Sarah Mensa-Kwao Cook, RN, BSN
Sarah Mensa-Kwao Cook, RN, BSN is a frequent contributor to RN Journal with 2 articles published to date.
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Perioperative Fasting Guidelines as it relates to ERAS Protocol: Exploring Existing Modalities
Tags: anesthesia carbohydrate-rich drinks ERAS protocol NPO perioperative Perioperative fasting
For the longest time, any procedure requiring anesthesia was accompanied with perioperative instructions mandating a fast from midnight until the surgery. However, anyone that’s lived long enough has learned to understand that just because something has been done for a long time, it doesn’t mean it should be done for the rest of time. With technological advances and improvements in research, medical practices and patient instructions should evolve. Here, we’ll explore the rationale behind the old modality as it pertains to preoperative care and instructions, what’s changed in research and technology, and finally, what new modalities should be learned, taught, and implemented.
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Managing the Inevitability of Change
Tags: Case Study change Change in the workplace closing of a unit emotional impact of change emotions employee satisfaction hospital nursing
Change is inevitable. Whether we are changing our minds, our clothes, or a channel on television, we know change happens… and we are fine with it, when we are the ones enacting it. However, what about when change happens to us? This article explores the effects of a hospital’s unit closing on staff – the good, the bad, and the ugly – and seeks to identify ways to mitigate the bad and ugly emotional responses, and hopefully explore means of increasing the good (by both hospital management practice, and individual mindset). A unit in one of south Florida leading hospital serves as a case study as we delve into this topic.
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