Tag: nursing

Saline Instillation: Helpful or Harmful?

In an era of evidence-based practice, it is no longer acceptable to continue a practice because “that’s the way it’s always been done.” One such practice is the instillation of saline into an advanced airway such as an endotracheal tube or tracheostomy prior to…

VRE: Still Resisting Arrest

The Society for Healthcare Epidemiology of America calls vancomycin-resistant enterococci (VRE) one of the “most out of control” resistant pathogens in U.S. hospitals. Myriad aspects play into the development of this kind of epidemic – genetic and molecular features, environmental and host-microbe interactions, and epidemiological factors.…

The Dirty Dozen in Infection Control

How sharp are your skills in identifying infection control violations? ADVANCE asked nurses at Beebe Medical Center, Lewes, DE, to create a room that would be an infection control nightmare. Beebe nurses put their heads together and staged an isolation room with 12 infection control no-no’s.…

Meeting Challenges

“Necessity is the mother of invention, and wound and ostomy nurses are experts at creating effective solutions to wounds that develop after exposure to urine or stool,” said Judith Fink, BSN, RN, CWON, a recent retiree from Bon Secours St. Mary’s Hospital, Richmond, VA.…

Pulse Oximetry

Vol. 20 •Issue 11 • Page 13 Pulse Oximetry Standard of Care Has Some Drawbacks By Margaret Clark, MS, RN, RRT-NPS From health fairs to heart surgery suites, everyone is using a pulse ox these days. But are they using them correctly and do…

Colon Health

Vol. 7 •Issue 26 • Page 17 Colon Health Chesapeake General Hospital provides a range of services for colorectal cancer screening and treatment By Erin James To make an uncomfortable subject feel familiar, Chesapeake (VA) General Hospital got creative in a big way. In…

Promoting Evidence-Based Practice

Vol. 5 •Issue 26 • Page 18 Promoting Evidence-Based Practice How one program’s collaborative approach got results By Nancy Phoenix Bittner, PhD, RN, CCRN, Gayle Gravlin, EdD, RN, CNAA, BCA, Antoinette Hays, PhD, RN, & Kathleen Jose, MS, RN, CNO Whether one describes evidence-based…