Introduction Trofino (n.d) states that to succeed in the nursing profession‚ nurses must be ready for a high-touch‚ high-caring and high-tech profession where learning never cease. According to the Singapore Nursing Board (2014)‚ nurses are required to maintain their competencies through continuing nursing education in order to deliver safe patient care and to keep updated with the advances and innovations in healthcare. Working in the Emergency Department (ED) Television programme has
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critically ill pt’s. * Types of critical care: system based‚ medical‚ surgical‚ trauma‚ burns‚ age specific * Rapid response team (RRTs): provide for the delivery of advanced care by specialized teams usually composed of: * A critical care nurse * A respiratory therapist * A critical care physician or an advanced practice nurse (APN) * Brings rapid and immediate care to unstable pt’s in noncritical care units. * Pts often exhibit early and subtle signs
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INFECTIOUS DISEASES 1. Group A Strep is least likely to cause which of the following complications: a) scarlet fever b) necrotizing faciitis c) impetigo d) subacute bacterial endocarditis e) glomerulonephritis 2. Septra is used in AIDS patients to prevent which opportunistic organism? a) Pneumocystis carinii b) M. tuberculosis c) S. pneumoniae d) CMV e) Cryptococcus 3. Severe bloody‚ afebrile diarrhea is associated with what bacterial infection? a) Salmonella infection
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to transfer King to TT‚ may not work as well as company reports Eschmann introducer (bougie) Bougie as a stylette may facilitate faster intubation if it͛s a known or potentially difficult airway Retrograde intubation- 110mm j wire Know medication classes for final test RSI ͞Facilitated͟ intubation (only atomodate or versed) to assist with intubation which is a poor experience for the patient. Atomadate given too quickly can cause trismus. SLAM ʹ street level airway management 7- P͛s:
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been due to spontaneous rupture of membranes (SROM)‚ anaphylactic reaction and acute hypotension. SROM is defined rupture of the fetal membranes on their own. This is often referred to by mother’s a “my water broke.” Anaphylactic reactions have a rapid onset and may cause death. Signs and symptoms include shortness of breath and hypotension which normally occur within minutes of the onset of the reaction. In AFE‚ it is believed that a breakdown in the placental barrier initiates the onset of an anaphylactic
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Patents Wheatley v Drillsafe Ltd. (2001) Wheatley v Drillsafe Ltd. Facts: Wheatley (W)‚ the proprietor and licensee of a European patent relating to a threaded hole cutting device‚ appealed against a decision holding that the patent was invalid on the ground of common general knowledge and accordingly should be revoked‚ and also that‚ in any event‚ there had been no infringement of the patent by Drillsafe (D) and others. Contentions: D maintained‚ inter alia‚ that its use of a semi-penetrating
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Effects of Sleep Fragmentation and Prophylactic Sleeping Periods on Emergency Personnel Serving on a 48-96 Schedule‚ and a Berkley Schedule. Cody J. McKown Blue River Community College Abstract In the fields of emergency services‚ sleep patterns while on shift are often irregular. The lack of sleep‚ or regular sleep‚ can be a factor in other health problems‚ and can greatly decrease performance on the job. Interrupted sleep‚ or sleep fragmentation‚ is a common occurrence due to the nature
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ventilation can lead to nosocomial pneumonia‚ cardiac morbidity‚ and death. However‚ extubating a patient too soon may result in having to reintubate which can result in the same illnesses as prolonged intubation. “Respiratory therapists start testing for the opportunity to reduce support very soon after intubation and reduces support at every opportunity” (Cook 2000). Most common mode of ventilation is AC-VC it provides a consistent breath-to-breath tidal volume‚ making the tidal volume and rate preset
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Tube Cuffs Techniques for Lung Separation Double-Lumen Endotracheal Tubes Endobronchial Cuffs Bronchial Blockers Endotracheal Tubes Designed for Laser Surgery Endotracheal Tubes with Additional Ports Special Tubes and Devices to Aid with Intubation Head and Neck Surgery Summary [Respir Care 1999;44(6):661– 683] Key words: endotracheal tube‚ endotracheal tube cuff‚ lung separation‚ artificial airway‚ bronchial blocker. Introduction Unique artificial airways and airway devices have been
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between the treatment groups. All infants of 23 weeks’ gestation required intubation in the DR‚ irrespective of treatment group‚ whereas only 3 (14%) of 21 infants of 27 weeks’ required such intubation. For infants who were not intubated in the DR‚ 36 infants (16 CPAP infants and 20 control infants) were subsequently intubated in the NICU by day 7‚ in accordance with the protocol. Overall‚ 80% of studied infants required intubation within the first 7 days of life. The care provided for 52 (95%) of 55
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