Bold Voices - June 2018 - 9

AT THE BEDSIDE

Transitional Care Nurses
Can Reduce Admissions
of Older Patients

of TCNs on 5,930 of
57,287 patients ages
65 and older in the
EDs of these hospitals
from January 2013 to
June 2015. TCNs, who
were nurses or nurse practitioners,
ransitional care nurses
assessed patients for "cognitive func(TCNs) in a hospital's emertion, delirium, agitation, functional
gency department (ED)
status, falls risk, and caregiver strain,"
can reduce the admissions
notes the related article, adding that
of older patients seen on
42 percent of patients screened were
arrival an average of 10 percent.
admitted.
"Geriatric Emergency Department
"After accounting for observed
Innovations: Transitional Care
selection bias using entropy balance,
Nurses and Hospital Use," in Journal
results showed that
of the American Geriatrics
Patients who saw when compared to
Society, considers the impact
of the Geriatric Emergency
a transitional care controls, TCN contact
was associated with
Department Innovations in Care
nurse had a 10
lower risk of admisthrough Workforce, Informatics
percent lower risk sion," the study notes.
and Structural Enhancements
(GEDI WISE) initiative.
of being admitted, At two hospitals, inpatient admission rates
The model is being tested
on average.
remained lower over
at Mount Sinai Health System
the subsequent 30 days for patients
in New York; St. Joseph's Regional
treated by a TCN and discharged from
Medical Center in Paterson, New Jersey;
the ED. There was a greater risk of
and Northwestern Memorial Hospital
72-hour ED revisit at the third hospital.
in Chicago, notes a related article in
The study concludes, "Targeted
Nursing Times.
evaluation by clinically trained
The prospective observational
nursing staff focused on improving
cohort study evaluated the effects

T

ASHP Developing
Standardized
Medication
Concentrations

the ED transitions of care may be an
effective delivery innovation to reduce
likelihood of hospital admission,
subsequent complications, loss of function and independence associated with
hospitalizations, and costly inpatient
care." d
REFERENCE: Hwang U, Dresden SM, Rosenberg MS, et al.
Geriatric emergency department innovations: transitional
care nurses and hospital use [published online January 10,
2018]. J Am Geriatr Soc. doi:10.1111/jgs.15235.

Online AACN Course on
Care of Older Adults
Featuring the latest evidencebased knowledge, "Optimizing
Care for Acutely Ill Older Adults"
teaches new and experienced
acute and critical care nurses to
differentiate between symptoms
and conditions of usual aging
and those arising from illness.
The measures discussed can help
prevent the unintended, costly
consequences of critical illness
and readmissions. The cost for
individuals is $55 (and there is
pricing for organizations). CE
contact hours are available.

N

ational standardized concentrations for intravenous (IV) and oral liquid medications are being developed.

The Food and Drug Administration awarded a three-year contract to the
American Society of Health-System Pharmacists (ASHP), Bethesda, Maryland.
"Working with partner organizations, hospitals, and pharmacist, nurse and physician
experts from across the continuum of care, Standardize 4 Safety [ashp.org] will create,
test, publicize, and support the adoption of these national standardized medication
contentions." This initiative, which includes "clinical, operation, and communication
components," is the "first national, interprofessional effort to standardize medication
concentrations in order to reduce errors and improve transitions of care."
ASHP invites everyone who's interested to participate in the review and discussion process and
join the initiative to share their comments. Stakeholder definitions include partner, supporter,
vendor, individual and regulatory. One common goal among these groups is endorsing standardization as an error-reduction strategy for IV and oral liquid medications.
AACN supports the initiative, with work group representation by past AACN board member Janice
Wojcik, director of nursing informatics, St. Joseph's Health, Paterson, New Jersey, and Joe Falise,
director of organizational learning, University of Miami Hospital and Clinics. d

ASHP invites
all interested
parties to
participate in
the review and
discussion.

www.aacnboldvoicesonline.org 9


http://onlinelibrary.wiley.com/doi/10.1111/jgs.15235/full http://onlinelibrary.wiley.com/doi/10.1111/jgs.15235/full http://onlinelibrary.wiley.com/doi/10.1111/jgs.15235/full https://www.aacn.org/education/online-courses/optimizing-care-for-acutely-ill-older-adults https://www.aacn.org/education/online-courses/optimizing-care-for-acutely-ill-older-adults https://www.ashp.org/Pharmacy-Practice/Standardize-4-Safety-Initiative https://www.ashp.org/Pharmacy-Practice/Standardize-4-Safety-Initiative/Proposed-Standard-Concentrations https://www.ashp.org/Pharmacy-Practice/Standardize-4-Safety-Initiative/Join-the-Initiative 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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