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Be Quick but Don't Hurry: A Nurse's Conundrum.

As nurses, we have an interesting challenge: We need to make sure we are doing our jobs as quickly and efficiently as possible while still making sure to carefully pay attention to and make note of every detail in the care process. This can be especially tricky when it comes to conditions like stroke where every second makes a difference. 

I sometimes pick on ER physicians for hesitating to give tPA for stroke despite data that supports administering, but the responsibility isn't 100% theirs. Our nursing skills play an important part in ensuring that a patient stays within the guidelines. As hospital systems, sometimes we push a little too hard to go straight to CT, for example. In general, I think pushing to go directly to CT is a good thing ... but problems arise when we get tunnel vision and forget the little things that can make a difference down the line. John Wooden, the legendary basketball coach of the UCLA Bruins, has a famous quote that I love: "Be quick, but don't hurry." 

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Broken Wrist? Or High-Speed Rollover ... How a Misheard EMS Report Nearly Cost a Life


Silly pager, emergencies are for modern technology!

I've written on this topic before, but I heard a story a few days ago that made it worth revisiting. The following is an all-too-familiar scenario to anyone still trying to use outdated systems of patched-together technology to coordinate critical care. 

The nurse in the Emergency Department at a level II Trauma Center was receiving report from EMS. To be honest, I don't know if this was a telephone called report, or one given over the radio. At the end of the day, the point is that the information shared by EMS wasn't received by the ED due to a poor connection. The nurse heard wrist injury, with a list of other seemingly minor injuries. Though there was a period that the connection was abysmal, she thought she captured all the information.

When EMS arrived, they were told to go to room 10 which isn't one of the major trauma rooms. When the nurse walked into the room to take report "again," the medic vented his frustration about the Trauma Team not being present. Upon taking the bedside report, the nurse realized that during that poor connection, the MOA was high-speed roll-over with partial ejection.

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Inside the Mind of a Stroke Program Consultant [EXCLUSIVE PODCAST]

What if you could get inside the mind of a Stroke Program Consultant who helps hospitals and EMS systems get ready for certification (through the Joint Commission, for example)? You'd probably want to know what things she commonly sees hospitals doing wrong. What tricks does she have for making sure your facility is ready?

Shane Elmore, Pulsara's Vice President for Clinical Innovation and Development, recently sat down for an interview with Debbie Roper, RN, MSN, President and Founder of Strokes R Us. Debbie is a consultant who travels across the country and advises hospitals that are going through the stroke certification process.  

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A Call to All Who Run Towards Mayhem

You chose this career.

Why?

Why did you go into public safety? Why did you go into healthcare? Why did you choose your specialty?

There are a number of possible reasons: Money. Prestige. Honor. Love. Fear. Anger. Hope. Adrenaline. Desire. Pressure. People.

Many of us in public safety and healthcare are just wired differently — especially those of us who deal with time sensitive emergencies. Imagine a group of people witnessing an emergency - a house fire, a car crash, a mass casualty event, a cardiac arrest, a sudden collapse, a STEMI, a stroke. If you were to watch their responses, you would see three types of people:

  1. Those who run towards the mayhem.
  2. Those who run away.
  3. Those who stand still and watch.
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Patient-Centric Healthcare is a Failed Philosophy.

Is your job in healthcare to focus on and serve only the patient or is it also to serve others on the TEAM who are caring for the patient?

Patient centric healthcare as we currently practice it is a failed philosophy. We focus on serving the patient for a finite moment in time even though the patient's journey extends well beyond our specific tasks.

In this mindset, we have a system where we — yes, you and I — cause 400,000 deaths per year and 10,000 serious medical complications every day, costing the U.S. an estimated one trillion dollars a year. Additionally, 80% of these errors occur secondary to miscommunication during transitions of care.

Patient centric healthcare is not enough.  We need to realize that just serving the patient is not enough — we ALSO need to serve the fellow clinicians who are serving the patient. We need patient- and people-centric healthcare.

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PeaceHealth Southwest Medical Center Sets New Precedent for Emergency Care Using Mobile Technology [Press Release]

FOR IMMEDIATE RELEASE

PeaceHealth Southwest Medical Center is the first hospital on the west coast to use the healthcare communication platform, Pulsara, and the first in the nation to use the company's Prehospital Alerting Package.

BOZEMAN, MT -- SEPTEMBER 12, 2017 -- Stroke is a leading cause of disability and death in the U.S., with close to 800,000 cases each year. The outcome can be devastating, and every delay in care impacts a stroke survivor’s chance at a full recovery. To minimize those delays and make emergency communication more efficient, PeaceHealth Southwest Medical Center in Vancouver, Washington, has partnered with several local EMS services to begin using the healthcare communication platform, Pulsara.

PeaceHealth Southwest is the first hospital on the west coast to use Pulsara for STEMI and stroke communications both with EMS and within the hospital, and the first in the nation to use the company's Prehospital Alerting Package for all EMS-transferred patients.

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10 Things to Know to Improve Pediatric Out-Of-Hospital Cardiac Arrest Survival in Your Community

EDITOR'S NOTE: The following content originally appeared on EMS1.com as paid content sponsored by Pulsara. Special thanks to our guest blogger, Peter Antevy, MD.

Follow these 10 steps when treating pediatric cardiac arrest to save lives.

Easy problems have easy answers – complex problems require complex answers.  However, in pediatrics, we’ve taken an easy problem and made it unnecessarily complicated. Pediatric resuscitation isn’t that complex (BVM – compressions – Epi), yet over the last 3 decades we’ve been convinced otherwise.  Why? Many have focused on one thing – getting the child’s weight.  We’ve been convinced that a single tool or widget will get us through a difficult pediatric call.  It’s time to change this mentality. 

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Miami Valley Hospital Uses Mobile Technology to "Change the Game for Stroke Treatment."

Pulsara was featured in a news clip and article from Fox 45, a local Miami news station, as a service that could "change the game for stroke treatment." The article pointed out that during medical emergencies, every second matters -- particularly when it comes to stroke. "Time is tissue; brain tissue, that is," stated the authors.

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The Future of Healthcare Is Mobile

Healthcare systems must continue to adopt mobile-friendly platforms to meet users' expectations and offer high-quality care.

Many industries have overhauled their businesses to meet consumers’ expectations of using their mobile devices to do everything from checking in for a flight to ordering takeout food. The healthcare industry has been slower to adopt mobile-friendly platforms, but it is increasingly doing so to meet patients’ and health professionals’ needs. But simply taking current methods of communication and putting them on smartphones is not sufficient — platforms must capitalize on the many advantages mobile technology offers in order to truly transform and improve healthcare.

**This post is an excerpt from our eBook, "It's About Time: Addressing the Communication Crisis in Emergency Medicine." Download the full eBook here!**

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Pulsara Releases Version 6.2, Debuting 'Flexible Teams' Feature [Press Release]

FOR IMMEDIATE RELEASE

Bozeman, MT – August 16, 2017  Pulsara announced today the release of software version 6.2. The highlight of the release is the Flexible Teams feature, which allows hospital admins to create, assign and alert unlimited CUSTOM teams. In addition, users can now go on call for custom teams, with the option of being assigned for MULTIPLE hospitals at the same time. "This feature is a big step in our efforts to make Pulsara work for YOU and your unique system," said Erich Hannan, Chief Development Officer.

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