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June 4, 2009

Dear Subscriber,

Remember that patient whose daughter didn’t want you to give pain medication prior to her mother’s wound care? Or how about the ex-wife who fought to revoke a DNR status until the patient’s will could be “updated”? Maybe you cared for a child whose parents refused blood products for him due to religious reasons? Or perhaps you witnessed a colleague give a medication to the wrong patient?

The Role of the American Nurses Association Code in Ethical Decision Making
Nurses and the Pharmaceutical Industry: Part 1
Nurses and the Pharmaceutical Industry: Part 2
AJN blog: Nurse Ethicist Weighs in on Nurses Who May Have Helped Merck Hawk Vioxx
NURSING ETHICS: Medical futility: Where do we go from here?
Facilitated Ethics Conversations: A Novel Program for Managing Moral Distress in Bedside Nursing Staffs
Healthcare Provider Moral Distress as a Leadership Challenge CE

The Code of Ethics for Nurses, developed by the American Nurses Association, is a statement which addresses ethical obligations for all nurses, regardless of roles or practice settings. This tool gives us the foundation on which to build our practice and when a specific ethical dilemma makes us feel isolated or alone, it reinforces the fact that we all face ethical conflicts at some time in our careers.

Take some time to read the articles and blog in More Resources and explore our latest feature Focus On: Nursing Ethics. Also, look for our next issue about obstructive sleep apnea, along with the latest articles and CEs.

Lisa Bonsall, MSN, RN, CRNP
Clinical Editor

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Rheumatic disease can cause significant disabilities. Be sure to read this overview of common rheumatic diseases, including rheumatoid arthritis and systemic lupus erythematosus - Update on Rheumatology: Part 1.
(2.8 contact hours) Home Healthcare Nurse

The best approach to managing burn pain involves the use of valid and reliable pain-assessment tools, treatment guidelines, and appropriate analgesic therapy. Read more in Understanding and Managing Burn Pain: Part 2.
(2.6 contact hours) AJN, American Journal of Nursing

Low back pain is one of the most common reasons for health care provider visits. Review the anatomy of the spine and gain a better understanding of management options for low back pain. Don’t miss Is Low Back Pain Getting On Your Nerves?
Also, be sure to access our FREE GUIDE TO CARE FOR PATIENTS: Low Back Pain.
(2.1 contact hours)
The Nurse Practitioner: The American Journal of Primary Health Care

The incidence of methicillin-resistant Staphylococcus aureus (MRSA) infections is continuing to rise in the hospital setting. Find out why by examining MRSA Reduction: Myths and Facts.
(1.6 contact hours)
Nursing Management

Review our Recommended CE list on acute coronary syndrome, preventing CA-MRSA, signposts for sepsis...


Admission assessments must be documented according to your facility’s standards and policies. Become familiar with some basic styles and formats by reading CHARTING CHECKUP: Documenting a Patient's Initial Assessment.

What is the future of our healthcare system? Read some recommendations for change in INNOVATION, HEALTH, AND HEALING: Ten Healthcare Innovations: A Plea to President Obama.
Holistic Nursing Practice

Break through communication issues and cultural barriers. Learn how by reading Providing Culturally Sensitive Palliative Care.
The Nurse Practitioner: The American Journal of Primary Health Care

Brush up on your knowledge of noninvasive ventilation – indications, goals, how to initiate it, and more. Don't miss TECH UPDATE: Clinical Application of Noninvasive Ventilation.
Nursing Management

Browse our Recommended Readings about charting, non-Hodgkin's lymphoma, delirium, and more.


Are you unable to travel to a nursing conference this year?

Register for Lippincott's FREE Online Expo:
Promoting Best Practices in Telemetry, Perioperative, and Emergency Nursing
Live Wednesday, June 10th, 10AM -- 6PM EST

All the benefits of a face-to-face conference right at your fingertips at this online, admission-free virtual expo completely devoted to perioperative, emergency, and telemetry nursing! Attend live interactive Q&A sessions with nursing experts, view on-demand webcast, and earn free CE credits. Network with peers, meet with product representatives, chat with nursing recruiters and find out how much your nursing experience is worth... all without leaving your home or the hospital.

Register for this FREE online nursing expo NOW!

Hospital Acquired Conditions: Prevent and Reduce the Impact

The 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.

Find out about 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...


More and more patients are using herbal preparations. It’s important for us to ask about their use and to be educated about associated risks. For example, the following medications have a documented interaction with St. John’s Wort, commonly used to help manage depression:

  • Statins
  • Tricyclic antidepressants
  • Warfarin
  • Nifedipine
  • Cyclosporine
  • Oral contraceptives
  • Antiretroviral protease inhibitors
  • Theophylline
  • Digoxin
  • Beta-2 agonists
  • Benzodiazepines
  • Sulfa
  • Tetracycline
  • Piroxicam
  • Selective serotonin reuptake inhibitors
  • Anesthetic agents

Learn more in ADVERSE REACTIONS: Common Herb-Drug Interactions: What You Should Know.


The FDA has approved the following new dosage form: Requip XL (ropinirole) 6 mg extended-release tablets. The medication is indicated for the treatment of the signs and symptoms of idiopathic Parkinson disease.

See more drug news.


Physician Infusion Services: Coding & Documentation
Ensure Proper Payment, Support Your Claims

The coding and documentation rules for outpatient infusion services do apply in the clinic setting. Yet, many physician groups aren't even aware of their compliance obligations. Consequently, they may not be appropriately paid for services rendered, or they risk losing reimbursement through payer audits. It's time to bring your facility into full compliance. Start by making sure you know and understand the rules. Our audio seminar on June 16 will walk you through coding and documentation basics, equipping you to realize the correct payment that stands up to an audit. Click here, or call MedLearn at 800-252-1578.

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