In October of last year, I wrote about the importance of becoming a clinician leader. As I have thought more about this topic, I have come to realize that a big part of being a leader is being able to empower others. I have witnessed this first hand after our practice’s recent development of daily, bedside nurse-led, multi-disciplinary rounds. A couple of months ago, as a response to several factors, we started this practice on both our stepdown unit and ICU. First, our patient population, as I am sure everyone else is experiencing, continues to get older and sicker. The amount of details that need to be kept straight on two large, busy units continues to grow. Second, more than ever, we are being held responsible for complications like central line and in-dwelling foley catheter infections, as well as statistics like extubation time, and length of stay. Finding an additional way to review all of these details has become paramount. Finally, we wanted to ensure that we could still provide the same level of care to our patients regardless of nurse turnover, or the addition of less experienced APPs.
CT Assist Blog
I remember when I first started working in the ICU, and I had to get my first patient off the ventilator. I thought, I have no idea how to do this. Luckily, in that case, I had an experienced ICU nurse who helped me. Getting the standard postoperative patient off the ventilator is now second nature, but I was recently talking to a newer colleague about how to do it, and I realized that a brief review might be helpful for any PA or NP new to the cardiac critical care setting.