- 1、原创力文档(book118)网站文档一经付费(服务费),不意味着购买了该文档的版权,仅供个人/单位学习、研究之用,不得用于商业用途,未经授权,严禁复制、发行、汇编、翻译或者网络传播等,侵权必究。。
- 2、本站所有内容均由合作方或网友上传,本站不对文档的完整性、权威性及其观点立场正确性做任何保证或承诺!文档内容仅供研究参考,付费前请自行鉴别。如您付费,意味着您自己接受本站规则且自行承担风险,本站不退款、不进行额外附加服务;查看《如何避免下载的几个坑》。如果您已付费下载过本站文档,您可以点击 这里二次下载。
- 3、如文档侵犯商业秘密、侵犯著作权、侵犯人身权等,请点击“版权申诉”(推荐),也可以打举报电话:400-050-0827(电话支持时间:9:00-18:30)。
- 4、该文档为VIP文档,如果想要下载,成为VIP会员后,下载免费。
- 5、成为VIP后,下载本文档将扣除1次下载权益。下载后,不支持退款、换文档。如有疑问请联系我们。
- 6、成为VIP后,您将拥有八大权益,权益包括:VIP文档下载权益、阅读免打扰、文档格式转换、高级专利检索、专属身份标志、高级客服、多端互通、版权登记。
- 7、VIP文档为合作方或网友上传,每下载1次, 网站将根据用户上传文档的质量评分、类型等,对文档贡献者给予高额补贴、流量扶持。如果你也想贡献VIP文档。上传文档
查看更多
NHS临床指南 The Introduction of Standardised Guidelines for Talc PleurodesisPPT
The Introduction of Standardised Guidelines for Talc Pleurodesis The Cardiothoracic Unit Claire Badger (ANP) and Mr J Asante-Siaw Talc Pleurodesis Direct visualisation b) CT Scan c) PET Scan INTRODUCTION ●Procedure has been traditionally undertaken by doctors, but is a role that can be carried out by Advanced Nurse Practitioners (ANP) with appropriate training ●Considerable practice inconsistencies with the technique of the procedure, and timing of chest drain removal OBJECTIVES ●Evidence-based protocol for the procedure to ensure consistency of practice by doctors and nurses ●High quality, timely, safe, effective care for all patients The Protocol ●Discussion with ward Pharmacist and Consultant Thoracic Surgeon ●Literature search ●Presentation of protocol at QIPP’s (Quality Innovation Productivity Prevention) ●Production of DOPS (Direct Observation Procedural Skills) assessment form DOPS Assessment Criteria ● Indications ● Anatomy ● Consent ● Technique, prep post procedure care ● Asepsis ● Communication ● Professionalism Timing of Drain Removal after Talc Pleurodesis ● n=22 ● Identified from pharmacy records 01/01/09 - 31/12/10 ● Retrospective review of CXR’s,discharge summaries and histology reports ● Effusion n=16 Pneumothorax n=6 Talc Pleurodesis performed for Pleural Effusion Pleural Effusion n=16 Malignant n=15 Non-Malignant n=1 No Success n=1 Success n=14 Success n=1 Talc Pleurodesis for Pneumothorax Pneumothorax n=6 Success n=5 No Success n=1 CONCLUSION ●Talc Pleurodesis is a procedure which can be competently and safely performed by appropriately trained ANP’s. - Audit patient satisfaction ●Evidence based protocol ●Guidelines disseminated for use Trust wide ●Apply similar process to other procedures as roles develop REFERENCES ● Braithwaite W (2008) Performing Talc Pleurodesis in Patients with Mesothelioma Nursing Times 29th April: 1-6. ● Groth, G; Gatzemeier, U; Halibingen, K et al (1991) Malignant Pleural E
您可能关注的文档
- Livestock Slaughter 家畜屠宰PPT.ppt
- LWW医学电子期刊全文数据库的检索与利用PPT.ppt
- Macao H1N1 Update 澳門H1N1更新PPT.ppt
- Lymphoma és myelomaPPT.ppt
- M-Cholinoceptor blocking drugs M-受体阻断药PPT.ppt
- Mahatma Gandhi University 简介PPT.ppt
- Management of an acute painful sickle cell episode in hospital – education packagePPT.ppt
- MANI 产品PPT.ppt
- Matrix校正原理和常见问题PPT.ppt
- Manifest Destiny and Its Legacy, 1841–1848PPT.ppt
最近下载
- 云南镇沅金矿石浮选试验报告.doc VIP
- 大型载重车辆“油改气”项目方案介绍.pdf VIP
- 四上语文1-8单元高频考点通关检测(8页).pdf VIP
- 水泥化学分析习题及答案.doc VIP
- 2022年南京信息职业技术学院高职单招语文/数学/英语考试题库含答案解析.docx VIP
- 广东省广州市南沙区2023-2024学年八年级上学期期末考试英语试题(含答案).docx VIP
- 平面的基本性质及推论多媒体教学课件.ppt VIP
- 【复旦大学-高级病理生理学学习】_模式识别受体_20200425234131.pdf VIP
- 高中数学《函数的奇偶性》说课稿新人教A版必修1 .pdf VIP
- 膈肌膨升症麻醉病例讨论.ppt VIP
原创力文档


文档评论(0)