Critical Cover-Up

Author Archives: Critical Cover-Up

Should a Nurse Refuse a Patient Assignment?

In today’s healthcare climate, patient acuity has increased and patient care assignments have become more labor intensive for clinical nurses. When is it acceptable for an RN to refuse a patient assignment? With the national shortage of RN’s, facilities are increasing the nurse-patient ratios, resulting in heavier workloads and busy patient assignments for nurses. In […]


CVICU’s Post-Op TOP 10 List

Critical Cover-Up photo by Margie Miklas

  Don’t Miss the Forest for the Trees A Cheat sheet for immediate post-op recovery 10. If the patient’s BP & urine output are down, check ABG for metabolic  acidosis. 9. Do not give diuretics immediately post-op. 8. If your patient’s HR is down and BP and/or C.O. is down, turn on the pacemaker. If […]


Drug Diversion – A Major Issue

A major problem in hospitals over the past few years, drug diversion is the illegal distribution or abuse of prescription drugs or their use for unintended purposes. The hospital policy is very strict regarding partial doses of controlled substances, like opioids and benzodiazepines. The protocol calls for employees to “waste” any excess medications while being […]


Critical Cover-Up Receives Award

Exciting News! CRITICAL COVER-UP has won an award and has been selected  as a Finalist for the  Book Excellence Awards. You can imagine how thrilled I was when I received the email with the Congratulations Announcement this week. Congratulations! You are a 2018 Book Excellence Award Finalist! 🏆 It is with great pleasure to announce […]


When Patient Safety is Compromised

Patient safety is a major concern and priority in today’s healthcare system. Each year the Joint Commission establishes new National Patient Safety Goals. Most if not all medical facilities have policies regarding patient safety and even include it in their mission statements. Typical mission statements like these grace the walls in hospitals and medical centers […]