Employee Management
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ACEP, ENA Push Congress to Act on Workplace Violence, Expand Mental Health Resources
The threat of violence against healthcare workers compromises the ability of emergency clinicians to deliver the highest-quality care. Meanwhile, there is a lack of resources to provide patients struggling with mental health concerns with the proper treatment or to place them in a setting where the right care can be provided.
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EDs Need Clarity on Policies for Law Enforcement Interactions
Any hospital policy related to patients who are in custody or incarcerated should be developed in conjunction with the relevant law enforcement agencies. Leaders should establish that patients in custody with capacity are their own medical decision-makers. The policy also should include how to identify an appropriate surrogate decision-maker, if necessary.
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What Happens if Police Bring a Child to the ED?
Try gathering healthcare providers, quality officers, the legal department, security, and local law enforcement monthly to discuss disagreements about minors in custody. These conversations can inform efforts to revise policies, with the goal of preventing future disputes.
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Emergency Nurse Criminally Charged for Diverting Pain Medications
There are specific malpractice risks for EDs in this situation. Risks for patients include inadequate pain relief and infectious disease transmission. There also are patient safety issues related to receiving care from an impaired provider. For leaders, there are processes to put in place that can help them identify patterns or trends indicating potential diversion.
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Tackling Bias in Healthcare Requires Awareness, Data-Gathering, and High-Level Commitment
Healthcare systems have collectively turned their attention to promoting equity and rooting out bias. The results of a recently published study of how emergency nurses experience and react to bias suggests much work remains. Further, the authors maintained significant change is likely to require a firm commitment from the upper ranks of institutions to ensure equity is not just a slogan.
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Emergency Departments Inundated with Crowding, ‘Boarding,’ Violence
Amid an epidemic of violence, America’s EDs have become overwhelmed by long waits and “boarding,” a haphazard way station for the lost: psychiatric patients, walking wounded, those arriving by emergency transport, and those who deferred treatment during the pandemic, all awaiting an inpatient bed or a transfer. The American College of Emergency Physicians and many other co-signing medical groups described the problem in a letter to President Biden.
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COVID-19: CMS Ends Vaccine Mandate for HCWs
The end of the COVID-19 national Public Health Emergency brought a highly controversial issue to a relatively quiet hiatus: Healthcare workers are no longer federally mandated to receive the SARS-CoV-2 vaccine. The Centers for Medicare & Medicaid Services has ended the requirement, which in any case did not apply to boosters or the bivalent vaccines.
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ID Doc: COVID-19 Can Be Controlled, Not Eradicated
Monica Gandhi, MD, MPH, is associate division chief of the HIV, Infectious Diseases, and Global Medicine at UCSF/San Francisco General Hospital. She has followed the COVID-19 pandemic closely. Hospital Employee Health sought Gandhi’s thoughts on the end of the Public Health Emergency.
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AOHP Researchers Track Down Needlestick Hazards
Following an alert from an occupational health manager at a U.S. hospital, researchers with the Association of Occupational Health Professionals in Healthcare found a longstanding sharps injury problem with prefilled syringes that were designed as safety devices.
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CDC Director Rochelle Walensky Exits
After conceding the CDC made mistakes and errors in the pandemic response — then launching an ambitious effort to reinvent the agency — director Rochelle Walensky, MD, has announced she will resign at the end of June 2023.