Mulkey MA, Olson DM, Misrahi S
… +1 more, Hardin SR
Medsurg Nurs
· 2021 · PMID 36466745
This project aimed to identify patients who had experienced a stroke and were at risk for delirium earlier, and implement evidence-based protocols to reduce overall length of stay and mortality. Nurses were motivated to...This project aimed to identify patients who had experienced a stroke and were at risk for delirium earlier, and implement evidence-based protocols to reduce overall length of stay and mortality. Nurses were motivated to perform screening and implement strategies that benefit patients who had experienced acute stroke. Results suggest early identification and treatment of delirium, use of prevention strategies, and treatment of the underlying etiology can improve patient outcomes and reduce cost of care.
Negative behaviors often are directed toward nursing staff in verbal or physical assaults. Nursing staff on non-psychiatric units may not be prepared to manage such situations and need additional support. Behavioral Emer...Negative behaviors often are directed toward nursing staff in verbal or physical assaults. Nursing staff on non-psychiatric units may not be prepared to manage such situations and need additional support. Behavioral Emergency Response Teams (BERTs) have been effective in supporting nursing staff faced with patients exhibiting these behaviors.
Agitation is a symptom of many medical and psychiatric disorders that can manifest along a spectrum of severity. Agitation often delays treatment onset, potentially impacting morbidity and mortality, and may require emer...Agitation is a symptom of many medical and psychiatric disorders that can manifest along a spectrum of severity. Agitation often delays treatment onset, potentially impacting morbidity and mortality, and may require emergency interventions. Management of acute agitation centers around three main goals: early recognition and treatment of the underlying etiology, rapid control of the behavior, and prevention of harm to the patient and personnel. Nurses should increase use of validated techniques, including frequent and sufficient reality orientation, validation therapy, and strategies that improve the individual's quality of life.
French R, McHugh MD, Lake E
… +1 more, Brooks Carthon JM
Medsurg Nurs
· 2020 · PMID 34079200
An understudied aspect of the opioid crisis with implications for nursing is care of hospitalized surgical patients with chronic opioid use. Care needs of these patients are not well understood. This systematic review id...An understudied aspect of the opioid crisis with implications for nursing is care of hospitalized surgical patients with chronic opioid use. Care needs of these patients are not well understood. This systematic review identified salient care needs and explored the role of nursing in meeting these needs.
The Medical-Surgical Nursing Certification Board (MSNCB) is a professional organization whose mission is to validate excellence in medical-surgical nursing. MSNCB administers the Certified Medical-Surgical Registered Nur...The Medical-Surgical Nursing Certification Board (MSNCB) is a professional organization whose mission is to validate excellence in medical-surgical nursing. MSNCB administers the Certified Medical-Surgical Registered Nurse (CMSRN[R]) and Certified in Care Coordination and Transition Management (CCCTM) certification programs because certification is the recognized path for registered nurses to build and demonstrate commitment, confidence, and credibility. Certification provides an added credential beyond licensure. It demonstrates, by examination, that the registered nurse adheres to specialized nursing standards and has acquired a core body of specialized knowledge in their practice or specialty. The topic of this article is part of the comprehensive examination given by MSNCB. The following scenario and questions offer an example that potential certificants may use to test their knowledge.
Total knee arthroplasty (TKA) affects patients' lives in many ways. In this descriptive qualitative study, effects of knee problems were identified as influential on patients' decisions during the preopera- tive period....Total knee arthroplasty (TKA) affects patients' lives in many ways. In this descriptive qualitative study, effects of knee problems were identified as influential on patients' decisions during the preopera- tive period. Patients also stated they experienced difficulties postop- eratively that were unique to TKA.
Healthcare providers typically use opioids to treat postoperative pain. Use of intravenous ibuprofen and acetaminophen as adjuncts to opioids is evaluated for potential to reduce opioid use and improve postoperative pain...Healthcare providers typically use opioids to treat postoperative pain. Use of intravenous ibuprofen and acetaminophen as adjuncts to opioids is evaluated for potential to reduce opioid use and improve postoperative pain management.
Ross SY, Roberts S, Taggart H
… +1 more, Patronas C
Medsurg Nurs
· 2017 Mar · PMID 30304593
This quality improvement project focused on improving patient education and patient satisfaction, and reducing all-cause 30-day readmissions. A 72-hour discharge follow-up telephone call was completed in patients dischar...This quality improvement project focused on improving patient education and patient satisfaction, and reducing all-cause 30-day readmissions. A 72-hour discharge follow-up telephone call was completed in patients discharged home with diagnosis of stroke.
Impairment of cough and swallow is a potential consequence of neurological dysfunction that places affected patients at increased risk for respiratory compromise and death. Nurses are critical to early identification and...Impairment of cough and swallow is a potential consequence of neurological dysfunction that places affected patients at increased risk for respiratory compromise and death. Nurses are critical to early identification and frequent screening of airway defense mechanisms to reduce aspiration risk and improve clinical outcomes in patients with neurological impairment.
Use of tranexamic acid for management of blood loss in total hip arthroplasty is growing. It is important for healthcare providers to be aware of the pharmacology, efficacy, management, complica- tions, and side effects...Use of tranexamic acid for management of blood loss in total hip arthroplasty is growing. It is important for healthcare providers to be aware of the pharmacology, efficacy, management, complica- tions, and side effects of this medication.
Felty's syndrome is a triad of rheumatoid arthritis, splenomegaly, and neutropenia. This rare disorder is difficult to diagnose and produces many complications. The purpose of this descriptive qualitative case study was...Felty's syndrome is a triad of rheumatoid arthritis, splenomegaly, and neutropenia. This rare disorder is difficult to diagnose and produces many complications. The purpose of this descriptive qualitative case study was to provide a comprehensive, context-bound understanding of one patient's struggle with the condition.
Hip and knee arthroplasty are common 'surgical procedures. Enhanced recovery programs help reduce length of stay with good patient outcomes and satisfaction. An audit is described showing improved pain management, reduce...Hip and knee arthroplasty are common 'surgical procedures. Enhanced recovery programs help reduce length of stay with good patient outcomes and satisfaction. An audit is described showing improved pain management, reduced nausea and vomiting, and quicker recovery through an interprofessional approach.
Use of a noise-reducing headset to decrease distractions at medication stations was evaluated. Observational data demonstrated a statistically significant decrease in the frequency with, which RNs were visibly distracted...Use of a noise-reducing headset to decrease distractions at medication stations was evaluated. Observational data demonstrated a statistically significant decrease in the frequency with, which RNs were visibly distracted when using the headset.
Crimlisk JT, Grande MM, Krisciunas GP
… +3 more, Costello KV, Fernandes EG, Griffin M
Medsurg Nurs
· 2017 Mar · PMID 30304587
A nurse residency program was designed to train a large group of new graduate nurses hired into multiple specialty areas. The program included a generalist 1 month 5 day/week clinical orientation followed by specialty cl...A nurse residency program was designed to train a large group of new graduate nurses hired into multiple specialty areas. The program included a generalist 1 month 5 day/week clinical orientation followed by specialty clinical orientation with ongoing generalist education. Retention rate after 1 year was 91%.
Cortez-Gann J, Dicarlo Gilmore K, Watson Foley K
… +3 more, Brooke Kennedy M, Mcgee T, Kring D
Medsurg Nurs
· 2017 Mar · PMID 30304586
Blood transfusion vital sign protocols do not have sufficient evi- dence to mandate surveillance frequency. The purpose of this study was to examine the relationship of vital sign changes to reaction times in an effort t...Blood transfusion vital sign protocols do not have sufficient evi- dence to mandate surveillance frequency. The purpose of this study was to examine the relationship of vital sign changes to reaction times in an effort to determine best practice for monitoring patients receiving blood products.