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April 2019 - Volume 44 - Issue 4
pp: 8-56

Editor's Memo


Update: Surviving sepsis campaign recommends hour-1 bundle use


Commentary


SPRING 2019 PREVIEW: NCNP National Conference for Nurse Practitioners


Medication Update



INHERITED RESPIRATORY DISORDER: CE Connection


An NP's guide to diagnosing and treating alpha-1 antitrypsin deficiency

Newell, Judith A.; Donahue, Christine; Hogarth, D. Kyle

The Nurse Practitioner. 44(4):13-21, April 2019.

As NPs play an increasingly vital role in primary care, they must be well versed in a variety of conditions. Alpha-1 antitrypsin (AAT) deficiency is a respiratory disease with a particularly low awareness in both the nursing profession and the wider medical community. This article provides an overview of AAT deficiency and includes guidance for diagnosing the disease.

ORTHOPEDIC COMPLICATION: CE Connection


Acute compartment syndrome: An orthopedic emergency

Harding, Margaret Meyer

The Nurse Practitioner. 44(4):23-28, April 2019.

Acute compartment syndrome (ACS) is a true orthopedic emergency. NPs in all settings should be able to recognize ACS to ensure swift surgical intervention is not delayed. This article highlights a systematic approach to exam and diagnosis.

VALUE-BASED HEALTHCARE: DNP SPECIAL ISSUE


EHR quality indicator tracking: A process improvement pilot project to meet MACRA requirements

Savas, Andrea; Smith, Eben; Hay, Brittany

The Nurse Practitioner. 44(4):30-39, April 2019.

This article outlines an information technology process improvement pilot project undertaken at a large primary care practice in western Florida to support readiness for Medicare Access and Children's Health Insurance Program (CHIP) Reauthorization Act of 2015 using new EHR quality indicator tracking features.

PREVENTIVE CARE: DNP SPECIAL ISSUE


Improving vaccination rates in older adults: A quality improvement project

Wright, Wendy L.; Bruns, Debra Pettit; Feeney, Adele Susan; More

The Nurse Practitioner. 44(4):40-49, April 2019.

Adults age 65 or older are at increased risk for acute and chronic diseases. Patients in this group who are up to date with all CDC-recommended vaccinations can reduce morbidity and mortality. This article discusses a quality improvement project across four NP-owned primary care clinics in which all clinical staff received an educational intervention focused on best vaccination practices and Medicare billing strategies. This project yielded improved vaccination rates in the older adult patient population over a 3-month period.

WOMEN'S HEALTH: DNP SPECIAL ISSUE


Preeclampsia and future stroke risk in women: What NPs need to know

Davis, Melissa; Sanders, Bethany

The Nurse Practitioner. 44(4):50-54, April 2019.

Preeclampsia is a complication of pregnancy that affects approximately 4% of pregnancies. Preeclampsia is defined as new-onset hypertension after 20 weeks gestation often accompanied by new-onset proteinuria. Women who experience preeclampsia during pregnancy are at an increased risk for hypertension and stroke later in life. Healthcare providers should screen women appropriately to minimize risk.