title: Nursing issues in renal replacement therapy: organization, manpower assessment, competency evaluation and quality improvement processes.
abstract: For the patient with acute kidney injury, continuous renal replacement therapy (CRRT) is a treatment option that has application for the hemodynamically unstable critically ill patient. The decision to initiate a continuous renal replacement modality depends not only on the physician, either the nephrologist or intensivist, but also on the availability of specially trained nursing resources. This article will explore the nursing collaborative model of care at a large university-based research and teaching Medical Center in Southern California. The focus will be on nursing issues in CRRT including organization of educational programs, manpower assessment, competency evaluation, and quality improvement processes.
authors.affiliation: University of California San Diego Medical Center, San Diego, California 92103, USA. pggraham@ucsd.edu
authors.forename: Patricia
authors.initials: P
authors.lastname: Graham
authors.forename: Eileen
authors.initials: E
authors.lastname: Lischer
mesh_terms: D058186:Acute Kidney Injury / Q000451:nursing / Q000628:therapy*; D002983:Clinical Competence; D003422:Critical Care / Q000458:organization & administration / Q000592:standards; D006280:Health Workforce; D006436:Hemodialysis Units, Hospital / Q000458:organization & administration* / Q000592:standards; D006801:Humans; D016294:Models, Nursing; D009741:Nursing Staff, Hospital / Q000600:supply & distribution; D017582:Renal Replacement Therapy / Q000451:nursing* / Q000592:standards