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Nursing informatics: The EHR and beyond
human trafficking. The algorithm fits seamlessly into the emergency de-partment (ED) nurse workflow, pro-vides step-by-step instructions to the nurse, and includes a narrative to use if the patient screens as positive. Patients are offered assistance imme-diately. At the same organization, infor-matics nurses maximize the use of
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chest tube the more you know - American Nurse
www.myamericannurse.comChest-tube insertion may cause bleeding, especially if a vessel is accidentally cut. Usually, bleeding is minor ... rubber-tipped or padded clamps to momentarily clamp the tubing at various points; bubbling stops when you clamp between the air leak and water seal. If you’ve clamped along the tube’s entire length and still can’t find
Best Practices: Chest Tube Management
www.myamericannurse.comtube momentarily to replace the CDU if you need to locate the source of an air leak, but never clamp it when transporting the patient or for an extended period, unless ordered by the physician (such as for a trial before chest-tube removal). In the event of chest-tube disconnection with contamination, you may
WORKFORCE MANAGEMENT A new patient-acuity tool …
www.myamericannurse.comacuity assessment process, which nurses completed 1 month be - fore the new process began and then 1 month, 6 months, and 12 months later. • Next, the team identified items This chart shows the five acuity categories in the new acuity tool developed for the progressive care unit at Indiana University Health Ball Memorial Hospital. In each
How you can avoid laboratory errors - American Nurse
www.myamericannurse.comthe emergency department does not increase the rate of contaminated blood cultures. Emerg Med Australas. 2013;25(5):435-8. Lippi G, Banfi G, Church S, et al; European Federation for Clinical Chemistry and Labo-ratory Medicine Working Group for Preana-lytical Phase. Preanalytical quality improve-ment. In pursuit of harmony, on behalf of
Caring for patients with a left ventricular assist device
www.myamericannurse.comMonitor blood pressure and mean arterial pressure (MAP); the goal is 60 mm Hg to 90 mm Hg. Elevated MAP decreases flow and perfusion. If MAP is too high, the patient may require antihypertensive drugs, such as metoprolol, hydralazine, and isosorbide dinitrate. These drugs may need to be adjusted until the goal MAP is reached. Always check
I.V. Push Medication Administration
www.myamericannurse.comdrug safety Experts weigh in on what nurses need to know. By Catherine Spader, RN N ew evidence raises concerns about how nurses are prepar-ing and administering I.V. push medications. A 2018 survey published by the Institute for Safe Medication Practices (ISMP) revealed that practi-tioners are frequently using unsafe practices.
Understanding asthma pathophysiology, diagnosis, and ...
www.myamericannurse.comUnderstanding asthma pathophysi-ology helps you understand how the condition is diagnosed and treated. Our knowledge of asthma pathogenesis has changed dramati-cally in the last 25 years, as re - searchers have found various asth - ma phenotypes. Asthma involves many patho - physiologic factors, including bronchiolar inflammation with
Using data in nursing practice - American Nurse
www.myamericannurse.comInformatics The informatics competency helps nurses use informa-tion and technology to communicate, manage knowl-edge, mitigate error, and support decision-making at the point of care. Because of the rapid changes in healthcare information and technology, nursing stu - dents must know why information and technology
Best Practices: CAUTI Prevention - American Nurse
www.myamericannurse.comdeveloped a UTI prevention (UTIP) bundled protocol of several preventive measures. The bundle protocol was adapted from a bladder bundle protocol developed by members of the Keystone Center for Patient Safety & Quality associated with the …
Enteral feeding: Indications, complications, and nursing care
www.myamericannurse.comTo reduce the risk of refeeding syn - drome in patients with vitamin and mineral deficiencies, supplements may be ordered for parenteral ad - ministration before enteral feedings begin. Refer to specific guidelines based on total energy needs and specific micronutrient deficiencies; thiamine and other B-vitamin defi-ciencies are the most ...
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