American Nurse Today

American Nurse Today is the official publication of the American Nurses Association.

Articles from Vol. 8, No. 7, July

Adult Obstructive Sleep Apnea: Taking a Patient-Centered Approach: Sleep Apnea Causes Sleep Deprivation and, over Time, Can Lead to Serious Physiologic Changes
Like many nurses, you might frequently encounter patients with obstructive sleep apnea (OSA)--or signs and symptoms of this chronic condition. You can play a pivotal role in helping them if you recognize the hallmarks of OSA and are familiar with its...
Advocating for Patients in an Era of Drug-Delivery Problems: Learn What Steps You Can Take to Help Patients Avoid Drug Contamination and Cope with Drug Shortages
[ILLUSTRATION OMITTED] RECENT HEADLINES have exposed serious drug-safety issues. No longer can patients feel confident that the drugs they need will be safe--or even available. As a nurse, you need to stay current on these problems so you can provide...
Battlefield Nursing at the Boston Marathon: A Nurse Recounts Her Frontline Experience at the Boston Marathon Bombings
[ILLUSTRATION OMITTED] THREE YELLOW BALLOONS danced through the air, hovering over the finish line after being released by the bomb blast that brought the 2013 Boston Marathon to a catastrophic close on April 15. We may never know who'd been carrying...
Dealing with Difficult People: Find out How to Cope with the Clams, Volcanos, Snipers, and Chronic Complainers in Your Midst
JACKIE JACOBS is a charge nurse in a busy intensive care unit. She prides herself on being able to get along well with almost everyone on her team. But when she sees Amanda's name on the evening's work schedule, she braces herself for the inevitable...
From Your ANA President: Safe Patient Handling and Mobility Standards Lead to Healthier Nurses and Patients
REGISTERED NURSES spend a great deal of their time working. A full-time nurse may spend in the neighborhood of 59,000 hours on the job, if not more, in the span of a 30-year career. It's clear that having a healthy work environment with safe workplace...
Headlines from the Hill: ANA Contributes to Enhanced National CLAS Standards
HOW ARE YOU MAINTAINING cultural sensitivity with your patients? To assist registered nurses (RNs) and other healthcare professionals as they serve diverse populations, the Department of Health and Human Services (HHS) released its enhanced National...
Healthcare Worker and Patient Safety: The Inextricable Link
IT IS WELL-ESTABLISHED that healthcare is hazardous work. Nurses and other healthcare workers are at increased risk of physical harm from needle-sticks, bloodborne pathogens, unsafe patient handling practices, physical abuse, and the effects of chronic...
Health, Safety, & Wellness: Safe Patient Handling and Mobility Standards Now Available
AS PART OF ITS INITIATIVE to promote the health and safety of nurses, other healthcare workers, and patients, the American Nurses Association (ANA) released its Safe Patient Handling and Mobility: Interprofessional National Standards on June 26. ANA...
Human Factors Engineering Can Improve Patient Safety: Knowing How Nurses Interact with the Environment Can Help Safeguard Patients
YOU'RE GETTING INTO your brand-new car to drive to work. When you try to put it in reverse to back out of your driveway, you notice you have to step on the brake first. You forget to buckle your seatbelt--and a chime activates as a reminder. When your...
Is Your Patient at Risk for Cerebral Edema? Learn the Telltale Signs of Brain Swelling and Find out Which Patients Are Most at Risk
ANY PATIENT with a brain injury is at increased risk for cerebral edema. Your ability to recognize cerebral edema early and intervene appropriately can improve patient outcomes. All nurses in medical-surgical and progressive care unit (PCU) settings...
Is Your Wound-Cleansing Practice Up to Date? Crucial to Healing, Wound Cleansing Also Aids Wound Assessment
WITH SO MUCH FOCUS on dressing choices, it's easy to forget the importance of wound cleansing. Cleaning a wound removes loose debris and planktonic (free-floating) bacteria, provides protection to promote an optimal environment for healing, and aids...
Pump Up Your PowerPoint[R] Presentations: Effective Use of Visual Aids Promotes Audience Engagement
AS NURSES, we use our education skills to deliver health messages every day. We teach patients about specific diseases or interventions in clinical settings. We advise colleagues on how to use new technology. And we serve as preceptors to nursing students...
Quantum Change: Flapping a Butterfly's Wing
ACCORDING TO CHAOS THEORY, the butterfly effect (a term coined by mathematician Edward Lorenz) refers to the large, widespread consequences of small events. Translated to mass culture, the butterfly effect has become a metaphor for the existence of...
Say It Isn't So: Eradicating the Fear of Retaliation
ONE OF MY LEAST FAVORITE ACTIVITIES as a chief nursing officer was reading and responding to patient and family complaint letters describing a disturbing event or significant gap in meeting their expectations. Following due diligence to gain insight...
Severe Hypoglycemia Leads to a Seizure: The Team Scrambles to Save a Patient with Diabetes
SUSANNA MARKEL, age 23, is admitted to the pulmonary unit for treatment of a cystic fibrosis exacerbation. She has a history of uncontrolled cystic fibrosis-related diabetes. Her hemoglobin A1c level is 10.6%--well above normal. In the hospital, her...
Tired of Caring? You May Have Compassion Fatigue
Do you have trouble remembering what drew you to nursing? Do you take alternative paths through the unit to avoid running into a patient's family members? Do your colleagues get on your last nerve? Are you ashamed of how you've started to feel about...