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The impact of rounding on a geriatric psychiatric unit

A tool for patient safety and staff satisfaction.

By Idrialis Perez-Carter, MS, RN


  • Readers will be able to understand the purpose of staff rounding.
  • Readers will identify one positive result that can result from having a successful rounding program.
  • Readers will identify important measures required to have a successful rounding program

Geriatric psychiatric units are typically populated with patients who have a wide range of mental health diagnoses, including dementia, major depressive disorder, bipolar disorder, and schizophrenia. This diversity can be challenging for nursing staff as they attempt to meet the needs of both high-functioning and low-functioning patients. In addition, advanced age and complex medication regimens place many of these patients at risk for physical injury from falls. Continue reading »

Craft a positive nursing digital identity with an ePortfolio

Take advantage of your digital footprint to demonstrate your skills and experience.

By Jaime Hannans, PhD, RN, CNE, and Yosemite Olivo, RN


  • Digital identity is the online presence of an individual, including social media presence, profiles and engagement, and any discoverable online content.
  • Professional nurses and nursing students should consider what their digital identity says about them.
  • A well-developed electronic portfolio can successfully create a positive digital identity by articulating professional goals and experiences, highlighting unique skills sets or achievements, and connecting with other professionals who may lead to new opportunities.

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Managing mental health emergencies in the ED

Safety and continuity are key to successful care.

By Jessica L. Dzubak, RN


  • The most important consideration when caring for this special population is ensuring, first and foremost, staff and patient safety.
  • Both psychiatric patients and the staff caring for them have rights and deserve a safe and respectful environment.
  • A collaborative team approach with appropriately trained staff is recommended for optimal care.

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Medicare for all? Why not?

It may be the right thing to do.

If President Trump really wants a healthcare plan that gives him a big win by covering all Americans, reducing insurance costs, and cutting the cost of healthcare, it could be done. And it would be far better than President Obama’s Affordable Care Act (ACA). Mr. Trump could push Senator Bernie Sanders’ (I-Vt.) bill that makes Medi­care available to everyone. And wouldn’t it be a hoot? A Republican president, House, and Senate would finally make universal access a reality. And why not? A single-payer system offers cost-cutting strategies that have succeeded all over the globe. Continue reading »

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Assessing and preventing cognitive impairment in the elderly

A look at the research into cognitive impairment

All segments of the international population are living longer, and many will experience dementia. Policymakers are focused on the cost estimates of caring for elders with cognitive impairment. The World Alzheimer Report 2016, from Alzheimer’s Disease International, a global federation of 85 Alzheimer’s associations, highlighted the need to make dementia an international health priority. The numbers in the report are staggering: 47 million people are estimated to be living with dementia worldwide, with the number projected to increase to more than 131 million by 2050. The report recommends that nations develop a plan to address dementia, removing the stigma around it, and protecting the human rights of these individuals. Continue reading »

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Nurse-scientists and nurse-engineers

Nurse-driven device innovations and inventions can improve patient care.


  • Several institutions already recognize the importance and power of a combining nursing with more extensive science and engineering education and experiences.
  • As primary healthcare providers, nurses should and can be at the forefront of medical invention and innovation.
  • Providing interested and capable nursing students with improved, structured programs to pursue basic science and engineering training will provide enhanced opportunities for this special population to uniquely contribute to the healthcare invention and innovation space.

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Fraud alert

How much do you know about predatory conferences?

By Lillee Gelinas, MSN, RN, CPPS, FAAN

The predatory journal explosion over the past few years has now infiltrated the conference arena. You should know how to recognize a legitimate conference versus a bogus one. Your time, professional growth goals, and monetary resources are all precious commodities that can be easily exploited by unscrupulous organizers of programs that, on the surface, appear legitimate but are actually a sham.

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Leadership: Making things better

The moral right and moral enterprise of health care

By Leah Curtin, RN, ScD(h), FAAN

According to the Huffington Post, “A recent survey by the World Economic Forum found that 86 percent of respondents believe we are suffering a global leadership crisis…. The world is in crisis mode and there are few effective leaders to be seen.” One of the gifts of aging is that one has a great deal of hindsight, which improves insight, and gives one just a tad of foresight. All of which leads me to ruminate on leadership, especially in health care. Continue reading »

organ donation explore pediatric patient

Exploring organ donation with families of pediatric patients

Use this evidence-based approach to help grief-stricken families make a critical decision.


  • As the nurse of a dying child, you are perfectly positioned to save the lives of countless other children by means of organ donation.
  • By providing excellent care to your patient, being available, engaged, and supportive toward his/her family, and by educating yourself about organ donation and transplantation, you can aid these families in making a decision they were perhaps never expecting to make.

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