Unknown's avatar

About Lisa

I have been a Clinical Informationist (aka Medical Librarian) for Emory University since September 2013. Prior to that, I was a Medical Librarian for Lincoln Memorial University (LMU) from March 2007 to August 2013 and served its DeBusk College of Osteopathic Medicine (LMU-DCOM), Caylor School of Nursing, and allied health programs. From January 2002 - March 2007, I served the Medical Assisting (MA), Occupational Therapy Assistant, Physical Therapy Assistant, Radiologic Technologist, and Nursing programs at South College in Knoxville, Tennessee. I graduated from The University of Tennessee School of Information Sciences with a Master of Science degree in December 2000. Received a Educational Specialist (EdS) degree in Educational Administration and Supervision with a higher education focus in August 2010 from LMU.

Rounding decreases call light use

PubMed collection includes 13 articles that state that rounding decreases call light use. Here’s how to access the collection.
a. Go to the Woodruff Health Sciences Center Library homepage (http://health.library.emory.edu)
b. Click on PubMed.
c. Then paste this link into your browser: https://www.ncbi.nlm.nih.gov/sites/myncbi/1HMKnKhQm_d5i/collections/52135288/public/
d. The references will appear in Pubmed. Click on a reference and you will see a Find it at Emory to the right of it-which will tell availability for full text. If you are not able to access the full text, send article citation(s) to Ask a Librarian (http://www.healthlibrary.emory.edu/about/contact/ask.php;this link is on WHSC Library homepage); our staff will get article for you and send it to you.

Having more than one person work together to insert an urinary catheter

Relevant systematic reviews and guidelines do not mention having more than one person insert an urinary catheter.

Following are citations and links to full text for three items in which two people worked together to insert catheters:

Galiczewski JM, Shurpin KM. An intervention to improve the catheter associated urinary tract infection rate in a medical intensive care unit: Direct observation of catheter insertion procedure. Intensive Crit Care Nurs. 2017 Jun;40:26-34. doi: 10.1016/j.iccn.2016.12.003. Epub 2017 Feb 22. Excerpt: “CAUTI rates decreased from 2.24 to 0 per 1000 catheter days.” Three comments are available on this article. To view them, go here, and then copy and paste this url into the browser so that the Find it & Emory button will be available: https://www.ncbi.nlm.nih.gov/sites/myncbi/1HMKnKhQm_d5i/collections/58794408/public/.

Fletcher-Gutowski S, Cecil J. Is 2-person urinary catheter insertion effective in reducing CAUTI? Am J Infect Control. 2019 Jul 16. pii: S0196-6553(19)30575-9. doi: 10.1016/j.ajic.2019.05.014. [Epub ahead of print]. Excerpt: “The results of this study indicate implementation of the 2-person urinary catheter insertion protocol with a checklist decreased the risk of CAUTI for our patient population.”

Breiter Y et al. 9-186 – Catheter-associated urinary tract infection reduction in the emergency department as a result of dual personnel urinary catheter insertion. American Journal of Infection Control. 2016;44:6(S88-S89). (this is only an abstract; 201 patients underwent dual personnel urinary catheter insertion; none developed a CAUTI)

Heudorf U. Grünewald M, Otto U. Implementation of the updated 2015 Commission for Hospital Hygiene and Infection Prevention (KRINKO) recommendations “Prevention and control of catheter-associated urinary tract infections” in the hospitals in Frankfurt/Main, Germany. GMS Hyg Infect Control. 2016 Jun 30;11:Doc14. doi: 10.3205/dgkh000274. eCollection 2016. Excerpt: “demonstrations were always performed by two persons (the second to hand the sterile materials to the first).”

Updated 8/23/2019 ldt

Medicines That Require Aspiration Prior to IM Injection

PubMed search: intramuscular injection and (aspirate OR aspiration) with results limited to the past 5 years. There were 32 results. You can review all 32 results here.

Here are several articles that discuss current recommendations regarding aspiration.

Aspirating during the intramuscular injection procedure: a systematic literature review.
Excerpt: “In the paediatric vaccination setting, the practice of aspirating during the administration of an intramuscular injection is unnecessary and there is no clinical reason to suggest that these principles may not be applied when using the deltoid, ventrogluteal and vastus lateralis sites in other settings. Owing to its proximity to the gluteal artery, aspiration when using the dorsogluteal site is recommended. Nurses must be supported in all settings, by clear guidance which rejects traditional practice and facilitates evidence-based practice.”

Rituals in nursing: intramuscular injections (Choose EBSCOhost option to access full-text)
Excerpt: “To consider to what extent intramuscular injection technique can be described to remain entrenched in ritualistic practice and how evidence-based practice should be considered and applied to the nursing practice of this essential skill. Background: The notion of rituals within nursing and the value or futile impact they afford to this essential nursing skill will be critically reviewed. Design: Discursive paper. Method Literature review from 2002-2013 to review the current position of intramuscular injection injections. Results: Within the literature review, it became clear that there are several actions within the administration of an intramuscular injection that could be perceived as ritualistic and require consideration for contemporary nursing practice. Conclusions: The essential nursing skill of intramuscular injection often appears to fit into the description of a ritualised practice. By providing evidence-based care, nurses will find themselves empowered to make informed decisions based on clinical need and using their clinical judgement. Relevance to clinical practice For key learning, it will outline with rationale how site selection, needle selection, insertion technique and aspiration can be cited as examples of routinised or ritualistic practice and why these should be rejected in favour of an evidence-based approach. The effect on some student nurses of experiencing differing practices between what is taught at university and what is often seen in clinical practice will also be discussed.”

To aspirate or not: an integrative review of the evidence
Excerpt: “IT ALL STARTED with this question from an ambulatory care nurse educator: “Do we still have to teach aspiration of blood when giving an I.M. or subcutaneous injection?” This question led to an informal query about the practice of aspirating for blood before injection to confirm that the needle hasn’t inadvertently entered a blood vessel.
We verbally polled about 40 nurses at departmental and one-on-one meetings, and found that about 50% of respondents supported the practice of aspirating for blood before injection. The final tally of responses found no correlation to their age, education, or other demographics. However, the responses did seem to illustrate that how nurses were taught to give injections during basic nursing education strongly influenced their views: those who’d been taught to aspirate supported the practice while those who weren’t taught to do so continued to omit this step.”

Blood Aspiration During IM Injection
Excerpt: “The World Health Organization and Centers for Disease Control and Prevention no longer recommend aspiration during intramuscular (IM) injections. The purpose of this study was to investigate the technique registered nurses (RNs) use during IM injections and incidence of blood aspiration. This descriptive study surveyed 164 RNs. Results noted that 74% of the sample continue to aspirate at least 90% of the time. Of the participants who continue to aspirate, only 3% aspirate for the recommended 5 to 10 s. Forty percent reported having aspirated blood at least once, whereas 6 RNs (4%) noted blood aspiration ≥13 times. Blood aspiration occurred most frequently in the dorsal gluteal (15%) and deltoid (12%). Based on the findings, it is recommended that RNs use a decision-making process to select the safest technique for IM injections. If a parental medication has different administration rates, dose, viscosity, or other concerns when given IM versus intravenously (IV), aspiration during IM administration should be implemented.”

Support groups for heart failure inpatients

Go to the HSCL webpage: http://health.library.emory.edu/
Click on PubMed.
Copy this link into your browser and hit enter to see a collection of 5 useful articles: https://www.ncbi.nlm.nih.gov/sites/myncbi/1HMKnKhQm_d5i/collections/51442710/public
The list of references will appear in PubMed.
By using these instructions, you will be able to click on a reference and see the Find it at Emory button which will lead to full text if available; a login will be required. If online full text is not available and you are an Emory Healthcare employee, send citation(s) to Ask a Librarian for staff to get the article for you.

Here is the search technique: support groups AND heart failure. One citation was kept because the article cites a dissertation that may be useful.

Prevention of postoperative sternal wound infections after cardiac surgery

Go to the HSCL webpage: http://health.library.emory.edu/
Click on PubMed.
Copy this link into your browser and hit enter: https://www.ncbi.nlm.nih.gov/sites/myncbi/1HMKnKhQm_d5i/collections/51096605/public/
The list of references will appear in PubMed.
By using these instructions, you will be able to click on a reference and see the Find it at Emory button which will lead to full text if available.

Here is the search technique that was used: postoperative period AND (thoracic surgery OR cardiac surgical procedures) AND infection AND (sternum OR sternal) AND prevention and control

Use of teach back in oncology

To view articles on reminder systems, go to the HSCL webpage: http://health.library.emory.edu
Click on PubMed.
Copy this link into your browser and hit enter: http://www.ncbi.nlm.nih.gov/sites/myncbi/1HMKnKhQm_d5i/collections/50843753/public/
The list of references will appear in PubMed.
By using these instructions, you will be able to click on a reference and see the Find it at Emory button which will lead to full text if available.

Search technique
(oncology nursing OR oncology OR cancer OR oncologic) AND (“teach back” OR teach-back communication)

Healthcare providers’ satisfaction with patient education

To view articles on reminder systems, go to the HSCL webpage: http://health.library.emory.edu
Click on PubMed.
Copy this link into your browser and hit enter:
http://www.ncbi.nlm.nih.gov/sites/myncbi/1HMKnKhQm_d5i/collections/50843675/public/
The list of references will appear in PubMed.
By using these instructions, you will be able to click on a reference and see the Find it at Emory button which will lead to full text if available.

Search technique
job satisfaction AND (patient education OR health literacy)