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Related Concept Videos

Discharge Summary Forms01:31

Discharge Summary Forms

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The discharge summary is crucial as it enables a smooth transition from a healthcare facility to a patient's home or another care setting. This critical document facilitates seamless continuity of care, ensuring patients receive the necessary support and attention.
Here's a detailed look at the key components and guidelines for preparing a discharge summary:
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SBAR II: Application of SBAR01:14

SBAR II: Application of SBAR

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SBAR is an effective communication tool used by healthcare professionals to communicate patient information accurately. SBAR stands for Situation, Background, Assessment, and Recommendation. For a better understanding, an example is given below.
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
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Appendicitis-II: Diagnostic Studies and Management01:29

Appendicitis-II: Diagnostic Studies and Management

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Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
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Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

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Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
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Guidelines for Nursing Documentation II01:26

Guidelines for Nursing Documentation II

1.0K
Effective documentation is an integral part of nursing practice. Here are some essential guidelines to follow when documenting patient care:
Timely documentation is crucial to ensure continuity of care for patients. Any delays in recording or reporting medical information can result in medical errors and even adverse patient outcomes. From medication administration to diagnostic test results, every detail must be accurately and promptly documented to provide the best possible care for patients.
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Guidelines for Nursing Documentation I01:30

Guidelines for Nursing Documentation I

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Quality documentation and reporting share essential characteristics that ensure they are practical and valuable resources for those who use them. These characteristics are:
Factual:  
The following points emphasize the significance of upholding accurate and unbiased documentation in healthcare.
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Related Experiment Video

Updated: Jun 14, 2025

A Quantitative Sensory Testing Paradigm to Obtain Measures of Pain Processing in Patients Undergoing Breast Cancer Surgery
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Standardising discharge post-surgical pain control: a quality improvement project.

Kathyrn M Wheller1, Robert D Stewart1, Kristen L Breedlove1

  • 1Department of Surgical Services, Akron Children's Hospital, Akron, OH, USA.

Cardiology in the Young
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Summary

Implementing standardized opioid prescribing guidelines for pediatric cardiac surgery patients significantly reduced opioid use and increased opioid-free discharges without impacting length of stay.

Keywords:
Opioidscare standardisationpain managementpostoperative pain

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Area of Science:

  • Cardiology
  • Pain Management
  • Public Health

Background:

  • Opioid prescribing is a key factor in the ongoing opioid epidemic.
  • Cardiac surgical patients represent a population where opioid prescribing can be optimized.
  • A children's hospital identified a need to improve opioid prescribing practices.

Purpose of the Study:

  • To standardize opioid prescribing practices for postoperative cardiac surgical patients.
  • To reduce opioid prescriptions at discharge for this patient group.
  • To improve pain management strategies in pediatric cardiac surgery.

Main Methods:

  • A multidisciplinary team utilized the Model for Improvement framework.
  • Key interventions included evidence-based prescribing guidelines, non-opioid pain management, and EHR integration.
  • Data collected included guideline compliance, morphine equivalent dosing, opioid-free discharges, and length of stay.

Main Results:

  • Guideline compliance increased from 24% to 100%.
  • Morphine equivalent dosing at discharge decreased significantly, reaching 0 in 2022.
  • Opioid-free discharges increased, reaching 0% in 2022, with no increase in length of stay.

Conclusions:

  • Standardized, evidence-based guidelines effectively reduce opioid prescribing in pediatric cardiac surgery.
  • Enhanced pain management with non-opioids and guideline integration are crucial for success.
  • This approach improves patient outcomes and addresses the opioid epidemic at a local level.