Advanced Life Support

1.Introduction 1.1. Back ground Advanced life support is a set of life saving protocol and skills that extend basic life support to further support the circulation, provide an open-air way and adequate ventilation. It is performed a combined with cardiopulmonary resuscitation; therefor, if patient eligible for advance life support; for instance, patient with cardiac arrest, you have should to consider the need of chest compression, air way clearance and artificial ventilation. Advance life support majorly contains tracheal intubation with rapid sequence induction, transcutaneous pacing, intravenous cannulation, advance medication administration, advanced cardiac life support, pediatrics advance life support and pre-hospital trauma life support [Dallas, Jams Wann,2003] (1). Advanced life support is revised since 2010, which emphasis on continuous un interrupted chest compression, and less emphasis on air way and breathing, which means chest compression, airway and breathing (CAB) a combined with advanced drug administration, pressure ventilation and cardiac defibrillation [AHA,2010] (2).

This exemplified the need for patient’s autonomy, beneficence versus non-maleficence and truth telling. The nurse faced a barrier due to the physician hierarchical working style. Collaborating using a multi-disciplinary approach and communicating effectively in explaining the disease process could have better manage her symptoms and improve the quality of her remaining life. It is important that early detection and treatment options are discussed by the physicians in an honest and open manner. As patients performance status decline healthcare members should provide informed decisions regarding diagnosis, prognosis and

Perfusion : Perfusion is the process of a body delivering blood to a capillary bed in itsbiological tissue. The word is derived from the French verb "perfuser" meaning to "pour over or through"[3]. Tests verifying that adequate perfusion exists are a part of a patient's assessment process that are performed by medical or emergency personnel. The most common methods include evaluating a body's skin color, temperature, condition and capillary refill. Perfusionists employ artificial blood pumps to propel open-heart surgery patients' blood through their body tissue, replacing the function of the heart while the cardiac surgeon operates.

Her vision was to fill the gaps in services for Latinas living with or directly impacted by HIV/AIDS. The mission of the agency is to provide education, counseling, and support to local bicultural/bilingual communities living with or affected by HIV/AIDS (Mujeres UNIDAS, Inc., 2016).

Since this study was limited to only two clinical hospital settings, it is hard to say if the study can be transferred to various clinical settings. In an early study, Skei (2008) nurses working with an orthopedic surgeon reported difficulties collaborating with the physicians, which makes them feel powerless, by contrast nursing in hospital settings reported working with physicians well. The researcher mentions a need for a continuing study in the area of sociopolitical understanding. Once the level of competency has been assessed, the weight of a given nurses voice can be adequately applied. The study contributes meaningful evidence to nurses’ practice by promoting nurses to feel powerful.

Being located in a small farming community, most patients present with complications from Diabetes, COPD, and cardiac issues. Management is currently in transition, with the current manager being interim. The general attitude towards Evidence Based Practice is moderate. Several new policies have been implemented based on EBP, but it is certainly not the leading focus. To this author’s knowledge, nurses are not encouraged to participate in EBP, nor are they

They explain most HIPAA violations are due to lack of employee awareness related to patients’ privacy procedures and a deficiency in communication from management regarding education on proper patient confidentiality processes. They advocate for regular staff trainings on HIPAA laws and instruction on specific privacy weaknesses that affect their organizations’ healthcare information systems. They also explain that healthcare information system privacy training should ensure employees are aware of their responsibilities when it comes to protecting their patients’ confidentiality. They emphasize management should regularly communicate about the importance of HIPAA compliancy to their staff members and make privacy training a top priority within their organizations (Mishra et al., 2014). Staff members’ awareness and agreement through consistent communication and training sessions concerning HIPAA regulations and updates will ensure healthcare centers are adequately protecting the privacy of their patients’ healthcare

I am a general practitioner in a government general hospital in Thailand. There was neither psychiatrist nor dermatologist in the hospital therefore cases which met the psychological or dermatological referral criteria would be referred to the specialists at a provincial hospital. Despite an increase knowledge and understanding about psychological conditions, the existence of conventional beliefs has influenced many Thai people to judge and treat patients with mental illness as insane. Consequently, many patients refused to see the psychiatrists due to a fear of being judged by others and a long waiting time, resulting in failure to improve their conditions and a decrease in quality of life. My selected patient was a 22-year-old lady, Emma (pseudonym), who came to see me at the outpatient clinic for the follow-up appointment about her psoriasis.

The change in anxiety levels is not known because Almerud and Petersson did not set a “standardized time after extubating or being weaned off sedation for the interview to take place”, and most patients could not remember their time in the ICU. It was found that the nurse-patient relationship played a very important role in how the patient recovered. The “nurses often do not engage in the psychological care that they would if the patient could communicate verbally”. The overall lack of research and experiments in the pediatric intensive care unit and the intensive care unit “does not use highly reliable methods and sample sizes remain small” (Austin 2010). While most of the studies all show that music therapy is beneficial, the program is not enough to make the practice required everywhere.

The major objective of this research project was to assist the telephone operator in the decision making process to the problem of identifying the appropriate level of urgency and type of health care required in requests on the initial emergency call center. This problem, which is usually referred to as the prehospital telephone triage process, is enormously important in terms of maximizing the critically injured patient's chances for survival. There are several triage systems worldwide used, (e.g., Australasian Triage Scale (ATS), the Canadian Triage and Acuity Scale (CTAS), the Manchester Triage Scale (MTS), the Emergency Severity Index (ESI) and others). All of these triage procedure yields rapid, reproducible, and clinically relevant stratification of patients into groups, from the most urgent to the least urgent level. Triage decisions are often made with limited objective

Nursing consideration: Require regular monitoring of activated partial thromboplasitn time (aPTT) and needed frequent heparin dose changes (Brunner and Suddarth’s, et al, 2010: 765). Fibrinolytic therapy: This therapy is given to dissolve the thrombus in the artery and restore the blood flow. There are two fibrinolytic drugs which are streptokinase and Recombinant tissue plasminogen activators (r-TPA) which includes Alteplase, reteplase and tenecteplase (Brunner and Suddarth’s, et al, 2010: 772). Fibrinolytic therapy would be commenced within 4-6 hours of myocardial infarction to restore blood flow, reduce oxygen demand and reduce myocardial tissue damage (Silvestri,

Angina, Myocardial Infarction, and Cardiac Arrest Comparison and Contrast Hannah Bunce Fayetteville Technical Community College Angina, Myocardial Infarction, and Cardiac Arrest Comparison and Contrast Three of the most commonly occurring cardiac related events: angina, myocardial infarction, and cardiac arrest, are commonly confused. However, there is a huge difference between each of them. It is crucial to be informed of each of these cardiovascular emergencies and to be able to differentiate between them. As a medical professional it is also very important to know the appropriate care for each these cardiac related emergencies. Throughout the course of this research paper, angina, myocardial infarction, and cardiac arrest will be discussed by providing definitions, signs and symptoms that lead to suspicion and diagnosis, as well as treatment.

- 2014). The main reason I believe in vaccination is because there is not a treatment for measles. Owing to the fact that vaccine was developed and has been put in place as a preventive measure we have seen that the number of reported cases have dropped significantly from a little over 4 million cases in the 1980’s worldwide to less than 500,000 cases in 2014 worldwide. (Measles Cases and Outbreaks.

However, Dr Korovin had no authorization to practice at the clinic, and no written consent given by Joan to have her do any procedures on her. Dr. Lawrence Cohen then took over to do the endoscopy in an effort to discover why Joan’s voice was raspy and hoarse. He allegedly found something during his examination and Dr. Korovin did another laryngoscopy. No one noticed Joan’s vital signs failing as her vocal cords swelled and cut off her air supply. Dr. Cohen resigned his duties as a doctor and medical director of the Yorkville Endoscopy in September.

For the hospital, their goal is to get all employees vaccinated, especially those who have direct contact with patients which brings up a number of ethical issues arising from the attempts to implement mandatory flu shots (Dubov 2530). The mandatory vaccination requirement is regularly a point of concern to those who have objections to vaccinations. Flu shots should be mandatory for healthcare workers despite objections in order to protect patients and to minimize work days missed due to illness. According to CDC, 85% of healthcare workers get flu vaccine because they don’t want to get the flu, about 58% said they wanted to protect their families and friends, and transmission to patients was a concern of 38% of