Short-stay units are medical units with anticipated lengths of stay of 24-72 hours. The purpose of this study was to identify characteristics and predictors of 30-day readmission among patients admitted to a short-stay unit during two separate time periods. Findings suggest the presence of previous Emergency Department visits or hospitalizations should be considered when aligning discharge needs, as these may impact subsequent patient readmissions.
The transition from a physician-driven heparin protocol to a nurse- driven heparin protocol at one institution resulted in shorter times to therapeutic activated partial thromboplastin time (aPTT), increased time within goal aPTT range, and an increased percent- age of patients who ultimately achieved a therapeutic aPTT.
A quality improvement project to reduce 30-day readmissions for chronic obstructive pulmonary disease (COPD) is described. A telephone assessment using the Medical Research Council Scale was completed within the first 5 days after discharge in patients with a diagnosis of COPD to evaluate dyspnea level.
Newly licensed nurses who start their careers in supportive, nurtur- ing environments are more likely to overcome challenges and successfully transition into professional practice (Spiva et al., 2013). Introduction of content about bullying in the workplace via an online educational module can be an effective strategy for the academic preparation of pre-licensure nursing students.
Nurses who understand contributing factors to insulin action and uncontrolled glucose and insulin action can assist in promoting optimal care. Common barriers to glucose control and current best practices in the acute care setting are reviewed.
Polypharmacy, the use of five or more medications at one time, is increasingly prevalent in older adults. The nurse's role in education, care coordination, communication, and regular medication recon- ciliation is vital to improve outcomes.
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