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ED Nursing Archives – July 1, 2005

July 1, 2005

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  • JCAHO’s safety goals — Clock is ticking, will your ED be compliant?

    ED nurses will face even greater responsibility for compliance under the 2006 National Patient Safety Goals just unveiled by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO).
  • Other 2006 changes will potentially impact EDs

    While the two new requirements involving hand-offs and medication labeling are the most obvious changes in the 2006 National Patient Safety Goals just released by the Joint Commission on Accreditation of Healthcare Organizations, there are other, more subtle changes that also are critically important for nurse managers to know about.
  • JCAHO warns: Look out for surveyor impostors

    Its 3 a.m., and a well-dressed man and woman approach the triage nurse with official-looking clipboards in hand. They claim to be surveyors from the Joint Commission on Accreditation of Healthcare Organizations, and they demand to be shown your medication storage areas.
  • Do you delay antibiotics? Patients may be put at risk

    The diagnosis of meningitis was clear: The one-month-old infant showed classic signs and symptoms. A lumbar puncture was ordered, but antibiotics werent given until several hours later, and the child suffered severe brain damage. The result of the ensuing malpractice lawsuit: A $1 million settlement.
  • Learn new ways to treat, monitor septic patients

    This is the second of a two-part series on care of sepsis patients in the ED. This month, we cover educational strategies for emergency nurses regarding practice changes to comply with new guidelines. Last month, we covered new approaches for assessment and intervention in the ED.
  • Pediatric Corner

    An 8-year-old boy with a fractured arm was grimacing in pain when he arrived at the ED at Childrens Healthcare of Atlanta. Nurses quickly learned about his love for dinosaurs, cars, and superheroes and talked to him about his interests.
  • Is it CHF? A new blood test can tell you

    When a patient complains of shortness of breath, congestive heart failure (CHF) may be one of the first things you suspect, but a definitive diagnosis can be difficult. Now a new blood test that measures a cardiac biomarker, the terminal prohormone of B-type natriuretic peptide (NT-proBNP), can give you an answer within minutes.
  • Are you sedating agitated psychiatric patients safely?

    A man walks into your ED screaming at the top of his lungs and waving his arms wildly. Its clear that sedation is needed, but the safety of this patient and the ED staff is very much at risk.
  • Cost-Saving Tip

    Overworked ED nurses at McKay-Dee Hospital Center in Ogden, UT, were frustrated with spending hours looking through charts to figure out charges for procedures.