A critical care transport nursing job requires extensive knowledge and experience. The main focus of a nurse in this job is to take care of the wounded patient. Additionally, a critical care transport nurse also assesses the needs of the victim while he is being transferred from scene of the accident to the hospital.Since this job requires the nurse to be responsible for the patient during transport, and to handle any emergency that may arise along the way, it does put the nurse in a highly demanding and time sensitive place, especially when the patient presents a risk of death. This can often lead to the nurse feeling overwhelmed and stressed. That’s the main reason why critical care transport nurses requires various personal qualities. They not only need the requisite qualifications, but also need to be quick on their feet with good mental and physical reflexes to help them cope with any emergencies.Most aspirants find that a job in this area of transport nursing can be considered one of the most interesting and well-paying jobs in this field, available to those starting their education to pursue a nursing degree. To make headway in this area, however, it will help to not only have a nursing degree, but also other specializations in other health care skills.A job as a critical care transport nurse boasts of being one of the top paying healthcare jobs in the United States, and also in other developed countries like Australia, Canada or UK. Compared to physician assistants who make $82,000 a year, and physical therapists salaries that may reach $75,000 annually, on an average a nurse gets paid $67,000 a year, and an RN can even make more.A critical care transport nurse has an option to be specialized in many other sub-categories, like a specialization as a flight nurse. This explains why nurses in this branch of nursing have many more choices for career diversification and growth, and the possibility to make an even more lucrative nursing salary.There are some nursing schools that offer complete transport nursing training programs, but to be accepted to these programs nurses need to have at least 2 years of nursing experience. However, there are a few regular schools that are more flexible and don’t have this requirement. These programs have courses that offer nurses an increased chance of success in getting jobs in this highly competitive and demanding field. Most of these courses include basic trauma life support, a trauma nurse core course, basic and advanced cardiac life support, critical incident stress debriefing and an intensive/critical care core course.In summary, being a critical care transport nurse is not an easy job and is not for the faint-hearted; in fact, the necessary education and experience can take years to complete. That said, it is definitely a career worth considering, because being a critical care transport nurse is not only a financially rewarding experience but a very fulfilling one as well.
The Maintenance of Certification for critical care medicine exam is designed to test how far the candidate’s knowledge stretches in areas in which he or she is expected to perform at his or her best as a critical care physician. Also, the examinee will be assessed on his clinical judgment especially on the diagnosis and management of rare and common conditions in the critical care unit. CME credits may not be required to pass and even take the exam; however, CME activities will definitely assist you in staying on top of the latest discoveries and technologies in your field. It is never enough that you work as a critical care physician; you must pair it with continuing medical education activities to get the perfect blend of traditions and latest innovations.Basically, the content of the Maintenance of Certification for critical care medicine exam is in line with the blueprint established by the Test and Policy Committee on Critical Care Medicine. However, the test questions are revised every year to make sure that they are current. Remember that answers can easily change and the significance of a question may also change. This is why CME is essential if you want to achieve success in this test. Without it, how else can you keep up with the ever-changing test questions? Additionally, training program directors and critical care medicine trainees provide feedback on the test blue print from time to time.Over three-quarters of the questions are based on patient case studies that occur or may have occurred in real life practice. Some of the questions will only require a simple recall of what you have learned when you were still in med school; for some of the questions, however, you will need to integrate knowledge from several sources and really analyse and understand beyond the questions. In fact, there are some questions that will ask you to interpret pictures or even ECG readings. Therefore, you really need to prepare for this test; both mentally and physically.How prepared are you for the Maintenance of Certification in critical care medicine secure exam? So tell me, are you ready for this test? Here are some of the things you can do to make sure you pass the test in one take:1. Know What You Are Up Against. Before taking this test, or any other test for that matter, you should have a clear idea of what to expect; from the tiniest details like the examination venue to the biggest of things like the coverage of the exam. If you know these things ahead of time, you will know what to focus on while reviewing for the exam.2. Take Care of the Minor Details. Minor details like exam date and process are often overlooked; but those tiny specifics can actually cause the biggest amount of stress. Before the day of the exam, make sure that you already have all this information so that you only worry about the test itself on that day.3. Engage in CME. Continuing Medical Education is key to your success in this test. As I have mentioned, the test questions are revised every year to keep them up to date. Therefore, you need to keep up with test questions. What better way to do that than to engage in CME activities?These three tips are all you need to get the results you need for the MOC in critical care medicine exam.
Critical care specialists in New York are board certified doctors who provide many different services to patients who are critically ill. Most of these specialists are cross-trained in the fields of internal medicine, nephrology and pulmonology. These physicians offer outstanding services to individuals that covers their entire spectrum of medical conditions as well as provide management of treatments and help not only patients get through these difficult times, but family members as well.Nephrology Critical Care SpecialistsCritical care specialists of nephrology are trained and experienced in treating patients with acute kidney failure or chronic kidney disease. Services include consultation and management of patients with serious kidney failure and those who need hemodialysis. Chronic kidney failure can be caused by many different conditions. These include hypertension, kidney stones, glomerulonephritis, vasculitis, lupus nephropathy, diabetic nephropathy and hematuria. They also assist those who may be candidates for kidney transplants as they evaluate and refer individuals for transplantations.Pulmonology Critical Care SpecialistsSpecialists of pulmonary diseases provide their expertise on treatments and management of chronic lung disorders. These include such conditions as chronic bronchitis, emphysema, allergies and asthma. Other chronic lung diseases that may require the attention of these highly trained professionals include tuberculosis, lung cancer, pulmonary hypertension, fibrosis, hemoptysis and interstitial lung disease.Being cared for by a critical care doctor in New York can provide patients who suffer from a variety of serious life threatening disorders with comprehensive treatment, helping to provide a better quality of life for the individual as well as offering family support. Most critical care doctors treat clients with conditions such as acute respiratory distress syndrome, congestive heart failure, respiratory failure, anemia, sepsis and bleeding disorders. Procedures provided include arterial line placement, intubations, central line placements, hemodialysis, swan ganz catheter placement and plasmapheresis.Patients who are hospitalized will continue to be provided with subspecialty consultations and management. This includes critical care as well as general medicine. These specialists also provide discharge plans keeping costs and length of hospital stays at a minimum by using home health options as well as rehabilitation. Their main goal is to provide optimum concern to their patients with the intentions of helping them return to health. They also seek to optimize the individual’s potential to deal with limitations that are due to their illness. With the services provided by these expert physicians, patients and family members can be confident that the patient is receiving the best possible attention.
Managing fatal injuries or illnesses is the main objective of critical care medicine. There may be various types of organ support systems needed by patients who are critically injured or ill to survive. In the intensive care unit or the ICU various equipments are fastened to the patient’s body.People who have specialized in Critical care take care of them. There is 24 hour vigilance over the condition of the patient so as to ensure instantaneous intervention if there is any problem in the patient’s condition. There is a monitor attached to almost all patients which measures the breathing and heart rate of the patient. The staffs get alerted if they hear the beep of the monitor.It does so only when there is a decrease in the normal range in the patient’s body functions. There may be tubes fastened to the patient’s body in the ICU. These may be inserted into their veins to administer the needed medicines into their body. These are required for the patient to recover. There may be tubes inserted into the nose and stomach of the patient too, which in order to prevent throwing out and gets rid of the gases from the stomach.If the patient finds it hard to breath, mechanical ventilators are used to facilitate breathing by supplying oxygen to the patient’s lungs. Several problems and disorders like acute respiratory distress syndrome are treated by Critical care professionals. Here the lungs stop functioning abruptly. Infection of the lungs or illness may cause this condition.Placing the patient in Mechanical ventilator would help the patient retrieve breathing. Trauma is also specialization of these doctors and the staff under them. Motor vehicle accidents and other types of incidents cause serious injuries to thousands of people. Intensive care for life support and further surgery are needed to make these patients survive.People whose condition are critical and near death are treated by critical care specialists. If these doctors are not there to help they might die. Emergency care units in hospitals employ critical care to bring these patients to normal from the fatal conditions they are pushed into by accidents and illnesses. Intensive vigilance, life support, care of people with lethal diseases are done in the critical care area of the medical field.
Many times when a person has been severely injured they will be placed in the critical care unit of a hospital. This unit is designed for those people that are looking at a fatal condition or illness. These people require constant care around the clock.The people who work in a critical care unit are considered to be the “angels” of the medical world. The people, who have devoted their lives to taking care of these ultra-sensitive patients, have made a commitment to providing care to those that are in a critical care situation.Many of the patients consist of either people that are facing a terminal illness or have had some sort of trauma that requires special attention be given to their medical issues. These patients are often times given a low chance at recovery, but the nurses that work this unit see things in a different way, they see each patient as a chance at survival and renewal of life.Beyond the care that they provide the patients, there is the human side that is often times shown to the family of these patients. Many times the families feel like there is no one there for them when they need someone. The nurses that work a critical care unit have a way of listening to a person and letting them know they are not alone in this issue.This reassurance can often times be comforting to a person when they need it the most. It is the job of these nurses to be there both for the patient and the family. There have been a lot of changes that have come to the critical care unit since the early days in the 1920’s.Today many critically injured patients are given a better chance at survival given the advancements that have been made in the world of medicine. There was a time when a person that was admitted to one of these units was not expected to recover.There is a lot more of training that one of these nurses will need to go through. The reason behind this is due to the fact that a nurse in the critical care unit has to be in a position to provide extra care than what a standard nurse is used to. There is a longer training and certification period that is required for these nurses.These nurses are also a vital part of an emergency room. They are often times the first ones that come across a trauma case in the ER. These nurses and staffers have a special ability, due to their work in critical care, to address the unique challenges of the ER and its patients.As long as there are critical care patients, there will be a need for trained people to work these units. There will continue to be advancements in medicine that will help in the recovery process. This will lead to a person being able to recover from these life threatening situations and as a result will allow them to leave the hospital after making a full recovery.
Critical care is what you need when you are dying. If you have ever been waiting in the emergency room, then you have probably seen other people get in before you that needed critical care. Their lives are being threatened, and without the critical care, they would die. That is why they get to see the doctor first.If you are at risk to need critical care at any given moment, it can help if you live close to somewhere that can provide it. There are many people who live hours away from any medical center. They have grown up using home remedies to cure ailments. Well, home remedies are great, but sometimes it can help to have a trained professional help you during a critical hour.It is still dangerous to give birth to a baby. Still, most mothers survive giving birth in a hospital. This is just one example of how medical science is better than home remedies in serious circumstances. Now, when the situation isn’t that serious, then I am all for the home remedy. I think it is far better for people to be cured without having to pay a lot for it.Let’s change gears for a moment. In today’s day and age, people are absolutely thrilled by the excitement of critical care. The shows on television that deal with critical care usually receive very high ratings. People love to watch these shows.What is it about critical care that is so exciting? What is it about doctors that attract people so much? Why do we love to watch these shows, but when it comes time to be treated, we get so scared?It’s easy to trust a doctor before you actually have to use one. They are a stranger. They aren’t the doctor you have seen on the television each week. They are someone strange that you have never met before. When you need this type of care, you want someone you know to give it to you. Well, chances are that isn’t going to happen. Doctors don’t usually treat people they know because they’ll care too much to think straight.I bring this all up to show how upside down the world is. If you need critical care then you should get it. You shouldn’t worry about how the doctors are different than the ones on the television. You shouldn’t worry about your home remedies being sacrificed. You should respect the fact that you are in a dangerous situation, and you need the best help.Critical care is a very serious thing. It shouldn’t be dealt with lightly. People in a hospital realize this. They give the best care they can.I hope that this article will help you realize how important it is to receive professional treatment when you are in need of critical care. When you are very sick, it isn’t time to guess at what to do. You need to have a plan, and your plan should be the hospital. That is where you have the best chance at living.
Critical Care is the direct care of the provider rendered to a critically ill or injured patient who requires exclusive attention of the physician. This means a full attention of the physician to the injured or critically ill patient.Critical Care services will require full personal management by the physician. It is an intervention with life and vital organ systems’ critical condition, life threatening and deterioration. It requires the physician’s full assessment and manipulation to prevent further life threatening deterioration in the patient’s condition.Critical Care involves High Complexity in Medical Decision Making to assess and manage the life threatening, clinically impaired and injured patient. Vital organs such as but not limited to: central nervous system failure, circulatory system failure, shock, renal, hepatic, metabolic or respiratory system failure.Critical Care is NOT necessarily rendered in the ICU or CCU. Critical care is always based on the patient’s condition as described above. Therefore, a stable patient in an ICU or CCU is not always a critical care service.The rendering physician must devote his full attention on the patient and must not be interrupted by seeing other patients.99291 – Critical Care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes99292 – each additional 30 minutes (in conjunction with 99291)The following procedures services are bundled in reporting Critical Care Services and are not billable during the critical care service provided on the same day by the same physician:1. Interpretation of the Cardiac Output Measurements (93561, 93562)2. Chest X-rays (71010, 71015, 71020)3. Pulse Oximetry (94760, in computers ECGs, blood pressure, hematologic data (99090)4. Gastric Intubation (43752, 91105)5. Temporary Transcutaneous Pacing (92953)6. Ventilatory Vascular Access Procedures (3600, 36410, 36415, 36540, 36600)Medical Necessity Documentation:Proper documentation must be recorded on the patient’s records and proof of medical necessity why Critical Care Service is rendered.Illustration on how to bill Critical Care Service:Less than 30 minutesUse the appropriate E/M Code30 min to 1 hr and 14 min (30-74mins) – 99291 (1 unit)1 hr 15 min to 1 hr 44 min (74-104 mins) – 99291 (1 unit)+99292 (1 unit)1 hr 45 min to 2 hr 44 min (105-134 mins) – 99291 (1 unit)+99292 (2 units)Modifier 25 and Modifier 24 can be used to bill with Critical Care Services codes (be guided with other procedures which are bundled with Critical Care Services – see above).For more references: Consult your CPT code books. The National Correct Coding Initiative (NCCI) and third party payer payment policies and guidelines
Critical caring medicine is used to provide life or organ support to patients who are critically ill or injured and require special monitoring. These patients normally suffer from respiratory or airway compromise, renal failure blood instability, or the effects of many organs failing. Patients who have not been stabilized to the point where they do not require intensive monitoring after a major are also given critical care.This idea of critical caring has been developed as a crucial area of caring for a patient as medical technology and medicine advances. The critical care units first came after world war two to care for patients that required close monitoring and care. In those days, the patients that were most in need of care were located closest to the nursing station while the others were located further away. As a result, the patients were rotated constantly dependent on the need and the availability of beds.Critical care nurses deal with the response of humans to life threatening traumas. To become a critical care nurse all that is required is for you to be a registered nurse (RN) and trained, obtaining a critical nursing certification is not a must. However, majority of the employers prefer nurses who have been certified in the field, as these nurses would have the skill and knowledge required for the job. To become certified a nurse must provide care for patients who are critically ill for at least 2 years and then they take the exam.A critical care nurse is required to work under the nursing supervisor and care for the patients to which he or she has been assigned to. The tasks involves performing treatments, dispensing all medications and maintaining accurate and complete records for each patient. This nurse should be able to identify when a patient in critical care is experiencing complications, and be able to operate the different equipments in the critical care unit. This nurse is also required to help the doctors carry out procedures and treatments which is inclusive of sterile treatments.It is recommended that each critical nurse be assigned 2 patients at most, however this may not be what happens in some hospitals depending on their staffing number. Hospitals in the United States can have up to 24% of the beds that are available for critical care patients. In this unit special and comprehensive care is provided 24/7. The rooms are built with glass walls to facilitate the constant supervision of the patients. In most cases the unit may have specified visiting time, with the visitors being restricted to family members only, so as to allow the staff to work at their optimum level without the influences from outside, compromising the care given.Critical care doctors treat conditions that are threatening a patient’s life, organ or limb. This area is a medical specialty because it is necessary to provide instantaneous diagnosis along with managing urgent aspects of the patient’s injury or illness. Doctors in the unit must have a wide field of knowledge inclusive of trauma management, surgical skills, airway and cardiac life-support. The medicines used in critical care, include both general medicines and specialized medicines which are used to diagnose conditions and stabilize the patient.
Whenever the term critical care is mentioned – most people immediately think about severely sick patients in intensive care units or ICUs. They are not mistaken. Intensive Care Units and Critical Care specialized areas in the hospital that care for patients in need of intense and one on one attention. These are the areas where a critical care nurse Practices.What is a Critical Care NurseA Critical Care Nurse or a CCN is a highly specialized nurse that has been trained to work in Intensive Care areas. They are nurses that care for patients who are severely ill and in need of individualized care. A CCN cares for patients of all diagnoses and gender. Patients may vary depending on this category. Critical care nurses also deal with complex technology that helps sustain patients.The HistoryThis type of nursing is a relatively new nursing specialty. It wasn’t until the 1950’s that the very first Intensive Care Units appeared in the Western world. These units were created to deal with gravely ill patients. They were considered to need a more intensive form of care compared to the patients in the regular wards. The notion of an intensive care unit quickly spread. Today, most hospitals are required to have these specialized areas and in turn specialized nurses and physicians to run them.Back then, nurses assigned in CCUs and ICUs were not seen as different from regular ward RNs. It was only a few years later that CCN was considered as a specialized nursing field.Roles of a CCNLike any other registered nurse, the roles of the critical care nurse are very complex. These nurses have to deal with severely ill patients. They also need to be familiar with complex technologies that are continually present in a critical care setting. The critical care nurse also has to know basic and advance life support. Such skills may be called upon at any point during his/her service.The critical care nurse must also be skilled in the art of diagnosis. He/she must be able to diagnose and identify a patient’s immediate needs. This part of nursing is important as it may be the difference between life and death for a patient. Nonetheless, the nurse must remember that despite being skilled at diagnosis, one must not overstep her boundaries and perform roles reserved for a physician alone.Aside from dealing with patients and their needs, the CCN also has to deal with the patient’s family. The CCN often works as a counselor that helps the family get through the crisis at hand. He/she may have to deal with questions and concerns from the patient’s immediate family and significant others.Qualifications and RequirementsIN THE PHILIPPINES – Locally, any registered nurse can become a critical care nurse. It is only a matter of area assignment. Most of the time, nurses who are assigned in critical care units are those who have shown promise in their previous areas of exposure. They are also the ones who have worked in similar areas such as medical/surgical or pediatric units.ABROAD – Abroad, in the US specifically, there are no specialized requirement to be a critical care nurse other than an RN License. However, there are bodies of authority that certify CCNs.Although, certification is not required, most CCNs abroad are choosing to go for it because it increases their credibility. Employers also often require their CCNs to be certified in the field. Certification is achieved post graduation. It is not something taught in school. Some schools may expose their students to ICUs, but this is not considered enough for certification. The RNs get their CCN certificates while they are on the job. It is also often sponsored by the employer.Work Opportunities in the Philippine Nursing SceneThere are a lot of opportunities to become a critical care nurse in the Philippines. But, nurses have to understand that these critical care units are often hard to get into. These units only require a limited number of nurses. Most of the time there are only a total of 12 nurses that work in a typical ICU with 8-10 beds.Those who do get into these areas are considered lucky because their position opens great opportunities to work abroad. In most settings, CCNs have a lesser work load compared to nurses in large wards. Patients in ICUs need more attention but the numbers are much smaller compared to wards. A typical government hospital ward may hold 50-70 patients and with only a nurse or two to manage it.Work AbroadThere are a lot of work opportunities for a critical care nurse abroad. The CCN can work in any area where there is an intensive care unit. Certification is often an option provided by employers to deserving and promising nurses. The employers are often the ones who fund certification seminars and the likes.With the present shortage in nursing manpower, hospitals are clamoring to get their hands on specialized nurses. These employers would often offer big sign-in bonuses just to get a nurse to work with them. The average salary of a critical care nurse in the US often ranges from USD50,000 – USD 75,000. It is estimated that nearly 70% of the critical care nurse population earn that much. Some earn slightly lower while others earn upwards of USD90,000 to USD100,000 annually.
Critical care is an area of medicine that deals with the life-support and care of patients that are critically ill. Normally if you hear doctors refer to a patient as being in critical care, they are basically saying that the patient is in intensive care. The medicines that are administered in critical care are also intensive care medicines. This kind of service was established in different hospitals to ensure that you and the ones you love will be well taken cared of in times of emergency. The critical care service may not seem that important to you now until you are in a position where you or a member of your family is in desperate need of this service. Nevertheless, being aware that this service is available to you will make you feel a lot more comfortable, if you were to find yourself in an unfortunate emergency health situation.It is very important that medical critical care services be available for 24 hours every day, as there are many people, probably thousands that may require this service on a day to day basis. It is highly recommended that you have a medical care service on call, if you are looking after members of your family that are diagnosed with diseases which make them susceptible to strokes, heart attacks or any other disease that is life threatening. In addition, in the case of pregnant women, these services can provide the much needed help if a delicate emergency delivery of the baby were to take place. This kind of service would also ensure that the necessary health care is given if any complications were to be developed at the time, or during delivery.Critical care service would also be the best chance you have at getting emergency health care, if you were to develop or experience any severe medical complications in your body. This is because this service would ensure that intensive care is given to you by the medical staff as quickly as possible. In addition, there is no other medical service available that would be able to let you recover as quickly and safely as the service provided by critical care.However, in order to be considered for the critical care services, your injury or illness, must meet the definition of a critically ill or injured individual. A person who is critically ill or injured is in a state that will harm one or more than one, of their vital organ systems, for example the respiratory system. The harm being done in this case to your vital organ system, must also be considered to be life threatening or a situation that will definitely result in your condition getting worse. If your injury or illness, meets the conditions above, then the critical care service would be administered to you.If it so happens that you have to go to the critical care unit one day, there will be a team of doctors who will administer the necessary critical care service. They will perform critical services that will involve very complex decisions to control, assess, and support the operations of your vital organ system, and your organ system failure will be treated. These doctors will also carry out the necessary measures to ensure that your situation does not deteriorate any further, thus saving your life or the life of a member of your family.