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If the patient standing in front of you appears jittery, unable to sit still, and is continually scratching at sores on his or her face and body, it's likely he or she is using methamphetamine. "It's unfortunate to say, but we can usually tell by looking at someone that he or she is a meth user," says Sue Williams, RN, a nurse with SSM Behavioral Health Services at St. Joseph Health Center-Wentzville in Wentzville, MO.
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Children are more susceptible to acute airway compromise due to the unique characteristics of a child's airway, according to Eileen Callahan, RN, BSN, an ED pediatric nurse educator at Tufts Medical Center and the Floating Hospital for Children in Boston, MA.
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Every part of the process in stroke care from the time the patient begins to have symptoms to the time treatment is initiated is constantly examined for ways to cut minutes, reports Sharon Pulver, MSN, RN, CEN, network stroke coordinator for the SSM Neurosciences Institute in St. Louis, MO.
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If a tuberculosis patient just left your ED to go to a negative pressure room, housekeeping must come and disinfect the room wearing full contact precautions garb, leave the room unused for four hours, and remove all hanging curtains and replace these with clean ones.
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While assessing a 40-year-old male who complained of abdominal pain, nurses did a routine mental health screening, which included asking if he was currently suicidal. "He answered 'yes' to all of the questions," says MaryEllen Swanson, RN, a senior staff nurse in the ED at Hennepin County Medical Center in Minneapolis. "It would have been missed if the screening had not been done."
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Is your intubated patient being transporte d for radiological studies? This increases the chance of disastrous consequences due to an unrecognized displaced or dislodged endotracheal (ET) tube, warns Catherine Payne, RN, MSN, CCRN, CEN, an ED nurse at the University of California Davis Medical Center in Sacramento.
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If a patient reports taking antibiotics during your medication reconciliation, you may learn these were prescribed for a urinary tract infection or dental work months earlier. "For whatever reason, they didn't take the antibiotics as prescribed, and now they will take a pill whenever they have a sore throat," says Kimberly Barker, BS, RN, CEN, an ED supervisor at St. David's South Austin (TX) Medical Center.
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Just a wrist sprain? After reading this issue, you may want to look at that X-ray again.
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Care for a patient who undergoes an amputation is often complicated and is time-sensitive. A lot of thought goes into whether replantation is attempted or not, but those decisions are reserved for the replantation team. The role of the emergency provider is to expediently evaluate the patient and prepare him or her for care by the replantation team.