Psychiatric disorders causing special ICU problems Pediatric emergencies Describe the strategies to manage ethical and legal dilemmas between patients, families, and staff in the ICU. List the risks, benefits, indications, and contraindications of bedside procedures such as central and arterial lines, intubations, chest tubes, pulmonary artery catheters, needle thoracostomy, and fiberoptic bronchoscopy. List the risks, benefits, indications, and contraindications for ICP monitor or extra-ventricular drain placement and describe the possible limitations and complications of these devices. List the risks, benefits, indications, and contraindications for insertion of esophagogastric balloon tamponade devices.
Determine whether this pharmacological support is adequate or whether further fluid or mechanical circulatory support is needed Describe the strategies to manage ethical and legal dilemmas between patients, families, and staff in the ICU. List the risks, benefits, indications, and contraindications of bedside procedures such as central and arterial lines, intubations, chest tubes, pulmonary artery catheters, needle thoracostomy, and fiberoptic bronchoscopy.
List the risks, benefits, indications, and contraindications for: ICP monitor or extra-ventricular drain placement and describe the possible limitations and complications of these devices. Insertion of esophagogastric balloon tamponade devices.
Describe the uses and limitations of these devices. List the indications for: Interpret, critique, and evaluate medical literature. Discuss biostatistics and debate experimental design.
Sciences, and Emergency Departments may assist with insertion; and provide ongoing care for patients requiring EGTT placement. This guideline is also intended to provide guidance and support to assit the the varices with a gastric or esophageal balloon and may be used for patients unresponsive to medical Esophagogastric Tamponade Tube. The tube is passed down into the esophagus and the gastric balloon is inflated inside the stomach. A traction of 1 kg is applied to the tube so that the gastric balloon will compress the gastroesophageal junction and reduce the blood flow to esophageal r-bridal.com: A balloon tamponade tube is a tube similar to a Nasogastric Tubes (NG Tube), inserted into the food pipe via the nose, except it is larger, has three channels to aspirate fluid and blood through and has two balloons on the outside.
Demonstrate self-evaluation of patient care skills and medical knowledge by identifying specific sub-optimal patient outcomes on daily rounds, describing the care received by the patient, and comparing the care received to the current standard of care.
List and describe the barriers to incorporation of evidence-based practices into patient care. Interpersonal and Communication Skills Demonstrate effective communication with UPMC or VAPHS nursing staff, peers, attending and referring physicians, consultants, organ recovery representatives, and other health care professionals including respiratory therapists, nutritionists, pharmacists, physical therapy, and study technicians.
Establish a collegial rapport with patients and families and demonstrate patient and attentive listening to their concerns. Demonstrate effective discussion of patient diagnoses, prognosis, and management plan including risks, benefits, and side effects with patients and families using simple, easily understood language.
Demonstrate proper written and verbal techniques for transfer of care both within and between services. Develop teaching skills through instruction of medical and procedural aspects of critical care medicine to UPMC interns and residents, University of Pittsburgh medical students, and other health care professionals through bedside teaching as well as formal didactic sessions.
Demonstrate effective communication with nurse managers in order to establish ICU admission and discharge plans for critically ill patients. Demonstrate the ability to orchestrate care with other medical and surgical services.
Professionalism Demonstrate proper performance of all expected professional responsibilities. Demonstrate ethical interactions with pharmaceutical representatives and be unbiased in prescribing habits. Demonstrate sensitivity to cultural, age, gender and disability issues.
Evaluate and demonstrate cost-effectiveness of care for critically ill patients Develop proper documentation and billing skills. Demonstrate enthusiasm for expansion of global medical knowledge through participation in quality improvement projects and clinical trials occurring on patients in the ICU.Esophagogastric tamponade: A procedure in which a balloon is inflated within the esophagus and stomach to apply pressure on bleeding blood vessels, compress the vessels, and stop the bleeding.
Used in the treatment of bleeding veins in the esophagus (esophageal varices) and stomach. Goals and Objectives - SCC. Patient Care. Demonstrate appropriate, evidence based, direct care to: p\Patients with critical illness and injury, including life threatening trauma and multisystem organ failure.
Insertion of esophagogastric balloon tamponade devices. Describe the .
The plan of care for a patient with esophagogastric balloon tamponade tubes is formulated around the primary nursing diagnosis of ineffective airway clearance related to aspiration of blood (Ackley, B., Ladwig, G., ) Bleeding often stop spontaneously, but if it does not, a Sengstaken-Blakemore or Minnesota tube is inserted to provide.
• Three types of tubes are available for esophagogastric tamponade therapy. The two most common are the Sengstaken-Blakemore (C.R. BARD, Inc., Covington, Georgia) tube (Fig. ) has a gastric and esophageal balloon and a gastric suction lumen. List the risks, benefits, indications, and contraindications for insertion of esophagogastric balloon tamponade devices.
Describe the uses and limitations of these devices. Esophagogastric Tamponade Tube (EGTT): Assisting with Insertion, Care and Removal Esophagogastric tamponade tubes are used to control bleeding from gastric or esophageal varices. The Traction is never to be removed while esophageal balloon is inflated.
Maintain patient with head of bed ≥ 30º (unless contraindicated).