Medicine and Health Sciences Commons^™

Creating Successful Mentoring Relationships, Mary Leyk, Colleen Porwoll

Nursing Posters

Literature suggests that a formal mentoring program increases nursing engagement and retention. Objective: Develop a nurse mentor program to enhance new nurse satisfaction and retention.

Developing Cultural Competence, Patricia Blonigen-Heinen, Roberta Basol

Nursing Posters

Caring for patients from many cultures is an important part of health care today. Why learn about cultural competencies? Because developing cultural competencies benefits everyone. You can: help patients receive more effective care; help your facility meet standards of The Joint Commission; and improve your job performance.

Evidence To Measure And Implement Patient Satisfaction In Fbc Patients, Meredith Wells

Nursing Posters

Purpose Statement: The purpose of this project is to increase Family Birthing Center patient Press Ganey satisfaction scores by focusing on communication with nurses, implementing communication guidelines and nurse accountability for compliance.

Evidence To Support Standardized End Of Life Care Utilizing Evidence-Based Training, Education, And Protocol/Order Sets, Sara S. Revier

Nursing Posters

Purpose Statement: Develop and implement evidence based standardized end of life care through education, case identification, and care delivery tools for adult med/surgical patients transitioned to comfort care as compared to current, non-standardized care for patients transitioned to comfort care.

Heart Failure And Depression: Reducing Readmission Rates, Janelle Maciej

Nursing Posters

Purpose Statement: Reduce heart failure readmissions through implementation of a depression assessment in the acute care setting.

I Heard It Through The Grape Vine, Terri Mccaffrey

Nursing Posters

Purpose Statement: Patients who are informed and active in their care are more likely to follow recommendations. Providers play a vital role in accomplishing positive communication with cleft team and families.

Inpatient Rehabilitation Unit Specific Orientation, Joyce Belanger, Becky Kastanek

Nursing Posters

CMS has specific requirements for all Inpatient Rehab Facilities. Data collection in the form of FIM "Functional Independence Measure" is one of them. Due to these requirements, it was felt that we needed to provide further education to our new hire staff from all disciplines.

Tipping The Sacred Cow: Hospital-Wide Implementation Of Bedside Report, Bonnie Rozycki, Katie Schulz, Naomi Schneider, Mary Leyk

Nursing Posters

Purpose Statement: The purpose of this project is to implement bedside report hospital-wide in order to improve patient satisfaction scores.

Improving Scip-4 Glucose Measures, Melissa Fradette

Nursing Posters

A performance improvement project was initiated to increase the Surgical Care Improvement Project (SCIP) glucose measure compliance. Order sets were modified to standardize glucose monitoring frequency and initiate insulin infusions. A previous practice of double documentation (manual and glucose meter interface documentation) were abstracted as 2 separate results. When glucose interfacting became an option, the practice of manual entries did not stop. The use of manually documented results for decisions failue to prompt interface confirmation; non-validated results do not interface. The plan: implement order set changes; eliminate manual documentation; and rely on interfaced measures to make clinical decisions.

Medical-Surgical Certification - You Can Do It!, Mallory Mondloch

Nursing Posters

Nursing certification is an official recognition of a nurse's knowledge and expertise within an area of specialty practice. Nurses value certification as it contributes to personal accomplishment and satisfaction. Certification is valued not only by the individual nurse, but also by patients. It has been correlated with increased patient satisfaction scores and improved quality of care. Some of these positive patient outcomes include decreased fall rates and decreased mortality and failure respond rates. Evidence has shown that certification enhances staff nurses empowerment, subsequently decreasing turnover and increasing retention. Enhanced feelings of personal accomplishment, personal satisfaction, and validation of specialized knowledge, …

Giving Time Back: Implementing A Electronic Nursing Protocol For Skin Care, Amy Gorecki, Sue Omann, Kim Schuster

Nursing Posters

Purpose Statement: To improve the accessibility of evidence based skin care interventions for the clinical nurse without the need of a CWOCN consult.

Implementing A Tiered Pain Protocol In The Total Knee Arthroplasty Patient, Heidi Meyer, Kelen Sohre, Tamara Welle

Nursing Posters

Objective: Address the culture of pain management with physicians and nurses utilizing a tiered pain protocol in conjunction with non-pharmacological approaches to achieve improvement in pain satisfaction to a tolerable level.

Patient Education Barriers, May Schomer, Hannah Newhouse

Nursing Posters

Introduction: Our survey answers corresponded closely to the research data found. The typical barriers included time, subject knowledge, patient education needs assessment, setting for teaching and nursing teaching skills.

Pneumonia: Ongoing Efforts To Improve Outcomes, Centracare Health

Nursing Posters

Background: Original improvement efforts emphasized correct antibiotic, early mobilization, adequate hydration, and early and ongoing oxygen weaning. Ongoing efforts include: early mobilization, obtaining room air sats on admission, early and ongoing oxygen weaning, and patient education.

Reducing Readmissions For Newborns With Hyperbilirubinemia, Kristi Patterson

Nursing Posters

Purpose Statement: The purpose of this project is to reduce 30 day readmissions rates by 20% for normal newborns with hyperbilirubinemia on their index admission by utilizing the AAP clinical practice guideline including: utilizing the AAP nomogram based on age in hours, screening prior to discharge, and implementing the recommended interventions at discharge.

Treating Early Sepsis Outside Of The Icu Using A Bundle Of Interventions, Jennifer Burris

Nursing Posters

To decrease cost and length of stay for sepsis patients by standardizing treatment in the progressive care units (PCUs).

Sustaining Pressure Ulcer Prevention: Implementing A Skin Champion Model, Jennifer Burris

Nursing Posters

Purpose Question: Will an evidence-based skin champion model in the ICU improve nursing knowledge and perceptions about pressure ulcer prevention and reduce hospital acquired pressure ulcers?

Using Core Competencies To Help Staff Remain Proficient, Mary Leyk

Nursing Posters

Problem: Implement a competency program that engages staff compared to usual computer-based training modules. Objective: Design a multi-modal competency program for bedside nursing staff.

Shifting The Paradigm Of Classroom Nursing Orientation, Mary Leyk

Nursing Posters

Purpose Statement: The purpose of the Evidence-Based Practice Nursing Orientation Project is to find evidence to support a change in teaching strategy for newly hired RNs (both New Grads as well as experienced nurses), from the current process in order to improve outcomes of clinical competence, independence and nurse confidence, and retention.

What The Heck Is Value-Based Purchasing??, Centracare Health

Nursing Posters

Medicare has changed the way hospitals get paid. The new payment program is called Value-Based Payments (VBP). VBP is made up of two parts: incentives & penalities.

Utilizing A Protocol To Reduce Post-Operative Urinary Retention In Total Joint Arthroplasty, Gina Anderson-Malum, Naomi Schneider

Nursing Posters

Foley catheters have not routinely been used for our total joint patients for many years, leading staff to bladder scan and straight catheterize patients postoperatively. Bladder scanning and catheterization were identified as an inconsistent practice. Patients were commonly straight catheterized when nurses determind bladder scan volume and time of last void; yet the amounts for both and decision to catheterize were inconsistent. Also, the clinical evaluation and treatment was inconsistent among physicians. Variations in practice included rationale for a urology consult, use of medications for urinary retention, and documentation. Baseline urinary retention condition codes ranged from 8-18%, which led our …

Integrative Health Studies Newsletter, Ciis

Integrative Health Studies Newsletter

This is the January 2015 issue of the Integrative Health Studies Newsletter at CIIS.

Integrative Health Studies Newsletter, Ciis

Integrative Health Studies Newsletter

This is the Winter 2015 issue of the Integrative Health Studies Newsletter at CIIS.

The Examination Of Upper Limb Ambidexterity In Wrestling Snap Down Technique, Nicholas Decastro, Tong-Ching Tom Wu

Movement Arts, Health Promotion and Leisure Studies Faculty Publications

The purpose of this study was to bilaterally examine the kinematic motions of the upper extremity in the snap down technique. Six male collegiate wrestlers were recruited and performed a total of ten snaps, five from each side. A standard two-dimensional kinematic analysis was conducted in the upper extremity. The results showed no significant difference between right and left side in the angular displacement, velocity and acceleration. These findings indicated that upper limb ambidexterity was achieved by these college wrestlers in the study. From further video analysis, the study found some wrestlers appeared to use their shoulder and elbow as …

Kinematic Comparisons Between Forward And Backward Skating In Ice Hockey, Tong-Ching Tom Wu, David J. Pearsall, Pamela J. Russell, Yuko Imanaka

Movement Arts, Health Promotion and Leisure Studies Faculty Publications

The purpose of this study was to examine the kinematics of lower body and trunk between forward and backward skating. Seven male collegiate ice hockey players skated both forward and backward (C-cut) four times each. A standard two-dimensional kinematic analysis was conducted to examine the lower body extremity and trunk at the instants of weight acceptance and propulsion. No significant differences in the joint angles were found at the weight acceptance. At the propulsion, significant differences were found in the joint angles of hip, knee, ankle and trunk between forward and backward skating. Hence, these findings indicate the importance of …

Evaluating The Effects Of An Interdisciplinary Practice Model With Pharmacist Collaboration On Hiv Patient Co-Morbidities, Rebecca Cope, Leonard Berkowitz, Rebecca Arcebido, Jun-Yen Yeh, Nathan Trustman, Agnes Cha

Touro College of Pharmacy (New York) Publications and Research

Treatment of HIV now occurs largely within the primary care setting, and the principal focus of most visits has become the management of chronic disease states. The clinical pharmacist’s potential role in improving chronic disease outcomes for HIV patients is unknown. A retrospective cohort study was performed for HIV-positive patients also diagnosed with diabetes, hypertension, or hyperlipidemia. Characteristics and outcomes in 96 patients treated by an interdisciplinary team which included a clinical pharmacist (i.e., the intervention group) were compared to those in 50 patients treated by an individual healthcare provider (i.e., the control group). Primary outcomes were changes from baseline …

Customized Order-Entry Sets Can Prevent Antiretroviral Prescribing Errors: A Novel Opportunity For Antimicrobial Stewardship, Yi Guo, Philip Chung, Caryn Weiss, Keith Veltri, Grace Y. Minamoto

Touro College of Pharmacy (New York) Publications and Research

Background: Patients with human immunodeficiency virus (HIV) infection on antiretroviral (ARV) therapy are at increased risk for medication errors during transitions of care between the outpatient and inpatient settings. This can lead to treatment failure or toxicity. Previous studies have emphasized the prevalence of medication errors in such patients, but few have reported initiatives to prevent errors from occurring.

Methods: The study was conducted in a 1,400-bed health care center with a state-designated Acquired Immunodeficiency Syndrome (AIDS) Center in the Bronx, New York. The antimicrobial stewardship team and HIV specialists developed customized order-entry sets (COES) to guide ARV …

Majority Of Hiv/Hcv Patients Need To Switch Antiretroviral Therapy To Accommodate Direct Acting Antivirals, Rebecca Cope, Aaron Pickering, Thomas Glowa, Samantha Faulds, Peter Veldkamp, Ramakrishna Prasad

Touro College of Pharmacy (New York) Publications and Research

The impact of drug–drug interactions (DDIs) between interferon-free direct acting antiviral (DAA) regimens and antiretrovirals (ART) among HIV/HCV co-infected individuals in clinical practice settings is unknown. A singlecenter, retrospective chart review of co-infected patients was conducted from June 2014 to February 2015. Significant interactions between simeprevir (SMV), ledipasvir (LDV), and paritaprevir/ritonavir/ombitasvir plus dasabuvir (3D regimen) with ART were identified based on available literature. SMV had the largest number of DDIs and was further investigated to determine the feasibility of ART switch to allow for DAA use. Of 127 subjects, 23% had advanced liver disease; 86% of those with known HCV …

Treatment Outcomes For Infections Caused By “Spice” (S–Serratia, P–Pseudomonas Aeruginosa, I–Indole Positive Proteus, C–Citrobacter, E– Enterobacter) Organisms: Carbapenem Versus Non-Carbapenem Regimens, Stanley Moy, Roopali Sharma

Touro College of Pharmacy (New York) Publications and Research

Background. Techniques to identify AmpC β-lactamases in SPICE organisms are not yet optimized for the clinical laboratory and are not routinely done. Clinicians are often left with an uncertainty on the choice of antibiotic when a SPICE organism is isolated. The purpose of this study is to evaluate the outcomes of carbapenem versus non-carbapenem regimens in treating bacteremia or urinary tract infection (UTI) from a SPICE organism in a “real-world” setting.

Methods. This was a single-center, retrospective, case-cohort study consisting of adult patients who had clinical infection with a SPICE organism isolated from blood or urine cultures. Patients …

Women With Methylenetetrahydrofolate Reductase Gene Polymorphism And The Need For Proper Periconceptional Folate Supplementation, Maureen Sullivan, Tiffany Murray, Haregewein Assefa

Touro College of Pharmacy (New York) Publications and Research

Maternal folate supplementation is critical for fetal development. Women with MTHFR (methylenetetrahydrofolate reductase) gene polymorphisms may not be getting the proper folate form to support fetal development. The objectives of this review were to: (1) undertake a comprehensive review on the association of MTHFR polymorphisms with the risk for various congenital diseases and other adverse pregnancy outcomes, (2) assess the efficacy and safety of current folic acid and other supplementations in women with the MTHFR polymorphism, and (3) provide guidance on the appropriate supplementation for women of childbearing potential with the MTHFR gene polymorphism in order to decrease these adverse …