The Critical Role of Nurses in Intravenous Fluid Conservation

Image credit: AHVAP.org (Association of Healthcare Value Analysis Professionals)

Baxter International’s North Cove Facility in North Carolina was severely damaged by Hurricane Helene on September 26, 2024. The temporary closure of that facility and production interruption has resulted in significant shortages in intravenous, dialysis, and irrigation fluids and supply disruption impacting health care facilities across the United States. The responsibility to effectively and responsibly manage these critical resources has fallen heavily on the shoulders of nursing teams and health care supply chain professionals.

The crucial role of nurses during shortages.

Nurses are responsible not only for administering IV fluids but also for monitoring fluid needs, assessing patient status, and adjusting plans of care accordingly. When these lifesaving fluids become scarce, nurses must ensure that every intravenous fluid or irrigation product is used wisely, balancing patient safety with resource availability.

Why conservation is essential.

The consequences of IV fluid shortages extend beyond inconvenience. Fluids such as 0.9% normal saline and Lactated Ringer’s are vital in stabilizing patients, hydrating those who cannot take fluids orally and serving as carriers for essential medications. Shortages can lead to critical delays in patient care, increased length of stay, and negative outcomes for […]

2024-11-18T13:53:43-05:00November 18th, 2024|climate change, disaster preparedness, environmental health, Nursing, Public health|0 Comments
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Pertussis Rates Have Been Rising: What Nurses Need to Know

Pertussis, or whooping cough, remains one of the leading causes of vaccine-preventable deaths worldwide, with most deaths occurring in young babies who are either unvaccinated or incompletely vaccinated.

During the COVID-19 pandemic, many of the infection prevention and control measures such as masking, social distancing, and remote learning for children resulted in decreases in reported cases of pertussis. However, in 2023 and 2024 a return to routine activities has resulted in an increase in pertussis cases. Preliminary data from the Centers for Disease Control and Prevention (CDC) show that more than five times as many cases of pertussis have been reported as of October 19, 2024, compared to the same time period in 2023. This is higher than was seen during the same time period in 2019, prior to the pandemic. Compounding this problem are the alarming trends showing lower rates of routine vaccination among adults and children, trends which indicate reduced vaccine confidence and increases in vaccine hesitancy in the U.S. population.

Key points of knowledge and action for nurses

Epidemiology of pertussis

Pertussis is caused by Bordetella pertussis, a gram-negative coccobacillus and is highly contagious and easily spread person-to-person via respiratory droplets or through direct contact […]

2024-11-11T11:32:08-05:00November 11th, 2024|infectious diseases, Nursing, pediatrics, Public health|0 Comments
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When Nurses Are Caught Between Hospital Policy and Frustrated Family Members

A difficult exchange

Photo by Riccardo Chiarini on Unsplash

She was one of those patients who remind me of my own daughters, who make me consider up close what it would feel like to watch a terrible disease process insidiously take over my own child’s body. Her cancer had spread and she was struggling to breathe.

The team had told the parents it was likely we might have to give her a breathing tube before my shift was over. The parents were teary-eyed as I told them I would do my best to walk with them through a difficult day. They went downstairs to get food, at which point the patient, who had been dozing in bed, sat up and looked around. I went to her immediately, rubbed her back, and assured her that her parents would return shortly.

When her parents returned to the room, they brought more visitors than the three that our hospital policy allowed. I was a little anxious because I had already heard that this had been an issue overnight and that the parents had pushed back on efforts by another nurse to hold them to the policy.

I did my best to wait for a moment when bringing up the hospital […]

2024-11-04T09:49:56-05:00November 4th, 2024|Nursing|1 Comment
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Words Matter – Including Those Left Unsaid

Sticks and stones may break my bones, but words can never hurt me.

How often did we as children say these words to those who teased us? Yet we still felt the sting that unkind and malicious words imparted, especially when said by those we trusted. And it didn’t matter if the taunts were untrue—they still hurt.

Words matter—take youth bullying, for example.

Photo by Benjamin Voros/Unsplash

According to the Centers for Disease Control and Prevention, both bullies and targets of bullying are at high risk for depression, anxiety, and suicidal thoughts. And bullying in nursing is a well-known occurrence and a significant factor in why nurses leave their jobs.

Words matter and are especially important when laws and policies are created.

The words codified in legislation—and those words excluded—dictate funding, programs, and who can participate in the programs or provide them.

Words matter and are especially powerful when spoken by public officials who can influence scores of followers to think and act in certain ways.

I often wonder how many fewer people might have died if more of our leaders had embraced rather than denigrated science-based public health practices during the COVID-19 pandemic.

Words matter when they are used to spread false information or denigrate certain groups. […]

2024-10-31T12:54:24-04:00October 31st, 2024|Ethics, Nursing|1 Comment
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Nursing Roles in ECMO: And Other Recommended Reading from AJN’s November Issue

This month’s cover photo shows a pediatric patient, Levi Drager, on ECMO at the University of Iowa Stead Family Children’s Hospital. The photo was taken shortly after he became the hospital’s first pediatric patient to take steps while on ECMO. See our “On the Cover” column for more.

The November issue of AJN is now live.

This month’s CE, “Nursing Roles in Extracorporeal Membrane Oxygenation,” discusses the multiple roles of ECMO nurses, the various ECMO delivery care models, and the potential cost savings of an RN ECMO specialist staffing model—and introduces the novel role of the ECMO lead. (Open Access)

“Given that healthy work environments both foster high-quality patient care and allow nurses to thrive, increased efforts to understand the work experiences of ethnic minority nurses are vital,” write Nia M. Martin and colleagues in their Original Research article, “Exploring Black Nurses’ Perceptions of Workplace Safety and Personal Health.” Learn about their study findings here. (Open Access)

“Implementing a Hospital-Acquired Pressure Injury Prevention Bundle in Critical Care,” the third article in our Applying Implementation Science (IS) series, describes how a nurse-led IS team at a multisite health system used IS concepts, methods, and tools to implement a HAPI prevention […]

2024-10-24T12:42:34-04:00October 24th, 2024|Nursing|0 Comments
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Views expressed on the blog are solely those of the authors or persons quoted. They do not necessarily reflect AJN’s views or those of Wolters Kluwer Health/Lippincott Williams and Wilkins.
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