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Practice Matters - Gandhi

Gandhi and the practice of nursing

Professional ethics and daily practice. One man, Mohandas Gandhi, led us back into morality as a practical thing. In my opinion, his greatest contribution to the discussion of politics and morality was his insistence that the ends (results) and means…

Metformin-associated lactic acidosis

Metformin-associated lactic acidosis is associated with a high mortality rate when treatment is delayed or the patient takes an unintentional overdose. Patients at risk for metformin toxicity include those with impaired renal function, liver disease, and hemodynamic instability.

Nurse Heroes– Nurses lead during the pandemic

We at American Nurse Journal are privileged to highlight the amazing job nurses are doing in response to the COVID-19 pandemic. At what is too often high personal sacrifice, they are caring for patients, supporting families and colleagues, leading teams,…
myocarditis

Myocarditis and COVID-19

In a COVID-19 pandemic and vaccination world, nurses should raise their clinical suspicion for myocarditis when healthy, young, or athletic patients present with fatigue, palpitations, and chest pain. Understanding the basic mechanisms underlying myocardial injury from COVID-19 and who’s at…

RN to BSN: Why and how

Prepare yourself to successfully pursue a BSN. Takeaways: Research has shown that baccalaureate-prepared nurses are preferred by nursing administrators and patients. The healthcare environment is evolving and increasing in complexity, so nurses must be prepared for their expanding professional roles.…

Make an effective transition to a new job

Success depends on collaborating with your orientation team and speaking up when you need help. Before you started your new job, your employer gave you a snapshot of what your average day might look like, how preceptorship works, and some…

COVID-19 resilience and recovery

Resilience takes collaboration and alignment. Undoubtedly, we’re navigating in unprecedented times. At a rapid pace, we’ve borne witness to a virus that’s overtaken every aspect of our lives on a global scale. Amid mass shutdowns, shortages, and economic crumbling, the…

Wait for the new or consider the old?

So much has been written about the nursing shortage and staffing issues that unraveling it boggles the mind. Healthcare delivery complexity makes focusing on individual problems and finding simple solutions seem impossible. Perhaps we should consider these gnarly problems in…

Reiki: Hand in hand with nursing

Caring for your patients and yourself. Takeaways: Reiki is grounded in the transmission of energy through a practitioners’ hands to restore the body’s homeostasis. Nurses can learn to be Reiki practitioners by receiving training from Reiki masters. The Reiki principles…

Cybersecurity awareness

How to protect yourself, your coworkers, and your patients. Takeaways: Healthcare data breaches reached record levels in April 2019, with 44 attacks affecting nearly 687,000 people. Security breaches can lead to serious consequences, including complete system or network shutdown and…

Transitioning from nurse clinician to nurse educator

The future of nursing and healthcare requires more nurse educators. Takeaways: The nursing profession needs more nurse educators to train enough nurses to care for the U.S. population. Nurse clinicians can transition to an educator role within their own workplace…

High-level disinfection and sterilization

Nurses should have reprocessing knowledge, training, and competency. Takeaways  In 2018, more than 50% of hospitals surveyed by The Joint Commission were found to be noncompliant with high-level disinfection and sterilization standard IC.02.02.01, EP2.  Careful and detailed reprocessing of medical…
Nurse,With,Patient.,Routine,Health,Check,And,Putting,Elderly,Patient

Pressure injury prevention in long-term care

The Centers for Medicare and Medicaid Services report that pressure injuries (PIs) affect millions of patients each year, with incidence rates ranging from 2.2% to 23.9% in long-term care organizations.

Home care safety

Home care is unique, placing nurses and other healthcare professionals in patients’ homes and personal space, and doesn’t include typical healthcare organization requirements.
SANE nurse with patient

Specialized nursing care for times of greatest need

An adolescent patient came to my clinic traumatized after being sexually assaulted by her mother’s boyfriend. I noticed her raspy voice. After further examination, I recommended that we complete a strangulation assessment, during which we recovered the perpetrator’s DNA. The…
new-graduate-time-management

New graduate nurse time management

Editor’s Note: This article has been corrected to reflect accurate information regarding directions for playing the Nurse Life board game. A game-based approach accelerates time management skills.  Takeaways: Time management is an essential skill for nurses, especially new graduates. Using…
nurse make difference

You make a difference

Honoring nurses and our profession in May This Nurses Month, we honor RNs for their skillful, creative, and compassionate care during the most significant public health crisis in our time. We hear countless stories of nurses’ impact on the frontlines…