Applying evidence at the bedside: a journey to excellence in bedside cardiac monitoring.
Bedside cardiac monitoring is a nursing domain, and lead selection is determined by the monitoring needs of the patient. Understanding the rationale behind the evidence empowers the bedside critical-care nurse to make monitoring decisions that best meet the monitoring needs of the patient. This article discusses a journey to move beyond the sacred cows of monitoring and utilize the available literature to make monitoring choices that best meet the needs of each individual patient.
Aultman Hospital, Canton, Ohio, USA. Cindy@cardionursing.com
Cynthia
C
Webner
D003325:Coronary Care Units / Q000458:organization & administration; D003422:Critical Care / Q000458:organization & administration*; D004059:Diffusion of Innovation; D004562:Electrocardiography / Q000295:instrumentation / Q000451:nursing* / Q000639:trends; D055317:Evidence-Based Practice / Q000458:organization & administration*; D006323:Heart Arrest / Q000175:diagnosis; D006801:Humans; D008991:Monitoring, Physiologic / Q000295:instrumentation / Q000451:nursing* / Q000639:trends; D017202:Myocardial Ischemia / Q000175:diagnosis; D009820:Ohio; D019095:Point-of-Care Systems / Q000458:organization & administration*; D017410:Practice Guidelines as Topic; D013041:Specialties, Nursing / Q000193:education / Q000458:organization & administration*; D013686:Telemetry / Q000295:instrumentation / Q000451:nursing / Q000639:trends