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April 22, 2009

Dear Subscriber,

Evidence-based practice. We hear these words often, but are we clear about what they really mean? If you are a newer nurse, you may not remember that at one time, only diabetic patients had blood glucose monitoring done routinely. Now, the importance of maintaining serum blood glucose levels within a normal range for all patients is well understood and appropriate steps for monitoring and treating altered levels are part of most hospital policies. That is evidence-based practice: using research findings to improve our practice.

Take some time to explore the articles in More Resources. You'll discover how to assess readiness for and best create an evidence-based practice environment. Also, don't miss our next issue for National Nurses Week!

THINK AGAIN: Evidence-Based Practice Then and Now
EVIDENCE-BASED NURSING: Boost your staff's understanding and utilization of EBP
Evidence-Based Behavioral Practice: An Exemplar of Interprofessional Collaboration
Nursing Faculty Mentors as Facilitators for Evidence-Based Nursing Practice
Creating an Evidence-Based Practice Environment: One Hospital's Journey CE
Nurses' Skill Level and Access to Evidence-Based Practice
Organizational Readiness for Evidence-Based Practice

Lisa Bonsall, MSN, RN, CRNP
Clinical Edito

Update your knowledge of VTE and learn which patients are at risk by reading What You Need To Know About Venous Thromboembolism.
(2.3 contact hour)

Think treatment using leeches is a thing of the past? Think again! Find out how Leech Therapy is experiencing a resurgence in healthcare.
(2.1 contact hours) AJN, American Journal of Nursing

Discover how to care for a patient with dementia who develops delirium and learn what you can do to reduce risks in Delirium & Dementia: Double Trouble.
(2.3 contact hours)

The economic crisis has impacted hospitals, forcing leaders to rethink and refine their business models. Read more in Profits, Payers, and Patients: Responding To Changes.
(2 contact hours)
Nursing Management

Review our Recommended CE list on managing burn pain, stem cell therapy, bowel obstruction...


The World Health Organization estimates that almost 1/4 of diseases can be attributed to environmental exposures. Examine specific ideas for helping Hospitals Going Green: A Holistic View of the Issue and the Critical Role of the Nurse Leader.
Holistic Nursing Practice

Planetree is an international nonprofit organization that's "committed to improving medical care from the patient's perspective." Learn The 10 Components of the Planetree Model and how this organization puts Patients First: Creating a Patient-Centered System.
AJN, American Journal of Nursing

What is the single most-effective way to prevent infection? That’s right – hand washing. Read more in INFECTION PREVENTION: Keeping It Clean: The Basics of Hand Hygiene.

You’re ready to settle into your dream job – if you could only find it. Don’t miss STUDENT EXTRA: Completing One Journey and Starting Another.
AJN, American Journal of Nursing

In this case study, a 37-year old man presents to the ER with right lower quadrant pain. Try your hand at figuring out the cause of his pain. Don't miss What's Causing Your Patient's Abdominal Pain? Test Your Assessment Skills.

Browse our Recommended Readings about getting heart smart, IV infusion alarms, brain dead patients, and more.

Hospital Acquired Conditions: Prevent and Reduce the Impact

New CMS mandate presents challenges to nursing staff. Reducing the incidence of hospital acquired conditions, including pressure ulcers, catheter-related bloodstream infections and surgical site infections, is not only critical to patient care, it is crucial to minimizing the financial impact on the hospital.

Click here for key strategies


Read the articles in the latest Featured Journal online only on NursingCenter. The Featured Journal gives you the opportunity to get acquainted with the kind of coverage and clinical information it has to offer. Get to know our journals. The current Featured Journal is...


When assessing for dehydration, remember the following signs and symptoms:

  • thirst
  • weight loss
  • dry mucous membranes
  • sunken-appearing eyes
  • decreased skin turgor
  • increased capillary refill time
  • hypotension and postural hypotension
  • tachycardia
  • weak and thready peripheral pulses
  • flat neck veins when in the supine position
  • oliguria

Learn more by exploring CLINICAL DO'S & DON'TS: Assessing for Dehydration in Adults.


Webcast: A New Look at the Old
Critical Indicators: Presentation of Illness in Older Adults
Do you know that diseases and illnesses present differently in the elderly? Do you know why and do you know how to recognize those differences?

View the Webcast! for more details.


Ion Labs has recalled all Influend Cough and Cold products sold on or after May 30, 2008. The products may be super potent, causing possible complications ranging from headaches, dizziness, anxiety, restlessness, and nervousness to tachycardia, palpitations, arrhythmias, and cardiovascular collapse with hypotension.

See more drug news.


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The College Network
New RN to BS in Nursing – in collaboration with Excelsior College - Earn 30 free credits with your RN License.

Lawsuit review: Learn what not to do by reading these actual case studies
Nurse PractitionerBlamed for Not Diagnosing Tendon Ruptures - Grafting and Muscle Reattachment Required - $970,000 Net Verdict

Outpatient Infusion Services: Documenting correctly using clinical case studies

Many nurses are familiar with the coding and documentation rules for hospital-based outpatient infusion services. However, they may have trouble transferring this knowledge to everyday use. Learn how to document correctly, using clinical case studies through MedLearnís audio conference, Wednesday, May 6th. Click here for details.

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