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New and Noteworthy
A forum for discussion on recent news and developments in healthcare and the NP field.
Thursday, October 16, 2014
After the first U.S. nurse tested positive for Ebola, National Nurses United (NNU) is looking to have all hospitals equipped with the best possible protection against the deadly virus. They are demanding the highest level of preparedness for all nurses.

“Nurses and other frontline hospital personnel must have the highest level of protective equipment, such as the Hazmat suits Emory University or the CDC themselves use while transporting patients along with hands-on training and drills for all RNs and other hospital personnel. This includes the practice of putting on and taking off equipment,” said RoseAnn DeMoro, executive director of NNU.

This past week, 2,200 RNs from all over the U.S. took part in an NNU national survey. Here's what the information showed:

  • 85% of RNs say their hospital has not provided education on Ebola with the ability for the nurses to interact and ask questions
  • 40% of RNs say their hospital currently has insufficient supplies for eye protection for daily use on their unit
  • 38% say there are insufficient supplies of fluid resistant/impermeable gowns in their hospital
  • 39% of RNs say their hospital does not have plans to equip isolation rooms with plastic-covered mattresses and pillows and discard all linens after use; only 8% said they were aware their hospital has such a plan in place.

  • As the NNU is looking to get hospitals across the nation prepared, the United Nations have warned the world that there is a limited amount of time (60 days) to stop the Ebola outbreak or "the world may world may be in a situation where it has no way to beat it." Do you think you and/or your practice are properly equipped to take on the virus?

    Wednesday, September 10, 2014
    What does your waiting room say about your practice? Waiting rooms should be designed to promote best outcomes and to help alleviate patients of their anxiety. In addition, a waiting room's atmosphere can be a good indicator of the type of clinician(s) at any given practice. That being said, here are some tips to be cognizant of when deciding how to decorate your waiting room.

    Art and color: Patients should be greeted when they first walk in, and the waiting room's decor should feel warm and inviting. If the room does not have a scenic view or is without windows, hanging images of nature can serve as a good substitute. Additionally, wallpaper color can affect patients differently. For example, blues, greens, and purples have been found to promote a calm, soothing atmosphere, whereas red colors create the opposite effect.

    Lighting: It is important to make sure that all of your lighting is working properly to avoid any accidental falls. Furthermore, there should not be too much lighting so as to blind the waiting patients. Finally, LED lights offer a warmer alternative as compared to fluorescent lights, which tend to give off a cold, monotone feel.

    Furniture: Have you sat down on your own seats to check and see if they are actually comfortable? Does the waiting room cohesively feel like an actual living room? Is the furniture regularly disinfected and any trash disposed of? Also, have the seats been arranged in a way that does not alienate anyone and allows for families to sit together yet separately from others? (I.e., are the chairs grouped in clusters as opposed to single, long rows?) Adding plants to the waiting room may also help establish an authentic living room feel.

    Additional ideas: While all waiting rooms do not incorporate these ideas, it would certainly be a good idea to consider incorporating these into your practice:

  • A children's area
  • Ambient, relaxing background music
  • Water dispenser
  • Limited pharmaceutical advertising/medical information
  • A television (not playing news).

  • Keep in mind that this list will vary depending on your patients' demographics, so use what you think would work best for your practice, and alter anything else to meet your patients' waiting room needs. Please feel free to share any tips you may have learned throughout this process with us.

    Thursday, July 31, 2014
    Piggybacking on the last post, I'd like to discuss technology and its role in healthcare a bit further. It is no doubt that the majority of patients and healthcare providers use smartphones on a daily basis. That being said, there are several medical apps out there – perpetually under FDA regulatory scrutiny – that can help facilitate providing health care for clinicians and patients. Here are some of the apps I think may benefit you and/or your patients:

    Medscape is one of the highest-rated free medical apps for both Apple and Android devices. The app features a drug reference, a drug interaction checker, medical calculators, formulary information, disease and condition reference, and a procedure reference. It also offers CE credits.

    Prognosis: Your Diagnosis simulates real-life clinical scenarios, allowing its users to test their clinical decision-making abilities.

    Med Helper Pro Pill Reminder helps patients keep track of their prescriptions and sounds an alarm when medications are to be taken, for scheduled appointments, and also helps track vital signs.

    First Aid puts expert advice in the hands of its non-clinical users. Created by the American Red Cross, the app gives instant access for common first aid emergencies with videos, quizzes, and step-by-step advice in urgent situations.

    AHRQ ePSS provides clinicians with decision-making support regarding appropriate screenings, counseling, and preventive services for patients based on current evidenced-based recommendations from the U.S. Preventive Services Task Force.

    Here are a few non-medical apps that can be useful for clinicians and health professional students:

    Noteability is a note-taking app that lets you import any type of document (Microsoft Office) and mark it up. Textbooks can also be placed in the app and highlighted/marked up. In addition, users can also import photos and record audio/video.

    Quizlet is an app that allows you to make virtual, double-sided note cards, which can help users study for exams.

    Dropbox/Google Drive are cloud storage services that allow users to place and/or share any type of file; the files (Word Document, PDF, etc.) are placed online and can be accessed or shared with colleagues later.

    These are just a few of the many apps out there to help us in our daily routines. What apps are you using, and what apps do you recommend to your patients if any?

    Tuesday, June 24, 2014
    As the use of technology advances, more and more devices will undoubtedly find their way into the healthcare setting to help optimize the experience for patients and healthcare professionals alike. Google Glass, a wearable computer with an optical head-mounted display (resembling prescription glasses), displays information in a hands-free format. Although still in its infancy, the wearable device has already been adopted by many clinicians around the country.

    At a basic level, Google Glass can help free up clinicians from having to perform simple yet time-consuming tasks by synching patient information with their electronic health record via pictures and videos taken directly from the device, eliminating the need to write anything. The images and recordings (with the patient's permission) can then be reviewed later or sent to other medical professionals for diagnosis and collaboration.
    Here's an example of one of the many clinicians who have adopted Google Glass into their practice. What are your thoughts on the application of such a device in the healthcare setting?

    Wednesday, April 23, 2014
    A new study from the University of Michigan Health System found that 69% of Americans support insurance coverage of birth control. Michelle Moniz, M.D., an OB/GYN, and lead author of the study sent out a survey last November to respondents from all 50 states inquiring about insurance coverage for several different health services.

    The data "indicates that the majority view in the United States is that coverage for contraceptives should be required," Moniz said.

    The study also found that Blacks and Hispanics are much more likely to support this coverage as compared to the general population. So what are your thoughts on birth control coverage? Do you agree with the majority of the nation? Be sure to share your thoughts in the comments section.

    About the Author

    Jamesetta (Jamie) A. Newland
    Jamesetta (Jamie) A. Newland is a Clinical Associate Professor at New York University College of Nursing where she is the director of the Doctor of Nursing Practice (DNP) program. She is also a certified Family Nurse Practitioner in the NYU Nursing Faculty Practice. Her expertise on nurse practitioner education and practice has been sought nationally and internationally. She is the current editor-in-chief of The Nurse Practitioner: The American Journal of Primary Healthcare, the inaugural journal publication for nurse practitioners.

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