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

Vaccine Wars Ensue as H1N1 Mutates – Just Alarmist Sci-Fi Fantasy?

Picture this: in early September of this year, the novel H1N1 influenza virus mutates into a strain that can quickly lead to wracking fevers, violent vomiting, respiratory failure, dehydration, and death. It is also highly resistant to existing antiviral agents. The first cases of this new strain are identified after a spate of deaths in a Kansas City nursing home as well as among members of a church choir in the same city. The new strain quickly shows up in a number of major metropolitan areas in the U.S. and then in several European countries. As hospitals are swamped and the number of deaths rises unabated, borders are sealed between countries—but it's too late to stop the new strain from spreading as the fall and winter flu season gets into full swing.

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? […]

H1N1 Planning and Response: 10 Steps from the CDC for Medical Offices and Outpatient Facilities

CDC Arlen Specter Headquarters and Emergency Operations Center, Atlanta

The following was released yesterday by the CDC:

It is critical to assure that medical offices and other outpatient facilities (e.g., outpatient/ambulatory clinics, outpatient surgery centers, urgent care centers, physical therapy/rehabilitation offices or clinics) that provide routine, episodic, and/or chronic healthcare services can manage an increased demand for services in the midst of a novel H1N1 influenza outbreak. Ensuring a sustainable community healthcare response will be important for a likely recurrence of novel H1N1 flu in the fall. See CDC’s H1N1 website for up-to-date information.

1. Develop a Business Continuity Plan – Novel H1N1 flu outbreaks will impact your organization, employees, suppliers of critical materiel, and your family. Identify your office/clinic’s essential functions and the individuals who perform them. Make sure you have trained enough people to properly work in these essential functions and allow for potential absenteeism. Develop a plan that will sustain your core business activities for several weeks. Make sure you have alternate plans for critical supplies in case there is disruption in your supply chains. For information about planning see: http://www.ready.gov/business/plan/index.html.

2. Inform employees about your plan for coping with additional […]

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