Individuals with special needs make up an increasing proportion of outpatient populations. Better equipment, more effective medications, and the rising cost of medical facilities mean more special needs individuals are being cared for at home by family, friends, and home health personnel.

This means you, as an EMS professional, will run into such patients with greater regularity.

For every 1,000 Americans, about 404 made an emergency room visit to a community hospital in 2018. That’s more than 40% of the total population. And this number doesn’t even include millions of hospital inpatient stays or outpatient procedures, further emphasizing the importance—and challenges—of providing quality care every time someone walks in or is wheeled in the door. 

CPR, ACLS, NRP, PAL. As a nurse, you are likely familiar with some, if not all, of these acronyms. Early in your career, you were taught the skills to resuscitate a patient in cardiac or respiratory arrest. Every few years, you attend a class to review and renew your certification.

Yet again, hospital emergency departments and intensive care units are becoming overwhelmed. Doctors, nurses and medical personnel are being asked to go above and beyond to protect patients — and to do it quickly.

Every nurse working in a hospital knows to expect the unexpected. Just when the unit seems calm, your shift is well-staffed, and your patients are stable, it can turn on a dime: Your doctor decides he wants STAT blood work on one patient, your other patient’s IV infiltrates, and an admission comes in from the emergency room. Meanwhile, a code is called in the waiting room for a visitor that suddenly collapsed and is not breathing.

A hospital visit can save a patient’s life. It can also destroy it if they pick up a virulent healthcare-associated infection (HAI). Centers for Disease Control and Prevention (CDC) estimates that on any given day, 1 in 31 hospital patients have at least one HAI. 

Suctioning can be life saving, and may prevent serious complications in the dental office or surgical suite. But suctioning can also be painful and traumatic, especially if the first attempt fails. Suction complications are common and become more likely when you use the wrong suction strategy. These tips can help you choose the right suction strategy for every patient every time. 

In October of 2012, superstorm Sandy hit New York City with a vengeance. As area hospitals braced for the storm’s impact, administrators had no reason to fear their back-up generators would fail to function if the city’s power grid went down.

They were wrong.

Every nurse knows durable medical equipment doesn’t last forever.

When was the last time you kicked a hospital bed in frustration because the motor ground to a halt as you were elevating a patient’s head? Or you discovered an IV pump apparently quit working in the middle of the night, depriving your patient of vital hydration?

When equipment like a portable medical suction machine unexpectedly stops working, it can be more than a nuisance. It can endanger patient safety. If you reach for a suction wand because your patient aspirated, and you discover there’s no suction...there may be a bad outcome in the wings.

Portable suction can be a quick emergency intervention, a long-term treatment for patients under anesthesia, or a way to maintain safety and hygiene for people on ventilators. No matter how and when you use suction, no matter how routine it seems, it’s important to remember that no patient is routine. Each has their own story and own unique needs. Equally important, each presents a risk of infection and contagion if you do not correctly manage waste and clean up after suctioning. Here are the things you must check every time you use a portable suction machine.