About Jacob Molyneux, senior editor/blog editor

Senior editor, American Journal of Nursing; editor of AJN Off the Charts.

Swine Flu Prevention: Is It Time to Kill the Common Handshake?

Tombstone handshake, from Mel B, via Flickr.

When I was in the women’s movement in the 1960s and 1970s, one of the things that feminists were doing was learning how to compete in a public world that had rules set by men. One of the traditions that we focused on was handshaking: when do you do it, for how long, and how hard? Even today, not everyone is sure—as shown by this article from nurse consultant Donna Cardillo on the importance of nurses learning the etiquette around handshaking.

When I first read Cardillo’s piece, I wrote to her that—given the concern about emerging infections and pandemics that can be spread through touch—perhaps nurses simply shouldn’t shake hands. I wonder: has the time come to do as the Japanese do, and bow instead of shaking hands? When I have a cold, I refuse to shake hands and find that most people appreciate this caution. Swine flu can easily be spread through handshaking. While we can’t stop all other forms of transmission, we can mount a campaign to end handshaking now. I might not pass swine flu to you today with my handshake, but I’m sure I’ll pass something else to you—and maybe already have.

Diana J. Mason, Editor-in-Chief

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AJN Speaks With Mary Pappas, School Nurse Who Alerted CDC to Swine Flu Outbreak

Emergency hospital, Camp Funston, Kansas, during 1918-19 influenza epidemic that caused 50 million deaths worldwide. As of today, only one death from swine flu has been reported in the United States. Photo from otisarchives4, via Flickr.

Mary Pappas, BSN, RN, is the nurse at St. Francis Preparatory School in Queens who first notified officials  of the swine flu outbreak. She’s been interviewed by the New York Times and by National Public Radio in the last two days. This morning she found time to speak with AJN about her experiences. […]

CDC Guidance for Nurses on the Swine Flu

 

Photo by AlphaTangoBravo/Adam Baker, via Flickr. Photo by AlphaTangoBravo/Adam Baker, via Flickr.

The following comes to us from the Centers for Disease Control and Prevention (CDC):

 

Swine Flu Guidance for Clinicians & Public Health Professionals [as of April 29, 2009, 1:45 AM ET]
http://www.cdc.gov/swineflu/guidance/
Clinicians should consider the possibility of swine influenza virus infections in patients presenting with febrile respiratory illness. If swine flu is suspected, clinicians should obtain a respiratory swab for swine influenza testing and place it in a refrigerator (not a freezer). Once collected, the clinician should contact their state or local health department to facilitate transport and timely diagnosis at a state public health laboratory.

Interim Guidance for Clinicians on Identifying and Caring for Patients with Swine-origin Influenza A (H1N1) Virus Infection [as of April 29, 2009 2:00 AM ET]
http://www.cdc.gov/swineflu/identifyingpatients.htm
Interim guidance is provided here for nurses and clinicians who might provide care for patients with swine-origin influenza A (H1N1) or suspected swine-origin influenza A (H1N1) virus infection. It will be periodically updated as information becomes available.

Transmission
Transmission of swine-origin influenza A (H1N1) is being studied as part of the ongoing outbreak investigation, but limited data available indicate that this virus is transmitted in ways similar to other influenza viruses. Seasonal human influenza viruses are spread from person to person primarily through large-particle respiratory droplet transmission (e.g., when an infected person coughs or sneezes near a susceptible person). Transmission via large-particle droplets requires close contact between source and recipient persons, […]

Nurses Spotlighted by RWJF for Crucial Role in Health Care Reform

"Time for Change," David Reece / via Flickr.

The Robert Wood Johnson Foundation (RWJF) takes nursing very seriously. Their latest publication, “Nursing’s Prescription for a Reformed Health Care System,” makes it clear that workable health care reform in the United States is not going to happen without a major reenvisioning of the role nurses can play at every level of health care. Put another way, it’s not just about the technology and the physicians. The new RWJF brief

“combines case studies with analysis and policy recommendations, and arrives on the desks of lawmakers and health care reformers just as Congress and the President begin to piece together what promises to be the most significant overhaul of the nation’s health care system since the creation of Medicare. . . .‘Nurses have created model programs in acute care, primary care and public health settings that are improving the health status of individuals and communities,’ the brief declares. ‘These initiatives are expanding access, improving quality and driving down costs.’”

 These initiatives include
• “comprehensive, community-based care for the elderly”
• “nurse-managed health centers and retail clinics”
• initiatives such as TCAB (Transforming Care at the Bedside) aimed at supporting quality and patient safety in the workplace

-Jacob Molyneux, AJN senior editor

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‘Patient dies, nurse cries.’ Submit to AJN’s Reflections column.

Photo by mezone, via Flickr.

“Patient dies, nurse cries.” That’s how we sometimes refer to the Reflections column, the personal essay about some aspect of health care that appears inside AJN’s back cover each month. It’s the kind of self-protective humor you develop at a nursing journal. We’re not making light of real pain. Often, in fact, we’re quite moved by submissions, both ones we accept for publication and ones we don’t. Nor is every Reflections actually about a patient dying or a nurse grieving. Most, probably, are not. […]

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