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A 28-year-old man was given an immediate EKG when he told ED nurses at Parkland Health & Hospital Systems in Dallas that he felt like someone was "holding my chest tight, like a band around my chest."
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The medications your elder patient is taking can cause a worsened injury or misleading vital signs, warns Chris Hoag-Apel, RN, TNS, SANE, trauma service supervisor at Freeman Health Systems in Joplin, MO.
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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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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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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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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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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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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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Have you just placed a urinary catheter in an ED patient? If so, possible complications include urosepsis, septicemia, trauma to the urethra or bladder, and urethral perforation, warns Mark Goldstein, RN, MSN, EMT-P I/C, clinical nurse specialist at the Emergency Center at Beaumont Hospital in Grosse Pointe, MI.
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ED nurses at St. Elizabeth Healthcare Florence (KY) have cared for several healthy patients under age 35 with no history or family history of heart disease, who were having a cardiac event, reports Ben Brooks, RN, BSN.
