----- Original Message -----Sent: Friday, March 21, 2008 9:39 AMSubject: RE: [mpoweryournurses] Re: Cardiac arrest survival is worse on nightshift and weekends.
I need copies of unit educator job descriptions /requirements .Does anyone have any to share ?Patricia A.Didion, MSN RNClinical Nurse SpecialistFirelands Regional Medical CenterSandusky, OhioPh: 418 557 7839
From: mpoweryournurses@yahoogroups. [mailto:mpoweryourncom urses@yahoogroup s.com] On Behalf Of Kathy Mac
Sent: Friday, March 21, 2008 8:24 AM
To: mpoweryournurses@yahoogroups. com
Subject: Re: [mpoweryournurses] Re: Cardiac arrest survival is worse on nightshift and weekends.
Our positions are all filled. You can read about the value in my article:Critical Care Nurse June 2004 Breaking Tradition. May have some insight
Kathleen McCarthy"Education costs money, but then so does ignorance"- Sir Claus Moser
----- Original Message ----
From: Joan Ahern <JAhern@centinelamed.com>
To: "mpoweryournurses@yahoogroups. com" <mpoweryournurses@ yahoogroups. com>
Sent: Thursday, March 20, 2008 10:08:37 AM
Subject: RE: [mpoweryournurses] Re: Cardiac arrest survival is worse on nightshift and weekends.
What a treat, do you need an educator J
From: mpoweryournurses@ yahoogroups. com [mailto:mpoweryourn urses@yahoogroup s.com] On Behalf Of Kathy Mac
Sent: Wednesday, March 19, 2008 3:39 AM
To: mpoweryournurses@ yahoogroups. com
Subject: Re: [mpoweryournurses] Re: Cardiac arrest survival is worse on nightshift and weekends.
We have night educators 1 for critical care and 1 for med surg that work during the 7p-7a shifts each of them 4 days a week and may not necessarily be on the same night. They also work weekends, round on the units and respond to every code.
Kathleen McCarthy
"Education costs money, but then so does ignorance"
- Sir Claus Moser
----- Original Message ----
From: " tourette@sbcglobal .net " < tourette@sbcglobal. net >
To: mpoweryournurses@ yahoogroups. com
Sent: Tuesday, March 18, 2008 9:51:05 PM
Subject: [mpoweryournurses] Re: Cardiac arrest survival is worse on nightshift and weekends.
On day shift there is ususally enough MD's around to respond. Having
access or should I say, no access to MD's at night has always been a
problem. Also the response time when calling a MD at night can impact
patient outcomes.
Joan
--- In mpoweryournurses@ yahoogroups. com, "David Woodruff"
<dwoodruff@. ..> wrote:
>
> In a recent study reported in the February 20, 2008 issue of JAMA,
> Dr. Peberdy and Associates found that survival from cardiac arrests
> was worse on nightshift and on weekends. Many previous studies have
> also determined that other medical errors are higher at night and on
> weekends as well. The author suggests some explanations for the
> discrepancies such as differences in staffing levels, expertise of
> personnel, and monitoring practices.
>
> Given that staffing levels will probably always be less on nightshift
> than on dayshift, the nurses working the nightshift need to have more
> resources available to them to appropriately respond to emergency
> situations. In addition, the nightshift often hosts the more junior
> staff who may be lacking in their assessment skills. The researchers
> did not suggest a specific mechanism causing the decrease in survival
> but it is likely that a delay in assessing and/or treating the
> cardiac arrest is what caused the poor outcomes.
>
> Nightshift staff need training, mentors and additional resources so
> that they can respond appropriately to emergency situations when
> staffing is lacking.
>
> From:
> Perberdy, M.A. et al. (2008). Survival from in-hospital cardiac
> arrest during nights and weekends. JAMA, 299; 785.
>
> Best wishes,
> David W. Woodruff, MSN, RN, CNS, CEN
> President, Ed4Nurses, Inc.
> www.Ed4Nurses. com
>