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Nurses that work in the critical care setting are typically registered nurses. [5] Nurses may pursue additional education and training in critical care medicine leading to certification as a CCRN by the American Association of Critical Care Nurses a standard that was begun in 1975. [29]
A clinical pathway is a multidisciplinary management tool based on evidence-based practice for a specific group of patients with a predictable clinical course, in which the different tasks (interventions) by the professionals involved in the patient care are defined, optimized and sequenced either by hour (ED), day (acute care) or visit (homecare).
The nurse to patient ratio should remain low, meaning that the nurses should only be caring for 1-2 patients depending on the clinical status of the patients. If the patient's clinical status is critical, then they will require more monitoring and interventions than a patient that is stable. [12]
The PALS guidelines comment on this issue: "There are no data regarding the safety or efficacy of adjusting the doses of resuscitation medications in obese patients. Therefore, regardless of the patient’s habitus, use the actual body weight for calculating initial resuscitation drug doses or use a body length tape with pre-calculated doses." [5]
Critical care nurses in the U.S. are trained in advanced cardiac life support (ACLS), and many earn certification in acute and critical care nursing (CCRN) through the American Association of Critical–Care Nurses. Due to the unstable nature of the patient population, LPN/LVNs are rarely utilized in a primary care role in the intensive care unit.
The significance of the CCC is a nursing terminology that completes the missing link needed to address nursing contribution to healthcare quality. Nursing care may be the most critical factor in a patient's treatment and recovery. [31] The partnership of nursing and technology is vital for designing nursing practice environments. [32]
Nomograms, e.g. a moving circular slide to calculate body surface area or drug dosages. A common class of algorithms are embedded in guidelines on the choice of treatments produced by many national, state, financial and local healthcare organisations and provided as knowledge resources for day to day use and for induction of new physicians.
AACN Advanced Critical Care is a peer-reviewed nursing journal and an official publication of the American Association of Critical Care Nurses. It is intended for "experienced critical care and acute care clinicians at the bedside, advanced practice nurses , and clinical and academic educators ."