How to Write for Our Nursing Journals

writing-and-nursing.jpgWriting for a nursing journal is a great way to advance your nursing career, get your voice heard, and share your particular nursing perspective on topics important to you. Lippincott NursingCenter hosts more than 50 nursing journals and we want to hear from you! 

As a digital editor for NursingCenter, I’ve really enjoyed learning more about the nursing profession and sharing my thoughts and ideas with our members. I frequently get asked by nurses how they can share their writing with NursingCenter. Getting published in an established, authoritative, peer-reviewed nursing journal is a great way to get involved.
 
Many of our journals are looking for talented nurses to write for their publication. Some of these journals include:

•    American Journal of Nursing
•    Computers Informatics Nursing
•    Home Healthcare Now
•    Journal of Christian Nursing
•    Journal of Forensic Nursing
•    Journal of Pediatric Surgical Nursing
•    Journal of the Dermatology Nurses’ Association
•    Journal of Trauma Nursing
•    Nursing2016 Critical Care
•    Nursing Research
•    Nutrition Today
(See specific instructions for this journal in our blog, Consider Writing an Article for Nutrition Today)

You can see all of our nursing journals on our Journals page. Follow their Information for Authors instructions, and you will be well on your way to getting published. With our Editorial Manager system, the online submission and electronic peer review process is a breeze. There’s always assistance available for those who need it; most journals have production editors and managing editors who are very helpful. 

As a bonus, I’ve compiled some resources for getting published in a nursing journal from us and around the Web:

•    How to Get an Article Published in a Nursing Journal
•    Tips for Getting Published in a Nursing Journal
•    Author Guidelines: Writing for the American Journal of Nursing
•    Writing in the Digital Age
•    The Editor’s Handbook, 2nd Edition

•    Writing for Nursing Publication

Establish yourself as an expert in the nursing community and spread that nursing knowledge around by writing for our nursing journals.  

 
Posted: 1/8/2016 10:34:34 AM by Cara Gavin | with 0 comments

Categories: Education & Career


Celebrate Nursing in 2016

calendar-1081660_640.pngHappy New Year! Here’s the list of nursing recognition days, weeks, and months for 2016*. Please let me know if you know of others!

*Note that some dates are from 2015. I will update dates and links as they become available.

 
January February March April May June September October November
Posted: 1/4/2016 9:05:44 AM by Lisa Bonsall, MSN, RN, CRNP | with 5 comments

Categories: Inspiration


Three inspirational gifts for nurses

In addition to the traditional gifts of stethoscopes and pen lights, here are a few of my favorite items that you may want to consider gifting to the nurses in your life. This past fall I spent some time reading recent books by some of my favorite nurse authors and I really enjoyed them. I’ve also already shared my strong feelings about a certain documentary, but I have to include it here on this list too. Take a look…

Becoming Nursey

becoming-nursey-sm.jpg
Becoming Nursey by Katie Kleber, BSN, RN is a must-read for nursing students, new nurses, and those nurses who need to be inspired by that new-nurse feeling that they had in the past. Miss Kleber, also known as Nurse Eye Roll, is someone I’d like to work with! You can tell from the personal experiences that she shares in the book that she is a team player, organized, and compassionate and respectful to patients, their families and caregivers, as well as her colleagues in nursing and other disciplines. The discussion on time management is spot-on. Another favorite aspect of this book is how Miss Kleber keys in on preventing medication errors, and the importance of owning them so that we can learn from them. Consider Becoming Nursey as a gift for nursing students and new nurses – they’ll definitely relate to Nurse Eye Roll’s experiences and benefit from her advice.

 

The Shift

The-Shift-sm.png
Theresa Brown, RN, has been a favorite nurse author of mine for a long time. She is a frequent contributor in the New York Times and American Journal of Nursing, and in 2011, wrote Critical Care: A New Nurse Faces Death, Life, and Everything in Between. In The Shift, Miss Brown takes the reader through her full 12-hour shift in a busy oncology unit. In addition to learning about the patients she cares for with such knowledge and skill during this shift, what strikes me is how Miss Brown illuminates her decision-making. We know that as nurses, critical thinking comes with experience, yet Miss Brown truly explains how she prioritizes care without the reader even realizing that is what’s happening. Read the book – you’ll see what I mean! This will make a perfect gift for hospital nurses who understand just how  much can happen in one 12-hour shift. 



The American Nurse Project

This film…I could watch it over and over again! This is truly a treasure for the nursing profession. In the American Nurse Project, the director, Carolyn Jones, captures the passion of several nurses as she shares their unique stories. This year, at Nursing Management Congress, I actually got to meet Miss Jones, which was such a highlight for me. The book is on my wish list this December – I’ll keep you posted if I receive it! Think about sharing this film with all nurses who are passionate about the care they provide and the people they touch.

What’s on your wish list this holiday season?


 
Posted: 12/15/2015 5:48:04 AM by Lisa Bonsall, MSN, RN, CRNP | with 0 comments

Categories: Inspiration


New NursingCenter YouTube Channel

We are excited to share the launch of Lippincott NursingCenter’s YouTube Channel! Our first nursing videos are compilations of inspiration from nurses at the ANCC National Magnet Conference® this past October. Learn how your nursing colleagues keep up with new research, information and evidence. Also, discover what inspired them at this year's meeting and their plans for sharing this inspiration with their colleagues.

Take a look: 


 

We are looking forward to sharing more nursing videos as we move into the New Year! Stay tuned for Clinical Resources, Training Guides, webinars, and more nursing videos as we delve into this platform. Go ahead and subscribe today to stay up-to-date and inspired. 

 
Posted: 12/7/2015 11:25:21 AM by Lisa Bonsall, MSN, RN, CRNP | with 0 comments

Categories: Leadership TechnologyInspiration


Consider Writing an Article for Nutrition Today

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, sugars, 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. 

Nutrition Today 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 nutritiontoday@cox.net 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. 
 
Bon appetite!
 
Johanna Dwyer, D.Sc,RD
Editor, Nutrition Today
 
 
 
 
Posted: 11/20/2015 9:29:37 AM by Cara Gavin | with 1 comments

Categories: Education & Career


Cyber Monday Deals for Nurses 2015

cyber-monday.jpgCyber 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 by Cara Gavin | with 0 comments

Categories: Inspiration


Nurse On the Move: Annie Lewis O’Connor

NOTM-Annie-(2).PNGNursing “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?
A:
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?
A:
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?
A:
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?
A:
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?
A:
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?
A:
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?
A:
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?
A:
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?
A:
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?
A:
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 by Cara Gavin | with 1 comments

Categories: Leadership


Red meat and cancer: the beef on beef

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?”
References 
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/


     

 

Posted: 11/4/2015 5:06:13 AM by Lisa Bonsall, MSN, RN, CRNP | with 0 comments

Categories: Evidence-Based Practice


Ebola: Are We Better Prepared Today?

ebola.pngThe 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-quote-(1).PNGEbola 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

  • 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
References:
1. World Health Organization (WHO) website accessed October 21, 2015. 
2. Department of Health and Human Services (HSS) website accessed October 21, 2015. 
3. Centers for Disease Control and Prevention (CDC) website accessed October 21, 2015 
4. Cable, J. (2014). Nurses Urge OSHA to Adopt California’s Ebola Safeguards. EHS Today website. Retrieved October 21, 2015.
5. Johnson, S., Barranta, N., & Chertow, D. (2015). Ebola at the National Institutes of Health – Perspectives from Critical Care Nurses. AACN Advanced Critical Care, 26(3), 262-267. 
More Resources
What You Need to Know About Ebola Virus [FREE CE]
CDC Guidelines: Preparing US Hospitals for Ebola
CDC Guidelines: Hospital Preparedness: A Tiered Approach – Preparing Frontline Healthcare Facilities   
CDC Guidelines: Hospital Preparedness: A Tiered Approach – Preparing Ebola Assessment Hospitals 
CDC Guidelines: Hospital Preparedness: A Tiered Approach – Preparing Ebola Treatment Centers 
CDC Tightened Guidance for U.S. Healthcare Workers on Personal Protective Equipment for Ebola Factsheet
OSHA Factsheet: Cleaning and Decontamination of Ebola on Surfaces
OSHA/NIOSH/EPA Factsheet: Safe Handling, Treatment, Transport and Disposal of Ebola-Contaminated Waste
OSHA Factsheet: PPE Selection Matrix for Occupational Exposure to Ebola Virus
OSHA Bloodborne Pathogens Standard which covers exposure to Ebola
OSHA Personal Protective Equipment Standard (General Requirements)
OSHA Personal Protective Equipment Standard (Respiratory Protection)
OSHA Factsheet: Protecting Workers during a Pandemic
 Myrna B. Schnur, RN, MSN

 
Posted: 10/28/2015 6:42:15 PM by Lisa Bonsall, MSN, RN, CRNP | with 0 comments

Categories: Diseases & Conditions


​Pearls from Nursing Management Congress 2015

11229754_10153731859133385_5327780135804973140_n.jpgAs 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
12107269_10153734646268385_5457146934790140262_n.jpg
  • “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? 
Posted: 10/25/2015 7:51:51 AM by Lisa Bonsall, MSN, RN, CRNP | with 3 comments

Categories: Continuing EducationLeadership Inspiration


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