Medical-Surgical
Patients undergoing a total laryngectomy can expect to experience significant lifestyle changes after surgery. Preoperative education is essential in helping them cope with these…
What works: Enhancing bowel recovery after colorectal surgery
The average length of stay (LOS) for patients undergoing colorectal surgery is 5 to 10 days, depending on the type of surgical procedure. Key…
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…
Bloodstream infections from peripheral lines: An underrated risk
Analytics—the study of data to reveal meaningful patterns—is remaking large swaths of our culture, from business to sports to politics. In health care, applying…
Improving patient safety with a modified early warning scoring system
The modified early warning system (MEWS) is a physiologic scoring system for bedside assessment of medical-surgical patients. Early detection of changes in a patient’s…
Strategies for managing “weekend effect” of surgeries
According to a study in Annals of Surgery, the following resources can help address the fact that patients who undergo urgent surgeries on weekends…
Caring for patients with solid organ transplants
Donald Brooks, age 57, comes to the emergency department after fracturing his right hip in a skiing accident. He is admitted to the orthopedic…
Preventing surgical-site infections
Surgical-site infections (SSIs) can lead to increased postoperative stays, higher readmission rates and healthcare costs, and poorer health outcomes. In a 2014 study,…
What works: Measuring acuity on a medical-surgical unit
The escalation in the complexity of med-surg patients has resulted in the need for a bedside tool that measures acuity. Such tools have been…
Acute kidney injury: Causes, phases, and early detection
When you arrive for your afternoon shift, you receive report from the day-shift nurse. He states he just admitted Marc Stevens, age 78, after…
Managing chest tubes: Air leaks and unplanned tube removal
Once treated only in high-acuity settings, patients with chest tubes now receive care in inpatient medical-surgical floors, outpatient procedural areas (such as interventional radiology),…
Using oral care to prevent nonventilator hospital-acquired pneumonia
May Grossman, age 57, is admitted for elective surgery to reverse a colostomy from a previous surgical procedure. Her health has been good except…
Preoperative education for patients undergoing total laryngectomy
Patients undergoing a total laryngectomy can expect to experience significant lifestyle changes after surgery. Preoperative education is essential in helping them cope…
What works: Enhancing bowel recovery after colorectal surgery
The average length of stay (LOS) for patients undergoing colorectal surgery is 5 to 10 days, depending on the type of surgical…
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…
Bloodstream infections from peripheral lines: An underrated risk
Analytics—the study of data to reveal meaningful patterns—is remaking large swaths of our culture, from business to sports to politics. In health…
Improving patient safety with a modified early warning scoring system
The modified early warning system (MEWS) is a physiologic scoring system for bedside assessment of medical-surgical patients. Early detection of changes in…
Strategies for managing “weekend effect” of surgeries
According to a study in Annals of Surgery, the following resources can help address the fact that patients who undergo urgent surgeries…
Caring for patients with solid organ transplants
Donald Brooks, age 57, comes to the emergency department after fracturing his right hip in a skiing accident. He is admitted to…
Preventing surgical-site infections
Surgical-site infections (SSIs) can lead to increased postoperative stays, higher readmission rates and healthcare costs, and poorer health outcomes. In a…
What works: Measuring acuity on a medical-surgical unit
The escalation in the complexity of med-surg patients has resulted in the need for a bedside tool that measures acuity. Such tools…
Acute kidney injury: Causes, phases, and early detection
When you arrive for your afternoon shift, you receive report from the day-shift nurse. He states he just admitted Marc Stevens, age…
Managing chest tubes: Air leaks and unplanned tube removal
Once treated only in high-acuity settings, patients with chest tubes now receive care in inpatient medical-surgical floors, outpatient procedural areas (such as…
Using oral care to prevent nonventilator hospital-acquired pneumonia
May Grossman, age 57, is admitted for elective surgery to reverse a colostomy from a previous surgical procedure. Her health has been…
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