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Caring for the Unrepresented: A Podcast with Joe Dixon, Timothy Farrell, Yael Zweig

GeriPal

So like as an example, in New York State, if someone has no healthcare proxy that they’ve designated, there is a legal structure by which we can assign a surrogate, whereas other states don’t have that same structure. Let’s say they’re in the ICU now on a ventilator. So there’s no healthcare surrogate.

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POLST Evidence and Update: Kelly Vranas, Abby Dotson, Karl Steinberg, and Scott Halpern

GeriPal

Certainly SOME of those avoided hospitalizations, CPR, and ICU stays were due to documentation of those orders in the POLST. Because we haven’t done our job to document the value of what we’re doing. And I use that as that documentation about what they want, recognizing that not everybody does that.

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Surrogate Decision Making: Bernie Lo and Laurie Dornbrand

GeriPal

Missouri set a very high bar, explicit written documentation that applies to this specific circumstance, which the Cruzan’s eventually cleared. But legislation can change, clinical practice can change, but I think what we’ll talk about today is how we’re now opening the door to conversations rather than legal rules and documents.

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The Importance of Safe Storage Practices: A Guide for Healthcare Workers

Daily Nurse

Many healthcare facilities will require multiple storage areas for supplies. Equipment includes tools and machines you may use repeatedly, like pulse oximeters and ventilators. The post The Importance of Safe Storage Practices: A Guide for Healthcare Workers first appeared on Daily Nurse.

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PC Trials at State of Science: Tom LeBlanc, Kate Courtright, & Corita Grudzen

GeriPal

What we did was ask clinicians earlier in the ICU stay for very sick patients to document prognosis, and for those who they thought would survive, to document six-month functional prognosis. And that helped them focus on that instead of, say, the blood pressure, the vasopressors or the ventilator settings that day. Eric: Okay.

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CSI Academy Teams to Focus on Implementing HWE Standards

Daily Nurse

Building on CSI Academy’s successful 11-year history and the documented benefits of sustaining an HWE, AACN has established a special version of its 12-month, team-oriented CSI program that will focus on the implementation of “ AACN Standards for Establishing and Sustaining Healthy Work Environments ” (HWE standards).

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Aging and the ICU: Podcast with Lauren Ferrante and Julien Cobert

GeriPal

And Lauren Ferrante has found in a study published in JAMA Internal Medicine that trajectories of disability in the year prior to ICU admission were highly predictive of disability post-ICU, on the same order of magnitude as mechanical ventilation. Where she has each of the age categories and you see the prevalence of frailty increasing.