PubMed Health⌕ Search

Biomedical subjects

R Colley

Publications and source records attributed to R Colley.

11 recordsLinked to original sources
PubMed1992

Building for ambulatory care: Children's Hospital grows with the times. Interview by Karen Gardner.

The Children's Hospital of Philadelphia, a 294-bed regional referral center, was the first dedicated children's hospital established in the United States in 1855. Although 39 percent of its beds are designated for intensive care, in 1985 the hospital's board recognized the necessity of expanding its ambulatory care capacity. Much of the credit for implementation of this vision goes to Roger Colley--a trustee recruited in 1983 for his business acumen. At the time he joined the board, Colley had been president of Betz Laboratories Inc., Philadelphia. In 1988, Colley started his own company--Envirogen--a company dedicated to finding new, innovative and lower-cost technologies for treating toxic and hazardous industrial waste. He is president and CEO of Envirogen, Lawrenceville, NJ. Colley was one of the original members of the hospital's long-range planning committee and served as chairman of the board's building and grounds committee during construction (from 1987-89) of the six-story Richard D. Wood Ambulatory Care Center. He recently spoke with Trustee editor Karen Gardner about the process of building this new facility, which opened in September 1989.

Governing Board↗
PubMed1982

Association between microorganism growth at the catheter insertion site and colonization of the catheter in patients receiving total parenteral nutrition.

Catheter-related sepsis is one of the major complications of total parenteral nutrition (TPN) therapy. The relationship between microbial colonization of the skin at the site of catheter insertion and colonization of the central venous catheter was investigated in 74 catheters used to administer TPN therapy in 53 patients. Semiquantitative culture specimens were obtained from the insertion site and intravascular and subcutaneous catheter segments at the time of catheter removal. Bacteria and/or fungi were recovered from 19 catheters and 19 insertion sites; of the 19 colonized catheters, 6 had sterile insertion sites. Organisms isolated from the remaining 13 catheters were isolated concurrently from the insertion site. Catheter-associated bacteremia or fungemia was observed in 10 of the 19 patients with colonized catheters. The association between colonization of catheters and the presence of more than 10(3) bacterial or fungal colony-forming units at the insertion site was significant (P less than 0.005). These results demonstrated that colonization of catheters by organisms present on the skin at the site of catheter insertion occurred twice as frequently as colonization by the hematogenous route. The results also suggested that colonization of catheters by organisms present at the insertion site occurred only after a threshold number of organisms was reached.

Adult↗
PubMedDate not supplied

TPN nursing.

Explore the source record for details and available documents.

Catheters, Indwelling↗