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Second victim

The second victim experience: Mitigating the harm

Like most nurses, you probably consider yourself emotionally strong and resilient, with defenses that help you “get the job done” through­out your busy shift....
Acute kidney injury

Acute kidney injury: Causes, phases, and early detection

When you arrive for your afternoon shift, you receive report from the day-shift nurse. He states he just admitted Marc Stevens, age 78, after...

Using oral care to prevent nonventilator hospital-acquired pneumonia

May Grossman, age 57, is admitted for elective surgery to reverse a colostomy from a previous surgical procedure. Her health has been good except...

Refining stool consistency descriptors can help prevent adverse outcomes

Stool consistency and form are significant aspects of a GI assessment, providing valuable information about the patient’s bowel motility. Properly identifying and describing these...
supplemental nutrition

Supplemental nutrition in hospitalized patients with diabetes

Continuing Nursing Education Learning objectives 1. Differentiate between enteral and parenteral nutrition. 2. Discuss how to manage hypoglycemia and hyperglycemia in patients with diabetes who...
retrograde I.V.

Understanding retrograde I.V. blood collection in clinical research

When arterial blood is desired in the research setting, blood obtained from a heated hand using a retrograde venous access device is an acceptable...

Caring for patients in respiratory failure

Respiratory failure is one of the most common reasons for admission to the intensive care unit (ICU) and a common comorbidity in patients admitted...

Stroke in a child with sickle cell anemia

Adrienne Johnson, age 5, is admitted to the general pediatric unit. She has sickle cell anemia (hemoglobin SS subtype) and recently was discharged after...

Beware of oversimplifying mealtime insulin dosing for hospital patients

It’s lunchtime. Three of your patients are scheduled to receive rapid-acting insulin in addition to sliding-scale insulin. Mr. Jones, age 87, has type 2...

Respiratory failure from a myasthenic crisis

Nina Robbins, age 36, is admitted to the medical unit with pyelonephritis. She states she has had a fever above 102° F, back pain,...

FDA approves new drug for serious skin infections

On June 20, the U.S. Food and Drug Administration (FDA) approved Sivextro (tedizolid phosphate) to treat patients with acute bacterial skin and skin structure...

How Magnet® designation affects nurse retention: An evidence-based research project

A positive work environment and nurse satisfaction can improve nurse retention.

Can teach-back reduce hospital readmissions?

A study shows this method helps educators focus on topics the patient doesn’t fully grasp.