Speed and accuracy of text-messaging emergency department electrocardiograms from a small community hospital to a provincial referral center

2015 ◽  
Vol 22 (2) ◽  
pp. 105-113 ◽  
Author(s):  
Frank Xavier Scheuermeyer ◽  
Brian E Grunau ◽  
Timothy Findlay ◽  
Eric Grafstein ◽  
Jim Christenson ◽  
...  
Keyword(s):  
Emergency Department ◽  
Text Messaging ◽  
Community Hospital ◽  
Small Community ◽  
Referral Center ◽  
Speed And Accuracy ◽  
Small Community Hospital

Speed and accuracy of mobile BlackBerry Messenger to transmit chest radiography images from a small community emergency department to a geographically remote referral center

2015 ◽  
Vol 22 (4) ◽  
pp. 244-251 ◽  
Author(s):  
Frank Scheuermeyer ◽  
Brian Grunau ◽  
Jay Cheyne ◽  
Eric Grafstein ◽  
Jim Christenson ◽  
...  
Keyword(s):  
Emergency Department ◽  
Chest Radiography ◽  
Small Community ◽  
Referral Center ◽  
Speed And Accuracy

Higher naloxone dosing may be required for opioid overdose

2019 ◽  
Vol 76 (22) ◽  
pp. 1835-1837 ◽  
Author(s):  
Russell Bardsley
Keyword(s):  
Emergency Department ◽  
Case Report ◽  
New Hampshire ◽  
Community Hospital ◽  
High Dose ◽  
Opioid Overdose ◽  
Small Community ◽  
Emergency Personnel ◽  
High Doses ◽  
Small Community Hospital

Abstract Purpose Carfentanil is a synthetic opioid with an estimated potency that is 10,000 times more than that of morphine and 100 times more than that of fentanyl. Although there is a paucity of evidence, when considering the potency of carfentanil, it is reasonable to speculate that larger doses of naloxone may be required to resuscitate patients after carfentanil ingestion. This case report discusses the use of high-dose naloxone in 2 patients with suspected carfentanil overdose presenting to a small community hospital. Summary Two patients with suspected carfentanil overdose presented to a 30-bed emergency department at a community hospital in New Hampshire. Cyanosis and respiratory distress were noted in both instances, and airway intervention was ultimately deemed necessary. Patient 1 required a total of 12 mg of naloxone to be successfully resuscitated, while patient 2 required a total of 10 mg for resuscitation. Both patients were successfully resuscitated with high doses of naloxone. The use of high-dose naloxone prevented the need for intubation in these patients. Conclusion While more robust studies should be considered, emergency personnel should be comfortable using higher-than-standard doses of naloxone in appropriate cases.

scholarly journals Efficacy of a Mentoring Program on Nurse Retention and Transition Into Practice

2018 ◽  
Vol 3 (2) ◽  
pp. 31
Author(s):  
Jacquelyn D. Szalmasagi
Keyword(s):  
Community Hospital ◽  
Retention Rates ◽  
Mentoring Program ◽  
Mentor Program ◽  
Small Community ◽  
Graduate Nurses ◽  
New Graduate Nurses ◽  
New Graduate ◽  
Transition Into Practice ◽  
Small Community Hospital

Background: The United States and countries around the world are often faced with a nursing shortage. Studies indicate the reasons for the shortages include low job satisfaction and other factors leading to decreased retention rates.Purpose: The purpose of this study was to determine if participating in a mentor program impacted the transition into practice and retention rates of new graduate nurses at a small community hospital in northern Indiana.Method: This was a retrospective, descriptive, quasi-experimental study. A total of 20 new graduate nurses were studied to determine whether participation in a mentoring program had any impact on their retention at the facility. The participants who completed the mentoring program were asked to complete a questionnaire which examined their perception of the correlation between their completion of the program and their transition into practice.Results: This study determined that participating in a mentor program impacted the transition into practice and retention rates of new graduate nurses at a small community hospital in northern Indiana. The questionnaire results indicated that participation in the mentoring program helped with the new graduate nurses’ transition into practice. This study was guided by Benner’s novice to expert theory.

No Implementation Without Representation: Real-Time Pharmacist Intervention Optimizes Rapid Diagnostic Tests for Bacteremia at a Small Community Hospital

2021 ◽  
pp. 001857872110375
Author(s):  
Brandon J. Tritle ◽  
Robert Watteyne ◽  
Abby Hickman ◽  
Todd J. Vento ◽  
Bert K. Lopansri ◽  
...  
Keyword(s):  
Real Time ◽  
Diagnostic Tests ◽  
Community Hospital ◽  
Statistical Significance ◽  
Pharmacist Intervention ◽  
Rapid Diagnostic Tests ◽  
Control Group ◽  
Small Community ◽  
The Impact ◽  
Small Community Hospital

Background: Rapid diagnostic tests (RDTs) for bacteremia allow for early antimicrobial therapy modification based on organism and resistance gene identification. Studies suggest patient outcomes are optimized when infectious disease (ID)-trained antimicrobial stewardship personnel intervene on RDT results. However, data are limited regarding RDT implementation at small community hospitals, which often lack access to on-site ID clinicians. Methods: This study evaluated the impact of RDTs with and without real-time pharmacist intervention (RTPI) at a small community hospital with local pharmacist training and asynchronous support from a remote ID Telehealth pharmacist. Time to targeted therapy (TTT) in patients with bacteremia was compared retrospectively across 3 different time periods: a control without RDT, RDT-only, and RDT with RTPI. Results: Median TTT was significantly faster in both the RDT with RTPI and RDT-only groups compared with the control group (2 vs 25 vs 51 hours respectively; P < .001). TTT was numerically faster for RDT with RTPI compared with RDT-only but did not reach statistical significance ( P = .078). Median time to any de-escalation was significantly shorter for RDT with RTPI compared with both RDT-only (14 vs 33 hours; P = .012) and the control group (14 vs 45 hours; P < .001). Median length of stay was also significantly shorter in both RDT groups compared with the control group (4.0 vs 4.1 vs 5.5 hours; P = .013). Conclusion: This study supports RDT use for bacteremia in a small community hospital with ID Telehealth support, suggesting additional benefit with RTPI.

Pharmaceutical Consultation in a Small Community Hospital

1975 ◽  
Vol 32 (10) ◽  
pp. 979-979
Author(s):  
Michael P. Tortorici
Keyword(s):  
Community Hospital ◽  
Small Community ◽  
Small Community Hospital

Medication discharge consultation program in a small community hospital

1981 ◽  
Vol 38 (4) ◽  
pp. 530-533
Author(s):  
Lorraine D. Perkins ◽  
Amy J. McCormack
Keyword(s):  
Community Hospital ◽  
Small Community ◽  
Small Community Hospital

Evidence-based practice in a small community hospital: A beginning

Nurse Leader ◽  
2006 ◽  
Vol 4 (2) ◽  
pp. 40-43
Author(s):  
Cheryl B. Stetler ◽  
Mary Beth Fairbrother
Keyword(s):  
Community Hospital ◽  
Evidence Based Practice ◽  
Evidence Based ◽  
Small Community ◽  
Small Community Hospital

Indwelling urinary catheter infections in small community hospital

Urology ◽  
1983 ◽  
Vol 22 (3) ◽  
pp. 255-258 ◽  
Author(s):  
Francis D. Pien ◽  
John Q. Landers
Keyword(s):  
Community Hospital ◽  
Urinary Catheter ◽  
Small Community ◽  
Catheter Infections ◽  
Small Community Hospital ◽  
Indwelling Urinary Catheter
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