Bold Voices - June 2018 - 15

AT THE BEDSIDE

Wound-Monitoring App
Helps Reduce Hospital
Readmissions

A

smartphone app called WoundCheck enables
patients to send a brief survey and images of
their surgical wounds for monitoring by nurse
practitioners.
The goal of "Feasibility of an Image-Based
Mobile Health Protocol for Postoperative Wound Monitoring,"
in Journal of the
American College of
Surgeons, is early
detection of surgical
site infection (SSI) and
preventing readmissions. SSI, the most
common and most
expensive hospital-acquired infection, is the
leading cause of postoperative readmission.
In all, 40 vascular
Wisconsin Institute of Surgical Outcomes Research
surgery patients
enrolled in the study, and 45 percent sent data every day for
two weeks. The overall submission rate was 90.2 percent, and
submissions were reviewed within an average of 9.7 hours of
submission. Seven wound complications and one false negative were detected.
"We set out to come up with a protocol
Patients felt where patients could become active particreassured,
ipants in their care and allow us to be in
closer communication and monitor their
knowing
wounds after they leave the hospital," lead
their wounds study author Rebecca Gunter, Wisconsin
were being
Institute of Surgical Outcomes Research,
adds in a related news release. "This
monitored
approach allows us to intervene at an
regularly.
earlier time rather than waiting for patients
to come back in after the problem has already developed past
the point of being able to manage it on an outpatient basis."
"Patients and their caregivers are willing to participate in
a mobile health program aimed at remote monitoring of postoperative recovery, and they are able to complete it with a high
level of fidelity and satisfaction. Preliminary results indicate
the ability to detect and intervene on wound complications,"
the study adds.
"Participant and provider satisfaction was universally
high." However, the success of a post-discharge wound-monitoring protocol requires a dedicated transitional care program,
not just adding a task to the staff's workload. d

A

lthough the
Apple Watch
Series 3 was
designed to
be health-centric, some
users are having difficulty using these watches
in the ICU.
"Apple Watch Series
3 Problem: Smartwatch
©PCmag.com
Reportedly Reboots Inside ICUs," in
International Business Times (IBT), explains that some ICU
equipment interferes with the device, causing it to randomly
reboot. Apple has not determined which specific equipment
is affecting the watches.
In a related
article on
9to5Mac.com,
a reader says
he purchased
a watch for his
wife, a nurse,
so she could check messages in the ICU, but her watch
"rebooted every 60 to 90 minutes in the presence of ICU
equipment and machines." None of the technical support
recommendations or even replacing the watch resolved the
issue, but the site notes that previous models don't seem
to be affected. Users have also been posting to the Apple
Communities page.

Apple Watch
Might Randomly
Reboot in ICUs

According to "Apple Watch User Guide,"
interference with medical devices is to
be expected, and "pacemakers, defibrillators, or any other medical device"
could be affected by smartwatch
components.

Pacemakers,
defibrillators
and other
medical
devices could
be affected by
smartwatch
components.

The article in IBT adds, "So far, users
are saying that the only workaround is
to switch the Apple Watch Series 3 to
airplane mode. While this prevents the
device from randomly rebooting every so often, it defeats the
purpose of having the smartwatch to receive notifications or
connect to the internet or a paired iPhone."
"It's possible the issue, which appears limited to the specific
Apple Watch generation in specific hospital environments,
could be resolved through a software update in the future,"
notes the related article. d

REFERENCE: Gunter RL, Fernandes-Taylor S, Rahman S, et al. Feasibility of an imagebased mobile health protocol for postoperative wound monitoring. J Am Coll Surg.
2018;226(3):277-286.

www.aacnboldvoicesonline.org 15


http://www.ibtimes.com/apple-watch-series-3-problem-smartwatch-reportedly-reboots-inside-icus-2636782 http://www.journalacs.org/article/S1072-7515(17)32152-X/abstract http://www.ibtimes.com/apple-watch-series-3-problem-smartwatch-reportedly-reboots-inside-icus-2636782 http://www.journalacs.org/article/S1072-7515(17)32152-X/abstract http://www.ibtimes.com/apple-watch-series-3-problem-smartwatch-reportedly-reboots-inside-icus-2636782 http://www.9to5Mac.com https://manuals.info.apple.com/MANUALS/1000/MA1805/en_US/apple-watch-series3-info.pdf https://www.facs.org/media/press-releases/2018/wound011918 http://www.aacnboldvoicesonline.org

Table of Contents for the Digital Edition of Bold Voices - June 2018

Urine
The Power of Possibility
Sepsis: What Nurses Can Do
New Sepsis Bundle From Surviving Sepsis Campaign
Understanding CERPs for Specialty Certification Renewal
In Our Journals
Transitions
America’s ‘Other’ Drug Problem Needs Attention
Effect of Haloperidol on Reducing Mortality
Transitional Care Nurses Can Reduce Admissions of Older Patients
ASHP Developing Standardized Medication Concentrations
Online AACN Course on Care of Older Adults
Hospital Programs Help Employees Cope With Traumatic Events
National Summit on Identification, Prevention and Management of Burnout
Barbershops Help Black Patrons Control Hypertension
Nurse Treats Himself for Myocardial Infarction Using Telehealth
We Have Consensus: TeleICU Continues to Evolve
Cooking Classes Help Patients With CHF
Beware of Chicken Nuggets — and Other Ultra-Processed Foods
Apple Watch Might Randomly Reboot in ICUs
Wound-Monitoring App Helps Reduce Hospital Readmissions
All Antidepressants Beat Placebo for Acute Major Depressive Disorder
Patients’ Online Search Trends
‘Timeout’ Reduces Medication Errors
Possible Link Between High Fitness and Reduced Risk of Dementia
DAISY Award Honors Nurses Who Exemplify Exceptional Compassion and Skill
Interviews With Two Acute Care Nurse Practitioners
Hiring for Cultural Fit
AACN Unveils Updated Online Pharmacology Course
Appreciating the Little Things
Bold Voices - June 2018 - Cover1
Bold Voices - June 2018 - Cover2
Bold Voices - June 2018 - Urine
Bold Voices - June 2018 - The Power of Possibility
Bold Voices - June 2018 - New Sepsis Bundle From Surviving Sepsis Campaign
Bold Voices - June 2018 - Understanding CERPs for Specialty Certification Renewal
Bold Voices - June 2018 - Transitions
Bold Voices - June 2018 - Effect of Haloperidol on Reducing Mortality
Bold Voices - June 2018 - Online AACN Course on Care of Older Adults
Bold Voices - June 2018 - National Summit on Identification, Prevention and Management of Burnout
Bold Voices - June 2018 - Nurse Treats Himself for Myocardial Infarction Using Telehealth
Bold Voices - June 2018 - We Have Consensus: TeleICU Continues to Evolve
Bold Voices - June 2018 - 13
Bold Voices - June 2018 - Beware of Chicken Nuggets — and Other Ultra-Processed Foods
Bold Voices - June 2018 - Wound-Monitoring App Helps Reduce Hospital Readmissions
Bold Voices - June 2018 - Patients’ Online Search Trends
Bold Voices - June 2018 - Possible Link Between High Fitness and Reduced Risk of Dementia
Bold Voices - June 2018 - DAISY Award Honors Nurses Who Exemplify Exceptional Compassion and Skill
Bold Voices - June 2018 - 19
Bold Voices - June 2018 - Hiring for Cultural Fit
Bold Voices - June 2018 - AACN Unveils Updated Online Pharmacology Course
Bold Voices - June 2018 - Appreciating the Little Things
Bold Voices - June 2018 - Cover3
Bold Voices - June 2018 - Cover4
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