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Tag: Critical Connections 2021

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APPs in the Critical Care Workforce: Past, Present, and Future

This article was first published in the Spring 2021 issue of Critical Connections. The utilization of advanced practice providers (APP) in the workforce has continued to grow, particularly over the past year, during which hospitals saw unprecedented surges of critically ill patients.


ARDS: Will Precision Approaches Move the Needle?

This article was first published in the Summer 2021 issue of Critical Connections. Daniel S. Talmor, MD, MPH, chair of the Department of Anesthesia, Critical Care and Pain Medicine at Beth Israel Deaconess Medical Center in Boston and a professor of anesthesiology at Harvard Medical School, addressed the past, present, and future of ARDS treatment in one of the most highly attended sessions of the Society of Critical Care Medicine’s (SCCM) 50th Critical Care Congress, held virtually in 2021.


Care of the Critically Injured Patient: Trends Expected for 2021 and Beyond

This article was first published in the Summer 2021 issue of Critical Connections. This article covers trends and care of injured patients in the United States during the pandemic as well as a look into possible trends for the future.


Certified Child Life Specialists: A New Addition to the Critical Care Team

This article was first published in the Spring 2021 issue of Critical Connections. Certified child life specialists are an invaluable investment in the success of ICU liberation programs. They engage, empower, and support children and their families to mitigate the psychosocial impacts of a critical illness or injury.


Considerations For Implementing the ICU Liberation Bundle in a Subspecialty ICU

This article was first published in the Summer 2021 issue of Critical Connections. This article highlights unique aspects of ICU Liberation in relevant patient populations and provides guidance toward successful liberation. Three separate teams in neurologic and cardiovascular ICUs share their experiences with implementing the ICU Liberation Bundle.


Donation After Circulatory Death With Normothermic Regional Perfusion: A Brief Ethical Analysis

This article was first published in the Spring 2021 issue of Critical Connections. A 24-year-old man was brought to a trauma center after sustaining a devastating head injury during a motor vehicle collision. Weeks later, he remains intubated and unresponsive. Although he does not meet criteria for brain death, imaging shows severe traumatic brain injury.


Hospital Stress, Adaptation, and Resiliency During Respiratory Viral Acute Surge Events

This article was first published in the Spring 2021 issue of Critical Connections. Respiratory viral acute surge events, in which hospitals face stress and capacity strain from an influx of infected patients, range from annual respiratory viral seasons dominated by seasonal inf luenza to rarer and more severe pandemics, including COVID-19.


Implicit Versus Explicit Limitation of Scarce Critical Care Resources

This article was first published in the Summer 2021 issue of Critical Connections. This article provides a case example and ethical analysis of implicit versus explicit limitation of scarce critical care resources.


Importance of Effectively Communicating Drug Shortages

This article was first published in the Winter 2021 issue of Critical Connections. Drug shortages have become pervasive. The ways in which hospitals and hospital systems manage ongoing shortages vary widely across the United States and the world.


Infusion Pumps Outside Patient Rooms: Clinical Considerations and Medication Safety

This article was first published in the Summer 2021 issue of Critical Connections. This article discusses the clinical and safety considerations for using infusion pumps outside of patient rooms in order to help decrease exposure.


Managing Refusal to Accept a Brain Death Diagnosis: A Care Ethics Approach

This article was first published in the Winter 2021 issue of Critical Connections. A man in his early twenties was transferred to the intensive care unit (ICU) by his father for a second opinion after sustaining a gunshot wound to the head.


Neuroscience Nursing Workforce: Challenges During the Pandemic

This article was first published in the Spring 2021 issue of Critical Connections. During the COVID-19 pandemic, many intensive care units (ICUs) were overwhelmed with patients requiring a high level of care.


New Coding and Documentation Guidance: What You Need to Know in 2021 for Proper Reimbursement

This article was first published in the Spring 2021 issue of Critical Connections. Many physicians and advanced practice providers (APPs) who manage critical care patients do so in post-acute care clinics or in the office setting.


Pay Attention When Coding Critical Care

This article was first published in the Summer 2021 issue of Critical Connections. It is important to review your documentation periodically to ensure compliance with correct coding procedures, documentation, and medical necessity support for the service provided.


Post-Intensive Care Syndrome Clinics: Lessons Learned from Three Centers

This article was first published in the Winter 2021 issue of Critical Connections. The prevention, recognition, and management of post-intensive care syndrome (PICS) has come to the forefront in critical care and with it comes the emergence of the PICS clinic.


The COVID-19 Double-Lung Transplant: How a Last-Ditch Effort Has Saved Lives

This article was first published in the Winter 2021 issue of Critical Connections. When the clock struck midnight and it officially became Thanksgiving Day, Ankit Bharat, MD, was in an operating room at Northwestern Memorial Hospital in Chicago, saving a life few people thought could be saved.


The Rural Rapid Response Team

This article was first published in the Summer 2021 issue of Critical Connections. This article describes how embedded Navy teams provided COVID-19 response in small South Texas hospitals.
 


What the VIRUS COVID-19 Registry Can Teach About the Future of EHRs

This article was first published in the Winter 2021 issue of Critical Connections. Chaos—That is the word that comes to mind when Smith Heavner, BSN, MS, RN, PCCN, thinks about electronic health records (EHRs).