Home Focus on. . .

Focus on. . .

The rewards of nursing in an ambulatory surgery center

The rewards of nursing in an ambulatory surgery center

The secret is finding balance and working collaboratively. By Timothy P. Luckett, CRNFA Takeaways Working as a nurse in an ambulatory surgery center (ASC) requires the ability to take on multiple responsibilities. Success as an RN...
edu change specialties

Ready to change specialties?

Make sure you know yourself and what you really want.   By Janet Boivin, BSN, RN Deciding to change your nursing specialty can require as much self-assessment and research as transitioning into an entirely new...

Maintaining clinical competency is your responsibility

Healthcare consumers expect competency from the nurses who care for them—and registered nurses (RNs) have an ethical and legal responsibility to maintain their competency. The scope of the professional nurse evolves continuously to adjust to the dynamic healthcare landscape, society’s changing needs, the political climate,...

Your path to becoming an administrative supervisor

Naomi, a novice staff nurse, calls her administrative supervisor, Madelyn, for assistance with Selma Rice, an 84-year-old patient  who has pulled out her I.V. line and wants to leave against medical advice (AMA). When Madelyn arrives on the nursing unit, she...

Smoothing your transition from RN to NP

Transitioning to the nurse practitioner (NP) role is exciting—but it can also be stressful. Fortunately, taking certain steps can make it smoother. I’m a family NP (FNP), board certified by the American Nurses Credentialing Center (ANCC). Before graduation, I worked as a critical...
Staffing

Nurse staffing and patient experience outcomes: A close connection

As healthcare providers set and refine their strategies for staying competitive in a value-based delivery and payment system, a sharper understanding of the interplay between inputs and outputs becomes a strategic imperative. Nurse staffing is...

On the road to zero CAUTIs: Reducing urinary catheter device days

Catheter-associated urinary tract infections (CAUTIs) are common healthcare-associated infections that can prolong lengths of stay and increase morbidity and mortality. Despite their best efforts, many hospitals continue to struggle with climbing CAUTI rates. Recognizing inappropriate...

Choosing the right restraint

Nurses at the bedside are experts in driving the safest, most effective patient care. In some cases, nursing assessment and clinical judgment suggest the need to apply restraints. A patient who is violent or...

When and how to use restraints

Few things cause as much angst for a nurse as placing a patient in a restraint, who may feel his or her personal freedom is being taken away. But in certain situations, restraining a...
Patient safety

Keeping a grasp on patient safety

In any organization, keeping both patients and caregivers safe during patient mobilization is a priority. As patient advocates, nurses share responsibility for maintaining optimal patient health. Although healthcare providers have made progress in reducing...

Assessing and documenting patient restraint incidents

Restraining a patient is considered a high-risk intervention by the Centers for Medicare & Medicaid Services, The Joint Commission (TJC), and various state regulatory agencies, so healthcare pro­viders must carefully assess and document the...
Enclosure bad

Enclosure bed: A protective and calming restraint

An enclosure bed can be used as part of a patient’s plan of care to prevent falls and provide a safer environment. This specialty bed has a mesh tent connected to a frame placed...

Developing a quality framework for annual nursing competencies

Patients expect safe, high-quality care when they enter a healthcare facility, and healthcare facilities pride themselves on the care they provide. With so much emphasis on quality, many people were shocked in 1999 when...