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The incredibly potent anthrax powder used in the bioterrorist attacks of 2001 could have killed thousands of people if the terrorist had simply placed an open container of the finely ground powder near the air intake system of a large building or skyscraper, a top federal advisor on bioterrorism said recently.
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The recent ricin threat at a postal facility in Greenville, SC, follows several other instances of the agent being used or procured for criminal purposes.
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Clinicians should be alert for possible cases of ricin poisoning because the easily available toxin was used recently to make a terrorist threat at mail processing center in Greenville, SC, public health investigators warn.
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In what may foretell a trend in other states, New Hampshire has equipped every hospital in the state with portable isolation units that quickly can convert regular patient rooms to units under negative air pressure.
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As an ED nurse, you can expect dramatic changes during your next survey from the Oakbrook Terrace, IL-based Joint Commission on Accreditation of Healthcare Organizations, as a result of the new Shared Visions, New Pathways process and emphasis on continuous readiness.
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Editors note: This is the first of a two-part series on improving care of obese patients in the ED. This months story addresses special considerations for assessment and supplies. Next month, well cover complications of surgical treatment for morbid obesity you may be seeing in your ED.
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A good working relationship between a knowledgeable and effective case manager and a cooperative, clinically up-to-date physician can result in excellent, cost-effective patient care with superior outcomes and high levels of patient satisfaction.
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Regardless of their practice setting, case managers need to take steps to maintain the confidentiality of protected health information under the Health Insurance Portability and Accountabi-lity Act (HIPAA) of 1996.
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Hospital case managers routinely face what I call the Bermuda Triangle of case management ethics. The top of the triangle is the clinical concern, encompassing the medical and treatment needs of the patient. On the right are the financial concerns, and on the left are the legal and ethical issues. In the middle of this triangle is the patient.