Today's OR nurse
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1. Although many adult ocular procedures may be done equally well under local or general anesthesia, with children, the anesthesiologist almost always has to administer general anesthesia to guarantee satisfactory surgical conditions. 2. ⋯ In general, anesthetic induction is accomplished in an age-appropriate fashion. 3. Basic discharge criteria include the following: Vital signs should be stable and normal; there should be no signs of respiratory distress; mental status should be age-appropriate and back to baseline; the patient should demonstrate the ability to either swallow fluids, cough, or have an intact gag reflex; the patient should be able to ambulate, if age-appropriate and baseline; and the patient always must have a responsible, well-informed escort home. engaging and diverting; have a collection of stories or songs ready.
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1. Providing optimal trauma care for large populations requires the collaboration and cooperation of hospitals providing all levels of care. 2. ⋯ In two regional trauma networks, 24% of injured patients were referred to a trauma center for definitive care. Overall survival was excellent.