Nurses spend more time with patients than most other types of providers and have unique insight into patient care and the the healthcare system.

Is Health Information Technology a HIT with Nurses?

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“Don’t design an information system and then say, ‘OK, now let’s change our workflow to make the system work.’ First, design the most effective workflow that delivers safe, efficient, high-quality patient care. Then ask ‘How will this system enable me to do that?”‘ —Linda Burnes Bolton, vice president and chief nursing officer at Cedars-Sinai Medical Center in Los Angeles

Health information technology (HIT): it’s a hugely complicated topic and, with $19 billion in federal stimulus funds accelerating its adoption by medical offices and hospitals, it’s going to have an increasing impact on the way nurses do their jobs over the next few years. […]

2016-11-21T13:25:04-05:00July 20th, 2009|digital health, nursing perspective|0 Comments

Readers Comment on Vicodin, Percocet Ban

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In his July 6 post on the proposed Vicodin, Percocet ban, AJN editor Jacob Molyneux wrote, “A number of clinicians and patients have expressed alarm at the potential loss of Vicodin and Percocet, both of which are mainstays of pain management in the U.S.” He cited pain expert Carol Curtiss’s concern that such a ban could have “even more drastic implications than most people yet understand,” then asked readers, “Should we worry?”

Some commenters think so:  nester writes

If suddenly the combos become unavailable and pain relief is that much harder to come by, every Tom, Dick, and Harry with a sprain is going to flock to the ER for the good stuff… not once, but daily until the pain is gone or they are refused treatment.  If you can’t go to just any doc to get narcotic pain relievers, the pain relief specialists will have lines out the door also.

And Abigail Nobel says, “Educate before banning these affordable, essential components of pain control. Why should everyone suffer for the carelessness of a few?”

But Judy Newberger says that although she initially agreed with the ban, an interview with an elderly patient who was given Percocet and was already taking acetaminophen changed her mind.

Labels were not read, discharge papers were not thoroughly reviewed. Did no one review what meds he was on before they sent him home? I now am FOR removing Rx and OTC combination pain and other combination meds with acetaminophen.

Thanks to all for […]

2016-11-21T13:25:09-05:00July 17th, 2009|nursing perspective, pain management|0 Comments

Obama’s Deal with Hospitals – What Does It Mean for Nurses and Patients?

From boliston, via Flickr

On July 8, vice president Joe Biden announced that in striving to gain support for its health reform plan, the White House reached an agreement with the key hospital groups, including the American Hospital Association, the Federation of American Hospitals, and the Catholic Health Association of the United States.

The deal is a quid pro quo deal: according to the AHA Web site, the associations agreed they will not fight $155 billion in cuts in Medicare and Medicaid payments, in return for assurances that the cuts are linked to expanded coverage. Additionally, if health reform legislation turns out to include a public insurance plan, then hospitals will receive payments higher than the traditional Medicare and Medicaid rates. The idea is that losses from the reduced payments would be offset by insurance payments from the increased numbers of patients who will be covered. Hospitals will have fewer “pro bono” patients to deal with.

So how will this affect patient care and nursing services? […]

Web Roundup: The Nursosphere, Dying Nuns, Transparency in Medical Pricing

emergiblogscreenshotJuly09We do our best to keep up with the nurse blogosphere, but it really helps to have regular help from Kim at Emergiblog, who has posted a fantastically varied and snappy roundup of recent blog posts by nurses in her latest edition of “Change of Shift.” (And thanks, Kim, as always, for the mention of Off the Charts.)

A while back, we noted a news story about parish nurses, and asked whether spirituality and nursing are a good fit—so it seems appropriate to mention two stories with some bearing on health care and its intersection with spiritual or religious matters. Daily Dose, the Washington Post blog “tracking the debate over health care reform,” writes that faith groups are increasingly engaged on the health care reform issue and are “pressing the moral urgency” for reform. And the NY Times has a thought-provoking article about nuns at one convent who are facing death “with dignity and reverence” while often eschewing aggressive treatment.

A convent is a world apart, unduplicable. But the Sisters of St. Joseph, a congregation in this Rochester suburb, animate many factors that studies say contribute to successful aging and a gentle death — none of which require this special setting. These include a large social network, intellectual stimulation, continued engagement in life and spiritual beliefs, as well as health care guided […]

Sexual Harassment by Doctors, and Signs of Growing Acceptance for HIPAA Privacy Laws

Here's an anonymous post from a new nurse graduate looking for advice about how to handle sexual harassment by a doctor. How would you advise her? And this post is a cautionary tale for all clinicians who've ever been tempted by curiosity about a patient: it describes just how easy it is for hospital information systems to detect when someone has violated HIPAA (short for the Health Insurance Portability and Accountability Act) privacy laws by accessing a patient's record when they shouldn't.

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