Ellis Kathy
Acute Dialysis Unit Director, Ochsner Medical Center, New Orleans, LA, USA.
Nephrol Nurs J. 2007 Mar-Apr;34(2):228-9.
Although critical care nurses are fully capable of learning CRRT, there are substantial, irrefutable challenges to achieving and sustaining proficiency. There is also diminished opportunity and motivation for critical care nurses to advance CRRT practice through quality initiatives, education, or research when it is a small piece of their practice. Consequently, I believe that it is incumbent upon acute care nephrology nurses to clarify the magnitude and value of what we do and to support our critical care colleagues in doing what they do best. The debate as to who should perform CRRT began in an effort to explore the better opportunity for cost-saving; but, in the end, it really boils down to the better opportunity for life-saving. I suspect improving outcomes for patients requiring CRRT will ultimately save hospitals more money than the short-sighted gains from critical care nurses performing tasks outside of universally-applied critical care RN processes.
尽管重症护理护士完全有能力学习连续性肾脏替代疗法（CRRT），但要达到并维持熟练水平面临着巨大且无可辩驳的挑战。当CRRT只是重症护理护士工作的一小部分时，他们通过质量改进措施、教育或研究来推进CRRT实践的机会和动力也会减少。因此，我认为急症护理肾病科护士有责任阐明我们工作的重要性和价值，并支持我们的重症护理同事做好他们最擅长的工作。关于谁应该实施CRRT的争论始于探索更好的节省成本的机会；但最终，这实际上归结为更好的挽救生命的机会。我怀疑，对于需要CRRT的患者来说，改善治疗结果最终将比重症护理护士执行普遍适用的重症护理注册护士流程之外的任务所带来的短期收益为医院节省更多资金。
