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You wrongly assume an 85-year-old woman is the correct patient because she answers to the name on the chart in front of you. You mistakenly fail to dilute a concentrated medication. You forget to ask what other medications an elderly man is taking before administering heparin.
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Is it possible that you could miss the signs of an ischemic stroke or subarachnoid hemorrhage (SAH) when your waiting room is full of sick and injured patients?
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Sievers V, Murphy S, Miller JJ. Sexual assault evidence collection more accurate when completed by sexual assault nurse examiners: Colorados experience. J Emerg Nurs 2003; 29:511-514.
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A cancer patient with a pericardial effusion was upset about something other than her condition when she arrived at the ED at Eastern Maine Medical Center in Bangor: not being able to see her regular oncologist.
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Be honest: Are you entirely comfortable caring for a patient with an invasive line? If your answer is no, you could be putting a patients life in danger, says Reneé Semonin Holleran, RN, PhD, CEN, CCRN, CFRN, clinical manager of the ED at University of Utah Hospital and Clinics in Salt Lake City.
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As you check the chart of your next patient, you note she is scheduled for her quarterly injection of depot medroxyprogesterone acetate (DMPA, Depo-Provera; Pfizer, New York City). While she is on time for this shot, she was late for two such appointments in the previous year. What if there was a contraceptive injection that your patients could be instructed to use in self-injection?
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A pill designed to prevent unintended pregnancy and birth defects is moving closer to commercial reality following a Food and Drug Administration (FDA) advisory committees unanimous vote to back such a combination product.
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Women now rely on contraception in such new forms as a transdermal patch and a vaginal ring. In fact, about 75% of readers participating in the 2003 Contraceptive Technology Update Contraception Survey say their facilities are offering these birth control options. What if women could get reliable birth control from a spray-on application to the skin?
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Can women who are breast-feeding use a levonorgestrel intrauterine system? What is the impact of fluconazole (Diflucan, Pfizer; New York City), an oral medication used to treat vaginal yeast infections, on oral contraceptive (OC) efficacy?
