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Letters to the Editor - June 2008
Choose your battles with physicians wisely “Don’t tolerate disruptive physician behavior” (March) really hit home. When I started on a cardiothoracic stepdown unit a year ago, I kn...
Essential elements of a comprehensive sharps injury-prevention program
Since passage of the Needlestick Safety and Prevention Act (NSPA) in 2000, safer needle devices have become widely available in healthcare workplaces and needlestick injuries have declined significant...
So you want to get a doctorate. . .
You've decided to pursue a doctoral degree in nursing. But which one? Do you want to focus on research and scholarship or on clinical practice? Do you want a traditional classroom setting or a
virtu...
110th Congress wrap up
The 110th Congress began in January 2007 with high hopes that the new Democratic majorities in the House and Senate would make significant strides in healthcare legislation. As the session came to a c...
Are extended work hours worth the risk?
Jerry, a critical care nurse, is proud of his organizational prowess. He always lays out his infusion bags and piggybacks in order of their scheduled administration. One night, 10 hours into a 12-hour...
Warfarin therapy and pharmacogenomics: A step toward personalized medicine
This article is the first in a series that will bring the latest genetic developments from the National Human Genome Research Institute to practicing nurses. Every day, nurses sit with patients, list...
Healthy and wise
Partisan and government agencies alike agree that waste accounts for a significant portion of unsustainable U.S. healthcare costs. Experts estimate up to one-third of healthcare treatments and procedu...
Saving a snakebite victim
Bush SP. Snake envenomation, rattle. Updated July 24, 2008. http://emedicine.medscape.com/article/771455-overview. Accessed March 9, 2010.
CroFab Crotalidae Polyvalent Immune Fab (Ovine). www.fouge...
Take Note - October 2007
Medicare to stop reimbursing hospitals for eight preventable conditions Medicare will stop paying hospitals for the extra costs of treating eight conditions stemming from preventable errors̵...
Final National Sample Survey results released
Access the findings from the 2008 National Sample Survey of Registered Nurses here. The report notes there were an estimated 3,063,162 licensed registered nurses living in the United States, as of Mar...
Moving the Sharps Safety Agenda Forward: Consensus Statement and Call to Action
Note: This Consensus Statement and Call to Action was drafted by members of the steering committee* for the conference "Tenth Anniversary of the Needlestick Safety and Prevention Act: Mapping Prog...
References - May 2008
American Nurse Today - May 2008Complete ReferencesCRRT spells success against acute renal failure in critically ill patients Bell M, Granath F, Schon S, Ekbom A, Martling CR. Continuous renal replacem...
List of Supporting Organizations for Moving the Sharps Safety Agenda Forward in the United States: Consensus Statement and Call to Action
Background: The International Healthcare Worker Safety Center (IHWSC) at the University of Virginia drafted and began circulating the consensus statement on sharps safety in the summer of 2011. The Am...
How to implement the electronic health record in undergraduate nursing education
Information literacy, evidence-based practice (EBP), and informatics are fundamental to delivering culturally competent, safe patient care. Yet most nursing schools continue to educate students in tra...
A hospital’s Magnet® redesignation drive spurs efforts to improve patient safety
My first exposure to a Magnet® redesignation initiative occurred in 2008 when I served
as a member of our hospital’s house-wide falls committee. The medical/oncology floor had a higher-than-average ...
Nurse-sensitive indicators: Integral to the Magnet journey
When Children’s National Medical Center (CNMC) in Washington, D.C. set out on its Journey to Magnet Excellence™ in 2006, nursing staff felt a bit overwhelmed by the requirement to implement nurse-sens...
Seasonal influenza vaccination and the nurse
Seasonal influenza vaccination and the nurse We are about to enter the seasonal influenza vaccination year. There continues to be concern, and rightly so, about the low seasonal influenza vaccinat...
Teaming up to improve the quality of surgical care
Pay based on performance is coming to health care. The Centers for Medicare and Medicaid Services is developing and implementing pay-for-performance initiatives to increase the quality of care for its...
Schwartz Center Rounds® and Magnet®: Enhancing patient- and family-centered care
The healthcare team determines a 13-year-old girl with medically complex needs is ready for discharge—but her mother demands that she stay. As part of the team, what should you do?
A 2-month-old girl...
Nurse practitioners: A vital force in healthcare delivery
The past few years have cast nurse practitioners (NPs) in the spotlight, thanks to passage of the Affordable Care Act, the 2011 Institute of Medicine (IOM) report The Future of Nursing: Leading Change...
It's all in the translation
Last month, you had a patient with heart failure who spoke Russian. Today, you’re caring for a diabetes patient who speaks Japanese. Although you could use an interpreter for patient teaching, you kno...
From Your ANA President
No matter how long we’ve been in practice, we can all remember our nursing school experience. Giving our first injection, memorizing drugs and their side effects, fine-tuning a patient’s care plan—all...
How to disagree with the head nurse and keep your job
You can disagree with your boss, but learn to do so wisely. Read more…...
Stopping the silent progression of osteoporosis
Osteoporosis and low bone mass affect about 44 million Americans. Women account for 80% of that number. And each year, more than 1.5 million Americans suffer osteoporotic fractures.
But despite the n...
Clinical trials 101
Editor’s note: This is the second in a four-part series on clinical trials written by nurses at the National Cancer Institute at the National Institutes of Health. Read Part 1 "Are you ready to care f...