摘要:

Obstetric triage is a rapidly growing area of obstetric care where most pregnancy complaints are evaluated starting at 20–24 weeks' gestation. This renewed interest in establishing obstetric triage units and using advanced practice nurses as care providers has heightened the visibility of obstetric triage for administrators and practitioners alike. This article reviews the history of obstetric triage, the role dimensions of advanced practice nurses in triage (specifically midwives), the increased clinical risks associated with obstetric triage, risk reduction strategies, and obstetric triage practice trends and liability issues in the future.

ISSN:0893-2190    

出版商:OVID    

年代:2000

数据来源: OVID

摘要:

The process of triage in perinatal settings often has been considered the sole function of the labor and delivery nurse. In fact, all nurses have a legal and professional duty to engage in the systematic identification of patient-client problems, prioritization of needs, and prompt deployment of personnel and equipment to meet those needs. In-person and telephone triage occur in all obstetric ambulatory and acute care settings. The organized steps in triage should be identical regardless of the location or size of the perinatal service. The redesign of women's and neonatal services, the reduction of professional nursing staff, and predictions of a growing nursing shortage require perinatal nurses to develop highly refined triage skills.

ISSN:0893-2190    

出版商:OVID    

年代:2000

数据来源: OVID

摘要:

Adequate nurse staffing is crucial to the provision of quality maternity care in the rapidly changing health care market including the triage of obstetric patients. The mandate for cost-efficient services must be balanced by the triage of health team members who are essential to safe and effective operations in the inpatient perinatal setting. The transformation of traditional perinatal units to single-site maternity care centers requires the development of creative staffing designs that permit the expeditious allocation of human resources in a cost-effective manner. Creating an acuity-based patient classification system for a single-site unit is a challenging task. The authors describe the process of creating a patient classification system when a new unit, The Birth Center, was opened at San Francisco General Hospital Medical Center. The unit combined the staff and patient populations of a labor and delivery unit with an antepartum-postpartum-gynecology unit and included a triage room for evaluation of pregnant clients. The two units had different modalities for budget and staffing. An activity study was conducted to determine unit and staff activities. A patient classification system was created for the single-site maternity unit, which allowed for acuity-driven staffing.

ISSN:0893-2190    

出版商:OVID    

年代:2000

数据来源: OVID

摘要:

Septicemia is a growing problem among low birth weight infants. Early identification and treatment of sepsis in these infants would help to reduce the high mortality and morbidity seen with this disorder. Newer techniques may make earlier diagnosis a reality. In the following review article, early-onset sepsis in the premature infant is described, specifically focusing on the neonatal inflammatory response, neutropenia, and its somewhat inconsistent and delayed role as a marker for sepsis risk factors. Physiological signs, laboratory indicators, skin temperature, peripheral perfusion, and the interaction of macro-environmental factors are also discussed. Newer (neoteric) immunologic and cytokine markers of sepsis are reviewed. Finally, thermography, a noninvasive bioinstrument measuring vasoactive peripheral perfusion, which has potential for early recognition of neonatal septicemia, is described.

ISSN:0893-2190    

出版商:OVID    

年代:2000

数据来源: OVID

摘要:

Discharge from a neonatal intensive care unit (NICU) requires assessment, coordination, and possible intervention by a multidisciplinary team. The infant's health condition and the family's social situation must be considered before discharge to design a discharge plan for the child's long-term well-being. This article presents the neonatal discharge assessment tool (N-DAT) as a method to identify risks at the time of discharge. The tool offers specific recommendations for use with infants who are medically or socially high risk. The implications for the NICU team and for coordination with community providers are discussed.

ISSN:0893-2190    

出版商:OVID    

年代:2000

数据来源: OVID

摘要:

The expeditious and safe transport of the seriously ill neonate begins with the doctors and nurses at the referring facilities. They have the responsibility for the initial stabilization and play an important role in the future outcome of the seriously ill neonate. Nurses need to be able to identify, assess, and intervene when congenital or physiologic abnormalities occur in the neonate. They can facilitate and expedite the transport process with the knowledge of what is needed in preparation of the transfer of an infant. In addition, they can help assess and support the family of the transferred neonate during a period of significant stress.

ISSN:0893-2190    

出版商:OVID    

年代:2000

数据来源: OVID

ISSN:0893-2190    

出版商:OVID    

年代:2000

数据来源: OVID

ISSN:0893-2190    

出版商:OVID    

年代:2000

数据来源: OVID

ISSN:0893-2190    

出版商:OVID    

年代:2000

数据来源: OVID

ISSN:0893-2190    

出版商:OVID    

年代:2000

数据来源: OVID