EHOB Newsletter
Greetings from inside the Polar Vortex! We’ve certainly been experiencing some of the most difficult weather winter can produce this year. As we enter another winter month, we hope this finds you safe and warm (and probably booking flights to points south!).

This month's newsletter highlights the incredible insights our nurses have into the medical industry, always with an eye toward what is best for the patient. I encourage you to read their posts and, as always, your feedback is welcome. I also had the opportunity to pen an article for McKnight's Long-Term Care that we’d like to share with you as well.

James G. Spahn, Founder and CEO
EHOB, Inc.
January 12, 2014
Shelley Lancaster, RN, MSN, ACNS-BC, CWOCN

I live in a mid-western state that does not require facilities to report unstageable pressure ulcers to the Board of Health. Stage III and IV ulcers have been state-reportable events for several years now, bringing resources and attention to facility efforts to improve patient care across the state. When unstageable ulcers were added to the NPUAP classification system, several states quickly decreed that these ulcers also constituted reportable events, as the definition was clear that a new unstageable pressure ulcer was indeed Stage III or IV, even though it could not be fully classified during that admission.

January 17, 2014
Shelley Lancaster, RN, MSN, ACNS-BC, CWOCN

Given the CMS requirement today for MD documentation of pressure ulcer presence and treatment orders on charts, I’ve often wondered how prepared physicians are to do so and what they think about pressure ulcers. So it was interesting to learn of the following study published in Ostomy Wound Management 2012;58 (4) that explored these questions.

Prevention: Select the right products
January 13, 2014
James G. Spahn MD, FACS

To better quality care in relation to the prevention and treatment of pressure ulcers, long-term care providers must pay close attention to the products they are utilizing. The proper selection of products cannot be based solely on hypothetical concepts, promotional materials, or "the more the better" philosophy.

January 28, 2014
Fran Demo, BSN, RN, CWON

A friend forwarded me a piece from the NPR Morning Edition titled Silencing Many Hospital Alarms Leads to Better Health Care. The segment focused on what has become known as "alarm fatigue," the increasing insensitivity to cacophony of alarms a healthcare worker is exposed to on any given shift and what one Boston Hospital is doing about it. Shortly thereafter he sent another NPR piece titled How Parents and the Internet Transformed Clubfoot Treatment.


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