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Art and science of nursing
The field of nursing
Art and science of nursing
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In the field of nursing almost every tool that is used contains some type of computer technology, from a monitor displaying data to the thermometer used to take temperatures. Specifically, all of the technology that is used in the Neonatal Intensive Care Unit (NICU) is relatively new as this branch of nursing was not established until about the 1960’s. Although most of the technology created resembles a smaller version of the adult model, they must complete slightly different tasks for the babies. The four tools described are the cardiopulmonary monitor, pulse oximeter, continuous positive airway pressure (CPAP), and the incubator or isolette.
Cardiopulmonary Monitor
What is it?
The cardiopulmonary monitor is a system of wires with three electrodes that attach to the baby. (PeekabooICU) Two of these electrodes are placed on the chest of the child and one is placed on the abdomen or leg.
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There are several different tasks that the cardiopulmonary monitor is used for. The main task is to monitor every activity of the heart. The other tasks that it is used for is to monitor respiratory rate, oxygen saturation within the blood, and blood pressure.
How does it work?
The wires that are attached to the electrodes that are positioned on the baby’s body are also attached to a monitor where the heart activity is displayed. Heart activity is displayed through waveforms where peaks represent activity in the heart. If the heart becomes too active or inactive the machine sets off preprogrammed alarms to alert the doctors, nurses, and parents that something is wrong. The other measurements being taken are displayed on the monitor’s screen as numbers and percentages.
Pulse Oximeter
What is
During pregnancy an echocardiogram of the fetus can be done to produce images of the heart by sending ultrasonic sound waves to the vital organ. These sound waves create an image for the physician to analyze the babies heart function, structure sizes, and blood flow. A positive diagnosis before birth has shown to improve chances of survival, and will allow for appropriate care to be readily available at birth. If a baby is born without being diagnosed with the heart defect, some symptoms previous noted such as low oxygen levels can be suggestive of hypoplastic left heart syndrome. The baby may not display any symptoms or signs for hours after birth because of the openings allowing for blood to be pumped to the rest of the body. However, listening to the babies heart can revel a murmur indicating an irregular flow of blood in the heart. If a murmur is heard, or signs of the defect are observed, diagnostic tests will be ordered and performed. An echocardiogram is still the go-to test once the baby is born to evaluate the heart. The echocardiogram will diagnose the newborn, by revealing the underdeveloped left ventricle, mitral and aortic valve, and the ascending aorta commonly seen in
Traditional baby monitors alert the parent of noises from the nursery. The VTech DM221 Safe & Sound Digital Audio Baby Monitor takes things one step further by allowing the parent to talk to the baby as well. There are times that all it takes is a soothing voice to get them to go back to sleep and this baby monitor will allow you to do this without entering the nursery.
Neonatal nursing is a field of nursing designed especially for both newborns and infants up to 28 days old. The term neonatal comes from neo, "new", and natal, "pertaining to birth or origin”. Neonatal nurses are a vital part of the neonatal care team. These are trained professionals who concentrate on ensuring that the newborn infants under their care are able to survive whatever potential life threatening event they encounter. They treat infants that are born with a variety of life threatening issues that include instances of prematurity, congenital birth defects, surgery related problems, cardiac malformations, severe burns, or acute infection. Neonatal care in hospitals was always done by the nursing staff but it did not officially become a specialized medical field until well into 1960s. This was due to the numerous advancements in both medical care training and related technology that allowed for the improved treatment and survival rate of premature babies. According to the March of Dimes, one of every thirteen babies born in the United States annually suffers from low birth weight. This is a leading cause in 65% of infant deaths. Therefore, nurses play a very important role in providing round the clock care for these infants, those born with birth defects or other life threatening illness. In addition, these nurses also tend to healthy babies while their mothers recover from the birthing process. Prior to the advent of this specialized nursing field at risk newborn infants were mostly cared for by obstetricians and midwives who had limited resources to help them survive (Meeks 3).
Cook Children NICU receives around one thousand babies per year. Since the new unit was opened two years ago, they have single rooms where the parents can stay with their babies overnight, and it is controlled individually according to the patients’ needs. In the single rooms they are able to accommodate twins, triplets and quadruplets. According to Carolyn Cowling (personal communication, April.18, 2014), who is the LCSW, preemies have shown an incredible improvement in their health and are able to go home faster because they have a quicker recovery. Single rooms also allow parents to be with their infants all the time they want, even spending the night with them. Since most of them are there for a long run, it provides the feeling of being in their home.
According to the author, nursing practice needs to stay current with technological advances while keeping its identity as a patient focused profession. Nurses use technology to improve care from a patient?s perspective, both in quality of care and cost. At the same time, nurses must learn to balance technological knowledge with personal skills, thus providing optimum clinical care while maintaining a person-focused relationship with the patient.
Neonatal nursing is a very challenging field which requires a lot of education before you can become certified. A person’s education has to be backed up by many certifications before even coming close to holding a baby. The expert has the job of supporting loved ones of the infant while they are feeling upset or overwhelmed. Also the expert has the responsibility of showing parents how to properly care for their infant.
There are more than 70% of premature babies that are born between 34 and 36 weeks gestation a year. When a baby is born early, or born with birth defects, the Neonatal Intensive Care unit is its first home. The nurse’s in the NICU have the difficult job of preparing baby’s and parents for a health life together. A baby who has been put into the NICU will stay there until it is healthy enough to go home.
With this newer technology Physicians, nurses, and other approved medical staff have the option to monitor their patient’s heart functionality, and fix pacemaker electrical signals to fit patients need from a mobile device, without ever bringing the patient into the Physicians’ office. Cardiac remote patient monitoring uses smart phones, and specific designed (secured) e-mails to deliver information sent from the device implanted within the patient’s heart. This allows medical staff to receive pertinent up-to date- information on the condition of the patient’s pacemaker, and heart. This can help create profound patient care, early critical heart failure, or heart defibrillation detection; while adding to medical staff’s proficiency, and cutting costly emergency room visits with prevention detection ("Remote Monitoring Technology Improves Pacemaker Performance", 2012).
...ng informatics. The integration of an early warning scoring system with nursing practice is a means with which technology and nursing knowledge evolve to “applied wisdom” (McGonigle & Mastrian, 2012). The data is represented by the vital signs. The collection of vital signs will generate information. The information will be scored in the system and alert the nurse when there are abnormal findings. The nest steps can only be taken by the nurse. Critical thinking, interpretation and application of the findings from the patient’s medical record are the next steps. Nurses must be able to apply the information into their nursing practice in order to continue to develop and deliver the best care to patients. As technology continues to expand to many clinical areas, nurses will need to continue to understand how the world of technology translates to patients.
Electronic Fetal Monitoring Technology has had a very prominent influence on electronic fetal monitoring since its appearance in the 1960’s and 1970’s. For many years, fetal monitoring was simply done by listening to a fetal heartbeat through a stethoscope. Dramatic changes in the heartbeat, such as a long period or a drop in the rate or intensity, could be detected,. Now, not only is the electronic fetal monitor used on the outside of the womb by strapping electrodes to the mother’s abdomen but electrodes can also be inserted during the first stage of labor and placed directly on the baby ’s head.
A pulse ox or oximeter is a device that is used to measure the blood’s level of oxygen. A stethoscope is used to hear a patient’s heartbeat. A saline flush is used to flush IV lines of any leftover medicines that were pushed through the IV at an earlier time. Tape and scissors are used to bandage wounds (“Health
Nursing has come a long way in the last decade with computer technology and the ever changing patient technology. Nurses who are not on board with the changes can fall behind. The nurses who are infatuated and excited for technological changes always want to participate in research
A baby monitor is also called a baby alarm. This is a radio system used to remotely listen to sounds made by the infant. The audio monitor consists of a transmitter unit, equipped with a microphone, and it is placed near to the child. It transmits the sounds pass the radio waves to a receiver unit. There is also completed by a speaker that can be carried by for the person to care the infant. Some of the monitors are completed by the music and some of them called baby cam because it is completed by a video camera.
With the introduction of the age of computers, the nursing profession has seen a transition from the manual to automated methods of record keeping and even patient management. With the introduction of new technology even in monitor systems within the hospitals, nurses are compelled to increase their scope of learning in order to cope with the changes. Intensive care unit equipment are highly sophisticated which only increases the pressure on the nurse as a learner (Urquhart, Currell, Grant & Hardiker). This explicitly shows that nursing is a
limited to a "beep" on a heart monitor machine. Who then is going to decide if