Vessel Health and Preservation: The Right Approach for Vascular Access
Vessel Health and Preservation: The Right Approach for Vascular Access

Author: Nancy L. Moureau

Publisher: Springer

Published: 2019-06-10

Total Pages: 303

ISBN-13: 3030031497

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This Open access book offers updated and revised information on vessel health and preservation (VHP), a model concept first published in poster form in 2008 and in JVA in 2012, which has received a great deal of attention, especially in the US, UK and Australia. The book presents a model and a new way of thinking applied to vascular access and administration of intravenous treatment, and shows how establishing and maintaining a route of access to the bloodstream is essential for patients in acute care today. Until now, little thought has been given to an intentional process to guide selection, insertion and management of vascular access devices (VADs) and by default actions are based on crisis management when a quickly selected VAD fails. The book details how VHP establishes a framework or pathway model for each step of the patient experience, intentionally guiding, improving and eliminating risk when possible. The evidence points to the fact that reducing fragmentation, establishing a pathway, and teaching the process to all stakeholders reduces complications with intravenous therapy, improves efficiency and diminishes cost. As such this book appeals to bedside nurses, physicians and other health professionals.

Peripherally Inserted Central Venous Catheters
Peripherally Inserted Central Venous Catheters

Author: Sergio Sandrucci

Publisher: Springer

Published: 2014-07-25

Total Pages: 0

ISBN-13: 9788847056640

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Indications for central venous cannulation in critically ill patients have increased dramatically, but central venous access has the drawbacks of morbidity and a scarcity of experienced operators. Ultrasound-guided peripheral venous access offers a solution, in that it reduces morbidity and can be performed by a dedicated nursing team. The aim of this book is to teach the fundamentals of this emerging technique. Advice is provided on choice of materials; maneuvers for positioning of peripherally inserted central venous catheters (PICCs), techniques for evaluation of PICC tip placement; prevention, diagnosis, and management of complications; and organization of a dedicated team within a hospital or a supportive care program. Legal and economic issues are also considered. The book will be of interest to a wide range of professionals, including nutritionists, oncologists, anesthesiologists, surgeons, registered nurses, nurse practitioners, physicians, physician assistants, and radiologists.

The Rand/UCLA Appropriateness Method User's Manual
The Rand/UCLA Appropriateness Method User's Manual

Author: Kathryn Fitch

Publisher: Rand Corporation

Published: 2001

Total Pages: 109

ISBN-13: 9780833029188

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Health systems should function in such a way that the amount of inappropriate care is minimized, while at the same time stinting as little as possible on appropriate and necessary care. The ability to determine and identify which care is overused and which is underused is essential to this functioning. To this end, the "RAND/UCLA Appropriateness Method" was developed in the 1980s. It has been further developed and refined in North America and, increasingly, in Europe. The rationale behind the method is that randomized clinical trials--the "gold standard" for evidence-based medicine--are generally either not available or cannot provide evidence at a level of detail sufficient to apply to the wide range of patients seen in everyday clinical practice. Although robust scientific evidence about the benefits of many procedures is lacking, physicians must nonetheless make decisions every day about when to use them. Consequently, a method was developed that combined the best available scientific evidence with the collective judgment of experts to yield a statement regarding the appropriateness of performing a procedure at the level of patient-specific symptoms, medical history, and test results. This manual presents step-by-step guidelines for conceptualising, designing, and carrying out a study of the appropriateness of medical or surgical procedures (for either diagnosis or treatment) using the RAND/UCLA Appropriateness Method. The manual distills the experience of many researchers in North America and Europe and presents current (as of the year 2000) thinking on the subject. Although the manual is self-contained and complete, the authors do not recommend that those unfamiliar with the RAND/UCLA Appropriateness Method independently conduct an appropriateness study; instead, they suggest "seeing one" before "doing one." To this end, contact information is provided to assist potential users of the method.

Catheter-Related Infections
Catheter-Related Infections

Author: Dr. Harald Seifert

Publisher: CRC Press

Published: 1997-05-06

Total Pages: 488

ISBN-13: 9780824798482

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This timely guide details, in a highly accessible manner, the pathogenesis, epidemiology, and major complications of catheter-related infections (CRIs) as well as the types of catheters and etiological agents involved-providing practical approaches to the diagnosis, management, and prevention of CRIs.

Practical Healthcare Epidemiology
Practical Healthcare Epidemiology

Author: Ebbing Lautenbach

Publisher: Cambridge University Press

Published: 2018-04-19

Total Pages: 455

ISBN-13: 1107153166

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A clear, hands-on outline of best practices for infection prevention that directly improve patient outcomes across the healthcare continuum.

Infusion Nursing
Infusion Nursing

Author: Infusion Nurses Society

Publisher: Elsevier Health Sciences

Published: 2009-05-08

Total Pages: 626

ISBN-13: 1455710067

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With a new focus on evidence-based practice, the 3rd edition of this authoritative reference covers every aspect of infusion therapy and can be applied to any clinical setting. Completely updated content brings you the latest advances in equipment, technology, best practices, guidelines, and patient safety. Other key topics include quality management, ethical and legal issues, patient education, and financial considerations. Ideal as a practical clinical reference, this essential guide is also a perfect review tool for the CRNI examination. - Authored by the Infusion Nurses Society, this highly respected reference sets the standard for infusion nursing practice. - Coverage of all 9 core areas of INS certification makes this a valuable review resource for the examination. - Material progresses from basic to advanced to help new practitioners build a solid foundation of knowledge before moving on to more advanced topics. - Each chapter focuses on a single topic and can serve as a stand-alone reference for busy nursing professionals. - Expanded coverage of infusion therapy equipment, product selection, and evaluation help you provide safe, effective care. - A separate chapter on infusion therapy across the continuum offers valuable guidance for treating patients with infusion therapy needs in outpatient, long-term, and home-care, as well as hospice and ambulatory care centers. - Extensive information on specialties addresses key areas such as oncology, pain management, blood components, and parenteral nutrition. - An evidence-based approach and new Focus on Evidence boxes throughout the book emphasize the importance of research in achieving the best possible patient outcomes. - The user-friendly design highlights essential information in handy boxes, tables, and lists for quick access. - Completely updated coverage ensures you are using the most current infusion therapy guidelines available.

Roberts and Hedges’ Clinical Procedures in Emergency Medicine E-Book
Roberts and Hedges’ Clinical Procedures in Emergency Medicine E-Book

Author: James R. Roberts

Publisher: Elsevier Health Sciences

Published: 2013-05-28

Total Pages: 1712

ISBN-13: 1455748595

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Roberts and Hedges’ Clinical Procedures in Emergency Medicine continues its long tradition of being the most well-known and trusted procedures manual in emergency medicine. The newly revised 6th edition of this classic medical reference has been thoroughly updated with step-by-step Review, Procedure, and Ultrasound Boxes covering the latest equipment, devices, drug therapies, and techniques you need to know for effective practice of emergency medicine. You'll access complete and detailed guidance on exactly when, how, and why to perform all of today’s common and uncommon procedures and get the best results. Understand the ins and outs of every procedure you're likely to consider, such as how, why, when to, and when not to perform them, in addition to other emergency procedures that may be an option. Rapidly review the entire contents online, including brand-new videos of common and complex procedures, at Expert Consult. See entire procedures at a glance with the addition of new Procedure Boxes, which offer step-by-step visual instruction on over 250 emergency techniques. Ideal for point-of-care reference, these Procedure Boxes also serve as a comprehensive mini atlas and are especially useful for less-encountered procedures or those that require complex equipment. Easily apply the latest emergency ultrasound techniques through new Ultrasound Boxes, all of which are expertly written and richly illustrated with photographs of the technique as well as screen captures of the US images. Master today's hottest new procedures including ultrasound for diagnosis of pneumothorax; loop abscess drainage; pediatric fluid resuscitation; and video-assisted intubation. Clearly and efficiently visualize all emergency procedures with a complete overhaul of figures, now nearly all in full color; new diagnostic images representing multiple modalities; and online-only procedural videos demonstrating key techniques. Your purchase entitles you to access the web site until the next edition is published, or until the current edition is no longer offered for sale by Elsevier, whichever occurs first. Elsevier reserves the right to offer a suitable replacement product (such as a downloadable or CD-ROM-based electronic version) should access to the web site be discontinued.

The European Blood and Marrow Transplantation Textbook for Nurses
The European Blood and Marrow Transplantation Textbook for Nurses

Author: Michelle Kenyon

Publisher: Springer

Published: 2018-03-14

Total Pages: 318

ISBN-13: 3319500260

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This book is open access under a CC BY 4.0 license. This textbook, endorsed by the European Society for Blood and Marrow Transplantation (EBMT), provides adult and paediatric nurses with a full and informative guide covering all aspects of transplant nursing, from basic principles to advanced concepts. It takes the reader on a journey through the history of transplant nursing, including essential and progressive elements to help nurses improve their knowledge and benefit the patient experience, as well as a comprehensive introduction to research and auditing methods. This new volume specifically intended for nurses, complements the ESH-EBMT reference title, a popular educational resource originally developed in 2003 for physicians to accompany an annual training course also serving as an educational tool in its own right. This title is designed to develop the knowledge of nurses in transplantation. It is the first book of its kind specifically targeted at nurses in this specialist field and acknowledges the valuable contribution that nursing makes in this area. This volume presents information that is essential for the education of nurses new to transplantation, while also offering a valuable resource for more experienced nurses who wish to update their knowledge.