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Patient Safety

Learn ways to ensure safe care using a patient-centered approach
By: Lisa Bonsall, MSN, RN, CRNP Mar 29 2013
Standardizing nursing handoffs Handoffs are a known “trouble spot” when it comes to patient safety. As nurses, we participate in handoffs any time we transfer care to another provider, whether at change of shift, transfer to another floor or unit, or transfer to...
By: Lisa Bonsall, MSN, RN, CRNP Feb 4 2013
Pause and listen How many times has a patient said “I feel funny” or “I don’t feel right” and then proceeded to code shortly thereafter? That happened to me twice.How many times have you felt pulled in different directions &ndash...
By: Lisa Bonsall, MSN, RN, CRNP Nov 2 2012
To Those Affected By Hurricane Sandy... What to say here? I am still in shock by the devastation caused by this hurricane. I grew up on Long Island. My parents, my brother and his family, and many childhood friends still live there. Yes, they experienced loss of ‘things&rsquo...
By: Lisa Bonsall, MSN, RN, CRNP Aug 12 2012
Nurses Increase Vigilance for Fungal Meningitis Nurses must increase vigilance for identifying patients at risk for fungal meningitis following the September 26, 2012 recall of injectable methylprednisolone acetate that was packaged by New England Compounding Facility in Framingham, MA...
By: Lisa Bonsall, MSN, RN, CRNP May 2 2012
Spreading the word about sun safety My eyes have really been opened over the past year. Since launching the Skin Care Network in collaboration with the Dermatology Nurses’ Association and becoming a member of the editorial board of the Journal of the Dermatology Nurses&rsquo...
By: Lisa Bonsall, MSN, RN, CRNP Mar 31 2012
A pill a day won't keep heart disease away...on its own "An apple a day keeps the doctor away." "Take an aspirin and call me in the morning." We're all familar with these sayings and it appears there will be another added shortly.  If you had the opportunity to take a...
By: Lisa Bonsall, MSN, RN, CRNP Mar 23 2012
One of those quirky nursing things Have you ever cared for one of those patients who is ‘borderline’ unstable? You know --- kind of stable, but not well enough for you to feel too optimistic that they won’t crash? In the Medical Intensive Care Unit where I worked,...
By: Lisa Bonsall, MSN, RN, CRNP Feb 23 2012
One of those quirky nursing things Have you ever cared for one of those patients who is ‘borderline’ unstable? You know --- kind of stable, but not well enough for you to feel too optimistic that they won’t crash? In the Medical Intensive Care Unit where I worked,...
By: Lisa Bonsall, MSN, RN, CRNP Jan 30 2012
The impact of SBAR A while back, I wrote a blog post about using SBAR (Situation-Background-Assessment-Recommendation) as a method to help organize change-of-shift report. First implemented by the U.S. Navy to reduce miscommunications, use of this tool is becoming...
By: Lisa Bonsall, MSN, RN, CRNP Dec 9 2011
Calculating the mean arterial pressure (MAP) MAP, or mean arterial pressure, is defined as the average pressure in a patient’s arteries during one cardiac cycle. It is considered a better indicator of perfusion to vital organs than systolic blood pressure (SBP). True MAP can only be...
By: Lisa Bonsall, MSN, RN, CRNP Aug 23 2011
When a patient or family member is a nurse We’ve all been there...getting report when the oncoming shift finishes up and whispers to you that the patient’s family member is a nurse. How do you feel? What is your initial reaction? Do you change your approach to the patient? To...
By: Lisa Bonsall, MSN, RN, CRNP Jul 23 2011
The heat is on It has been incredibly hot here in the outskirts of Philadelphia as well as in the rest of the northeastern United States.  Last night, as my family and I walked out of an air-conditioned sporting event, I was amazed at the wall of heat and...
By: Lisa Bonsall, MSN, RN, CRNP Jun 7 2011
Memories of a medication error A recent study published in the Journal of Nursing Care Quality looks at medication errors from the perspective of nurses.  While the researchers sought information about reporting of errors, importance of technology in reducing errors, and...
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