Improving Sepsis Care in the ED

For patients with severe sepsis and septic shock in the ED, studies have shown that goal-directed therapy is effective. However, many EDs throughout the country have not implemented such protocols. In a recent study, a survey...

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Finding a Teachable Moment in Nursing

Patient education is one of the most important aspects of nursing care. It builds patients’ self-esteem, self-awareness, sense of responsibility, and provides them with effective coping mechanisms. Furthermore, it reduces...

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The “Second Victims” in Nursing

Tears rolled down my face as I came across an article written 2 years ago. A veteran pediatric nurse took her own life several months after administering a fatal overdose of an electrolyte to an infant. After investigations and...

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Mild TBI: Identifying Patients at Risk

For emergency nurses, it can be challenging to identify patients with a mild traumatic brain injury (MTBI) and how best to manage these individuals at discharge. A study has found that emergency nurses need to be aware that...

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The Impact of the Next Generation of Nursing

The Patient Protection and Affordable Care Act will mean the addition of as many as 35 million Americans with health insurance into a healthcare system already stretched to capacity with overcrowded EDs, shrinking resources, and...

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What Happens When a Doctor Is Paged

It’s 8:15 p.m. I am at home. My beeper goes off, and I check it instantly. It reads, “555-1212” [Number changed to comply with HIPAA regulations]. It’s the inpatient surgical floor. Within 10 seconds, I have dialed the number....

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