In some cases, Pennsylvania drivers may feel uneasy on the roadways when they see semi-trucks with spike-like lug nut covers on the trucks' wheels. These ornamental spikes often extend well beyond the rims of the wheels, making some drivers nervous that they may damage their vehicles if they pass the truck too closely. Because there is some concern that these ornamental spikes can be dangerous, one state even passed legislation to ban them.
Nurses can play a major role in ensuring patients receive quality care, whether in a Pennsylvania surgical procedure or a regular primary care physician's office. Experienced nurses can help to provide an additional level of security and knowledge to assist a patient and a doctor or surgeon in providing care through their knowledge of specific patients and their medical concerns.