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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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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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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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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For Clinicians, Discharge Safety Is a Growing Ethical Concern
More often, clinicians are asking ethicists questions such as, “Is this discharge plan ethical?” It seems clinicians are distressed over what they consider to be unsafe decisions. Clinicians create a treatment plan based on what they believe is in the patient’s best interest. For various reasons, sometimes the plan is just not feasible.
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Case Management Challenges in the Emergency Department
Hospital case management already is unique. But carrying out this role in the ED brings even more challenge and intensity to bear. It also affects operations and well-being in the rest of the hospital.
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Care Coordination and Communication Needed Between Transplant Providers and Primary Care
Cirrhosis affects a small percentage of the U.S. population. But it is a highly complex disease that leads to high hospital readmission rates and a higher cost per patient than found in heart failure and COPD. Investigators found care coordination and efficient communication between providers can optimize care. Telehealth can help patients, particularly for return visits.
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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.
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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.