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Emergency oxygen delivery in adults 1 updating nursing practice

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Abbie Purney; Valley Health System, Las Vegas, NV Purpose: Improve patient outcomes by standardizing and implementing a nurse-driven progressive mobility program in the intensive care units (ICUs) for a 5-hospital system.

Additionally, implement and monitor for delirium throughout ICU hospital stay and treat delirium as recommended by evidence-based practice guidelines.

Consistent and comprehensive education was provided to all critical care registered nurses, respiratory therapists, and physical therapists to ensure a high probability of success.

Participation in multidisciplinary rounding was facilitated to promote consistency among the ICUs.

Nurses work to promote health, prevent disease, and help patients cope with illnesses.

Exposure to birds is associated with Chlamydia psittaci; farm animals with Coxiella burnetti; aspiration of stomach contents with anaerobic organisms; and cystic fibrosis with Pseudomonas aeruginosa and Staphylococcus aureus.

There are few professions that offer such a rewarding combination of high tech and high touch.

Every day on the job nurses use the science they learned in nursing school, and when employed, they take continuing education courses on a regular basis to keep up with the latest in the medical and nursing sciences.

In general, CPR is continued until the person has a return of spontaneous circulation (ROSC) or is declared dead.

If a person still has a pulse but is not breathing (respiratory arrest) artificial ventilations may be more appropriate, but, due to the difficulty people have in accurately assessing the presence or absence of a pulse, CPR guidelines recommend that lay persons should not be instructed to check the pulse, while giving healthcare professionals the option to check a pulse.