Journal of emergency nursing : JEN : official publication of the Emergency Department Nurses Association
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Randomized Controlled Trial Clinical Trial
A comparison of hemolysis rates using intravenous catheters versus venipuncture tubes for obtaining blood samples.
The primary purpose of this study was to compare the rate of hemolysis in blood samples obtained by an i.v. catheter versus the rate in samples obtained by venipuncture (Vacutainer tubes and needles; Becton Dickinson Vacutainer Systems, Franklin Lakes, N.J.). Subsequently, variance in i.v. catheter diameter was reviewed to determine its influence on hemolysis rate of i.v. catheter aspirate. ⋯ Hemolysis of blood samples obtained by an i.v. catheter was significantly higher than when blood was obtained through Vacutainer venipuncture. There is an inverse correlation between i.v. catheter diameter and the rate of hemolysis.
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The purposes of this descriptive survey were to determine the treatments for minor burns in rural Alabama emergency departments, to assess how closely those treatments correspond with recommendations for burn therapy noted in the literature, and to identify specific deficits in the burn research literature. ⋯ Seven categories of burn care are common to all respondent facilities, with wide variation in the details. Most practices proceed logically from the treatments recommended for major burn care, with a few notable and potentially dangerous exceptions, but there is no definitive research available to guide the clinician in the care of outpatient burns. Research questions were generated that can provide direction for measurement of outcomes in the care of minor burns treated on an outpatient basis.
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To determine whether patients who receive emergency care at a sexual assault treatment center (SATC) follow suggested guidelines for prevention and/or treatment of associated sexually transmitted diseases (STDs). ⋯ Although concern has been expressed in the literature regarding sexual assault victims' compliance with follow-up regimens for the prevention and treatment of STD, the findings from this study indicate that compliance, particularly with medication protocols, may be higher than expected. However, continuing work is needed to ensure that all victims receive all recommended information regarding follow-up care during the first encounter with the nurse and that the rationale for follow-up care is fully understood by the patient. Nurses who interact with victims of sexual assault are in the best position to enhance compliance with follow-up regimens by identifying victims who may be at risk of noncompliance.