Recommendations From the Professional Advisory Committee on Nursing Practice in the Care of ECMO–Supported Patients

Author:

Melnikov Semyon1,Furmanov Alex2,Gololobov Alik3,Atrash Muhammad4,Broyer Chaya5,Gelkop Marta6,Gezunterman Slava7,David Tova8,Eisenberg Limor9,Kadry Esam10,Nave Ruti11,Shalom Edna12,Shoval Noga13,Traytel Gregory14,Zaid Nagah15,Goldberg Shoshy16,Vardi Amir17

Affiliation:

1. Semyon Melnikov is a senior lecturer in the Department of Nursing, Steyer School of Health Professions, Sackler Faculty of Medicine, Tel Aviv University, Israel.

2. Alex Furmanov is a head nurse of neuro and cardiothoracic surgery intensive care units (ICUs) at Hadassah Medical Center, Ein Kerem, Jerusalem, Israel.

3. Alik Gololobov is a coordinator of nursing professional development and standards at Assuta Medical Center, Tel Aviv.

4. Muhammad Atrash is a head nurse of the ICU at Baruch Padeh Medical Center, Poriya, Israel.

5. Chaya Broyer is a head nurse of the ICU at Shaare Zedek Medical Center, Jerusalem.

6. Marta Gelkop is a head nurse of the Cardiothoracic Surgery Department at Rabin Medical Center, Petah Tikva, Israel.

7. Slava Gezunterman is an ECMO coordinator in the cardiac surgery ICU at Sheba Medical Center, Ramat Gan, Israel.

8. Tova David is a coordinator, Professional Guidelines and Standards Department, Nursing Division, Ministry of Health, Israel.

9. Limor Eisenberg is a head of the Professional Guidelines and Standards Department, Nursing Division, Ministry of Health.

10. Esam Kadry is a head nurse of the heart surgery ICU at Rambam Medical Center, Haifa, Israel.

11. Ruti Nave is a registered nurse in the ICU at Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.

12. Edna Shalom is a head nurse of the cardiothoracic surgery ICU at Sheba Medical Center.

13. Noga Shoval is a lecturer and clinical coordinator at The Yezreel Valley Academic College of Emek Yezreel, Israel.

14. Gregory Traytel is a deputy head nurse of the Cardiothoracic Surgery Department at Rabin Medical Center.

15. Nagah Zaid is a head nurse of the pediatric cardiac ICU and pediatric cardiac catheterization unit at Sheba Medical Center.

16. Shoshy Goldberg is the National Head Nurse of Israel and the Director of the Nursing Department at Ministry of Health.

17. Amir Vardi is the Head of the pediatric cardiac ICU and the Director of ECMO service at the Edmond and Lily Safra Children’s hospital, Sheba Medical Center.

Abstract

Background By July 2020, the Extracorporeal Life Support Organization had documented more than 133 000 extracorporeal membrane oxygenation (ECMO) implementations, with more than 61 000 implementations in adult patients. No clear policies regarding the authority and responsibility of nursing staff in the treatment of ECMO-supported patients are currently available. Objective To formulate evidence-based recommendations for nursing care of ECMO-supported patients. Methods The National Head Nurse’s office and the Professional Guidelines Department in the Nursing Division of Israel’s Ministry of Health formed the Professional Advisory Committee on Nursing Practice in the Care of ECMO-Supported Patients to address concerns regarding the current state of professional nursing practice in the care of these patients. The Professional Advisory Committee brought together 15 senior Israeli ECMO nursing experts who explored the potential of registered nurses in caring for ECMO-supported patients, considered the competencies of nurses treating ECMO-supported patients, discussed training programs and health care policy, and examined nursing outcomes for quality assurance. Results The Professional Advisory Committee formulated recommendations regarding the following priority issues: (1) determining boundaries of professional authority and nurses’ responsibilities, including designated activities for different professional ranks of registered nurses; (2) providing appropriate content for the training programs offered, such as generic/basic, above-basic, and clinical specialization nursing programs; and (3) defining relevant quality measures for nursing treatment of ECMO-supported patients. Conclusions Introducing international standards would ensure the safety and effectiveness of nursing care for ECMO-supported patients through quality and risk management and establishment of new evidence-based nursing practices.

Publisher

AACN Publishing

Subject

Critical Care Nursing,General Medicine

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