Tens of thousands of nurse anesthetists helped care for critically ill patients during the COVID-19 pandemic, making certified registered nurse anesthetists among the top specialties that served Medicare patients in non-telehealth during the first few months of the pandemic.
When a patient is placed on extracorporeal membrane oxygenation (ECMO), usually emergently, families have begun to face the gravity of the situation. Suddenly, ECMO offers new hope. Even though the primary team explains ECMO will be a time-limited trial and a bridge to recovery, transplant, or device, many families remain focused only on the possibility of hope.
Some hospitals have found a novel solution in the form of resuscitative care units, which are ICUs based in EDs. Patients who need time-sensitive respiratory, metabolic, neurologic, or hemodynamic critical care can receive it in the ED. This prevents these patients from waiting so long for a bed to finally open in the appropriate specialty ICU.
When Doylestown Hospital in Pennsylvania received a C on the Spring 2016 Leapfrog Hospital Safety Grade, leaders launched a campaign to improve patient safety. A central tactic was adapting its staffing model to meet Leapfrog’s ICU Physician Staffing criteria.
Consider psychological, biological, spiritual, and social factors, and the role they play in understanding illness and healthcare delivery. Using this model, clinical ethicists can encourage dialogue between healthcare professionals caring for seriously ill patients.