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Related Concept Videos

Endotracheal Tube Extubation01:24

Endotracheal Tube Extubation

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Endotracheal tube extubation is a critical procedure in weaning patients from mechanical ventilation. It involves physically removing the oral or nasal endotracheal (ET) tube, marking the final step in liberating a patient from ventilatory support.
Procedure
Extubation removes the endotracheal tube (ETT) from the patient on mechanical ventilation. It requires a well-coordinated, multidisciplinary approach involving physicians, nurses, respiratory therapists, and other healthcare professionals....
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Torts I01:14

Torts I

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Torts in nursing are wrongful acts that can harm patients and potentially lead to civil liability for the involved nurse. These wrongful acts range from unintentional errors to deliberate actions. Depending on the nature and severity of the tort, a nurse found liable may face financial penalties or disciplinary actions. Understanding the distinctions between intentional, quasi-intentional, and unintentional torts is crucial for nurses to mitigate risks and provide safe patient care.
Intentional...
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Sleep-Wake Cycles01:24

Sleep-Wake Cycles

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Sleep is an essential physiological process vital to maintaining overall well-being. The reticular activating system (RAS), a network of neurons in the brainstem, regulates wakefulness and sleep. While it may seem passive, sleep consists of distinct cycles, each with its unique characteristics and functions. Two key sleep phases are non-rapid eye movement (NREM) and  rapid eye movement (REM).
NREM Sleep
NREM sleep comprises four progressive stages that seamlessly merge:
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Nurses' Legal Responsibilities III01:16

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Nurse-to-nurse relationships are legally required to adhere to professional standards, ensuring a respectful and positive working environment. Professional conduct demands that nurses treat all colleagues respectfully and courteously, fostering a productive, supportive workplace. Nurses must actively eliminate bullying, discrimination, and harassment to maintain a safe and inclusive environment.
Cultivating a culture of collaboration and mutual respect among nurses transcends mere enhancement...
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Documentation of Nursing Diagnosis01:10

Documentation of Nursing Diagnosis

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The nurse documents nursing diagnoses and enters them into the patient record. The identified patient's nursing diagnosis is either written out with a plan of care or entered into the electronic health record.
In some settings, data-driven computerized decision support systems are in place, allowing for more accurate nursing diagnoses. The database within one of these systems includes diagnostic labels defining characteristics, activities, and indicators for nursing. A nurse enters...
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Nursing Diagnosis01:22

Nursing Diagnosis

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Following assessment, a nursing diagnosis is the next step in the nursing process. It begins after the nurse has collected and recorded the patient data. The purpose of diagnosing is to identify how the client responds to actual or potential health processes, identify factors that bestow or that cause health problems, the etiologies, and identify resources or strengths the individual, group, or community can draw on to prevent or resolve problems.
The nursing diagnosis focuses on evidence-based...
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Related Experiment Video

Updated: Mar 13, 2026

A Common Marmoset Model of Mother-Infant Intervention for Breastfeeding Disorders in the Presence of Paternal Inhibition and Maternal Neglect
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A Common Marmoset Model of Mother-Infant Intervention for Breastfeeding Disorders in the Presence of Paternal Inhibition and Maternal Neglect

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Is failure to awaken and wean malpractice?

Constantine A Manthous1

  • 16 Hemingway Road, Niantic, CT.

Journal of Critical Care
|October 18, 2016
PubMed
Summary

Implementing daily wake-up-and-breathe protocols for patients on mechanical ventilation can significantly reduce patient harm and improve outcomes. Failure to adopt this evidence-based approach constitutes poor medical practice.

Area of Science:

  • Critical Care Medicine
  • Pulmonology
  • Medical Ethics

Background:

  • Respiratory failure is a common critical illness complication.
  • Mechanical ventilation, while life-saving, carries significant risks of morbidity and mortality.
  • International studies reveal a quality gap in managing prolonged mechanical ventilation.

Discussion:

  • The 'wake-up-and-breathe' strategy, involving daily assessment for readiness to wean, is a critical intervention.
  • Implementing this protocol can reduce patient morbidity, mortality, and length of hospital stay.
  • Failure to adopt evidence-based protocols like daily spontaneous breathing trials is considered malpractice.

Key Insights:

  • Reducing the duration of invasive mechanical ventilation is achievable and reduces patient harm.
Keywords:
Mechanical ventilationQuality chasmRespiratory failureWeaning

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  • A gap exists in the consistent application of effective ventilation management strategies.
  • Medical professionalism and ethics mandate the use of best practices to improve patient outcomes.

    • Outlook:

    • Practical measures should be implemented to bridge the quality chasm in mechanical ventilation management.
    • Widespread adoption of the 'wake-up-and-breathe' protocol can enhance patient care standards.
    • Further research and education are needed to ensure optimal patient outcomes in critical care settings.