American journal of critical care : an official publication, American Association of Critical-Care Nurses
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The death of an infant or child has been described as the most stressful life event, but few reports exist on the effects on parents' physical health in the year after the death. ⋯ After the death of an infant or child, interventions for parents, especially parents with chronic health problems, are best targeted on illness prevention and mental health in months 1 to 6 and 11 to 13 following the death.
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Standards for interfacility transport in the United States recommend that each transport request be triaged to ensure that each patient is transported by an appropriate mechanism and by the appropriate clinicians in order to meet the patient's intratransport needs. No instrument currently exists to meet that need. The Transport Triage Tool, a novel instrument, has been designed to determine the clinician (paramedic, registered nurse, or advanced practice registered nurse) who will best meet the patient's needs during transport. ⋯ The Transport Triage Tool has acceptable predictive validity and reliability; however, this preliminary evaluation indicates that further refinement is needed. Large tertiary centers that offer variations in transport team composition may be able to use the Tool in its present form to train and evaluate individuals who make decisions regarding interfacility transport, although additional testing and evaluation are recommended.
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The unplanned removal of medical devices poses a risk of harm to critically ill patients. ⋯ Unplanned device removal may cause patient harm and is often preventable. The causes and consequences depend on the type of device removed.