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.ARTICLES, ADVICE & ADVOCACY
Happy Thanksgiving!
Shout out to our COVID Warriors on the frontlines! We are so thankful for nurses, they are the heart of healthcare and deserve our admiration!
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Fauci Says COVID Vaccine Might Be Widely Available by April
Medscape
Healthcare workers and other essential workers should be able to get the vaccine by late December or January, Fauci told USA Today. After at-risk people are vaccinated, healthy members of the general public can expect the vaccine to be available from April to July, he said.
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66 Hospitals Postponing Elective Procedures Amid the COVID-19 Resurgence
Becker's Hospital Review
Hospitals across the U.S. are beginning to suspend elective procedures to respond to an uptick in hospitalized COVID-19 patients. Here is a breakdown of 66 hospitals postponing or canceling the procedures to free up space, ensure proper staffing or enough protective gear to care for COVID-19 patients.
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When the Court Speaks, What Will It Say About the ACA?
CHCF
The Supreme Court recently heard oral arguments in California v. Texas, the third time a major legal challenge to the Affordable Care Act (ACA) has reached the high court. This case could unravel the U.S. healthcare system. If the next Congress doesn’t change the law and the high court overturns the ACA, about 21 million people who buy health insurance through ACA health insurance exchanges or who gained coverage under the law’s expansion of Medicaid eligibility could lose their healthcare.
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'Breakthrough Finding' Reveals Why Certain COVID Patients Die
Medscape
In an international study in Science, 10% of nearly 1,000 COVID patients who developed life-threatening pneumonia had antibodies that disable key immune system proteins called interferons. These antibodies — known as autoantibodies because they attack the body itself — were not found at all in 663 people with mild or asymptomatic COVID infections. Only four of 1,227 healthy individuals had the autoantibodies. The study, published recently, was led by the COVID Human Genetic Effort, which includes 200 research centers in 40 countries.
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Have you been inspired to advance your career in healthcare? Consider undergraduate and graduate degrees in NURSING, HEALTH ADMINISTRATION and PUBLIC HEALTH at WCU! Our online programs and certificates provide the flexibility to study remotely, on your schedule. Schedule an Info Session to learn more.
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How to Ace Difficult Conversations with Patients, Families, and Co-workers
Nursing Network
Don’t miss this opportunity to advance your communication skills. Your workdays will be less stressful as you build positive, respectful relationships with patients, families, and coworkers. Registration for this 90-minute, on-demand webinar closes on Dec. 4, 2020, at 1:00 p.m. ET. Register now to have free, ongoing 24/7 access to this on-demand webinar.
By participating in the program, you will discover:
• How to proactively prepare for common scenarios you regularly encounter in the clinical setting
• Underlying causes of each situation and how this can inform your response
• Important first reactions and responses
• Best techniques to de-escalate each situation
• What won’t work and how to avoid an escalation
• How to follow-up and prevent ongoing tensions
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The Effect of a Mindfulness Exercise during the COVID-19 Pandemic (ANA\California Member Survey)
UCLA School of Nursing
The researchers are Barbara Demman, an advanced practice nurse and lecturer in the UCLA School of
Nursing and Carol Pavlish, professor emerita and research professor in the UCLA School of Nursing. They are assessing the effect of a brief mindfulness exercise on nurses’ resilience during the time of the COVID-19 pandemic.
The UCLA Office of the Human Research Protection Program (OHRPP) has determined that the above-referenced study meets the criteria for an exemption from IRB review.
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Hearing Difficulty in the COVID-19 Era — Survey
UCSF
We are concerned about hearing and communication difficulties among patients during this time of the coronavirus pandemic and increased use of personal protective equipment (PPE). UCSF created a survey to begin to understand the issues that you are facing. With this information, they intend to advocate for better policies and resources to overcome barriers and obstacles for those with hearing difficulty in healthcare settings. They invite you to take our Qualtrics® survey which will take about eight-10 minutes to complete. You will also help our geriatrics fellow advance in research!
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Take your career to the next level when you complete the RN to BSN degree program at Mount Saint Mary's University. Designed for working nurse professionals, our 100% online program lets you learn on your own schedule. To attend an information session or learn more, click here.
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.NEWS FROM AROUND THE INDUSTRY
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COVID-19 vaccines: How Pfizer's and Moderna's 95% effective mRNA shots work
The Conversation via Medical Xpress
Both Pfizer's and Moderna's vaccines are mRNA-based. In each of our cells, DNA produces messenger RNA containing the templates for making proteins. It's called messenger RNA because it carries that information to other parts of the cell, where the instructions are read and followed to produce specific proteins.
When a patient is injected with mRNA in a vaccine, their cells use the information in that mRNA to create a protein: in this case, a version of the spike protein from the coronavirus that causes COVID-19. The immune system recognizes that protein as a signal to produce antibodies and immune cells.
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MULTIBRIEFS EXCLUSIVE
When politics and public health collide
By Keith Carlson
 Public health in the United States has been an intrinsic aspect of national well-being for more than a century. Without the mostly invisible public health machine, we would see all manner of preventable ills ravage our society. When cynically wielded, political power can wreak havoc with public health, and the COVID-19 pandemic is a timely example of how politics run amok can interfere with even the most basic protective measures. A negative or combative intersection of public health and politics costs lives, and this is where we must push back.
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Promoted by PulseCheck
 Top-performing code blue teams share a few traits in common: they monitor for interruptions in chest compressions, invest in high-quality training, and consistently debrief cardiac arrest events, according to an article by Marshfield Clinic. A clean, systematic approach and accurate documentation are essential to creating the best resuscitation chance. Restructuring, training, and software changes are all viable options for improving code blue response. Each effort to improve code blue performance can assure better data collection, reduce liability risk, and improve overall patient care quality. Click below for more information on common practices and a new solution.
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How hospitals can cut patients' falls
HealthDay News
A new toolkit to help reduce falls and fall-related injuries among hospital patients is highly effective, a new study shows.
Falls are the leading cause of preventable injury, so researchers set out to create a fall prevention toolkit for patients and their families.
It includes measures such as a laminated poster to display by patients' beds, and personalized prevention plans that can be included in patients' electronic health records and printed out or displayed on a computer screensaver.
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Engineered immune cells elicit broad response to HIV in mice, offering hope for vaccine
The Scripps Research Institute via Medical Xpress
Unlike so many other deadly viruses, HIV still lacks a vaccine. The virus — which continues to infect millions around the world — has proven especially tricky to prevent with conventional antibodies, in part because it evolves so rapidly in the body. Any solution would require coaxing the body into producing a special type of antibody that can act broadly to defeat multiple strains of the virus at once.
Scientists at Scripps Research have moved closer to attaining that holy grail of HIV research with a new vaccine approach that would rely on genetically engineered immune cells from the patient's body.
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FlowSight - Flow Cytometry with Vision
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The FlowSight offers high performance in a small package. Its design increases signal and minimizes noise to provide unmatched fluorescence sensitivity. Twelve detection channels simultaneously produce brightfield, darkfield and up to ten channels of fluorescence imagery of every cell. With these capabilities, the FlowSight enables a broad range of applications.
Read more
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At NorthBay Healthcare, we are devoted to creating an environment that nurtures and nourishes a commitment to compassionate care, and just as importantly, allows you to flourish. So join us, and be part of an incredible community of dedicated professionals who share the same passion to provide exceptional patient care.
Read more
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Study of 'exceptional responders' yields clues to cancer and potential treatments
National Institutes of Health
In a comprehensive analysis of patients with cancer who had exceptional responses to therapy, researchers have identified molecular changes in the patients’ tumors that may explain some of the exceptional responses. The results demonstrate that genomic characterizations of cancer can uncover genetic alterations that may contribute to unexpected and long-lasting responses to treatment, according to the researchers.
The results appeared in Cancer Cell recently. Researchers at the National Cancer Institute, part of the National Institutes of Health, conducted the study in collaboration with investigators from other institutions, including NCI-designated Cancer Centers.
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Mediterranean diet tied to 30% risk reduction for diabetes in Women's Health Study
Brigham and Women's Hospital via EurekAlert!
The Mediterranean diet — rich in olive oil, fruits, vegetables, legumes, nuts and seeds — is a recommended way to reduce the risk of heart disease, type 2 diabetes and other adverse health outcomes. But exactly how and why the MED diet lowers risk for type 2 diabetes has remained unclear. In a study conducted by investigators from Brigham and Women's Hospital, researchers examined outcomes for more than 25,000 participants in the Women's Health Study, a longitudinal cohort study that followed female health professionals for more than 20 years. In a paper published in JAMA Network Open, the investigators report that women who adhered to a more MED-like diet had a 30% lower rate of type 2 diabetes than women who did not.
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