Nursing management
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In this column, the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) addresses the issue of conscious sedation, which standards apply and what JCAHO expects in regard to the development, implementation and evaluation of hospital-developed protocols for the care of sedated/anesthetized patients.
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As the year 2000 approaches, we see it as a time filled with great promise. Our computer sees it as the year 1900. Systems will begin to fail as date-sensitive materials start to clog the works. Are existing lines of code being rewritten or is a new calculator-application being plugged into your computer system to handle the situation?
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Significant advances in wound healing technologies dramatically enhance the health provider's ability to achieve optimal wound healing. Maximal success in treating both pressure and skin ulcers, however, remains with the fundamental principles of moist wound healing, pressure relief, local and systemic infection control and adequate nutrition. Nurse executives are challenged to evaluate wound dressing technologies in the integrated clinical environment of comprehensive, scientifically validated, wound care clinical practice guidelines.
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Each year pain disables approximately 50 million Americans. This study determined the relationships among pain management and patients' and nurses' perceptions of quality nursing care. This study was a secondary analysis of data for 91 patients, with additional data collected. How patients perceive their nursing care may correlate with how well their pain is managed.
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A brief pilot study has shown how efficient and effective an integrated one-page documentation tool can be in utilizing admissions data to facilitate discharge planning. This manual form makes immediate interdisciplinary documentation possible.