Common themes that have come up during COVID CLABSI case reviews and/or during the ICU central line prevalence day: ❖ Overdue transparent dressings ❖ Overdue cap changes ❖ Overdue and not labeled tubing ❖ Curos caps missing ❖ Daily CHG treatment not documented at least once every 24 hours New Considerations in COVID Care Line Selection: ❖ Consider a more permanent line (PICC) for patients with an expected longer length of stay ❖ Consult R-VAT team: Pager VEIN (8346) or PICC (7422)
Autonomy is a multidimensional process. Clinical autonomy, the dimension in which patients are the primary beneficiaries, is the focus of this study. Despite high valuation and persistent challenges to nurses to function autonomously, the relationship between autonomous practice and patient outcomes has not been empirically established due, in large measure, to a lack of correspondence between concepts and measurement of autonomy and to a lack of knowledge of enabling structures. The purpose of the research reported here is to identify the structures, practices, elements in the environment, and interventions that nurses, nurse managers, and physicians identify as promoting staff nurse clinical autonomy. Implementation of these interventions would then enable clinical decision making at the frontline and would foster studies to determine whether the expected linkage between clinical autonomy and positive patient outcomes prevails.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.