Sunday, November 2, 2003

This presentation is part of : Adult Critical Care: In and Out of the Hospital Setting

Taking Critical Care from the Bedside to the Roadside

John M. Clochesy, PhD, RN, CS, FAAN, FCCM and Christopher Manacci, MSN, RN, CCRN, CFRN. Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, OH, USA
Learning Objective #1: Describe the evolution of advanced practice in acute and critical care nursing
Learning Objective #2: Describe partnerships necessary for successful implementation of a new advanced practice nursing role (acute care nurse practitioner/flight nurse specialist)

PURPOSE: This project prepares acute care nurse practitioners (ACNPs) to provide advanced assessment, diagnosis and life-sustaining interventions to the acutely ill and injured outside of the hospital.

COLLABORATORS/DIVERSE PARTNERSHIP: CWRU, The National Flight Nurse Academy, CWRU Bioterrorism Response Task Force, MetroHealth Medical Center, Metro Life Flight (MLF), University Circle Police, Sarah Cole Hirsh Institute for Best Nursing Practice Based on Evidence, CWRU Alumni Advisory Committee, Industry Advisory Committee, and consultants from the United States Air Force and the National Aeronautics and Space Administration.

APPROACH: With the internationally recognized MLF, CWRU is extending its pioneering ACNP program to prepare advanced practice nurses to provide advanced assessment, diagnosis and life-sustaining treatment to the acutely ill and injured who are located a distance from definitive care at tertiary care medical centers. This program prepares ACNPs to bring advanced assessment and intervention from the hospital to the roadside to improve access to the services needed to improve chance of survival after injury or illness for those who live in more rural areas.

This 48-semester hour graduate program is built on a solid foundation of scientific inquiry, professional practice, advanced physiology and advanced pharmacology. Three ACNP clinical courses include more than 660 hours of clinical experience. Three courses focus on environments of care and caring for children as well as adults with common medical emergencies and injuries. These ACNP and Flight Nursing courses are followed by a 600-hour advanced internship with MLF.

Individuals with this training are the first in the civilian sector prepared to provide this high level of critical care assessment, diagnosis, and definitive treatment in unstructured, away-from-the-hospital environments. Program graduates can serve as a “ready reserve” across the country and are poised for rapid deployment to provide necessary critical care services at the scene of a natural or technological disaster.

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