Massive blood transfusion protocols
RACHEL BROWN*, a 74-year-old woman, is admitted to the intensive care unit (ICU) after a non-ST segment elevation myocardial infarction. She’s on a heparin…
Medical-Surgical
Nursing considerations for procedural sedation and analgesia: Part 1
This first in a two-part series reviews patient assessment, red flags, and pharmacologic agents. Takeaways: Registered nurses providing moderate procedural sedation and analgesia must…
Myths of I.V. push administration
Learn the truth about safe administration. Many myths abound about I.V. push medications. To dispel these myths and outline evidence-based standards of practice, American…
Evidence-based update on chest tube management
CHEST thoracotomy tubes (CTTs) have been around for centuries, but not until the late 1950s did they become standard of care for treating empyema,…
Preventing pressure injuries in medical-surgical patients
How to overcome competing priorities to provide nurse education. An interview with Jill Cox, PhD, RN, APN-C, CWOCN/APN, clinical associate professor, Rutgers School of…
Take three steps forward to prevent pressure injury in medical-surgical patients
Pressure injuries (PIs) are a serious complication of immobility, and they’re a nursing quality standard. Insurers no longer reimburse for PIs that occur after…
Opioid and non-opioid analgesia during surgery
Understanding how and why anesthesia providers select analgesic agents. Takeaways: Many options exist for managing intraoperative and postoperative surgical pain. Medications used for pain…
Preventing surgical site infection
Stopping infection requires effective discharge teaching. Takeaways: Executing a successful discharge is the ultimate goal for all involved in the perioperative process. An interprofessional…
Patient acuity tool on a medical-surgical unit
Use a tool for consistent, objective, and quantifiable patient assignments. Patient assignments can lead to dissatisfaction among nursing staff, especially when they’re not consistent,…
Families and post-intensive care syndrome
Post-intensive care syndrome (PICS) is defined as new or increased physical, cognitive, or mental health impairment in a patient after hospitalization in a critical…
Dumping syndrome: Causes, management, and patient education
Learn how to identify and manage this under-recognized syndrome. Takeaways: Dumping syndrome is often misdiagnosed. The clinical manifestations of dumping syndrome are categorized as…
A guide for adhesive removal: Principles, practice, and products
All nurses have struggled with removing pressure sensitive adhesives (PSAs)—medical tape, plastic bandages, wound dressings—from fragile skin, next to healing wounds, or from sites…
Massive blood transfusion protocols
RACHEL BROWN*, a 74-year-old woman, is admitted to the intensive care unit (ICU) after a non-ST segment elevation myocardial infarction. She’s on…
Nursing considerations for procedural sedation and analgesia: Part 1
This first in a two-part series reviews patient assessment, red flags, and pharmacologic agents. Takeaways: Registered nurses providing moderate procedural sedation and…
Myths of I.V. push administration
Learn the truth about safe administration. Many myths abound about I.V. push medications. To dispel these myths and outline evidence-based standards of…
Evidence-based update on chest tube management
CHEST thoracotomy tubes (CTTs) have been around for centuries, but not until the late 1950s did they become standard of care for…
Preventing pressure injuries in medical-surgical patients
How to overcome competing priorities to provide nurse education. An interview with Jill Cox, PhD, RN, APN-C, CWOCN/APN, clinical associate professor, Rutgers…
Take three steps forward to prevent pressure injury in medical-surgical patients
Pressure injuries (PIs) are a serious complication of immobility, and they’re a nursing quality standard. Insurers no longer reimburse for PIs that…
Opioid and non-opioid analgesia during surgery
Understanding how and why anesthesia providers select analgesic agents. Takeaways: Many options exist for managing intraoperative and postoperative surgical pain. Medications used…
Preventing surgical site infection
Stopping infection requires effective discharge teaching. Takeaways: Executing a successful discharge is the ultimate goal for all involved in the perioperative process.…
Patient acuity tool on a medical-surgical unit
Use a tool for consistent, objective, and quantifiable patient assignments. Patient assignments can lead to dissatisfaction among nursing staff, especially when they’re…
Families and post-intensive care syndrome
Post-intensive care syndrome (PICS) is defined as new or increased physical, cognitive, or mental health impairment in a patient after hospitalization in…
Dumping syndrome: Causes, management, and patient education
Learn how to identify and manage this under-recognized syndrome. Takeaways: Dumping syndrome is often misdiagnosed. The clinical manifestations of dumping syndrome are…
A guide for adhesive removal: Principles, practice, and products
All nurses have struggled with removing pressure sensitive adhesives (PSAs)—medical tape, plastic bandages, wound dressings—from fragile skin, next to healing wounds, or…
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