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Findings from a just-published study indicate that women who use the contraceptive injection depot medroxyprogesterone acetate (DMPA, marketed as Depo-Provera, Pfizer, New York City) appear to have a threefold increased risk of acquiring chlamydia and gonorrhea when compared to women not using a hormonal contraceptive.
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The next patient in your exam room is a 16-year-old young woman who says she needs effective contraception. She has tried oral contraceptives (OCs), but she says she has trouble remembering to take a daily pill. What options can you offer her?
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While the contraceptive transdermal patch (Ortho Evra, Ortho-McNeil Pharmaceutical, Raritan, NJ) and the contraceptive vaginal ring (NuvaRing, Organon, West Orange, NJ) are gaining increased use among women, many providers report that oral contraceptives (OCs) remain a popular form of birth control.
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Take a look at the last 10 patient charts in your outbox. If oral contraceptives (OCs) were prescribed, which ones were selected? When it comes to prescriptions for younger women, about 24% of respondents to the 2004 Contraceptive Technology Update Contraception Survey say their No. 1 pill of choice is Ortho Tri-Cyclen Lo (Ortho-McNeil Pharmaceutical, Raritan, NJ).
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Picture a packed waiting room in the height of the flu season. Could a 61-year-old woman in heart failure be mistaken for another pneumonia case? Thats what a patients family said happened in one ED when a woman with labored breathing was left to wait for several hours as her condition worsened.
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Be honest: Are you truly comfortable caring for trauma patients? Many ED nurses rarely see these cases, notes Pat Manion, RN, MS, CCRN, CEN, trauma coordinator at Genesys Regional Medical Center in Grand Blanc, MI.
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Verbal orders can put patients in danger for serious adverse outcomes resulting from medication errors, and the ED is at especially high risk for this, says Lisa DiMarco, RN, BSN, MBA, administrative director for emergency services at Edward Hospital in Naperville, IL. Unlike other departments, verbal orders are common in the ED out of both habit and necessity.
