February 2009

Really, I mean that. Tom says that being around so many nurses has taught him one thing (well, two if you count never turn your back on a proctologist). Hospitals are great places to visit loved ones when you’re well, but they’re a horrible place to be when you’re sick. Studies have shown the longer you’re in a hospital recovering, the more likely you are to develop an infection, iatrogenic injury or even die.

Tom usually blogs about technology, but this one was too good for me to pass up. ECRI has come up with a list of the Top 10 Health Technology Hazards! That just sounded like fun. For your legal nurse consulting business, this is an eye-opening list of just what can (and will probably) go wrong with healthcare technology. ECRI even ran the list in order of importance. Here we go:

1. Alarm Hazards. You know you ignore them or worse – turn them off.
2. Needlesticks and other Sharps Injuries. This is really low-tech. We’ve been maliciously sticking unsuspecting patients with needles for years.
3. Air Embolism from Contrast Media Injectors. This I read AFTER my MRI?
4. Retained Devices and Unretrieved Fragments. Suddenly patients find themselves setting off the metal detectors at the airport or they are billed for a missing forceps.
5. Surgical Fires. Another reason why CRNAs shouldn’t smoke at work.
6. Anesthesia Hazards Due to Inadequate Pre-Use Inspection. More likely due to pre-use use by the CRNA and/or the anesthesiologist.
7. Misleading Displays. Especially the one showing brain activity.
8. CT Radiation Dose. Everyone else leaves the room during the x-ray, why shouldn’t the patient?
9. MR Imaging Burns. You stick a damaged headset and goggles on the patient, then ram him into the magnetic bore and wonder why he comes out with his hair on fire?
10. Fiber-Optic Light-Source Burns. Another way to set a patient on fire is by resting a hot “cold light source” on him during surgery.

The ECRI report also lists five of last year’s hazards that didn’t cause enough harm to make this year’s Top 10. They are still described as “significant” concerns. ECRI has taken the time to identify problems that any Certified Legal Nurse Consultant realizes are avoidable. I’d get a copy of this list and keep it handy when screening your medical malpractice cases. For a limited time, you can use the link above to visit ECRI and download a free copy of the report.

It’s like Tom always tells me “Technology is fun – in the right hands.”

Success Is Inside!

P.S. Have you seen any med-mal or products liability cases in your legal nurse consulting business related to these topics? What, in your opinion, is the biggest health technology hazard? Comment here.

I’ve got an assignment for anyone who plans to attend the 2009 NACLNC^® Conference in San Antonio, March 12-13, 2009.

Between now and March 12th, you must go and see the movie Slumdog Millionaire. That movie won 5 Critics Choice awards, 4 Golden Globes^® and garnered 10 Oscar^® nominations.

Why am I assigning you a movie? This film is full of lessons for beginning, and seasoned, entrepreneurs. It’s a fictional story of the life of an orphan, Jamal Malik, growing up in Mumbai, India, who miraculously appears on the Indian version of “Who Wants to be a Millionaire.”

Here’s the deal. I was reluctant to see the film. The last Danny Boyle film I remember seeing was Trainspotting and I walked out. So, Tom and I went into this one dragging our heels and figuring we’d at least enjoy a big bag of popcorn, if not the movie.

The film didn’t start off too promising, but as soon as the first flashback of young Jamal playing cricket started I was hooked! I don’t rave about movies. Ever. But in this case, I’m raving and I’m challenging every Certified Legal Nurse Consultant planning on attending our NACLNC^® Conference in March to see this movie before you come to San Antonio.

I challenge you to identify all the maverick entrepreneurial techniques Jamal and his brother employ during the film. I will warn you, this movie is a rollercoaster of sights and thoughts that may upset you. If you haven’t been to the third world, this is as close as you need to get. If you have been, you’ll laugh through your tears. In the end though, you’ll be rewarded.

Go see it – take your significant other(s). Hold hands, eat popcorn and enjoy the ride.

Success Is Inside!

P.S. If you identify any entrepreneurial techniques you can apply to your legal nurse consulting business, post them here and we can all discuss them.

P.P.S. Stay for the closing credits – it’s classic Bollywood!

According to the Western Hemisphere Travel Initiative (WHTI) U.S. citizens traveling by land or sea to Canada, Mexico, Bermuda or parts of the Caribbean must show proof of citizenship in the form of either a passport, passport card or WHTI-compliant document (government-issued photo ID and birth certificate) to get back into the good ole’ USofA. So, if you’re a Certified Legal Nurse Consultant who is considering a future NACLNC^® Conference cruise, you’ll need to have one of the above to get back to your home office once your ship comes in.

The easiest form of proof of citizenship is the government-issued photo ID and birth certificate copy. Just make sure you have a readable, notarized copy of your birth certificate. Next easiest might be the so-called U.S. Passport Card (good only for land/sea travel – not international air travel). This is handy if you live near a border crossing and travel on a regular basis to meet your attorney-clients in such exotic locales as Tijuana or Montreal.

If you’re getting a new passport for traveling overseas as part of your CLNC^® business, or just for fun, you might be surprised to know that you’ll get one of the new e-passports. That’s right, an e-passport. Beginning in August of 2007 the Department of State has issued only the new RFID chip-enabled e-passports.

What’s the buzz about RFID? RFID chips are radio frequency identification devices that are really tiny microchips you can implant in an item of inventory, a pet or just about anything. Depending upon the strength of the chip, you can use it to identify and track inventory in and out of a building, the movement of chips around a casino (and betting patterns), the location of your French Poodle (not husbands yet – sorry Vickie) and today – an e-passport.

According to the U.S. Department of State, RFID chips in e-passports make them easier to scan and less prone to counterfeiting. Assuming (correctly) that even paranoids have real enemies, it is theoretically possible for the proverbial bad guy to walk through a crowd with a cell-phone-sized receiver and pick out the passport-carrying American citizens by the signals their passports give off (and not by their “I’m with Stupid” t-shirts and sneakers).

This frightened me until I learned of a solution – MobileEdge makes an ID Sentry Wallet that surrounds your passport in a cool-looking leather case that contains an imbedded shield that blocks the RFID signals from escaping. This turns you into just another face in the crowd. It does not interfere with the passport and so, is completely legal. By the way, the U.S. Passport Card also has an RFID chip embedded in it, but it comes with a shielded sleeve when you receive it from the government.

Paranoid? Maybe I should be. Safe? You bet I am. This ID Sentry Wallet is the best $30 travel accessory you can buy if you plan on going anywhere your passport can take you. Now, when you’re cruising the markets in Bariloche, Bangkok or Bumthang you can stop walking backwards in fear someone will sneak up behind you.

Keep on techin’,

Tom

As a young baby boomer, I have to face the fact that one day I’ll be old. Not tomorrow and not the next day, but sooner than I want to admit. One good thing is – I’ll have lots of company. The bad thing is – all those Generation Waste kids that will be taking care of us (you know the ones with piercings, tattoos and bad work ethics).

What brought this up? The Center for Medicare and Medicaid Services (CMS) has released a rating system for nursing homes. What a genius idea! Now we can pick our nursing homes the way we pick our vacation hotels (no, they’re not on Priceline yet). The system goes from one to five stars based on factors including inspection records, number of patients developing pressure ulcers, complaint inspections and more (including staffing).

It seems the non-profit facilities had a higher number of five-star nursing homes (I never, ever thought I’d say “five-star” and “nursing home” in the same sentence) that was double the number of five-star for-profit facilities. Interestingly, the number of one-star for-profit nursing homes was double the number of one-star non-profit nursing homes. In other words, these owners put profit before people.

You can read more about this at Medicare’s website and while you’re there, download a handy “Nursing Home Checklist” to take with you when you start looking for your own nursing home. It’s got a fun nursing home locator with a variety of search options so you can see what’s available in your area.

On a serious note, as a Certified Legal Nurse Consultant working on cases involving nursing home residents, I’d be very interested in the rating for the defendant facility and any quality data you can drill down into about that facility. CMS has given the plaintiff’s bar another effective weapon in the fight against evil. The defense bar can use this too – if their facility is highly rated.

Check it out now – before you have to.

Vickie

P.S. If you want to spend your breaks reading an excellent, and moving, novel about nursing homes pick up “Old Friends” by Tracy Kidder. It will make you laugh and cry – sometimes at the same time.