Bold Voices - June 2018 - 13

NURSE VOICES

What attracted you to teleICU?
The ability to impact patient care with the available technology. In the ICU and at the bedside, you're running around,
in procedures, dealing with family members. In the teleICU I'm
able to step back and survey the situation. I have time to assess
trends and provide a synopsis of what's going on to my bedside
counterparts. I like that investigative type of nursing - putting
the picture together to relay pertinent information in real time.

How did you prepare for this newer form of practice?

What was your role in crafting the AACN teleICU nursing
consensus statement?
I worked with the task force on writing the exemplars that
accompany the consensus statement. We looked for exemplars that really showed how expanded the role of teleICU has
become and scenarios where teleICU nurses are collaborating
beyond the ICU - in transport, helping with telestroke patients
or other types of health services. We looked at how teleICU
nurses participate in disaster management, so there's a hurricane exemplar. The whole idea was to show that the scope of
practice really had moved beyond what we first thought and
outlined in the original AACN guidelines.

When I began 10 years ago, there wasn't much out there to
prepare you for working in teleICU. There was nothing in the
literature, no certification. Folks didn't understand how a teleICU nurse practiced nursing.
"At the bedside,
It's been an emerging subspecialty of critical
when teleICU came
care for the past few years, but now it's evolving.
to my unit I was very
Today, there's an opportunity to learn about
teleICU and prepare for working in that environ- skeptical. But after
ment. Certification also plays into the teleICU
seeing for myself what
setting, because those nurses tend to be the
those extra nurses
most experienced resources of specialty knowledge for their bedside counterparts.
brought to the table

How will the teleICU nursing consensus
statement advance telemedicine?

It shows that AACN is invested in teleICU nursing.
They not only took the lead by defining the first
teleICU nursing practice guidelines but now have
come back, revisiting it years later to ensure that
it's still in line with what we are practicing, and
updated it to reflect what's current. This is such a
relatively new extended specialty within critical
care, but the most exciting part is showing the
... it turned out to be
In your 10 years serving in teleICU
value teleICU brings to critical care nursing and
the best tool to care
practice, what has changed?
validating it. For teleICU nurses who have diffiI have seen a lot change over the years but
culty articulating their practice, here are experts
for our patients."
mostly in the level of understanding what
who feel that this is important enough to produce
teleICU is all about, and what it can contribute to the patient
a consensus statement that has evolved over time to reflect what
care environment. There's still a lot of education needed. The
teleICUs are actually doing.
biggest change I've seen among teleICU nurses is moving from
that reactive "needing permission" mindset to becoming a
What would you tell a nurse who will now have
more proactive part of the team, seeking to prevent clinical
teleICU assistance?
compromise or decline and trying to catch things earlier.
I would tell that nurse it's nothing to be afraid of; teleICU
[Bedside nurses] have become more accepting of their [teleICU
nurses are their best friend. They are experts in critical care.
nurses'] interventions and recommendations. The trend I'm
They are there for their benefit and for the patient, and they're
most pleased with is the teleICU's impact on patient outcomes,
interested in the best outcome for the patients. They are not
mortality, length of stay and compliance to best practices.
there as big brother watching. They are there as an extra set of
Also, in many teleICU settings there's a central hub, bringing
eyes to surveil vitals and support them as they care for their
different hospital critical care units together under one
most vulnerable patients. We're partners. At the bedside, when
umbrella for a standardized approach to care. That's what I
teleICU came to my unit I was very skeptical. But after seeing for
see as people and institutions grow more comfortable with the
myself what those extra nurses brought to the table - the availtechnology.
able technology and time they had to assess trends and really
delve into what's going on - it turned out to be the best tool to
care for our patients. d

www.aacnboldvoicesonline.org 13


http://www.aacnboldvoicesonline.org

Table of Contents for the Digital Edition of Bold Voices - June 2018

Urine
The Power of Possibility
Sepsis: What Nurses Can Do
New Sepsis Bundle From Surviving Sepsis Campaign
Understanding CERPs for Specialty Certification Renewal
In Our Journals
Transitions
America’s ‘Other’ Drug Problem Needs Attention
Effect of Haloperidol on Reducing Mortality
Transitional Care Nurses Can Reduce Admissions of Older Patients
ASHP Developing Standardized Medication Concentrations
Online AACN Course on Care of Older Adults
Hospital Programs Help Employees Cope With Traumatic Events
National Summit on Identification, Prevention and Management of Burnout
Barbershops Help Black Patrons Control Hypertension
Nurse Treats Himself for Myocardial Infarction Using Telehealth
We Have Consensus: TeleICU Continues to Evolve
Cooking Classes Help Patients With CHF
Beware of Chicken Nuggets — and Other Ultra-Processed Foods
Apple Watch Might Randomly Reboot in ICUs
Wound-Monitoring App Helps Reduce Hospital Readmissions
All Antidepressants Beat Placebo for Acute Major Depressive Disorder
Patients’ Online Search Trends
‘Timeout’ Reduces Medication Errors
Possible Link Between High Fitness and Reduced Risk of Dementia
DAISY Award Honors Nurses Who Exemplify Exceptional Compassion and Skill
Interviews With Two Acute Care Nurse Practitioners
Hiring for Cultural Fit
AACN Unveils Updated Online Pharmacology Course
Appreciating the Little Things
Bold Voices - June 2018 - Cover1
Bold Voices - June 2018 - Cover2
Bold Voices - June 2018 - Urine
Bold Voices - June 2018 - The Power of Possibility
Bold Voices - June 2018 - New Sepsis Bundle From Surviving Sepsis Campaign
Bold Voices - June 2018 - Understanding CERPs for Specialty Certification Renewal
Bold Voices - June 2018 - Transitions
Bold Voices - June 2018 - Effect of Haloperidol on Reducing Mortality
Bold Voices - June 2018 - Online AACN Course on Care of Older Adults
Bold Voices - June 2018 - National Summit on Identification, Prevention and Management of Burnout
Bold Voices - June 2018 - Nurse Treats Himself for Myocardial Infarction Using Telehealth
Bold Voices - June 2018 - We Have Consensus: TeleICU Continues to Evolve
Bold Voices - June 2018 - 13
Bold Voices - June 2018 - Beware of Chicken Nuggets — and Other Ultra-Processed Foods
Bold Voices - June 2018 - Wound-Monitoring App Helps Reduce Hospital Readmissions
Bold Voices - June 2018 - Patients’ Online Search Trends
Bold Voices - June 2018 - Possible Link Between High Fitness and Reduced Risk of Dementia
Bold Voices - June 2018 - DAISY Award Honors Nurses Who Exemplify Exceptional Compassion and Skill
Bold Voices - June 2018 - 19
Bold Voices - June 2018 - Hiring for Cultural Fit
Bold Voices - June 2018 - AACN Unveils Updated Online Pharmacology Course
Bold Voices - June 2018 - Appreciating the Little Things
Bold Voices - June 2018 - Cover3
Bold Voices - June 2018 - Cover4
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