Journal of emergency nursing : JEN : official publication of the Emergency Department Nurses Association
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Review Case Reports
Beyond the basics: monitoring with a pulmonary artery (Swan-Ganz) catheter.
Interpreting hemodynamic parameters requires both knowledge and practical experience. As emergency nurses care for more acutely ill patients during longer ED stays, an understanding of hemodynamic monitoring will be essential.
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We often think of research ethics mostly in connection with the processes of intervention, data collection, and analysis, but ethics does not stop there. The process of preparing publications involves a number of ethical considerations, including continued protection of the rights of human subjects; reporting findings truthfully, accurately, and completely and using one's own words to do so, or appropriately citing the work of others; and ensuring that authorship credit and acknowledgments accurately reflect the contributions of others. No foolproof way exists to ensure that only ethical publications see print; however, including content on publication ethics in all research courses, publishing clear policies related to ethical expectations in journals, and engaging in discussion of these issues with colleagues are a good start toward that goal.
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Caring for a patient with a flail chest poses a significant challenge to the ED nurse. Performing serial evaluation, complicated pain management, and diligent pulmonary toilet will put your nursing skills to the test. Finding the time to do it in a busy emergency department ... well, that's a topic for another article.
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Data gathered from this one institution, although not necessarily generalizable, proved helpful in retaining the NP role in our emergency department. Other facilities may benefit from a similar analysis of like information.