1 / 13

Colleene Young RN, BSN, CCRN PICU Clinical Nurse IV Childrens Hospital Los Angeles

Nurse Responsibilities & Clinical Decision Making When Caring for Critically Ill Pediatric Patients Requiring Continuous Renal Replacement Therapy. Colleene Young RN, BSN, CCRN PICU Clinical Nurse IV Childrens Hospital Los Angeles. Childrens Hospital Los Angeles.

joelle
Download Presentation

Colleene Young RN, BSN, CCRN PICU Clinical Nurse IV Childrens Hospital Los Angeles

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. Nurse Responsibilities & Clinical Decision Making When Caring for Critically Ill Pediatric Patients Requiring Continuous Renal Replacement Therapy Colleene Young RN, BSN, CCRN PICU Clinical Nurse IV Childrens Hospital Los Angeles

  2. Childrens Hospital Los Angeles 286-Bed tertiary care children’s hospital Affiliated with University Southern California Keck School of Medicine (20 bed PICU; 15 bed CTICU; 40 bed NICU) Hospital admissions annually >11,000 PICU admissions annually >1,100

  3. Training, Competencies & Troubleshooting • Training includes one day class & two precepted shifts • All critical care fellows are required to attend hemofiltration class • Annual skills lab; nurses & fellows attend • Circuit changes & troubleshooting measures tracked

  4. Patients/year, Length of Stay & Survival

  5. Nurses present in rounds, actively participates in plan of care • Worksheet computes 24º total intake (infusions, meds & flushes) • Net (-/+) fluid balance determined; hemoflitration flow rates adjusted

  6. Childrens Hospital Los Angeles Hemofiltration Order Sheets

  7. Hemofiltration infusions, settings, volumes & net hourly fluid balance are documented in the electronic patient record

  8. Hemofiltration used commonly as adjunct therapy with ECMO ECMO trained nurses are required to maintain competency to manage hemofiltration pump PICU nurses also manage CTICU hemofiltration

  9. Hemofiltration may be continued when patients require surgery • PICU nurses manage hemofiltration intra-operatively • Study demonstrated benefit of CRRT during orthotopic liver transplantation • Your Text here • Patients with hepatic disease at risk for acute kidney injury • Maintaining an even or negative fluid balance beneficial

  10. Thank You! Colleene Young RN, BSN, CCRN PICU Clinical Nurse IV Childrens Hospital Los Angeles Pediatric Intensive Care Unit 4650 Sunset Blvd MS # 74 Los Angeles, CA 90027 USA +1 (323) 361-2584 Lcyoung@chla.usc.edu

More Related