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March 5, 2009

Dear Subscriber,

Preventing pressure ulcers can be a challenge, especially in those patients at increased risk, such as elderly patients or those patients with impaired mobility and nutrition. Strategies must be employed to remove pressure. Examples of effective interventions include:

  • Reposition immobile patients at least every 2 hours; use a written schedule for turning and repositioning.
  • When the patient is in the side-lying position, avoid positioning her directly on the trochanter.
  • Keep the head of the bed at the lowest degree of elevation possible.
  • Use devices to provide pressure relief for the heels.
  • When indicated, use pressure-reducing devices for beds and chairs.
Implementing Evidence-Based Practice to Prevent Skin Breakdown
Does Regular Repositioning Prevent Pressure Ulcers?
WOUND & SKIN CARE: Take steps to prevent pressure ulcers
The Nursing Process and Pressure Ulcer Prevention: Making the Connection CE
WOUND CARE: Reducing Hospital-Acquired Pressure Ulcers

Learn other strategies and read more about preventing pressure ulcers by exploring the articles in NursingCenter’s "More Resources."

Don’t miss our next issue about hypertension, plus new articles and CEs.

Lisa Bonsall, MSN, RN, CRNP
Clinical Edito

A motorcyclist is more likely than an automobile driver to be involved in a fatal crash. Learn to manage the care of a patient with complex injuries after a motorcycle accident in An Upward Trend in Motorcycle Crashes.
(2 contact hour)

Prompt recognition and treatment of sepsis are critical to halt progression to multisystem organ failure. Read more about Recognizing Sepsis in the Adult Patient.
(2.1 contact hours) AJN, American Journal of Nursing

Patients who take warfarin need close monitoring and thorough teaching. Brush up on your knowledge of this anticoagulant by exploring Warfarin Therapy Management: Tap in to New Ways to Slow the Clot.
(2.6 contact hours)
The Nurse Practitioner: The American Journal of Primary Health Care

A temporary pacemaker is often used in the emergency treatment of symptomatic bradycardia. Review the heart's electrical conduction system, pacemaker concepts, and equipment by reading Caring for a Patient with a Temporary Pacemaker.
(2 contact hours)

Review our Recommended CE list on chronic wound infection, ergonomics standards, lymphoma and leukemia...


Cholecystectomy can be performed using open surgery or laparoscopy. Learn how to care for a patient undergoing either type by reading Cholecystectomy: Take a Look at Two Options.

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

A lengthened QT interval can lead to ventricular dysrhythmias, including torsades de pointes or ventricular fibrillation. Don't miss HEART BEATS: Long QT Syndrome: Dangerous Delay.
Nursing2009 Critical Care

Despite advances in care and management, the number of people diagnosed with heart failure continues to increase each year. Update your understanding of this complex disease by reading Heart Failure: Epidemiologic Update.
Critical Care Nursing Quarterly

Browse our Recommended Readings about the secrets of 2 common cardiac conditions, stress in the NICU, new CMS payment system, and more.


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...


Remember these steps when collecting a specimen from an indwelling catheter:

  • Clamp the catheter at least 30 minutes before collecting the specimen.
  • Clamp the tube just below the point where you'll be collecting the specimen.
  • Put on gloves and wipe the sampling port with alcohol.
  • Insert the needle at a 90-degree angle.
  • Collect the specimen and unclamp the tubing.
  • Place the specimen in the appropriate container, label it, and send it to the lab immediately.

Review the steps for other urine collection techniques by reading SKILL BUILDING: Collecting A Urine Specimen.


Webcast: A New Look at the Old
Sensory Impairment in Older Adults: Vision Loss
As we age, so do our eyes. The resulting changes can put older adults at risk for injury; limit participation in favorite activities; cause increased sensitivity to light and glare; and ultimately limit independence.

There are many simple interventions and enhanced technologies available to maximize vision and function. This 30-minute program provides viewers with a broad range of tools and strategies to enhance safety and maximize independence, and describes services, tools, and options available for those with vision loss.

View the Webcast! for more details.


The FDA has issued the first approval for a biological product from genetically engineered animals, the orphan drug ATryn. This drug is an anticoagulant indicated to prevent blood clots in patients with hereditary antithrombin deficiency.

See more drug news.



Lawsuit review: Learn what not to do by reading these actual case studies.

Open Heart Clinical Resource Program: What makes a cardiac surgery program better than others and why?


The College Network
Fast-Track RN to MSN (Bridge) - Earn both your BS/MS in Nursing in ½ the time at ½ the cost from Regis University.

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