Nicki Goedecke and Dawn ...
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    One of the most important soft skills needed for future healthcare professionals, empathy is often considered the ability to put oneself in another person’s shoes and respectfully seek to understand their perspective. It involves active listening, respect for patients, and a desire to work with them to achieve their health goals, rather than dismissing ...

    Guest Poster
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    This week, we have special content from the SimGeeks podcast. SimGeeks is a podcast about medical simulation from William Belk and David Shablak. Episode 10 is about cleaning and disinfecting simulation equipment in the age of coronavirus. Will and David welcome special guest Nick Brauer. The following is a summary of the podcast. For the complete ...

    Nicki Murff Goedecke
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    As the COVID-19 pandemic sweeps the globe, discussions surrounding the immune system are especially prominent. It’s important to note that due to the novel nature of coronavirus disease COVID-19, new information surrounding transmission, infection, and immunity to the disease is being uncovered almost every day, and much is still unknown about the ...

    Dawn Mangine
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    Virginia A. Henderson (November 30, 1897 – March 19, 1996) was a nurse theorist and educator who advocated for a positive view of the nursing profession. Henderson developed the Nursing Need Theory, a way to define the focus of nursing practice. The focus of the theory is on the importance of increasing the patient’s independence in order to foster his ...

    Dawn Mangine
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    Approximately 57 million people in the United States, or about 20 percent of the population, speak a language other than English in their homes. Another 25 million people, about 8.6 percent of the population, are considered to have limited English proficiency (LEP). The Pew Research Center estimates that by the year 2021, 50 percent of newly insured ...

    Dawn Mangine
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    The World Health Organization (WHO) endorses naming 2020 The Year of the Nurse and Midwife in order to advance the vital role of nursing to transform health care around the world. According to Dr. Tedros Adhanom Ghebreyesus, director-general of WHO, nurses are the “bridges” of health care, serving as a crucial link between communities where they serve ...

    Evan Stiger
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    Physical therapy and the healthcare industry are constantly changing. Every day there are new standards, technology, and innovations happening around the world. Pocket Nurse attended the 2019 American Physical Therapy Association Educational Leadership Conference (ELC) in Bellevue, Washington. The following are key takeaways from the conference.

    Guest Poster
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    When it comes to creating and running simulation scenarios, instructors have to choose whether to use actual medical equipment (such as thermometers, glucometers, bedside monitors, medication carts, and so on) or to use simulators that closely mimic medical equipment. One of the challenges in running scenarios with simulated participants, for example, is ...

    Evan Stiger
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    Simulation is a favored teaching methodology in healthcare education. As discussed in our previous posts, “What is Simulation” and “Why Use Simulation,” simulation allows students to build hands-on experience in a risk-free, safe environment. For all its benefits, adopting simulation can be difficult. The following best practices should be considered ...

    Pocket Nurse Education ...
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    Pocket Nurse founder and CEO Anthony Battaglia, RN, MSN, BSN, has been involved with nursing education and healthcare simulation since 1992. Having nurse educators on the team to familiarize Sales, Customer Service, and Marketing department employees has always been important to him. Current corporate nurse educators are Fabien Pampaloni, MSN, RN and ...

    Tina Greiff
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    During some recent water cooler office talk, a few co-workers were sharing some experiences of buying big-ticket household items. One had purchased a very expensive refrigerator, another bought a TV, and I had recently bought a sofa from an online retailer. Coincidentally, we all had issues that needed handled after the sale; two of us did not have the ...

    Nicki Murff
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    According to the Centers for Disease Control and Prevention (CDC), more than 100 million Americans have diabetes or pre-diabetes (which, if left unchecked and untreated, can lead to Type 2 diabetes within five years). Though not as quickly as in previous years, diabetes cases are still actively increasing, and when cases of diabetes increase, risk of ...

    Kurtis Kabel
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    Brianna Banachoski, RN, is a nurse in the Hematology and Cellular Therapy Unit at West Penn Hospital.* She identifies as a lesbian, and uses she/her pronouns. She is also a cancer survivor; she has been in remission from non-Hodgkins lymphoma since 2016. Banachoski’s experience as a nursing student and nurse was colored by her identity and her cancer ...

    Dawn Mangine
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    With the class of 2019 prepared to enter post-secondary education and the workforce, many are looking for a stable career that offers opportunity and growth. Becoming a pharmacy technician is a good option. Job growth in this field is expected to increase by 20 percent through 2022.

    Dawn Mangine
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    A phrase that we keep encountering as we research and write about simulation is “cognitive load.”

    For students, cognitive load means the point at which there is so much information, they are no longer learning. In layperson terms, cognitive load means TMI – too much information! Our brains are only capable of absorbing so much at a time.

    Amanda Larkin
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    Although most hospitals and doctor offices now have digital blood pressure machines, it is still important to teach the basics of taking a manual blood pressure reading. When I was a nurse assistant, I was taught to take a patient’s blood pressure using a stethoscope and blood pressure cuff. Taking an accurate blood pressure on an actual patient was much ...

    Terry Kitchen
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    When a school is considering automated medication dispensing cabinets or carts (ADCs) for use in simulation education, they typically want to use the type of ADCs that are found in their local hospital system. This way, students will easily be able to adapt to real-life medication dispensing once they graduate and start their careers.

    Nicki Murff
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    It’s official. As of January 31, 2019, all CPR manikins used in American Heart Association (AHA) adult CPR courses must feature an instrumented directive feedback device (IDFD). Devices such as these provide real-time, audio-visual feedback as the CPR is being performed, allowing student performance to be evaluated in an immediate and ongoing ...

    Dawn Mangine
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    Phlebotomy is the surgical puncturing of a vein to collect and draw blood, whether for laboratory tests or blood donation. Employment in this healthcare profession is projected to grow 25 percent through 2026. The Bureau of Labor Statistics (BLS) projects that demand will remain high in this job as doctors and other healthcare professionals require blood ...

    Jayme Maley
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    When you graduate from Nursing School, you think you have learned all the skills you need to be prepared for working in the real world. Whether you’re working in a hospital, nursing home, or doctor’s office you know all your hard work, all the classes, clinicals, late-night study groups, and tests have prepared you for what’s ahead.

    Kurtis Kabel
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    Currently, there are more than 39 million people in the United States that are age 65 years or older. This number includes over 2.4 million people who openly identify as lesbian, gay, bisexual, transgender, or queer. As the baby boomer generation continues to age, caregivers for LGBTQ elders need to be sensitive to the concerns and history of LGBTQ ...

    Dawn Mangine
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    Occupational therapy asks: “What matters to you?” instead of “What’s the matter with you?” It’s a prime example of what differentiates occupational therapy from other physical therapy programs. Occupational therapists (OTs) focus on what is important to a patient, and they identify the important and valued activities that the patient will encounter in ...

    Katy Mogg
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    We are always aware of being thankful for first responders, especially our EMS cohorts. This year, after working with Ross/West View EMS, we learned of some not-so-obvious reasons to be thankful for them, too. Many first responders take on roles that you don't see every day, but which inform their skills and care. Sure, we recognize the blue ...

    Nicki Murff
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    In the age of social networking abundance, with sites like LinkedIn and Twitter providing constant industry updates and opportunities to connect, it can seem as though all our professional networking needs are already met. However, joining a simulation-related, in-person networking group and attending events can provide benefits in addition those ...

    Evan Stiger
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    In August of 2017, the American Heart Association (AHA) issued a directive that will take effect on January 31, 2019 requiring the use of a feedback device in all their adult cardiopulmonary resuscitation (CPR) courses. These devices should “provide learners with real-time, audio-visual corrective feedback on aspects such as compression rate, depth, and ...

    Dawn Mangine
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    In order to fight the threat of antibiotic and antimicrobial resistance (AR/AMR), the United States Department of Health and Human Services (HHS) and the Centers for Disease Control and Prevention (CDC) are heading up an effort to meet the AMR Challenge. CDC officials think pharmacists can play a vital role in addressing and preventing antibiotic ...

    Kurtis Kabel
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    Simulation has seen many milestones and advances over the years. In a 2013 NCSBN multi-simulation national study, evidence was presented to show that nursing education can substitute clinical time with simulation without harming the educational outcome and learning aspect for the students. It’s not only colleges and universities that can benefit from ...

    Anthony Battaglia and ...
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    Simulation-based education has been defined as using standardized participants (SPs), High-Mid-Low fidelity simulators, and medical equipment to afford students an opportunity to be presented with a set of conditions and evaluate problems realistically. The student is required to respond to the problem(s) as he or she would in real life. The decisions ...

    Dawn Mangine
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    The last line between a patient and medication errors is at the pharmacy. Pharmacists and pharms techs are accessible and trusted healthcare providers, and they catch a lot of mistakes before harm can come to patients. However, 21 percent of medication errors that affect patients may stem from dispensing errors at the pharmacy, so extra vigilance can be ...

    Todd Vreeland
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    Emergency Medical Services (EMS) as a career has come far since the National Academy of Sciences 1966 white paper, Accidental Death and Disability: The Neglected Disease of Modern Society. Our first two generations of leaders, educators, providers, and medical directors have brought us a long way, but in comparison to the other fields of medicine, we ...

    Nicki Murff
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    Using moulage in your in-class simulations can be one of the best ways to prepare students for what to expect in their clinical positions. When students have the chance to encounter a situation within the safety of a simulation, they can ask questions and hone their response skills. We’ve prepared a short moulage how-to video and step-by-step to assist ...

    Bailey Salvati
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    With 350,000 people suffering cardiac arrest outside the hospital and over 200,000 suffering cardiac arrest in a hospital setting, the ability for people (both bystanders and medical professionals) to perform cardiopulmonary resuscitation, commonly known as CPR, correctly has become critically important. If CPR is performed accurately and immediately, ...

    Nicki Murff
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    First responders encounter traumatic scenes every day, whether they are arriving to the scene of a car accident, responding to a domestic or sexual violence situation, or serving a community in the aftermath of a natural disaster. In cases like these, it is crucial that emergency personnel respond to the victims, survivors, and family members with ...

    Nicki Murff
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    This week, the United States Food and Drug Administration (FDA) made headlines when it approved its first pharmaceutical drug derived from the marijuana plant. Epidiolex®, from GW Pharmaceuticals, is an oral medication made of cannabidiol (CBD), one of the chemical compounds found in the cannabis plant. Unlike tetrahydrocannabinol (THC), another cannabis ...

    Kurtis Kabel
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    In 2017, data from a national Center for American Progress (CAP) survey showed that 14 percent of LGBTQ (lesbian, gay, bisexual, transgender, and queer) patients had experienced discrimination based on their sexual orientation or gender identity, and that they had avoided or delayed crucial medical assistance because of this type of discrimination from a ...

    Justina Luckey
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    Pharmaceutical compounding is a way of creating customized medication. Compounded medications are made by combining ingredients in the exact strength and dosage formulated for an individual patient. Compounding is used when a patient is allergic to a component of a medication, or to present the medication in a different form – instead of a capsule, a ...

    Dawn Mangine
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    Pharmacists used to be the medication authorities in white lab coats who dispensed relief from behind high counters. They were seldom called on to interact with patients. For that matter, they seldom collaborated with other health care providers; it was a very segmented industry, with doctors handing out orders, and patients expected to follow them ...

    Katy Mogg
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    Katy Mogg, who was Tradeshow Coordinator in 2018, had the privilege of tagging along to observe the Ross/West View EMS Division on one of their quarterly training weekends. During the exercise, she learned what it takes for an educator to create teachable moments in the midst of simulated chaos. Below are a few tips for making a mock ...

    Guest Poster
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    The decision to complete an RN-MSN program led me to Robert Morris University, in Pittsburgh, Pennsylvania, and into healthcare simulation at the Research and Innovation in Simulation Education (RISE) Center. I was part of an initial expansion where part-time instructors were hired to supplement a growing simulation schedule, even though at the time, I ...

    Todd Vreeland
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    Realistic formative and summative scenarios are how we in EMS education fulfill the mantra, “Train like we fight.” Formative scenarios reinforce the learning process with perfect practice by providing frequent and accurate feedback to ensure automatic delivery of the skills (NREMT, 2015). Summative scenarios are used to evaluate a student’s ability to ...

    Jayme Maley
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    Once the tool of assassins and murderers, cyanide is now a highly regulated drug. However, while cyanide is hard to obtain for any type of political intrigue or anonymous poisoning (think of the still-unsolved 1983 Tylenol murders in Chicago), it is a toxic by-product of burning building materials. As such, EMS professionals and other first responders ...

    Anthony Battaglia
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    At Pocket Nurse®, we make it our goal to enhance suitable learning environments for future healthcare professionals.

    As part of this responsibility, which we take very seriously, we make a point to attend trade shows that focus on nursing education, simulation in healthcare, EMS training, pharmacy education, and other areas of professional healthcare ...

    Dawn Mangine
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    Caregivers have a few tools and guidelines to manage polypharmacy, which is taking five or more medications daily. Polypharmacy affects older patients the most because of their age and a significant burden of decreased physical functioning. Adverse drug events (ADEs) lead to an increased risk of falls, increased delirium, more hospital admissions, and in ...

    Dawn Mangine
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    The term “deprescribing” first appeared in medical literature in 2003. It describes the practice of backing off a prescribed medication when doses are too high, or stopping medications that are no longer needed. Deprescribing is a strategy to deal with polypharmacy, which is taking five or more medications daily.

    Dawn Mangine
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    Although our primary audience is made up of nurse educators, we strive to bring to light important topics for educators in other fields as well, such as EMS instructors and allied health educators. In addition, we don’t want to use this space to brag about what we know and how we can solve your problems – we actively reach out to other experts and give ...

    Evan Stiger
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    Airway management is one of the most important jobs for pre-hospital care providers, but it isn’t always as straightforward as placing an endotracheal tube (ET). For example, how do you place a tube while the patient is vomiting? One answer is the SALAD technique, as developed and defined by James DuCanto, MD, staff anesthesiologist and Director of the ...

    Dawn Mangine
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    Allied health professions are those professions that deal with health care, and include many well-known non-nurse, non-physician roles. Among these professions are physical therapist, anesthesia technician, dental hygienist – and many, many more. Allied health professionals work in the healthcare system to provide diagnostic, technical, therapeutic, and ...

    Dawn Mangine
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    The United States Pharmacopeial Convention’s Chapter 800 (USP 800) provides guidance for personnel handling of hazardous drugs; it was published in February of 2016, and will become effective in the next two years. Before USP 800, guidelines for compounding preparations differentiated between sterile and non-sterile preparations (USP 797 and 795), but ...

    Evan Stiger
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    Healthcare experiences exponential technological improvements each year. In order to prepare students for their clinical rotations and entry-level positions, simulation must advance just as quickly. Educators must keep in mind advancements as they gain prominence among services. Here are some of our favorite innovations from EMSWorld Expo 2017.