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You, and other ED nurses, may have been taking care of a patient for hours without realizing he or she has an infection that requires isolation. The fast-paced ED environment is an added challenge in preventing ED-acquired infections, according to Susan Gray, RN, BSN, CEN, an ED nurse at Greater Baltimore (MD) Medical Center. "Staff are in and out of rooms often," she adds.
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If you fail to confirm that neurological deficits are a normal baseline for your elder patient, this may be a dangerous assumption. To avoid this mistake, ask others about the patient's baseline, advises Nadya Valdovinos, RN, TNCC, an ED nurse at Northwestern Memorial Hospital in Chicago, and read past medical notes and transfer records.
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(Editor's note: This issue includes the first part of a two-part series looking at the problem of staffing keeping silent when danger looms. This month we discuss the recently released report The Silent Treatment. We examine why staff don't speak up and how to address that problem. In next month's issue, we offer four recommendations to create a culture in which people speak up effectively about concerns.)
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A few months after performing breast augmentation on a patient, a California surgeon had a consensual three-month relationship with her.
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Oh my. This is such a litigious time we live in. People are hurling themselves in front of moving buses, throwing themselves down steps, and falling in food stores, all in an effort to cash in on unearned and undeserved booty from insurance companies in frivolous lawsuits.
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There's a new trend in outpatient surgery toward computer-based informed consent. But does this method offer any advantages, legal or otherwise? Yes, according to sources interviewed by Same-Day Surgery.
