traumaRUs's Nursing Blog

traumaRUs, MSN, APRN, CNS (63,452 Views) Admin

Assistant Community Manager. Please private message (PM) me if you have any questions/concerns. I'll be glad to help. Have a great day! Member since April 2000

ESRD Patients in the PCP Office

So, you have finished your MSN or DNP, passed your certification exam, landed your first job in primary care and voila….you are seeing patients all by yourself. Congratulations! Patients being seen by primary care providers (PCPs) are more complex than ever. Hypertension (HTN) and diabetes are two of the more common comorbidities. Then, you add in congestive heart failure (CHF), connective tissue disease, Lupus and end stage renal disease (ESRD). Mix it up with depression and... Read More →

End of Life and Difficult Discussions Part II

This is Part II of the difficult discussions we must often have with our patients and/or families. This never gets easier and in reality, should it? These discussions should be difficult as they are often the catalyst to pursuing advanced care, resuscitation and/or placing a patient on life support. These are some how to's for discussing these topics. This is a continuation of my last article and these are tips that have worked for me. Some of my patients are homeless and illiterate and... Read More →

End of Life and Difficult Discussions Part I

As APNs, most of us have had to deliver bad news to families and sometimes patients. Whether it's the fact that 95 year old Grandma isn't going to recover from her latest bout of CHF or that your infant actually died three or fours hours ago and we are running this code for you now. Or, that intubation of the chronic COPD patient isn't going to help them survive. All these discussions and more take a certain finesse and knowledge. I thought I would start a series of articles that deal... Read More →

NICU Nursing

Neonatal nursing covers nursing of the neonate - infants from birth to age 30 days as well as neonatal intensive care nursing and the neonatal step-down unit. Usually when one thinks of neonatal nursing, it is focused on the Neonatal Intensive Care Unit (NICU). As the age of viability has decreased over the years, there are more and more low birth weight and premature infants being born and requiring intensive care. There can be many reasons that an infant would be admitted to the NICU: ... Read More →

Orthopedic Nursing

"Orthopedic Nursing has its roots in Victorian England. The specialty's matriarch, Dame Agnes Hunt, was crippled from septic arthritis of her hip. She devoted her entire nursing career to improving the lives of crippled children and those injured by the ravages of war." ( Working Environment Orthopedic nurses work in a variety of settings: Hospital acute units Operating rooms - either in hospitals or the increasingly popular outpatient surgical centers. Orthopedic... Read More →

Pain Management Nursing

Pain is what the patient says it is - we have all heard that. However, does pain have to exist for our patients? With good pain management, most pain can be eliminated or at least, lessened. By using best nursing practice and evidenced based medicine, pain can be treated. It is now considered the fifth vital sign also and per Medicare/Medicaid guidelines, must be addressed with each patient. Pain management teams are often set up in hospitals to address this issue across the board. ... Read More →

Oncology Nursing

Oncology nursing is the overall general care of the patient diagnosed with cancer. Cancer is no longer the death sentence that it once was. With new discoveries coming almost daily and a lot of research being conducted currently, cancer is becoming curable. Oncology nurses need to understand pathophysiology of various types of cancer. Almost everyone in the US has heard of the Susan G. Komen Race for the Cure. It is held in many different cities throughout the country benefiting breast... Read More →

Medical-Surgical Nursing

Medical-Surgical (med-surg) nursing is the basis of all nursing practice. Back in the day, all nurses were either medical or surgical nurses. There was no specialty nursing choices. Nowadays, med-surg nurses make up the biggest component of all nurses. Med-surg nurses care for a diverse population of patients from the young diabetic to the aging hypertensive crisis patient and everyone in between. There are many places and roles for nurses of all levels in med-surg nursing. Qualities of... Read More →

Nursing Entrepreneurs

This field is wide open for enterprising nurses. So many opportunities, so little time! Here are just a few of the possibilities: Website Designer - best example of this is the site owner, Brian Short. He started AN while in nursing school, nursed it throughout his first few years of nursing and soon was able to go full time with this venture! It has grown into the largest nursing website on the internet with 760,000 + members. Life Care Planner - this role is a... Read More →

Certified Registered Nurse Anesthetist (CRNA)

Certified Registered Nurse Anesthetist (CRNA) is an advanced practice nurse (APN) who has at least a masters degree and more frequently nowadays, a doctorate. As with other APNs, the CRNA has passed a certification test in order to use the title CRNA. The CRNA provides anesthesia to a wide variety of patients; from neonates to the geriatric population. Some of the steps involved in anesthesia: Preoperative assessment which includes airway, need for consults/clearance from specialists,... Read More →

Endocrine Nursing

Encompassing a wide range of diagnoses, endocrine nursing is a very interesting specialty. Endocrine disorders run the gamut from pediatric growth hormone deficits to adrenal insufficiency, thyroid abnormalities, pituitary tumors and thyroid abnormalities. Since there is such a wide range of problems that come under the endocrine umbrella, many types of nurses are involved too. Work Environment With many organs involved, the nurse has many options to get into endocrine nursing.... Read More →

Diabetes Nursing

Diabetes is growing by leaps and bounds. Nurses are on the forefront of diabetic care. "The estimated overall prevalence of diabetes in the US is between 5.8% and 12.9% of our adult population. However, because of the associated microvascular and macrovascular disease, diabetes accounts for almost 14 percent of United States health care expenditures, at least one-half of which are related to complications such as myocardial infarction, stroke, end-stage renal disease, retinopathy, and foot... Read More →

Infectious Disease Nursing

Infectious Disease (ID) Nursing is the nursing care of the patient with infections. However, it goes far beyond that and encompasses multi-drug resistant organisms (MDRO). As antibiotics have become so readily used over the years, we are now facing super-bugs. Only a few years ago, methicillin-resistant staph aureus (MRSA) was thought to be the scourge of the planet. However, we know now that there are far worse organisms. So, infectious disease nursing is more than just nursing of those... Read More →

Case Management

Case management encompasses several models depending on the work environment. In the hospital, case managers are frequently utilized to determine length of stay and incorporating individual patient dynamics into the equation. Interqual is the resource most facilities use to determine qualifications of patients with regards to their admission length. Case Managers (CM) work with physicians, other nurses, ancillary personnel as well as the patient themselves. Interqual is a proprietary... Read More →

Hyperbaric Nursing

Hyperbaric nursing has a long history. It originated well over 100 years ago as some type of life-prolonging "treatment" for the rich and famous. As time progressed, it was used in dive medicine. The care of the patient was handled by technicians, medical students and scientists interested in the physics of hyperbaric care. In the 60's, nurses began to take over the duties of these people. Approximately 20 years ago, nurses came to the forefront of hyperbaric medicine. In 1978, the first... Read More →

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