AACN Protocols for Practice: Noninvasive Monitoring, Second Edition: Noninvasive Monitoring, Second Edition

by Editor: Suzanne M. Burns

Overview

AACN Protocols for Practice: Noninvasive Monitoring delineates the evidence for using devices for noninvasive patient monitoring of blood pressure, heart rhythms, pulse oximetry, end-tidal carbon dioxide, and respiratory waveforms. These protocols guide clinicians in the appropriate selection of patients for use of the device, application of the device, initial and ongoing monitoring, device removal, and selected aspects of quality control.  AACN Protocols for Practice are authoritative evidence-based practice resources for use by clinicians, educators, and researchers. Each series of protocols makes recommendations for the application, practice, and monitoring associated with a device, procedure, or practice. These protocols are designed to promote evidence-based practice by providing the latest patient care research findings in a format that is easy to understand and integrate into clinical practice. The protocols can be used to guide care in a variety of clinical situations in acute care, progressive care, or even in the home. Each protocol is introduced by a case study, which is followed by general information about the technology, occupational hazards, ethics considerations, competency issues, and practice recommendations. Recommendations are rated according to the level of evidence that is available to support the statement. Annotated bibliographies, suggested readings, and cross references provide guidance for learning more about the specific device or patient care system.

Product Details

ISBN-13:	9780763738259
Publisher:	Jones & Bartlett Learning
Publication date:	10/06/2005
Edition description:	1E
Pages:	113
Product dimensions:	11.00(w) x 8.25(h) x 0.26(d)

About the Author

Suzanne Burns is a Professor of Nursing and an Advanced Practice Nurse in the MICU at the University of Virginia Health System in Charlottesville, Virginia. She is known nationally for her work in the areas of weaning, mechanical ventilation and clinical research. She speaks and publishes widely on these and many other topics and is the inventor of the Burns Wean Assessment Program (BWAP). Suzanne has received numerous awards such as the American Association of Critical Care Nurses (AACN) “Distinguished Researcher Award”, the University of Virginia’s “Excellence in Teaching Award”, AACN’s “Mentoring Award”, and SCCM’s “Presidential Citation”. Suzanne was also a member of the AACN’s Third National Study Group on Weaning from Mechanical Ventilation. She is currently completing a three-year term as one of the AACN’s Board of Directors.

Table of Contents

About the Protocols     v
Acknowledgments     vii
Contributors     ix
Bedside Cardiac Monitoring   Carol Jacobson, RN, MN     1
Case Study 1     3
Case Study 2     3
General Description     4
Accuracy     4
Competency     4
Occupational Hazards     5
Summary of Current Research     5
Future Research     5
References     5
Clinical Recommendations     7
Annotated Bibliography     22
Other References     30
Respiratory Waveforms Monitoring   Suzanne M. Burns, RN, MSN, RRT, ACNP, CCRN, FAAN, FCCM, FAANP     31
Case Study     33
Case Discussion     33
General Description     34
Accuracy     34
Competency     35
Future Research     35
Clinical Recommendations     36
Annotated Bibliography     55
End-Tidal Carbon Dioxide Monitoring   Robert E. St. John, RN, MSN, RRT     57
Case Study     59
General Description     59
Accuracy     60
Competency     63
Future Research     64
Suggested Readings     65
Clinical Recommendations     66
Annotated Bibliography     74
Other References     77
Noninvasive Blood Pressure Monitoring   Karen K. Giuliano, RN, PhD, FAAN     81
Case Study     83
General Description     83
Precision and Accuracy     84
Competency     84
Future Research     85
Suggested Readings     85
Clinical Recommendations     86
Annotated Bibliography     91
Other References     97
Pulse Oximetry Monitoring   Mary Jo Grap, RN, PhD, ACNP, FAAN     99
Case Study     101
General Description     101
Accuracy     102
Competency     102
Ethical Considerations     102
Occupational Hazards     102
Future Research     102
Suggested Readings     102
Clinical Recommendations     104
Annotated Bibliography     109
Other References     110

Editorial Reviews

Reviewer: Janice J Hoffman, RN, PhD (Johns Hopkins University School of Nursing)
Description: This is the second edition of a book of protocols for noninvasive monitoring. Five protocols are described: bedside cardiac, respiratory waveforms, end-tidal carbon dioxide, noninvasive blood pressure, and pulse oximetry monitoring. Particularly useful for bedside critical care nurses is the consistent format of each protocol, including case studies, descriptions, content related to precision and accuracy, competency, suggested readings clinical recommendations, annotated bibliographies, and areas for future research.
Purpose: The purpose is to provide bedside clinicians and advanced practice nurses with the most recent available research regarding noninvasive monitoring. In particular, these protocols present research findings in reader friendly formats for immediate analysis and application. Due to the dynamic changes in the care of the critically ill patient, this book is very beneficial for both new and experienced nurses; it also provides a benchmark against which units or facilities can compare their current clinical practice.
Audience: This book is useful for both novice and experienced nurses, bedside clinicians, and advanced practice nurses. The author's expertise and practice in critical care nursing make her ideally suited to oversee this project.
Features: Comprehensive protocols are provided for cardiac, respiratory, blood pressure, carbon dioxide and pulse oximetry monitoring. The protocol structure is one of the best features of this book. The contributors provide organized, logical and chronological content for each protocol. Additionally, each protocol provides information related to selection of patients, application of device and initial use, ongoing monitoring, prevention of complications, quality control, and recommendation ratings based upon the level of data available to support the content. Inclusion of case studies for each protocol is another benefit of this book as it provides the reader with a framework/context upon which to compare or apply the procedural content. Chapter 2 on respiratory waveforms monitoring is particularly well written as the case study, introducing the chapter, is followed throughout the remainder of the chapter. Finally, the annotated bibliographies in each chapter provide summaries of the research publications that were used for protocol development; this is a significant strength of the book.
Assessment: This protocol reference provides succinct, useful, and valid information related to noninvasive monitoring useful for bedside clinicians. The format is extremely easy to read and use, and the content has been updated based upon the most recent advances in these areas of clinical practice.

Doody's Review Service

Reviewer: Janice J Hoffman, RN, PhD(Johns Hopkins University School of Nursing)
Description: This is the second edition of a book of protocols for noninvasive monitoring. Five protocols are described: bedside cardiac, respiratory waveforms, end-tidal carbon dioxide, noninvasive blood pressure, and pulse oximetry monitoring. Particularly useful for bedside critical care nurses is the consistent format of each protocol, including case studies, descriptions, content related to precision and accuracy, competency, suggested readings clinical recommendations, annotated bibliographies, and areas for future research.
Purpose: The purpose is to provide bedside clinicians and advanced practice nurses with the most recent available research regarding noninvasive monitoring. In particular, these protocols present research findings in reader friendly formats for immediate analysis and application. Due to the dynamic changes in the care of the critically ill patient, this book is very beneficial for both new and experienced nurses; it also provides a benchmark against which units or facilities can compare their current clinical practice.
Audience: This book is useful for both novice and experienced nurses, bedside clinicians, and advanced practice nurses. The author's expertise and practice in critical care nursing make her ideally suited to oversee this project.
Features: Comprehensive protocols are provided for cardiac, respiratory, blood pressure, carbon dioxide and pulse oximetry monitoring. The protocol structure is one of the best features of this book. The contributors provide organized, logical and chronological content for each protocol. Additionally, each protocol provides information related to selection of patients, application of device and initial use, ongoing monitoring, prevention of complications, quality control, and recommendation ratings based upon the level of data available to support the content. Inclusion of case studies for each protocol is another benefit of this book as it provides the reader with a framework/context upon which to compare or apply the procedural content. Chapter 2 on respiratory waveforms monitoring is particularly well written as the case study, introducing the chapter, is followed throughout the remainder of the chapter. Finally, the annotated bibliographies in each chapter provide summaries of the research publications that were used for protocol development; this is a significant strength of the book.
Assessment: This protocol reference provides succinct, useful, and valid information related to noninvasive monitoring useful for bedside clinicians. The format is extremely easy to read and use, and the content has been updated based upon the most recent advances in these areas of clinical practice.