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Biomedical subjects

A M Kallenbach

Publications and source records attributed to A M Kallenbach.

2 recordsLinked to original sources

Patient care conference: a coordinated, collaborative effort.

The flow chart, guidelines, and document describe the mechanism for patient care conferences. Because the need, process, and documentation of patient care conferences have been clarified, care conferences are now more consistent, efficient, and effective. Documentation streamlined the process of setting up care conferences by recording the following information: who was notified, who would attend, specific issues to be discussed, conference scheduling summary of plans and decisions made. Task force satisfaction was high because of a short timeline, clear problem definition, clear goals, team sponsorship, and a good end product. Use of continuous quality improvement techniques added to the success of this project, because there was a methodology for starting with a variable, unclear process and ending with a creative, efficient process. All members of the healthcare team and patients and families were satisfied, because the patient care conference was available to discuss specific issues and reach consensus on decisions about the patient's treatment plan at critical points during the patient's hospital course.

Critical Care↗

Preceptorship and skill validation programs.

Nursing in the PACU is an art as well as a science. Development of competent nurses requires a systematic yet creative process. Competency is a measure of professionalism and a guarantee to customers. Ensuring competence requires administratively supported and well-organized mechanisms: preceptorship and skill validation. The preceptor program must be able to teach role delineation, socialization, clinical skills, and policy and procedure to orientees while supporting preceptors and providing feedback. Good preceptors are a valuable resource and deserve renumeration. Ongoing evaluation of the preceptor program monitors cost-effectiveness and expected outcomes. The PACU environment includes patients with a wide spectrum of ages and diagnoses. Application of new and changing technology makes skill validation imperative. An appropriate skill validation plan assesses nurses' performance and targets procedures that are high technology, high risk, or infrequently performed. Quality patient care and nurse retention are two potential outcomes dependent on good preceptor programs and skill validation.

Clinical Competence↗