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Evidence-based Peer Support Guidelines for Second Victim Nurse Anesthetists
Full text linkA critical event or critical incident is an unexpected situation that results in a negative patient event or poor patient outcome. The patient is the primary victim. However, the healthcare worker involved in this patient’s care becomes the second victim. Second victims are negatively impacted mentally and physically by adverse events that can further compromise patient safety. These events can precipitate feelings of guilt, depression, and physical ailments that can result in higher hospital rate turnover. Many certified registered nurse anesthetists have become second victims in the United States. Despite how such critical incidents negatively affect healthcare providers, patients, families, and institutions, there remains a gap in resources available to help these second victims. This Doctor of Nursing (DNP) practice project focuses on the development of a quality improvement project such as evidence-based guidelines related to peer support for helping second victims during recovery
The Civil War Diary of Sarah Butler Wister
Full text linkFrom April 15, 1861, to September 4, 1861, Sarah Butler Wister, daughter of actress Fanny Kemble and member of the Wister family, kept a diary that detailed the events of the Civil War and her views on the matter. Over the course of the five-month long diary, Sarah introduces a multitude of people connected to both her personal life and the ongoing war while keeping track of the war’s events and the news cycles that soon followed. While the diary ends abruptly, we know that years later excerpts from it were published with the diarist’s permission by her mother.https://digitalcommons.lasalle.edu/people_places/1018/thumbnail.jp
Evidence-Based Cognitive Aid for Correct Patient Positioning in the Operating Room
Full text linkAll members of the perioperative team share responsibility to prevent patients from iatrogenic complications, particularly during patient positioning in the operating room. Incorrect patient positioning during surgery can have permanent and life-altering implications, specifically related to peripheral nerve injuries (PNIs). This Doctor of Nursing Practice project focused on the creation of an evidence-based cognitive aid to educate and assist the perioperative health care team members (PHTMs) to properly position patients for surgical procedures to enhance patient safety and assist in the prevention of the development of a peripheral nerve injury. Based on multiple in-depth conversations with anesthesiologists, Certified Registered Nurse Anesthetists (CRNAs) and Morbidity and Mortality conferences, there appears to be a need to focus on the prevention of PNIs in the perioperative period
Development of an Evidence-Based Teaching Plan on Sharps Safety for Anesthesia Providers
Full text linkAnesthesia providers are at high risk of sharps injury, which creates the potential for increased morbidity and mortality related to blood borne pathogens. An evidence-based Teaching Plan related to anesthesia practice is imperative to enhance preventive measures and reduce incidence of sharps injuries
Targeting TGF-β During Epithelial-to-mesenchymal Progression as an Effective Therapy Against Colorectal Cancer
Full text linkColorectal cancer is one of the most common cancers worldwide. Understanding the mechanisms of colorectal cancer progression is crucial for the development of effective therapeutics. Epithelial-to-mesenchymal transition is a hallmark feature of cancer and is defined as the loss of epithelial cell features, such as apical-basal polarity and high expression of cell adhesion molecules, and the development of mesenchymal features, such as lack of polarity and increased cell mobility. Epithelial-to-mesenchymal is essential for cell migration, proliferation, and tumor growth. Both the TGF-β and SMAD pathway are associated with colorectal cancer progression. TGF-β is crucial to the cellular mechanism of cell differentiation and regulation. LY210976, a TGF-β inhibitor, has been proposed as a potential therapeutic for metastasis. The three studies reviewed here collectively demonstrated that LY2109761 is effective in reducing cell migration, invasion, and metastasis in mice and rabbit models. Combined with transcatheter arterial chemoembolization, inhibition of LY2109761 led to increased E-cadherin expression, indicating the maintenance of the epithelial cell phenotype, and suppressed tumor growth in rabbits. Together, these results suggest that LY2109761 is a strong candidate for inhibiting colorectal cancer spread. Future studies should continue to explore LY2109761 in preventing metastasis, especially in combination therapies in humans
Evidence-Based Guideline on the Anesthetic Management of Patients in Recovery Programs for Substance Use of Opioids
Full text linkAnesthesia providers tailor intraoperative management of patients to their specific needs when maintaining amnesia and analgesia throughout surgical procedures. However, providers are challenged to meet the needs of patients in active recovery for a substance use disorder, specifically opioids. An evidence-based, standardized guideline may be critical to assist anesthesia providers caring for patients with substance use disorder. Critical actions might avoid adverse effects of medications and anesthetics and prevent patients’ relapse of substance use. This doctoral project created an evidence-based guideline for anesthesia providers that is intended to prevent harm to patients undergoing surgery in recovery for an opioid-use disorder
Phishing
Full text linkPhishing is a cybercrime that involves a hacker identifying as a real person or institution that targets people over text message, phone calls, and emails. The hacker tries to scam the target into giving up personal information. People are targeted through text messages, phone calls, and emails. More recently in 2020 when covid became a major issue, phishing started becoming more and more popular for ways to scam. The messages became more specific, and job sites became more believable. According to article “Phishing Attacks Soar 220% During COVID-19 Peak as Cybercriminal Opportunism Intensifies”, David Warburton says:
COVID-19 continues to significantly embolden cybercriminals’ phishing and fraud efforts, according to new research from F5 Labs. The fourth edition of the Phishing and Fraud Report stated that phishing incidents rose 220% during the height of the global pandemic compared to the yearly average. Based on data from F5’s Security Operations Center (SOC), the number of phishing incidents in 2020 is now set to increase 15% year-on-year, though this could soon change as additional waves of the pandemic spread. The three primary objectives for COVID-related phishing emails were identified as fraudulent donations to fake charities, credential harvesting, and malware delivery. (Para. 1).
During Covid, pretty much everyone worked from home or spent a lot of time online. Hackers understood that they could use covid to their advantage when making up lies on how to convince people to hand over personal information, and how to get the user to send money without knowing it is a scam until after the damage happened. Due to people working from home, there was no real monitoring of employees to make sure nothing was done to put the security of the company in danger, especially when it was also connected to personal Wi-Fi