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As an emergency department (ED) leader, you should do the following to improve your staffs ability to avoid conflicts with each other and patients and to manage those effectively if they occur, says Tracy Sanson, MD, FACEP, assistant medical director for the department of emergency medicine at Brandon (FL) Regional Medical Center.
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The controversial vaccination of health care workers for smallpox is here, with emergency department (ED) staff among the first to be inoculated. For the ED manager, your nightmares may include staff who are unable or unwilling to have the vaccine, staff who become ill after having the vaccine, and a situation worse than an unannounced accreditation survey: a smallpox outbreak.
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A multimodal education program to teach nursing and respiratory therapy staffs about improved techniques has led to a significant reduction in the incidence of ventilator-associated pneumonia (VAP).
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Because comprehensive scientific data are lacking, health experts can only conjecture about the possible ramifications of smallpox vaccinations on people with HIV and AIDS. Here is the advice most experts are offering.
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Four days before President George W. Bush announced a national smallpox vaccination plan last month, a group of public health experts heaved a sigh of relief. In a meeting with Vice President Dick Cheney, they had finally managed to convince the administration not to follow a policy of mass, pre-emptive smallpox inoculation.
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HIV prevention continues to offer the worlds best hope in stopping the AIDS epidemic, and recent success stories in South Africa and Uganda prove that these work, according to the recent AIDS Epidemic Update report by UNAIDS and the World Health Organization (WHO) in Geneva, Switzerland.
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The latest AIDS epidemic news blaring out to the international health community as 2002 drew to a close was particularly devastating because it offered strong evidence that women increasingly are infected with HIV and are dying of AIDS, and that their proportion of the epidemics toll now is close to 50% worldwide.