Respiratory Compromise

Procedural Sedation guidelines for Tonsillectomy and Adenoidectomy: The Basics

By Lynn Razzano, RN, MSN, ONCC (Clinical Nurse Consultant, Physician-Patient Alliance for Health & Safety)

The American College of Emergency Physicians (ACEP) defines procedural sedation as:

“a technique of administering sedatives or dissociative agents with or without analgesics to induce a state that allows the patient to tolerate unpleasant procedures while maintaining cardiorespiratory function. Procedural sedation and analgesia (PSA) is intended to result in a depressed level of consciousness that allows the patient to maintain oxygenation and airway control independently.”

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Blood Clots, Practices & Tips

Clinical Tip: How long should mechanical compression devices be worn each day to have the best patient outcome?

Mechanical compression devices should be worn at least 18-20 hours a day to be effective.

By Lynn Razzano RN, MSN, ONCC

Graduated compression stockings and other mechanical compression devices have been shown not to be effective unless they are worn at least 18- 20 hours a day.

Mechanical compression devices exert their therapeutic effects by limiting venous stasis and enhancing fibrinolysis. Read More

Alarm Fatigue, Practices & Tips

Clinical Tip: Alarm Fatigue the Newest Clinical Hazard

By Lynn Razzano RN, MSN, ONCC (Clinical Nurse Consultant)

Increasingly we are seeing publications, alerts and evidence of the clinical phenomena entitled: “Alarm Fatigue”. What is the scope of this latest hazard and what are the new implications for clinical practice change. Read More