When swabbing your patient’s throat, have the patient “pant like a dog” while you’re getting the swab. Breathing that fast prevents the gag reflex from taking over and you’ll get an accurate swab and a laugh from your patients, especially the pediatric patients. It’s a fun trick to show off and you’ll get better results. — Dave Beard, BSN, RN, Kalamazoo, Mich. (189-4)

These are letters from practitioners around the country who want to share their clinical problems and successes, observations and pearls with their colleagues. We invite you to participate. If you have a clinical pearl, submit it here.