Implementing Nurse Extracorporeal Membrane Oxygenation Specialists to Maintain a Sustainable Program.

Autor: Boyd DL, Lyle-Edrosolo G
Jazyk: angličtina
Zdroj: Nurse leader [Nurse Lead] 2023 Apr; Vol. 21 (2), pp. 239-243. Date of Electronic Publication: 2022 Aug 11.
DOI: 10.1016/j.mnl.2022.06.006
Abstrakt: Extracorporeal membrane oxygenation (ECMO) offers hope for patients with acute respiratory distress syndrome when other treatment methods fail. However, ECMO requires continuous hourly management leading to extremely high operating costs. With the onset of the COVID-19 pandemic, the high number of patients on ECMO led to a significant increase in the costs when using perfusionists to manage ECMO. Switching to a nurse-driven model resulted in a 52% decrease in costs related to the hourly management. Changing to a nurse-driven program provided increased nursing support and sustainability, and with determination and support, other ECMO centers can also change to nurse-driven programs.
(2022 by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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