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  • Risk Management Case Study: Preventable Medication Errors
    A 55-year old female was transported to the floor after recovering from a surgical procedure. An epidural catheter with morphine was placed for post-operative pain control. Upon arrival, the patient complained of nausea and a headache prompting the on-call physician to prescribe, “Demerol 75mg every three hours for pain.” The preprinted medication orders from anesthesia stated “No narcotics, sedatives, or other respiratory depressants to be given during infusion of epidural medication..."

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  • The OR Nurse & CAUTI: How You Can Make a Difference
    In the past, it was common practice for every surgical patient to receive a Foley catheter prior to incision. Those days are long gone, and for good reason. Research done as early as 1981 has shown an increased rate of hospital-acquired infections associated with the insertion of a urinary catheter...

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  • Naproxen & the Heart: Jury’s Still Out

    Just as the country celebrates American Heart Month, the FDA released a memo at the beginning of February promoting the use of naproxen sodium (Aleve) over other non-steroidal anti-inflammatory drugs (NSAIDs), such as Motrin and Advil. However, the FDA’s Advisory Panel met again a few weeks later to revise...

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  • CLABSI Reduction: Make an Impact!
    Nurses are making an impact in reducing central line-associated bloodstream infections (CLABSI). Reducing CLABSI rates improves the quality and safety of patient care and favorably impacts the financial stability of your healthcare organization.

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  • The Chain of Command Protects Your Patients and You
    A healthcare organization can be sued for negligence when nurses fail to question an inappropriate order.  An attending directed a resident to order 5FC (flucytosine) for a 5-day-old infant who had a yeast infection. The resident mistakenly ordered the chemotherapeutic agent 5FU. Nurses on two shifts observed the 5 rights (but not right indication) and administered 5FU.

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