Donald & Barbara Zucker School of Medicine at Hofstra/Northwell

Hofstra Northwell Academic Works (Hofstra Northwell School of Medicine)
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    Antibiotic Prophylaxis Prior to Colonoscopy with Biopsy Does Not Decrease Risk of Prosthetic Joint Infection in Total Knee Arthroplasty Recipients

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    Two Cases of Pheochromocytoma Presenting as Acute Heart Failure and Cardiogenic Shock During Pregnancy

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    Debrief to Reduce Burnout and Build Resilience in Pediatric Residents During Critical Care Rotations

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    Peanut Allergy Puzzle: Unexpected Response to Topical Fluocinolone

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    Canceling CAUTIs

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    7 Tower has experienced an increase in its CAUTI (Catheter-Associated Urinary Tract Infection) infection rate, prompting a review of Foley catheter necessity during IDR rounds. The Night Shift Charge RN maintains a list of patients with Foley catheters, and their continued need is reassessed regularly. Foley catheters are to be removed from surgical patients on post-operative day (POD) #1, and peri-care for patients with indwelling catheters is prioritized by PCA and RN staff. To address the issue, all staff will participate in a mini skills fair focused on peri-care for patients with urinary catheters. Education materials and training devices were borrowed from Nursing Education, with CAUTI Champions and management observing staff during the training. The educational process includes teach-back methods, demonstrations, and proper documentation, with ongoing efforts to educate staff, implement practice changes, monitor outcomes, and spread the successful strategies as best practices

    In Neurosurgical Patients What is The Effect of Early Ambulation and Mobilization on a Reduction ofHospital Acquired Pressure Injuries?

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    Due to a doubling of hospital-acquired pressure injuries (HAPIs) on the unit since 2022, this quality improvement project aims to implement and evaluate an early progressive mobility program. HAPIs are a preventable complication, especially detrimental to ICU patients already facing complex medical issues. This project draws on evidence supporting early mobilization and pressure injury prevention techniques, such as those described by Azuh et al. (2016) and Pittman et al. (2021), to reduce HAPI incidence. The project will benefit all patients by promoting strength recovery and preventing complications like blood clots. All 18 current patients on the unit will be evaluated for HAPI risk, with those requiring total assistance prioritized for intervention. Data will be collected using a tool to be developed, and the program\u27s effectiveness will be measured by tracking HAPI rates

    Monitoring Hand Hygiene: Best Practices & Future Directions

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    To improve hand hygiene compliance reporting, a new peer-to-peer assessment survey is being developed using RedCap to create a more accurate, facility-wide picture of compliance. This survey allows staff to report direct observations of their peers performing hand hygiene during key opportunities. A flyer with a QR code will be created and posted in visible areas such as near sinks, nurse stations, and outside patient rooms, making the survey easily accessible for real-time completion. The initiative will also be presented at team meetings and included in monthly leadership communications to enhance awareness of hand hygiene compliance data. Although minimal data has been collected so far, preliminary results show staff willingness to engage in direct observations and complete the survey. The system aims to provide a clearer reflection of compliance rates and enhance peer accountability in hand hygiene practices

    Charge RN Resource Binder

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    To address the need for standardized expectations and resources for Labor and Delivery charge nurses, a comprehensive reference binder was developed and implemented. This binder consolidates essential policies, procedures, and charge nurse responsibilities, promoting best practice and consistent care. Using PDSA cycles and TeamSTEPPS principles, the project involved identifying primary and secondary charge nurses based on individual preference and providing staff education on binder utilization. This resulted in increased charge nurse comfort levels and improved access to essential resources. Next steps include creating standardized charge nurse training, conducting an in-service for all current charge nurses, continuing staff education, and regularly updating the binder to reflect evolving best practices and policy changes. This initiative promotes enhanced patient and staff safety, improved teamwork, and the delivery of optimal, safe patient care

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    Hofstra Northwell Academic Works (Hofstra Northwell School of Medicine)
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