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STI guidelines

2021 CDC STI guidelines: A review of changes

Follow current recommendations for prevention, assessment, and treatment.  Takeaways: Sexually transmitted infections are epidemic in the United States with numbers steadily rising and reaching an...
A guide for adhesive removal: Principles, practice, and products

A guide for adhesive removal: Principles, practice, and products

Combining skill and knowledge ensures safe removal. Takeaways: Improve your knowledge on how to remove medical tape or wound dressings Discover products and strategies to...
Addressing-substance-disorder-healthcare-environment

Addressing substance use disorder and diversion in the healthcare environment

Early detection and response are key. Takeaways: Substance use disorder (SUD) affects people of all ages, genders, races, and religions regardless of socioeconomic status, professional...
Alzheimer’s disease and Lewy body dementia: Discerning the differences

Alzheimer’s disease and Lewy body dementia: Discerning the differences

Assessment is key for optimal management. Takeaways: An early symptom of Alzheimer’s disease is decline in cognition, most typically manifesting as short-term memory loss. Early...
arrhythmogenic-cardiomyopathy

An overview of arrhythmogenic cardiomyopathy

Understanding conditions that can cause this disorder will help nurses educate and care for patients. Takeaways: Arrhythmogenic cardiomyopathy (ACM) is a description given to various...
ECMO

Answers to the top 10 ECMO questions

Take a crash course in extracorporeal membrane oxygenation.  Takeaways: Extracorporeal membrane oxygenation (ECMO), a form of cardiopulmonary bypass, is a life-saving treatment for many patients,...

Antibiotic stewardship for staff nurses

Over the past decade, antibiotic resistance has increased and spread dramatically throughout the world. According to the Centers for Disease Control and Prevention (CDC), antibiotic use is the single most important factor...

APRNs and the Choosing Wisely® campaign

Advanced Practice RNs (APRNs) influence outcomes for patients in a number of ways, including better symptom management, reduced costs, and improved health. Demonstrating the outcomes of...
opioid

Avoiding iatrogenic opioid dependency and addiction

Assessment, empathy, and nonpharmacologic options are effective strategies. Takeaways: Pain perception is multifactorial and includes somatic and medical, cognitive, emotional, behavioral, social, and motivation factors. ...

Better safe than sepsis

Tips for a hospital sepsis prevention program Takeaways: The Surviving Sepsis Campaign international consensus guidelines summarize best practices based on the medical literature, but they...
biosimilars-lower-drug-costs-patients

Biosimilars: An alternative to biologics

Biosimilars may help lower drug costs for patients. Takeaways: Biologics and biosimilars are classes of drugs used to treat many complex conditions, including inflammatory bowel...
Bridging the education-to-practice gap

Building experiential interprofessional education

Bridging the education-to-practice gap. Editor’s note: This is an early release of an article that will appear in the November 2021 issue of American Nurse...
candida auris emerging threat

Candida auris: Nurses’ response to an emerging threat

Identifying, treating, and preventing an elusive infection Takeaways: Candida auris (C. auris)is an emerging pathogen that can be difficult to identify, spreads quickly, and is...
cannabis

Cannabinoid hyperemesis syndrome explained

Learn how to identify this frequently misdiagnosed condition. Takeaways: Cannabinoid hyperemesis syndrome is a growing but poorly understood healthcare concern within the rising number of...

Carbon monoxide poisoning: The silent killer

In June 2013, a mother and her 11-year-old son drove to the North Carolina mountains for an overnight stay and checked into a nice hotel with an indoor pool. Shortly after...
cardiotoxic effects of cancer therapy

Cardiotoxic effects of cancer therapy

Treatment risks and how to manage them Takeaways: Some cancer treatments can have cardiotoxic effects. Cardiotoxic effects include decreased heart function, chest pain, arrhythmias, palpitations,...

Caring for patients with lumbar drains

A LUMBAR DRAIN is a small, flexible tube placed in the arachnoid space to drain cerebrospinal fluid (CSF). Indications for lumbar drains include: • to drain CSF...

Centralized vs decentralized staffing: Two case studies

Strive for balance to achieve improved outcomes. Takeaways:  Nurse staffing is influenced by an organization’s structure and culture.  Centralized staffing manages staffing through a central...
common-hearing-loss-adults

Common causes of hearing loss in adults

Nurses can help reduce potential loss of quality of life. Takeaways: Approximately 16% of adults age 18 years and older report trouble hearing Symptoms of...

Conservative treatment for the silent epidemic of pelvic organ prolapse

Pelvic organ prolapse (POP) is the protrusion of the pelvic organs against the vaginal walls towards or through the vaginal opening. The number of...

Considerations when a BON disciplinary process is based on substance use disorder: Part 2

New programs and laws help nurses get treatment and protect their licenses.   Editor’s note: Access part 1 at myamericannurse.com/?p=55520. NURSES who face board of nursing (BON)...

Continuous-waveform capnography: A crucial tool for ED clinicians

Many emergency department (ED) patients are at risk for complications associated with airway management and ventilator problems. Continuous-waveform capnography (CWC) is a critical method clinicians...
Cranial nerve assessment, healthcare, registered nurse, nursing, nursing journal

Cranial nerve assessment: A practical approach

Use mnemonics to aid remembering and identifying abnormal findings.  Takeaways Many nurses find remembering the cranial nerves and their functions to be challenging. Neurologic assessments...
critically ill obstetric patients

Critically ill obstetric patients

Be prepared to care for pregnant and postpartum patients in critical care settings. Takeaways: Some critical care nurses have reported that they don’t feel prepared...
DKA

Diabetic ketoacidosis and hyperglycemic hyperosmolar state

Early identification and management are key to good outcomes.  Learning Objectives  Compare onset, diagnosis, and treatment of diabetic ketoacidosis (DKA) and hyperglycemic hyperosmolar state. Identify...
diagnosis treatment prevention cystitis

Diagnosis, treatment, and prevention of cystitis

A case report to guide nurse practitioners. By Myriam Jean Cadet, PhD, APRN, MSN, FNP-C Takeaways Early diagnosis of cystitis is important to manage and prevent...
disaster regulation proactive response ant

Disasters, regulation, and proactive response

Is nursing prepared for the next disaster? By David Benton, RGN, PhD, FFNF, FRCN, FAAN With alarming frequency, nurses are confronted with the professional, organizational, and...
Discontinuing medically administered nutrition

Discontinuing medically administered nutrition

Support patient’s values, beliefs, and goals.  Takeaways: Medically administered nutrition and hydration (MANH) is indicated for individuals with chronic, complex, or serious illness for whom...
dumping syndrome cause management patient education ant

Dumping syndrome: Causes, management, and patient education

Learn how to identify and manage this under-recognized syndrome. Takeaways: Dumping syndrome is often misdiagnosed. The clinical manifestations of dumping syndrome are categorized as early...

Effective bag-valve-mask ventilation saves lives

Robert Walker*, your patient in the postanesthesia care unit, is recovering from laparoscopic cholecystectomy. The anesthesia provider tells you that the patient’s history is unremarkable...
medical device pressure injury prevention

Evidence-based practice: Medical device–related pressure injury prevention

Learn the risk factors and tailor prevention to device type. Takeaways: Medical device–related pressure injuries (MDRPIs) are a common but preventable patient care issue with...
Enteral,Feeding,Bag,Set,On,Double,Hook,Iv,Stand

Evidence-based strategies to prevent enteral nutrition complications

Follow these tips to keep your patients safe.  Takeaways Enteral nutrition (tube feeding) can be administered safely but is not without risks. Optimal nursing care can...
organ donation explore pediatric patient

Exploring organ donation with families of pediatric patients

Use this evidence-based approach to help grief-stricken families make a critical decision. Takeaways: As the nurse of a dying child, you are perfectly positioned to...

Frailty syndrome: A weakly addressed problem

Fran Covington, age 82, has a history of cardiovascular disease, chronic diastolic heart failure, type 2 diabetes, and chronic obstructive pulmonary disease (COPD). She lives at home with her husband and...

Helping patients who harm themselves

Why would someone deliberately hurt herself? The notion might seem odd—but as a nurse, you may encounter patients with signs of selfinjury (also called cutting, selfinflicted violence, self-harm, or self-mutilation). Cutting...
His Bundle

His bundle pacing

These pacemakers provide an alternative for those who don’t respond to other devices.  Takeaways: His bundle pacing offers a superior alternative to the potential adverse...
design-thinking

How innovation and design thinking can improve care

Empathy and collaboration create opportunities to help vulnerable populations.  Takeaways: Design thinking is a problem-solving tool driven by the needs of the targeted population. The...

How to help patients live with liver failure

A life-threatening condition, liver failure results from liver damage. In many cases, the damage is gradual and silent, causing few symptoms until the organ loses all of its functions. Liver failure...

How to recognize and intervene for pediatric sepsis

A life-threatening, life-altering emergency, sepsis can have catastrophic effects. When the condition progresses undetected, it can lead to multiple organ dysfunction syndrome and death. Mortality...

How to recognize delirium in pediatric patients

A syndrome  of acute brain dysfunction, delirium causes observable changes in behavior. A hallmark of delirium is a disturbance of consciousness and cognition, with inattention that develops acutely and fluctuates...

How you can avoid laboratory errors

YOU MIGHT be wondering: Since when do nurses make laboratory errors? Actually, we make them fairly often—typically by using improper technique when collecting and handling samples and specimens. Preanalytic errors...
Human trafficking

Human trafficking: Preparing for a unique patient population

In most ways, human trafficking (modern slavery) is no different from slavery of ancient times: It’s a brutal, highly profitable business with no regard...
hypoglycemia diabetes management

Hypoglycemia: An unwelcome companion to effective diabetes management

Tailor your assessment, prevention, and treatment to individual patient needs and risks. Takeaways: Hypoglycemia places people with diabetes at risk for injury and prevents them from...
Hypothyroidism and nursing care

Hypothyroidism and nursing care

Learn to recognize the symptoms of this commonly overlooked condition. By Dorothy Moore, DNP, FNP-C, CCRN Sandra Reynolds, a 64-year-old homeless woman, is admitted to your...

Improving nurses’ attitudes toward patients with substance use disorders

Editor’s note: The author uses substance use disorder as a diagnostic term. However, some of the research he cites uses a different term, such as drug addiction or drug...
influenza flight flu

Influenza vaccines and nurses

Find out how to improve influenza vaccination rates among healthcare workers. Takeaways: Barriers to influenza vaccination include inconvenience and cost, previous negative experiences, personal and...
initial assessment mgmt burn patients ant

Initial assessment and management of burn patients

Your quick action can help decrease morbidity and mortality, shorten hospital stays, and reduce costs. Takeaways: Large total body surface area burns require immediate...
glucose monitoring

Insights into glucose monitoring for diabetes

Developments in testing provide better outcomes for your patients. Key Takeaways - Self-monitoring of blood glucose allows patients with diabetes to take a more active role...

Interacting with individuals on the autism spectrum

Successful care depends on communication with patients, families, and caregivers. Takeaways: Optimizing health encounters for patients on the autism spectrum (ASD) requires an individualized approach. ...

Intimate partner violence in pregnancy

Screening, assessment, and intervention. Takeaways  According the Centers for Disease Control and Prevention, 32.4% of women in the United States have experienced physical violence by...

Intimate partner violence: When closeness turns deadly

A patient who experiences violence at the hands of a spouse or partner may think of it as a personal and private matter, but intimate...
leadless pacemakers cardiac pacing

Leadless pacemakers: A new technology in cardiac pacing

Learn about the nursing implications of these innovative devices. Takeaways: The leadless pacemaker is a right ventricular single chamber pacemaker used to treat symptomatic bradycardia. The...
Beyond Pandemic Virtual Roundtable

Looking beyond the pandemic: A virtual roundtable

The COVID-19 pandemic is far from over, but many are starting to ponder its lasting effects on nursing. The editorial team at American Nurse...

Lyme disease prevention and treatment

SCENARIO: When you meet your patient Tom for the first time, he reports fever, headaches, a rash on his stomach, and muscle aches. As you perform your assessment,...

Managing medications for hospital patients with Parkinson disease

A progressive degenerative disease, Parkinson disease (PD) is marked by tremor, slow movement, stiffness, and balance problems. It affects about 1 million Americans—more than amyotrophic...
manage mental health emergency ant

Managing mental health emergencies in the ED

Safety and continuity are key to successful care. By Jessica L. Dzubak, RN Takeaways: The most important consideration when caring for this special population is ensuring,...

Massive blood transfusion protocols

Takeaways  Mass transfusion operates best under a protocol developed by a multidisciplinary team. Using the ABC score can help rule out the need...

Medical device reporting—a model for patient safety

As a nurse, you’re well aware of medication safety and error prevention initiatives, but do you also know about the Food and Drug Administration’s...
MAT-opioid use

Medication-assisted treatment for opioid use disorders: Implications for surgical patients

Perioperative considerations nurses need to know for elective surgery. Takeaways: Nursing care requires familiarization with medication-assisted treatment (MAT) for opioid use disorders, as well as...
medications heart failure management

Medications for heart failure management: What nurses need to know

Learn about heart failure medications to ensure improved outcomes Takeaways: Learn about the newest medications to treat heart failure, including adverse effects, indications, and nursing implications. ...

Mitigating melanoma

Early detection and intervention is key for higher survival rates. Takeaways: Late identification and recognition of melanoma lead to worsening health outcomes. Nursing patient education...
center disease control gudieline prevent surgical site infections

New CDC guideline for the prevention of surgical site infections

A new format and structure allows for timely updates and distribution. Takeaways The 2017 updated Centers for Disease Control and Prevention Surgical Site Infection Guidelines...
nurse-heroes

Nurse heroes of the Pandemic

Nurses share a common theme: Hope. Be prepared, be strong, and don’t panic Crystal Davis Campbell, BSN, RN Staff nurse, medical ICU, Vidant Medical Center Greenville, North Carolina             Crystal...

Nurse research and the institutional review board

Learn how the IRB process works to ensure participant safety and quality research. Takeaways: The institutional review board (IRB) process is intended to ensure study...
hurricane experience nurse

Nurses share hurricane experiences

AMERICAN NURSE TODAY asked nurses to share their personal and professional experiences related to Hurricanes Harvey and Irma. Here are a few of their...
renal replacement

Nurses’ role in continuous renal replacement therapy

Expand your knowledge for safe, quality care. Takeaways: Acute kidney injury (AKI) in combination with other disease processes, such as COVID-19, significantly impacts patient mortality...

Nurses’ essential role in supporting professionalism

Key takeaways - Most nurses behave professionally and ethically. - A tiered approach to intervention when unprofessional behavior occurs offers the opportunity for self-directed, nonpunitive change...

Nursing communication and the gender identity spectrum

It’s a hectic day in the emergency department (ED), where the triage nurse Laura* is interviewing 30-year-old Shawn. Shawn’s girlfriend is close by his side. Laura...

Nursing considerations for procedural sedation and analgesia: Part 1

This first in a two-part series reviews patient assessment, red flags, and pharmacologic agents. Takeaways:  Registered nurses providing moderate procedural sedation and analgesia must demonstrate...

Nursing considerations for procedural sedation and analgesia: Part 2

This second in a two-part series reviews sedation implementation and monitoring. Takeaways:  Signs and symptoms of airway obstruction during procedural sedation include increased respiratory effort,...
ostomy management nuts bolts

Ostomy management: Nuts and bolts for every nurse’s toolbox

Learn the facts about ostomy care. By Mary H. Zeigler, MS, CRRN, CWON, and Allison Min, BSN, CRRN An Ostomy is a surgically created diversion for...

Paternal postpartum depression

Prevent and screen for depression in new fathers. Takeaways: Paternal postpartum depression effects one in ten fathers. Paternal postpartum depression can affect fathers, the likelihood...
patient violence ant

Patient violence: It’s not all in a day’s work

Strategies for reducing patient violence and creating a safe workplace Takeaways: Nurses alleviate stress when they report incidents of workplace violence. Nurses need to...
Patient-Centered Medication for Diabetes

Patient-centered medication selection for type 2 diabetes

A collaborative, patient-centered approach that considers a variety of factors will be most effective.  Takeaways: Before selecting medications for type 2 diabetes and to promote...
Pediatric Sepsis

Pediatric sepsis: Are you ready?

Implement protocols for early identification and management.  Takeaways: Sepsis has received much attention recently, but the pediatric population is missing from many of these...
person-centered-care-dementia

Person-centered care and dementia

Best practices for residents living in long-term care Takeaways: A growing body of evidence supports the idea that personhood and selfhood are not lost even...
older citizens climate change

Preparing older citizens for global climate change

Collaborate and advocate to meet patient needs and implement policy change. Takeaways: Older adults have increased vulnerability to the effects of climate change because of greater...
Primary Care

Preparing RNs for emerging roles in primary care

Shifts in care delivery require a shift in nurse preparation.   The increase in the aging population, surge of chronic diseases, passage of the Affordable Care...
Nurse,With,Patient.,Routine,Health,Check,And,Putting,Elderly,Patient

Pressure injury prevention in long-term care

Follow the evidence to improve outcomes.  Takeaways: High quality healthcare is established using evidence-based practice in nursing protocols and procedures. To decrease pressure injury (PI)...

Preventing surgical site infection

Stopping infection requires effective discharge teaching. Takeaways: Executing a successful discharge is the ultimate goal for all involved in the perioperative process. An interprofessional...

Primary hypothyroidism: More common than you think

Be alert to this frequently unrecognized condition. Takeaways: Hypothyroidism develops slowly over time and if left undiagnosed may put patients at risk for serious conditions,...
effective-communication-deaf-hard-hearing

Providing effective communication to patients who are deaf or hard of hearing

Nurses have a legal duty. Communication is the bedrock of patient care. If a patient can’t comprehend the care being provided or the clinician can’t...
DD

Recognizing and treating dissociative disorders

The nurse’s role in supporting patients and their families. Takeaways: Dissociative disorders are a group of psychiatric disorders that result from experiencing or witnessing trauma;...
recurrent respiratory papillomatosis

Recurrent respiratory papillomatosis in children

Treatment for this rare disorder may require repeat surgeries. Takeaways: Recurrent respiratory papillomatosis (RRP) is disease, but it’s progressive and can effect quality of...
Redesigning Healthcare

Redesigning healthcare: Global insights for nurses

A look at best practices.  Editor’s note: This is part of our continuing series designed to tackle issues related to how the profession will move...
What are descriptive statistics

Research 101: Descriptive statistics

Use these tools to analyze data vital to practice-improvement projects. By Brian Conner, PhD, RN, CNE and Emily Johnson, PhD Takeaways: Nurses at every level should...
Shortages

Retaining nurses to mitigate shortages

Flexibility, creative policies, and new care models are key to retention. Takeaways: 22% of RNs and 20% of nurse leaders may leave their position within...

Right-sided heart failure

Give the right side of the heart the attention it’s due. Takeaways: In right-sided heart failure, ventricular independence (between the right and left ventricles) can...
School-nurses-Keeping-children-families-communities-healthy

School nurses: Keeping school children, families, and communities healthy

This specialty provides many challenges—and rewards. Takeaways: School nurses play an integral role in the health of children and youth, by increasing access to healthcare,...
screening management hepatitis-c

Screening and management of hepatitis C

Use education to dispel the myths about the disease and increase screening and treatment. Takeaways:  Hepatitis C infection is a significant public health issue in...
secondary hyperparathyroidism chronic kidney disease american nurse journal

Secondary hyperparathyroidism in chronic kidney disease

Through early recognition and prompt treatment, you can help relieve patient pain and discomfort. Key Takeaways - Patients with chronic kidney disease, particularly those who have end-stage...
Sepsis

Sepsis identification: A race against time

Nursing assessments and recognition of risk factors aid prompt recognition and treatment.  Sepsis is a life-threatening condition that occurs when the body’s response to infection...
reversible-causes-of-dementia

Seven reversible causes of dementia in older adults

Early identification and accurate diagnosis can improve patient outcomes. Takeaways: Some causes of dementia can be reversed through proper identification, intervention, and treatment. Nurses play...

Sharps injuries: Where we stand today

Needlesticks and other sharps-related exposures to bloodborne pathogens (including HIV, hepatitis B virus and hepatitis C virus) continue to pose a significant occupational risk...
smart-pumps-smart-management-safe-patients

Smart pumps, smart management, safe patients

When organizations and clinicians team up, patients are protected.  Takeaways: Medication administration errors continue to occur due to mistakes in smart electronic infusion pump setup,...

Spontaneous coronary artery dissection

Be aware of this often misdiagnosed and possibly deadly condition. Takeaways:  Nurses should have a high level of suspicion for spontaneous coronary artery dissection (SCAD)...
stop acute upper gi bleed ant

Stopping acute upper-GI bleeds

Risk stratification and quick intervention can save lives. Takeaways: GI bleeding remains a major concern, particularly for the elderly with multiple co-morbidities. Management of acute...

Strangulation: A silent but deadly form of intimate partner violence

Awareness and assessment are keys to getting victims the help they need. Takeaways: The effects of strangulation can be delayed. Nonfatal strangulation victims are at...
support-nurse-health-walking-program

Support nurse health with a structured walking program

Identify barriers and create structure to aid participation.  Takeaways: Supporting nurses to embrace a healthy lifestyle can have a positive outcome on their well-being. A...
surviving sepsis campaign hour 1 bundle

Surviving Sepsis Campaign hour-1 bundle

This 2018 update to the sepsis bundle focuses on beginning treatment immediately. Takeaways:  Sepsis bundles are designed for bedside application of key elements of the...
targeting zero cautis

Targeting zero CAUTIs

 Empower nurses and proactively reduce urinary catheter device use  Takeaways: A nurse driven quality improvement project improved catheter utilization rates in one hospital. A urinary...
nu nurses screen delirium ant

The “Nu” way for nurses to screen for delirium

The right tool can make all the difference in proper screening for delirium. Takeaways: The Nursing Delirium Screen Scale (NuDESC) is a nurse-driven tool for...
sepsis challenge develop process educate staff lead reduce mortality

The Sepsis challenge

Developing processes and educating staff lead to reduced mortality. Takeaways: Sepsis requires early identification with rapid treatment. Sepsis core measure bundles are a challenge for...
Race-5-people

Toward rational conversation about race, health risk, and nursing

How race correction affects risk assessment and treatment. Takeaways: Race correction refers to a practice in healthcare that treats race as a risk factor. ...
Ultrasound-guided peripheral I.V. access: Guidelines

Ultrasound-guided peripheral I.V. access: Guidelines for practice

Learn more about a noninvasive technique that can help spare your patient pain.

Understanding medical management of aortic stenosis

Key takeways Medical management of aortic stenosis can’t cure or delay its progression. Nursing expertise aids in maintaining the often precarious hemodynamic stability of...
Female,Doctor,Holding,Up,Oxygen,Mask,As,If,To,Put

Understanding noninvasive ventilation

Knowing the benefits and drawbacks of the options helps drive patient-centered care. Takeaways: Traditionally, oxygen delivery systems are categorized as low, moderate, and high flow. ...
radiation dermatitis

Understanding radiation dermatitis

According to the National Cancer Institute, an estimated 1.6 million new cases of cancer will have been diagnosed in the United States in 2015....

Unplanned Extubation: Eliminating preventable deaths

Know the risk factors and take steps to prevent harm. Takeaways: Unplanned extubations (UEs) can be reduced through the implementation of standardization of best practices,...
bon disciplinary substance misuse disorder part 1

When a BON disciplinary process is based on substance use disorder: Part 1

This first in a two-part series reviews the complaint process and approach alternatives. Takeaways: Nurses misuse drugs to the same extent as the general population. Boards...
heart stop life give update cardiac arrest ant

When the heart stops: Life-giving updates on cardiac arrest

Timely intervention saves lives. Takeaways: Nurses can save lives after in-hospital cardiac arrest if skills and knowledge are up-to-date. Survival rates after cardiac arrest are...
adolescents nonsuicidal self injury

Why do adolescents engage in nonsuicidal self-injury?

How nurses can screen, intervene, and provide appropriate referrals. Takeaways: Nonsuicidal self-injury is a commonly hidden behavior among adolescents Screening in primary care and schools...

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For Nurse Practitioners

uterine fibroids

Do Vitamins, Plants Help Uterine Fibroid Risk or Treatment?

A research team out of Poland recently undertook a comprehensive examination of published data to determine the role that vitamins and diet might play...