Category: Clinical

Addicted ?

On the forefront of nursing care, we are now challenged to relieve pain and suffering while preventing narcotic addiction. This is an overwhelming goal for all healthcare staff. Let’s take a look at the problem. In the 1990s, the pain...

/ December 13, 2018

A Tale of Two Deaths

So many healthcare advances, targeted immunotherapies for cancer, robotic surgeries, and so much more. Yet, here we are, still making life-altering and life-ending errors in the profession of delivering healthcare services. How can this science be so advanced and still...

/ December 6, 2018

Happy Holidays?

No one goes into bedside clinical care with the notion of having every holiday off. Healthcare is a ’round the clock business, after all! Early in our nursing career, we have to accept that “Yeah, it is Friday!” has no...

/ November 21, 2018
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#vhd: Heart Valve Assessment

Like many focused assessments, a cardiac assessment requires a systematic approach–partly so we don’t miss anything indicating dysfunction, and partly because there are so many important components that give a complete picture of cardiovascular function. Following a review of patient...

/ November 13, 2018

Handling the death of a patient

Whether a nurse’s first experience with the death of a patient is during their time as a student or as a nurse, the experience comes with responsibilities and emotions. It is an honor to bear witness to and provide dignity...

/ November 8, 2018

Hey iSBAR, pick up the PACE!

Transferring the responsibility of caring for a patient between two nurses is commonly referred to as change-of-shift report or handoff report. This report ensures continuity of care across time. It is best done, at least partially, at the patient’s bedside...

/ October 18, 2018

Concept Mastery: Cirrhosis

Cirrhosis means the liver is scarred beyond repair. This normally rubbery, vascular, filtration organ, the liver, becomes so scarred that it cannot carry out its duties. In addition to not being able to perform correctly, a cirrhotic liver causes many...

/ October 11, 2018

Critical Thinking, UGH!

Critical thinking – Critical reasoning – Clinical reasoning – Clinical Judgment From day 1, the nursing professors and instructors talk about how students have to use critical thinking. WHAT IS THAT? Critical thinking is a mental process. It requires observation, experience,...

/ September 20, 2018

Concept Mastery: Atrial fibrillation

Atrial fibrillation occurs when the atria in the heart quiver, rather than contract and beat. Instead of a normal and perfusing heart rate of about 80 beats per minute, the person gets a heart rate of roughly 200 beats per...

/ August 2, 2018

No one knows everything.

Sick of hearing about evidence-based practice? The idea has always been there: check your facts before you do a thing, right? Otherwise we’d all still be using old-wives tales to provide care. Old-wives tales include not allowing a pregnant woman...

/ June 28, 2018