Health and Safety
CDC Centers for Disease Control and Prevention Offers Immunization Update 2009
Monday, 03 August 2009 07:55
  • A National Center for Immunization and Respiratory Diseases
    Centers for Disease Control and Prevention Public Health Training Network Satellite Broadcast and Web cast.
  • Provides 2.5 Free CE Credits

This live satellite broadcast/web cast was broadcast on July 30, 2009.  But you can take the self-paced programs for 2.5 free CE throughout the month of August on the CDC site listed below. The Web cast will provide up-to-date information on the rapidly changing field of immunization. Anticipated topics include influenza (including novel H1N1 AND seasonal influenza), rotavirus, vaccine safety and vaccine supply. One so-called "alternative" vaccine schedule and other emerging vaccine issues will also be discussed along with changes in contraindications for certain vaccines and new scheduling of dosages. There is an incredible amount of new knowledge...so get ready.

To access:

Broadcast at www2a.cdc.gov/TCEOnline
classes: WC1527 or WC1528

http://www2a.cdc.gov/phtn/webcast/immupdate2009/default.asp

http://www.cdc.gov/vaccines/pubs/ACIP-list.htm

There will also be community satellite feeds to different sites in Hawai'i for both morning and afternoon sessions of this update. Registration for these seminars must be made by August 14, 2009 to Lee-Ann Choy of the Hawai'i Department of Health at 808-864-9812. She will also be able to give you more information on these sites on the different islands.

 
Seasonal Influenza and PPSV Vaccination Pocket Guides -- Order Now!
Friday, 10 July 2009 09:11

By Diane C. Peterson, on behalf of the National Influenza Vaccine Summit

Dear Colleague:

Most vaccine manufacturers are on schedule to have significant supply of
seasonal influenza vaccine for the 2009-10 vaccination season and are
currently working on the production of pandemic influenza vaccine. A
decision about administering pandemic influenza vaccine will be made
later this summer. While awaiting this decision, CDC stresses the
importance of providing pneumococcal and seasonal influenza vaccines to
all persons indicated to receive them.

To facilitate vaccination against seasonal influenza, the National
Influenza Vaccine Summit is once again producing a laminated influenza
vaccination pocket guide to assist healthcare professionals in
vaccinating patients against seasonal influenza. Other than the dates
and the insertion of the word "seasonal," the information in the
proposed 2009-10 pocket guide will be basically the same as that found
in the 2008-09 version. Therefore, healthcare providers may continue to
use the "2008-09 Influenza Vaccination Pocket Information Guide" or use
the proposed 2009-10 version. Please note that we won't be able to make
a decision about the production of a pandemic influenza pocket guide
until later this summer.

In addition, the Summit is seeking funding for the production and
distribution of a laminated "Pneumococcal Polysaccharide Vaccination
Pocket Guide" as a companion to the influenza pocket guide. CDC
continues to recommend vaccination against pneumococcal infections with
either pneumococcal polysaccharide vaccine (PPSV) or, for children
younger than 5 years, pneumococcal conjugate vaccine (PCV). Indications
for use of these vaccines have not changed in response to the
circulation of the pandemic influenza virus; however, a greater risk of
community-acquired bacterial pneumonia following influenza infection has
been reported to be greater during influenza pandemics. Healthcare
providers should therefore be alerted to the importance of administering
PPSV to all people for whom it is recommended: unvaccinated people age
65 years and older, as well as younger people who are at increased risk
for pneumococcal disease.

These pocket guides are intended for use by healthcare providers only,
not by patients. Please discourage your members from ordering individual
copies from the National Influenza Vaccine Summit or the Immunization
Action Coalition as we have neither staff nor the funding to fill such
orders.

Both pocket guides will be available at no cost to your agency or
organization. To estimate the quantity of both pocket guides that we
need to print, we need you to please place your order as early as
possible but no later than July 31. If we are unable to secure funding
for the PPSV guides, we will notify you via email. To order either or
both pocket guides in quantity, go to
http://www.preventinfluenza.org/pocketguides From this page, you can
view the current drafts of full-sized images of each pocket guide. We
hope to begin shipping in August.

For up-to-date information on both seasonal and pandemic influenza,
visit the website of the National Influenza Vaccine Summit at
www.preventinfluenza.org

Diane C. Peterson, on behalf of the National Influenza Vaccine Summit
Associate Director for Immunization Projects
Immunization Action Coalition
This e-mail address is being protected from spambots. You need JavaScript enabled to view it

 
Nurse positioning system, the new GPS
Thursday, 08 January 2009 05:36

by A. Seraphina Lin
Nov 17, 2008

ALEXANDRIA, Va -- When a patient needs a nurse, time is critical. Hospitals around the country are responding by putting in place new technology that requires nurses to wear a locator badge for real-time tracking.

Hill-Rom Services Inc., a leader in this technology, created the COMLinx Nurse Communication Module --  and business is booming, according to account executive Gregg Fitzpatrick.

“Right now, if you look at our market, we’re probably growing about 20 percent easily across the country,” Fitzpatrick said.

The badges function like a GPS device by tracking each nurse’s movements throughout the day. But not everyone has embraced this new technology.

“Our nurses are extremely suspicious of them,” said Mary MacDonald, health care director for the American Federation of Teachers, which represents 50,000 nurses nationwide. Locator badges show management’s distrust of their nurses, MacDonald said.

But hospital managers are quick to point out the benefits of the system. “We could more quickly identify where someone was, versus having to walk around the unit trying to find someone, or calling overhead disturbing the patients and creating more noise,” said Fran Charlton, senior director of nursing operations at Inova Alexandria hospital.

According to Fitzpatrick, the system averages about $2,500 per bed but prices can vary depending on the layout of the unit.

“I don’t know why in this time of short budgets hospitals would choose to spend huge amounts of money on a tracking system for their nurses,” the AFT's MacDonald said.

The system works by relaying every nurses’ position to the front desk and to intercoms placed on the walls and rooms of the hospital. When a patient needs a nurse, the front desk locates the nurse though the system, calls the nurse through an intercom at that location, and tells the nurse what the patient needs. Nurses can also use the intercoms to locate and call each other if they need additional assistance.

“It’s really just saved me unnecessary steps,” said Tracey Roberts, a registered nurse at Inova Alexandria hospital.

The system also records when a patient calls and the response time to that call. Hospital can use the data to determine how to staff a unit depending on the volume of calls, Fitzpatrick said.

But union representatives are concerned that hospitals will use records of tracking response time to discipline nurses. “How much more stressful does that make the job and how much more difficult to retain nurses who already find the conditions too stressful, “ MacDonald said.

Discipline is not the main purpose of the system, Charlton said, and nurses on her staff seem pleased with the extra help. “It’s meant to make sure we meet our patient’s needs in a timely manner and that’s really what it’s all about,” Charlton said.

 
Centers for Medicare and Medicaid Services (CMS) Adds Three New Hospital-Acquired Conditions
Monday, 08 December 2008 05:38

On July 31, 2008 the Centers for Medicare & Medicaid Services (CMS) added three new "hospital-acquired conditions" (HACs), in the final rule for the Medicare acute care inpatient prospective payment system (IPPS):

  • Surgical site infections following certain elective procedures, including certain orthopedic surgeries, and bariatric surgery for obesity;
  • Certain manifestations of poor control of blood sugar levels; and
  • Deep vein thrombosis or pulmonary embolism following total knee replacement and hip replacement procedures.

These conditions will incur a lower Medicare reimbursement rate unless patient records show the condition was "present on admission" (POA). The eight previously selected HACs are: object left in surgery; air embolism; blood incompatibility; catheter-associated urinary tract infection; pressure ulcers; vascular catheter-associated infection; surgical site infection – mediastinitis after CABG (coronary artery bypass graft); and falls (and additional injuries). Hospitals began reporting on these in October 2007, for payments starting October 2008.

 
Six Health Groups to Hold Webcast On Dangers of Synthetic Fragrances
Sunday, 12 October 2008 05:32

The American Association of Occupational Health Nurses Inc. has joined forces with five other health care organizations to offer a Webcast on Nov. 15 on reducing exposure to synthetic fragrances, saying they pose a health risk to 20 percent of the workforce.

The Webcast, supported in part by a grant from the Nurses Work Group of Health Care Without Harm, is scheduled to be held from 2:00 to 3:30 EST. The deadline for registration is Oct. 13.
"Our partners for this Webcast join us in supporting and promoting the important of a fragrance-free workplace as just one of many health and safety programs that can benefit workers and ultimately have a positive impact on productivity and a company's bottom line," Richard Kowalski, president of AAOHN, said in a Sept. 15 statement.

Synthetic fragrances can pose a serious health hazard, according to the nurses' association. Chemical compounds in synthetic fragrances can cause physical irritation and discomfort, sometimes leading to serious health effects, and can affect workers' ability to perform, it said.

Joining the AAOHN are the Asthma and Allergy Foundation of America, Decatur Memorial Hospital in Illinois, the Massachusetts Nurses Association, the Alabama State Nurses Association, and the University of Maryland School of Nursing.

Asthma, Migraine Headaches

"Asthma and migraine headaches can both be associated with exposure to fragrances and are both leading causes of lost work time," Evie Bain, a nurse with the Massachusetts Nurses Association, and a co-presenter of the Webcast, said in the statement. "Understanding the components of a fragrance-free workplace policy is imperative to protecting our health and the air we breathe at work," she said.

"The Institute of Medicine placed fragrance in the same category as second hand smoke in triggering asthma in adults and school age children," Bain said.

The Centers for Disease Control and Prevention claims that 22.2 million Americans were diagnosed with asthma in 2005, the statement said. Each year, an average of 504,000 Americans are hospitalized for asthma-related symptoms, it said.

The Webcast, Reducing Workplace Exposure to Synthetic Fragrance, is free for AAOHN members and is $25 for affiliates of partnering organizations, the statement said. For nonmembers and nonaffiliates, registration is $75 online and $85 by fax. The Webcast offers 1.5 continuing nursing education contact hours.

Additional information on the Webcast is available at http://www.aaohn.org or by telephone at (770) 455-7757