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2 Minute EBP Challenge

Monday, August 30, 2010
Ascites and alcoholic cirrhosis
In a patient with alcoholic cirrhosis, ascites may develop as a result of:

Tuesday, August 17, 2010
Dyspepsia and PPIs
How long can dyspepsia persist after the discontinuation of proton-pump inhibitors?

Monday, August 09, 2010
Geriatric Cardiac Function
In geriatric patients, a variety of events occur that cause a decrease in cardiovascular function.

 

10 Strategies to Improve your Practice

10 Strategies to Deal with Understaffing and Lack of Time

80% of nurses surveyed point to:

  • Understaffing
  • Lack of time to provide good care

as the largest obstacles that they have to face on a daily basis.

Sound familiar?

Clearly, you need strategies that will deal with these issues and maintain quality in your nursing care. The following 10 strategies are being implemented by nurses all over the world, and they can help you too!

  1. Increase your Knowledgebase
  2. Look for "Red Flags"
  3. Use a "Road Map"
  4. Focus your Assessment
  5. Use Clinical Tools
  6. Use your Resources Effectively
  7. Organize
  8. Let Technology Help
  9. Implement Better Interventions
  10. Prevent Complications

By implementing these strategies in your care, you will feel more confident, and provide better care for your patients. Get started now by signing up for the free "101 tips to improve your nurisng care" audio e-mail service and get a free subscription to the Update4Nurses newsletter!

Or, if you'd rather learn about them in depth, order the e-book (below) or the audio CD program by clicking here.

Here's an example of the "Road Map":

A map is often helpful when driving in unfamiliar places. In the same way, a map can be helpful in managing the care of our patients.

Drawing your Map
The first step is to make a problem list for the patient. Problems are moved up or down the list depending on how well they fit with the patient’s presenting symptoms. This is the beginning of our map.

Decide Which Test is First
By evaluating the list, the nurse can decide which diagnostic tests would give the most information and should be done first. Initial diagnostic tests should help narrow the list down to the most likely problem. This step adds detail to our map.

Determine the Interventions
Once the most likely problem is defined, better interventions can be implemented. When interventions are focused on a specific problem, they will be more effective.

Better Interventions
Initial interventions should focus on preventing complications. To decide which interventions to do first, ask yourself “what is the worst thing that could happen?’, and focus on preventing that outcome.

For example: if the worst thing that will happen as a result of the patient’s problem is he will go into shock — then focus on interventions that will prevent and treat shock.

Know Where You Are
By using a problem list to define the problem, order diagnostic tests, and plan interventions nurses will know where they are going with their patient’s care.

Order the e-book now: $7

Order the Audio CD

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