Droplet? Airborne? Aerosol? All of the above!

Droplet? Airborne? Aerosol? All of the above!

We used to think that the Covid-19 virus was transmitted only by droplets in the air (and, less commonly, on surfaces we touch).

Droplets — a term with a very specific meaning in nursing, and clear protocols we must follow in caring for patients who require droplet precautions — can travel up to six feet before falling out of the air and ceasing to pose a threat.

Bre Loughlin

Covid Screening in Madison

Today I received on-line training to become a volunteer nurse screener of guests in a couple of shelters (one for women, one for men) in Madison, WI.

The screening process, too, is conducted on-line. Folks wishing admission to these shelters (Porchlight and Salvation Army) must first stop and talk with me or one of the other volunteer RNs via an Internet-connected tablet. We screen them for Covid symptoms, make sure they're wearing their mask correctly, and if necessary, triage them to a hotel (funded by Dane County, WI) or to a nearby ED.

RN = IT

RN = IT

A new meaning for the term nursing informatics? I have blogged at length here about nursing informatics. Recent experience adds a whole new layer: tech support for patients. This is a thing. Requests from patients on a…
Clinicians and computers

Clinicians and computers

As I have blogged before, clinicians are ill-served by technology, EHRs in particular. EHRs' primary purposes are: Data gathering (legal and regulatory), and Billing ...not supporting clinicians. Here is my recent first-person essay on what this is like for this nurse.
Nurses and Computers

Nurses and Computers

Here I am, on a new clinical rotation during my last semester of nursing school, having taken my patient’s vitals, assessed her skin (she is elderly, bed-bound, and at risk for bedsores), tracked her Is and Os, straightened up her bed, and it is time to do the charting before moving on to my next patient. Some earlier clinicals had been in pre-EHR (electronic health record) hospitals and I had appreciated the fine-tuned process in which, with a few check-marks („charting by exception“) and notating the changes (fortunately, my patient’s health was improving) I would have been done with this task in a couple of minutes.
What SNFs must do

What SNFs must do

In an excellent article, Asymptomatic Transmission, the Achilles' Heel of Current Strategies to Control Covid-19, the venerable New England Journal of Medicine (NEJM) offers a strategy for SNFs to combat the…
It’s the Workflow, Stupid

It’s the Workflow, Stupid

When nurses complain that the technology-based tools (especially EHRs) that they are tasked to use slow them down, usually what they mean is that these tools don’t model their workflow. We talk about workflow a lot! But what is it? Why is it so important? And why is it so hard to model with computerized/electronic/mobile tools?
Laguna Honda Hospital and Rehabilitation Center — San Francisco

A garden to tend

I recently read Dr. Victoria Sweet's 2012 recounting of her twenty years at San Francisco's venerable Laguna Honda rehabilitation center, recently transformed from almshouse (the last one in America) to hospital. Her…