2.50
Hdl Handle:
http://hdl.handle.net/10755/161930
Category:
Abstract
Type:
Presentation
Title:
LVAD Technology at Northwestern Memorial Hospital
Author(s):
Oldham, Maggie C.; Echavez, Ella S.; Simons, Margaret M.
Author Details:
Maggie C. Oldham, MSN, RN, CNOR, Northwestern Memorial Hospital, Chicago, Illinois, USA, email: moldham@nmh.org; Ella S. Echavez, RN, CNOR; Margaret M. Simons, RN
Abstract:
Poster presented at AORN's 58th Annual Congress: LVAD technology provides definitive treatment of heart failure. The purpose of this abstract is to discuss the technologies used at Northwestern Memorial Hospital (NMH) for bridge to transplant patients. Description of Team: Departments of surgery, anesthesiology, cardiology, and nursing. Preparation and Planning: Patients who advance to or acutely develop Stage 4 heart failure based on ACC/AHA system are evaluated for cardiac transplant and/or long-term mechanical circulatory support. After appropriate medical and surgical workup and patient consent, surgery is scheduled for device implantation. Assessment: Northwestern Memorial Hospital embraces the work of nursing theorist Virginia Henderson. Henderson's work focused on patient-centered care and, as such, NMH nurses embody a Patient Centered Care Model. The perioperative course for management of end-stage heart failure patients includes well developed evidence based nursing practice. Implementation: Prevention of major adverse events postoperatively requires a coordinated team effort in the operating room. Extensive surgical dissection for creation of a pump pocket exposes the patient to increased risks for bleeding, hematomas, and driveline infections. Anticipating the needs of the team can significantly reduce the incidence of these events. Outcomes: During the perioperative course, competent nursing results in decreased procedure time, decreased need for transfusion, and ethical support for family and patient. Implications for Perioperative Nursing: Aging of the population in industrialized countries will lead to continuous increases in heart failure. Perioperative nurses will need knowledge of VAD technology to properly care for heart failure patients requiring mechanical circulatory support. NOTE: A product in this poster is being used for a purpose other than for which it was approved by the Food and Drug Administration (FDA).
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2011
Conference Name:
AORN 58th Annual Congress
Conference Host:
Association of periOperative Registered Nurses
Conference Location:
Philadelphia, Pennsylvania, USA
Description:
AORN 58th Annual Congress, 2011 held March 18, 2011 - March 24, 2011 in Philadelphia Convention Center
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleLVAD Technology at Northwestern Memorial Hospitalen_GB
dc.contributor.authorOldham, Maggie C.en_US
dc.contributor.authorEchavez, Ella S.en_US
dc.contributor.authorSimons, Margaret M.en_US
dc.author.detailsMaggie C. Oldham, MSN, RN, CNOR, Northwestern Memorial Hospital, Chicago, Illinois, USA, email: moldham@nmh.org; Ella S. Echavez, RN, CNOR; Margaret M. Simons, RNen_US
dc.identifier.urihttp://hdl.handle.net/10755/161930-
dc.description.abstractPoster presented at AORN's 58th Annual Congress: LVAD technology provides definitive treatment of heart failure. The purpose of this abstract is to discuss the technologies used at Northwestern Memorial Hospital (NMH) for bridge to transplant patients. Description of Team: Departments of surgery, anesthesiology, cardiology, and nursing. Preparation and Planning: Patients who advance to or acutely develop Stage 4 heart failure based on ACC/AHA system are evaluated for cardiac transplant and/or long-term mechanical circulatory support. After appropriate medical and surgical workup and patient consent, surgery is scheduled for device implantation. Assessment: Northwestern Memorial Hospital embraces the work of nursing theorist Virginia Henderson. Henderson's work focused on patient-centered care and, as such, NMH nurses embody a Patient Centered Care Model. The perioperative course for management of end-stage heart failure patients includes well developed evidence based nursing practice. Implementation: Prevention of major adverse events postoperatively requires a coordinated team effort in the operating room. Extensive surgical dissection for creation of a pump pocket exposes the patient to increased risks for bleeding, hematomas, and driveline infections. Anticipating the needs of the team can significantly reduce the incidence of these events. Outcomes: During the perioperative course, competent nursing results in decreased procedure time, decreased need for transfusion, and ethical support for family and patient. Implications for Perioperative Nursing: Aging of the population in industrialized countries will lead to continuous increases in heart failure. Perioperative nurses will need knowledge of VAD technology to properly care for heart failure patients requiring mechanical circulatory support. NOTE: A product in this poster is being used for a purpose other than for which it was approved by the Food and Drug Administration (FDA).en_GB
dc.date.available2011-10-27T08:42:58Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T08:42:58Z-
dc.conference.date2011en_US
dc.conference.nameAORN 58th Annual Congressen_US
dc.conference.hostAssociation of periOperative Registered Nursesen_US
dc.conference.locationPhiladelphia, Pennsylvania, USAen_US
dc.descriptionAORN 58th Annual Congress, 2011 held March 18, 2011 - March 24, 2011 in Philadelphia Convention Centeren_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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