November 2012 - Volume 7 - Issue 6
pp: 5-48

Editorial


Heart Beats


Topics in Progressive Care


Research Rounds


Blood exposure risk during peripheral I.V. catheter insertion and removal

Jagger, Janine; Perry, Jane; Parker, Ginger; More

Nursing Critical Care . 7(6):10-15, November 2012.

Although needle-stick risk from I.V. catheter devices has been well documented, blood exposures sustained by healthcare workers during peripheral I.V. catheter insertion or removal have received less attention. This survey asked nurses about blood exposure risks from peripheral I.V. catheter insertion and removal.

Pearls



Stay up-to-date on anticoagulants

Palatnik, AnneMarie

Nursing Critical Care . 7(6):16-20, November 2012.

Anticoagulation therapy is used to prevent or treat conditions from venous thromboembolism to atrial fibrillation. These drugs are effective, but can be difficult to manage. Find out about the most common anticoagulants, which ones to use when, and how to keep patients safe during anticoagulant therapy.

A fresh look at chest X-rays

Ku, Victoria

Nursing Critical Care . 7(6):23-29, November 2012.

Review normal anatomical structures visible on the chest X-ray (CXR), a systematic approach to interpreting an anterior-posterior CXR, how to recognize some common diseases via CXR, and how to recognize malpositions of central venous access devices, endotracheal tubes, and chest tubes.

Is your patient high on “bath salts”?

McGraw, Mark M.

Nursing Critical Care . 7(6):31-36, November 2012.

These designer drugs are disingenuously labeled “not for human consumption,” but are an easily obtained alternative to ecstasy, cocaine, and amphetamines. Users present to the ED with severe anxiety and paranoia, agitation, bizarre behavior, tremors, and persecutory hallucinations. Here's what you need to know to keep your patient and yourself safe.

The value of clinical feedback

Ridlon, Teri; Cottrell, Damon

Nursing Critical Care . 7(6):44-47, November 2012.

Many nurses are uncomfortable with conflict, and providing clinical feedback may be perceived by some as a type of confrontation. This article focuses on the importance of clinical feedback, how to give feedback so that it's not received as confrontational, and how to receive feedback from others in an open-minded way.