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Registration Opens for ADA Diabetes Camps

Registration for most camps begins this month at diabetes.org/campregistration

In addition to typical camp activities, kids can make friends and learn more about their diabetes at ADA Diabetes Camps. All camps are equipped with supplies, medical staff trained in diabetes management, and experienced volunteer staff. There are 42 ADA Diabetes Camps offering 54 sessions in 26 states. Most camps are overnight stays for kids under 18, though 17 of the sessions are day camps only that are geared for kids aged 4 to 14.

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The Healthcare and Economic Impact of Drug Shortages

Webinar

The Healthcare and Economic Impact of Drug Shortages
Monday, February 14, 2011
2 p.m. EST, 11 a.m. PST

Click here to register.

Drug shortages have been occurring with increasing frequency in recent years, with adverse consequences including medical complications and higher prices.

In this webinar, we will discuss the forthcoming study by NERA Economic Consulting in which case studies in drug supply disruptions show that sharp reductions in production by one or more manufacturers often coincided with an increase in supply by other manufacturers. Nevertheless, the shifts in the production were usually associated with sharp price increases, which can be more pronounced for independent pharmacies.

If the number of shortages continues to increase over time, some evidence indicates that the strength and scale of large buyer groups, particularly those managed by large wholesalers, may provide independent pharmacies some protection from the effects of shortages, including sharper relative price increases.
When: Monday, February 14, 2011, 2 p.m. EST, 11 a.m. PST

Presenters:
Graeme Hunter, Vice President, NERA Economic
John Calabrese, Senior Director, Sales and National Accounts, Greenstone LLC

Click here to register.

Please note: This webinar is for information purposes only; attendance will not contribute to CE credits.

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Older Adult: Screening for Visual Problems

  1. What is different now about your vision?
  2. When did you last see an ophthalmologist about your vision?
  3. When was the last time the prescription for your glasses was changed?
  4. When did you last purchase glasses? (Providers need to consider that Medicare does not reimburse patients for their purchase of prescribed glasses.)
  5. Are you experiencing any difficulty in driving or watching television?
  6. Are you experiencing any difficulty in seeing at night?
  7. Do you see rings around lights?
  8. Is your vision blurred?
  9. Have you changed any of your activities because of your vision?
  10. Have you experienced loss of vision in one eye?
  11. Have you experienced lack of tears or any minor irritations of your eyes?
  12. Have you experienced eye pain?
  13. Have you taken any medications or other treatments to correct any eye problem you have experienced?
  14. Are you concerned about your vision?
  15. Is there anything else you can tell me about your vision?

Burke M, Laramie, J. Primary Care of the Older Adult: A Multidisciplinary Approach, ed 2, St Louis, 2004, Mosby.

Burke M: Sensation. In Burke M, Walsh M, editors: Gerontologic nursing: wholistic care of the older adult, ed 2, St Louis, 1997, Mosby.

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AANP Conference

American Academy of Nurse Practitioners

26th National Conference

June 22-26, 2011

Las Vegas, Nevada

The Venetian and The Palazzo & Sands Expo and Convention Center

Go to aanp.org and register online for immediate access to session availability, confirmation of session assignments and printable payment receipt.

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Protect Oral Health During Cancer Therapy

  • Check mouth daily. Look for sores and gums that bleed easily after brushing. Use an extra soft bristle toothbrush to brush in the morning, after every meal and at bedtime.
  • Relieve dry mouth by drinking plenty of water. Also chewing gum, ice chips, sugarless candy and saliva substitutes¬†may help.
  • Avoid using alcohol and tobacco products. Do not use a mouthrinse that has alcohol in it.
  • Rinse mouth several times a day with a mixture of one-fourth teaspoon of baking soda and one-eighth teaspoon of salt in one cup of warm water. Afterward, rinse mouth with water.

American Family Physician, 65(7), 1385-1386.

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What happens in multiple sclerosis?

  • Fatigue and weakness
  • Abnormal reflexes (absent or exaggerated)
  • Visual disturbances (double vision and nystagmus [involuntary eye movement])
  • Motor dysfunction, such as weakness, tremor, and uncoordinated movements
  • Sensory disturbances, such as paresthesia, impaired deep sensation, and impaired vibratory and position sense
  • Impaired speech (dysarthria)
  • Urinary dysfunction, such as hesitancy, frequency, urgency, and retention
  • Neurobehavioral syndromes, such as depression, cognitive impairment, and emotional lability

McCormick, M. (2010). Degenerative disorders: ALS and MS. Nursing Made Incredibly Easy, 8(3), 28-36.

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Hospital Culture of Patient Safety

Communication

  • assertion/speak-up
  • bottom-up approach
  • clarity
  • hand-offs
  • linkages between executives and front line/resolution/feedback
  • safety briefings/debriefings
  • structured techniques: SBAR, time-out, read-back
  • transparency

Teamwork

  • alignment
  • deference to expertise wherever found
  • flattened hierarchy
  • multidisciplinary/multigenerational
  • mutual respect
  • psychological safety
  • readiness to adapt/flexibility
  • supportive
  • watch each other’s back

Evidence-Based

  • best practices
  • high reliability/zero defects
  • outcomes driven
  • science of safety
  • standardization, protocols, checklists, guidelines
  • technology/automation

Patient-Centered

  • community/grassroots involvement
  • compassion/caring
  • empowered patients/families
  • exemplary patient experiences
  • focus on patient
  • formal participation in care
  • health promotion
  • informed patients/families
  • patient stories

Marx, D. (2008). Patient safety and the ‘just culture:’ A primer for health care executives. Medical Event Reporting System for Transfusion Medicine. Retrieved January 30, 2008, from http://www.mers-tm.net/support/Marx_Primer.pdf

Nieva, V.F., & Sorra, J. (2003). Safety culture assessment: A tool for improving patient safety in healthcare organizations. Quality and Safety in Health Care, 12, ii17-ii23. Retrieved August 18, 2009, from http://qshc.bmj.com/content/12/suppl_2/ii17.full.pdf

Sammer, C.E., Lykens, K., Singh, K.P., Mains, D.A., Lackan, N.A. (2010). What is Patient Safety Culture? A Review of the Literature. Journal of Nursing Scholarship, 42(2), 156-165.

Thomas, E.J., Sexton, J.B., Neilands, T.B., Frankel, A., & Helmreich, R.L. (2005). The effect of executive walk rounds on nurse safety climate attitudes: A randomized trial of clinical units. BMC Health Services Research, 5(28). Retrieved May 19, 2007, from http://www.biomedcentral.com 1472-6963/5/28

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Decreasing Prescription Drug Costs

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Continuing Education For Nurses

The First Annual Neonatal Nursing Symposium: It’s All About the Baby!

  • April 15, 2011
  • 7:30am – 4 pm
  • Gladys Stringfield Owen Auditorium, Baptist Hospital, Nashville, Tennessee
  • Neonatal symposium focusing on recent advancements and updates in the management of necrotizing entercolitis, periventricular leukomalacia, neonatal resuscitation, post partum depression and the legal implications of nursing documentation.
  • This program has been designed for nursing professionals caring for premature infants and their families
  • Course Director: Deborah Bouressa MSN, RN, Director of Women’s Health Services, Baptist Hospital, Nashville, TN

The 13th Cardiovascular Conference for Nurses

  • March 31, 2011
  • 7:30 am to 4 pm
  • Laurence A. Grossman Medical Learning Center, Saint Thomas Hospital, Nashville, Tennessee
  • Designed to provide nurses working with cardiac patients an opportunity to hear current information relating to the care of cardiac patients and to specific cardiac diseases
  • Designed for nurses who work in areas such as ICU, cardiac medical or surgical units, cardiac rehab, cardiovascular lab, or any area where patients with cardiac disease may be encountered.
  • Course Director: Fran Coffland MSN, RN, Baptist Hospital, Nashville, Tennessee

For more information: Contact the Department of Clinical Education at 615-284-5823 or see their website at: http://www.STHS.com look under “Classes and Events”. Contact hours awarded to be determined.

Saint Thomas Hospital, Clinical Education, P.O. Box 380, Nashville, Tennessee, 37202

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