David Mittman, PA

Are You a Minimizer? If so, Ready for Change?

by Dave Mittman, PA, DFAAPA


I was thinking about the future of PAs and NPs and something struck me that I had felt for years, but had been unable to explain. Please allow me to try to now, as I want to introduce you to our profession’s “minimizers’ and if you are one, to ask you to consider changing a bit.

When you look at the future of the PA and NP professions, they will in many ways mirror each other. In the clinical arena, we do now and will increasingly continue to do much of the same things. Many of our political targets are the same; elimination of barriers, expanding practice, figuring where the doctorate fits in, dealing with attacks from those that do not want us practicing at our highest level. Similar problems and opportunities. The PA profession has one more thing to deal with that NPs have already dealt with a bit more successfully, and that is the real push and pull between the minimizer and maximalist.

What is that you ask? Let me try to explain as these are as much feelings and perceptions as facts. The PA minimizer is someone who many times is a great PA. They can be a leader or not, might be a teacher or precept students, and most are excellent full time clinicians. They are good people who love the profession, so what could be the problem? What they have in common is they look at professional issues as how they effect only them. Much of how they think about professional issues ends within 20 miles of their practice or home, some might expand up to worrying about their state. Their profession is one of being singular in scope, not national or more global. For example, when our title and the “assistant” part of it is brought up in conversation, they invariably say that “I have been practicing for 20 years with this title and I don’t see how it hurts me?” They agree that the title does not represent what PAs are or what we do, but to them that is of little consequence to their day to day practice. They don’t consider that there are patients that never came into see them because they were an “assistant” or that some legislators still see them as second class providers. Even if we were to devise a plan to change it, to them it would not matter. Their name tag has “assistant” on it, and hey, they have done pretty well so far in this world. If we bring up full practice responsibility, they will say “Why do I need that? My office runs fine just the way it is and I like having a physician to run things by”. “You know, I only really consult about once a month, but I would rather not have the responsibility”. And most will add that they make more money than they ever thought they would. We tell them none of that would not change, unless you want to practice alone. You would still be part of a team, just as the MDs, RNs and NPs you work with are, you just would not need MANDATORY supervision. You very well might make even more money! Mandatory ratios that hold back employers from hiring us, mandatory chart review or whatever other barriers your state makes you jump through would cease to exist. We could begin the steps to stop “incident to”. You would know your billings. You would be able to sign your name and professionally stand fully behind what you do. That today, most physicians don’t want to be saddled with anyone who will slow them down with restrictions. That increasingly large groups and hospitals are the employers, not the old “doc” they work with. Most importantly, these employers will hire the profession with the least restrictions they have to deal with, not the most. At the end of the discussion, they nod their head in agreement and say, “I agree, but you don’t understand”. “I don’t want to upset anything”. And when someone brings up the doctorate, even as an optional “add-on”, the response is, “I can do everything I want now-why would I want to spend the money to do that?” “It is not going to make me a better PA?” In all the cases and more, the minimizer looks at how these changes will effect them and only them. They do not take a national or global view of the profession. They will agree that someday we will have to deal with the problem of our title, but hopefully not in their working lifetime. They will, if pressed, agree that there will be a problem if in the future every other healthcare profession practices at the doctorate level and PAs do not. The fact that we spend as much or more hours in graduate level training as other professions that receive doctorates, has little bearing. Even that it is unfair to saddle our future students with this problem. They understand that insurers reimburse those with doctoral education much more easily than master’s level training and maybe, just maybe getting a doctorate would open their horizons in ways they have not yet considered. But again, not them. They are convinced it won’t help them. And by the way they tell you, if you get one, don’t think of calling yourself “doctor”. Way too confusing to the public and threatening to MDs. And we don’t want to threaten MDs. OK, we understand that but the world is changing. Minimizers clearly are not looking to maximize their future potential. Four years ago I wrote a blog about KODAK. If you scroll down on blogs you can read it below. It was a great company that owned photography in America and refused to change. Refused to see what was coming next. Closed their eyes. A company committed to not seeing the larger, and yes, more complicated picture. Buy any KODAK film lately? We need to take a view not of what is happening today, but what the future will be asking of us

So now let me tell you why minimizers are important. They are a connection to our past and very well might have saved our early profession. We still need them. Young ones learned their outlook from other old ones. They ask the questions we might not ask. They keep us grounded. When younger, our profession needed many more minimizers. Dreamers were needed also but too many would have been way too threatening. Minimizers represent the original feelings of the profession when the pressing need was to worry about survival. People who worry about survival do not worry about advanced degrees or full practice responsibility. They worry about doing a good job, showing the world they CAN do what only physicians did before them and getting a paycheck. They ARE local in scope. They leave the national and global worry to others. No crazy ideas that might just get us all in trouble. Totally understandable, but increasingly those days are gone. So, we need more of us to convert to maximalism. To become maximizers.The PA profession must recognize that things have changed. We must fully embrace the fact we are in a new medical world. We have to realize that what worked to promote us in the past, won’t work into the future. We need to embrace some of the worry of the minimizer, but temper it with the future needs of students who will be graduating 10, 15 and 20 years from now. Even considering the needs of people who are starting practice this year.

Let’s keep our history of grinding away locally, showing our clinical excellence, but now with a global scope and outlook. Keep being safe, but now sticking our legs, not just our toes out into the water.

Ready to make the change? I did.

The viewpoint expressed in this article is the opinion of the author and is not necessarily the viewpoint of the owners or employees at Healthcare Staffing Innovations, LLC.



America’s Obesity Crisis— Doctor: Are You Part of the Problem or Part of the Solution?

by Robert Posner, M.D.

The most serious health issue facing our country is the growing obesity epidemic. The numbers are staggering: Over 68% of our country is overweight (defined as a body-mass index greater than 25) and 35% obese (BMI greater than 30). Despite the availability of calorie counts on every food/drink items in stores, smart phone applications counting your steps/allowing food intake to be logged and heightened public awareness, the crisis continues to worsen.

The co-moribidities of poor weight control such as diabetes mellitus, heart disease, cancers, arthritis, chronic pain syndromes, sleep apnea and others result in hundreds of billions of dollars of healthcare expenditures per year.

Studies have shown that 48% of obese patients reported that their own primary care physicians, during a routine yearly physical examination did NOT mention the weight control problem at all. Other studies have shown that physicians now spend far less time counseling their overweight patients than they did a decade ago.

The reasons for the lack of physician intervention include: lack of time with patients due to the need to see many insurance patients during the day, lack of knowledge/training in obesity management/nutrition, fear of “upsetting” the patient, as weight control is a sensitive issue, physician burn-out in seeing so many overweight/obese patients and not having a true solution to offer them and possibly plain old indifference.

The way I see it, any physician that is seeing an overweight/obese patient with a problem(s) related to weight issues (hmmm…I believe that is pretty close to 100% of us) has an obligation to become part of the solution. Recommending to an obese patient to “eat less and exercise more” is NOT a solution…our patients know this already. If you have a structured weight control program, offer this to your patient. If you do not, then refer that patient to a physician that does offer a structured program with support. To not do anything is being part of the problem.

We, as physicians, have a very strong obligation to become part of the solution to a growing program that will kill us physically and financially if left unabated.


Dr. Posner is a Diplomate of the American Board of Internal Medicine and Founder of the Serotonin-Plus Weight Control Program. His research on serotonin and weight control culminated in the patenting of oral serotonin supplementation for weight control.

The viewpoint expressed in this article is the opinion of the author and is not necessarily the viewpoint of the owners or employees at Healthcare Staffing Innovations, LLC.


Instructional Design – engaging and motivating learners

by Sandy Becker

With limited time, interest, attention and motivation; we (as Instructional Designers) are challenged to design and develop engaging, memorable, enlightening and ‘lively’ course content.

Our objective is simple – have learners connect, actively participate and get them excited about the content and method of delivery.

Whether a self-paced online course, virtual (web-ex like service), a video or audio recording or the traditional in-person experience; we need to design very targeted content that will inspire, and “quickly” enhance the skill set of our audience.

A few areas to consider when designing and delivering targeted content:

a) Who is the audience: IT, Sales, Marketing, Finance, R&D, HR, .… each of these groups value content and learn in different ways. Some are great at learning direct from text, some need video/audio reinforcement; others need a balance of both along with some context to apply “lessons learned”. Aim to spend time with your client– learn more about their learning objectives while jointly deciding on an approach that will work.

b) Apply “lessons-learned”: always use experiential learning (apply concepts/techniques) to reinforce content. Use case studies, role play, scenarios, simulations and assessments (e.g. knowledge checks) to ensure that the learner is using (new) skills and applying them to ‘real-world’ situations.

c) Methodology/Design Approach:

Think as a “learner” – aim to inform, persuade, teach, engage and most importantly motivate and inspire. Always focus on establishing rationale for new learning; provide specific job function examples on how these concepts will be applied. Lastly, highlight how these new concepts will benefit both the ultimate customer (internal or external) as well as the employee.

In addition, design instruction using a mix of text, graphics, video, audio, examples, and assessments throughout. This will support “learn by doing” as well as provide a nice, balanced and varied (design) approach to maximize engagement and maintain a high level of interest.

Module/content should be brief; plan to have the learner absorb the information quickly, apply to appropriate scenarios and reinforce through examples and relevant assessments. Aim to build upon previous topics as a “story” would continue to enhance your understanding of the overall learning goal.

Enjoy the opportunity to support others through learning with inspiring design and varied approaches…


Sandy Becker is an Instructional Designer doing contract projects for a variety of Pharmaceutical and Healthcare companies.  This includes a focus on designing,  and developing engaging learning for a variety of audiences – from sales and marketing to HR to scientists, R&D, and IT.

The viewpoint expressed in this article is the opinion of the author and is not necessarily the viewpoint of the owners or employees at Healthcare Staffing Innovations, LLC.


15 Ways Healthcare Professionals can make money on the side

by Shonda Miles, MBA, CPC, CCS, CCS-P

There are only so many hours in a day, which means there are only so many hours you can work in a day. The only way to leverage your time is to create passive income. At some point, you want to be able to do what you want when you want.

While you can create any of these for your profession, you can easily create any of the following for anything you are passionate about not just your profession.

Omar Johnson wrote, “The income that you earn from a job is linear income, which means that you only get paid based on the specific amount of time expended at the job.”

Information Products are super easy to make money from. They are easy to create as well.

  1. Amazon Kindle – Write an eBook. Sell it on Amazon as an Amazon Kindle. I love Amazon Kindle. It is passive income. You will make money while you sleep. You do the work once and you make money over and over.
  2. Webinars – Webinars are a great way to sell your knowledge and expertise. More and more businesses are finding out just how lucrative this is. Lewis Howes makes more than $6,000 per webinar. Webinars are 90 minutes or less.
  3. Teleseminars – Is there a topic that you love that you can teach? Teleseminars are great! They are just that-seminars over the phone. They are anywhere from 60 to 90 minutes at a time. The key is providing handouts before call. You can use a free service for calls such as freeconferencecall.com or freeconferencecalling.com to conduct and record calls.
  4. Coaching – Become a Coach. There are all types of Coaches. There are Health coaches, Business coaches, Marketing Coaches, Relationship Coaches, Career Coaches, Spiritual Coaches, Sales Coaches, Executive Coaches, Life Coaches and on and on.
  5. Consulting – Start a Consulting Firm. A consultant is anyone who provides expertise or experience into an existing company or entity, to help them either achieve a specific goal or, perhaps, a set of goals or more general objectives.
  6. Blogging – Blogging is a great way to add to your income. You can review other people’s products and use an affiliate link for the products you like. You will be paid a commission or a referral fee when your customers buy the product. You can also blog about your own products or services.
  7. Membership sites – Create a Membership site. “According to Dr. Jeanette Cates, a respected Internet marketing strategist and leading authority on membership sites, there are several types of membership sites you will want to consider; a) Interview sites, where you interview an expert each month and offer it to your members for a monthly fee. b) Teaching sites, where you offer teleseminar or webinar trainings on your topic, both live and recorded. c) Digital download delivery sites, where your content is protected behind your secure membership site location d) Training sites, where you can offer training to your team members and staff e) Sites where you can accumulate your own articles, e-books, short reports, and other content and sell access to it on a monthly or annual fee basis.
  8. Virtual Summits – Virtual Summits seem to be a hot thing now. Basically you get experts together usually 15 or more (about 35 is the most I have seen). Each expert can speak on related topics (Your Specialty or Passion) for about 40 minutes.
  9. Bootcamp – Create a Bootcamp Series. A boot camp is usually a webinar or teleseminar series over 4 to 8 weeks teaching something. It can be live or recorded. It is usually $497 to $1997 depending on perceived value of content.
  10. Teach at a Local University – Teach a class on your local university. If you have a topic that the school may be interested in offering the community contact the Continuing Education department and they can tell you the process.
  11. Interview Series – Interview several people on related topics. You can then sell it.
  12. E-courses – Create your own course. You can do this through Academy of Mine, EdLoud, Digital Chalk, Educadium, Pathwright, Ruzuku, Skyprep, Teachable, Thinkific, Coggno, Mindbites, OpenSesame and Udemy.
  13. Virtual Classes – Virtual classes are classes offered online. You can teach classes for online schools on your area of expertise. You can create your own classes as well and offer them on your website.
  14. Books (print) – Write one page a day. Aim for 1,000 words a day. In 60 days you will have a book done. Stay focused and you can do it.
  15. Lunch & Learn – Consider teaching people something of value to them (your customers) during their lunch time. I have seen people charge $19 or more for 30-40 minutes. Record and sell recording on your website.

The opportunities to earn money are endless. If you are passionate about something, chances are there is an audience who is willing to pay you to teach them.


Shonda Miles, MBA, CPC, CCS, CCS-P is a Business Coach. She is a bestselling author of 24 books. For more information on how to make money in one of these areas contact Shonda Miles at http://shondamiles.com/create-4-information-products/ or www.remote-medical-coding-jobs.com.

The viewpoint expressed in this article is the opinion of the author and is not necessarily the viewpoint of the owners or employees at Healthcare Staffing Innovations, LLC.

5 Ways to Improve Your Patients' Experience

5 Ways to Improve Your Patients’ Experience

by Dixie Somers

Healthcare continues to evolve across a wide swath of important areas. Improving patient experiences is one of those that is important before, during, and after care. Each phase is an opportunity for providers to connect with their patients in ways that alleviate stress-levels and anxieties. There are simple changes that can easily be incorporated with existing processes. Here is a review of these strategies with rationale about their viability.

Navigating Hospital Corridors

A trip to the hospital is not the choice of any visitor. Difficulty finding the right department for a test or doctor’s appointment can be a very stressful journey. Hospitals have used traditional options such as an information desk with well-meaning staff that sometimes fall short on addressing this issue. Consideration should be given to signage that clearly directs patients at any location in the facility. This includes respite destinations such as the cafeteria and chapel. Using digital portals is ideal, as updates can easily be entered from a central dashboard.

Mitigating Patient Discharges

The best part of a hospital stay is when it is time to go home. However, waiting in the hospital room for discharge instructions and paperwork has a negative impact on much-needed resources. A special area can be created where patients can wait with family as the process unwinds. Each floor can be equipped with rooms that have comfortable seating, wireless internet, and telephone and television access. To conserve space, a triage area similar to the emergency room can offer the same results.

Patient QR codes

Preventing hospital errors are high on every providers list. Most errors are related to medications or lab results that are not flagged and lead to unintended patient harm. A helping hand is available with the trending resource of patient QR codes on wrist bands. It can impact one of the leading medical problems with a seemingly simple solution. With the continued focus on providing exceptional care for all patients, providers will find this alternative a winning solution. It has the potential to decrease death rates, longer hospital stays and the rising costs associated with them.

Patient Engagement Systems

On-boarding is a solution that continues to find useful applications across several industries. The hospital setting is one with a new virtual resource known as patient engagement systems. They use existing room televisions or facilities are investing in small mobile devices such as tablets. Patients can find a litany of information related to their condition, procedures, medications, and more. Feedback and contacting caregivers can be achieved real-time with time-stamped communications. Providers and patients alike will be empowered throughout the continuum of care.

Staying connect to Family and Friends

One of the contributing factors to hospital anxiety is isolation. Using technology to counter this obstacle has myriad benefits including the well-being of patients in the recovery process. Skype is an alternative that can seamlessly integrate with the current communications infrastructure. It has the capacity to involve family members that live in other areas or to interact with care while at work. Consultation rooms are another ideal location for using this mode of contact when providers need to reach loved ones.

There is no disputing that patient care is getting better. This is seen with shorter hospital stays and faster recovery times. However, the industry recognizes the need to continue to address nagging challenges with hospitalization. These five ideas can be a catalyst to achieve the over-arching goal of improving the patient experience.


Dixie Somers is a freelance writer and blogger for business, home, and family niches. Dixie lives in Phoenix, Arizona, and is the proud mother of three beautiful girls and wife to a wonderful husband.

The viewpoint expressed in this article is the opinion of the author and is not necessarily the viewpoint of the owners or employees at Healthcare Staffing Innovations, LLC.

Improving Patient Care What are Hospitals Doing

Improving Patient Care: What are Hospitals Doing?

by Meghan Belnap

Hospitals should provide the best quality care possible. This not only includes having the best doctors and nurses available, but also taking the time to know if patients are getting the most out of their visit. There are a number of different ways that hospitals are ensuring patients get the care they need.

Stay Quality

Having to be admitted into a hospital is very stressful. Hospitals these days are taking the time to offer quality rooms. Size matters but not as much as privacy, many studies show. Patients want to have single rooms, or if that is not possible at least have well divided rooms that offer privacy, and this is something many hospitals are making possible these days. Studies show that food quality is also vital. Improving the food, as most hospitals are doing these days, can increase the quality of a patient’s stay exponentially.


Most people who stay in hospitals are frightened and concerned with their well-being or that of a loved one. To improve the quality of their stay or visit, health care professionals are now teaching their staff and themselves to take the time to interact with patients and loved ones. Research shows that taking time to explain what the procedures will be like, their length of stay in the hospital, and more, can make a huge impact on a patient’s visit.

Reduce Delays

According to health informatics experts, another point of stress in a hospital visit or stay is the wait times. A hospital is a complex system that depends on many variables to work efficiently and many times the system does not work as well as it should. This is why it is vital that health care professionals are incorporating more efficient methods to reduce delays in the system. This does not, however, mean that patients are rushed through the process. The best hospitals in the country are known for their shorter wait times but patient approach to care.

These are the most important ways that a hospital can ensure that a patient’s stay is one that will help them heal and recover quickly. The most efficient hospitals reduce the amount of stress on a sick person, and they do so by improving the quality of their food, their rooms, and the efficiency of the system as a whole. As technology increases and new techniques are implemented, hospital stays no longer need to be inconvenient and irritating.


Meghan Belnap is a freelance writer who enjoys spending time with her family. She also enjoys being in the outdoors and exploring new opportunities whenever they arise. Meghan also enjoys researching new topics that help to expand her horizons. You can often find her buried in a good book or out looking for an adventure. You can connect with her on Facebook right here and Twitter right here.


The viewpoint expressed in this article is the opinion of the author and is not necessarily the viewpoint of the owners or employees at Healthcare Staffing Innovations, LLC.


Cover Letter – A Proper Introduction

by Ruth Pankratz, MBA

Undecided about including a cover letter with the job application? Applications who do not provide a cover letter can create issues because the employer may believe that the applicant does not care enough to take the time to write a thoughtful letter or that the applicant can’t follow instructions.

A cover letter is intended to supplement other career documents by providing information the employer may or may not find in the résumé/CV. Detailed and relevant information is typically not provided in a cover letter template, so it’s best to avoid these types of generic letters.

Effective cover letters quickly convey information while grabbing the reader’s attention. Consider using one of the following strategies to start your next cover letter:

  • Demonstrate enthusiasm for the position.
  • State the name of a mutual connection between you and the hiring manager and provide one or two reasons why that person thought you might be a good match for the job.
  • Explain your passion for a particular type of work and how your experience can contribute to the organization’s success.
  • Tell the hiring manager why you want to work for the organization in a genuine way. (Caution: readers can easily tell if you are a fan or a fake.)

If you don’t know the hiring manager’s name, it’s time to do some research on the organization’s website or by using LinkedIn. Make a positive introduction that shows your value, states why you want the job, and why you are the best candidate by providing a customized cover letter.


Ruth Pankratz, MBA, is a dual certified resume writer and a certified interview and job search coach. Her resumes have won international awards and Ruth’s cover letters, resumes, and LinkedIn profiles have been included in a variety of publications. Contact Ruth at www.GabbyCommunications.com.

The viewpoint expressed in this article is the opinion of the author and is not necessarily the viewpoint of the owners or employees at Healthcare Staffing Innovations, LLC.


5 Strategies to Address Work Gaps

by Ruth Pankratz, MBA

Life is about much more than work. Every year thousands of professionals take an extended absence from their career for a variety of reasons––to raise children, care for family, relocate to a new city, transition through divorce, grieve the death of a loved one, complete volunteer commitments, obtain an education, serve time in prison, or to prepare to make a shift from business owner to employee.

When you’re ready to get back to work, be sure that your résumé does not focus on the time of unemployment. A strong résumé focus is on the professional’s skills, talents, and abilities. If you have a work gap, consider the following strategies to address the extended work absence.

  1. Highlight the value. The résumé is a marketing tool used to promote a professional. This is best done through content that sells value and skills by emphasizing results and actions.

    Tell Example: Schedule and assist patients as needed. 

    Sell Example: Increased office efficiency by scheduling and supporting 26 patients daily, including managing HIPPA and insurance documents.

  2. Remove unrelated information. If you have concurrent work contracts, volunteer experiences, and part-time jobs during a work gap, it may not be helpful to include all of the information. Consider the job aim and then only include supporting information. Strengthen the résumé by removing unrelated or confusing information. Too many temporary jobs can raise concerns and does not create a “hard worker” impression.
  3. Include CARs. Use the challenge, action, and result (CAR) approach to sell talents and results. This is a great way to provide context and really highlight results. CARs can be used in both the résumé and during an interview.
  4. Honesty. It’s normal to feel uncomfortable disclosing a work gap situation. Tell the truth so potential employers can understand the situation and move past it to build trust. Keep the résumé work gap statement simple and consider what will be said during an interview BEFORE the interview. If a situation is disclosed from another source, the employer might draw negative conclusions.
  5. Power of people. Consider who might be a reference. While not all jobs require references, including them (especially after a work gap) can be a powerful way to reassure potential employers.

If there are job transitions due to multiple job changes or being fired on a regular basis for poor performance, consider why there has been a lackluster work pattern. If needed, get assistance from a career or mental health counselor.

Work gaps can be overlooked or forgotten when the résumé clearly conveys skills, talents, and value. An effective résumé reassures employers that they can depend on you.


Ruth Pankratz, MBA, is a dual certified resume writer and a certified interview and job search coach. Her resumes have won international awards and Ruth’s cover letters, resumes, and LinkedIn profiles have been included in a variety of publications. Contact Ruth at www.GabbyCommunications.com.

The viewpoint expressed in this article is the opinion of the author and is not necessarily the viewpoint of the owners or employees at Healthcare Staffing Innovations, LLC.


Nurses Providing Police Aide

by Jason Lee, RN, BSN

The recent horrible events involving racial profiling, excessive force, and gun violence are deeply troubling but not new. Who can forget the Bronx shooting of Amadou Diallo in 1999 when 41 bullets rained down on his unarmed body. I can uniquely identify with the black experience because of my own numerous experiences of being pulled over for no other apparent reason except for being in the wrong neighborhood, wrong state and for the hue of my skin. I am Korean American. The most personal tense police encounter that I can remember was when I was coming from a business meeting in Philadelphia, attempting to set up a senior program for refugees. I was driving back to my office when I was pulled over by 6 police cars and S.W.A.T. And the most recent police encounter – being pulled over by undercover North Carolina state police en route to my friends’ wedding in South Carolina. I was pulled out of my car and interrogated in the officer’s vehicle. When I recall these events to family and friends they chuckle in disbelief because I am a nurse.

 I sympathize with the police force too. Police stick their neck out for us. It should not go unheralded. Not unlike them, according to the Robert Wood Johnson Foundation, “nurses face epidemic levels of violence” and opportunities to be assaulted. Some of my coworkers have been injured in the line of duty after unfortunate patient interactions. In many ways police and nurses are on the same team.

It’s only after being racially profiled that I admit to the officers that I am a nurse in order to deescalate the situation and provide myself with some level of safety and cover. It works. Some of the police officers that I have encountered are married to nurses or have been cared for by nurses. If Philando Castile had pleaded to Jeronimo Yanez that he was a Nurse, perhaps he would still be with us.

As the President and the Nation as a whole grasp for answer or solutions to the growing divide between law enforcement and communities of color, I can’t help but see the lack of conversation or attention being placed in area of emergency medical training for our officers or the lack of medical care delivered after excessive force has been applied. In order to improve in this area, we need to re-envision policing in such a way to stop preventable deaths in the field and nurses can play a vital role.

Nurses are in the business of saving lives. It was hard to watch the video of Philando Castile bleed out and being unattended to, gasping. When in the hospital, nurses’ gut instinct is to apply a pressure dressing to wounds, start massive blood transfusions and start CPR. It was equally difficult to watch videos of Eric Garner’s pleas of “I can’t breathe” because for nurses, securing airway is critical. According to reports, the NYPD officers at the scene did not perform CPR on Garner because they believed that Garner was breathing. If police are vested with the authority to use lethal force they should also be adequately trained in resuscitating life beyond basic life support. If this is beyond their scope, nurses with backgrounds in trauma and critical care should round with police acting as support for officers who may not know they are choking the life out of someone or that a patient has lost a pulse or is no longer spontaneously breathing. Another clear example of a need for clinical expertise in the field is on July 20, another unarmed black man and caregiver, Charles Kinsey was shot by North Miami police while he was trying to redirect his autistic patient in the middle of the street. He lay on is back with his hands in the air and pleaded with officers that he was a therapist. They still shot him. After being shot, he was handcuffed and flipped over while bleeding. No medical aid was provided at the time. This is another example where a Nurse could have intervened and could discern this was an autistic child and corroborated Kinsey’s statement that he was a therapist with a few simple questions. And may have prevented the shooting or at the very least provided emergency triage at the scene.

Creating new models of care and public safety delivery that ensures both our men and women in uniform and community are both safe need to be explored. Nurses provide that caring bridge to every stripe and I have no doubt that my colleagues would applied the same measure of quality care to any victim whether a police officer, suspect or bystander.



Jason Lee, RN, BSN works in surgical trauma and neurocritical care for Mount Sinai and Northwell Health systems in NYC. He is a graduate of the University Pennsylvania where he is also currently attending for his MSN. He can be reached atleewj@nursing.upenn.edu

The viewpoint expressed in this article is the opinion of the author and is not necessarily the viewpoint of the owners or employees at Healthcare Staffing Innovations, LLC.

Six Technologies You Need to Improve Administrative Tasks

Six Technologies You Need to Improve Administrative Tasks

by Brooke Chaplan
Brooke Chaplan





Technology tools can be extremely helpful in improving the administrative tasks you do every day, especially with redundancy, record keeping, filing, and communications. There’s no question that administrative work has to be taken care of as it can pile up very quickly and can’t be avoided for long. However, keeping everything manual can also mean spending hours on things that should only take minutes to take care of.

Just about every hospital assistant and support desk should have a scanner. While this may seem a bit of overkill, being able to take every document and convert it to a digital format means a tremendous amount of work and effort can be avoided with file keeping and tracking. Instead, with a good digital file structure, paperwork can be scanned, sorted, and stored out of the way for a quick search later on. For a medical office or hospital, having a storage system or program like a Health Data Archiver is also a big part of making scanning efficient and actually helpful in a big network.

Digital Recording
In the old days, an office assistant had to be good as a stenographer or shorthand note taker. Today, something as simple as a digital recording can make it easy for taking the basics of a memorandum and then giving the tool to a digital assistant to convert to a letter or document. This is a big time-saver for those who have to write letters and memos just about every day.

Many hospitals and warehouses are converting over to a bar code tracking system, and those who haven’t really should. Barcode tracking is a fast and efficient method of tracking everything from files to consumables. Because a barcode can be attached by sticker to just about anything physical, it provide a great, easy way to connect digital files with a physical tracker tool.

Visual Activity Mapping
Ever been in a shopping center and seen a map that says, “You are here”? The same concept can be used in large facilities but for managers. Traffic management, customer flow, congestion, supply and demand points for consumer response, and emergency situations can all be represented and displayed for fast decision making on visual geospatial technology platforms. This can be extremely powerful for hospitals networks that need to triage cases, particularly when emergency rooms are becoming clogged.

If you’ve ever had to be a cashier in a store or a counter business, you know how tricky accounting can be when done by hand. And the smallest mistake can snowball into bad numbers later on. Technology has clearly fixed this problem with digital accounting tracking, and it’s the number one reason why accounting tasks remain in the top three uses for technology in most offices.

Many offices have to take photos of people and clients every day for identification and communication. In the old days this required an actual camera and lots of film development. Today a photo can be had with a button push. The image turns into a digital file and can immediately be translated to an ID card or personal file. Even with Polaroid cameras film photos were still a pain to manage and size properly for tracking folders. So digital images were a big boost for administrative photographing.

Your business needs to be prepared with the best administrative technologies. These are just a few examples that should be taken advantage of. No matter what kind of facility you run, these can help streamline and make your daily tasks go more smoothly.



Brooke Chaplan is a freelance writer and blogger. She lives and works out of her home in Los Lunas, New Mexico. She loves the outdoors and spends most her time hiking, biking and gardening. For more information contact Brooke via Twitter @BrookeChaplan


The viewpoint expressed in this article is the opinion of the author and is not necessarily the viewpoint of the owners or employees at Healthcare Staffing Innovations, LLC.