Medicine and Health Sciences Commons^™

Tavr Closure Devices And Their Effect On Bedrest Time, Emily Curtis Rn, Allie Gilbert Rn, Morgan Jackson Rn, Jaden Morin Rn, Shauna Riordan Rn

Nurse Residency

In transfemoral transcatheter aortic valve replacement patients, how do different bed rest times as well as different closure devices affect the patient outcomes postoperatively?

How Can We Improve How Delirium Is Managed In Acute Care?, Lauren Wargo Rn, Kaylyn Ritchie Rn, Jillian Lefebvre Rn

Nurse Residency

In the acute care population, does assessing the patient's risk factors for delirium upon admission and daily, as well as implementing evidence based preventative measures based upon risk factors, reduce the incidence and duration of delirium compared to the patient that is not screened for risk factors and does not have preventative measures implemented?

Initiation Of J-Tube, Emily Bolduc, Olivia Lagace, Megan Dunn, Lauren Long, Rolanda Nubuor

Nurse Residency

How does the initiation of J-Tube feeds affect the postoperative care plan of an esophagectomy patient?

Reduction Of Skin Breakdown With Early Indication Of Low Braden Scale Score, Robert Inniss Rn, Bsn, Kendra Sloan

Nurse Residency

In adult patients being admitted to the hospital from the emergency department, will early indication of low Braden Scale scores and the use of an air mattress help prevent skin integrity breakdown/help prevent the further breakdown of skin in patients who already are experiencing skin breakdown?

Unsafe Sleep Practices, Hillary Nash Rn, Bsn, Caitlin Rouselle Rn, Bsn, Sabrina Schleh Rn, Bsn

Nurse Residency

In newborns does enhanced verbal and visual education given to their parents/guardians related to unsafe sleep practices help to lower the incidence of unsafe sleep reported on our unit?

Reduction In Hospital-Acquired Pressure Injuries, Kelsey White Bsn, Rn, Kaley Rumery Bsn, Rn

Nurse Residency

In admitted in-patient adult patients, is the Braden scale assessment tool compared to other nursing interventions, more accurate in decreasing hospital acquired pressure injuries?

No Longer Npo At Midnight For Heart Catheterizations, Danica Brassbridge Rn, Bsn, Jessica Creelman Rn, Bsn, Dominique Smith Rn, Bsn

Nurse Residency

Does keeping cardiac catheterization patients NPO at midnight significantly reduce their adverse outcomes compared to those who are able to have clear liquids four hours pre procedure?

Oral Care And Oral Hygiene, Margaret Yenna Rn, Bsn, Shelby Morin Rn, Bsn

Nurse Residency

In adults hospitalized oncology patients undergoing medical care, does doing oral care reduce incidents with oral complication compared to those who do not receive mouth care?

Effect Of Stop-Cocks In Reducing Post-Procedure Femoral Access Complications, Alessia Toohey Rn, Ross Underwood Rn, Clare Zorena Rn

Nurse Residency

n patients undergoing cardiac procedures requiring femoral artery access, does the use of stop-cocks with figure-8 stitches in femoral access closure compared to standard closure methods without these techniques reduce the incidence of post-procedure complications such as bleeding and hematoma within 24 to 48 hours post procedure?

Mental Health Interventions For The High-Risk Antepartum Inpatient Population, Mary Halle Bsn, Rn

Nurse Residency

In the high-risk antepartum patient population, do tailored mental health interventions, compared to routine intervention, improve patients’ overall mental well-being during inpatient hospitalization?

Impact Of Gum Chewing On Return Of Gastrointestinal Motility In Postoperative Colorectal Surgery Patients, Cheryl Kaufman Rn

Nurse Residency

PICOT Question: In postoperative colorectal surgery patients, how does gum chewing versus non-gum chewing beginning post op day one impact the return of gastric motility and the prevention of postoperative ileus?

Use Of Sat/Sbt In Adult Critical Care, Jack Shibles Rn, Kelsie Lynch Rn, Grace Decker Rn, Matthew Mcdonald Rn

Nurse Residency

In mechanically ventilated adult Intensive Care Unit (ICU) patients, how does having a protocol for pairing a spontaneous breathing trial (SBT) with a spontaneous awakening trial (SAT) compared to not having a protocol affect the number of ventilator days?

Trauma-Informed Care For Nicu Parents, Emma Stahl Bsn Rn, Elise Tilton Bsn Rn

Nurse Residency

For parents of neonates that have been admitted to the NICU, does the use of trauma-informed care reduce the risk of parental stress/ trauma?

Shared Decision Making: The Importance Of Communicating With Guardians And Pediatric Patients, Kali Coyne Rn, Bsn, Kaitlynn Hutchins Rn, Bsn, Alyssa Albert Rn, Bsn, Katy Ray Rn, Bsn

Nurse Residency

In pediatric patient who visit the emergency room, is including the child in shared decision making compared to having the parent be the surrogate decision maker more beneficial to the experience and satisfaction of the family?

Nursing News & Views - June 2024, Joanne Miller Rn

Nursing Newsletters

Nursing News & Views Newsletter - June 2024

Post-Operative Diagnosis Of Anomalous Left Coronary Artery From The Right Pulmonary Artery Via Transthoracic Echocardiogram, Lavina Desai, Sanket Shah, Edo Bedzra, Christopher Mathis

Posters

A term infant female was diagnosed with a ventricular septal defect (VSD) and aortic coarctation. Preoperative echocardiography and computed tomography angiography (CTA) showed a normal right coronary artery origin, but inconclusive left coronary artery (LCA) origin. There was a normal flow profile in the LCA by echocardiography. She underwent repair with extended end-to-end anastomosis and VSD closure during which surgical inspection revealed a usual appearing, retro pulmonary path of the LCA towards the left sinus of Valsalva. Postoperative echocardiogram revealed mild global dysfunction but no regional wall motion abnormalities.   Repeat echocardiogram revealed severe dysfunction most prominent in the anterolateral and …

Intussusception, Children's Mercy Kansas City

Clinical Pathways

No abstract provided.

Tight Squeeze!: The Implications Of Prolonged Tourniquet Time In The Pediatric Emergency Department, Kaitlyn Beresford, Kayla Bhakta, Jared Grace, Samantha Swift

2023

No abstract provided.

Head, Shoulders, Heels And Toes: Are Toes An Appropriate Option For Capillary Blood Sampling, Camille Chicoine, Nina De Leon, Ahley Diaz, Roe Ronia Eminikhah, Laisha Killian, Brianna Leal, Adalie Lepoire, Genesia Rivera, Genesis Rivera

2023

No abstract provided.

Heat Check: Comparing Temporal And Axillary Temperatures, Carmen Tobias, Brissa Campos, Lana Nowar, Bailee Troyer- Womack, Oluwatimilehin Tope-Ojo, Montserrat Meza, Stephanie Delarosa, Michelle Amoah

2023

No abstract provided.

Improving Sleep In The Pediatric Inpatient Population, Courtney Brooks, Julie Fraustro, Brooke Martin, Sydney Mcwilliam, Samantha Ortiz Rios, Lesly Reveles, Claire Zempel

2023

No abstract provided.

Rhabdomyolysis As A Cause Of Pth Independent Hypocalcemia In A Child With Acute Influenza Infection, Samhita Bhattarai, Kelsee Halpin

Posters

INTRODUCTION Hypocalcemia is characterized by abnormally low level of calcium in the blood. Normal reference range for calcium for children between 12- 19-year-old is 8.5-10.6 mg/dl . Severe hypocalcemia is considered as serum calcium level of <7 mg/dl and can present with tetany, seizures, and life-threatening cardiac arrhythmias. Etiology of hypocalcemia varies but hypoparathyroidism, pseudohypoparathyroidism and Vitamin D deficiency are some of the most common causes encountered by pediatrician endocrinologists. Association of rhabdomyolysis with hypocalcemia and elevated PTH is a rare presentation that should be considered, particularly for those children presenting with acute viral illness. We present a rare case of rhabdomyolysis associated with hypocalcemia not related to hypoparathyroidism. CASE A 12-year-old female presented to the emergency department with body ache, decreased oral intake and vomiting. She was found to be influenza positive. Electrolytes showed hypocalcemia (4.8 mg/dl). She subsequently had an undetectable 25-OH vitamin D level (<5 ng/ml) and elevated iPTH level (609 pg/ml). We discussed the possibility of her etiology of hypocalcemia to be Vitamin D deficiency although her presentation was atypical at an older age with a negative imaging for rickets, hyperphosphatemia (6.0 mg/dl), and normal alkaline phosphatase (334 unit/L). She also did not have any phenotypic features of Albright’s hereditary osteodystrophy and renal function was within normal limits. She was identified to have elevated creatinine kinase (4829 U/L) supporting rhabdomyolysis secondary to acute influenza as a cause of her hypocalcemia. Rhabdomyolysis, a known complication of influenza infection, causes cell membrane destruction which impairs the normal function of Na-K-ATPase channel. This leads to increase in intracellular sodium activating Na/Ca exchanger which in turn causes influx of calcium intracellularly causing hypocalcemia. Additionally, any injury or infection leads to high phosphorus release from cells due to cell lysis. High phosphorus is also caused by reduced oxidative metabolism in muscles impairing phosphate use. This excess of phosphate then combines with calcium and causes calcium-phosphate complex in soft tissues. Hyperphosphatemia also additionally inhibits 1 alpha hydroxylase limiting formation of calcitriol leading to hypocalcemia. CONCLUSION Our patient had severe hypocalcemia due to influenza-related rhabdomyolysis. Rhabdomyolysis is an important consideration as a cause of hypocalcemia in children, especially with acute viral illness. Accordingly, it is also important to obtain serum electrolytes in patients presenting with rhabdomyolysis as hypocalcemia may lead to complications like seizures and cardiac arrhythmia if not appropriately recognized and treated.

Catheter-Directed Thrombolysis, Children's Mercy Kansas City

Clinical Pathways

No abstract provided.

Periacetabular Osteotomy Eras, Children's Mercy Kansas City

Clinical Pathways

No abstract provided.

Biometrics In Patient Identification, Meghan Blubaugh, Kaitlyn Ceasar, Elizabeth Nguyen, Sadie Scanlan, Megan Trujillo, Daniel Valadez

2023

No abstract provided.

Labrad : Vol 49, Issue 1 - June 2024, Aga Khan University Hospital, Karachi

LABRAD - Departments of Pathology & Laboratory Medicine and Radiology Archives

• EDITORIAL
• ARTICLES
• Empowering Donors Through Technology
• Impact of Clinical Laboratories on Greenhouse gas emissions
• Embracing Digitalization and Sustainability: Streamlining Laboratory Reporting
• Accelerating Productivity and Performance: Transition from Transcribers to Working with Speech Recognition.
• ECO-Friendly Molecular Pathology Laboratory Practices
• Let’s Work to Build A Sustainable Histopathology Lab
• Laboratory Sustainability -Things to Promote Eco-Conscious Laboratory Environment
• A Guide to Develop the current and future Eco-Friendly Molecular Lab practices
• The Role of Microbiology Laboratories in Seaweed Reduction and Sustainable Agar Production
• The Role of Behavioral Change in Reducing Energy Use in Microbiology Laboratories
• Reducing Pathology’s Environmental Impact – What can we do?
• Water …

Burnout In Healthcare, Katie Bernard Rn Bsn, Kiana Fuller Rn Adn, Ashley Rhoades Rn Bsn

Nurse Residency

In a hospital setting, are nurses who practice coping strategies at a lower risk for nurse burnout then nurses who do not?

Preventing Post Operative Complications With Early Ambulation, Eliza Helliwell Rn, Bsn, Shannon O'Roak Rn, Bsn, Meghan Dadiego Rn, Bsn

Nurse Residency

In patients who undergo surgery, how does early mobilization following surgery prevent post operative complications and shorten their length of stay?

New Dentist News (June 2024), Ada Committee On The New Dentist

New Dentist News

New Dentist News offers timely information on scientific, social, educational, political and economic developments affecting new dentists. This collection is historical and items may not reflect current standards. For up-to-date information contact the ADA. The New Dentist News was alternately titled ADA Lifeline, 1997-June 2001.

Before You Stick, Know The Tricks!, Quinlan Duncan, Samantha Entwisle, Destiny Nwoko, Ashley Rich

2023

No abstract provided.