Medicine and Health Sciences Commons^™

Identity, Gender, And Tracking: The Reality Of Boundaries For Veterinary Students, Jenny R. Vermilya

New Directions in the Human-Animal Bond

Using in-depth interviews with veterinary students, Identity, Gender, and Tracking: The Reality of Boundaries for Veterinary Students explores the experience of enrollment in an educational program that tracks students based on the species of animals that they wish to treat. The identity of a veterinarian is one characterized by care; thus, students have to construct different definitions of care, creating a system of power and inequality. Tracking produces multiple boundaries for veterinary students, which has consequences not just for the veterinarian, but also for the treatment of animals. Written for administrators and students alike, Identity, Gender, and Tracking sheds light …

Covid-19 Newsletter (Vol. 103), Center For Disaster Medicine, New York Medical College

COVID-19 Newsletter

No abstract provided.

Intouch January 10, 2022, New York Medical College

InTouch

• NYMC Mourns the Death of Two Former Leaders
• TCUS Set to Create New Campus in Times Square
• Chancellor Hosts Virtual Town Hall Meeting
• NYMC Announces Changes to Food Services Operations
• NYMC Takes a Look Back on 2021
• Isidora Monteparo, SOM Class of 2022: Air Force Second Lieutenant, Artist and Future Air Force Physician
• The Office of Student and Residential Life Makes NYMC Feel Like Home

Covid-19 Newsletter (Vol. 102), Center For Disaster Medicine, New York Medical College

COVID-19 Newsletter

No abstract provided.

Beyond ‘Is It Peer Reviewed?', Sarah Steele

Lesson Plan Repository

In this hands-on lesson, students will examine the peer-review process closely and come to realize its value in the information creation process. Sources examined in this lesson come from PeerJ, an open access peer-reviewed scientific mega journal covering research in the biological and medical sciences.

Campbell University Physical Therapy 702 Principles Of Inquiry Lesson Plan, Sarah Wade

Lesson Plan Repository

DPT 702 Principles of Inquiry is the initial research course for the Campbell University Physical Therapy program. This research instruction lesson, taught at the very beginning of the course, introduces students to building a clinical question using the PICO format and then completing a literature search in three different clinical databases (PubMed, CINAHL, and SPORTDiscus) using keywords from their clinical questions. As a result, students develop familiarity with literature searching, which helps them as they work on their paper to identify relevant articles and appropriately use the research databases to which the library has access.

Factors Predicting Intention To Initiate Mental Health Services Among College Students Returning To Campus During Covid-19, Anne Dumadag, Cara Tonn, Hadiza Galadima

College of Health Sciences Posters

Introduction: While the impact of transitioning to a virtual learning environment during the COVID-19 pandemic is well-documented, few studies have explored the mental health impact of reopening campus. As a measurement of mental health impact within the context of reopening campus, this study aims to identify factors associated with intention to initiate mental health services (MHS), with a particular focus on race, among college students.

Methods: A cross-sectional survey using stratified sampling was conducted via Qualtrics among students at a Virginia university in January 2022. The survey assessed demographics, online class experiences, past and future use of MHS, and feelings …

Exercise Interventions For Relieving Anxiety Symptoms For People With Autism Spectrum Disorder: A Systematic Review, Kathryn Riis

College of Health Sciences Posters

Background: Clinical anxiety is a common comorbidity in people with autism spectrum disorder (ASD). The focus of interventional therapies tends to be activities which improve gross motor function, communication, social interactions, and other behavioral skills. Certain forms of exercise have been successful in lowering anxiety levels while improving physical function.

Objective: The purpose of this systematic review was to examine the effectiveness of the use of exercise as an intervention to reduce anxiety in people with ASD.

Methods: Two databases, PubMed and Medline, were searched utilizing key terms. This yielded 35 articles for review. PRISMA systematic search procedures identified 9 …

The Role Of Child Life Specialists In Community Settings: Chapter 6: Prison, Genevieve Lowry

Graduate School of Education

This chapter focuses on the role of the child life specialist working with families affected by incarceration. Children and families are at increased risk due to trauma exacerbated by arrests, incarceration, and re-entry. This chapter will focus on the ways a child life specialist working in jails, prisons, detention centers, and in communities with schools, non-profits, and faith-based organizations can provide developmentally appropriate explanations, preparation, play, expressive arts, and coping, facilitating opportunities that foster relationships and understanding while promoting resilience.

It's Time To Break Old Habits: Admitting Stemis To The Telemetry Unit, Teresa Jahn, Tanya Glenz

Nursing Posters

Beginning December 2020 uncomplicated ST-Elevated MI patients will be admitted directly to Telemetry following intervention instead of CICU.

June 2020: Review and develop evidence- based exclusion criteria for admission to Telemetry

June 2020: Create a process for communication between the nursing supervisor, cath lab, Telemetry Unit and CICU for patient placement

Fall 2020: Meeting with Telemetry and CICU charge nurse, nursing supervisor and cath lab RN to discuss communication process

Dec 2020: Begin tracking STEMI patients

• Unit admitted to (Telemetry or CICU/ICU)
• Requiring transfer to CICU/ICU from Telemetry

A Multidisciplinary Approach To Reduce Complications From Blind Small Bore Feeding Tube (Sbft) Insertion, Teresa Jahn, Jennifer Burris, Peggy Lange, Elizabeth Plante, Mithun Suresh Md

Nursing Posters

Between 2019 and 2021, six lung perforations related to blind placement of SBFTs.

A multidisciplinary team reviewed current methods of placing SBFTs and the feasibility of each:

• Fluoroscopy
• 2 Step X-Ray
• Capnography
• Electromagnetic visualization

Capnography was selected as a safe and cost-effective way to attempt to identify insertion location in real time.

• Four team members were selected and trained to insert SBFT using capnography
• Each placement attempt and outcome of placement was tracked
• Outcomes were identified as successful or unsuccessful
• Any adverse events were to be tracked

Open All Hours!: Bariatric Surgery Patients Love Csc, Naomi Schneider, Mallory Mondloch

Nursing Posters

During the fall and winter of 2020, St. Cloud Hospital saw a dramatic increase in the number of COVID-19 patients. Additionally, elective surgeries in Minnesota were on hold during the early months of the pandemic, and later in 2020 there was a significant backlog of these patients, waiting for their procedure. To serve patients and their families, St. Cloud Hospital teams planned for a way to safely and professionally offer surgical care needs to Central Minnesota.

Early Detection Of Sepsis, Holly Kockler, Evalyn Michira

Nursing Posters

The aim for this project was to improve early identification and intervention for sepsis to lower mortality rates and increase sepsis order set usage.

Key Drivers:

• Sepsis mortality rate is higher than compare groups
• Sepsis Order Set utilization is low
• Sepsis core measure performance is below benchmark

Centracare Launch Of Covid Antiviral Therapy, Jessica Miller, Todd Lemke Pharmd, Dennis Heinen Rph

Nursing Posters

• Efficiently monitor the limited available stock of oral antiviral COVID therapies during surge states
• Prescribe safely and appropriately
• Dispense to patients close to home.

Icu Liberation: Early Mobility And Exercise, Leann Volkers, Holly Kockler, Kristi Patterson

Nursing Posters

The aim of this project was to streamline and standardize the delivery of the follow up Important Message from Medicare (IMM) for IP admissions across CC and Carris-RWF in compliance with regulatory standards of care.

Key drivers identified:

• Site specific variation
• Underutilization of Epic functionality
• Use of data to understand performance

Promoting Patient Outcomes: Clabsi Prevention, Woon Paek

Nursing Posters

What is a CLABSI?

“A central line-associated bloodstream infection (CLABSI) is a serious infection that occurs when germs (usually bacteria or viruses) enter the bloodstream through the central line” (CDC, 2021)

Best practices for preventing CLABSIs:

• Perform hand hygiene
• Don proper PPE
• Sterile/aseptic technique during insertion
• Prioritize for cares related to central line first
• Daily assessment for need of central line
• Daily chlorhexidine gluconate bathing
• Remove catheters that are unnecessary
• "Scrub the hub" BEFORE EVERY access
• Change dressings every 7 days or as needed
• Assessment of site/dressing condition
• Change purple Ultrasite caps with dressings
• Tubing changes per CentraCare policy
• Discard …

Innovative Use Of Ehr To Support Admission Screening For Emerging Pathogens, Patricia Dumonceaux Msn, Rn, Cic, Phn, Carolyn Harlander-Zimny, Elizabeth Kiffmeyer, Ellen Simonson, Tamara Welle

Nursing Posters

• CentraCare hospitals were the first in Minnesota to identify a patient with Candida auris (C. auris), an emerging pathogen.
• 2018 Centers for Disease Control and Prevention (CDC) and state health department recommended adoption of enhanced admission screening process to allow for early identification of patients at risk of being colonized with C. auris/Carbapenem-Resistant Organisms (CROs).
• C. auris, a fungus, and CROs, comprised of organisms from the Enterobacteriaceae family resistant to carbapenems, are emerging multidrug resistant pathogens. Emphasis on identification and early isolation of at-risk patients decreases risk of transmission.

Improving The Management Of Tardive Dyskinesia On An Inpatient Mental Health Unit, Jennifer Krebsbach

Nursing Posters

Implement a practice change on the adult mental health unit to improve the accuracy and increase the rate of completion of the abnormal involuntary movement scale (AIMS) for tardive dyskinesia (TD).

Perioperative Glucose Monitoring Protocol, Nicole Helgeson

Nursing Posters

Currently, there is no established glucose management protocol for our surgical patients. Poor outcomes related to hyperglycemia may include increased morbidity/mortality, surgical site infection (SSI), sepsis, renal, and cardiac concerns. The purpose of this protocol is to improve the care and outcomes for surgical patients through a consistent standardization of glucose management.

Purewick External Female Catheter, Elizabeth Kiffmeyer, Mallory Mondloch

Nursing Posters

Catheter-Associated Urinary Tract Infection (CAUTI) rates increased in FY21 compared to FY20, and many units continue to not meet their National Database of Nursing Quality Indicators (NDNQI) target goal even through FY22.

A group of CentraCare stakeholders gathered, including bedside nursing staff, urology techs and nursing leadership, to discuss barriers and areas for opportunity. Representatives from BARD®, our urinary catheter supply company, were invited to conduct an analysis on our urinary catheter/ CAUTI reduction practices. Findings from the analysis included an opportunity to implement an external female catheter.

Icu Liberation: Early Mobility And Exercise, Vanessa Fuller, Andrea Nyquist

Nursing Posters

ICU Liberation:

The Society of Critical Care Medicine’s (SCCM) Intensive Care Unit (ICU) Liberation Bundle was created to reduce the harmful effects of events that occur in the ICU setting. Early mobility and exercise is part “E” of the ICU Liberation Bundle; goals are to reduce ICU and hospital length of stay (LOS), prevent readmissions, reduce discharges to long term care facilities, reduce delirium and coma days, and reduce likelihood of hospital mortality (SCCM, 2021)

Preoperative Weight Loss For Patients Undergoing Lumbar Spine Surgery Utilizing Motivational Interviewing To Decrease Postoperative Complications: A Quality Improvement Project, Amanda Welle

Nursing Posters

Do patients who are obese, based on BMI>30 and are offered lumbar spine surgery, who undergo preoperative MI via telehealth to lose weight, compared to those who don’t undergo MI have decreased postoperative complications at 30 days postoperatively?

Conclusions/Implications:

• Results from this QI project suggest a higher BMI class is associated with postoperative complications-wound infection.
• However, given the small sample size no conclusions could be drawn
• This QI project should be replicated on a larger scale
• The process for recruitment and intervention is established. The Neurosurgical providers are supportive of the continued study.

Very Important Discharge Appointment (Vida), Jennifer Burris, Holly Kockler, Gail Olson, Kristi Patterson, Natasha Pflueger, Jennifer Salzer, Leann Volkers

Nursing Posters

To improve patient flow, access, and decrease strain on resources by enhancing the current process of Discharge and Loop Back Huddle by identifying two patients for early discharge the next day.

Current Practices:

• Discharge huddle and Loopback (Discuss care progression for all pts)
• Discharge planning using the IDEAL Model (Patient and Family Engagement with Discharge)
• Electronic Discharge Readiness Tools (Exp Discharge Date, Discharge milestones, etc.)

Next piece of the puzzle:

• VIDA: a framework to identify 2 patients to be discharged before 11 am – so the bulk of our discharges do not occur between Noon and 4:00 pm.
• Decreasing the …

Neurointerventional Post-Procedure Assessment And Documentation Compliance, Chandra Brower

Nursing Posters

Per stroke best practice guidelines, pulse and groin checks need to be completed post-neurointerventional procedure per orders. Our plan is to improve assessment and documentation of post-procedure pulse and groin checks by improving the flow of the Electronic Medical Record (EMR). By enhancing clinical documentation and improving the documentation process, nursing practice can be supported, and best patient care delivered.

The History Principles And Purpose Of The Academy Of Applied Osteopathy, Academy Of Applied Osteopathy

Stanley Kimball, D.O. Collection

Academy of Applied Osteopathy brochure detailing the history, objectives, platform, future, finance, and membership information for the organization.

Working Paper For Proposed New England College Of Osteopathic Medicine, New England Foundation For Osteopathic Medicine

Stanley Kimball, D.O. Collection

The Working Paper for Proposed New England College of Osteopathic Medicine describes plans for the creation and structure of a new college of Osteopathic Medicine created by the New England Foundation for Osteopathic Medicine.

Osteopathy And The Profession Of Medicine, Anna G. Tinkham D.O.

Stanley Kimball, D.O. Collection

Letter written to the Atlantic monthly in response to an article critical of osteopathy written by Dr. Channing Frothingham.

The Effects Of Celiac Disease On Oral Health In Children And Adults, Marissa Balducci, Katarina Jones

Dental Hygiene Student Scholarship

Objectives: Celiac disease (CD) is an autoimmune disorder characterized by intolerance to dietary gluten in genetically predisposed subjects. To ensure affected patients receive optimal dental care, it is necessary for dental professionals to recognize the oral manifestations of celiac disease in both children and adults. Upon associating oral conditions with celiac disease, the dental provider should be able to present recommendations to the patient, contributing to an improvement in their oral health.

Methods: This review of the literature used PubMed to identify relevant professional research articles with publication after 2017. MesH terms utilized in the search process were …

How Effective Are Eco-Friendly Dental Hygiene Products In Preventing Carious Lesions And Improvement In Overall Oral Health, Mary Claryns Truz, Destiney Coles

Dental Hygiene Student Scholarship

Objectives: The purpose of this review of literature is to measure the effectiveness, and future of eco-friendly¹ dental hygiene products in the dental field. As the manufacturing of products from food to technology increases over time, so does the sentiment for environmental practices. The numerous organizations that push for more sustainable initiatives in modern-day society continue to increase over time. The efforts for sustainable practices can be seen in the field of dentistry through dental hygiene products. These products range from compostable toothbrushes, waste-free toothpastes to organic floss advertised for use by the public. In reviewing the efficacy of …

Hydroxyapatite Toothpaste On Caries Prevention In Children, Samantha Richardson, Kelly Vaughan

Dental Hygiene Student Scholarship

Are Hydroxyapatite Toothpastes The Answer To Fluoride Free Patients?

Richardson, Samantha 1 and Vaughan, Kelly 2

Dental Hygiene Program, Virginia Commonwealth University

Abstract:

Objectives/Aims: With the rising trend to become more clean with our ingredient lists, we are facing more patients refusing fluoride treatments and fluoridated toothpastes. This trend has been prevalent in our younger generations due to parents only wanting the purest natural ingredients for their children and now declining fluoride application. The goal of this literature is to find a safe alternative toothpaste that will be just as effective as fluoride.

Methods: This review of literature has been …