AJN in December: Surveillance Tech, Obesity Epidemic, Questioning Catheter Size, More

AJN1214.Cover.OnlineAJN’s December issue is now available on our Web site. Here’s a selection of what not to miss.

To watch or not to watch? Long-term care facilities are challenged with providing care for a growing number of patients with dementia or intellectual disabilities. This month’s original research feature, “The Use of Surveillance Technology in Residential Facilities for People with Dementia or Intellectual Disabilities: A Study Among Nurses and Support Staff,” describes an ethnographic field study on the ethics, benefits, and drawbacks of using this technology in residential care facilities.

The obesity epidemic. Obesity rates are rising at an alarming rate in the United States. “The Obesity Epidemic, Part 1: Understanding the Origins,” the first article in a two-part series, outlines pathophysiologic, psychological, and social factors that influence weight control.

Smaller catheter size for transfusions?Changing Blood Transfusion Policy and Practice,” an article in our Question of Practice column, describes how a small team of oncology nurses designed and implemented an evidence-based project to challenge the practice that a 20-gauge-or-larger catheter is required for the safe transfusion of blood in adults. […]

Six Degrees of Separation: How Close Is Too Close?

By Julianna Paradisi, RN, OCN

I stand in the fluorescent-lit hallway, waiting my turn at the window to pick up two units of blood from the blood bank. Ahead of me, a woman whose hair is swallowed up by a paper bouffant cap wears blue scrubs and hot pink Crocs on her feet. I assume she’s from OR, because of her garb. The blood bank is located in a staff only access area, and the hallway is narrow. Loitering, I feel the same awkwardness I feel standing on a sidewalk while waiting my turn at an ATM. What’s the socially acceptable separation between the person I’m waiting behind and myself? Too much, I block the hallway or the sidewalk for others. Not enough space, and I intrude on the interaction. How close is too close?

On my way back to the clinic, I carry the units of blood in a Playmate cooler marked “Biohazard.” I stand in another hallway waiting for an elevator. It’s flu season, so I hit the “up” button with my elbow to avoid getting virus on my hands. I look around first so visitors won’t see me do it. I don’t care if hospital staff watches. They understand. The elevator door opens, and I get in. After the doors close, the person standing next to me coughs as if expectorating a lung. This is too close.

Back in the clinic, I double-check the first unit of blood with another nurse. […]

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