Critical Care Procedures by the Advanced Practice Provider
Advanced practice providers (APPs) are utilized in a variety of healthcare settings to provide safe effective care to patients with acute and chronic illnesses. APPs are licensed, board-certified, and credentialed to perform various diagnostic and therapeutic invasive procedures within their scope of practice. Studies have shown that outcomes of procedures performed by APPs are the same or better when compared to procedures performed by medical residents and attending physicians. This chapter discusses briefly the role of the advanced practice provider in caring for the acutely ill cancer patient in a critical care setting and special considerations when performing invasive procedures in cancer patients.
KeywordsAdvanced practice provider Acute care nurse practitioner Physician assistant Intensive care unit Invasive procedures Central venous catheter Arterial line Intubation
- 8.Kaufman RM, Djulbegovic B, Gernsheimer T, Kleinman S, Tinmouth AT, Capocelli KE, Cipolle MD, Cohn CS, Fung MK, Grossman BJ, Mintz PD, O’Malley BA, Sesok-Pizzini DA, Shander A, Stack GE, Webert KE, Weinstein R, Welch BG, Whitman GJ, Wong EC, Tobian AAR. Platelet transfusion: a clinical practice guideline form the AABB. Ann Intern Med. 2015;162(3):205–13.CrossRefGoogle Scholar
- 11.Kuter DJ (2015) Managing thrombocytopenia associated with cancer chemotherapy. Oncology 29(4):282–294. Accessed 20 Aug 2018 at http://www.cancernetwork.com/oncology-journal/managing-thrombocytopenia-associated-cancer-chemotherapy.
- 13.National Council of State Boards of Nursing (2008) Consensus model for APRN regulation: licensure, accreditation, certification, and education. Accessed 20 Feb 2018 at https://www.ncsbn.org/Consensus_Model_for_APRN_Regulation_July_2008.pdf.
- 14.Ulmer C, Miller Wolman D, Johns MME. Resident duty hours: Enhancing sleep, supervision, and safety. Institute of Medicine (US) Committee on Optimizing Graduate Medical Trainee (Resident) Hours and Work Schedule to Improve Patient Safety. Washington, DC: National Academies Press (US); 2009. Accessed 20 Feb 2018 at https://www.ncbi.nlm.nih.gov/books/NBK214946/Google Scholar
- 15.Yousif A, Chaftari AM, Michael M, Jordan M, Al Hamal Z, Hussain A, Elizabeth N, Jiang Y, Hachem R, Raad I. The influence of using antibiotic-coated peripherally inserted central catheters on decreasing the risk of central line-associated bloodstream infections. Am J Infect Control. 2016;44(9):1037–40.CrossRefGoogle Scholar