4 results match your criteria: "Pennsylvania (Dr Macci Bires); and Saint Vincent College[Affiliation]"

Effect of Prehospital Blood Draws on Length of Stay for Chest Pain Patients in the Emergency Department: A Pilot Study.

Crit Care Nurs Q

March 2019

Sciamanda Total Health and Wellness, Erie, Pennsylvania (Dr DuCharme); Robert Morris University, Moon Township, Pennsylvania (Ms Macci Bires); and Emergency Department, Saint Vincent Hospital, Erie, Pennsylvania (Drs Montanye, Khan, DuCharme, and Carlson and Mr Linse).

This article provides research of cardiac biomarkers being drawn in the prehospital setting compared with the emergency department (ED) on intervals critical to the diagnosis of acute myocardial infarction. This is a retrospective chart review of patients brought to the ED of a single, urban teaching hospital by a single emergency medical service (EMS) agency with a chief complaint of "chest pain." We abstracted specific patient characteristics, intervals, positive troponin values, and rates of hemolysis from hospital records utilizing a custom data abstraction tool designed for this study through consensus of the authors.

View Article and Find Full Text PDF

Stress Reduction in Postcardiac Surgery Family Members: Implementation of a Postcardiac Surgery Tool Kit.

Crit Care Nurs Q

May 2018

UPMC Department of Cardiothoracic Surgery, Center for Thoracic Aortic Disease, Pittsburgh, Pennsylvania (Dr Breisinger); Robert Morris University, Moon, Pennsylvania (Dr Macci Bires); and Saint Vincent College, Latrobe, Pennsylvania (Dr Cline).

The intensive care unit (ICU) can be a place of stress, anxiety, and emotional instability for both patients and families. Medical and nursing care during this acute time is patient focused, and family members are often left in the dark. Unintentional exclusion from information results in high levels of stress, anxiety, and uncertainty for families.

View Article and Find Full Text PDF

Evaluation of an Educational Video: What to Expect on the First Day of Chemotherapy.

Crit Care Nurs Q

May 2018

Allegheny Health Network Cancer Institute, Kittanning, Pennsylvania (Dr Koss); Department of Health Sciences, Robert Morris University, Moon Township, Pennsylvania (Dr Macci Bires and Ms Mason) and Alex G. Mckenna School of Business, Economics and Government, St. Vincent College, Latrobe, Pennsylvania (Dr Cline).

According to the American Cancer Society, more than 1.6 million new cases of cancer were diagnosed in 2015. Anxiety levels in individuals diagnosed with cancer are high, with the highest levels occurring at the time of diagnosis.

View Article and Find Full Text PDF

An Assessment of an Outpatient Antimicrobial Therapy Program in a Rural Medical Center : A Retrospective Chart Review.

Crit Care Nurs Q

May 2018

Green Tree Medical Center, Rices Landing, Pennsylvania (Dr Burkett); Department Head Health Sciences, Robert Morris University, Moon Township, Pennsylvania (Dr Macci Bires); Saint Vincent College, Latrobe, Pennsylvania (Dr Cline); and University of Iowa, Iowa City (Dr Knight).

Current literature supports outpatient parenteral antimicrobial therapy (OPAT). This article presents results from a research study that evaluated an OPAT program that treated community-acquired pneumonia. If patients had the opportunity to receive outpatient intravenous antibiotics for community-acquired pneumonia, would this prevent future hospitalization? Was there a decrease in hospital admissions? An informal cost-benefit analysis comparing OPAT with inpatient hospital admissions for the same disease was also reviewed to provide evidence whether there was a change.

View Article and Find Full Text PDF