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If procedural sedation is longer-term, or if your patient has pre-existing chronic obstructive pulmonary disorder, consider monitoring end tidal carbon dioxide (CO2), advises Leah M. Gehri, RN, MN, CCRN, director of emergency, trauma, and cardiac services at MultiCare Good Samaritan Hospital in Puyallup, WA.
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An elderly womans bruising and gastrointestinal bleeding turned out to be caused by taking more than triple the dose of her warfarin medication for several days, reports Jeannette Witzel, RN, CEN, an ED nurse at Ukiah (CA) Valley Medical Center.
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Obtaining an EKG in a timely manner is critical, says Brian W. Selig, MHA, BSN, RN, CEN, NE-BC, nurse manager of the ED at the University of Kansas Hospital in Kansas City, MO, especially with the recent emphasis on time-critical diagnosis by the Joint Commission and [the Centers for Medicare & Medicaid Services.]
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No one asks large pharmaceutical companies to develop and market new drugs as a nonprofit venture. So why would anyone expect clinical research sites to operate at a loss?
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Clinical research technology continues to evolve at a pace thats difficult to fathom. Everything from study recruitment to budgeting to operations are changing and evolving because of technological advances.
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Theres a resounding cry in the research industry for better technological integration and clinical research collaboration, but the movement in this direction has been very slow, an expert says.
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Budgeting is a complicated process, but you can make it work well by following thorough and well-organized, step-by-step strategies.
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A major research organization in the Northeast successfully uses an electronic data capture (EDC) system with hundreds of clinical trials each year.
