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November 2015 - Volume 10 - Issue 6
pp: 4-7

Editorial


Thank you, Kelley Johnson, Miss Colorado!

Nursing Critical Care. 10(6):4, November 2015.

Nurses united on social media to support their profession after hosts of a morning TV show made fun of the monologue given by Miss Colorado 2015 Kelley Johnson in the Miss America pageant.

Research Rounds


Recognizing and preventing drug diversion

Pfrimmer, Dale M.

Nursing Critical Care. 10(6):5-9, November 2015.

The OR, ED, and ICUs use a significant amount of controlled substances, making them susceptible to drug diversion by nurses. Unfortunately, access increases risk.

Tech Talk


Advantages of personal health records

George, Tracy P.; Hopla, Deborah L.

Nursing Critical Care. 10(6):10-12, November 2015.

A personal health record is an electronic application developed and maintained by patients to store and manage their health information in a private and secure environment. It differs from patient portals that are connected to patients' electronic health records and are usually associated with a healthcare institution or an insurance company.

Topics in Progressive Care


Effective handoff communication

Wheeler, Kim K.

Nursing Critical Care. 10(6):13-15, November 2015.

The frequency of patient handoffs increases the chance of losing critical information during care transition. The challenge is to develop and implement effective strategies for standardized handoffs across various healthcare settings.

Pearls



Venous thromboembolism prophylaxis

Senecal, Pol-Andre

Nursing Critical Care. 10(6):16-25, November 2015.

Venous thromboembolism (VTE) is a diagnosis that includes deep vein thrombosis and pulmonary embolism. An estimated 900,000 Americans develop VTE annually, and approximately two-thirds were recently hospitalized at the time of diagnosis.

Nutrition support in critically ill obese adults

Smith, Susan; Roberts, Susan

Nursing Critical Care. 10(6):26-35, November 2015.

Delivering the right amount of calories and ensuring adequate protein is important for critically ill obese adults. Overfeeding is problematic because patients often have insulin resistance, glucose intolerance, dyslipidemia, and nonalcoholic fatty liver disease.

Decreasing the risk of catheter-associated urinary tract infections

Townsend, Terri; Anderson, Pamela

Nursing Critical Care. 10(6):36-41, November 2015.

The risk of catheter-associated urinary tract infections (CAUTIs) increases significantly the longer a catheter is in place. Decreasing catheter days is the cornerstone of all CAUTI prevention programs.

Preventing pediatric ventilator-associated pneumonia

Haut, Catherine

Nursing Critical Care. 10(6):42-47, November 2015.

The diagnosis and documentation of ventilator-associated pneumonia in pediatric patients remains elusive with no defined diagnostic criteria. Clinical nurses are challenged to implement preventive measures regardless of patient age.


Maintaining healthy work environments

Samoya, Alissa; Crutcher, Terri D.; Pilon, Bonnie A.

Nursing Critical Care. 10(6):1-7, November 2015.

Learn about the development of an evidence-based, best practice toolkit that supports nurse leaders in incorporating the AACN's six essential standards of a healthy work environment into current practice settings.