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IRB Advisor: Dr. Marjorie Speers, would you please explain how AAHRPP accreditation requirements work with regard to institutions that are seeking accreditation and have plans to use foreign IRBs for a multi-site study that includes clinical trials located in other countries? Foreign countries hosting clinical trials often require a local board to review the study.
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Accreditation for an academic research institution is a time-consuming and difficult process for the research office and the institution's IRB office. But for a small, private research organization, the task is Herculean.
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(Editor's note: This story is part one of a two-part series on care of psychiatric patients in the ED. This month, we give tips for identifying underlying medical conditions. Next month, we'll share the best ED nursing practices for reassessment during long waits.)
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At Emory Johns Creek (GA) Hospital, ED nurses have noticed that many patients with psychiatric complaints actually are looking for help with drug and alcohol addictions, reports Mickey White, RN, BSN, MBA, director of the ED.
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You might see only a handful of pediatric trauma cases every year, but chances are you will see at least one. This is a dangerous "low-volume, but high-risk" patient for most emergency nurses. Here are some common misconceptions about these patients:
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"Every encounter an ED nurse has with a trauma patient and family makes a definite impression on their lives," says Carrie L. Baumann, RN, BSN, patient care supervisor in the Emergency Department Trauma Center at Children's Hospital of Wisconsin in Milwaukee.
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If your patient asks for an antibiotic when it's not appropriate, you now have an attention-getting answer to give. A just-published study says adverse events caused by antibiotic use bring 142,000 patients to EDs each year.
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The most common type of antibiotics that cause reactions are penicillin, sulfonamides, and cephalosporins, says Rachel Sweeney, RN, BSN, an ED nurse at Cincinnati Children's Hospital Medical Center. "Other antibiotics can cause reactions, but not as commonly."
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Overcrowded EDs make it more important than ever that "triage nurses are on top of their game" with psychiatric patients, says Barbara Morgan, RN, director of emergency services at Cleveland Clinic.
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You have to build a relationship with the psychiatric patient, even in triage, says Barbara Morgan, RN, director of emergency services at Cleveland Clinic. Here are Morgan's tips to improve care of these patients:
