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
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_202004
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_202003
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_202002
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_202001
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_201912
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_201911
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_201910
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_201909
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_201908
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_201907
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_201906
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_201905
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_201904
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_201903
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_201902
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_201901
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_201812
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_201811
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_201810
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_201809
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_201808
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_201807
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_201806
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_201805
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_201804
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_201803
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_201802
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_201801
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_201712
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_201711
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_201710
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_201709
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_201708
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_201707
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_201706
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_201705
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_201704
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_201703
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_201702
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_201701
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_201612
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_201611
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_201610
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_201609
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_201608
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_201607
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_201606
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_201605
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_201604
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_201603
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_201602
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_201601
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_201512
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_201511
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_201510
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_201509
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_201508
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_201507
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_201506
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_201505
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_201504
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_201503
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_201502
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_201501
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_201412
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_201411
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_201410
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_201409
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_201408
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_201407
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_201406
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_201405
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_201404
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_201403
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_201402
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_201401
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_201312
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_201311
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_201310
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_201309
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_201308
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_201307
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_201306
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_201305
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_201304
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_201303
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_201302
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_201301
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_201212
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_201211
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_201210
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_201209
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_201208
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_201207
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_201206
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_201205
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_201204
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_201203
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_201202
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_201201
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_201112
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_201111
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_201110
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_201109
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_201108
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_201107
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_201106
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_201105
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_201104
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_201103
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_201102
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_201101
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_201012
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_201011
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_201010
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_201009
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_201008
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_201007
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_201006
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_201005
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_201004
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_201003
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_201002
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_201001
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_200912
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_200911
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_200910
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_200909
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_200908
https://www.nxtbook.com/nxtbooks/aacn/boldvoices_200907
https://www.nxtbookmedia.com