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If you fail to confirm that neurological deficits are a normal baseline for your elder patient, this may be a dangerous assumption. To avoid this mistake, ask others about the patient's baseline, advises Nadya Valdovinos, RN, TNCC, an ED nurse at Northwestern Memorial Hospital in Chicago, and read past medical notes and transfer records.
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You, and other ED nurses, may have been taking care of a patient for hours without realizing he or she has an infection that requires isolation. The fast-paced ED environment is an added challenge in preventing ED-acquired infections, according to Susan Gray, RN, BSN, CEN, an ED nurse at Greater Baltimore (MD) Medical Center. "Staff are in and out of rooms often," she adds.
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At St. Joseph Hospital in Nashua, NH, ED nurses do at least 90% of bedside dysphagia screens while the patient is still in the ED, says Susan L. Barnard, MS, APRN, CCRN, trauma coordinator.
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Would you think to tell a receiving nurse that your ED patient has a dog at home she's worried about? That may be the reason she's refusing admission, says Pat Clutter, RN, MEd, CEN, FAEN, an ED nurse at St. John's Lebanon (MO) Hospital.
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Is your patient telling you, "It's probably something I ate," "It's nothing," "There isn't any heart history in my family," or "I'm way too young to have a heart problem?"
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Nearly 8% of 355,088 children received a CT scan in a 3-year period, with 3.5% of the children receiving more than one, according to a recent study.
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Seniors covered by BlueCross BlueShield of Tennessee's Medicare Advantage plan are guided through the end-of-life (EOL) processes and are being empowered with the education, resources, and assistance they need to make their own decisions about what kind of care they want to receive at the end of life.
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In July 2011, Joint Commission (JC) surveyors will begin holding hospitals accountable for some of the elements of performance (EP) contained in new patient-centered communication standards that were first unveiled last summer.