When "Do Everything" Isn’t the Answer.  In this episode we discuss one of the most complex and emotionally charged aspects of emergency care: navigating code status and advance directives.

We unpack the nuances of "Do Not Resuscitate" (DNR) orders, the dynamics of family presence during resuscitations, and the moral dilemmas that arise when patient wishes conflict with family demands.

If you’ve ever found yourself mid-code wondering, “Are we doing the right thing here?”—this is the conversation you won’t want to miss.

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In this episode, Kevin and Dr. Wolf dive deep into the complex world of behavioral health in the emergency department. Too often, psychiatric patients are treated as though their visit is a carceral event—stripped of autonomy, dignity, and decision-making capacity. We explore the ethical dilemmas, systemic barriers, and practical challenges that emergency nurses face when caring for patients with behavioral health needs.

Some links to the documents referenced during the episode:

• Ethnoracial disparities in care on a consultation-liaison service at an academic hospital
• Racial and ethnic disparities in emergency department restraint use: A multi center retrospective analysis
• Refining the model for an emergency department-based mental health nurse practitioner outpatient service
• Psychiatric Emergencies and the Potential Role of Psychiatric–Mental Health Nurse Practitioners

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Twitter: @AoenPodcast

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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.
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Thank you for being a part of our AOEN community!

Kevin and Dr. Wolf dive into the critical skill of the medication assessment. They explore how understanding a patient's medication list can provide invaluable insights into their overall health and guide essential clinical decisions, especially in high-stakes environments like the emergency department. The pair discusses the ethical and legal responsibilities tied to medication administration, stressing the "rights" of medication administration and the need for vigilance in following them. This episode is a must-listen for new and seasoned nurses alike. 

In this crossover episode of "How Not to Kill Your Patient" and "Art of Emergency Nursing," we dive into the critical topic of moral courage within the nursing profession. Kevin and Lisa discuss Lisa’s recent study on how emergency nurses handle ethical dilemmas, particularly in states with restrictive abortion laws. We explore the complexities of balancing professional and personal ethics, the barriers nurses face in acting with moral courage, and the systemic challenges that impact their ability to provide ethical care.

Find the article here: https://journals.sagepub.com/doi/abs/10.1177/09697330241265415 

View the nursing Code of Ethics here https://www.nursingworld.org/practice-policy/nursing-excellence/ethics/code-of-ethics-for-nurses/ 

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Twitter: @AoenPodcast

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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.
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Thank you for being a part of our AOEN community!

In this episode, Lisa and Kevin discuss the importance of accurate triage in emergency departments and its impact on patient outcomes. They critique current triage models that prioritize metrics such as length of stay and door-to-physician time over patient outcomes. They remind us that a thorough nursing assessment is essential for patient safety and effective care. The episode highlights the disconnect between business-driven metrics and the clinical reality of patient care.

I found this episode from 2022 never posted so I updated the episode, but it didnt show up as a new episode so this is the repost. In this episode, Kevin and Dr. Wolf talk about emergency nurses floating out to the department into other areas.  Hopefully, this doesn't happen often but we talk about what to expect when it happens and how not to kill your floor patients.   

This episode of HNTKYP features Kevin and Dr. Lisa Wolf discussing anxiety. They explore the complexities of diagnosing anxiety, emphasizing the importance of ruling out serious underlying conditions before attributing symptoms solely to anxiety. They stress the importance of not dismissing physical symptoms like tachycardia, tachypnea, and numbness as mere anxiety until ruling out all other potential causes. Remember that even patients with anxiety can still have medical problems. Tune in to learn more about how to effectively triage potential anxiety in the ED and ensure that no patient's symptoms are overlooked.

Anxiety is the Last Diagnosis on the ListLisa Wolf, MS, RN, CEN Published:February 01, 2010https://www.jenonline.org/article/S0099-1767(10)00002-4/fulltext (subscription required)

In this special collaborative episode, part of the "Nurses Podcrawl," Dr. Wolf and Kevin delve into the fascinating world of distributive shock. As part of a unique project featuring seven different podcasters, each covering a specific type of shock, our hosts take on distributive shock, exploring its nuances and critical aspects and this super cool type of shock

Listen to all the episodes here: @icuscenarios @theqwordpodcast @straightanurse @nursedosepodcast @therapidresponsern @upmynursinggame

#distributiveshock #cardiogenicshock #hypovolemicshock #obstructiveshock

Obstructive Shock; Critical Care Scenarios and Rapid Response RN https://podcasts.apple.com/us/podcast/104-obstructive-shock-with-guests-bryan-boling-and/id1535997752?i=1000655162568 

Distributive shock with Straight A Nursing https://podcasts.apple.com/us/podcast/346-distributive-shock-simplified/id1210975738?i=1000655023378

Cardiogenic Shock: With Up My Nursing Game and Nurse Dose Podcast https://podcasts.apple.com/us/podcast/cardiogenic-shock-with-annie-from-up-my-nursing-game/id1486427611?i=1000654832483 

This episode of HNTKYP Kevin and Dr. Lisa Wolf take a deep dive into the high-stakes world of shock management.  Why does it matter you ask?  If you miss the early signs of septic shock, and 30% of those patients won’t make it home. This episode provides a comprehensive overview of the different types of shock – hypovolemic, distributive, cardiogenic, and obstructive – detailing their causes, signs, and appropriate treatments.

This episode of HNTKYP delves into the crucial distinction between merely knowing nursing protocols and truly understanding them. Kevin and Dr. Wolf discuss the importance of nurses not merely performing tasks or following protocols blindly but grasping the underlying pathophysiology and the reasoning behind the actions they take and the medications they give. This episode highlights the importance of critical thinking and the application of knowledge in nursing to prevent errors, enhance patient care, and, fundamentally, avoid causing harm.

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Twitter: @AoenPodcast

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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!