This article discusses the definition of moral distress, sources, and some questions staff can consider when dealing with moral distress issues. A fictitious scenario is included for discussion purposes.
This article discusses the definition of moral distress, sources, and some questions staff can consider when dealing with moral distress issues. A fictitious scenario is included for discussion purposes.
The use of long-term and reversible family planning methods such as intrauterine contraceptive devices is common in Nigeria likely due to the large population, fertility as well as less economic burden of placement, and maintenance of this device. Uterine embedment, perforation, and extrauterine migration of the device is becoming more frequent with the increased number of patients benefitting from the contraceptive technique. Distant abdominal migrations and intrathoracic migrations have been reported. Transabdominal ultrasound is an initial imaging modality used in assessment of such patients; in some cases, however, plain abdominal radiograph also needs to be used. This paper will discuss a 30-year-old female who had intrauterine contraceptive device inserted at a primary healthcare facility about 7 months before presentation that got misplaced and was referred to our facility for radiologic investigations and localization of the device.
Interventional radiology (IR) procedures require specific patient positioning and sometimes long durations on the procedure table. Research literature has shown that there is not enough emphasis on safe patient positioning in IR. This paper discusses potential positioning injuries, techniques to prevent injury, and how to identify at-risk patients. The recommendations from the Association of Perioperative Registered Nurses highlight the importance of proper positioning for IR procedures to enhance patient safety and reduce the risk of injury. By implementing these best practices, IR staff can ensure that their patients receive the best possible care while minimizing the risk of harm.
This article discusses the collaboration between cross-functional nursing units to develop and implement nursing care for patients undergoing dobutamine stress cardiac magnetic resonance imaging at a free-standing pediatric institution in the Midwest.
Although there is a growing number of minimally invasive image-guided procedures and diagnostics being performed, few newly licensed registered nurses (NLRNs) have had clinical experience in the radiology department. As a result, many NLRNs are challenged with understanding the wide variety of procedures that exist and knowing how to competently care for patients before, during, and after radiology procedures. This article discusses a unique collaboration between nurses from the education, simulation, and radiology departments with NGRNs participating in a new nurse residency program at a large metropolitan health-care system in the Midwest. A creatively designed Radiology Experience Program (REP), including targeted simulations and didactic content, was strategically integrated at an early entry point in a transition to practice program for NLRNs. The aim of the REP was to provide an immersive experience for NLRNs that would increase their knowledge of the most common diagnostic testing and procedures, build confidence levels, assist them in understanding the nurse's role as an effective team member, and promote safe and quality nursing care before, during, and after radiology interventions. The implementation of the REP will be discussed as well as quantitative and reflective findings obtained.