Routine Dyspnea Assessment on Unit Admission

Routine dyspnea assessment and documentation: Nurses’ experience yields wide acceptance

BACKGROUND Dyspnea (breathing discomfort) is a common and distressing symptom. Routine assessment and documentation can improve management and relieve suffering. A major barrier to routine dyspnea documentation is the concern that it will have a deleterious effect on nursing workflow and that it will not be readily accepted by nurses. Nurses at our institution recently began to assess and docum...

Routine perineal shaving on admission in labour.

BACKGROUND Pubic or perineal shaving is a procedure performed before birth in order to lessen the risk of infection if there is a spontaneous perineal tear or if an episiotomy is performed. OBJECTIVES To assess the effects of routine perineal shaving on admission in labour on maternal and neonatal outcomes, according to the best available evidence. SEARCH STRATEGY The register of clinical t...

Are routine repeat imaging and intensive care unit admission necessary in mild traumatic brain injury?

OBJECT More than 1.5 million Americans suffer a traumatic brain injury (TBI) each year. Seventy-five percent of these patients have a mild TBI, with Glasgow Coma Scale (GCS) Score 13-15. At the authors' institution, the usual practice has been to admit those patients with an associated intracranial hemorrhage (ICH) to an ICU and to obtain repeat head CT scans 12-24 hours after admission. The pu...

Chronic ventilator unit admission criteria.

B.Bones and breast shadows: Inspect the bones for radiographic density, fractures, lytic lesions, or bony deformity. Eval¬ uate the breast shadows for gross asymmetry, evidence of prior surgery, and any gross calcification. C.Cardiac silhouette: Assess the cardiac silhouette for gen¬ eral size and contour. D.Diaphgram: Assess the diaphgram(s) with attention to the contour and costaphrenic angle...

Routine Admission and Preoperative Chest Radiography