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Legally speaking: Case managers and liability
As a nurse case manager, you are an RN who coordinates all aspects of the care of individual patients in whatever setting you practice: acute care, long-term care, workers' compensation or home care. Most of you have a bachelor's degree or another advanced degree. Most of you also are certified by the professional credentialing centers existing today, including the American Nurses Credentialing Center, the...READ MORE »
Ethically speaking: 'Move 'em all out -- the quicker the better'
Hypothetical Case Jim is a hospital case manager who serves on the hospital's length of stay committee. He has worked long enough to remember with fondness "the good old days" when it was easy to extend a patient's hospitalization a few days if the patient needed more time to master a complex care routine or if the family needed respite. In today's world of increasingly diminishing revenues and tight regulations,...READ MORE »
The realities of managed care
The demand for case management nurses has only increased, as the new realities of managed care have placed an ever-growing emphasis on maximizing care while containing costs. As a result, case management nurses often face a dizzying array of challenges. Angi Gragg, MSN, RN, ACM, senior clinical adviser for the American Case Management Association, has experienced many of these challenges first hand, serving in a...READ MORE »
Q & A: Evolution of case management
Kathleen "Kathy" Fraser, MSN, RN-BC, MHA, CCM, CRRN, serves as president of the Case Management Society of America, an organization she joined more than 23 years ago. As president, she looks forward to helping case management professionals meet the challenges of an ever-changing healthcare system. A nurse for 33 years, Fraser serves as the regional team manager of managed care case management for Zurich. Financial...READ MORE »
Oncology case managers help patients, families
There is no such thing as a typical day for Christine Shaw Regan, BSN, RN, CCM, care manager at the Cancer Treatment Centers of America, Midwestern Regional Medical Center in Zion, Ill. At any given time, she might be working with hospitalists to assess a cancer patient who has traveled from another state to undergo treatment at CTCA or helping a patient's family locate resources to ease their financial burden....READ MORE »
The path of case management
For the last three years, Joanna Field, BSN, RN, has been a grant and per diem RN case manager, a title that only begins to describe the work she does daily to provide care to some of the most destitute veterans of the U.S. Armed Forces seeking medical care at the VA Greater Los Angeles Healthcare System in west L.A. And that work, she said, doesn't necessarily end when patients are discharged and 'sent home,' as,...READ MORE »
Rapid test could reduce antibiotic use
Instant testing for bacterial infections could cut down on the number of unnecessary antibiotic prescriptions, a review published Nov. 6 by The Cochran Library showed. Researchers analyzed results of six random trials involving the C-reactive protein test, an on-the-spot test kit that serves as a guide for general practitioners when deciding whether to prescribe antibiotics. Data was available from 3,284...READ MORE »
Access to specialized care could reduce pediatric epilepsy deaths
More coordinated care could improve outcomes for children with epilepsy, according to a newly released report from the Centers for Disease Control and Prevention. The report, released Nov. 7, highlights the importance of making sure children with epilepsy have timely access to healthcare and social services to help reduce the risk of death. Researchers studied mortality among children with epilepsy in South Carolina...READ MORE »
ANA backs Navy nurse who refused to force-feed Guantanamo Bay detainees
The American Nurses Association expressed support Nov. 19 for a U.S. Navy nurse who faces possible punishment for refusing to carry out orders to force-feed detainees at Guantanamo Bay Detention Camp in Cuba over the summer. ANA president Pamela Cipriano, PhD, RN, NEA-BC, FAAN, hosted a conference call Nov. 20 featuring panelists including Physicians for Human Rights Senior Medical Adviser Vincent Iacopino, MD, PhD;...READ MORE »
Improved handoff communication key to preventing errors
Better implementation of handoff programs might be needed to reduce medical errors at hospitals and other healthcare facilities, a New England Journal of Medicine study stated. The study, released Nov. 6, said use of a handoff improvement program at nine pediatric hospitals in the U.S. and Canada played a role in lowering medical errors and adverse events. Researchers analyzed 10,740 patient admissions, showing the...READ MORE »
Improved screening needed for cervical cancer
Centers for Disease Control and Prevention officials are looking to increase awareness about screening for cervical cancer after a recent report showed about 8 million women ages 21 to 65 have not been screened in the past five years. Released Nov. 7, the report is particularly alarming because more than half of new cervical cancer cases occur among women who have never or rarely been screened, according to the CDC....READ MORE »
National coalition launches effort to place 10,000 nurses on governing boards
A new coalition of national nursing organizations aims to increase nurses' presence on corporate and nonprofit health-related boards of directors throughout the country, according to a news release. The Nurses on Boards Coalition will implement a national strategy to bring the nursing perspective to governing boards and national and state commissions with an interest in health. The goal is to put 10,000 nurses on...READ MORE »
Study: Some people wrongly told they are allergic to penicillin
Most people who believe they are allergic to penicillin are mistakingly avoiding the antibiotic, according to recent data from the American College of Allergy, Asthma and Immunology. Two studies unveiled at the Nov. 7 meeting of the ACAAI in Atlanta showed many Americans have been told incorrectly they are allergic to penicillin. As a result, these people often are given alternatives to prevent infection, an ACAAI...READ MORE »
Surgeon who contracted Ebola in West Africa dies
Martin Salia, MD, a surgeon who contracted Ebola while working in Sierra Leone, died Monday while being treated at Nebraska Medical Center in Omaha, according to media reports. "Every member of the team has been personally affected by Dr. Salia's passing," said Shelly Schwedhelm, MSN, RN, nursing director of Nebraska Medical Center's biocontainment unit, in a news release. "While losing any patient is always...READ MORE »
Low-risk cesarean rate on the decline
Although the rate for low-risk cesarean deliveries increased 60% between 1997 and 2009, the procedure might be declining according to a Nov. 5 Centers for Disease Control and Prevention report. The report, which defines low risk cesarean deliveries as those occurring among term, singleton, vertex or head-first births to first-time moms, examines trends in low-risk cesarean delivery rates from 1990 to 2013....READ MORE »