Introduction: Arterial lines provide vital information regarding a critically ill patient's hemodynamic stability. It is essential that emergency nurses managing arterial lines are confident in their ability to care for patients with these lines.
Problem: Depending on which emergency department, managing and setting up arterial lines may not be frequently required. This was a problem in 1 area emergency department, where the nurses were found to be unable to set up and manage these lines confidently.
Methods: Fifteen registered nurses were asked to view a short but comprehensive educational video illustrating the setup and management of arterial lines accessed with the use of a quick response code. A pre- and post-test using a 5-question pre-/post-Likert-style scale questionnaire were administered to participants to evaluate their confidence related to the management of arterial lines and analyzed for a variation in scores.
Results: Of the 5 content areas evaluated on the questionnaires, there was an increase in reported confidence level in all content areas after watching the educational video. Data analysis using a paired t test calculation shows a significant P value of .002. The areas included on the questionnaries included where to find materials, how to zero and flush the line, how to draw blood from the line, how to troubleshoot the line, and confidence with the overall management and setup of the line.
Discussion: Educational tutorials can enhance clinical skills leading to a more confident nurse. Video tutorials accessible by quick response code are a quick and efficient educational resource for nurses. This method of teaching should be considered when providing education to nurses in the emergency department.
Download full-text PDF |
Source |
---|---|
http://dx.doi.org/10.1016/j.jen.2024.11.004 | DOI Listing |
Accidental vascular catheter removal (AVCR) by patients with cognitive impairment can result in loss of access for infusion therapy, significant blood loss, air embolism with large bore catheters, and withholding life-sustaining dialysis treatment. Chest-to-back (CTB) tunneling of central venous catheters is a technique described in the Rapid Assessment of Vascular Access Exit Site and Tunneling Options (RAVESTO) for patients at risk for AVCR. In this retrospective review, data was collected for all venous access devices inserted using CTB tunneling in patients requiring medium to long term intravenous access for infusion or hemodialysis, who had a history of self-removing medical devices due to an alteration in mental status, or patients with severely impaired skin integrity.
View Article and Find Full Text PDFBMC Cardiovasc Disord
March 2025
Department of Cardiology, The Fourth Hospital of Hebei Medical University, 12 Jiankang Road, Shijiazhuang, 050011, People's Republic of China.
Background: The selection of percutaneous coronary intervention (PCI) regimen for patients undergoing elective tumor surgery with coronary heart disease(CHD) remains controversial.To evaluate the effectiveness and safety of using Drug Eluting Balloons (DEB) in study patients.
Methods: A retrospective study was conducted on 127 patients undergoing elective tumor surgery with CHD who received preoperative PCI treatment at the Fourth Hospital of Hebei Medical University from January 2022 to May 2023.
JACC Cardiovasc Interv
March 2025
Department of Cardiology and Vascular Medicine, West German Heart and Vascular Center, University of Duisburg-Essen, Essen, Germany.
A global treatment algorithm was developed for the endovascular revascularization of femoropopliteal lesions and chronic total occlusions, aiming toward a more standardized approach to endovascular treatment in patients with peripheral artery disease. The following steps are proposed. 1) Evaluation of lesion morphology based on preprocedural imaging by Duplex sonography and intravenous ultrasound for selection of lesion preparation tools.
View Article and Find Full Text PDFJ Cerebrovasc Endovasc Neurosurg
March 2025
Department of Neurosurgery, Mansoura University, Mansoura, Egypt.
Objective: This study aims at spotlighting different lines of management of aggressive vertebral hemangioma (VH) through a retrospective analysis of single center experience.
Methods: Patients diagnosed with aggressive VHs in a tertiary referral center were reviewed from 2014 through 2024. Data of patients who met the inclusion criteria were analyzed.
J Cardiovasc Electrophysiol
March 2025
Department of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota, USA.
Background: Cardiac implantable electronic device (CIED) infections are a serious complication associated with significant morbidity, mortality, and healthcare costs. Despite guideline recommendations for complete device removal, disparities in healthcare access and resource availability between urban and rural settings may influence patient outcomes. This study aims to evaluate rural-urban disparities in the management and outcomes of patients hospitalized with CIED infections.
View Article and Find Full Text PDFEnter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!