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By: Lisa Bonsall, MSN, RN, CRNP Sep 18 2020
Reshaping Nursing Education Nursing students are back to learning, but not necessarily back to school in the traditional brick and mortar building. In a profession such as nursing, where so much of our learning happens with hands-on experiences, how is nursing education...
By: Myrna Buiser Schnur, MSN, RN Sep 11 2020
The New COVID-19 Lexicon: Terms You Should Know It’s been nearly nine months since the news first broke of a novel coronavirus spreading in parts of Asia. The severe acute respiratory syndrome coronavirus (SARS-CoV-2) swept at unparalleled speed around the world causing what we now call...
By: Myrna Schnur Sep 5 2020
Is There a Link Between COVID-19 and Stroke Risk? In a previous blog, we discussed how SARS-CoV-2, the virus that causes coronavirus disease COVID-19, can cause a cytokine storm leading to inflammation and a hypercoagulable state, both processes that place a patient at high risk for stroke...
By: Lisa Bonsall, MSN, RN, CRNP Sep 2 2020
Managing Sepsis in COVID-19 Patients: What’s Different? As September begins, it’s important to remember that it’s Sepsis Awareness Month, and while the International Guidelines for Management of Sepsis and Septic Shock 2016 direct sepsis care, there are some caveats to the guidelines when...
By: Rachel Dicker, Wolter Kluwer Health, Ovid Product Strategy Aug 26 2020
Making Time for Evidence Dissemination We all know the importance of using the best available evidence to support our clinical practice to improve outcomes. While there is a set of nurses and other healthcare professionals who actually complete research or implement it into practice...
By: Lisa Bonsall, MSN, RN, CRNP Aug 17 2020
How to Calculate the A-a Gradient Accurately assessing and managing oxygenation disturbances is critical to optimal patient outcomes. The alveolar to arterial (A-a) oxygen gradient, which is the difference between the amount of the oxygen in the alveoli (the alveolar oxygen...
By: Myrna Buiser Schnur, MSN, RN Aug 14 2020
Does Vaping Increase COVID-19 Risk? In 2019, over 5 million youths in the U.S. used e-cigarettes, and as of January 2020, approximately 2600 individuals (adults and youths) were hospitalized with e-cigarette, or vaping product use associated lung injury (EVALI) (Centers for Disease...
By: Myrna B. Schnur, MSN, RN Jul 31 2020
Can We Count on Herd Immunity to Stop COVID-19? There has been a great deal of discussion around the term herd immunity and whether it can be achieved in the current setting of COVID-19. What is herd immunity, and can we count on it to halt the spread of this novel coronavirus? Fine, Eames &...
By: Lisa Bonsall, MSN, RN, CRNP Jul 21 2020
Should we say “physical” distancing instead of “social” distancing? A colleague recently mentioned using the phrase “physical distancing” in place of “social distancing” after listening to this podcast with epidemiologist Michael Osterholm, PhD, MPH. (Osterholm is the founder and director...
By: Myrna B. Schnur, MSN, RN Jul 14 2020
The Basics of Extracorporeal Membrane Oxygenation (ECMO) My first experience with extracorporeal membrane oxygenation (ECMO) occurred when I was a new nurse in the intensive care unit. ECMO therapy was being utilized as a bridge to left ventricular assist device (LVAD) placement for a patient in...
By: Lisa Bonsall, MSN, RN, CRNP Jul 1 2020
Year of the Nurse and Midwife: A Midyear Update It goes without saying that this Year of the Nurse and Midwife is not one that any of us could have imagined. The goal of increasing our visibility as a profession has certainly come to fruition, but not in the way that we anticipated. The...
By: Lisa Bonsall, MSN, RN, CRNP Jun 29 2020
What Do You Say When…? COVID Conversations with Science Skeptics I really struggled with the title of this post. There are many differences of opinion out there right now and I would never presume to be an authority on the right or wrong actions of any individuals. As a nurse, however, I do feel a...
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