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Features

May 2019 Vol. 14 No. 5

This first in a two-part series reviews patient assessment, red flags, and pharmacologic agents.
Takeaways: 

Registered nurses providing moderate procedural sedation and analgesia must demonstrate clinical competency and a working knowledge of their state board of nursing requirements.  
Propofol is not pharmacologically reversible when used in the sedation setting . . .

April 2019 Vol. 14 No. 4

Be aware of this often misdiagnosed and possibly deadly condition.
Takeaways: 

Nurses should have a high level of suspicion for spontaneous coronary artery dissection (SCAD) when patients, especially young women, present with chest pain and other acute coronary syndrome symptoms, in the absence of or in the presence of few . . .

March 2019 Vol. 14 No. 3

This first in a two-part series reviews the complaint process and approach alternatives.
Takeaways:

Nurses misuse drugs to the same extent as the general population.
Boards of nursing have replaced a punitive approach to nurses with substance use disorder with treatment alternatives that help nurses return to practice.

WHEN . . .

February 2019 Vol. 14 No. 2

Learn about heart failure medications to ensure improved outcomes
Takeaways:

Learn about the newest medications to treat heart failure, including adverse effects, indications, and nursing implications.
Stages and classes of heart failure established by the American Heart Association and the New York Heart Association aid in determining the best medication . . .

February 2019 Vol. 14 No. 2

Collaborate and advocate to meet patient needs and implement policy change.
Takeaways:

Older adults have increased vulnerability to the effects of climate change because of greater exposure to the impact of climate change as well greater susceptibility due to aging-associated changes.
Nurses have an opportunity to help older citizens . . .

January 2019 Vol. 14 No. 1

Identifying, treating, and preventing an elusive infection
Takeaways:

Candida auris (C. auris)is an emerging pathogen that can be difficult to identify, spreads quickly, and is hard to treat.
Nurses should be concerned with unusual patterns of Candidiasis within their facility.
Infection control practices (including isolation precautions, cleaning and disinfection . . .

December 2018 Vol. 13 No. 12

Treatment risks and how to manage them
Takeaways:

Some cancer treatments can have cardiotoxic effects.
Cardiotoxic effects include decreased heart function, chest pain, arrhythmias, palpitations, edema, hypertension, vascular disease, or shortness of breath.
Cardio-oncology providers and nurses provide assessment and treatment for patients experiencing cardiotoxic effects from their cancer . . .

November 2018 Vol. 13 No. 11

 Empower nurses and proactively reduce urinary catheter device use 
Takeaways:

A nurse driven quality improvement project improved catheter utilization rates in one hospital.
A urinary catheter insertion decision tree provided alternatives to indwelling urinary catheterization.
The decision tree allowed nurses the autonomy to operate to the top of their scope . . .

November 2018 Vol. 13 No. 11

Be prepared to care for pregnant and postpartum patients in critical care settings.
Takeaways:

Some critical care nurses have reported that they don’t feel prepared to care for pregnant and postpartum patients with serious conditions.
Nursing management of critically ill obstetric (OB) patients relies on a systematic and consistent . . .

October 2018 Vol. 13 No. 10

Learn about the nursing implications of these innovative devices.
Takeaways:

The leadless pacemaker is a right ventricular single chamber pacemaker used to treat symptomatic bradycardia.
The leadless pacemaker eliminates the complications of conventional pacemakers related to leads and surgical pocket complications.
Currently, leadless pacemakers can pace only from the right . . .

October 2018 Vol. 13 No. 10

Learn the risk factors and tailor prevention to device type.
Takeaways:

Medical device–related pressure injuries (MDRPIs) are a common but preventable patient care issue with simple interventions.
Prevention guidelines and evidence-based practices can help reduce MDRPIs.

Editor’s note: The author has provided the attached PDF file of . . .

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