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By: Lisa Bonsall, MSN, RN, CRNP, CCRN Apr 1 2012
What happened? Acute PE. He came in on room air – somewhat dyspneic with a respiratory rate of 28 and shallow breathing. His O2 saturation was 95%. He was a young guy, 32 years old, with no prior medical or surgical history. After settling him into his ICU room, I...
By: Lisa Bonsall, MSN, RN, CRNP, CCRN 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, CCRN 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, CCRN Mar 16 2012
An Integrative Review of the Evidence on IM and SC Injection Aspiration Thirty years ago, when I was in my Bachelor's program for nursing, I was taught to aspirate for intramuscular (IM) injections to make sure I didn't puncture an artery or vein. I am confident that all of you reading this post were taught...
By: Lisa Bonsall, MSN, RN, CRNP, CCRN Mar 12 2012
Specialty certification ---Updated March 15, 2021--- March 19th is Certified Nurses Day. A large number of nursing certification programs exist (I count 92!). This number alone tells me that this is something important that all nurses should consider. I was proud to use...
By: Lisa Bonsall, MSN, RN, CRNP, CCRN Mar 2 2012
​Patient Education of Hospitalized Cardiovascular Patients We all know the importance of patient and family education. Many tools have been developed over the years, strategies have been explored, and recommendations have changed. We know that our approach must be individualized for each patient...
By: Lisa Bonsall, MSN, RN, CRNP, CCRN Feb 28 2012
Feeling good about nursing! There’s no better place to get excited about nursing than at a nursing conference! I spent four days this month in Denver, Colorado at the Dermatology Nurses’ Association 30th Anniversary Convention. What an amazing group of nurses...
By: Lisa Bonsall, MSN, RN, CRNP, CCRN 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, CCRN Feb 11 2012
EOL Care: Progress and Ongoing Issues End-of-life (EOL) care has always been a special interest of mine. I know the frustrations that often arise with EOL care in a critical care unit – for example, when a patient can no longer make decisions for himself and his family is unsure...
By: Lisa Bonsall, MSN, RN, CRNP, CCRN Feb 4 2012
Family Presence on Rounds Family presence has always been a hot topic in the healthcare community. I can remember when family presence in an ICU meant visiting for 15 minutes three times per day. At least that was the policy in the local hospital where my grandparents were...
By: Lisa Bonsall, MSN, RN, CRNP, CCRN 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, CCRN Jan 12 2012
Pneumococcal pneumonia in the house The holidays were not without incident at our house this year. Illness reared its head as it usually does when excitement builds and holiday events and preparations keep us too busy to get adequate rest and eat right. This year, however, it was my...
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