I would like to invite clinicians and students who may be interested in various types of non-clinical careers and opportunities to join this FREE (but private) network:
This network is open to physicians, PAs, nurses, NPs, pharmacists, technicians, and students in the healthcare field. It's a great way to meet others and share ideas. Since the network is private, only members will be viewing your information and comments that get posted.
Gambro, a global leader in developing, manufacturing and supplying products for the renal care market, recently attributed success with their hemodialysis systems to supplier partnerships.
SunTech Medical provides Gambro with OEM Non-Invasive Blood Pressure (NIBP) technology for their hemodialysis systems. This co-operative partnership recently allowed SunTech Medical access to one of Gambro's customers, a hemodialysis clinic in New Brunswick, Canada, for one of their ongoing research and development projects.
The project ultimately resulted in an automated blood pressure monitoring technology designed specifically for performance on end-stage renal disease patients during a hemodialysis treatment session. SunTech Medical focuses on developing blood pressure monitoring solutions for challenging patient populations and difficult environments.
In their January 2008 issue, Manufacturing Today Europe magazine included a feature article highlighting the success of Gambro. In the article entitled A patient approach from Gambro, global marketing director Mike Dooley points out: "One of the key reasons for this company's success is the partnerships we have. We value the relationships we have and are adding more everyday. On the supply side we have a huge number of faithful, loyal and co-operative partners. We work very closely with these companies to obtain the highest quality." SunTech Medical is proud to be a key partner and OEM technology provider to help Gambro achieve continued success.
CardioDynamics, a developer of innovative impedance cardiography (ICG) products and technology, was recently featured in the April issue of Health Executive magazine. In the article, CardioDynamics CEO Michael Perry describes how the company has redefined their approach to a rapidly changing market by expanding on how they serve their customers. This new growth plan initiative has resulted in CardioDynamics enjoying a significant resurgence in the marketplace.
CardioDynamics relies on their innovative BioZ ICG technology to provide physicians with 12 hemodynamic measurements of the patient's heart, circulatory system and blood flow performance. SunTech Medical provides CardioDynamics with OEM non-invasive blood pressure (NIBP) technology for their ICG monitoring systems which is critical to the performance of the BioZ ICG technology. "The medical community uses our products to help select the right medications and dosage for patients with cardiovascular disease," states CEO Michael Perry. "The most obvious benefits are that it's non-invasive, low cost, highly accurate and can be performed in less than five minutes."
SunTech Medical, Inc. is pleased to partner with CardioDynamics to provide the requisite quick and accurate automate blood pressure technology for the BioZ. As OEM provider of automated non-invasive blood pressure (NIBP) technologies, SunTech Medical maintains a focus on providing fast, accurate and reliable BP monitoring for challenging patient populations and difficult environments. SunTech Medical is a proud partner of CardioDynamics since 2002 and is committed to supporting their continued success in providing improved care for cardiovascular disease patients.
SunTech Medical, a leading manufacturer of blood pressure monitoring technology, is pleased to announce the opening of its new manufacturing facility in Shenzhen, China.
Located at 2/F of Building A, Jinxiongda Technology Park, Guanlan, Bao'an District, Shenzhen, China, the new 18,000 square foot facility currently houses a staff of twenty-five employees. SunTech anticipates continued growth as production ramps up in the months ahead. The new team is headed by Peter Zhang, General Manager, who has more then 10 years operation management experience in multinational companies.
According to David Gallick, VP of Operations: "Great efforts have been made to hand pick a team of knowledgeable personnel for this new facility." He adds, "Months of training and preparation have gone into setting up a production area to support the high level of quality demanded by our current standards."
Dayn McBee, CEO, states that: "The Shenzhen facility is an excellent addition to our sites in the UK; Hong Kong; and Raleigh, NC. It fits well with our goal of having a global presence in the medical device industry."
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Nurse Practitioner
Jobs
Advanced Practice
Clinician,
Advanced Practice Providers
Nurse
Practitioner Jobs
Featured Nurse Practitioner Employers
& Recruiters
Jim Beyer
1•800•318•3493
Placements Nationally
NPs and PAs
Mike Ott, CPC
1-800-930-6989
Staffing & Permanent Placement
800•856•6385 ext 2144 or 2116
Interested in Locum Tenens*
Contact us at
or call 1.800.741.4674
Click Here For
Nationwide Placements
PAs / NPs
Kevin B. George, MBA
NEW OPPORTUNITIES
ATLANTA, GEORGIA
DALLAS, TX
Arkansas, Oklahoma,
Texas, and Virginia
877-935-0333 ext 15998
Family Practice
New Hampshire NH
Daniela E. Verani,MD
NP•PA JOBS NATIONWIDE
Call 1•877•439•8484
PA,FNP, Adult &Geriatric Opps
CA,FL, AL,TN,NC,MO,SC, and more
SALARY $120k plus range!!
Derrick Green
877-843-5244
NP & PA
Healthcare Placements
Ray E. Smith
Colorado Infectious
Disease Associates DENVER COLORADO
Pittsburgh Pennsylvania
Advanced Practice
Provider Career Expo
Thursday, June 12
pre-register 24 hrs day
1-800-533-UPMC
Connecticut
NURSE PRACTITIONER
PAIN MANAGEMENT CENTER
Christine Bourbeau
Director of Nursing
NP EDUCATORS
CLINICAL SPECIALISTS
OHIO, VIRGINIA, FLORIDA, PENNSYLVANIA
Long-Term Care
Washington, Port Townsend
Jefferson General Hospital
Emergency Department
Emily Enck
DENVER CENTER FOR BARIATRIC SURGERY
DENVER COLORADO
Carl G. Brahmstedt
85k -120k
New Grads or EXP.
SOUTH FLORIDA
Lily Vainstok
Nurse Practitioners
Physician Assistants
Jill Stanek
1-800-579-8986
Nova Medical Group
Ashburn Virginia
FAMILY NP
Denver, CO
Coming soon to:
Cleveland, Pittsburgh
El Paso, Houston, Memphis,
Nurse Practitioners
Several Specialties
North Central Wisconsin
St. Mary's Hospital-Mercy
Health System
Emergency Department
Northwest Arkansas
Cathy Lee
LOUISIANA
Pediatric
Nurse Practitioner
985-860-4210 cell
Orlando Neurosurgery, P.A.
PA NP
Central Florida area
Tri-Cities,
Washington
PA/NP
Acute Care
NEW YORK
PAs & NPs
Advanced Practice
Providers / Clinicians
Allison A. Burns
Wisconsin Michigan
Emergency Med/Urgent Care
Primary Care, Retail Health,
Psychiatry,
Sharon Fischer
U.S. Medical Search
B.J. Parker
www.usmedicalsearch.com
Internal Medicine
Advanced Practice Clinicians
I. Joann Cutshall
WEST VIRGINIA
Medicine-Digestive Diseases &
Cardiology and Surgery-Oncology
Nurse Practitioner / PA
Orlando, Florida area
Pulmonary Medicine, CCM
and Sleep Disorders
Clinical Risk Executive
Chicago Area
Nurse Practitioner
Bill Lubker
ESTEEM MED SPA
TAMPA FLORIDA
NPs & PAs
TEXAS &
NORTH CAROLINA
Family, Cardio, Acute Care
Peds, Diabetes, Hospital
NPs & PAs
Allergy Practice
New York
Harshit M. Patel, M.D.
Nurse Practitioner Hot Jobs
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Physician Assistant, Nurse Practioner
Long Island, Hicksville, Brentwood NEW YORK
PA-C or Nurse Practioner wanted for Allergy Practice in Hicksville and
Brentwood, N.Y.
Full-time/Part-time position. Opportunity to work independently
as well as alongside a board certified Allergist/Immunologist.
Possible positions in Brentwood, Belle Harbor, Babylon, Oceanside and Hauppauge
as well.
Join a fast paced and growing organization with emphasis on quality
of patient care. Excellent salary and
benefits commensurate with experience. Experience preferred but not
required. Spanish speaking a plus.
Harshit M. Patel, M.D.
fax resume to 516.214.8072
MedicalEdge Healthcare Group, P.A., is a physician group practice organization
committed to the delivery of high quality medical care and providing our
patients tangible group medical practice medical care benefits. MedicalEdge
stands committed to delivering high quality care for all patients, treating
patients, colleagues and each other with compassion, dignity and respect,
and bringing the same excellence and integrity to our business practices
that we bring to our high quality patient care.
We are proud to announce the following Nurse Practitioner Opportunities:
Family Physician with thriving private practice in Mesquite, Texas
seeking a part time or full time Nurse Practitioner with family experience.
Competitive hourly salary with malpractice insurance and flexible work
hours. Full Benefits Package including health, life, dental and 401K
with match. For more information, please call, email or fax resume to:
Bertha Moehlis, ,
office 972-739-3662, fax 972-739-2688
Stable & established Cardiology practice seeks a full time
Nurse Practitioner to join a Thriving Practice. Excellent location
in highly visible area in Grapevine, TX. Traditional office hours
M-F 8-5pm. No call or weekends. Cardiology experience preferred
but not required. Competitive salaried compensation with full benefit
package including Health, Life, Dental and 401K with match. Grapevine
is a charming town situated in the heart of Dallas/Ft. Worth. Home
to the DFW Airport, Grapevine is conveniently located with both Dallas
and Ft. Worth just a short 20 min drive away. For more information, please
call, email or fax resume to: Kristen Isenberg, ,
office 972-739-3721 fax 972-739-2688
Nursing Home Groups in Dallas and Plano, TX seeking full time Nurse
Practitioners. Some nursing home and acute care experience preferred. Flexible
work schedule. Production based compensation. Income guarantee with bonus.
Income potential $100,000+, with full benefits package. Enjoy all the world-class
culture, entertainment and Southwestern warmth that Dallas has to offer.
For more information please call, email or fax resume to: Bertha Moehlis,
email
office 972-739-3662, or fax 972-739-2688.
Highly Successful Internal Medicine Physician in Dallas, TX searching
for a full time Nurse Practitioner with diabetic care and internal medicine
experience. Monday-Friday work schedule and shared call. Competitive salary
with bonus structure and full benefit package including health, life, dental
and 401K with match. High income potential. Enjoy all the world-class
culture, entertainment and Southwestern warmth that Dallas has to offer.
For more information please call, email or fax resume to: Bertha Moehlis,
email
office 972-739-3662, or fax 972-739-2688
Thriving Pediatric Private Practice is seeking a Full Time Nurse
Practitioner to join their expanding team in Bedford and Fort Worth, TX.
Great staff and a well established patient base at both locations.
Some pediatric experience preferred. Phone based call only.
Enjoy a competitive salary based income with bonus structure and a Full
Benefit Package including health, life, dental and 401K with match.
For more information please call, email or fax resume to Lisa Fineberg,
,
office 214-570-2364, or fax 972 739 2688
Infectious Disease physician seeking full time Nurse Practitioner to
join thriving hospital based practice in Dallas, Texas. A well established
patient base for new Physician Assistant/Nurse Practitioner. Base salary
plus bonus – high income potential! Full benefit package including health,
life, dental and 401K with match. As the southwest’s leading business and
financial center, you are sure to enjoy the warm, cosmopolitan flair &
charm Dallas has to offer. Contact Kenya Flowers by phone at 972-739-3032,
email
or fax 972-739-2688 to apply.
Busy, new Family Practice office seeks full time Nurse Practitioner
to work independently in growing practice in Fayetteville, North Carolina.
Competitive hourly pay. Opportunity to grow the practice. Full benefit
package: Health, Life, Dental, and 401K with match. Fayetteville
is in the Cape Fear Region. Historical and new planned communities, variety
of landscapes for the enjoyment of sport and relaxation, and great opportunities
for public and private education. For more information please call,
email or fax resume to: Bertha Moehlis, email
office 972-739-3662, or fax 972-739-2688
Extremely reputable and successful Family Medicine physician
in Northeast Dallas, TX is seeking a full time or part time Nurse Practitioner
to join this wonderful practice. Traditional clinic hours M-F.
Excellent opportunity for a new graduate looking to start their career
as a Physician Assistant. Competitive salaried compensation with
full benefit package including medical, dental, disability and 401k with
match. Don’t miss out of this great opportunity! For additional information,
please call, email or fax resume to: Kenya Flowers at
office 972-739-3032, or fax 972-739-2635.
Well respected Family Practice physician seeking full time Nurse Practitioner
to join busy practice in Grapevine, Texas. Great staff and a well established
patient base for new Nurse Practitioner. Base salary plus bonus! Full benefit
package including health, life, dental and 401K with match. Grapevine is
a charming town of just under 50,000 situated in the heart of Dallas/Ft.
Worth. Home to the DFW Airport, Grapevine is conveniently located with
both Dallas and Fort Worth just a short 20 minute drive away. Contact Kenya
Flowers by phone at 972-739-3032, email at
or by fax at 972-739-2635 to apply.
Salem Oregon - Family Practice
Physician Assistant Family Nurse
Practitioner
We are seeking a Physician Assistant or Family
Nurse Practitioner for a Family Practice clinic in Salem, Oregon.
Will consider an Experienced Provider or New Graduate. Other providers
on site. Anticipated patient volume is 18/day to start. Schedule
will be M-F, 8:30a-5:30p. Compensation will be $70 - $85k with a
comprehensive benefit package including 3 wks vacation, malpractice/medical/dental
insurance, and 1 wk paid CME. Relocation assistance and possible sign-on
bonus. Salem offers a wide variety of festive events such as fairs
and festivals, visual and performing arts, farmers markets, holiday events,
wine and agricultural activities, and historic offerings. The Salem area
is a great place for kids and families. Love outdoor recreation?
You couldn’t find a better spot. Skiing, hiking, camping, fishing and boating
are all popular, and just a short drive away. Nature lovers enjoy four
of Oregon’s wonderful state parks, plus two National Wildlife Refuges….you
can too!
Jim Beyer
National Medical Services
PH: 800-318-3493
PH: 214-438-3794
Fax: 214-438-3792
www.nationalmedicalservices.com
New England Cardiology
Nurse Practitioner or Physician
Assistant
We are seeking a Nurse Practitioner or Physician
Assistant for a Cardiology (non-invasive) and an Electrophysiology position
with a semi rural hospital in New England. Will consider an experienced
provider or new graduate. Other providers on site. Schedule
is four 10 hour flex shifts per week, and 1 in 5 weekends. Acute
and chronic care includes admissions, work-ups, consults, and emergency
response calls and discharges. Duties are intubations, central lines, chest
tubes, paracentesis, and thoracentesis. Compensation will be $70 -$105k
with a comprehensive benefit package including 5 wks vacation, malpractice
and health insurance, and 1 wk paid CME. Very generous relocation package
and separate sign – on bonus. This beautiful location is in one of
the northern New England states - very scenic near lakes, ski and resort
areas. Plenty of hiking, fishing, biking and outdoor recreation as well.
Reasonable cost of living, friendly neighbors, clean air, good schools.
No state sales or income tax!!! make your dollars go much further. Great
place to be!
Jim Beyer
National Medical Services
PH: 800-318-3493
PH: 214-438-3794
Fax: 214-438-3792
www.nationalmedicalservices.com
RE-POST
Iowa Family Practice
We are currently seeking a Physician Assistant
or Family Nurse Practitioner for a family practice clinic in central Iowa.
Will only consider an experienced provider. This is an autonomous
practice with no other providers on site. Schedule will be M-F, 8a-5p.
Moderate patient volume. Compensation will be $75 to $85k+ with a comprehensive
benefit package including 4 wks vacation, malpractice and health insurance
and 1 wk paid CME. Relocation assistance and possible separate sign-on
bonus. This location is one is rated with a very high quality of
life. The historic downtown offers unique shopping with a small-town
twist. Classic architecture has placed the town for consideration as a
National Historic Place. Good schools, affordable housing, convenient amenities,
abundant outdoor recreational opportunities make this another place to
be “right here right now: (state slogan).
Jim Beyer
National Medical Services
PH: 800-318-3493
PH: 214-438-3794
Fax: 214-438-3792
www.nationalmedicalservices.com
RE-POST
Salem Oregon - Family Practice
We are seeking a Physician Assistant or Family
Nurse Practitioner for a Family Practice clinic in Salem, Oregon.
Will consider an Experienced Provider or New Graduate. Other providers
on site. Anticipated patient volume is 18/day to start. Schedule
will be M-F, 8:30a-5:30p. Compensation will be $70 - $85k with a
comprehensive benefit package including 3 wks vacation, malpractice/medical/dental
insurance, and 1 wk paid CME. Relocation assistance and possible sign-on
bonus. Salem offers a wide variety of festive events such as fairs
and festivals, visual and performing arts, farmers markets, holiday events,
wine and agricultural activities, and historic offerings. The Salem area
is a great place for kids and families. Love outdoor recreation?
You couldn’t find a better spot. Skiing, hiking, camping, fishing and boating
are all popular, and just a short drive away. Nature lovers enjoy four
of Oregon’s wonderful state parks, plus two National Wildlife Refuges….you
can too!
Jim Beyer
National Medical Services
PH: 800-318-3493
PH: 214-438-3794
Fax: 214-438-3792
www.nationalmedicalservices.com
RE-POST
Clinical Risk Executive-Chicago
Area
Nurse Practitioner
Outstanding employer is currently recruiting for an NP interested
in a newly created position in Client Services as a Clinical Risk Executive
(CRE). This is a great opportunity for a nurse practitioner, with
7+ years of experience, to bring risk management, patient safety, and quality
improvement programs to hospitals all over the United States. There
are no weekend shifts, nights, or holidays! This position is based
at the corporate office in Oakbrook Terrace, Illinois.
The selected individual will work directly with clients to coordinate
course planning and requirements. This is position offers an excellent
salary and full benefits including 401-K with company contribution plus
Monday through Friday hours. This is an ideal position for an experienced
NP looking for a life style change.
This is an outstanding employee orientated organization. There are many
opportunities for growth and development in this organization. The
selected candidate will need strong communication skills, be comfortable
with live and web-based presentations and have a better than average familiarity
with the Microsoft Office suite of products. Knowledge of informatics
would be particularly welcome because this employer develops cutting edge
solutions in risk and safety in the electronic medical record marketplace.
This position requires residence in or relocation to the Chicago area.
For more details contact Bill Lubker 866-846-0606 or by email at
Fax CV in confidence to 314.667.3111. This is an exciting opportunity that
must be explored.
Friends Posting Nurse Practitioner Job
any questions or need help email
Your Job was gleaned from the internet. I
search 3 hrs/day
posted FREE•it's my contribution in
support of NPs and the NP profession
11,000+ Thousands of NPs get job emails
Mon•Sat
On pace for 12,000,000+ (yes it's 12+ million) Hits in 2008Please Remember The age and accuracy of
information of jobs researched
on the internet are unknown-approach w/caution
they may be filled. Florida ARNP for pediatric practice.for a busy pediatric office.
Ratna Dhingra M.D.
Motion Picture & Television Fund Woodland Hills, CA
ON-CALL NURSE PRACTITIONER Outpatient / Clinic Woodland Hills
Clinic. Requires CA RN License, MSN, prescription privileges & certs,
BCLS & 3 years exp in an outpatient setting. We offer a unique and
professional environment.
Ponca City Medical Center, located in the beautiful town of Ponca City,
Ok, seeks a full-time Psychiatric Nurse Practitioner for our 16 bed Geropsych
unit.
The University of Michigan Cardiovascular Center is looking for a qualified
nurse practitioner to develop a comprehensive venous disease management
treatment program in collaboration with vascular surgery, vascular medicine
and interventional radiology.
MI OAKWOOD LINCOLN/JEFFERSON-BARNS HEALTHCARE CENTER: NURSE PRACTITIONER
Flint, MI 48503 HURLEY MEDICAL CENTER: CLINICAL PRACTITIONER
NURSE PRACTIITIONER LEVEL 1 - TRAUMA CENTER
Nurse Practioner needed for busy family practice located in small community
situated between Daytona Beach and Orlando, Florida. 4 day; 40 hour
work week. Great opportunity to work independently. Fax CV
or inquiry with contact info to (386) 775-1904.
Houston, Texas 77030 Baylor Hospital and Clinic, Baylor College
of Medicine is an employer for the future! Seeking qualified family Nurse
Practitioners to work in either a full time or temporary, part time position
in a family planning clinic for adolescents (both positions are available). Houston TX Interventional Radiology Nurse Practitioner Busy hospital-based
Radiology practice located in the Texas Medical Center, is seeking 2 fulltime
Nurse Practitioners to assist with clinic and hospital patients.
FT PNP Rochester, NY 14642 Kirch Developmental Services
Center, Part of Strong Center for Developmental Disabilities.
Advanced Practice Nurse-Ambulatory Milwaukee, WI pediatric chronic
illness contact Amy Paull, HR Recruiter, at 414-337-7752
How to Maximize your search using Indeed.com
In the What Box add to Nurse Practitioner what specialty
you'd like e.g. Cardiology
In the Where Box leave blank to search nationally or add
city and or state
Sample: Title: nurse practitioner cardiology Where: San
Antonio, Texas
Note: Your results will display right here,
so you will need to scroll back down to here.
When you click on a Displayed job link you will leave NPworld.us/jobs/
to now surf the net.
var indeed_publisher_id = '8729531664851289';
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Please tell these employers and recruiters
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The American Nephrology Nurses Association (ANNA) distributed more than $90,000 in nursing excellence scholarships, grants and awards at its 39th National Symposium in Philadelphia, PA. The Outstanding Contribution to ANNA award was presented to Beth Ulrich, EdD, RN, FACHE, FAAN, senior vice president, Professional & Consulting Services, Gannett Healthcare Group, Pearland, TX, and editor, Nephrology Nursing Journal.
Over 1,500 nephrology nurses and health care professionals gathered at the American Nephrology Nurses' Association (ANNA) 39th National Symposium April 27-30, 2008, in Philadelphia, PA, making it one of the most highly attended conferences in the association's history. Innovation was the recurring theme in all education sessions, which spanned nephrology nursing practice.
I am leading a major process change initiative (named the eRecord Programme) at one of the biggest foundation Trusts in the UK. This programme encompasses the development of a strategy for the long term future state of clinical informatics support. Our main aim is to enable better healthcare outcomes for the people of our region and to improve on the experience of patients and staff as they journey through the healthcare system.
In this role I am often asked about the significance of press articles that question the quality of the computer applications being implemented in the "Connecting for Health" NHS initiative and I sometimes despair that, as we come close to the end of the first decade of the 21st century, so many people seem to think that it is the computer applications (electronic information systems) that will make a difference in their organisations, rather than the fundamental changes in process that are enabled by access to the right information, at the right time and in the right place.
Computerised applications are simply tools, they never, ever, in and of themselves, provide a return on investment and anyone who thinks that they will is destined for disappointment. The same sort of disappointment that will occur if one thinks that anywhere in healthcare there is a one-size-fits-all suite of products that will support all of their healthcare information management challenges.
For those that are interested this is an overview of the work that I am currently engaged in:
Why an eRecord?
In 1999 and 2003 two publications were released by the US Institute of medicine, they highlighted a shocking level of misadventure that resulted ultimately in untimely deaths in that country.
While there are no formal studies on the same scale in the UK it is generally accepted that the causes of adverse events in healthcare are effectively the same. Some of them are:
poorly defined processes that either encourage bad behaviour, or fail to encourage good behaviour;
ineffective communication, collaboration and inclusion across the healthcare sector; and
paucity of reliable information at the right time, in the right place and for the right people to support effective decision making.
Further it is widely recognised that healthcare outcomes improve if duplication is reduced, information is shared effectively, and processes are standardised, measurable and understood by participants in those processes. When these things are achieved all stakeholders can, through analysis, monitoring, and identifying trends, improve their own performance or that within their domain of control.
First Steps
The core of the eRecord programme that i am leading is to ensure that we know what the patients within our Trust have experienced or are experiencing on a real-time basis. What treatment have they received, who has or is providing it, and how they responded to interventions.
To do this we must ensure that the recording of information is a key part of the care process and that this occurs as and when that facts become known or change.
The Approach
Our programme of change will be supported through implementation of a software application supplied by a large US based company although, in the same way that a Vauxhall will get you from A to B as effectively as a Rolls Royce, it could as easliy have been supported by any number of applications in the marketplace with a shorter or longer list of "features". This tool will provide all users with a vehicle to access demographic information about Trust patients, the results of tests performed for Trust patients, the attendances that Trust patients have had, and their current location if they are an inpatient. It will also enable users to order clinical tests consistently, quickly and simply for Trust patients and to record who is responsible for our patients at any specific time.
The programme will also be supported through our partnership with a large US healthcare system who have completed a significant amount of work in this area before, through the support of our IM&T Department, and through the support of the Trust’s training and communication team in Human Resources.
There are two key parts to the programme, the delivery of an Electronic Patient Record for the Trust that will:
support processes in all Inpatient, Outpatient, and Day Patient areas
provide a definitive source of data regarding the location of the patient and their demographics
support work order processing and results reporting for clinicians and enable access to this information ubiquitously
support improved medicines management through standardised prescribing, dispensing, and administration processes
support better utilisation and scheduling of theatres
support improved emergency and trauma management processes and the processes of admitting patients to the hospitals
The second part of the programme will involve automating the capture of outputs from various electronic diagnostic devices (such as EEG, ECG, and Lung function equipment) so that they can be linked to the patient record electronically and the task of ensuring that the large number of systems that support specialist care within our Trust are effectively integrated with our core source of demographic information or replaced with something that meets the users’ needs and is integrated.
We also know that we will want some visibility of information that is kept by healthcare providers and allied health providers who are affiliated with, but not under the authority of, our Trust.
Carers need this complete view, and our first steps of capturing and recording information about major care events that happen across all of our Trust operations is a cornerstone of delivering it.
The computer application tool that we are putting in place will provide the authoritative source of data for Trust information about our patients’ demographics, encounters in the Trust, tests and results, medicines, procedures, allergies, and alerts.
The next step for us is to incorporate, for clinical staff providing care, a view of clinical information that is stored in specialist clinical systems, examples of this type of clinical information include mole maps maintained by dermatologists, growth charts maintained by paediatricians, and birthing records maintained by midwives. In the longer term the clinical history of the patient when they have not been under the care of our Trust must also be available through such a view so that information essential to providing high quality healthcare can be seen by authorised carers.
All of this can technically be made accessible and presented via a single interface to the core Trust patient record. However there are a number of challenges as we move toward the target.
The first and most significant of the challenges we face is the realisation that we cannot replace all clinical applications with a single solution. Not only are there no solution packages that cater for every specialty but there are very human issues of proprietorship which ultimately impact buy-in and support for collaborative strategies.
We must recognise the need for authoritative sources of patient demographic information and clinical history; and that these authoritative sources, to deliver benefit, must be integrated rather than “owned” or controlled. When this occurs we will be committed to a strategy of integration rather than replacement in most cases.
Integration of patient demographics held in all systems is essential, currently this information can be updated and out of synch across literally dozens of systems within our own Trust. This situation makes it almost impossible to tie-together patient information and to present a single view of that information. A program of work has begun to identify how this integration will occur, how data will be cleaned up, and to obtain the resources and tools that will be needed.
The second key tool in developing a holistic view of patient information is one that will enable a federated view of information held in systems that are not either managed centrally or even run within the Trust at all. Our partners use a product designed specifically to achieve this and this tool, or something like it, will become a key part of our kit to develop the right information to our clinicians, at the right time and in the right place.
Progress will be discernable through the achievement of critical success factors. These include enabling co-existence and managed transition from the old state to the new; and maintaining a balance that ensures the ownership and commitment of stakeholders to the outcome. The challenges inherent in both will rely on our ability to deploy the right tools, to engage and communicate effectively with stakeholders and to define a well supported path to success.
Not a destination…
This programme of work is a journey, it is not a destination that will be reached within 3, 4 or even 5 years. The development of tools that enable delivery of information to clinicians; that support decision making of the most complex and critical nature will be ongoing, as information becomes ever more plentiful, the challenges of filtering and presenting it sensible and meaningfully continue to increase.
Clothing can serve more of a function than mere fashion. Before there was ever a runway or Paris or Milan, clothing was used for protection from the elements. Clothing companies like Cabana Life are helping to bring that concept back. The fact that clothing protects us from ultraviolet (UV) rays is something that most of us are probably well aware of. However, some clothing protects us much better than others. The average plain white t-shirt, for instance, has an SPF of 5, Cabana Life sun-protective clothing can offer far greater protection. There's no actual sunscreen in sun-protective clothing. It works because the fabric’s weave doesn't allow the UV rays to penetrate through to the skin.
While sun protective clothing has obvious benefits, what about the apparel that promises skin hydration and cellulite reduction? A number of hosiery products promise skin hydration benefits such as Donna Karan’s Hydrating Control Top Pantyhose. The skin care ingredients are actually built right into the fabric. Hydrating hosiery markets that their products have firming toners and moisturizers in the fabric. Companies like H2O Plus and Bliss also offer moisturizing gloves. However, even if a small amount of moisturizer does manage to seep into the skin, a more effective method would mostly likely be applying skin care cream directly to your legs rather than wearing hydrating hosiery. Cass and Co.’s Cass Luxury Shapewear similarly promises a slimmer figure while restoring your skin’s healthy glow. Shapewear’s ant-aging fabric uses a copper infused fiber to maintain a healthy glow, however, in terms of slimming factors, Shapewear offers little more results than a pair of spanx or a corset.
Clothing that claims to get rid of cellulite should be considered the least effective of all. Any physician would tell you to avoid those products because skin care creams and lotions that are advertised as natural cellulite removers, simply do not work. For cellulite treatments you should save yourself some time by looking into effective treatments like Mesotherapy or LipoDissolve injections.
One’s reminded of the Emperor’s new clothes, if you believe enough that your clothes are wonderful than they will be wonderful. Of course, this is all well and good until you’re walking the streets in the nude. You’d be better off with a sun-protecting shirt.
It all happened so fast. A ball bounced out into the street, the motorcycle lunged to avoid the tethered child. Out of instinct, her leg thrust outward, the whole weight of a collision smashed her leg into the unforgiving pavement. The pain roared.
From the X-rays I could see Serena had a severe tibial plateau fracture. Large and small pieces of bone appeared in a jumbled array. My heart sank, this was a terrible injury. She had been our clinic nurse -fast on her feet, moving patients, answering phones, pushing us onwards. Now, she was the patient. A quick ride around the block on the back of a shiny new motorcycle ended in catastrophe.
The orthopedic doctors operated and reoperated. Could they save her leg? A framework of black steel and sterile screws, an external fixator, set her up for a long road of recovery ahead. She lay in the bed, her life changed forever. Would she ever dance again?
Every day I visited Serena in the hospital. I read from the Bible, I summoned the nurse, I held her hand, I listened. Rehab, lots of pain medicine, more rehab. She could stand now, although only for few minutes at a time. Serena was tough, but she needed support.
It took a while, a long while, before she could walk again. Her steps were slow and stiff at first. Weeks of immobilization had caused muscle atrophy, her thigh shrinking by half its size. Strength returned slowly. Then, finally, she could walk! It was a miracle! I was lucky to be there.
Weeks after she left the hospital, I visited Serena at her home. The house was alive - kids rushed up and down stairs, soul music played in the background, the smell of fried chicken wafted through the kitchen. Her face radiated. I could see she was 'back'. Could she dance? I smiled at the thought - I knew she could.
It is easy to take things for granted: a walk outside, sunshine, good health, life without pain. Remember to give thanks - each day is a gift, make the most of it.
