Employee Management
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Advanced Practice Providers Are Seeing High-Acuity Patients in EDs
If advanced practice providers see high-acuity patients without direct supervision by a qualified emergency physician, patients may not receive appropriate comprehensive care.
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Government Commits Funding to Grow U.S. Nursing Workforce
HHS announces $100 million to hire more nurse educators, train new nurses, and help current nurses elevate their careers.
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Safe Patient Handling Programs: If Not Now, When?
In a time of lean hospital budgets and staff shortages, the cost-benefit equation tilts heavily in favor of implementing a safe patient handling and mobility program to prevent occupational injuries, retain staff, and improve patient outcomes.
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Sterile Supply Staff Exposed to Contaminated Droplets and Sprays
Cleaning and reprocessing reusable sterile equipment create droplets and sprays of water that soak healthcare workers and travel as far as seven feet into the decontamination room, researchers reported recently.
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MRSA Carriers Linked to Outbreaks Can Be Decolonized Successfully
The authors of a new consensus document recommend screening healthcare personnel for infection or colonization if they are epidemiologically linked to a cluster of such infections.
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Case Managers Could Use Z Codes More for Patient Care and QI
Case managers, providers, and health systems underuse ICD-10 Z codes eight years after they were introduced. These codes could provide a wealth of data to researchers and case management quality improvement projects. They still hold promise to be a way for providers to collect reimbursement for their work to help patients with their social determinants of health.
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Screening and Documenting Cases of Human Trafficking Are Important, But Carry Risks
Human trafficking is a critical issue from a public health perspective. It has lasting psychological and physical effects on victims. There is too little information about how prevalent human trafficking is in the United States and how often the victims are seen in healthcare settings. Case managers, hospitals, and ambulatory providers could improve the data by documenting suspected or confirmed human trafficking cases via Z codes.
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How Case Managers Can Help Victims of Trafficking
Case managers can learn skills and tactics for helping patients who have been trafficked. For example, investigators used an online training module to educate ED staff about human trafficking. Participants reported more confidence in identifying a possible human trafficking victim, noting they were more likely to screen patients for human trafficking.
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Stroke Patient Navigator Prevents 30-Day Readmissions
A stroke nurse navigator team can prevent 30-day readmissions in stroke patients treated with thrombolysis, investigators found. A health system’s 30-day readmission rate was 13.6% before it began to use a stroke nurse navigator. The rate declined to 6.9%. Patients with the stroke nurse implementation were 67.6% less likely to be readmitted within 30 days compared to patients without the navigator.
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International Discharges Create Chaos and Inspire Creativity for Case Managers
Case managers and discharge planners in every state sometimes encounter the most challenging and frustrating of cases: the international discharge. Hospital Case Management asked Judith R. Sands, RN, MSL, BSN, CPHRM, CPHQ, CCM, ARM, a clinical consultant and author of Home Hospice Navigation: The Caregiver’s Guide, to answer a few questions about best practices in handling these unique care transition cases.