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?
It can be almost impossible to insert a needle in the case of some patients. Moreover, registered nurses have many work tasks to carry out at the same time in different places, and this can reduce concentration.
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.
It is challenging to treat children in a general intensive care unit intended for adults. Good training, good cooperation, and fulfilling children’s needs are valuable measures.
They should be on the lookout for risk factors such as functional impairment, loneliness, changing roles and the feeling of being a burden.
They are ever on the alert vis-à-vis their daughter, suffer loneliness and feel that the eating disorder is taking over their home.
PEWS promotes a systematic approach to monitoring and better communication in paediatric departments, but there is a need to follow up and improve guidelines and quality-assurance activities.
The organisational form results in RNs working in greater isolation, and this may mean that their professional competence stagnates. The parents become the experts on the child – not the RNs.
The model helped to ensure that work placement supervisors were better prepared to welcome students, and this strengthened the quality of learning. However, this requires management support, as well as planning and professional resources.
They wanted clear guidelines and procedures and felt forced to digitise their work.