Urologic nursing
-
The purpose of this article is to describe the role of the acute care gerontological clinical nurse specialist (GCNS) and provide an exemplar of using GCNS expertise in the implementation of gerontological nursing best practices in hospitalized patients with delirium.
-
Simulation learning is routinely used in medical education and training, and it has been used in nursing education for quite a while. It is used to promote clinical competency and reflective-thinking skills. ⋯ The safety of patients depends on the accuracy of those providing care, and simulation as a learning method provides an opportunity to attain a level of experience with no human risk. This article provides an overview of simulation learning and its benefits.
-
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.
-
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.
-
Summary Although there continues to be considerable debate over the merits of circumcision, it is clear that preservation of the pediatric foreskin, even in the presence of phimosis, is a viable option. Steroid topical cream is a painless, less-complicated, and more economical alternative to circumcision for treating phimosis. Success rates are quite high, especially when patient selection is appropriate and parents are adequately instructed on application. ⋯ As health care providers in the United States see more and more uncircumcised male children, it is important for these children and their parents to understand the natural history of physiologic phimosis. Additionally, it is the responsibility of health care providers to present the management options available for the treatment of the persistent nonretractile foreskin and/or pathologic phimosis. These options are particularly important for those individuals whose religious, cultural, or personal preference is to retain the foreskin.