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Practice Settings

September 2017 Vol. 12 No. 9

By Dawn Walters, MS, RN, Vice-President of Behavioral Health and Rehabilitation Services Erie County Medical Center, Buffalo, New York As told to Janet Boivin, BSN, RN

At Erie County Medical Center, we’ve found enclosure beds to be an effective means to decrease stimulation for highly agitated patients with . . .

Objective – This report presents national estimates of sexual activity and contraceptive use among males and females aged 15–19 in the United States in 2011–2015, based on data from the National Survey of Family Growth (NSFG). For selected indicators, data are also presented from the 1988, 1995, 2002, and . . .

July 2016 Vol. 11 No. 7

Author: Kristi Phillips-Burkhart, MSN, RN, ACNS-BC

Fran Covington, age 82, has a history of cardiovascular disease, chronic diastolic heart failure, type 2 diabetes, and chronic obstructive pulmonary disease (COPD). She lives at home with her husband and enjoys gardening and visiting with her grandchildren.
Like Mrs. Covington, Myrna Wilson is age 82 with cardiovascular disease and . . .

June 2016 Vol. 11 No. 6

Author: Kylie Ross, MSN, RN, CPNP; Azza H. Ahmed, DNSc, PBCLC, CPNP; Jennifer Coddington, DNP, MSN, RN, CPNP; and Elizabeth A. Richards, PhD, RN, CHES

Nutrition can have a positive or negative impact on health throughout the entire lifespan. Proper diet and nutrition is always essential, but it is especially important during the toddler years, ages 1 to 3. Toddlers with poor nutrition can develop significant diet-related issues such as iron deficiency anemia and . . .

February 2016 Vol. 11 No. 2

Author: Lillee Gelinas, MSN, RN, FAAN

In February 2015, my editorial focused on issues related to big data in nursing. Featured at the ANA Quality Conference that month, it focused on nursing issues we’d been talking about for years—the importance of documentation, links between nursing and quality care, and the role of the individual . . .

January 2016 Vol. 11 No. 1

Author: Beth Lyman, MSN, RN, CNSC; Jane Anne Yaworksi, MSN, RN; Lori Duesing, MSN, RN, CPNP-AC; and Candice Moore, BSH, RN, CPN

Nasogastric (NG) tubes are placed to administer enteral nutrition, medications, or fluids to children of all ages who are unable to ingest enough proper nutrition by mouth to grow and develop normally. Most NG tubes are placed at the bedside. As innocuous as the insertion procedure might seem, it carries . . .

October 2015 Vol. 10 No. 10

Author: Margaret J. Bull, PhD, RN

Lawrence Jeffries, age 78, is admitted to the hospital for an arthroplasty of the left hip. A retired roofer, he lives with his wife and son in a two-story home. He has a history of arthritis and type 2 diabetes, which has been controlled with tolazamide 100 mg daily . . .

October 2015 Vol. 10 No. 10

Author: Sherry Evans, MSN, RN

In the midst of unprecedented change in health care, hospitals and emergency departments (EDs) are attempting the impossible — increase both patient volume and satisfaction without increasing the budget.

My hospital is a busy 329-bed, county-owned facility in southern Indiana. The level-two trauma ED houses 28 beds and . . .

September 2015 Vol. 10 No. 9

Author: Clarissa Welbaum, MSN, RN, CCNS, CCTN

Donald Brooks, age 57, comes to the emergency department after fracturing his right hip in a skiing accident. He is admitted to the orthopedic progressive care unit for planned open reduction and internal fixation (ORIF) surgery the next day.

During his admission, Luke, a registered nurse, reviews Mr. Brooks’ past . . .

September 2015 Vol. 10 No. 9

Author: Amy L. Marinski, MSN, RN, CNL, CIC, and Holly Taggart, BSN, RN, CIC

Over the past decade, one family of multidrug-resistant organisms, carbapenem-resistant Enterobacteriaceae (CRE), has become increasingly resistant to lifesaving antibiotics. While CRE infection poses little threat to healthy persons, it can be deadly for at-risk patients and people requiring healthcare services.

First reported in the United States in . . .

August 2015 Vol. 10 No. 8

Author: Paul Andrew Jones, BSN, RN-BC

The escalation in the complexity of med-surg patients has resulted in the need for a bedside tool that measures acuity. Such tools have been limited. Some existing tools analyze active patient orders to calculate acuity, but fail to recognize psychosocial issues, patient education, and other time-consuming bedside nursing . . .

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