setter de i verk?
Reinnlagte pasienter er eldre, men har tilnærmet lik mortalitet sammenliknet med ikke-reinnlagte pasienter. Men de som reinnlegges innen 72 timer, har høyere odds for mangelfull skriftlig overflyttingsrapport.
Studien tyder på at praksis for stell og bruk av sentralt venekateter spriker, og i for liten grad er kunnskapsbasert.