March 2014 - Volume 9 - Issue 2
pp: 4-48


The nurse as the patient

Nursing2017 Critical Care. 9(2):4, March 2014.

What happens when the nurse is the patient? Don't ignore warning signs that your own health needs attention because if you're in pain, even with friends in the business, you could have to wait for appointments, prescriptions, precertification, and follow-up visits – just like your patients.

Heart Beats

Detecting decompensated heart failure

Seright, Teresa

Nursing2017 Critical Care. 9(2):6-10, March 2014.

A person with heart failure can seem healthy in a compensated state, until something in his or her regimen or disease process changes, causing acute decompensation with a medical emergency such as pulmonary edema.

Research Rounds

The impact of quality bundles

Whelchel, Catherine; Berg, Lisa; Brown, Annette; More

Nursing2017 Critical Care. 9(2):11-14, March 2014.

Read how a study examines if patients feel they receive better care and if nurses think their workflow improves when a set of nursing practices are performed in a bundle.

Tech Talk

Early warning signs and the Electronic Health Record

Claussen, Denise; Garner, David; Crow, Brandi

Nursing2017 Critical Care. 9(2):15-16, March 2014.

The Modified Early Warning Score (MEWS) system is used in healthcare to determine the degree of a patient's illness based on data derived from systolic BP, heart rate, respiratory rate, body temperature and level of consciousness.


Managing PICCs

Argame, Jerome

Nursing2017 Critical Care. 9(2):48, March 2014.

Learn about using, maintaining and removing peripherally inserted central catheters or PICCs and who benefits most from using them and who should avoid them.

Searching with critical appraisal tools

Glasofer, Amy

Nursing2017 Critical Care. 9(2):18-22, March 2014.

Nurses rank feeling unable to judge the quality of research as one of the greatest hurdles to using research in practice. Participation in a journal club improves members' ability to critically appraise the quality of research.

Patent foramen ovale and strokes

Smith, Carolyn E.

Nursing2017 Critical Care. 9(2):23-26, March 2014.

When a foramen ovale, a small opening with a flaplike valve between the right and left atria, hasn't closed by age 2 about 25 percent of the people with this condition can have migraines, sudden temporary blindness, stroke, vertigo and paralysis.

Lifesaving advances can treat or injure lungs

Pruitt, Bill

Nursing2017 Critical Care. 9(2):27-32, March 2014.

When treating an illness with equipment, like mechanical ventilation, a medical team can accidentally cause a ventilator-induced lung injury. If that injury is severe enough it becomes acute respiratory distress syndrome or ARDS.

Shhh! Too much hospital noise slows recovery

Lim, Fidelindo A.

Nursing2017 Critical Care. 9(2):43-47, March 2014.

Monotonous call bells, oscillating conversations, and clanking equipment disturb patients' rest, especially in the ICU and operating rooms. But besides being irritating, excessive noise causes sleep deprivation, which can lead to hypertension, an increase in cardiovascular disease, impaired immune function, attention and memory deficits, depression and even death.