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Biomedical subjects

K R Wren

Publications and source records attributed to K R Wren.

6 recordsLinked to original sources
PubMed1999

Legal implications of evaluation procedures for students in healthcare professions.

Evaluation of students is an integral part of teaching and instruction. Evaluations take on added dimensions when students are enrolled in healthcare training programs, such as nurse anesthesia. Not only must students master a body of knowledge, but they also must be able to integrate, process, and apply this knowledge appropriately in a clinical setting on a human patient. Thus, societal and legal issues enter into the training and credentialing of a healthcare practitioner. Conversely, today's students are more aware of their rights and freedoms and are more willing to appeal to the legal system for satisfaction of their grievances. Thus, evaluation must meet many needs; most important, evaluation must be fair and objective for society, school, and the student. In order to develop and implement a just evaluation system, instructors and administrators should be cognizant of the legal parameters and ramifications of evaluation processes.

Education, Nursing, Graduate↗
PubMed1999

Employee and independent contractor relationships.

Most practitioners find themselves at a disadvantage in dealing with business issues and relationships. As health care continues to change, knowledge of contracts and business relationships will help CRNA practitioners navigate new as well as traditional practice settings. This article discusses the advantages and disadvantages of two business relationships: employee and independent contractor.

Contract Services↗
PubMed1999

Critical pathways: a means of managing the operating room.

Critical pathways help institutions in efficient and appropriate resource use to increase the quality of health care and minimize health care costs. However, many opportunities for pathway development and implementation are unexplored. This article delineates the development process for critical pathways and discusses the outcomes realized from use of the total joint pathway at the Medical College of Georgia, Augusta, GA.

Critical Pathways↗
PubMed1998

Nitric oxide: a primer for the practicing anesthetist.

Nitric oxide (NO) is receiving interest because of its use in patients with acute respiratory distress syndrome. Because more studies are being conducted, researchers are discovering a vast array of physiological effects attributable to NO. NO has been implicated as having a role in the endogenous regulation of blood pressure; smooth, skeletal, and cardiac muscle relaxation; renal and immune system functioning; and selective pulmonary vasodilation. This article looks at the pharmacological and physiological effects of NO and its current use in the clinical setting.

Adult↗
PubMed1994

Ventilation monitoring during monitored anesthesia care: a review.

The use of capnography during general anesthesia has become not only state of the art but also a recommended standard of care. In intubated patients, measurements of partial pressure of carbon dioxide in exhaled pulmonary gases approximate partial pressure of carbon dioxide in arterial blood under stable conditions. End-tidal carbon dioxide measurement has allowed anesthetists to continuously follow carbon dioxide concentration in exhaled gases; indirectly, it has enabled them to continuously monitor carbon dioxide concentration in arterial blood. This information has proven indispensable in the care of patients receiving general anesthesia, with its accompanying respiratory depressant effects. Recently, attention has focused on the utilization of capnography in sedated, nonintubated patients to follow carbon dioxide concentrations and access respiratory system function. This review of the current body of literature outlines development in capnography monitoring for sedated, nonintubated patients. Emphasis is placed on current techniques of measurement, the degree of correlation, and ramifications for clinical practice.

Anesthesia↗