ISSN:1042-895X    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

Complete, defensive documentation in a busy endoscopy unit can be elusive. Quick runaround time, impatient physicians, and add-on and emergent cases all contribute to chaotic days. The endoscopy pathway provides a guided path for succinct documentation by the healthcare worker. A scoring system is initiated on admission. Assessment parameters clearly define scores for vital signs, level of consciousness, abdominal status, pain, safety, and mobility. Scores can be scanned quickly and compared by the nurse to identify significant changes in each patient. Documentation is timely, communicative, and complete. The endoscopy pathway is illustrated by a case study. It reflects patients' progress throughout their stay in the GI unit from admission to discharge. The implementation process of this innovative chart form is presented.

ISSN:1042-895X    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

The nursing care of children with a percutaneous endoscopic gastrostomy (PEG) means caring for the whole of the child with a PEG. Even in the highly technical and specialized field of PEG, the main themes that characterize pediatric nursing are used as a reference guide(Dall'Oglio, 1996).

ISSN:1042-895X    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

Many smaller hospitals are merging with larger facilities to form healthcare groups. Standardization is the key to cost effectiveness and consistency within such groups. Not only should standardization be applied to equipment, but also to various aspects of documentation.A multi-facility Endoscopy Nurses Task Force was formed to develop an all-encompassing, easy flowing conscious sedation nursing record. The end product was an EndoCaseTrac that is thorough, complete, and multi purposed, to be used in any situations where intravenous conscious sedation is administered, but with the option of being department-specific.Staff education prior to implementation of the EndoCaseTrac played a very important part in the overall acceptance of this newly developed, very thorough and complete nursing documentation. Frequent staff meetings and discussions after implementation decreased the resistance and insecurity in using the EndoCaseTrac. A performance improvement program was also developed to evaluate the accurate completion by the endoscopy nurse and to identify problems.

ISSN:1042-895X    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

A variety of therapeutic options exist for the treatment of achalasia. This case study explores these options and follows an individual's experiences as he undergoes these treatments from a barium swallow to botulinum toxin injection.

ISSN:1042-895X    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

This Perspective provides a commentary on the article that begins on the following page.

ISSN:1042-895X    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

Most endoscopy clinics use 2% glutaraldehyde as a high-level disinfectant for reprocessing flexible endoscopes. However, even with contact times greater than 30 minutes, survival of organisms has been documented. We compared the high-level disinfection capabilities of glutaraldehyde (45-minute immersion) with a new peracetic acid germicide (20- to 25-minute immersion). Channels, valve housings, and outer sheaths were sampled to quantify bioburden levels after a patient procedure, after manual cleaning, and after disinfection. Total mean bioburden after clinical use was greater than 6 log10colony-forming units (CFU). Manual cleaning reduced the bioburden by means of 4.7 log10CFU (gastroscopes) and 6.2 log10CFU (colonoscopes). High-level disinfection with the new product was achieved in five of six (product stressed by EPA Reuse Test) and 7 of 10 (product stressed by dilution and organic load) successfully disinfected endoscopes, whereas glutaraldehyde achieved it in 4 of 10 (product stressed by dilution and organic load). We conclude that the new peracetic acid product (20- to 25-minute contact time) is at least as effective as glutaraldehyde (45-minute contact time) for reducing the bioburden of vegetative aerobic organisms in endoscopes.

ISSN:1042-895X    

出版商:OVID    

年代:1999

数据来源: OVID

ISSN:1042-895X    

出版商:OVID    

年代:1999

数据来源: OVID

ISSN:1042-895X    

出版商:OVID    

年代:1999

数据来源: OVID

ISSN:1042-895X    

出版商:OVID    

年代:1999

数据来源: OVID