Critical Care Outreach

Following the publication of the department of health document - Comprehensive Critical Care (2000), the majority of hospitals in England have set up Critical Care Outreach Teams. The Government provided a significant sum of money for hospitals to set up outreach services. There are now calls for an evaluation of their impact. The book is set out in five key sections. Each section features chapters that address the conceptual and real life issues. In each section there is a chapter, set out as a case study example, demonstrating how innovative practices and service developments are going on around critical care outreach. The book will draw upon the knowledge, experience and clinical expertise of senior critical care nurses and doctors from a critical care network. The book will have a definite practical application and will provide tips to enhance practice. Chapters contain useful 'how to' guides, prompts for critical thinking and case studies. Very little has previously been published on this topic

Lee Cutler, Nurse Consultant Critical Care, Doncaster Royal Infirmary

Wayne Robson, Nurse Consultant Critical Care, Royal Hospital

List of Contributors

vii

Part I The Evolution of Critical Care Outreach

1

(36)

1 The Origins of Critical Care Outreach

3

(10)

Derek Bainbridge

2 Designing an Outreach Service

13

(24)

David Wood

Audit Case Study: Scoring All Observations Compared with Scoring on Concern

31

(74)

David Wood

Part II Clinical Practice in Critical Care Outreach

37

(104)

3 The Initial Assessment and Care of the 'At Risk Patient'

39

(16)

Jeremy Groves, Jayne Tague and Lee Cutler

4 Specific Clinical Problems

55

(34)

Lee Cutler, Elaine Shaw and David Wood

5 Sharing Critical Care Skills

89

(28)

Lee Cutler, Kathryn Warren and Rinky Inglis

Case Study: The Use of High Level Clinical Simulation in Critical Care Nurse Education

105

(28)

Lee Cutler and Judith Cutler

6 Role Expansion and the Critical Care Outreach Nurse

117

(24)

Lee Cutler and Denise Honnor

Case Study: Expanding the Role of the Nurse in Critical Care Outreach

133

(74)

Elaine Shaw

Part III Continuity of Care for the Critically Ill

141

(40)

7 Transferring Patients from Critical Care to the Ward

143

(18)

Wayne Robson

8 Critical Care Outreach Follow-up

161

(12)

Kate Bray

9 Patient Diaries

173

(8)

Wayne Robson, Gayle Wheeldon and Denise Penney

Part IV Managing and Supporting Outreach Practitioners

181

(1)

10 Establishing and Managing a Critical Care Outreach Team: A Practical Approach

183

(58)

Alex Larkin

Case Study: The Role of the Physiotherapist in the Critical Care Outreach Team

207

(8)

Alex Larkin and Sally Knightly

11 The Learning Needs of Critical Care Outreach Practitioners

215

(26)

Lee Cutler

Part V Developing and Evaluating Critical Care Outreach

241

(1)

12 Managing Change in Critical Care Outreach: A Toolkit for Practice

243

(38)

Nicola Platts and Sue Shepherd

13 Evaluation of Critical Care Outreach: Are the Resources for Outreach Justified?

269

(12)

Paul Whiting and David Edbrooke

Index

281

What is included with this book?

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Critical Care Outreach

Summary

Author Biography

Table of Contents

Supplemental Materials