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Is intradermal (ID) vaccination the answer for those who dont respond to two full series of hepatitis B vaccine?
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In an action that might have national repercussions, voters in the state of Washington have rescinded the only preventive ergonomics rule in the country.
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Nurses should be restricted from working more than 12 hours at time or more than 60 hours in a week to prevent error-producing fatigue, an Institute of Medicine (IOM) panel recommended in a comprehensive review of the nursing work environment.
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Hospitals that fail to use safer needle devices wherever possible including the operating room may find themselves the target of employee complaints or Occupational Safety and Health Administration (OSHA) citations.
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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.
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Traditional disease management programs that help patients manage their diseases after they become costly are like arriving at the scene of an accident that has already happened, John Palumbo asserts.
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When case managers at Highmark Blue Cross and Blue Shield bring up advance directives with their patients, they are well prepared.