Nursing

Strict enforcement of elective induction guidelines reduced unwarranted induced-labor births and first-birth caesarean deliveries, according to a research program reported in Obstetrics & Gynecology.

Coumadin users who overdose receive no anti-bleeding benefit from vitamin K, but it does decrease the international normalized ratio blood-clotting standard toward therapeutic range.

STEMI patients who received emergent angiography and revascularization post-resuscitation, and who showed nominal responsiveness or alertness, showed better survival and neurologic-recovery rates than similar patients who were unresponsive post-revival.

The American Urology Association has identified four categories of urologic surgeries for which deep-vein-thrombosis prophylaxis, both mechanical and pharmacologic, is recommended.

No difference was found in a study of glycemic-control methods for avoiding future cardiovascular events in diabetic heart-attack sufferers. Neither basal nor premeal blood-sugar control methods had any effect on future CV disease progression.

A Chest study showed that COPD patients increased exercise intensity and duration and enjoyed better quality of life when they breathed helium during rehabilitative exercise.

The Joint Commission recently distributed a Sentinel Event Alert regarding behaviors that undermine the culture of safety. Included was the rise of "horizontal violence," physical and verbal attacks on fellow nurses in the care setting, that contributes to the nursing shortage and may cost patient lives.

Patients admitted with changes in mental status often need a nurse advocate to speak for them—in this case, the patient's daughter, herself a nurse.

Time spent sitting during the day can negatively influence the way we burn fat and metabolize cholesterol; standing to perform nonphysical activities can complement daily exercise in reversing this trend.