The facts surrounding the use of dopamine aren't all clear cut.
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Biomedical subjects
Publications and source records attributed to B Dugger.
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Nosocomial infections result in increased costs for the patient and hospital and more importantly, these infections increase patient morbidity and mortality. Patients in intensive care areas have a higher risk of nosocomial infection than other hospitalized patients. Severity of illness and the use of multiple devices associated with high risk infection are contributing causes. The authors describe a project to improve the standard of care for patients with central and hemodynamic lines.
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Intravenous nurses must find their work both satisfying and fulfilling, emotionally and professionally. Autonomy is a vital component of long tenure and satisfaction. Nurses need to get involved in decision making, setting standards, and ensuring quality. Shared Governance, a professional nursing practice model, provides the structure for accountability for nursing practice and participation in the process. I.V. nurses have a unique opportunity to be in the leadership forefront because of their mobility and visibility within their institutions.
A definition of intravenous nursing competency is performing IV therapy in an exact and effective manner using the appropriate nursing, technical, and specialized skills. A competency-based evaluation tool has been developed to establish guidelines for orientation and evaluation in coordination with the Intravenous Nursing Standards of Practice, published by the Intravenous Nurses Society (1990).
Dopamine is commonly used to improve hemodynamic states caused by myocardial infarction, septicemia, open heart surgery, renal failure, and chronic cardiac decompensation. It works to increase cardiac output and renal perfusion. Peripheral dopamine administration increases the risk for extravasation, vein and tissue damage, and possible disfigurement. This study showed a peripheral dopamine infiltration rate of 68%.
Antimicrobial drug resistance threatens control of infectious disease throughout the world. Antimicrobial susceptibility patterns have changed to the extent that some pathogens are not responsive to the most powerful drug therapies available. IV nurses have the opportunity to educate the public and other health care workers about the importance of infection control practices and appropriate antimicrobial management.
The healthcare environment is changing drastically to demand quality through efficiency and effectiveness in all aspects of patient care. Competency is required to attain quality and to provide the patient with optimal outcomes. Proof of intravenous competency is crucial to preserve the author's specialty and to provide excellence in infusion care for patients.