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Retail-based clinics: New option for nurses
Someone who feels ill has two options: He can call his physician’s office and make an appointment—maybe for the same day, maybe not. Then, the patient can drive to the physician’s of...
Neonatal nurses: Providing care at the beginning of life
About 400,000 low-birth-weight infants are born in this country every year. Their survival rates have been improving steadily, thanks to great strides in neonatal treatment and the high-quality care p...
What's in a title?
You’ve just accompanied a family member to a medical appointment and noted the staff member performing the intake is wearing a name tag saying “nurse.” You are curious as to which nu...
ANA works to remove legal barriers to APRN practice
While advanced practice registered nurses (APRNs) have been increasing in number and expanding their impact on the healthcare system, federal law continues to contain many barriers to full APRN practi...
Taking it to the top
Impact of the Doctor of Nursing Practice degree on nursing certification Should the Doctor of Nursing Practice (DNP) degree be the entry point to advanced practice nursing by 2015? Should current mast...
Interwoven art of understanding
When I care for a dying patient, I wonder where the spirit is. What does it see now? The beauty of the other side of the cycle of life? The light in the darkness? To me, the aurora borealis represents...
Issues up close
Family nurse practitioner (FNP) and nurse-midwife Karen Holder, FNP-BC, CNM, MHS, sees patients at a large primary care clinic in Flagstaff, Arizona, as well as at small satellite units in remote comm...
Seven reasons why oncology nurses should get certified
For oncology nurses, specialty certification has become the gold standard. The Oncology Nursing Certification Corporation awards the following certifications: Oncology Certified Nurse (OCN), Certifie...
Clinical experience, poetic expression
A registered nurse since 1982, Terry A. Hess has worked as an Adult Nurse Practitioner at the Zablocki VA Medical Center in Milwaukee for 14 years. He is a Primary Care Provider for about 650 veterans...
Workforce development, APRN's on congressional agenda
Funding for nursing workforce developmentANA has been following the fiscal year (FY) 2008 appropriations process in reference to nursing workforce development programs. Here is a brief update. The Hou...
Practice guidelines, standards, consensus statements, position papers: What they are, how they diffe
When busy healthcare professionals have questions about which clinical practice is best for a given situation, they commonly turn to practice guidelines, standards, consensus statements, and position ...
Beyond the donor shortage: Mechanical help for the failing heart
Heart failure (HF) can cause a gradual decline in heart function and worsening of symptoms. About 5 million Americans have it, and despite treatment advances, the death toll is increasing. The America...
Providing effective patient teaching on the Internet
Today, people can Google their way to an overload of information on any healthcare topic. But does the information make a difference? What kind of information and what type of presentation actually le...
Recognizing and easing procedural pain
Most healthcare practitioners think of pain as something that goes with the territory when patients undergo procedures, such as venipuncture, I.V. line placement, and suctioning. But that’s not ...
To make health care better, I would...
To make health care better, I would...
...mandate every patient have a primary RN who knows the patient’s past health history, socioeconomic status, health risks, medications, and potential interacti...
Recognizing depression in children
Whether or not you learned about it in nursing school, children do suffer depression. In the United States, depression occurs in about 5% of children and adolescents. But because a depressed childR...
Piquing new nurses' interest in gerontologic nursing
It’s no surprise to nurses who choose to work with older adults that many of their current or future colleagues would rather focus on caring for those at the other end of the age spectrum. A 200...
Sickle cell trait can take a sudden deadly turn
Many people who carry sickle cell trait don’t know it. Yet, it can be just as deadly as sickle cell anemia. In the United States, about 80,000 people have sickle cell anemia, but more than 12 m...
Improving pain management: Call to action
Pain management has come a long way since Florence Nightingale witnessed the horrors of battlefield surgery. Yet many nurses believe it hasn’t advanced far enough. Nursing pain management expert...
Pointers for pediatric respiratory assessment?
If you’re a med-surg nurse, you probably don’t care for pediatric patients often. But when the occasion arises, are you confident of your pediatric knowledge base? In children, little thin...
Halting heparin-induced thrombocytopenia
Suzanne Evans, age 70, underwent cardiac catheterization followed by coronary artery bypass graft surgery last week. Today she reports a dull pain in her right lower leg and foot.
Assessment hint...
Infants in peril: Assessing sepsis in newborns
Baby Ryan is delivered vaginally, 11 hours after premature rupture of the membranes. Although 1 week premature, he appears healthy and is breathing without distress. His 1-minute and 5-minute Apgar sc...
Letters to the Editor - May 2007
Show us the money I agree wholeheartedly with the idea of employing nurses in or near retirement to increase the size of the professional workforce, as suggested in “Using our gold mine to compe...
HAART and its effects on the heart
You’re working nights on a cardiology unit when you get the following report on your new admission: Marc Lindeman, age 54, arrived at the emergency department with diaphoresis and anxiety, complaining...
Could your headache really be a migraine?
At the headache clinic where I work, new patients typically tell me their headaches cause them to miss family events and limit leisure activities. But for many, the most common and pressing concern is...