Realizing that one-size-fits-all homecare is not conducive to the best outcomes, diagnosis-specific care is needed to best serve heart failure patients, according to Ashley Wharton, MSc, RN, Bayada Home Health's division director. "Therefore, we made a decision in our home health practice to make significant investments in clinical education." The Heart Failure initiative team needed to design a solution that was not only evidence-based and outcomes-driven, but also scalable, cost-effective and easy to implement.

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Clinicians --- primarily those outside of the ICU, where sepsis is already well-known --- must sharpen their recognition of sepsis onset. Primary care providers also must become more diligent in considering sepsis as a possible cause of aches and pains in outpatient populations. According to the CDC, sepsis affects more than 800,000 Americans annually, claiming more than 258,000 lives per year. In cases of severe sepsis, 40% to 50% of patients do not survive.

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After reading this article, the learner will be able to identify personal and social factors associated with the prevalence of domestic violence and state barriers encountered when working with patients who are victims of domestic violence.

“Vaccine-preventable disease is the monster lurking in the background because we haven't had outbreaks," remarked Sharon Stevens, RN, BSN, manager for the Cuero-DeWitt County Health Department in Texas and co-chair of the Crossroads Immunization Action Coalition. Vaccinating even low-risk populations makes sure the monster stays in its cave. Even common illnesses can be deadly, such as the 20 adults who died from the flu in Steven's home state of Texas in 2015.

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The use of profane language in the workplace -- particularly in a healthcare setting, where stress levels are often high for patients, families and providers alike -- is rarely acceptable. Unchecked cursing is a red-flag indicator of stress, frustration, anger, and lack of control -- all of which are detrimental to healthcare excellence. A great deal of subjectivity can come into play when employers consider whether foul-mouthed workers have crossed the line of acceptability and require discipline, up to and including firing.

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The Department of Labor estimates that millions of employees who were not previously eligible for overtime will become eligible when the new regulations go into effect December 1. At first glance, the options available to comply appear straightforward. The Fair Labor Standards Act (FLSA) permits other creative alternatives for employers who cannot absorb the increased labor costs these limited options would produce, or who have other business reasons to reject the options.

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Every student uses a mixture of learning styles. There is no right or wrong mix, nor are your styles fixed. You can develop learning ability in less dominant styles, as well as further develop styles you already use well. A learning styles inventory provides a guide to personal learning styles. By asking a series of questions, and then scoring the results, it indicates which are your dominant and secondary styles.

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