Urologic nursing
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Policies and procedures exist to safeguard patients and protect them from harm; however, a deeper understanding as to why a particular sentinel event occurred and less focus on the individual who made the error can have positive outcomes. Nursing leaders should strive to maintain a just culture to promote reporting and learning in their facility, thereby creating a culture of safety for patients.
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The volume and time required to manage a nurse telephone triage line in an urogynecology practice can be a concern for staffing, time management, and office patient flow. Therefore, telephone triage logs were retrospectively reviewed for a 12-month period to investigate whether call volume differed on days of the five-day office work week. Results showed Monday to be the busiest telephone triage day, with an average of 32.26 calls per day, and Friday as the second busiest day, with 28.52 calls per day. Based on this review, staffing patterns may need to be adjusted to accommodate the higher call volumes on Mondays and Fridays.
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MRSA was once acquired almost exclusively in hospitals and long-term care facilities, but it is now spreading in the community. Controlling the spread of MRSA requires appropriate selection and administration of antibiotics, and strict asepsis and infection control efforts. Remember that the most important means of preventing the spread of MRSA is meticulous hand washing and the use of alcohol-based hand rubs.
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Part III of this sacral nerve neuromodulation (InterStim therapy) series describes two case studies. This article coalesces all the concepts associated with InterStim therapy, including criteria for patient selection, education, surgery, programming, and return visits. ⋯ The second case study discusses a woman with a diagnosis of urinary retention. These case studies provide the reader with successful outcomes with InterStim and its use as a viable treatment option when patients meet the selection criteria.