Nurses strive to create a healing environment for their patients but may not be aware of all the ways the intensive care unit (ICU) environment affects their own health. A study by Daraiseh and colleagues of how noise affects nurses in the ICU demonstrated that hospital leaders can promote a healthy work environment by being aware of the following key points:

See Article, pp 377–384

For patients with severe acute respiratory distress syndrome (ARDS), recent evidence suggests initiation of early continuous infusion neuromuscular blocking agents (NMBAs) improves patient oxygenation, and reduces inflammation and mortality. Despite the possible benefits of NMBAs for ARDS, prolonged use may contribute to increased risk for corneal ulcers, skin breakdown, venous thromboembolism, ventilator-associated pneumonia, and musculoskeletal debility. Frazee and colleagues studied nurses’ knowledge of NMBAs’ therapeutic properties, adverse effects, and associated monitoring parameters. They found the following:

See Article, pp 431–439

The alarm systems created to...

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