Nutrition is a huge component of health and well-being. Our bodies are amazing machines that need fuel – the correct types in the correct amounts – to function, grow, and heal. My colleagues in dietetics and I have been working for decades to ensure that nutrition is recognized as a vital sign in assessing patient health and well-being and that it is incorporated into providing care, yet we haven't gotten very far. Why? Until recently, the dietetics perspective and the nursing perspective were not collaboratively integrated into day-to-day practice.
A goal of our editorial team at Nutrition Today
is to encourage registered dieticians and nutritionists (RDNs) and nurses to co-author articles that will integrate clinical perspectives and treatment into the coordinated patient care model. This collaboration can provide effective, interdisciplinary means of resolving care issues, thereby improving patient outcomes.
To do this, first I encourage you to get to know our journal:
• Nutrition Today
is a peer-reviewed journal focused on translating the latest developments in nutrition science and policy to health care providers.
• Nutrition Today
reaches key opinion leaders in the health professions and nutrition sciences.
• Nutrition Today
features authoritative articles on topics such as educating patients on conflicted science around butter
, saturated fat
, and meat
• Continuing education credit is available in each issue.
• Our associate editor, Dr. Rebecca Couris, is both a clinical pharmacist and a nutrition scientist. Along with another colleague, she has developed a series in the past year on the management of Type 2 Diabetes and hypoglycemia
, with pros and cons of medications and their nutritional implications.
• We enlist some of the world’s experts to write authoritative columns on hot-topic and timely items, for example, drinking raw milk,
and how to explain the pros and cons to patients.
• We cover a variety of specialties, such as gerontology
, where a strong collaboration between nursing and dietetics professionals is essential. Nurses understand the importance of ensuring smooth transitions from acute care to chronic care, and the importance of avoiding or minimizing readmissions.
hopes to launch a series of articles where nursing professionals and RDNs collaborate to share their knowledge with one another and our readers. Examples include:
• Caring for older adults whose diseases or treatments have nutritional implications
• Managing the nutritional needs of certain populations, especially older adults, pregnant patients, and children.
• Transitioning patients with serious gastrointestinal or neurological problems to home care .
• Decision-making with regards to tube feeding at the end-of-life.
• Delivering care to pregnant women and infants at high nutritional risk.
• Managing interprofessional approaches to care delivery.
• Treating individuals with chronic degenerative diseases that have dietary or nutritional implications.
We invite you to work with an RDN from your hospital, home health agency, hospice, clinic or nursing home to co-author a paper on one of the suggestions above or a topic of your choice. Feel free to send me an email at email@example.com
so I can answer your query or help you develop your topic.
We welcome your comments or suggestions on how to make our journal more helpful to nurses and the readers of our sister publications in nursing.
Johanna Dwyer, D.Sc,RD
Editor, Nutrition Today
Posted: 11/20/2015 9:29:37 AM
| with 0 comments
Categories: Education & Career
Cyber Monday Deals for nurses are right around the corner! This year, NursingCenter has a number of special offerings for their members to celebrate the hard work you’ve put in so far in 2015. As a leading provider of Lippincott content, including peer-reviewed nursing resources based on the best evidence available, we strive to provide you with discounted ways to stay current in your practice.
From CE, journal articles, eBooks, and more, there’s so much NursingCenter is ready to offer you on Cyber Monday. Make sure to bookmark our Nursing Deals and Discounts page
and check back on November 30th
for all of our Cyber Monday deals for nurses. BONUS! We are celebrating for a whole week! From November 30th
through December 6th
, visit our deals page for all of our offerings. Invite your colleagues to join Lippincott NursingCenter
now so that they can also benefit from these deals.
As a special addition, we’re compiling a list of other sites offering deals on Cyber Monday. Keep checking the list below this month for new deals as we find them and remember to check back with NursingCenter on the 30th
- Amazon (lots of different deals, check back often for their daily promotions)
- CyberMonday.com (discounts on shoes for nurses)
- Target (deals for nurses, including textbooks, fiction books, and reference books)
Posted: 11/16/2015 10:53:17 AM
| with 0 comments
Nursing “brought out this side of me that I didn’t know I truly had.” Annie Lewis O’Connor PhD, NP-BC, MPH, FAAN never planned on being a nurse. She didn’t even know if she could handle blood. But, after becoming a single mom at a very young age, one social worker gave her the opportunity to experience a new side of herself. O’Connor was able to shadow nurses, and she saw the “human, caring side of what people did when others were sick. I felt it brought out this side of me that I didn’t know I truly had. I think being a new mom brought out this caring side of me as well.”
Today, O’Connor has expanded that side of herself into an influential career. She holds faculty positions at Harvard Medical School and Boston College and received her master’s degree in nursing from Simmons College in Boston, her master’s degree in public health from Boston University, and her PhD from Boston College. She currently serves as the founder and director of the C.A.R.E Clinic (Coordinated Approach to Recovery and Empowerment)
at Brigham and Women’s Hospital in Boston. Specializing in forensic nursing, maternal-child care, pediatrics, and women’s health, O’Connor cares for victims of domestic and sexual violence, human trafficking, and gender-based violence. She also serves on the editorial board of the Journal of Forensic Nursing,
which makes her the perfect Nurse On the Move
for Forensic Nurses Week
. Read on to discover the vital work O’Connor is doing for these patients and be sure to check our Nursing Deals and Discounts
page for ways to celebrate Forensic Nurses Week.
Q: How has nursing changed since you began your career?
Careers are very much about a journey. I believe back in the day when I ended up in nursing school, it was sort of a calling. Today, it’s a great job, profession, and it’s a business. It didn’t feel like a business when I first started out, and that’s not good or bad. What I hope I bring to it is that people never lose sight of the honor and privilege it is to take care of people at the most vulnerable time in their life, and that’s when they are lying in a hospital bed. I get to do this every day with young nurses in the clinic where I work. I love that I am at the stage in my career where I really am feeling that “pay it forward.” I don’t want anyone to feel that nursing is just a good job. It’s much deeper than that, and I try to model that for the next generation of nurses.
Q: You founded C.A.R.E. (Coordinated Approach Recovery & Empowerment), which assists victims of sexual assault, domestic violence, human trafficking, and gender-related violence. Why is this approach important to you?
Brigham and Women’s Hospital gave me the opportunity to grow and develop this clinic; I couldn’t have done it without the support of that administration. This was done through dialogue and gathering statistics on my concerns around victims of intentional violence. These patients are unique in so many ways. My research, which is published in Journal of Forensic Nursing
, shows a lot of these patients who come into the emergency department (ED) just experienced a traumatic event, and they get handed a packet of information they are expected to navigate through. It’s a mess; they don’t know who to call first.
I wanted to create a follow up with these patients through C.A.R.E. that will become a national model. Within 48 hours, a victim, with their consent, will receive a text message from us. We provide phones if they don’t have one. About 98% of the victims we see agree to the follow up, and our numbers around being able to contact patients have gone from 27% up to 91%.
We also do consultations with in-patients. For example, they are admitted for a non-related issue and during their stay disclose violence and trauma. This week alone, I’ve done six in-patient consults. I have two victims of human trafficking who came in for asthma and diabetes, and we are educating the nurses on how to provide trauma informed-care for these other issues they are experiencing.
I would also like to mention that I invited 14 survivors to become my patient advisors and to name our clinic. When suggestions come from the actual survivors, the policies and procedures we develop have much more relevant and significant meaning.
Q: When a patient comes in with suspect injuries, what should nurses keep an eye out for?
People want a domestic violence screening tool, which we’ve had for three decades now. But, this has not transformed well into actual health care. I think we need to have an actual conversation with these patients about their relationships and pay attention. As I’m taking the history, I am looking for the red flags, such as a partner who won’t separate or the young girl who comes in with an older man. You need to educate yourself around what those flags are and then talk to the patient. You don’t want to go in and say off the bat, “Have you been hit, kicked, or punched? Has your partner forced you to have sex when you didn’t want to?” The correct way to ask is after you’ve established a rapport with the patient to say, “What do you like about your partner or your work? What don’t you like about it? Tell me three things you would change if you could.” The next thing you know, they are telling you their whole story. Really recognize that this affects one in four women. People are always surprised by this, but the statistics are pretty solid.
Q: What is the biggest challenge related to caring for these victims and how do you combat it?
The biggest challenge is really when there are mental health issues or substance abuse involved. If you look at homeless women, women with mental health problems or substance abuse, you think of it as an onion. You start peeling that onion back to get to the core, where you find that there’s a lifelong history of exposure to trauma and violence. You may be treating them for this one incident they came into the ED for, but you are really treating their whole history.
Q: Has there been a particular patient whose story has stayed with you?
The real hard one recently was we had a woman whose boyfriend strangled and beat her pretty bad. The neighbors called and the police came and brought her in. He choked her so bad we could see the strangle marks. As we are working her up and getting her ready for discharge, she was calling the boyfriend to come pick her up. She just looked at me and said, “I know you must think I’m crazy. I don’t even know if I love him, but I just don’t want to be alone.” That was a “Wow” moment for me. I told her, “How about we try to work on the loneliness? So, you aren’t alone.” She left and two weeks later he beat the living day lights out of her again. She wound up in a different hospital, but called and asked for us. I was able to get her transferred and care for her and that was it. She finally left him, and now she’s soaring. If we didn’t have this follow up program, she would have walked out of there and never come back.
Q: Why is every nurse a forensic nurse?
When you look at ED nurses, they see themselves as ED nurses. But, when they see an injury, like someone looks like there were whipped with a belt, they don’t see that as forensic science, they see that as the emergency care. I think that forensic nursing is not a term they are familiar with, and the more we define and share what it means, the more nurses will recognize that’s what they are doing. Nurses in all aspects of delivering health care will see that.
Q: Why is Forensic Nurses Week important to you?
We get to recognize our colleagues in forensic nursing and that there’s a body of knowledge and expertise we’ve built. During this week, I also think it’s important for every nurse to reflect on their own practice and see what is in their own job that is forensic nursing. Working with the elderly or children, for example, there’s a lot of forensic nursing that goes on there.
Q: How has serving on the editorial board of the Journal of Forensic Nursing affected your career as a nurse?
It’s been really wonderful. It takes me to a different level, where I can grow and develop. Reading manuscripts, providing feedback, and encouraging others to write has been great. It makes me very proud of our profession, and I’m honored to be on the editiorial board. I know that whatever winds up in print is very good quality. I’m very proud of the high standard we set in this journal. I see this journal as the flagship for forensic nursing.
Q: You are traveling to Haiti in November. What work will you be doing there?
I travel to Haiti frequently, where I have two roles. One is that I work with local Haitian nurse leaders to develop nursing leadership in Haiti along with my organization, EqualHealth.org.
We host a conference there and our work is very interdisciplinary. There teams need to work in harmony, so we focus on that. Second, I’ve done research on gender-related violence in Haiti.
Q: What do you envision for the future of nursing?
Nurses will be allowed to practice in the full extent of their license. I would love to see all nurses continue their education in some way, shape, or form. I also think that nurses need to be at those tables where policies are being made. Nurses can play a vital role in education, practice, research, and policy, and I want nurses to recognize that.
*Do you know an inspiring nurse to be featured for the next Nurse On the Move? Email your submissions to ClinicalEditor@NursingCenter.com
Posted: 11/9/2015 9:53:48 AM
| with 1 comments
Over the past week, several people have asked me about recent news related to red meat and processed meat causing cancer. Could it be true? Is it really as dangerous as smoking? Do I need to stop using my grill?
While the association between red meat and cancer is not new information, a recent systematic review presented at the International Agency for Research on Cancer (IARC) has both categorized the risk and reignited the conversation among healthcare professionals and the public. Here are some related definitions and a summary of the results that the researchers shared:
- Red meat is unprocessed mammalian muscle meat, including beef, veal, pork, lamb, mutton, horse, or goat meat.
- Processed meat has been transformed through salting, curing, fermentation, smoking, or other processes.
- The group looked at “more than 800 epidemiological studies that investigated the association of cancer with consumption of red meat or processed meat in many countries, from several continents, with diverse ethnicities and diets.” (You can read more specifics on the studies in The Lancet Oncology. Free registration on the site is required).
- Overall conclusions:
“Overall, the Working Group classified consumption of processed meat as “carcinogenic to humans” (Group 1) on the basis of sufficient evidence for colorectal cancer. Additionally, a positive association with the consumption of processed meat was found for stomach cancer.”
“The Working Group classified consumption of red meat as “probably carcinogenic to humans” (Group 2A). In making this evaluation, the Working Group took into consideration all the relevant data, including the substantial epidemiological data showing a positive association between consumption of red meat and colorectal cancer and the strong mechanistic evidence. Consumption of red meat was also positively associated with pancreatic and with prostate cancer.”
So what does this mean?
The evidence groups assigned by IARC refer to how likely a particular cancer risk is to actually cause cancer. Group 1 carcinogens (processed meat, smoking, alcohol) are classified as definite causes; Group 2a carcinogens (red meat, shift work) are classified as probable causes. But remember, it’s all about how confident the IARC is that something causes cancer, not how much cancer results.
This analogy shared by Cancer Research UK
makes this a little easier to understand:
“To take an analogy, think of banana skins. They definitely can cause accidents – but in practice this doesn’t happen very often (unless you work in a banana factory). And the sort of harm you can come to from slipping on a banana skin isn’t generally as severe as, say, being in a car accident.
But under a hazard identification system like IARC’s, ‘banana skins’ and ‘cars’ would come under the same category – they both definitely do cause accidents.”
So while processed meat and tobacco are in the same Group 1 category – known to cause cancer – the risk of cancer from tobacco use is much higher than the risk of cancer related to eating processed meat. (You can see some great infographics here
Am I going to stop eating red meat?
No, I’ll still enjoy the occasional hamburger or hot dog. When it comes to meat, I already opt for chicken, turkey or fish more often than red meat, so I do feel pretty good about the balance in my current diet. And of course, I try to get plenty of fruits and vegetables too!
Has this recent report influenced you to make any changes to your diet? How do you answer patients (and friends and family) when they ask you “Should I stop eating meat?”
Bouvard, V., Loomis, D., Guyton, K., Grosse, Y., Ghissassi, F., Benbrahim-Tallaa, L., . . . Straif, K. (2015). Carcinogenicity of consumption of red and processed meat. The Lancet Oncology.
Dunlop, C. (2015, October 26). Processed meat and cancer - what you need to know. Retrieved from Cancer Research UK: http://scienceblog.cancerresearchuk.org/2015/10/26/processed-meat-and-cancer-what-you-need-to-know/
World Health Organization. (2015, October 29). Links between processed meat and colorectal cancer. Retrieved from World Health Organization: http://www.who.int/mediacentre/news/statements/2015/processed-meat-cancer/en/
World Health Organization. (2015, October). Q&A on the carcinogenicity of the consumption of red meat and processed meat. Retrieved from World Health Organization: http://www.who.int/features/qa/cancer-red-meat/en/
The 2014 Ebola Virus Disease (EVD) outbreak of West Africa was a wake-up call for healthcare administrators and clinicians in the United States. EVD had been viewed as a third world problem, a crisis that would most likely never strike America. Last October, however, we witnessed the first patient diagnosed with EVD on U.S. soil, a Liberian man who ultimately passed away in a Dallas hospital after infecting two of his nurses, both of whom fully recovered. At the time, healthcare providers faced with the potential spread of the infectious disease had to piece together protocols based on limited knowledge and standards of care for patients infected with EVD. The majority of hospitals were unprepared should an infected patient walk into its Emergency Department (ED). Most did not have appropriate isolation rooms, personal protective equipment (PPE) or adequate staffing to safely care for these patients.
According to the World Health Organization (WHO), EVD remains a Public Health Emergency of International Concern (PHEIC)1
. Two active chains of EVD transmission continue, one in New Guinea and one in Sierra Leone, resulting in approximately 5 new cases each week1
. Are U.S. hospitals better prepared and are nurses safer today to care for patients with highly infectious diseases than they were a year ago? The answer may be yes for a handful of centers that have received advanced training, education and government funding, however, that is not the case for over 5,000 hospital institutions across the country.
In response to the outbreak, the Centers for Disease Control and Prevention (CDC) established a three-tiered approach to guide hospitals and other emergency healthcare clinics in developing preparedness plans for patients under investigation (PUI) or with confirmed EVD2
. According to this plan, hospitals can serve in one of three roles: as a frontline healthcare facility, an Ebola Assessment Hospital or an Ebola Treatment Hospital.
All hospitals are considered frontline healthcare facilities
and each plays a critical role in the identification, isolation and evaluation of PUIs for EVD. Once identified, the institution is responsible for informing the facility infection control department, as well as the state and local public health agency, and promptly placing the patient in isolation. The frontline hospital is not expected to provide prolonged care for the patient for more than 12 to 24 hours and should coordinate immediate transfer of the patient to an Ebola assessment hospital or Ebola treatment hospital.3
Ebola assessment hospitals
are facilities that are prepared to receive and isolate PUIs and care for the patient until diagnosis of EVD can be ruled out or confirmed and until discharge or transfer is completed. They should be prepared to care for PUIs for up to 96 hours, should be equipped with adequate PPE for four to five days and ensure that staff members involved in or supporting patient care are appropriately trained for their roles. This includes demonstrated proficiency in putting on and taking off PPE, proper waste management, infection control practices, and specimen packaging and transport.3
Ebola treatment hospitals
are facilities that plan to care for and manage a patient with confirmed EVD for the duration of the patient’s illness. These centers must meet minimum criteria determined by the CDC, including infection control capacity, physical infrastructure, staffing resources, PPE supplies, waste management processes, worker safety training, environmental services and laboratory set up.3
Staff must be trained in and have practiced putting on and taking off PPE for Ebola, as well as providing clinical care using PPE. CDC Ebola Response Teams (CERTs) are ready to deploy to any Ebola treatment center to provide technical assistance for infection control procedures, clinical care and logistics of managing patients with EVD as soon as the health department or hospital requests assistance.3
Fifty-five hospitals have been identified as Ebola assessment centers. Of those, nine hospitals have been designated as Ebola regional treatment centers and have received government support and advanced training to meet the CDC minimum criteria. The Department of Health and Human Services (HHS) does not mandate that every state adopt this approach, however, all are encouraged to identify Ebola assessment hospitals that can successfully manage PUIs or confirmed cases of EVD.2
The CDC released comprehensive guidelines for frontline hospitals
in the management of patients with EVD from identification through treatment. The recommendations are not government mandated and can be expensive to implement, therefore most facilities have not instituted these safe practices nor have they provided training to their frontline nurses. The responsibility falls on healthcare administrators, local state departments of health and the Occupational Safety and Health Administration (OSHA) to ensure these guidelines have been executed.
California is one state that has issued mandatory safeguards to protect healthcare workers from EVD by requiring hospitals to provide head-to-toe PPE and comprehensive training for staff caring for Ebola patients.4
The guidelines require California hospitals to provide staff with full-body protective suits that meet the ASTM F1670 standard for blood penetration and the F1671 standard for viral penetration and that leave no skin exposed or unprotected.4
Hospitals must also provide powered air-purifying respirators with a full cowl or hood for the head, face and neck of any RN or other staff member who provides care for a suspected or confirmed Ebola patient. Hands-on training must be provided for any worker who is at risk of exposure.4
These regulations are mandatory in California and if hospitals do not comply with the guidelines, they will incur fines and penalties.
The precedent set by California is one that should be adopted by every state and local health department across the country. All nurses deserve adequate information and training on the care of EVD patients and their safety and well-being must remain the highest priority. Do you believe that your institution is prepared today to care for an EVD patient? Do you feel that you have received adequate training and that you would be at minimal risk of contracting EVD or other highly contagious diseases? (You can see how some nurses responded to this question in this JONA article.
) Please let us know how you feel by leaving a comment!
In-Person Ebola Training should be mandatory and include:5
Myrna B. Schnur, RN, MSN
- Learning to don (put on) and doff (remove) the PPE – performed under direct observation following itemized and standardized verbal instructions; practiced four to six times; no one is allowed in the warm zone (anteroom) or hot zone (patient room) without donning full PPE under close observation and direction of trained nurses
- Performing routine tasks while wearing multiple layers of PPE
- Enhancing safety skills: slowing down; paying attention to sharp objects, stopping and thinking through movements before beginning a task; placing one’s immediate safety before the needs of the patient; always working in pairs – one nurse cares for the patient, while the second nurse watches for breaks in PPE, disinfects the environment, prepares trash for removal, and assists with turning or two-person procedures
- Handling waste: moving slowly when handling bedpans, canisters and urinals, always covering the container; all liquid waste is decontaminated for 15 minutes before flushing
- Cleaning and disinfecting healthcare environments
As a follow-up to last week’s conference wrap-up
, here are some of my favorite pearls and words of inspiration that I picked up during Nursing Management Congress 2015.
- “You learn as much from people who do things the wrong way as from people who do things the right way.”
Pamela Hunt, BS, MSN, RN
New Manager Intensive: A Focus on Finance
- “As a manager, the worst thing you can do with a ‘ring leader’ is avoid them.”
Shelley Cohen, RN, MSN, CEN
New Manager Intensive: A Focus on Leadership
- “Get to know your nurses. You already know them as nurses; get to know them as people.”
Debra Ruddy, CMSRN, MSN
Winner of the Richard Hader Visionary Leader Award
- “With regard to debriefing, remember it’s not who’s right – it’s what’s right.”
Jim "Murph" Murphy
Plan. Brief. Execute. Debrief = Win: A Fighter Pilot’s Secret to Success
- “Strong, effective leaders lead from a place of confidence, with humility.”
Jeff Doucette, DNP, RN, CEN, FACHE, NEA-BC
The Courageous Leader: Dare to be Different
- “The patient experience is not owned by nurses. It is a team sport.”
Amy Cotton, MSN, APRN, FAAN, EMHS
Look Out for the Booby Traps: Navigating the Patient Experience Landscape
What are some pearls that you’ve taken away from recent conferences?
How does a week in Disneyworld sound? Good, right? Add in two dynamic nursing conferences and you’ve got an amazing week! While it was busy, I’d like to share some highlights and encourage you to make attending a nursing conference a priority. There is nothing like being surrounded by nurses, hearing from nurses, and hanging out with nurses to renew your passion for nursing!
Lippincott Clinical Nursing Conference (LCNC)
was up first. Geared to front-line nurses, this clinical-intensive included skill building sessions related to cardiac, pulmonary, and neurologic assessments. During the opening address, Christine Kessler, MN, CNS, ANP-BC, ADM, CDTC, FAANP gave attendees a choice in what they wanted to learn about – managing patients with diabetes or the impacts of shift work. I don’t know many speakers who can poll the audience and then present based on those results! If you’re wondering, attendees opted to hear about shift work and the session was informative and thought-provoking. While some might think that night shift is the most opportune time for nurses to take care of certain tasks (think baths and other personal care), it’s not always what’s best for patients.
Another opportunity that presented itself to me at LCNC was the chance to speak myself. It’s been a while since I presented to a large group and it felt good to connect with attendees during the session on adverse drug reactions. I quickly got through my nerves and I think that we all learned some things!
Nursing Management Congress
Nursing Management Congress (NMC) followed and did not disappoint. Never have I attended a conference session where the opening session ended in a standing ovation followed by silence. I’ve been a fan of Carolyn Jones’ work on The American Nurse Project for several years. I am not kidding that I was somewhat starstruck sitting there in the front row while she presented and then again later when I met her in the exhibit hall. I’m also really looking forward to her new project, Dying in America. I’ve mentioned before about my interested in end-of-life care and after watching the trailer for this new film, I know I won’t be disappointed.
I also spent time helping out with the New Manager Intensive preconference workshops. Day one focused on finance and day two focused on leadership. Wow! I knew nurse managers have a lot to juggle, but these two days really opened my eyes to the amount of calculations, hiring and firing issues, workplace conflict situations, and so much more that’s involved in their work each day. I’ll be sharing some more from this conference in the next few days, so stay tuned…
Don’t forget to visit Lippincott’s eConference Center
to complete your session evaluations and obtain your CE certificates. You can see more photos from these conferences on NursingCenter’s Facebook page
Last month’s Clinical Symposium on Advances in Skin & Wound Care (CSASWC)
was a wonderful meeting of clinicians, including nurses, physicians, physical therapists, wound care specialists, educators, podiatrists, administrators, and others who strive to stay up-to-date on the latest evidence and products. From networking between sessions, learning from expert presenters, and connecting with exhibitors, this was a not-to-be-missed event.
The Symposium celebrated its 30th Anniversary and was held at the Hyatt Regency New Orleans. The backdrop for this event was spectacular – a wonderful city, incredible sports fans (both Louisiana State University and the Saints played that weekend), and endless options for food and entertainment contributed to the appeal of attending this conference! You can see some pictures from the event in our CSASWC 2015 album on Facebook
Please allow me to share a few of the clinical pearls that I picked up during the conference:
- “Typically, neonatal and pediatric pressure ulcers are a result of medical devices.”
International Pressure Ulcer Prevention and Treatment Guidelines: How Do You Use Them?,
Laura Edsberg, PhD
- “All antibiotics are antimicrobial, but not all antimicrobials are antibiotics. Antibiotics can inhibit or kill the organism; antimicrobials inhibit bacterial growth, but do little or no damage to the host.”
When Dressings Just Aren’t Enough: Pharmaceuticals and Supplements for Wound Healing
Phyllis Kupsick, RN, MSN, FNP-BC, CWOCN, PRN
- “Deep tissue injury is common in the ICU population. The sacrum and the heels are the most common sites.”
What is? Wound Care Jeopardy!
Gregory Bohn, MD, FACS, FACHM
- “Even with the change to ICD-10, documentation is the key to success!”
10-Day Countdown to ICD-10-CM
Kathleen D. Schaum, MS
Our upcoming events include Lippincott’s Clinical Nursing Symposium
and Nursing Management Congress
. Find more information on key nursing and healthcare events here
What are your conference plans this fall?
The inappropriate and unnecessary overuse of antibiotics within hospital and outpatient settings has led to the rise of drug-resistant strains of bacteria over the past several decades. These “super” bugs cause 2 million illnesses and over 23,000 deaths in the U.S. alone, according to the Centers for Disease Control and Prevention (CDC)1
. In March of 2015, the White House issued a National Action Plan for Combating Antibiotic-Resistant Bacteria
. The goals of the plan include1
- Slow the emergence of resistant bacteria and prevent the spread of resistant infections.
- Strengthen national one-health surveillance efforts to combat resistance.
- Advance development and use of rapid and innovative diagnostic tests for identification and characterization of resistant bacteria.
- Accelerate basic and applied research and development for new antibiotics, therapeutics, and vaccines.
- Improve international collaboration and capacities for antibiotic-resistance prevention, surveillance, control, and antibiotic research and development.
By 2020, a primary outcome of Goal 1 will be the establishment of antibiotic stewardship programs in all acute care hospitals and across all healthcare settings2
. The core elements of hospital antibiotic stewardship programs will include1,2
- Establishing leadership commitment by dedicating necessary human, financial and information technology resources.
- Appointing a single physician leader, ideally formally trained in infectious diseases, responsible for program outcomes.
- Appointing a single pharmacist leader with drug expertise, responsible for working to improve antibiotic use.
- Securing support from the multidisciplinary team, including infection prevention control, nursing, information technology, laboratory and quality improvement.
- Implementing policies and interventions to improve antibiotic use, ensuring that patients receive the right antibiotic at the right time at the right dose for the right duration.
- Implementing at least one recommended action, such as systemic evaluation of ongoing treatment after a set period of initial treatment (i.e. “antibiotic time out” after 48 hours).
- Monitoring antibiotic prescribing and resistance programs.
- Educating clinicians about resistance and optimal prescribing.
Healthcare leaders and clinicians in all settings should focus efforts on implementing these recommendations in order to decrease antibiotic resistant bacteria.
Myrna B. Schnur, RN, MSN
When it comes to never events and nursing, “prevention is key,” explains Janet Thomas MS, RN-BC. As our manager of continuing education accreditation and compliance, Thomas recognizes the vital role nurses play against medical errors that should never occur.
“Never events are costly to the organization you work in and can have a major impact on its reputation,” she says. In 2008, the Centers for Medicare and Medicaid Services (CMS) published a non-reimbursement policy
for certain medical incidents in an effort to improve patient safety. These occurrences are considered “reasonably preventable,” through the use of evidenced-based principles. When a never event occurs, the event is publicly reported, meaning that the public is made of aware of the preventable, and sometimes fatal, mistake.
As nurses, you are the frontline of defense for your patients. “You really want to learn how to keep these incidents from occurring in the first place,” explains Thomas. Lippincott NursingCenter and CEConnection have created a series of Never Events Collections
to help you maximize your patient’s safety and keep these incidents from happening in your workplace. You will also be able to meet your continuing education needs, as CE is included in these collections.
Never Events: Manifestations of poor glycemic control
8.0 contact hours - $24.99
Never Events: Air embolism
6.7 contact hours - $19.99
Never Events: Foreign objects unintentionally retained after surgery
6.0 contact hours - $19.99
Never Events: Pressure ulcers, stage III & IV
7.2 contact hours - $34.99
Never Events: Catheter-associated urinary tract infection (CAUTI)
7.7 contact hours - $19.99
Never Events: DVT & PE associated with knee and hip replacements
8.6 contact hours - $24.99
Never Events: Falls and Trauma
7.0 contact hours - $19.99
Never Events: Surgical site infections
6.5 contact hours - $19.99
Never Events: Preventing central line-associated bloodstream infections (CLABSI)
6.8 contact hours - $34.95
Never Events: Administration of incompatible blood
6.3 contact hours - $19.99
How have never events affected your care? What steps are you taking to prevent them from happening? Share your story in the comments below.
Posted: 9/17/2015 7:52:35 AM
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Categories: Patient Safety