Interprofessional Approach to Performing Procedures

Campo, Theresa M.; Wilbeck, Jennifer; Peffer, Brandon; Lafferty, Keith

doi:10.1891/9780826185129.0003

Cited by 4 publications

(10 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A multidisciplinary team reviewed the medical literature, looking for evidence-based symptoms guidance that is used in primary care and emergency room triages [ 34 , 35 , 36 , 37 , 38 , 39 , 40 ], and these evidence-based resources were used to develop the core decision trees (i.e., from each of the 20 symptoms triggering a visit to doctor, to the 336 presumptive differential diagnoses) [ 34 , 35 , 36 , 37 , 38 , 39 , 40 ]. Decision trees were then tested using clinical simulation in more than 6000 “near-live” clinical cases, as suggested by some authors [ 20 ].…”

Section: Methods: Wtswrng Development and Evaluationmentioning

confidence: 99%

WtsWrng Interim Comparative Effectiveness Evaluation and Description of the Challenges to Develop, Assess, and Introduce This Novel Digital Application in a Traditional Health System

Sampietro-Colom¹,

Fernández-Barceló²,

Abbas³

et al. 2022

IJERPH

View full text Add to dashboard Cite

Science and technology have evolved quickly during the two decades of the 21st century, but healthcare systems are grounded in last century’s structure and processes. Changes in the way health care is provided are demanded; digital transformation is a key driver making healthcare systems more accessible, agile, efficient, and citizen-centered. Nevertheless, the way healthcare systems function challenges the development (Innovation + Development and regulatory requirements), assessment (methodological guidance weaknesses), and adoption of digital applications (DAs). WtsWrng (WW), an innovative DA which uses images to interact with citizens for symptom triage and monitoring, is used as an example to show the challenges faced in its development and clinical validation and how these are being overcome. To prove WW’s value from inception, novel approaches for evidence generation that allows for an agile and patient-centered development have been applied. Early scientific advice from NICE (UK) was sought for study design, an iterative development and interim analysis was performed, and different statistical parameters (Kappa, B statistic) were explored to face development and assessment challenges. WW triage accuracy at cutoff time ranged from 0.62 to 0.94 for the most frequent symptoms attending the Emergency Department (ED), with the observed concordance for the 12 most frequent diagnostics at hospital discharge fluctuating between 0.4 to 0.97; 8 of the diagnostics had a concordance greater than 0.8. This experience should provoke reflective thinking for DA developers, digital health scientists, regulators, health technology assessors, and payers.

show abstract

Section: Methods: Wtswrng Development and Evaluationmentioning

confidence: 99%

WtsWrng Interim Comparative Effectiveness Evaluation and Description of the Challenges to Develop, Assess, and Introduce This Novel Digital Application in a Traditional Health System

Sampietro-Colom¹,

Fernández-Barceló²,

Abbas³

et al. 2022

IJERPH

View full text Add to dashboard Cite

show abstract

“…The procedures outlined below are based on the literature review of currently supported techniques for pediatric ear and nose foreign body removal. The literature was largely similar in content including required equipment, instructions for removal based on foreign body composition, anatomic location, patient preparation, positioning and compliance, and provider skill and knowledge (Baranowski et al, 2022;Campo, Lafferty, Costantino, Ufberg, & Wilbeck, 2021;Grigg & Grigg, 2018;Lotterman & Sohal, 2021;Oyama, 2019;Roberts, 2019).…”

Section: Managementmentioning

confidence: 99%

“…Prior to removal of nasal foreign bodies excluding button batteries, a topical anesthetic (lidocaine 4%) and a vasoconstrictor solution (oxymetazoline or phenylephrine) may be applied. This will aid in removal by decreasing mucosal edema and lessening discomfort for the patient (Campo et al, 2021;Heim & Maughan, 2007;Isaacson & Ojo, n.d.;Roberts, 2019). The ENP should anticipate that utilizing these medications may not aid in removal of the foreign body but actually complicate the procedure, as children are often not tolerant of nasal sprays.…”

Section: Nose Proceduresmentioning

confidence: 99%

“…Instruct the parent to place their mouth over the child's mouth, forming a firm seal, then forcefully exhale into the child mouth. The same principle may be applied utilizing a bag valve mask (Campo et al, 2021). Positive pressure techniques are depicted in Figure 1.…”

Section: Positive Pressurementioning

confidence: 99%

“…Methods to kill the insect include the use of mineral oil, lidocaine (gel or liquid), and alcohol. Mineral oil has been shown to be more effective; however, use of nonviscous agents will aid in visualization of the insect for removal (Campo et al, 2021;Lotterman & Sohal, 2021;Oyama, 2019).…”

Section: Special Considerationsmentioning

confidence: 99%

See 2 more Smart Citations

Ear and Nose Foreign Body Removal in Pediatric Patients

Sweeney¹,

Helms²

2023

Advanced Emergency Nursing Journal

View full text Add to dashboard Cite

Pediatric patients frequently present to emergency departments with complaint of foreign bodies in the ear and/or nose. Emergency nurse practitioners need the knowledge base to safely and effectively manage ear and nose foreign bodies in urgent and emergent care settings. The purpose of this article is to teach the common anatomical sites where foreign bodies are placed, the make-up of foreign body material, procedural technique of removal, and specific circumstances that require specialty referral.

show abstract

Recognizing a Peritonsillar Abscess in Pediatric Patients

Joint¹

2023

Advanced Emergency Nursing Journal

View full text Add to dashboard Cite

A peritonsillar abscess (PTA) is a localized collection of pus in the peritonsillar space, between the palatine tonsillar capsule and the superior pharyngeal constrictor muscle (G. Gupta & R. McDowell, 2022). It is the most commonly occurring abscess in the head and neck region. Patient presentation usually includes odynophagia, unilateral otalgia, trismus, and voice changes. Managing a pediatric patient may be challenging, as children may not be able to describe their history of illness and symptoms. The management of a PTA can also differ between pediatric and adult patients (S. Ahmed Ali et al., 2018). It is important for practitioners to consider all aspects when providing treatment. This article describes the encounter and individualized treatment plan of an 11-year-old nonverbal autistic child who presented with fever, decreased oral intake, and left neck swelling. It also provides a general overview of PTAs and procedural steps to perform drainage through needle aspiration and incision and drainage.

show abstract

Interprofessional Approach to Performing Procedures

Cited by 4 publications

References 0 publications

WtsWrng Interim Comparative Effectiveness Evaluation and Description of the Challenges to Develop, Assess, and Introduce This Novel Digital Application in a Traditional Health System

WtsWrng Interim Comparative Effectiveness Evaluation and Description of the Challenges to Develop, Assess, and Introduce This Novel Digital Application in a Traditional Health System

Ear and Nose Foreign Body Removal in Pediatric Patients

Recognizing a Peritonsillar Abscess in Pediatric Patients

Contact Info

Product

Resources

About