ISSN:0896-5846    

出版商:OVID    

年代:1990

数据来源: OVID

摘要:

A home hemotherapy pilot study was implemented based on a primary nursing model. Seventy-one patients received a total of 248 units of red blood cells and 104 units of platelets during 137 home transfusions. In no case did a clinical change in patient status require the interruption of the transfusion. Total nursing time for the pretransfusion, transfusion, and posttransfusion follow-up visits for each patient averaged 4.36 hours, while another 4.45 hours accounted for nurse travel to and from the home and the blood bank. Home hemotherapy is a viable option for selected homebound patients. Program success is dependent on staff education, strict clinical guidelines, and an acknowledgment of the time required to provide quality patient care.

ISSN:0896-5846    

出版商:OVID    

年代:1990

数据来源: OVID

摘要:

Whether delivering medications and parenteral nutrition or replacing fluids and electrolytes, intravenous infusions have become a routine aspect of patient care. Nursing quality assurance studies at Community Memorial Hospital in Menomonee Falls, Wis., found that amounts of fluids infused varied widely from the prescribed amounts. With repeated monitoring, several changes in practice, and increased awareness on the part of the nursing staff, the accuracy of infused amounts was greatly improved. Specifically, as a result of these measures, the percentage of infusion rates that matched prescribed rates increased from 38% to 84% for infusions delivered at 115 ml/hr and from 67% to 78% for infusions delivered at 100 ml/hr.

ISSN:0896-5846    

出版商:OVID    

年代:1990

数据来源: OVID

摘要:

Central venous catheterization is frequently the preferred route of access into the vascular system. In recent years, technological advances have given rise to multiple-lumen central venous catheters. As intravenous nurses, it is our responsibility to be knowledgeable about the central venous system, the multiplicity of central venous catheters, and the elements of risk associated with these catheters.

ISSN:0896-5846    

出版商:OVID    

年代:1990

数据来源: OVID

摘要:

This paper describes the current federal and state regulations governing disposal of “sharps” by health care facilities. Recent data on the implications of exposure to waste containing sharps are summarized, and appropriate methods for sharps disposal are outlined. Three institutions are cited as examples of the costs associated with implementation of a sharps disposal system.

ISSN:0896-5846    

出版商:OVID    

年代:1990

数据来源: OVID

摘要:

Training in the use of subcutaneous infusion ports for home parenteral nutrition was provided to 17 adult patients and the parents of three young patients. Areas of training included accessing and disconnecting the port, caring for the port, application of sterile dressing techniques, and instruction in other home parenteral nuirilion techniques (ie, pump, tubing, and solution use). Patients were required to access the port successfully on three occasions before discharge from the hospital. Twelve of the 20 patients were judged capable of independent port care. None of the patients was readmitted for training-related problems.

ISSN:0896-5846    

出版商:OVID    

年代:1990

数据来源: OVID

摘要:

A general working definition of medical malpractice is provided. Relevant factual situations as well as applicable decisional and statutory laws are delineated. This information will allow the nurse to understand the legal standards that apply to nursing practice in a variety of health care environments.

ISSN:0896-5846    

出版商:OVID    

年代:1990

数据来源: OVID

ISSN:0896-5846    

出版商:OVID    

年代:1990

数据来源: OVID