Australasian Emergency Nursing Journal
Volume 12, Issue 2 , Pages 38-43 , May 2009

Mechanical ventilation in Australian emergency departments: Survey of workforce profile, nursing role responsibility, and education

  • L. Rose, PhD, RN

      Affiliations

    • Lawrence S. Bloomberg Professor in Critical Care Nursing, Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, 155 College St, Toronto, Ontario, Canada
    • Mount Sinai Hospital, 600 University Ave Toronto, Ontario, Canada
    • Li Ka Shing Institute, St Michael's Hospital, 30 Bond St Toronto, Ontario, Canada
    • Corresponding Author InformationCorresponding author at: Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, 155 College St, Toronto, Ontario, Canada. Tel.: +1 416 978 3492; fax: +1 416 978 8222.
    • ,
  • M.F. Gerdtz, PhD, RN

      Affiliations

    • School of Nursing and Social Work, The University of Melbourne, Level 5, 234 Queensberry St, Carlton, Victoria, Australia

Received 16 October 2008 ,Revised 16 December 2008 ,Accepted 16 January 2009.

References 

  1. Rose L, Nelson S, Johnston L, Presneill J. Decisions made by critical care nurses during mechanical ventilation and weaning in an Australian intensive care unit. Am J Crit Care. 2007;16(5):434–443
  2. Rose L, Nelson S, Johnston L, Presneill J. Workforce profile, organisation structure and role responsibility for ventilation and weaning practices in Australia and New Zealand intensive care units. J Clin Nurs. 2008;17(8):1035–1043
  3. Ely EW, Baker AM, Dunagan DP, Burke HL, Smith AC, Kelly PT, et al. Effect on the duration of mechanical ventilation of identifying patients capable of breathing spontaneously. N Engl J Med. 1996;335(25):1864–1869
  4. Kollef MH, Shapiro SD, Silver P, St. John RE, Prentice D, Sauer S, et al. A randomized, controlled trial of protocol-directed versus physician-directed weaning from mechanical ventilation. Crit Care Med. 1997;25(4):567–574
  5. Marelich GP, Murin S, Battistella F, Inciardi J, Vierra T, Roby M. Protocol weaning of mechanical ventilation in medical and surgical patients by respiratory care practitioners and nurses: effect on weaning time and incidence of ventilator-associated pneumonia. Chest. 2000;118(2):459–467
  6. Luce JM. Reducing the use of mechanical ventilation. N Engl J Med. 1996;335(25):1916–1917
  7. MacIntyre NR. Evidence-based guidelines for weaning and discontinuing ventilatory support. Chest. 2001;120(6):375S–395S
  8. JFICM. Minimum Standards for Intensive care Units: Joint Faculty of Intensive Care Medicine; 2003. http://www.anzca.edu.au/jficm/resources/minimum-standards-for-intensive-care-units.html/?searchterm=Minimum%20Standards%20for%20Intensive%20care%20Units. Accessed 10 Oct. 2008.
  9. Tilluckdharry L, Tickoo S, Amoateng-Adjepong Y, Manthous C. Outcomes of critically ill patients based on duration of emergency department stay. Am J Emerg Med. 2005;23:336–339
  10. Department of Human Services. Victorian Emergency Minimum Dataset. Melbourne: State Government of Victoria, 2008. http://www.health.vic.gov.au/hdss/vemd/vemdover.htm. Accessed 10 Oct. 2008.
  11. Australian Institute of Health and Welfare. Australian Hospital Statistics 2005–2006. Canberra, 2007. http://www.aihw.gov.au/publications/index.cfm/title/10455#full_publication. Accessed 10 Oct. 2008.
  12. CAEP/NENA . Access to acute care in the setting of emergency department overcrowding. Can J Emerg Med. 2003;5(2):81–86
  13. Chalfin D, Trzeciak S, Likourezos A, Baumann B, Dellinger R. Impact of delayed transfer of critically ill patients from the emergency department to the intensive care unit. Crit Care Med. 2007;35:1477–1483
  14. Evans TW. International Consensus Conferences in Intensive Care Medicine: non-invasive positive pressure ventilation in acute respiratory failure. Organised jointly by the American Thoracic Society, the European Respiratory Society, the European Society of Intensive Care Medicine, and the Societe de Reanimation de Langue Francaise, and approved by the ATS Board of Directors, December 2000. Intensive Care Med. 2001;27(1):166–178
  15. Nava S, Evangelisti I, Rampulla C, Compagnoni M, Fracchia C, Rubini F. Human and financial costs of noninvasive mechanical ventilation in patients affected by COPD and acute respiratory failure. Chest. 1997;111(6):1631–1638
  16. Rose L, Gerdtz MF. Invasive ventilation in the emergency department Part 2: Implications for patient safety. Aust Emerg Nurs J. 2007;10:26–29
  17. British Thoracic Society Standards of Care Committee . Non-invasive ventilation in acute respiratory failure. Thorax. 2002;57(3):192–211
  18. Kingston ME, Krumberger JM, Peruzzi WT. Enhancing outcomes: guidelines, standards and protocols. AACN Clinical Issues. 2000;11(3):363–374
  19. Depasse B, Pauwels D, Somers Y, Vincent J. A profile of European ICU nursing. Intensive Care Med. 1998;24(9):939–945
  20. Norton L. The role of the specialist nurse in weaning patients from mechanical ventilation and the development of the nurse-led approach. Nurs Crit Care. 2000;5(5):220–227
  21. Harris J. Weaning from mechanical ventilation: relating the literature to nursing practice. Nurs Crit Care. 2001;6(5):226–231

PII: S1574-6267(09)00033-0

doi: 10.1016/j.aenj.2009.01.003

Australasian Emergency Nursing Journal
Volume 12, Issue 2 , Pages 38-43 , May 2009

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