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Noncompliance with isolation precautions can be extremely dangerous for ED nurses, but in fact, this situation is surprisingly common, according to Diane Hochstetler, RN, BSN, CEN, clinical practice specialist for the ED at Goshen (IN) General Hospital.
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Several years ago, walking through the waiting room at Baystate Medical Center in Springfield, MA, on her way to triage, Ellen Smithline, RN, CEN, TNCC-I, ENPC-I, an ED clinical educator, noticed a woman in her 30s who looked pale and was rubbing her chest.
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Observing an elderly man's shaking extremities, ED nurses at St. John's Mercy Medical Center in St. Louis first suspected undiagnosed Parkinson's disease. He actually was having mild seizure activity.
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Drug or dosage near misses are common in EDs, but these tend to be swept aside by nurses. How can you call attention to these near-disasters so others can learn from them?
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(Editor's note: This is the first of a two-part series on caring for potentially suicidal adolescents. This month, we give strategies for assessing the risk of self-harm and avoiding overmedicating patients. Next month, we will cover steps to take after an ingestion and questions to ask if you suspect an overdose.)
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This engaging epidemiologic survey assessed microbial contamination of soda-fountain drinks, dispensed from nine different fountain machines, relative to current U.S. drinking water standards.
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Resting QRS duration is an independent predictor of cardiac death and/or myocardial infarction in patients with suspected CAD.
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The U.S. Advisory Committee on Immunization Practices (ACIP) has published its annual updated recommendations for routine immunizations of adults.
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The syllogism seemed so simple: 1) The CV risk reduction of aspirin (ASA) in primary prevention is linearly related to baseline risk; 2) DM is a high-risk population for CV events; and therefore, 3) ASA should be really good for primary prevention in diabetics. Well, it's not quite so simple.
