PureWick External Female Catheter

Catheter-Associated Urinary Tract Infection (CAUTI) rates increased in FY21 compared to FY20, and many units continue to not meet their National Database of Nursing Quality Indicators (NDNQI) target goal even through FY22. A group of CentraCare stakeholders gathered, including bedside nursing staff, urology techs and nursing leadership, to discuss barriers and areas for opportunity. Representatives from BARD®, our urinary catheter supply company, were invited to conduct an analysis on our urinary catheter/ CAUTI reduction practices. Findings from the analysis included an opportunity to implement an external female catheter.https://digitalcommons.centracare.com/nursing_posters/1132/thumbnail.jp

Joseph Mulloy Interview

Transcript of an oral history interview with Joe Mulloy by Thomas Kiffmeyer on his experiences as a Appalachian Volunteer during the Vietnam War on November 10, 1990

Reduction of Cesarean Section Surgical Site Infections (SSI): Progression and Implementation of Evidence Based Practice

To improve cesarean section patient experience by reduction of postoperative SSI.https://digitalcommons.centracare.com/nursing_posters/1072/thumbnail.jp

Implementation of a Two-Person Urinary Catheter Insertion Practice Change

Decrease incidence of Catheter Associated Urinary Tract Infections (CAUTIs) for inpatients by implementing a two-person urinary catheter insertion practice change using a checklist.https://digitalcommons.centracare.com/nursing_posters/1172/thumbnail.jp

The Correlation Between the Season of Birth and Early Childhood Development in Healthy Children: Evidence from Midwest Region of the United States

Background and Purpose: While many different factors may affect early childhood development, one significant factor is the season of birth. The purpose of this study was to evaluate the correlation between the season of birth and early childhood gross motor development in healthy children ages 0-5 years old in the greater Midwest area. Methods: Parents of 372 children completed self-reports on their children’s gross and fine motor development using the Ages and Stages Questionnaire (ASQ). Parents were provided with an online survey version of the ASQ. Data was based upon closed-ended questions and analyzed using the percentages of responses for each category. Results: Children born in the spring had a mean gross motor score of 50.76 with a standard deviation of 11.74, and a fine motor score of 43.44 with a standard deviation of 15.17. Children born in the summer had a mean gross motor score of 48.65 with a standard deviation of 11.75, and a fine motor score of 43.46 with a standard deviation of 15.57. Children born in the autumn had a mean gross score of 47.94 with a standard deviation of 13.47, and a fine motor score of 47.35 with a standard deviation of 12.97. Children born in the winter had a mean gross motor score of 51.37 with a standard deviation of 10.35, and a fine motor score of 43.11 with a standard deviation of 14.88. Conclusion: Based on the results, winter-born children may have a neurodevelopmental advantage for gross motor development, while autumn-born children appear to have an advantage when it comes to fine motor development

Innovative Use of EHR to Support Admission Screening for Emerging Pathogens

CentraCare hospitals were the first in Minnesota to identify a patient with Candida auris (C. auris), an emerging pathogen. 2018 Centers for Disease Control and Prevention (CDC) and state health department recommended adoption of enhanced admission screening process to allow for early identification of patients at risk of being colonized with C. auris/Carbapenem-Resistant Organisms (CROs). C. auris, a fungus, and CROs, comprised of organisms from the Enterobacteriaceae family resistant to carbapenems, are emerging multidrug resistant pathogens. Emphasis on identification and early isolation of at-risk patients decreases risk of transmission.https://digitalcommons.centracare.com/nursing_posters/1128/thumbnail.jp

A study protocol for the evaluation of occupational mutagenic/carcinogenic risks in subjects exposed to antineoplastic drugs: a multicentric project

<p>Abstract</p> <p>Background</p> <p>Some industrial hygiene studies have assessed occupational exposure to antineoplastic drugs; other epidemiological investigations have detected various toxicological effects in exposure groups labeled with the job title. In no research has the same population been studied both environmentally and epidemiologically. The protocol of the epidemiological study presented here uses an integrated environmental and biological monitoring approach. The aim is to assess in hospital nurses preparing and/or administering therapy to cancer patients the current level of occupational exposure to antineoplastic drugs, DNA and chromosome damage as cancer predictive effects, and the association between the two.</p> <p>Methods/Design</p> <p>About 80 healthy non-smoking female nurses, who job it is to prepare or handle antineoplastic drugs, and a reference group of about 80 healthy non-smoking female nurses not occupationally exposed to chemicals will be examined simultaneously in a cross-sectional study. All the workers will be recruited from five hospitals in northern and central Italy after their informed consent has been obtained.</p> <p>Evaluation of surface contamination and dermal exposure to antineoplastic drugs will be assessed by determining cyclophosphamide on selected surfaces (wipes) and on the exposed nurses' clothes (pads). The concentration of unmetabolized cyclophosphamide as a biomarker of internal dose will be measured in end-shift urine samples from exposed nurses.</p> <p>Biomarkers of effect and susceptibility will be assessed in exposed and unexposed nurses: urinary concentration of 8-hydroxy-2-deoxyguanosine; DNA damage detected using the single-cell microgel electrophoresis (comet) assay in peripheral white blood cells; micronuclei and chromosome aberrations in peripheral blood lymphocytes. Genetic polymorphisms for enzymes involved in metabolic detoxification (i.e. glutathione <it>S</it>-transferases) will also be analysed.</p> <p>Using standardized questionnaires, occupational exposure will be determined in exposed nurses only, whereas potential confounders (medicine consumption, lifestyle habits, diet and other non-occupational exposures) will be assessed in both groups of hospital workers.</p> <p>Statistical analysis will be performed to ascertain the association between occupational exposure to antineoplastic drugs and biomarkers of DNA and chromosome damage, after taking into account the effects of individual genetic susceptibility, and the presence of confounding exposures.</p> <p>Discussion</p> <p>The findings of the study will be useful in updating prevention procedures for handling antineoplastic drugs.</p