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  • New Study Examines Gait Speed as Being Related to Future Dementia

    Dementia is a prominent concern among the older adult population. As the elderly population continues to increase, the number of those with dementia also will increase in number. Recent research on dementia and cognitive impairment in the aging has targeted a new disorder and with it, a new symptom that may be related to the likelihood of ...
    Posted to Gerotalk (Weblog) on August 19, 2014
  • Two Nursing Worlds that SHOULD Collide

    By Casey Hill, MSN, RN-BC, CEN, who is a nurse educator in Connecticut. Recently I attended a nursing orientation at a hospital, composed of both new graduates and experienced nurses. As a nurse educator, I enjoy being in this type of setting, seeing former students grow into their new role as a registered nurse.  Yet, like my ...
    Posted to ADVANCE Perspective: Nurses (Weblog) on August 19, 2014
  • Using SDI

    Standard deviation index (SDI) measures bias using simple, easy to understand criteria. I also like this for daily quality control, because it works on all levels. Here’s the calculation: SDI = (Value - Target Mean) / Standard Deviation Thus, a glucose of 97 with a control range of 80-100 has an SDI of 1.4. A positive SDI indicates a value ...
    Posted to Stepwise Success (Weblog) on August 15, 2014
  • Market Your Computer Skills

    While working out I listen to short articles using an Android app called Umano. Many of the articles I hear claim that we have a lack of people who can write computer programs. Indeed, last year President Obama endorsed an “Hour of Code” during Computer Science Education Week to encourage students to learn how to program computers (write code). ...
    Posted to Stepwise Success (Weblog) on August 1, 2014
  • Rarely Ordered But Critical Tests

    The bread and butter of labs are those tests ordered on most patients: chemistry panels, blood counts, urinalysis and culture, and to an extent coagulation and blood bank. These are often ordered serially on patients admitted to your hospital, creating a cumulative report of laboratory values. As professionals we tend to be most productive and ...
    Posted to Stepwise Success (Weblog) on July 23, 2014
  • Working in the Cloud

    I blogged about “the cloud” in 2010: “If you’re using any applications that run in your web browser over the Internet, you’re using cloud computing.” While our hospital still uses aging Microsoft Office software and local storage the world has moved up. And I’ve been writing in the cloud since I blogged about it. Google Apps are as functional ...
    Posted to Stepwise Success (Weblog) on July 18, 2014
  • Keyboard Ergonomics

    What started out attached to a desktop personal computer is everywhere. Keyboards are attached to computer terminals, COWs (Computers on Wheels), and many instruments. Yet little has changed in their design (more about that below). They are big, bulky, clunky, difficult to clean, and hard to adapt to a traditional laboratory setting designed ...
    Posted to Stepwise Success (Weblog) on July 9, 2014
  • A Better Marker for DKA

    The nitroprusside test typically performed with a Bayer Acetest tablet is a laboratory classic. It’s one of the first tests I learned. In the nitroprusside reaction, acetoacetic acid, a serum or urine ketone, reacts with sodium nitroferricyanide and glycine to produce a purple color. I’ve been in labs where two-fold serial dilutions are common. ...
    Posted to Stepwise Success (Weblog) on June 25, 2014
  • Preserve the HIM Workforce During the ICD-10 Delay

    [Editor's note: the following blog post was written by Bonnie Cassidy, senior director of health information management (HIM) innovation, Nuance] With the ICD-10 transition date now at least 16 months away, we must think about the impact this has on the workforce that was hired or educated with the original date in mind The American Health ...
    Posted to The Politics of Health Care (Weblog) on June 23, 2014
  • Better Counting

    We do a lot of counting in the laboratory: white blood cells, abnormal red cells, urine formed elements, and microbiology colony counts. I’ve worked in labs where these are precise, for example, reporting urine microscopic red cells as rare, few, 0-1, 5-10, 11-15, 11-20, etc. Theoretically, if techs count so many fields to achieve an average ...
    Posted to Stepwise Success (Weblog) on June 20, 2014
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