ABSTRACTS from 16th International COnference on ... - CRRT Online

<strong>ABSTRACTS</strong> FROM 17 TH INTERNATIONAL CONFERENCE ON CRRT,
SAN DIEGO, FEB 14-17, 2012
patients should be mobilized to prevent
complication caused by bedrest.
Mobilizing the patients to a chair
strengthens the patients integrity and
experience of normality. Method:
Before mobilization the patients have to
be screened that the mobilization <strong>from</strong>
bed to chair is safe. This includes:
contraindications , haemodynamic,
respiratory , level of consciousness, pain,
BMI, location of the dialyses catheter
Preparing the mobilization: secure
invasive catheters , change the dilution
fluid and drain the filtration bag to avoid
these interventions during the
mobilization, Information and accept
<strong>from</strong> the patient: important to make a
deal about the duration of the
mobilization , appropriate location of the
equipment ; organize help <strong>from</strong>
colleagues ; delegate the responsibility
of the invasive catheters, the ventilator
etc. It may be necessary to make a
reduction of the blood flow during the
mobilization. The patient will be
mobilized with a ceiling fitted lift <strong>from</strong>
bed to chair. The monitoring is
sequential during and after the
mobilization . The patient has the
opportunity to watch TV, listen to the
radio and have visitors for an equal
communication face to face. Results:
In a period of 12 days we registered the
patients who received CRRT compared
to sedation, assist ventilation and
mobilization. CRRT: The unit treated
44 patients. 6 patients received CRRT.
Sedation: 2 of the 6 patients (33%) were
sedated (respectively 12 and 5 days).
Assist ventilation: 6 patients was
intubated (1%). Mobilization: 5 of the 6
patients were mobilized during CRRT
(83%) . Conclusion: Our experience and
assessment is that patients treated with
CRRT can be mobilized. Before
mobilization the patient must be
screened, too ensure the safety of the
mobilization <strong>from</strong> bed to chair.
83. RN Staffing in a Pediatric CRRT
Program
Scott Ludes, Kristina J Burger
All Children's Hospital, Saint
Petersburg, FL, USA
Introduction: Pediatric use of CRRT is
limited in the United States, limiting the
amount of available data and statistics
available to set benchmarks or outcomes.
Additionally, RN staffing needs during
therapy has not been established, and
many variances exist between providing
centers. The purpose of this study was to
collect data regarding Registered Nurse
(RN) staffing of CRRT patients and
determine if a relationship exists
between RN staffing ratios and time off
circuit for troubleshooting and/or circuit
changes. Data was also collected to
assess the time between physician order
and initiation of therapy. Objectives:
This study explored the following
research questions: 1. What is the
relationship between nurse-to-patient
staffing and time off circuit for
troubleshooting? 2. What is the
relationship between nurse-to-patient
staffing and time off circuit for circuit
tubing changes? 3. What is the mean
time between physician order for
initiation of CRRT and time therapy has
begun? Methods: A retrospective chart
review was the design for this study. The
population is patient’s who have
received CRRT over the past 5 years at
All Children’s Hospital in the pediatric
intensive care unit and cardiovascular
intensive care unit. Patients who have
had CRRT running concurrently with
Extracorporeal Membrane Oxygenation
(ECMO) were not included in the study.
Results: The sample size was 84
187