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Librarian-Faculty Collaboration for Literacy Courses: Promoting Better Learning for Preservice Teachers
Get PDFThis narrative describes a collaboration between three university literacy faculty and a subject librarian undertaken to embed library instruction across the semester in three required courses--children’s literature, early literacy, and disciplinary literacy--in order to help undergraduate preservice teachers better understand and incorporate children’s literature and high interest literature into their teaching. Concrete, scaffolded, hands-on experiences for preservice teachers with teaching materials helped to build awareness of foundational concepts in literacy instruction. Librarian/faculty collaborations have the potential to improve literacy teacher preparation programs by providing designed opportunities for active, concrete engagement coupled with structured reflection
Benchmark: Patient safety and safe staffing
No full textPatient safety and safe staffing have been an issue for a long time. It has been discovered by prior years within our hospital setting that by having Licensed Vocational Nurses (LVN) help Registered Nurses (RN), the increasing staff load was okay due to the fact that they had an extra helping hand. Overall, patient safety was increased when LVN\u27s were helping in the acute care setting
Adjustable Velcro Compression Devices
Get PDFVenous Ulcers and edema are expensive to treat and chronic conditions that are a strain on home health care companies and decrease patient quality of life. The standard treatment is expensive multilayer compression wraps that time consuming requiring three weekly visits, a strain on home health care agencies and are often not successful in resolving edema and venous ulcers. Adjustable Velcro compression devices are proven to be successful compression therapy due to low one-time cost, patient\u27s increased comfort and the patient or patients\u27 family self-sufficient in their application
A Human Oral Fluid Assay for D- and L- Isomer Detection of Amphetamine and Methamphetamine Using Liquid-Liquid Extraction
Get PDFMedical providers are increasingly confronted with clinical decision-making that involves (meth)amphetamines. And clinical laboratories need a sensitive, efficient assay for routine assessment of D- and L-isomers to determine the probable source of these potentially illicit analytes. This paper presents a validated method of D- and L-isomer detection in human oral fluid from an extract used for determination of a large oral fluid assay (63 analytes) on an older AB SCIEX 4000 instrument. Taken from the positive extract, D- and L-analytes were added. The method for extraction included addition of internal standard and a 2-step liquid-liquid extraction and dry-down step to concentrate and clean the samples. The samples were suspended in 50% MeOH in water, diluted with mobile phase, with separation and detection accomplished using LC-MS/MS to determine analyte concentration. Once samples were confirmed positive for (meth)amphetamine from the large oral fluid assay, they were further examined for the enantiomeric forms with 50 μl aliquots of the standards and samples of interest combined with 450 μl of D- and L-assay mobile phase, then analyzed using chiral column separation, and LC-MS/MS detection with standard curve spanning the range from 2.5 to 1000 ng/mL. The result is a sensitive and accurate detection of D- and L-isomers of amphetamine and methamphetamine in human oral fluid performed on an older model mass spectrometer (AB SCIEX 4000). The novelty of this assay is twofold (a) the 2-step liquid-liquid extraction and dry-down step to concentrate and clean the samples, and (b) its adoption characteristics as a reflex test from a large ODT panel without the need to invest in newer or expensive LC-MS/MS instruments. Finally, this assay also has potential to add a valuable option to high-throughput laboratories seeking a D- and L-testing alternative to urine drug testing methods
DNP Final Report: MULTIMODAL PAIN MANAGEMENT TO IMPROVE PATIENT SATISFACTION IN TOTAL JOINT REPLACEMENT PATIENTS
Get PDFPain is a costly result of total joint replacement (TJR) surgery. The effect of pain can extend not only to chronic medical problems for patients but also to the hospital’s bottom line by decreasing patient satisfaction. A systematic literature search was performed, and evidence was appraised that supported the efficacy of a standardized multimodal pain management protocol to decrease pain and improve satisfaction in TJR patients. The evidence-based multimodal pain management protocol was implemented during a one-month period in patients undergoing total knee or total hip replacements. Key outcomes were examined and compared to the body of evidence and to a comparable group of patients in a retrospective review. The multimodal group had improvement in all outcomes measured compared to the retrospective group: 65% reduction in opioid use, 16% reduction in length of stay, 100% reduction in adverse outcomes, 21% reduction in the time to walk 200 feet, and 1% increase in patient satisfaction. Patients in the multimodal group reported 27% less pain on the day of surgery and 63% less pain on discharge from the facility than patients in the retrospective group who were not treated using the protocol. The multimodal analgesia protocol is safe and effective to improve patient outcomes with TJR while decreasing post-surgical pain
Organizational silofication: implications in grouping experts for organizational performance
Get PDFThis paper offers that organizational underachievement sourced to workplace expertise is a product of bounded perspective constructed by the agency of expertise. Embedded in any bounded perspective is limitations to what can be seen. Organizations that seek to leverage expertise solely on their agency risk organizational silofication. We conclude that recognizing organizational silofication is an opportunity for organizations to address organizational underachievement by addressing the perspectives that create the hidden impediments limiting their overall potential
Panel Presentation: Research, Innovation, Entrepreneurship in Arts & Sciences
No full textMaddie Dawsey: Interdisciplinary Mathematics Research Involving Number Theory
Mark Owens: Population and Survey Research in East Texas
E.Cory Sills: Engaging Undergraduates in Research and Innovatio
Central Line Maintenance Team
Get PDFBackground: CLASBI infections increase morbidity and mortality rates in intensive care units. Studies have shown that line teams can reduce CLASBI rates by 65% (Cuccaro et al., 2020).
Objective: This narrative review aims to determine if initiation of central line maintenance teams will help reduce CLASBI rates in the ICU.
Summary Databases including CINAHL, PubMed, and Cochrane were searched for randomized control trials (RCT), systemic, qualitative and case control studies to find research study evidence to determine if a dedicated central line maintenance team, specifically for insertion and dressing changes, will help reduce CLASBI rates in the ICU setting. The fore mentioned databases are provided by the University of Texas-Tyler library.
Conclusion: Implementation of a central line maintenance team can be beneficial in the ICU setting
DNP Final Report: Educating Emergency Department Observation Unit Providers on Use of the HEART Score
Get PDFEight to ten million patients visit the emergency department (ED) with chest pain (CP) annually (Smulowitz et al., 2017). Additional testing in the low-risk population is not beneficial and leads to increased mortality (Smulowitz et al., 2017). The HEART (History, ECG, Age, Risk Factors, Troponin) score risk stratification tool assists with the identification of a patient’s 30-day risk for a major adverse cardiac event (MACE; Ras et al., 2017). Lack of education on use of the HEART score leads to incorrect use of the tool and inappropriate management of patients with CP. The aim of this quality improvement project is to enhance use and application of the risk stratification tool thus leading to consistent care and improved patient outcomes.
Emergency department observation unit (EDOU) providers indicated they received no structured training on use of the HEART score and many did not understand all components of the risk stratification tool. All EDOU providers at a county hospital system in Dallas County participated in this project to ensure best practice measures for the management of CP. Current evidence supports the use of educational videos and PowerPoint presentations to review the five components of the HEART score in addition to pre- and post-assessment quizzes. Providers practiced use of the HEART score with model patients created by the project leader. The scores were then compared to identify measures required to maintain sustainability. Expected outcomes based on current evidence are a 15% increase in post-test scores when compared to pre-test scores and the allocation of similar HEART scores to model patients from one provider to the next. Measures for sustainability include annual HEART score training for current EDOU providers and training at the time of hire for new employees