Role rehearsal: a mock code program.
A hospital implements a mock code program to increase nurses' comfort and skill with increased code arrest duties, improving their performance 95%.
Biomedical subjects
Publications and source records attributed to T M Wadas.
A hospital implements a mock code program to increase nurses' comfort and skill with increased code arrest duties, improving their performance 95%.
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A conceptual framework using the 10 caring behaviors described by Watson clarifies an aspect of one hospital's nursing focus, means and goals. Through the use of this model, case managers develop transpersonal or empathetic relationships with patients in the hospital and in the community. The outcomes indicate that caring relationships promote self-healing and self-actualization.
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OBJECTIVES: To compare the effectiveness of intravenous morphine sulfate to intravenous morphine sulfate plus 1% lidocaine infiltration in pain management associated with femoral sheath removal, and to evaluate pain intensity and associated complications during femoral sheath removal in patients with heart disease receiving interventional treatment. DESIGN: Descriptive, correlational, case-control study. SETTING: Mid-metropolitan, university-affiliated, tertiary care medical center. SAMPLE: Fifty patients with heart disease, who had no known allergies to morphine or lidocaine and who had not had an acute myocardial infarction, admitted to the cardiovascular intervention unit. MEASURES: Vertical visual analogue scale, short-form McGill Pain Questionnaire, and demographic tool for complications. RESULTS: No significant differences in pain intensity, sensation, affect, and total scores were found between the analgesic regimens. Six (12%) patients had vasovagal reactions develop, but no statistical differences were found between pain intensity scores and associated complications. CONCLUSION: Morphine sulfate does appear effective in controlling pain associated with femoral sheath removal. The benefit of lidocaine infiltration during this procedure is questionable.
This article describes how a hospital implemented a mock code program that increased nurses' comfort and skill with increased code arrest duties, improving their performance 95%.