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If youre not in full compliance with the National Safety Patient Goals for 2004 from the Oakbrook Terrace, IL-based Joint Commission on Accreditation of Healthcare Organizations, you have a lot to worry about.
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If your facility isnt a Level 1 Trauma Center, you probably dont care for trauma patients with multiple injuries on a daily basis.
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Here are the steps taken when a patient with suspected deep venous thrombosis (DVT) presents at Seattle-based Harborview Medical Centers ED, according to Cynthia Natiello, RNC BSN, CCRC, the facilitys vascular research nurse:
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A 90-year-old woman complains of leg pain and swelling, with a history of hormone replacement therapy use, hypertension, osteoarthritis, and recent eye surgery.
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Are you worried that your patient care is in conflict with requirements of the Health Insurance Portability and Accountability Act (HIPAA)? If so, youre not alone.
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(Editor's note: This is a two-part series on prevention of hospital-acquired infections in the ED. This month's issue provides information on avoiding infections when invasive procedures are performed, reducing the risk of infection with peripheral IV insertion, using alternatives to invasive procedures, giving central line education to ED nurses, and decreasing the use of central lines and urinary catheters. Next month, we'll cover how to determine if your patient has arrived at the ED with an infection, tips for cleaning the equipment you use, and strategies to improve compliance with hand hygiene.)
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ED nurses at the University of Kansas Hospital in Kansas City answer this question about every patient using an electronic medical record (EMR): "Does the patient have two or more systemic inflammatory response syndrome criteria?"
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You might be waiting for a physician to order the appropriate steroid for your asthma patient, or you might have difficulty prioritizing due to a heavy patient load.
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Congestive heart failure (CHF) patients often wait too long to seek medical treatment and arrive in the ED in an acutely exacerbated state, says Eileen Swailes, RN, nurse manager of the ED overflow unit at Good Samaritan Hospital Medical Center in West Islip, NY.