- Cardiac Arrest and Resuscitation
- Stroke Rehabilitation and Recovery
- Workplace Violence and Bullying
- Simulation-Based Education in Healthcare
- Innovations in Medical Education
- Nosocomial Infections in ICU
- Respiratory Support and Mechanisms
- Geriatric Care and Nursing Homes
- Orthopedic Infections and Treatments
- Injury Epidemiology and Prevention
- Healthcare Decision-Making and Restraints
- Healthcare Systems and Technology
- Nursing Diagnosis and Documentation
- Academic integrity and plagiarism
- Venous Thromboembolism Diagnosis and Management
- Traumatic Ocular and Foreign Body Injuries
- Electronic Health Records Systems
- Esophageal and GI Pathology
- Trauma and Emergency Care Studies
- Pelvic floor disorders treatments
- Fire dynamics and safety research
- Bariatric Surgery and Outcomes
- Healthcare professionals’ stress and burnout
- Patient Satisfaction in Healthcare
- Frailty in Older Adults
University of Vechta
2024
University of Michigan–Flint
2021-2023
Hurley Medical Center
2011-2022
Mott Community College
2021
Committee on Publication Ethics
2011
Health care-associated infections, particularly surgical site are a persistent issue and major cause of morbidity mortality among patients. Infections significant financial burden can have lasting negative effects on patients, in cardiac surgery. Despite standard infection prevention measures, notable increase postoperative infections was observed high-volume surgery center 2018. A two-year quality improvement project conducted to enhance perioperative team member knowledge...
There is almost no data describing the long-term functional outcome of patients after penetrating cardiac injury.A retrospective study at a Level I trauma center from 2000 to 2009.Sixty-three had injuries 28 stabbings and 35 gunshots. Men comprised 89% (56) patients. Overall, there were 21 survivors (33%) 42 died in emergency room or perioperative period. The mean age did not significantly differ between (36 years ± 12 years) compared with those who (30 11 years; p=0.07). was an increased...
Ventilator-associated pneumonia (VAP) is a health care-acquired infection that leads to poor patient outcomes, increased length of hospital stay, exhaustion care resources, and unnecessary increases in costs.This project was designed educate registered nurses on the importance an evidence-based VAP prevention bundle reduces overall incidence infections.Patients (N = 146) were enrolled this quasi-experimental took place 14-bed neuro trauma surgical burn intensive unit (ICU) at level 1 center....
Background and Objectives: Compliance rates for follow-up appointments are an issue postoperative sleeve gastrectomy (SG) patients. Without consistent reinforcement monitoring of patient progress, patients tend to gain the weight back, all medical improvements made lost, ability access potential complications is denied. Patients need much during their forever bariatric lifestyle, lack reminders may contribute noncompliance recidivism in SG As time progresses, appointment compliance rate...
The American Heart Association and the Stroke jointly released guidelines stating that all patients with a new diagnosis of stroke should receive palliative care consultation starting in acute phase care. purpose this project was to increase rates for after an by using frailty score trigger consult. Provider education on 5-question fatigue, resistance, ambulation, illnesses, loss weight (FRAIL) questionnaire delivered presentation, handouts, follow-up email previously developed content....
Background: The coronavirus disease 2019 pandemic prevented in-person activities at colleges and universities in the spring/summer 2020 semester. Therefore, adult-geriatric acute care nurse practitioner students were unable to have on-campus clinical experiences. Method: An innovative virtual experience was developed, using synchronous platforms for lectures a patient (VP) encounter. Results: Eight participated experience, composed of three interactive VP Students spent an average 24.88...
ABSTRACT BACKGROUND: Endovascular mechanical thrombectomy can improve clinical outcomes in eligible patients with acute ischemic stroke (AIS), but its efficacy is time dependent. This quality improvement project aimed to examine whether a revised evidence-based neurological deficit algorithm initiated the emergency department could reduce door-to-groin puncture less than 90 minutes and AIS who received thrombectomy. METHODS: Retrospective chart reviews occurred between September 2020 April...
Background: Frailty in older adult trauma patients is associated with increased complications and worsened outcomes. screening can help guide care. Yet, center assessment of frailty relatively new, be challenging to implement, not yet standard practice. Objectives: The purpose this pilot feasibility study assess the impact implementing for evaluate effect on palliative care consultation, inhospital complications, hospital length stay, discharge disposition. Methods: We conducted a 3-month...
Buterakos, Roxanne DNP, RN, PNP-BC, AG-ACNP-BC; Cooper, Denise ANP-BC Author Information