Nursefriendly.com: hospitals

Showing posts with label hospitals. Show all posts

Wednesday, January 1, 2014

Surgical Patients Not Getting Information on Alternatives, Wall Street Journal #nurseup #nursefriendly

Surgical Patients Not Getting Information on Alternatives, Wall Street Journal #nurseup #nursefriendly:"It's awfully hard for patients to participate in decisions about their medical care if they don't know all their options. But that's exactly what seems to be happening, at least with many Medicare patients who received a stent procedure for coronary disease or prostate surgery for cancer, according to a new study. The research, published online by the Journal of General Internal Medicine, surveyed 685 patients who had prostate-cancer surgery and 472 who had stents for coronary disease about their decision-making process."
http://blogs.wsj.com/health/2012/03/02/surgical-patients-not-getting-information-on-alternatives/

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New!

Discover! "Unconventional Nurse: Going from Burnout to Bliss" Michelle Podlesni, RN @MPodlesni
http://unconventionalnurse.com/al/

Discover Martine Ehrenclou, @Med_Writer, Author of "The Take Charge-Patient"
http://www.thetakechargepatient.com/

Power Strategies For Nurses:"Do your nursing shifts feel like you’re running full speed ahead on a treadmill that you just can’t stop?
http://revolutionarynurse.com/power-strategies-nurses-program-2/

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Did you know? Our team of nurses has been researching, indexing healthcare resources for over a decade? If you have questions, need resources, stop here first and search our index. If we don't have it, ask us

Andrew Lopez, RN
Nursefriendly National Directories
38 Tattersall Drive
West Deptford, New Jersey 08051
856-415-9617, Fax: 856-415-9618, info@nursefriendly.com, @nursefriendly
http://www.nursefriendly.com/

Thursday, December 5, 2013

Katie Pavlich - Hospitals Suffering From Mass Layoffs Thanks to Obamacare, #nurseup

Katie Pavlich - Hospitals Suffering From Mass Layoffs Thanks to Obamacare:"I've been saying this for a LONG time......RN jobs are leaving the hospital so WHY are so many still seeking positions that no longer exist?!?!?"
https://www.facebook.com/groups/230473227128384/permalink/230522440456796/

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New!

Discover! "Unconventional Nurse: Going from Burnout to Bliss" Michelle Podlesni, RN @MPodlesni
http://unconventionalnurse.com/al/

Discover Rodan & Fields Dermatologists, Take Their Free Online Skin Consultation.
https://www.facebook.com/groups/nurseup/permalink/523614767722544/

Work At Home, RN Jobs, Do You Know Where To Find Them? Ask Nursing Career Coach Carmen Kosicek
https://www.facebook.com/nursefriendly/posts/10202345780396833

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Did you know? Our team of nurses has been researching, indexing healthcare resources for over a decade? If you have questions, need resources, stop here first and search our index. If we don't have it, ask us

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Andrew Lopez, RN
Nursefriendly National Directories
38 Tattersall Drive
West Deptford, New Jersey 08051
856-415-9617, Fax: 856-415-9618, info@nursefriendly.com, @nursefriendly
http://www.nursefriendly.com/

Wednesday, March 30, 2011

Why Not The Best (Hospital Benchmark Data)

Comparative Health Care
Performance Data

See how well U.S. hospitals perform on measures of evidence-based care, patient experience, readmission and mortality rates, and costs

Compare a hospital's performance with peer organizations and national benchmarks

Find case studies and tools to help improve the quality of care

via whynotthebest.org

Click on the "via" link for the rest of the article.

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Andrew Lopez, RN
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Sunday, November 21, 2010

Food workers, nurses forced to work sick - CNN.com

A group of leaders in the food service industry gathered in Washington, D.C., recently to discuss the alarming findings of a new survey. The study, conducted by Restaurant Opportunities Centers United -- a national organization that represents and supports restaurant workers -- found that two-thirds of restaurant workers go to work when sick.

The study sheds light on some serious underlying issues in the food service industry: Nearly 90 percent of workers reported they get no paid sick days and 60 percent said they did not receive any form of health insurance. But the study also highlights an obvious problem for diners who eat the food handled by sick workers.

June Lindsey, a Detroit woman with more than 30 years of experience in the food service industry, knows a lot about going in to work sick. She shared the following story in the study:

"[One day] I had a really bad cold. My nose was running, I was sneezing, [and] I had a bad cough and a fever. I could not call in sick because no work meant no money and I couldn't afford it at that time. My kids were very young, so I went to work to see if I can make it through the day.

CareerBuilder.com: Have an incompetent boss? You're not alone

"Halfway through the day, the sneezing, coughing and runny nose got worse. I asked the manager, 'I am really sick and need to go because I could make others sick and I am dealing with food.' She laughed and told me, 'Try not to cough, then.' So I had to work that day sick, and who knows how many customers I got sick because I couldn't go to the back and leave the counter to wash my hands after every sneeze or nose wipe. Later on, all of us got sick one by one, and all this came from another worker that came to work sick like me, but was not allowed to leave work."

While food service is the most recent industry to address the problem, it's not exclusively theirs. According to the website for MomsRising, a group that pushes for reform on issues like maternity leave, fair wages and paid family illness days, 55 percent of workers in the retail industry and 48 percent of workers employed in the general private sector don't receive paid sick days.

If you come in sick, there's a good chance your co-workers and customers will get sick, too -- and in some cases, passing on your illness can cause potentially life-threatening situations.

Take the case of Amy, for example. As the mother of a young son who is being treated for a blood disease -- his recovery from which depends on his avoidance of illness -- Amy pays vigilant attention to those who enter her son's room at the renowned children's hospital where he is staying.

CareerBuilder.com: Conflicting career advice: Which is right

Recently, the poor health of one of the hospital's staff members compromised the well-being of Amy's son: "On Saturday, as I woke up, I noticed that our nurse was sick," she says. "No one is supposed to be allowed on our floor if they are sick and definitely not in our rooms. This is a nurse whom we really like and who has been with us from the beginning.

"When I wouldn't allow him back in the room, he explained that the hospital does have a policy that the nurses have to call in if they are sick. Unfortunately, the hospital has another policy that causes nurses to be written up if they call in sick. It's a Catch-22 that puts kids at risk." Amy and her family are trying to get the hospital policy changed, since she says it caused "a good nurse to make a poor choice."

While Amy's incident may seem like it would be an isolated one in the health care field, a recent study by the Journal of the American Medical Association says otherwise. This summer, the AMA published the findings of a survey of 537 medical residents from around the country, in which 57 percent of residents said they'd worked while sick, the Kansas City Star reports.

With the advent of flu season, it can be tough to know what to do when you know you are too sick to go to work, but are worried about the repercussions of skipping a day. Here are a few ideas to help you find a better alternative to working while you're sick:

CareerBuilder.com: How to self-promote without being obnoxious

1. Switch shifts: If you work in a restaurant, hospital or retail environment where workers are scheduled in shifts, try switching hours with a co-worker. Create a list of all your co-workers' phone numbers and keep it at home. That way, if you're feeling too sick to work, you can call a colleague and ask if she can cover your shift. Just make sure that you offer to cover one of hers in return, or to repay the favor when she isn't feeling well.

2. Get a doctor's note: Though asking your doctor for a note may make you feel like you're back in the fifth grade, doing so will lessen your chances of being reprimanded -- and provide you proof of your illness should your employer think you were playing hooky.

3. Work from home: If you have a desk job or another occupation that doesn't necessarily require your physical presence, working from home can be a good alternative for those who don't want to -- or can't -- take a sick day. It will prevent you from spreading your condition to colleagues and clients, and will also allow you to get your work done while you recuperate.

4. Check out the legalities: While the Healthy Families Act -- which would require employers to provide employees with one hour of paid sick leave for every 30 hours worked -- has recently been reintroduced in Congress, it has yet to pass. In the meantime, many employers do have guidelines when it comes to working while sick, which means you might have the right to -- or might be required to -- take the day off if you're not feeling well. Most large employers, for instance, must legally allow workers to take up to 12 weeks of unpaid sick leave per year, under the Family and Medical Leave Act.

5. Ask for a substitute duty: If you think you must go to work while sick, talk to your employer about alternative duties. Instead of working directly with customers at a retail store, for example, ask if you can work in the stockroom instead. If you work at a hospital, ask to cover a floor that won't put you in contact with patients that have compromised immune systems.

via cnn.com

It is a scary situation when you are intimidated into working sick when you know it may result in you passing along what you have to others, or getting what your patients are being treated for.

Any questions, please drop me a line.

******************************************************
Follow us on:

Blogger:
http://4nursing.blogspot.com/

Facebook:
http://www.nursefriendly.com/facebook

Linked In:
http://www.linkedin.com/in/nursefriendly

Nursing Entrepreneurs, Nurses In Business
http://nursingentrepreneurs.ning.com/

Twitter!
http://www.nursefriendly.com/twitter

StumbleUpon,
http://www.nursefriendly.com/stumbleupon
******************************************************

Sincerely,

150,000 + Nurse-Reviewed & Approved Nursing Links

http://www.4nursing.com
http://www.howtostartanursingagency.com
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http://www.nursinghumor.com
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http://www.nursingexperts.com

Food workers, nurses forced to work sick - CNN.com

A group of leaders in the food service industry gathered in Washington, D.C., recently to discuss the alarming findings of a new survey. The study, conducted by Restaurant Opportunities Centers United -- a national organization that represents and supports restaurant workers -- found that two-thirds of restaurant workers go to work when sick.

The study sheds light on some serious underlying issues in the food service industry: Nearly 90 percent of workers reported they get no paid sick days and 60 percent said they did not receive any form of health insurance. But the study also highlights an obvious problem for diners who eat the food handled by sick workers.

June Lindsey, a Detroit woman with more than 30 years of experience in the food service industry, knows a lot about going in to work sick. She shared the following story in the study:

"[One day] I had a really bad cold. My nose was running, I was sneezing, [and] I had a bad cough and a fever. I could not call in sick because no work meant no money and I couldn't afford it at that time. My kids were very young, so I went to work to see if I can make it through the day.

CareerBuilder.com: Have an incompetent boss? You're not alone

"Halfway through the day, the sneezing, coughing and runny nose got worse. I asked the manager, 'I am really sick and need to go because I could make others sick and I am dealing with food.' She laughed and told me, 'Try not to cough, then.' So I had to work that day sick, and who knows how many customers I got sick because I couldn't go to the back and leave the counter to wash my hands after every sneeze or nose wipe. Later on, all of us got sick one by one, and all this came from another worker that came to work sick like me, but was not allowed to leave work."

While food service is the most recent industry to address the problem, it's not exclusively theirs. According to the website for MomsRising, a group that pushes for reform on issues like maternity leave, fair wages and paid family illness days, 55 percent of workers in the retail industry and 48 percent of workers employed in the general private sector don't receive paid sick days.

If you come in sick, there's a good chance your co-workers and customers will get sick, too -- and in some cases, passing on your illness can cause potentially life-threatening situations.

Take the case of Amy, for example. As the mother of a young son who is being treated for a blood disease -- his recovery from which depends on his avoidance of illness -- Amy pays vigilant attention to those who enter her son's room at the renowned children's hospital where he is staying.

CareerBuilder.com: Conflicting career advice: Which is right

Recently, the poor health of one of the hospital's staff members compromised the well-being of Amy's son: "On Saturday, as I woke up, I noticed that our nurse was sick," she says. "No one is supposed to be allowed on our floor if they are sick and definitely not in our rooms. This is a nurse whom we really like and who has been with us from the beginning.

"When I wouldn't allow him back in the room, he explained that the hospital does have a policy that the nurses have to call in if they are sick. Unfortunately, the hospital has another policy that causes nurses to be written up if they call in sick. It's a Catch-22 that puts kids at risk." Amy and her family are trying to get the hospital policy changed, since she says it caused "a good nurse to make a poor choice."

While Amy's incident may seem like it would be an isolated one in the health care field, a recent study by the Journal of the American Medical Association says otherwise. This summer, the AMA published the findings of a survey of 537 medical residents from around the country, in which 57 percent of residents said they'd worked while sick, the Kansas City Star reports.

With the advent of flu season, it can be tough to know what to do when you know you are too sick to go to work, but are worried about the repercussions of skipping a day. Here are a few ideas to help you find a better alternative to working while you're sick:

CareerBuilder.com: How to self-promote without being obnoxious

1. Switch shifts: If you work in a restaurant, hospital or retail environment where workers are scheduled in shifts, try switching hours with a co-worker. Create a list of all your co-workers' phone numbers and keep it at home. That way, if you're feeling too sick to work, you can call a colleague and ask if she can cover your shift. Just make sure that you offer to cover one of hers in return, or to repay the favor when she isn't feeling well.

2. Get a doctor's note: Though asking your doctor for a note may make you feel like you're back in the fifth grade, doing so will lessen your chances of being reprimanded -- and provide you proof of your illness should your employer think you were playing hooky.

3. Work from home: If you have a desk job or another occupation that doesn't necessarily require your physical presence, working from home can be a good alternative for those who don't want to -- or can't -- take a sick day. It will prevent you from spreading your condition to colleagues and clients, and will also allow you to get your work done while you recuperate.

4. Check out the legalities: While the Healthy Families Act -- which would require employers to provide employees with one hour of paid sick leave for every 30 hours worked -- has recently been reintroduced in Congress, it has yet to pass. In the meantime, many employers do have guidelines when it comes to working while sick, which means you might have the right to -- or might be required to -- take the day off if you're not feeling well. Most large employers, for instance, must legally allow workers to take up to 12 weeks of unpaid sick leave per year, under the Family and Medical Leave Act.

5. Ask for a substitute duty: If you think you must go to work while sick, talk to your employer about alternative duties. Instead of working directly with customers at a retail store, for example, ask if you can work in the stockroom instead. If you work at a hospital, ask to cover a floor that won't put you in contact with patients that have compromised immune systems.

via cnn.com

It is a scary situation when you are intimidated into working sick when you know it may result in you passing along what you have to others, or getting what you patients are being treated for.

Any questions, please drop me a line.

******************************************************
Follow us on:

Blogger:
http://4nursing.blogspot.com/

Facebook:
http://www.nursefriendly.com/facebook

Linked In:
http://www.linkedin.com/in/nursefriendly

Nursing Entrepreneurs, Nurses In Business
http://nursingentrepreneurs.ning.com/

Twitter!
http://www.nursefriendly.com/twitter

StumbleUpon,
http://www.nursefriendly.com/stumbleupon
******************************************************

Sincerely,

150,000 + Nurse-Reviewed & Approved Nursing Links

Food workers, nurses forced to work sick - CNN.com

A group of leaders in the food service industry gathered in Washington, D.C., recently to discuss the alarming findings of a new survey. The study, conducted by Restaurant Opportunities Centers United -- a national organization that represents and supports restaurant workers -- found that two-thirds of restaurant workers go to work when sick.

The study sheds light on some serious underlying issues in the food service industry: Nearly 90 percent of workers reported they get no paid sick days and 60 percent said they did not receive any form of health insurance. But the study also highlights an obvious problem for diners who eat the food handled by sick workers.

June Lindsey, a Detroit woman with more than 30 years of experience in the food service industry, knows a lot about going in to work sick. She shared the following story in the study:

"[One day] I had a really bad cold. My nose was running, I was sneezing, [and] I had a bad cough and a fever. I could not call in sick because no work meant no money and I couldn't afford it at that time. My kids were very young, so I went to work to see if I can make it through the day.

CareerBuilder.com: Have an incompetent boss? You're not alone

"Halfway through the day, the sneezing, coughing and runny nose got worse. I asked the manager, 'I am really sick and need to go because I could make others sick and I am dealing with food.' She laughed and told me, 'Try not to cough, then.' So I had to work that day sick, and who knows how many customers I got sick because I couldn't go to the back and leave the counter to wash my hands after every sneeze or nose wipe. Later on, all of us got sick one by one, and all this came from another worker that came to work sick like me, but was not allowed to leave work."

While food service is the most recent industry to address the problem, it's not exclusively theirs. According to the website for MomsRising, a group that pushes for reform on issues like maternity leave, fair wages and paid family illness days, 55 percent of workers in the retail industry and 48 percent of workers employed in the general private sector don't receive paid sick days.

If you come in sick, there's a good chance your co-workers and customers will get sick, too -- and in some cases, passing on your illness can cause potentially life-threatening situations.

Take the case of Amy, for example. As the mother of a young son who is being treated for a blood disease -- his recovery from which depends on his avoidance of illness -- Amy pays vigilant attention to those who enter her son's room at the renowned children's hospital where he is staying.

CareerBuilder.com: Conflicting career advice: Which is right

Recently, the poor health of one of the hospital's staff members compromised the well-being of Amy's son: "On Saturday, as I woke up, I noticed that our nurse was sick," she says. "No one is supposed to be allowed on our floor if they are sick and definitely not in our rooms. This is a nurse whom we really like and who has been with us from the beginning.

"When I wouldn't allow him back in the room, he explained that the hospital does have a policy that the nurses have to call in if they are sick. Unfortunately, the hospital has another policy that causes nurses to be written up if they call in sick. It's a Catch-22 that puts kids at risk." Amy and her family are trying to get the hospital policy changed, since she says it caused "a good nurse to make a poor choice."

While Amy's incident may seem like it would be an isolated one in the health care field, a recent study by the Journal of the American Medical Association says otherwise. This summer, the AMA published the findings of a survey of 537 medical residents from around the country, in which 57 percent of residents said they'd worked while sick, the Kansas City Star reports.

With the advent of flu season, it can be tough to know what to do when you know you are too sick to go to work, but are worried about the repercussions of skipping a day. Here are a few ideas to help you find a better alternative to working while you're sick:

CareerBuilder.com: How to self-promote without being obnoxious

1. Switch shifts: If you work in a restaurant, hospital or retail environment where workers are scheduled in shifts, try switching hours with a co-worker. Create a list of all your co-workers' phone numbers and keep it at home. That way, if you're feeling too sick to work, you can call a colleague and ask if she can cover your shift. Just make sure that you offer to cover one of hers in return, or to repay the favor when she isn't feeling well.

2. Get a doctor's note: Though asking your doctor for a note may make you feel like you're back in the fifth grade, doing so will lessen your chances of being reprimanded -- and provide you proof of your illness should your employer think you were playing hooky.

3. Work from home: If you have a desk job or another occupation that doesn't necessarily require your physical presence, working from home can be a good alternative for those who don't want to -- or can't -- take a sick day. It will prevent you from spreading your condition to colleagues and clients, and will also allow you to get your work done while you recuperate.

4. Check out the legalities: While the Healthy Families Act -- which would require employers to provide employees with one hour of paid sick leave for every 30 hours worked -- has recently been reintroduced in Congress, it has yet to pass. In the meantime, many employers do have guidelines when it comes to working while sick, which means you might have the right to -- or might be required to -- take the day off if you're not feeling well. Most large employers, for instance, must legally allow workers to take up to 12 weeks of unpaid sick leave per year, under the Family and Medical Leave Act.

5. Ask for a substitute duty: If you think you must go to work while sick, talk to your employer about alternative duties. Instead of working directly with customers at a retail store, for example, ask if you can work in the stockroom instead. If you work at a hospital, ask to cover a floor that won't put you in contact with patients that have compromised immune systems.

via cnn.com

It is a scary situation when you are intimidated into working sick when you know it may result in you passing along what you have to others, or getting what your patients are being treated for.

Any questions, please drop me a line.

******************************************************
Follow us on:

Blogger:
http://4nursing.blogspot.com/

Facebook:
http://www.nursefriendly.com/facebook

Linked In:
http://www.linkedin.com/in/nursefriendly

Nursing Entrepreneurs, Nurses In Business
http://nursingentrepreneurs.ning.com/

Twitter!
http://www.nursefriendly.com/twitter

StumbleUpon,
http://www.nursefriendly.com/stumbleupon
******************************************************

Sincerely,

150,000 + Nurse-Reviewed & Approved Nursing Links

Food workers, nurses forced to work sick - CNN.com

A group of leaders in the food service industry gathered in Washington, D.C., recently to discuss the alarming findings of a new survey. The study, conducted by Restaurant Opportunities Centers United -- a national organization that represents and supports restaurant workers -- found that two-thirds of restaurant workers go to work when sick.

The study sheds light on some serious underlying issues in the food service industry: Nearly 90 percent of workers reported they get no paid sick days and 60 percent said they did not receive any form of health insurance. But the study also highlights an obvious problem for diners who eat the food handled by sick workers.

June Lindsey, a Detroit woman with more than 30 years of experience in the food service industry, knows a lot about going in to work sick. She shared the following story in the study:

"[One day] I had a really bad cold. My nose was running, I was sneezing, [and] I had a bad cough and a fever. I could not call in sick because no work meant no money and I couldn't afford it at that time. My kids were very young, so I went to work to see if I can make it through the day.

CareerBuilder.com: Have an incompetent boss? You're not alone

"Halfway through the day, the sneezing, coughing and runny nose got worse. I asked the manager, 'I am really sick and need to go because I could make others sick and I am dealing with food.' She laughed and told me, 'Try not to cough, then.' So I had to work that day sick, and who knows how many customers I got sick because I couldn't go to the back and leave the counter to wash my hands after every sneeze or nose wipe. Later on, all of us got sick one by one, and all this came from another worker that came to work sick like me, but was not allowed to leave work."

While food service is the most recent industry to address the problem, it's not exclusively theirs. According to the website for MomsRising, a group that pushes for reform on issues like maternity leave, fair wages and paid family illness days, 55 percent of workers in the retail industry and 48 percent of workers employed in the general private sector don't receive paid sick days.

If you come in sick, there's a good chance your co-workers and customers will get sick, too -- and in some cases, passing on your illness can cause potentially life-threatening situations.

Take the case of Amy, for example. As the mother of a young son who is being treated for a blood disease -- his recovery from which depends on his avoidance of illness -- Amy pays vigilant attention to those who enter her son's room at the renowned children's hospital where he is staying.

CareerBuilder.com: Conflicting career advice: Which is right

Recently, the poor health of one of the hospital's staff members compromised the well-being of Amy's son: "On Saturday, as I woke up, I noticed that our nurse was sick," she says. "No one is supposed to be allowed on our floor if they are sick and definitely not in our rooms. This is a nurse whom we really like and who has been with us from the beginning.

"When I wouldn't allow him back in the room, he explained that the hospital does have a policy that the nurses have to call in if they are sick. Unfortunately, the hospital has another policy that causes nurses to be written up if they call in sick. It's a Catch-22 that puts kids at risk." Amy and her family are trying to get the hospital policy changed, since she says it caused "a good nurse to make a poor choice."

While Amy's incident may seem like it would be an isolated one in the health care field, a recent study by the Journal of the American Medical Association says otherwise. This summer, the AMA published the findings of a survey of 537 medical residents from around the country, in which 57 percent of residents said they'd worked while sick, the Kansas City Star reports.

With the advent of flu season, it can be tough to know what to do when you know you are too sick to go to work, but are worried about the repercussions of skipping a day. Here are a few ideas to help you find a better alternative to working while you're sick:

CareerBuilder.com: How to self-promote without being obnoxious

1. Switch shifts: If you work in a restaurant, hospital or retail environment where workers are scheduled in shifts, try switching hours with a co-worker. Create a list of all your co-workers' phone numbers and keep it at home. That way, if you're feeling too sick to work, you can call a colleague and ask if she can cover your shift. Just make sure that you offer to cover one of hers in return, or to repay the favor when she isn't feeling well.

2. Get a doctor's note: Though asking your doctor for a note may make you feel like you're back in the fifth grade, doing so will lessen your chances of being reprimanded -- and provide you proof of your illness should your employer think you were playing hooky.

3. Work from home: If you have a desk job or another occupation that doesn't necessarily require your physical presence, working from home can be a good alternative for those who don't want to -- or can't -- take a sick day. It will prevent you from spreading your condition to colleagues and clients, and will also allow you to get your work done while you recuperate.

4. Check out the legalities: While the Healthy Families Act -- which would require employers to provide employees with one hour of paid sick leave for every 30 hours worked -- has recently been reintroduced in Congress, it has yet to pass. In the meantime, many employers do have guidelines when it comes to working while sick, which means you might have the right to -- or might be required to -- take the day off if you're not feeling well. Most large employers, for instance, must legally allow workers to take up to 12 weeks of unpaid sick leave per year, under the Family and Medical Leave Act.

5. Ask for a substitute duty: If you think you must go to work while sick, talk to your employer about alternative duties. Instead of working directly with customers at a retail store, for example, ask if you can work in the stockroom instead. If you work at a hospital, ask to cover a floor that won't put you in contact with patients that have compromised immune systems.

via cnn.com

It is a scary situation when you are intimidated into working sick when you know it may result in you passing along what you have to others, or getting what your patients are being treated for.

Any questions, please drop me a line.

******************************************************
Follow us on:

Blogger:
http://4nursing.blogspot.com/

Facebook:
http://www.nursefriendly.com/facebook

Linked In:
http://www.linkedin.com/in/nursefriendly

Nursing Entrepreneurs, Nurses In Business
http://nursingentrepreneurs.ning.com/

Twitter!
http://www.nursefriendly.com/twitter

StumbleUpon,
http://www.nursefriendly.com/stumbleupon
******************************************************

Sincerely,

150,000 + Nurse-Reviewed & Approved Nursing Links

Wednesday, November 17, 2010

Children's Hospital launches 'zero errors' initiative

Reeling from the deaths of two children due to medication errors, the staff of Seattle Children's Hospital devoted Saturday to special training designed to prevent a recurrence of the tragedies.

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"It's so very important that we never forget that we harmed these children," said Pat Hagan, president of Children's Hospital. "We were all devastated by this when it happened. It struck us at our core."

Hagan said the patient deaths have been a "great, great tragedy for these families," and "a profound tragedy" for the hospital staff.

"We never want to forget how this feels. That feeling is going to be what drives us to continue to find ways to improve what we do here," he said.

Over 550 doctors, nurses, pharmacists and other staff members gathered at Children's for a special Patient Safety Day to address the medication errors that caused two deaths over the past 18 months.

More than 28 patient safety sessions were held, including 11 devoted to medication safety.

But first, participants gathered together in the morning to remember the two small patients who died.

"How we emerge from this situation today and over the coming months will be the real test of us as an organization," said Thomas Hansen, the hospital's CEO. "As I look around this room, I'm confident that we have the best and brightest people to rise to this challenge."

He told the staff "we must strive for zero errors, this must be our promise."

The day's sessions included topics such as decreasing verbal orders and increasing the safety of verbal orders when they are necessary, standardizing medications located on care units, ordering, dispensing and administration of high-risk medications, interruptions, provider-to-provider hand-offs and communication, ambulance transport and patient safety training using simulation.

Hospital spokesperson Louise Maxwell said Children's also is fully cooperating with state investigations of the recent medication errors and has made a number of improvements to decrease the chance of errors.

The hospital has also initiated a re-evaluation of the entire medication delivery system and launched a detailed analysis to determine why usual safety processes failed in each of the medication error cases.

Hospital officals said Saturday's special training did not affect care for patients or others needing urgent or emergency services.

via seattlepi.com

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Monday, November 15, 2010

JAMA -- Abstract: Fall Prevention in Acute Care Hospitals: A Randomized Trial, November 3, 2010, Dykes et al. 304 (17): 1912

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What's this?

Fall Prevention in Acute Care Hospitals
A Randomized Trial
Patricia C. Dykes, RN, DNSc; Diane L. Carroll, RN, PhD, BC; Ann Hurley, RN, DNSc; Stuart Lipsitz, ScD; Angela Benoit, BComm; Frank Chang, MSE; Seth Meltzer; Ruslana Tsurikova, MSc, MA; Lyubov Zuyov, MA; Blackford Middleton, MD, MPH, MSc

JAMA. 2010;304(17):1912-1918. doi:10.1001/jama.2010.1567
Context Falls cause injury and death for persons of allages, but risk of falls increases markedly with age. Hospitalizationfurther increases risk, yet no evidence exists to support short-stayhospital-based fall prevention strategies to reduce patientfalls.
Objective To investigate whether a fall prevention toolkit (FPTK) using health information technology (HIT) decreasespatient falls in hospitals.
Design, Setting, and Patients Cluster randomized studyconducted January 1, 2009, through June 30, 2009, comparingpatient fall rates in 4 urban US hospitals in units that receivedusual care (4 units and 5104 patients) or the intervention (4units and 5160 patients).
Intervention The FPTK integrated existing communicationand workflow patterns into the HIT application. Based on a validfall risk assessment scale completed by a nurse, the FPTK softwaretailored fall prevention interventions to address patients'specific determinants of fall risk. The FPTK produced bed posterscomposed of brief text with an accompanying icon, patient educationhandouts, and plans of care, all communicating patient-specificalerts to key stakeholders.
Main Outcome Measures The primary outcome was patientfalls per 1000 patient-days adjusted for site and patient careunit. A secondary outcome was fall-related injuries.
Results During the 6-month intervention period, the numberof patients with falls differed between control (n = 87)and intervention (n = 67) units (P=.02). Site-adjustedfall rates were significantly higher in control units (4.18[95% confidence interval {CI}, 3.45-5.06] per 1000 patient-days)than in intervention units (3.15 [95% CI, 2.54-3.90] per 1000patient-days; P = .04). The FPTK was found to be particularlyeffective with patients aged 65 years or older (adjusted ratedifference, 2.08 [95% CI, 0.61-3.56] per 1000 patient-days;P = .003). No significant effect was noted in fall-relatedinjuries.
Conclusion The use of a fall prevention tool kit in hospitalunits compared with usual care significantly reduced rate offalls.
Trial Registration clinicaltrials.gov Identifier: NCT00675935

Author Affiliations: Partners HealthCare System (Drs Dykes and Middleton, Ms Benoit, and Messrs Chang and Meltzer), Brigham and Women's Hospital (Drs Dykes, Hurley, Lipsitz, and Middleton, and Ms Tsurikova), Harvard Medical School (Drs Dykes, Lipsitz, and Middleton), and Massachusetts General Hospital (Dr Carroll and Ms Zuyov), Boston.

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Themes of Aging: Preserving Function, Improving Care
Winker
JAMA 2010;304:1954-1955.
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Friday, November 12, 2010

Hospitals try high-tech to better inform patients - San Jose Mercury News

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In this photo taken Oct. 29, 2010, Kristen Miller, a colonoscopy... ((AP Photo/Brian Kersey))

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CHICAGO—Learning he had prostate cancer floored John Noble. Then came the prospect of surgery and his overpowering fear of being "put under" with anesthesia.
Remarkably, he found comfort in a computer. A soothing woman's voice explained the operation step-by-step, its risks and benefits, and even answered his questions. Noble's phobia vanished. The operation to remove his tumor was uneventful and Noble is doing fine.
The 54-year-old Pennsylvania lawyer was aided by an interactive computer program that is part of a growing trend in health care, helping patients better understand what they are consenting for the doctor to do.
Proponents say this way of getting informed consent makes patients partners in decision-making.
Such a system "sends a message that the decisions are truly owned by the patients," said Dr. Harlan Krumholz, a Yale University heart specialist and advocate of changing informed consent procedures.
Computer-based informed consent programs are also part of a broader push for electronic record-keeping that President Barack Obama's administration has advocated to improve patient safety and curb medical errors.
The Emmi Solutions program that John Noble watched about prostate cancer surgery can be viewed at home, and that's where Noble watched it.
Shortly after his diagnosis last December, while he was still grappling with shock and denial, his doctor e-mailed him the program.
"I put off watching it for a
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while," he said. "Who wants to be filled in on the facts of the surgery? Ultimately I forced myself to review it when I was all alone."
By the time he watched it, he felt better prepared mentally than when his doctor first told him he had cancer.
Noble said his biggest fear "was being knocked out. I was terribly afraid of it."
As the interactive explained the operation, Noble could pause it and ask questions or review the information to make sure he understood it.
"It changed my perspective. It removed my fear," he said.
Traditionally, informed consent has involved a conversation with the doctor and signing medical forms written in tough-to-decipher legalese.
It has a dual purpose: to make sure patients understand risks and benefits, and to protect hospitals from lawsuits in case something goes wrong.
Even for someone with a law degree, like Noble, that process can be dizzying in the emotional aftermath of a scary diagnosis.
Research shows patients often have no clue about what they just signed and may end up totally uninformed about why a procedure is being recommended or how it might help or hurt them.
Chicago-based Emmi Solutions has developed programs used in more than 100 hospitals, including the University of Pittsburgh Medical Center, where Noble had his surgery.
Dialog Medical in Atlanta makes another popular informed consent program, iMedConsent, used by more than 190 U.S. hospitals. It's designed for doctors and patients to go over together. Versions written for patients with a sixth-grade reading level are available.
The Department of Veterans Affairs now requires its doctors to use iMedConsent programs for all procedures needing informed consent. The VA estimates it will receive 2.6 million consent forms this year from patients who used the program.
Dr. Ellen Fox, the VA's chief health care ethics officer, recalls a patient who watched the program with his doctor before having a repeat test to see if his bladder cancer was back. Afterward, the man told his doctor he thought he would be having the same test he had four times before.
It was the same test. "But for the first time, the patient really understood what was going to be done to him," Fox said.
"In order to make informed choices about health care, patients need complete and accurate information," Fox said.
"It is ultimately the patient's choice" whether to have a procedure. It's just that patients may not realize they have a choice. The program helps make that clear, she said.
The University of Chicago Medical Center recently began requiring new patients referred for colonoscopies to watch an Emmi program, with hopes that it will reduce the no-show rate.
Kristen Miller, 29, an online marketer with an intestinal condition called Crohn's disease, watched the Emmi program before she had a recent colonoscopy.
Miller has had previous colon exams and wasn't nervous about the procedure. But for the inexperienced, she believes it would take away "the intimidation factor."
Knowing more about the procedure may make it seem less unpleasant, and better informed patients are more prepared for their treatment, said Dr. Stephen Hanauer, the hospital's gastroenterology chief.
Research has shown that better informing patients about their care also can make them less likely to sue if something goes wrong. Still, it's no guarantee, and computer-based informed consent programs provide an electronic record that gives hospitals extra ammunition against malpractice lawsuits.
When patients watch Emmi programs, stopping and starting them to review information, they create an electronic trail. Hospitals have used that data in court to argue that patients were informed about specific risks because they watched portions of the program where risks were detailed.
Sara Juster, a vice president at Nebraska Methodist Health System, says that feature may have played a role in a patient's recent decision to drop a lawsuit against Methodist Hospital in Omaha.
The patient had sued over a shoulder injury her baby suffered during childbirth, a problem her first child also had encountered. The woman had watched an Emmi program detailing risks for the injury, but claimed she had not been informed, Juster said.
The hospital had electronic documentation, so the woman dropped her suit.
Juster said most of the system's obstetricians give pregnant patients "prescriptions" to watch Emmi programs about labor and delivery. Within the past eight years, obstetrics-related suits against the system's hospitals have dropped by half, from about 12 a year to six.
———
Online:
Emmi Solutions: http://www.emmisolutions.com
Dialog Medical: http://www.dialogmedical.com
Foundation for Informed Medical Decision Making: http://www.informedmedicaldecisions.org/

via mercurynews.com

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Friday, October 29, 2010

Taking Charge of Your Hospital Stay

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Taking Charge of Your Hospital Stay

Experts explain four steps that empower patients to manage their health needs from a hospital bed.

By Colette Bouchez
WebMD Feature

Reviewed by Louise Chang, MD

If you're chronically or seriously ill, tending to self-care needs is never easy.

Putting on that hospital gown and wristband and other seemingly easy tasks can become daunting. Getting a second opinion, figuring out what your insurance covers, and researching your treatment options can be a struggle when attempted from a hospital bed.

One reason, say experts, is that patients are frequently unprepared for the change in routine and the lack of resources available in their new environment.

"Once you're admitted, a lot of the options you relied on to help you make health care decisions -- like the Internet, or even your personal computer files or your address book -- are suddenly not there. And that can leave you more than a bit disoriented," says Sandy Burke, the director of patient representatives at NYU Medical Center in New York.

Complicating matters further, she says, is the state of high anxiety that usually accompanies most hospital stays.

"The emotional state is so high on the part of the patient and oftentimes the family that even if the procedure or treatment is elective, most people don't even think beyond getting through the operation," says Burke.

Although no one knows when an acute problem will strike, or when a chronic disease or condition will suddenly worsen, experts say that taking a few simple steps to prepare and organize at least some of your health care needs can help keep you in the driver's seat, if and when the time for hospitalization arrives.

What follows are four steps that experts tell WebMD will make a difference.

Step 1: Get to Know Yourself

Whether you have a chronic condition -- or you're simply getting on in years -- experts say one of the best things you can do for yourself is become familiar with what your future health care needs may be and how your personal needs may change as a result. The best source for this information: your doctor.

"About 10 years ago, my mother sat down with her doctor and had a meaningful conversation about not only her health, but the whole idea of growing old -- what to expect and how to prepare for that," says Lyla Correoso, MD, medical director of the Visiting Nurse Service of New York's Bronx Hospice Program.

As a result, she says her mother not only knows what to expect from herself and her body as the years pass, but is also better prepared to make health care decisions when the time arrives. She is also better able to discuss her needs with family members.

"In the event my mother finds herself in the hospital not only will she be better prepared for the experience, but our whole family will be better prepared to help her, because we have some sense of what will happen and what she wants and needs," says Correoso.

via webmd.com

Tuesday, October 19, 2010

Nursing, Not For Everyone, Not For Most People, by Andrew Lopez, RN, Nurses Views of The Nursing Profession

Nursing, Not For Everyone, Not For Most People, Nurses Views of The Nursing Profession - by Andrew Lopez, RN:"Nursing is no longer an attractive profession for young women (historically the largest segment of the population entering Nursing) to go into. It is having difficulty competing with corporate and other service industries that offer better working conditions, higher pay, no weekends/holidays, more prestige and much less stress. It's a given that as a nurse, you're on a daily basis exposed to hostile families and patients, deadly diseases, abuse from doctors, families and other nurses."
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Wednesday, November 17, 2010

Children's Hospital launches 'zero errors' initiative

Monday, November 15, 2010

JAMA -- Abstract: Fall Prevention in Acute Care Hospitals: A Randomized Trial, November 3, 2010, Dykes et al. 304 (17): 1912

Friday, November 12, 2010

Hospitals try high-tech to better inform patients - San Jose Mercury News

Friday, October 29, 2010

Taking Charge of Your Hospital Stay

Taking Charge of Your Hospital Stay

Step 1: Get to Know Yourself

Tuesday, October 19, 2010

Nursing, Not For Everyone, Not For Most People, by Andrew Lopez, RN, Nurses Views of The Nursing Profession

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Friday, November 12, 2010

Friday, October 29, 2010

Taking Charge of Your Hospital Stay

Step 1: Get to Know Yourself

Tuesday, October 19, 2010

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