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When they arrive in the PACU, these patients may have airways in place or, in some cases, be on ventilators. When I applied for this PACU nurse job in Los Angeles in 2018, I had about five years of acute care experience, including three years in critical care. In contrast, same-day surgeries are generally elective.
The pandemic demonstrated that capacity was not just about beds or a ventilator, but reliant on the presence of a knowledgeable, highly skilled RN 29,30. Association of nurse staffing and nursing workload with ventilator-associated pneumonia and mortality: a prospective, single-center cohort study. eClinicalMedicine. NHS England.
And Lauren Ferrante has found in a study published in JAMA Internal Medicine that trajectories of disability in the year prior to ICU admission were highly predictive of disability post-ICU, on the same order of magnitude as mechanical ventilation. I want to say like 2017, 2018, something like that. It was amazing. Alex: Yeah.
2018 Systematic Review of Systematic Reviews on ACP. Susan: I will share in Indiana, we actually had that as our legal model, that there was a decision making by committee up until 2018. Alex: What did it changed to after 2018? I don’t need a checkbox form, I don’t need to know about CPR or mechanical ventilation.
In 2018, I was promoted to my current role of managing director of NCPC. In 2018, I became the managing director of the Poison Center and along with my co-director, we have run the organization ever since. I developed bilateral pneumonia and was hospitalized but thankfully not put on a ventilator.
Eric 19:31 So it was interventions like feeding tubes, mechanical ventilation, dialysis at the very end of life. And as I mentioned, this study was proposed in 2018 before COVID The world is vastly different today than it was in 2018. Why did you even bother doing this study? Jennifer 04:34 Yeah, thanks for the question.
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