Showing posts relating to: The Rounds: Clinical Considerations

What is a Rust Ring and How Do You Remove It?

Have I mentioned before that I hate treating ophthalmology problems? Well, that and testicular diagnoses. In each case, the patient only has two of the particular body part and the stakes are, needless to say, high when it comes to getting the right diagnosis. Diagnosing and treating eye related problems doesn't give me quite the amount of anxiety it once did now that I am more seasoned in my practice. So, I do enjoy treating the occasional ocular foreign body- as long as I can successfully remove it, that is. 

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3 Apps to Help Your Patients With Medication Management

Even though I have been a nurse practitioner for a number of years, I don't think I ever fully appreciated how difficult it can be for patients to manage a medication regimen until recently. Given that a few individuals close to myself have found themselves in similar situations, prescribed numerous meds, the problem now seems closer to home. Some drugs must be taken with food, and others without. Medications may be prescribed one, two, three, or even four times a day making taking each pill at the appropriate time nearly impossible. In yet other cases, drugs must be refrigerated, which makes taking them on the go a challenge. 

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The Nurse Practitioner's Guide to Zika in the U.S.

Now that the Zika virus has reared its ugly head here in the United States with cases of local transmission reported in Florida, nurse practitioners must be even more aware of how to treat patients with possible exposure to the virus. This is especially important for NPs caring for pregnant women, and women of childbearing age, as the virus can have devastating effects in pregnancy. What are the latest guidelines in patient care now that Zika transmission has occurred on U.S. soil?

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The 411 on Nurse Practitioner Prescribing

Prescribing is a core component of life as a nurse practitioner. While we advocate for lifestyle change and encourage alternate therapies, sometimes medication is the answer for our patients. Prescribing as a nurse practitioner can be a complex matter. Laws related to NPs and prescribing vary state to state. Some require a collaborative agreement with a physician, while others allow for independence. Even in states where nurse practitioners enjoy a greater scope of practice, state and federal guidelines still apply. What do nurse practitioners need to know when it comes to prescribing?

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Summer Medicine: Evaluation & Treatment of Snakebites

Hailing from the Pacific Northwest, where snakes are common, but not a health hazard, I rarely think about the possibility of snakebite emergencies. Now, living in Tennessee, things are different. There are a number of venomous snakes indigenous to the United States. Summertime, when outdoor activities, like wading in creeks and working in fields is common, snakes do pose a potentially serious danger. The other day while I was working in the emergency department, a patient arrived with the first serious snakebite we have seen this summer, prompting me to brush up on my envenomation know-how. 

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5 Online Trauma CME Resources for Nurse Practitioners

The hospital where I work has recently upped it's trauma level status. So, it has come to my attention, there is now a trauma-related continuing education requirement for nurse practitioners working in the emergency department. My continuing education hours necessary for certification have already been completed, so, in the interest of maximizing my budget, I prefer to meet this new trauma requirement at low or no cost. Fortunately, I was able to identify a few budget-friendly trauma CME resources available to nurse practitioners online. 

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Laceration Repair Round Up: Best Posts for Learning to Suture

Mastering procedures was one of the more difficult parts of life as a new grad nurse practitioner. Procedures take practice. Not to mention, there are additional factors to consider compared with less involved patient interactions. The risk of complications, for example, is much higher with procedures. So, these interventions must be approached with careful consideration. If you could use a brush up on your laceration repair skills, the following blog posts will help. 

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The Clinical Hack Link Pack

One of the things I like most about my job as a nurse practitioner is continuing to learn. Given that I am a more experienced NP at this point, it seems that my life in the emergency department has become more routine, with significantly less day to day learning. While it's comfortable to be confident in my skills, and capable of caring for higher acuity patients, I still relish 'aha!' moments. If you're in the market for learning a few new clinical tips, tricks, and pearls, check out the following clinical hack link pack for our favorites. 

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This TED Talk Will Change How You Treat Chronic Pain Patients

Pain management has taken center stage as a hot topic in medicine recently. With prescribing of opioids at an all time high, we've seen an increase in deaths related to overdose as well as a spike in the number of patients addicted to these medications. As nurse practitioners, we struggle with the prescribing of pain medications as we treat our patients. Pain is real, and part of our responsibility as healthcare providers is to alleviate it. On the other hand, we must do so in a manner that mitigates the negative side effects and consequences of providing these drugs

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Is Administering Chemotherapy Putting Nurses at Risk?

By Ariel Jacoby from Medelita

Nurses are attempting to save the lives of cancer patients when administering chemotherapy drugs, but how how do these treatments affect the nurses administering treatment? A study from 2011 found that nearly 17% of nurses were unintentionally exposed to toxic chemotherapy drugs through skin or eye contact while working in an outpatient facility.

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Are You Following These 4 Practical Prescribing Principles?

Most often, when I read research articles, I find them interesting, but not directly applicable to my practice. Or, the article presents an interesting perspective, however the research is young and not widely tested. Recently, however, a journal article was recommended to me that proved to be practical and directly applicable to my work as a nurse practitioner. The article? Principles of Conservative Prescribing published in the Archives of Internal Medicine

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Tricks of the Trade: Epistaxis Management

Raise your hand if you hate treating nose bleeds! Whenever I see 'epistaxis' pop up as a chief complaint on my computer in the emergency department, I head straight for the restroom...maybe by the time I return, another provider will have picked up the chart... Some nose bleeds resolve quickly with just a few sprays of Afrin, but those that don't can be tricky to treat. Not to mention, patients generally don't appreciate having tampon-like devices shoved up their nares. Here are a few tips and tricks for treating epistaxis in your practice.

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