Feb 23, 2024 NR 443 RN Week 8 Discussion: Future Directions
NR 443 RN Week 8 Discussion: Future Directions
NR 443 RN Week 8 Discussion: Future Directions
For this discussion board, I will discuss a global concern that has impacted my community and those that I am caring for. The global health concern I am going to discuss is COVID. I chose this health concern because it has caused the greatest effect on my healthcare setting and how we preform our jobs. Our entire routine in the emergency department has been disrupted, and we are constantly changing the way we do things to best fit the needs of every patient.
Our largest change in the ED is the new position we have as a door nurse. A nurse is placed in front of the ED doors to screen every patient who comes in. The door nurse is responsible for taking temperatures, dictating what patients need to be placed in isolation, and only allowing one visitor per patient. This position requires a nurse because assessment is required. We are also now required to staff a nurse for our isolation area.
This has been a difficult task because we have one nurse who runs isolation for 12 hours. Anyone who has worked in isolation knows how draining this can be. Also, the nurse is required to do all of the work while the UAP is there to run bloodwork and EKG’s and collect the medication to bring back to the isolation nurse. The last change that I think is big in the department I work for is the wearing of N95 for 12 hours. Although I know this is important and protects not only staff but patients too, wearing this mask for long periods of time can be a difficult task.
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COVID has greatly affected how we all work as nurses. In the department I work in, we use a system called IBEX. Here we are able to track patients based on symptoms and acuity and we are able to separate isolation patients from regular ER at patients. We also have a new indicator next to the patient’s name.
This indicator can tell us if the patient has been COVID positive in the last 60 days, or if they have been tested in the last 14 days. A green arrow indicates COVID positive and a purple arrow indicates patient has been tested. This also can be helpful in deciding which patients need to go to an isolation room and who is okay to be placed in the regular ED beds.
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COVID-19 in Ohio: State sets another record for new cases in single day. I think this will impact future trends by continuing to see COVID 19 cases rise. With the trends continually rising over the past few days, I can imagine that this will continue to rise and eventually even out like it has over the past few months.
MYTWEET: COVID-19 on the decline in Ohio, peak of pandemic is finally over. #nomoremask #normalizegroupparties #quarantineisover
Katelyn, P. (2020). COVID 19 Tracking. Retrieved October 18, 2020, from https://twitter.com/COVID19TrackingLinks to an external site.
COVID-19 Info. (2020). Retrieved October 18, 2020, from https://www.lickingcohealth.org/COVID-19.html
With the current flu season in full swing, I have chosen vaccines as my last discussion topic, not as a global health concern but as a prevention to such preventable diseases. Vaccination has made an enormous contribution to global health (Greenwood, 2014). Influenza is a serious global health threat that impacts all countries: every year, there are an estimated 1 billion cases, 3-5 million severe cases, and 290 000-650 000 influenza-related respiratory deaths worldwide (WHO, 2020).
While vaccines for the flu virus do not prevent the flu, they do lessen the symptoms and severity of the virus. The vaccine works by causing the body to develop antibodies within 2 weeks of receiving the vaccination. The annual flu vaccine is recommended vaccination for everyone 6 months and older with any flu vaccine that is appropriate for the recipients age and health status.
The vaccine is recommended prior to the virus spreading through the community. Flu vaccine prevents tens of thousands of hospitalizations each year. For example, during 2018-2019 flu vaccination prevented an estimated 58,000 flu-related hospitalizations (CDC, 2020). In addition to preventing or reducing the flu it has also been show to reduce cardiac events for people with heart disease, reduce worsening and hospitalization for flu related chronic lung disease, and reduction in hospitalizations in people with diabetes.
Currently in my role as a home care nurse we monitor for flu like symptoms prior to and at every visit. There is tracking built into out visit noted that notify our supervisors and infection prevention nurses that work for the agency. We also use a form to track flu and pneumonia vaccines among our patients, and they are offered to all those that have not or unable to get out the home to receive them when they are available with physicians orders.
Vaccinations will always be a focus of community health nursing. With the current COVID pandemic, and the hopes of a vaccine on the horizon, to influenza and childhood vaccines the role of the community health nurse will always be crucial. They provide the needed education to schools, community centers, nursing homes and colleges. They can also aid in the increase in vaccinations by providing reminders to adults for their vaccines as well as the vaccination of the younger generations, as well as practicing healthy habits that reduce preventable diseases.
Only half of Americans receive the flu vaccine. The flu causes millions of illnesses, hundreds of thousands of hospitalizations, and tens of thousands of deaths. #vaccinatenow #protectyouandothers fromtheflu
References:
Greenwood, B. (2014, May 12). The contribution of vaccination to global health: Past, present and future. Retrieved October 19, 2020, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4024226/Links to an external site.
Influenza. (2020, October 07). Retrieved October 19, 2020, from https://www.who.int/influenza/en/Links to an external site.
Key Facts About Seasonal Flu Vaccine. (2020, September 11). Retrieved October 19, 2020, from https://www.cdc.gov/flu/prevent/keyfacts.htmLinks to an external site.
Instructions
There are many factors that will continue to impact community and population health.
Consider the past achievements in public health as many have implications around the globe.
Describe a global health concern that has impacted your community or those you care for.
Discuss what surveillance data could be pulled from an electronic health record (EHR) you have used or currently use in your nursing practice.
Take a moment to review the Twitter feed for compelling Tweets that are … to informatics, global health, and population health outcomes.
Share an overview the Tweet and how it is likely to impact future collaborative trends in community health.
Compose a 280-character or fewer Tweet that describes what you would like to see as a Tweet in the next decade related to public health achievements. Please try to … realistic, but also … visionary. Remember Twitter only allows 280 characters (this includes spaces, etc.) so you will need to … concise. It should include a hashtag. Include a reference URL if applicable. Share this Tweet in the discussion. (Note: A Twitter account is not required nor share your Tweet on social media).
Your discussion post should look like:
– Paragraph one: Describe a global health concern that has … your community or those you care for
– Paragraph two: Discuss what surveillance data could … from an electronic health record (EHR) you have used or currently use in your nursing practice.
– Paragraph three: Share information from a Tweet and how it is likely to impact future collaborative trends in community health.
– Paragraph four: Compose a 280-character Tweet that describes what you would like to see as a Tweet in the next decade related to public health achievements.
– Resources: Where did you find your data?
8. Example: New HIV infection rates at all-time low worldwide #primaryprevention #collaborationiskey #WeGotThis #RNsunite www.HIV.gov
SOLUTION
Discussing global health has hit our living rooms, workplaces and places of leisure (if some are lucky enough to enjoy those again) around the world. It truly is amazing that so many people throughout the world are enduring the same global health crisis during the same time. Although COVID-19, is the most recent global health crisis, I wanted to dive into a different one that hit my workplace. H1N1 was considered a global health concern in 2009.
During this time, I was a floor nurse in Brooklyn, New York. H1N1, otherwise known as swine flu, was a different strain of influenza. Patients infected with H1N1 could experience a fever, cough and even cases of death. According to the New York City Department of Health, over two thousand people were hospitalized for H1N1. This was over a period from April 2009 through March 2010. This made our flu season extra tricky. We had to be extra vigilant on precautions. Policies were changing daily and caution was added while performing emergency interventions.
When looking at some statistics when discussing H1N1 in the aforementioned paragraph I gained surveillance knowledge from the NYC department of Health and Mental Hygiene. More recently in my hospital for electronic health records we currently use Epic. Using these EHR could connect global health issues faster and with less money.
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