scholarly journals Nursing Leadership During COVID-19: Leading an Inpatient Response at a Regional Military Medical Center

2021 ◽  
Vol 186 (Supplement_2) ◽  
pp. 50-55
Author(s):  
Ekerette U Akpan ◽  
William O Murray ◽  
Mario A Vergara ◽  
Sarah J Murray ◽  
Christopher H Stucky ◽  
...  
Keyword(s):  
Imperfect Information ◽  
Medical Center ◽  
Healthcare Delivery ◽  
Healthcare Systems ◽  
Lessons Learned ◽  
Service Members ◽  
Medical Community ◽  
Regional Medical ◽  
Regional Medical Center ◽  
Pandemic Response

ABSTRACT The coronavirus disease 2019 pandemic stressed healthcare systems worldwide and exposed major flaws in military and civilian healthcare systems. Landstuhl Regional Medical Center (LRMC) serves as the only military medical center for over 205,000 U.S. service members, beneficiaries, and coalition partners stationed throughout Europe, Africa, and the Middle East. The pandemic response required LRMC leaders to reconfigure services to meet pandemic concerns while providing lifesaving care to injured service members from combatant commands. The quickly evolving pandemic challenged leaders to ensure healthcare delivery amid constant change and imperfect information. While LRMC senior leaders developed a strategic pandemic response plan, a multidisciplinary team of nurses, doctors, and technicians collaborated to create an inpatient team to support the dual mission of coronavirus disease 2019 response and casualty care for the warfighter. In this manuscript, we discuss how a multidisciplinary clinical working group at a regional medical center prepared and responded to the pandemic, strategically planned patient care, and ensured support to combatant commands for ongoing forward military operations. Additionally, we share our experiences and lessons learned to inform other military facilities across the medical community and global healthcare systems.

scholarly journals Call us nurse champions: Lessons learned in strategic partnership with nurses in clinical research

2020 ◽  
Vol 8 (4) ◽  
pp. 13
Author(s):  
Rebecca Koszalinski ◽  
Theresa Day ◽  
Clay Kyle
Keyword(s):  
Clinical Research ◽  
Nurse Managers ◽  
Research Study ◽  
Medical Center ◽  
Education And Training ◽  
Lessons Learned ◽  
Strategic Partnership ◽  
Regional Medical ◽  
Regional Medical Center ◽  
And Training

This manuscript reports the perspectives of nurse managers who participated in a study at a regional medical center. The information is reported through verbatim comments that emerged through a discussion of “lessons learned”. Nursing comments are organized as the conversation flowed. The nurse managers that participated in a recently concluded study were most concerned about how any research study will affect their patients and how nurse workflow may be interrupted. Pre-established meeting times (huddles) worked best for education and training. Further, they suggested incentives may be effective; however, recognition as nurse champions and inclusion of nurse voice are preferred.

scholarly journals A Legacy of Lessons Learned: Landstuhl Regional Medical Center During Wartime, 2001–2014

2018 ◽  
Vol 46 (1) ◽  
pp. 20
Author(s):  
Amanda Homce
Keyword(s):  
Medical Center ◽  
The United States ◽  
September 11 ◽  
Lessons Learned ◽  
Care Hospital ◽  
East Europe ◽  
Us Military ◽  
Regional Medical ◽  
Regional Medical Center ◽  
Injured Patients

A Legacy of Lessons Learned by Karen Hennessy is a mix of history and organizational practice focused on the Landstuhl Regional Medical Center (LRMC), the largest US military medical facility in Europe. Before September 11, 2001, LRMC was a general care hospital for US military personnel and their families stationed in Europe. As troops were distributed to parts of the Middle East, Europe, and Africa in conflicts following September 11, 2001, LRMC developed into a premier trauma center caring for service members wounded in US military conflicts and then evacuated to LRMC. LRMC became a transition point for wounded and critically ill soldiers evacuated from their deployment, with approximately 20 percent of patients being returned to duty while many injured patients were transported on to facilities in the United States within 96 hours of arrival at LRMC.

Rewards and Challenges of Nursing Wounded Warriors at Landstuhl Regional Medical Center, Germany

2010 ◽  
Vol 45 (2) ◽  
pp. 205-218 ◽  
Author(s):  
Nancy M. Steele ◽  
Ann Kobiela Ketz ◽  
Kathleen D. Martin ◽  
Dawn M. Garcia ◽  
Shannon Womble ◽  
...  
Keyword(s):  
Medical Center ◽  
Regional Medical ◽  
Regional Medical Center ◽  
Wounded Warriors

scholarly journals An Examination of Individualism within Employee Help-Seeking Networks

2018 ◽  
Vol 8 (4) ◽  
pp. 1
Author(s):  
Randall P. Settoon ◽  
Sang H. Lee
Keyword(s):  
Help Seeking ◽  
Medical Center ◽  
Future Research ◽  
Dense Networks ◽  
Helping Others ◽  
Regional Medical ◽  
Regional Medical Center ◽  
The Impact ◽  
The Relationship

Prior research focusing on the impact of individualistic orientations on the performance of cooperative behaviors has produced mixed results. Researchers have concluded that the self-focused orientation of individualists will lead them to be less cooperative than others. On the other hand, some scholars have argued that helping others is core to individualists’ self-concept and that competently assuming the role of help-giver is a source of intrinsic satisfaction. In this study, we test this proposition by examining individualistic orientations within employee help-seeking networks. Results from a sample of 107 employees within a regional medical center indicate that the level of individualism in helping-seeking networks is positively associated with help-seekers’ perceptions of support. Further, the results suggest that the relationship is stronger in dense networks. Implications of this work and directions for future research are discussed.

An Evaluation of Snake Bites and Antivenin Use at a Regional Medical Center

2010 ◽  
Vol 76 (7) ◽  
pp. 755-758
Author(s):  
Larry I. Watson ◽  
Christy Spivey ◽  
Cen Rema Menon ◽  
Cyrus A. Kotwall ◽  
Thomas V. Clancy ◽  
...  
Keyword(s):  
Medical Center ◽  
Length Of Hospital Stay ◽  
Clinical Information ◽  
P Value ◽  
Fisher Exact Test ◽  
Exact Test ◽  
Snake Bites ◽  
Regional Medical ◽  
Regional Medical Center ◽  
Physical Findings

Snake bites are a rare but challenging problem for surgeons. The purpose of our study was to evaluate our experience with snake bites at a regional medical center. We reviewed patients treated for snake bites from 2004 to July 2008. Demographics, clinical information, and outcomes were documented. Descriptive statistics were used, and χ2, t test, and Fisher exact test were used to compare patients based on antivenin use. A P value < 0.05 was considered significant. Over the study period, 126 patients presented to the emergency department with 44 (35%) requiring hospital admission. The average age was 38 years (range, 2 to 76 years); 66 per cent were male and 95 per cent white. Bites most commonly occurred in the summer and fall months with none from December through March. Copperhead bites accounted for 50 per cent of bites. An average of 4.8 vials of antivenin was given to 61 per cent of admitted patients with 93 per cent receiving the drug within 6 hours. Minor reactions to antivenin occurred in three patients (11%). Two patients required surgery (5%), and the readmission rate was 7 per cent. There was no known morbidity or mortality. When comparing patients who received antivenin with patients who did not, the only significant clinical variables were an increased prothrombin time (12.1 vs 11.7, respectively; P = 0.048) and a longer length of hospital stay (3 vs 1.8 days, P = 0.0006) in patients receiving antivenin. The majority of patients with snake bites can be treated with supportive care and antivenin when indicated. Antivenin use at our institution is largely based on physical findings and not related to laboratory values.

Sign in / Sign up

Export Citation Format

Share Document