NURS9028 Critical Care Nurse Practitioner Assignment

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Assignment Task

Scope of Practice

Outline of health service context

Location: Lookout Road in the suburb of New Lambton in Newcastle.

Affiliation: Hunter New England Local Health District

Capacity:  John Hunter Hospital and John Hunter Children's Hospital are the principal referral and tertiary hospitals for Newcastle and northern New South Wales, Australia. The 796-bed facility is the main teaching hospital for the University of Newcastle, with a significant number allocated to critical care.

ICU Specifics:

The John Hunter Hospital Intensive Care Unit (ICU) is a Level 6 referral centre for critically ill patients in the Hunter New England, Mid North Coast, and Northern NSW Local Health Districts. It serves as the primary centre for:

  • Trauma
  • Neurosurgery
  • Stroke
  • Vascular Surgery
  • Cardiothoracic Surgery
  • Major General Surgery
  • Interventional Radiology and Neuroradiology

Additionally, the ICU supports other Level 5 Intensive Care services in the region and offers:

  • Rapid Response service
  • Intensive Care Liaison service
  • Central line and vascular access support
  • Comprehensive education program, including simulation, small group sessions, large course    administration, and pre-vocational training in Medicine and Nursing
  • Research program.
  • Critical Care Echocardiography Accreditation
  • Hunter Retrieval Service, based within the ICU
  • ECMO (extracorporeal membrane oxygenation) service
  • Organ and Tissue Donation service
  • Total Parenteral Nutrition (TPN) service, including Home TPN
  • Stream leadership to other District ICUs
  • Telehealth services for advice on critically ill patients across the district (HNE Health, 2021)

Research

  • Evidence-Based Practice: The process of implementing the study and translating best practices and the literatures into practice to improve patient care and outcome. Relative to the effort and time devoted to its application, this type of CPD entails less effort and time, but it is crucial because it allows practitioners to remain current with the most recent research findings and apply the new knowledge in their interaction with patients.
  • Participation in Research: Engaging in or initiating clinical research projects with the aim of deriving new knowledge in the conceptualization and delivery of intensive care. Such orientation contributes to the creation of new therapeutic approaches and the enhancement of client’s care.

I lead studies on ICU protocols, such as optimizing ventilator management, which have led to significant improvements in patient outcomes.

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