How Not to Kill Your Patient

Kevin McFarlane RN & Dr. Lisa Wolf

HNTKYP is a series that address symptomatic presentation and how to move to a working diagnosis and plan for patient care. Kevin McFarlane and Lisa Wolf cover red flags, cognitive pitfalls, and ways to make sure your patients survive their encounter with the health system.

  1. HNTKYP: Stoping others from killing the patient

    9月14日

    HNTKYP: Stoping others from killing the patient

    What happens when you’re not the one about to make the mistake, but you’re see someone about to make an error?  In this episode, Kevin and Dr. Lisa Wolf tackle one of the toughest ethical and professional dilemmas in healthcare: how to intervene when a colleague is on the verge of harming a patient. From quiet cues to full-on halts, theydive into the art of the interruption.  You’ll also hear why modeling behavior matters, how burnout can blind providers, and why letting a mistake slide is more than just dangerous, it’s bullying. If you’ve ever asked yourself, “How do I say something without causing a scene?” this one’s for you. Key Takeaways: Your first loyalty is to the patient There's an art to interrupting mistakes Focus fatigue and burnout cause errors If you don't stop it, you're complicit Modeling matters Letting someone fail is a form of bullying Follow us on: Facebook: https://www.facebook.com/Art-of-Emergency-Nursing-276898616569046/  YouTube: https://www.youtube.com/channel/UCJTnz4phtCTjojTIDJo2afA?view_as=subscriber  Twitter: @AoenPodcast Instagram: https://www.instagram.com/artofemergencynursing/  To support the show: Leave an honest review on iTunes. Your ratings and reviews greatly contribute to the success of the podcast, and I appreciate each and every one of them. Subscribe on Apple Podcasts, Google Podcasts, or your preferred podcast platform to never miss an episode. Thank you for being a part of our AOEN community!

    30 分钟
  2. HNTKYP: Measles

    4月18日

    HNTKYP: Measles

    Measles: It’s Back, It’s Contagious, and You Probably Haven’t Seen It Before In this episode, Kevin and Dr. Lisa Wolf dig into the return of a disease we thought had been eradicated in 2000. In case you missed it—we're in the middle of a national measles outbreak, and chances are high you've never actually seen a real case. Measles is back, and we need to be on high alert, as it remains one of the most contagious diseases in the world. What happens when a patient with a suspicious rash sits in your waiting room for hours? How long does measles hang in the air? (Spoiler: it’s longer than you think.) From triage missteps to public health policies, this episode walks through how to identify, isolate, and respond to highly contagious diseases—especially when you've never seen them in real life. We also bust the autism myth (again), talk about vaccine hesitancy, and explore what your ED should be doing to prepare right now. Measles Resources Centers for Disease Control and Prevention. (2023, September 6). Measles signs and symptoms. U.S. Department of Health & Human Services. https://www.cdc.gov/measles/signs-symptoms/index.html Centers for Disease Control and Prevention. (2023, September 6). Photos of measles. U.S. Department of Health & Human Services. https://www.cdc.gov/measles/signs-symptoms/photos.html Child Vaccination Schedule https://www.cdc.gov/vaccines/hcp/imz-schedules/child-adolescent-age.html Vaccinations and Autism Eggertson, L. (2010). Lancet retracts 12-year-old article linking autism to MMR vaccines. CMAJ: Canadian Medical Association Journal, 182(4), E199–E200. https://doi.org/10.1503/cmaj.109-3179 Hviid, A., Hansen, J. V., Frisch, M., & Melbye, M. (2019). Measles, mumps, rubella vaccination and autism: A nationwide cohort study. Annals of Internal Medicine, 170(8), 513–520. https://doi.org/10.7326/M18-2101 Tanne, J. H. (2002). MMR vaccine is not linked with autism, says Danish study. BMJ: British Medical Journal, 325(7373), 1134. Immune Memory Loss & Measles Cohen, J. (2019, May 1). How measles causes the body to ‘forget’ past infections by other microbes. Science. https://www.science.org/content/article/how-measles-causes-body-forget-past-infections-other-microbes

    47 分钟
  3. HNTKYP: Alcohol Withdrawal

    3月26日

    HNTKYP: Alcohol Withdrawal

    In this episode, Kevin and Dr. Wolf delve into a critical but often underestimated condition: alcohol withdrawal syndrome (AWS). They challenge the assumptions and biases emergency nurses may bring to patient care, particularly in identifying withdrawal symptoms in individuals who don’t fit the "typical" profile. The discussion emphasizes the importance of early recognition, exploring how biases can cloud clinical judgment and hinder effective decision-making. Kevin and Dr. Wolf also provide essential insights into screening, scoring, and treating AWS, equipping emergency nurses with the knowledge needed to improve patient outcomes for this potentially life-threatening condition. MD Calc CIWA -AR https://www.mdcalc.com/calc/1736/ciwa-ar-alcohol-withdrawal Prediction of Alcohol Withdrawal Severity Scale https://www.mdcalc.com/calc/10102/prediction-alcohol-withdrawal-severity-scale#pearls-pitfalls  Follow us on: Facebook: https://www.facebook.com/Art-of-Emergency-Nursing-276898616569046/ YouTube: https://www.youtube.com/channel/UCJTnz4phtCTjojTIDJo2afA?view_as=subscriber Twitter: @AoenPodcast Instagram: https://www.instagram.com/artofemergencynursing/ To support the show: Leave an honest review on iTunes. Your ratings and reviews greatly contribute to the success of the podcast, and I appreciate each and every one of them. Subscribe on Apple Podcasts, Google Podcasts, or your preferred podcast platform to never miss an episode. Thank you for being a part of our AOEN community!

    34 分钟
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HNTKYP is a series that address symptomatic presentation and how to move to a working diagnosis and plan for patient care. Kevin McFarlane and Lisa Wolf cover red flags, cognitive pitfalls, and ways to make sure your patients survive their encounter with the health system.

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