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Online posts often contain more data than were really intended, says Michael Blaivas, MD, RDMS, professor of emergency medicine in the Department of Emergency Medicine at Northside Hospital Forsyth in Cumming, GA, and patients may be able to pick themselves out.
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As ED overcrowding becomes more widespread, the companion problem of ambulance diversion becomes increasingly acute at EDs across the nation.
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If you forget to tell an inpatient nurse that your ED patient has an allergy or was given a certain medication, the consequences could be dire.
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Minor respiratory complaints were all that a man reported to ED nurses at Hennepin County Medical Center in Minneapolis, but in fact, he was suicidal.
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Are you able to try sticking your patient more than once or twice? Can you wait for the best possible nurse to be free? Do you need to consider alternative access immediately?
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When John Provost, RN, started working in the ED in 2006 at St. Joseph's Hospital and Medical Center in Phoenix, AZ, he purchased a PalmPilot, then added some software with medical information.
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If an ED nurse at Christiana Care Health System in Wilmington, DE, suspects a patient could be having a myocardial infarction (MI), he or she does the EKG immediately at the bedside and interprets it on the spot, says Patricia L. Blair, RN, BSN, CEN, patient care coordinator.
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An elder woman brought by ambulance from an extended care facility was awake and oriented, but didn't know her medications or even the facility's name and phone number, recalls Donna Sparks, MSN, RN, CEN, director of emergency services at Baptist Hospital Miami (FL).
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Clostridium difficile (C. difficile) infections are on the rise, with an estimated 500,000 cases in hospitals and nursing homes each year and increased mortality rates, according to the Centers for Disease Control and Prevention (CDC).
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According to a recent study in the Annals of Emergency Medicine, thorough hand washing might be the most cost-effective way to reduce the spread of methicillin-resistant Staphylococcus aureus (MRSA) in the ED.
