Medicine and Health Sciences Commons^™

Utilizing The Magnet Model To Lead Nursing Practice During Covid-19, Kim Jordan Mha, Bsn, Rn, Ne-Bc, Luis Puentes Bsn, Ma, Mba, Phrn, Janice Wilson Ms, Rn, Cphims

Posters

No abstract provided.

Nursing Management Of The Bloodless Surgery Patient, Tiffany Achenbach Msn, Rn, Cmsrn

Posters

No abstract provided.

Relationship Between Sexual Activity, Contraceptive Utilization And Biopsychosocial Characteristics Among Homeless Shelter Adolescents., Brittney A Gaudet, Nina Liu, Allison N Kayne, Taylor L Jarvill, Cecilia Zemanek, Jeffrey M Downen, Hoonani M Cuadrado, Amy B Smith, Marna R Greenberg, Jessica L Jacoby, Joanne N Quinones

Department of Emergency Medicine

Objective: To determine whether biopsychosocial factors are associated with sexual activity and contraceptive utilization among homeless shelter adolescents. Methods: A retrospective study of 440 adolescents at a shelter in Pennsylvania between February 2015 and September 2019 was conducted. The cohort was evaluated to determine what relationship age, gender identity, substance use, and trauma history have with sexual activity and contraceptive utilization. Results: Sexual activity was significantly related to age (mean 15.8+1.4 years in sexually active vs. 14.7+1.6 years in abstinent youth, p<0.001); remote history of self-harm behavior (relative risk ratio (RR) 1.23 [95% CI 1.03-1.46]; p=0.02), history of aggressive behavior (RR 1.21 [95% CI 1.01-1.46]; p=0.04), history of trauma (RR 1.24 [95% CI 1.04-1.48]; p=0.03), and substance use (RR 2.27 [95%CI 1.86-2.77]; p<0.001). There were 55.7% sexually active females vs. 42.50% males reporting contraception use (p=0.01). After adjustment, older age and substance use remained significantly associated with sexual activity (adjusted odds ratio (AOR) 1.58 [95% CI 1.36-1.83]; p<0.001 and AOR 5.18 [95% CI 3.28-8.18]; p<0.001, respectively). Conclusions: Females self-reported sexual activity using contraception more than males. After adjustment, older age and substance use were associated with sexual activity. By better understanding the impact these factors can have on contraceptive utilization, informed policy and practice interventions can be developed and implemented to help increase safe sex practices in spaces where homeless adolescents access healthcare.

Implementing An Inpatient Virtual Discharge Nurse Program – Riding The Wave Of Technology At The Bedside, Marjorie Lavin Rn, Bsn, Jaclyn Stine Bs

Posters

No abstract provided.

Teaching Wilderness Medicine Virtually During Covid-19, Nicole Elliott Do, Derek J. Fikse Do, Eric Schneider Do, Kevin R. Roth Do, Facoep, Bryan G. Kane Md, Hillary Irons Md, Michael C. Nguyen Md

Department of Emergency Medicine

No abstract provided.

Integrated Onboarding: Synchronous Teaching To Prepare Learners For Successful Orientation, Nicole Wiswesser Msn, Rn, Cmsrn, Kathleen L. Chenard Msn, Rnc-Ob, Elizabeth A. Posasinski

Department of Education

No abstract provided.

A Standardized Orientation For Newly-Licensed Nurses And Preceptors In The Emergency Department, Judith Baker Bsn, Rn, Michelle Greis Bsn, Rn, Cen, Reza Armaghan Msn, Rn, Cen, Phrn

Department of Emergency Medicine

No abstract provided.

Assessing Knowledge In The Classroom Setting: It's More Than Just A Test, Jessica A. Conlin, Rachel Bareltta-Scarcella

Department of Education

No abstract provided.

Syndrome Of Inappropriate Antidiuretic Hormone Secretion And Lead Toxicity In A Child With Sickle Cell Disease And Pica., Akshay Gupta Do, Alexandra Amaducci Do, Andrew L. Koons, John D. Lindmark, Gillian A. Beauchamp Md

Department of Emergency Medicine

We describe the presentation and management of a three-year-old child with a history of pica, vitamin D deficiency, and sickle cell disease, who was admitted for pyelonephritis, and found to have elevated blood lead level (BLL) of 103.7 µg/dL, and who subsequently developed altered mental status and syndrome of inappropriate antidiuretic hormone secretion (SIADH). In consultation with Medical Toxicology, the patient was chelated with calcium disodium edetate (EDTA) and British Anti Lewisite (BAL). The patient's hyponatremia was managed with hypertonic saline infusion. The patient's encephalopathy improved throughout her hospital course, and she was discharged on hospital day 8. Following five …

Assessment Of Emergency Medicine Resident Performance In A Pediatric In Situ Simulation Using Multi-Source Feedback., Michael C Nguyen, Nicole C Elliott, Diane P Begany, Katie M Best, Matthew D Cook, Michael R Jong, Zachary M Matuzsan, Louis A Morolla, Suzanne S Partington, Bryan G Kane

Department of Emergency Medicine

Introduction Multi-source feedback (MSF) is an evaluation method mandated by the Accreditation Council for Graduate Medical Education (ACGME). The Queen's Simulation Assessment Tool (QSAT) has been validated as being able to distinguish between resident performances in a simulation setting. The QSAT has also been demonstrated to have excellent MSF agreement when used in an adult simulation performed in a simulation lab. Using the QSAT, this study sought to determine the degree of agreement of MSF in a single pediatric (Peds) simulation case conducted in situ in a Peds emergency department (ED). Methods This Institutional Review Board-approved study was conducted in …

Delayed First Bath, Yesenia Diaz Adn, Rn, Olivia Jimenez Bsn, Rn, Jasmine Mailler Bsn, Rn

Vizient/ AACN Nurse Residency Program™ EBP Projects

No abstract provided.

Using The Comfort-B Scale In The Picu, Taylor Kerstetter Bsn, Rn, Marissa Campo Bsn, Rn, Heather Harwin Rn, Mary Pomponio Bsn, Rn

Vizient/ AACN Nurse Residency Program™ EBP Projects

No abstract provided.

Interdisciplinary Communication And Collaboration, Jaiden Coyne Bsn, Rn, Alexa D'Andrea Bsn, Rn, Jocelyn Foley Bsn, Rn, Brittney Ritchey Bsn, Rn, Rebecca Roberts Bsn, Rn

Vizient/ AACN Nurse Residency Program™ EBP Projects

No abstract provided.

Evaluating The Correlation Of Academic Pursuits And Relative Value Unit Reimbursement In Trauma Surgery, Erin Gilbert, Joseph J. Stirparo Md

Research Scholars

No abstract provided.

People Living With Hiv (Plwh) And Covid-19. The Lvhn Experience, Jacob Frank, Marcelo Gareca Md

Research Scholars

No abstract provided.

Mepilex Use In Breast Cancer Radiotherapy Patients, Yeuying Qiu, Sean Quinlan-Davidson Md

Research Scholars

No abstract provided.

Impact Of Fellow/Resident Involvement During Colonoscopy In A High-Volume Colorectal Surgical Practice, Zachary Chomitzky, William Sangster

Research Scholars

No abstract provided.

Assessing The Clinical Characteristics And Ventilator Parameters Of Covid-19 Mechanically Ventilated Patients At Lehigh Valley Health Network, Andrew Kelly, Kenneth Miller Med, Rrt-Nps

Research Scholars

No abstract provided.

Analysis Of Risk Factors And Outcomes For Obstetric Trauma Patients, Lauren Salbinski, Matthew D. Painter Md, Danielle L. Hashmi Do

Research Scholars

No abstract provided.

Variation In Patient Satisfaction Based On Clinician’S Gender, Race, Age, And Degree, Elizabeth Lieb, Grant M. Greenberg M.D., M.H.S.A., M.A., Melanie B. Johnson Mpa

Research Scholars

No abstract provided.

Review Of Covid-19 Patient Demographics At Lvhn Hospitals, Hannah Tan, Judith Sabino Mph, Cdp, Renee Bryant

Research Scholars

No abstract provided.

Identifying Attributes Of Success: A Case Study Of Select Coaches And Lvhn Physician Leadership Training, Madison Smith, Kerri Green Ms, Med.

Research Scholars

No abstract provided.

Six-Month Health Outcomes In Elderly Patients Post Covid-19 (Shoe-P), Nikhil Sharma, Neti N. Vora Md

Research Scholars

No abstract provided.

Top Comorbidities Associated With Patient Malnutrition On 30 Day Readmission Rate, Kaitlyn Mcginley, Melissa Faura Rd, Ldn, Ann Flickinger Ms, Rd, Ldn, Kimberly Procaccino Mba, Rd, Ldn

Research Scholars

No abstract provided.

Alarm Fatigue, Taylor Fogel Adn, Rn, Bree Hoffman Adn, Rn, Caroline Zaharick Adn, Rn

Vizient/ AACN Nurse Residency Program™ EBP Projects

No abstract provided.

Management Of Peritonsillar Abscess Within A Local Emergency Department: A Quality Analysis Study., Briana K Ortega, Spencer Short, Bryan G. Kane Md, Robert M. Dedio Md

Department of Emergency Medicine

OBJECTIVE: Peritonsillar abscess (PTA) is the most common deep space infection of the head and neck, affecting thousands of people annually with high treatment costs. The purpose of this project was to determine how in-network emergency departments (EDs) adhere to generally accepted guidelines regarding diagnosis and management of potential PTAs.

METHODS: The authors performed a retrospective chart review to identify patients with PTA in five EDs in one year. Information pertaining to diagnostic tests, treatment, and airway status was also collected. Descriptive analysis was used to assess if EDs were consistent with generally accepted guidelines.

RESULTS: Six hundred twenty-one patient …

Concurrent Primary Cardiac Tumors In A High-Risk Patient Presenting With Tamponade., Jay V Gopal, Lauren Crowley, Shawn M Quinn, Timothy S Misselbeck, Joseph B Zackary

Department of Emergency Medicine

Primary cardiac tumors are rare, particularly in the elderly population. The patient described in this report presented with symptoms of dyspnea on exertion, leg swelling, and weight gain and was found to have two histologically distinct cardiac masses: atrial myxoma with concurrent aortic fibroelastoma. Given her history of cirrhosis and end-stage renal disease, the patient was a poor surgical candidate but opted for excision of both masses. The patient eventually succumbed to her cirrhosis six weeks after presentation. In this report, we advocate for further research into medical management for the unique presentation of concurrent primary cardiac tumors in high-operative-risk …

Esr And Crp Testing May Not Be Useful In Monitoring Patients With Native Vertebral Osteomyelitis, Abigail Heilenman, Amy Slenker Md

Research Scholars

No abstract provided.

Bridging The Gaps: Individual And Community Level Risk Factors For Non-Lethal Firearm Injuries In The U.S., Alexander Hanisak, Mark Cipolle Md

Research Scholars

No abstract provided.

A Retrospective Review Of Lvhn Compliance With Diagnostic Workup For Pancreatic Cancer Per Nccn Guidelines, Caitlin Scialla, Dennis Sopka Md, Savitri Skandan Md, Melissa Kratz Rn, Msn, Aocn

Research Scholars

No abstract provided.