Bold Voices - July 2013 - (Page 16)

AT THE BEDSIDE Can iPads Disrupt Function of Implanted Heart Devices? T he iPad may be entertaining, but it can be dangerous to patients with an implanted heart device, according to a study on the effects of magnets in both devices. According to “iPads Could Affect Implanted Heart Devices, Early Study Finds,” in HealthDay, 30 percent of the 27 patients studied received electromagnetic interference with their implanted device when an iPad 2 was placed directly on their chest, as if they had fallen asleep while using it. Of participants with an implantable cardio- 16 Geriatric EDs in the Future? One hospital cut 30-day readmission rate for seniors by 19 percent. G verter defibrillator, 19 Less disruption percent experienced reported with interference, but there were no issues with distance and among pacemakers or loop participants with recorders. Lead author Gianna more chest area fat. Chien, a California high school freshman and daughter of a cardiologist, presented her limited study at the Heart Rhythm Society’s annual meeting in Denver. She observed a rapid drop-off of interference with distance, and participants with more fat in their chest area had less interference. The study participants were at least 50 years old, and 24 of the 27 were male. The teen researcher notes that, in addition to expanding the study, a wider variety of devices should be tested. Although the study is preliminary, one expert unaffiliated with the study tells HealthDay that physicians should discuss potential risks from electronic devices and encourage frequent checking for correct functionality. “No more, ‘set it and forget it’,” says Salvatore Insinga, a neurosurgeon at Cushing Neuroscience Institute at North Shore-LIJ Health System, in New York. eriatric emergency departments (EDs) may be the wave of the future as hospitals seek to trim healthcare costs by reducing readmission rates and ED visits, reports an article in The Daily Briefing. A year after opening its geriatric ED in 2009, St. Joseph’s Regional Medical Center in Paterson, N.J. — one of three hospitals testing the model — cut 30-day readmission rates for seniors from 20 percent to less than 1 percent, according to “Why Geriatric EDs May Be the Wave of the Future,” in The Daily Briefing. Features include reduced noise and dim lighting, thicker mattresses to prevent pressure injuries and floors with dull finishes to help avoid falls. Staff members evaluate patients for dementia and depression, and a pharmacist reviews all prescriptions to avoid potentially harmful drug interactions. After the visit, nurses call patients within 48 hours to check on prescriptions, follow-up visits and home-care arrangements. “Prior to our opening, our patient satisfaction rate for those 75 and older was in the 50th percentile,” Mark Rosenberg, St. Joseph’s chairman of emergency services, says in a related article in the North Jersey Record. “We’ve gone to the 100th percentile.” St. Joseph’s is sharing a $12.7 million grant to test the model with Mount Sinai Medical Center in New York and Northwestern Hospital in Chicago. The goal is to reduce hospitalizations of older patients by 7 percent and ED visits by 12 percent at those three institutions, saving $41 million over three years.

Table of Contents for the Digital Edition of Bold Voices - July 2013

Front/Digital Edition Viewing Guide
Another Angle
We Welcome New, Thank Off-going National Board Members
Managers Note Less Professionalism Among Nurses
Joint Commission: Alarm Fatigue Can Be Deadly
Many Nurses Subject to Workplace Violence
Sharps Injuries Continue to Pose Work Hazard
Medicare Commission Explores Pay Inequality for APRNs
NTI 2013 in Photos
Can iPads Disrupt Function of Implanted Heart Devices?
Copper Surfaces Can Cut in Half the Risk of HAI
In OurJournals
Boston Eds Ready for Emergencies, Some Airlines Unprepared
AACN Scholarships Support Your Future
Visionary Leaders Recognized at NTI
Step Forward

Bold Voices - July 2013