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VUmc

Transcript: External presentation 'Medicina Miseria cordiae Ministra' Medicine is the servant of mercy Open door Evaluation (pyramid model) Internal presentation Reputation and identity crisis Distinctive patient care, high-quality scientific education & groundbreaking research Informal Behind the scenes Reputation building method on the long term Privacy situation Recent developments and information Restoring the reputation Christian background, has linked faith into a personal, honest and respectful treatment of patients. Core values: Involvement Care Ambition Internal publics perception ≠ Ilona Rijkeboer Ashley Milde Junell Wondel Jane Moertabat Natasha Achaibar Sharon Verschelling Public press conference Excuse letter Goal: to provide the best possible treatment and to ensure the patients their stay as pleasant as possible. Core values: Involvement Care Ambition Input: Immediate approach, personal, no media involved, but costly Output: All patients Outcomes: Trust, ensuring no future mistakes, scientific research continues Communication strategy and evaluation Evaluation (pyramid model) Formal of VUmc Furious doctors Dissapointed doctors But: Positive reactions towards the programme External publics perception News letter Input: Two-way communication; media and the public Output: Immediate, missing opportunities Outcomes: Regain trust, evaluate itself General public and press Explanation and motivation for cooperation with Eyeworks Answering questions form the public Predominantly negative Violation of privacy Violation of professional secrecy A serious matter, boundaries have been crossed. Patients and employees Admit their fault Complete information

VUMC PIV

Transcript: Evidence Based USGPIV Becoming a Vascular Access Champion Assessment/Selection Introduction VHP Model “Placing PIVCs is both a science and an art, and it needs to be in the hands of clinicians who have a thorough understanding of all aspects of vascular access and how they can affect patient safety,” Lee Steere, RN, CRNI, VA-BC, Unit Leader of IV Therapy Services at Hartford Hospital Objectives Objectives "Reduce liability, lower costs,and decrease length of stay, while promoting vascular preservation, greater patient satisfaction, and better outcomes" (INS, 2016). Clinician is competent in the use of vascular visualization technology for USGPIV insertion. This knowledge includes, but is not limited to, appropriate vessels, size, depth, anatomy and physiology, location, and potential complications (INS,2016). Remove variable practices and create standardized set of steps among all Vanderbilt USGPIV users utilizing ANTT Utilize current Vanderbilt Policy, Vessel Health and Preservation model, INS 2016, AVA, and latest EBP as guiding principles Why Bother? Informs the clinician on status of the targeted vessels, Minimizes tissue trauma Fewer attempts (Lauren, 2020). Enhance patient satisfaction, reduce the amount of nursing time (Kanipe,2018) Decreases the amount of central lines placed due to poor access,(INS,2016) (Khan, 2015) PICC Team/IV Therapy/VAC Superuser PICC team has designated desk personnel to help answer questions and advice regarding latest guidelines Many have obtained their VA-BC (Vascular Access Board Certified) Are to be main resources in seeking to learn fundamental Allows teaching to be centralized and based on latest data Respect the Craft Take this seriously, seriously! Nerve Injury- Minor vs Major Minor injury- Results in Scar tissue formation (Neuroma) at the point of contact. Patient may require up to 12 months of rehab Major Injury- Needle tears nerve fiber causing Complex Regional Pain Syndrome-permanent, progressive, extremely painful, no cure... Narcotic pain control, extensive rehabilitation, nerve blocks, nerve removal, and nerve transplantation, can have nerve cut and surgically implanted into a bone, which results in little or no pain relief. Limited ADL without severe pain, and withdraw from family and social events. What to Look for Actual Nerve Injury Case Settlement "Mrs.V"- 1 million $ 46 Female- 500,000$ 54 Female- 314,000$ 33 male - 1 million$ Patient depositions reveal "electrical shock" down arm as most common Extreme pain "Sudden", "Unexpected" May pull arm away reflexively “Electrical shock” sensation that radiates Tingling or burning sensation Numbness (Masoorli, 2007) Immediate discontinuation of any vascular access procedure when any of these signs and symptoms are stated to occur Basilic Vein- Near Ulnar Nerve Brachial Vein- Near Median Nerve AVA Nerves of the Upper Extremity-*Homework 8min Complications Arterial puncture- User may mistake needle shaft with needle tip giving false reassurance on placement (Moureau, 2019) DVT formation Vein Wall Injury Infiltration and phlebitis are medical emergencies that can lead to infections, loss of limb, infection sepsis, and adversely affect a patient's quality of life (Woody, 2013) Median Nerve Near Antecubital Ultrasound Ultrasound 101 Ultrasound transmission Higher frequency range (MHz), such as linear probe, offers clearer imaging, but limited depth capabilities Gel can be used as conducive medium, air bubbles will distort image Reflects sounds waves from surface of objects like an echo in a cave Reflected Sound waves return to probe creating electrical signals which produce image on screen through calculations (Lauren, 2020) Needle tip is hyperechoic (Bright dot) How to set up your machine Right position- Unobstructed view directly in front, pillow under arm or on bedside table Plug machine in- most US batteries have low battery life Depth- allowable minimum depth is variable per each machine, use lowest depth setting Gain- Each person detects gray scale differently, Set to personal preference (Lauren, 2020) right probe- make sure its the linear vascular probe Ultrasound Position Head and Neck should remain Neutral (Lauren, 2020) Have Ultrasound in close proximity "Place a table or hard surface under the extremity, adjusted to the correct height for comfort, as a location for supplies" (Baston, 2018). Use a stool if available or raise bed to avoid stooping or twisting. Indicator To Screen Orientation Make sure that both probe indicators match up or everything will be inverted Notice "dots" on screen which represent 0.5cm Middle arrow on probe aligns with center line on screen may have to go to machine settings to activate center line (Lauren, 2020) Tissue types "structure can be characterized as hyperechoic (white on the screen), hypoechoic (gray on the screen) and anechoic (black on the screen)" Nerves #1- "Honeycomb" resemblance, nonpulsatile or compressible Adipose Tissue #2- is almost black Muscles #3 are gray with

VUmc Information meeting

Transcript: Academic culture Selection of university and courses For student of Bestuurs & Organisatiewetenschappen and Communicatiewetenschappen: Places for Politicologie students may also be an option (B&O) Places for Sociology students may also fit your study programme In most cases, places at Business schools are not available for FSW students January 8th 2017: Deadline first round (23.59 hours) Ambiance (Serviceplein > Studeren in het buitenland) Beginning of March: Selection process outcome Visit the VU Worldmap for other requirements, such as grade average and language proficiency Mid-March: Selection process outcome Selection phase What is an exchange? GOAL! 1. Select your study programme on the VU Worldmap (Geneeskunde, but also check Biomedische wetenschappen) 2. Select your favourite university and read the factsheet: - Academic calendar - Optional requirements: grade average, language 4. Choose your courses: - Semester, level, credits - In general: no courses of other faculties 5. Estimate your chances of selection - Single choice university? - Available places at university? - Suitable courses for your study programme? Select two more options, by following the same steps. VUmc Distance (We will check your grades and credits on January 16th) 1. Plan your application - Number of credits Consultation hours: make an appointment through VUnet STUDY ABROAD 2. Make a list of your priorities VUnet: Services > Studying abroad More information: VUnet > Services > Studying abroad > Scholarships Language & budget Course requirements FSW 2. Motivation form (VUnet format) - Single choice university? Only one from the list. - In English or other language of instruction Beginning of February: Selection process outcome VU Worldmap What can we do for you? Study Abroad Contact form on VUnet Time line: Application phase Topics of interst? Master's programme? International career plans Languages Approval of courses by the VU examination board Before you leave, you have to complete your 1st year and obtain 90 ECTS credits. Requirements for following courses abroad during your electives: -Min. 12 ECTS credits on level 300 (or equivalent) -Other 12 ECTS credits: on level 200 or 300 -Level 100 courses are not allowed, except when this course is needed as an entrance requirement for a course on a higher level. A semester abroad has no impact on the civil effect. In most cases students of Criminology, cannot apply for the available Law places, but they have to look at the Sociology places. Courses Please note: most places will be filled up after the first round - Language proficiency (if applicable) Practical arrangements: visa, insurance, accommodation, etc. If applicable: language test (check Worldmap) and scholarship 3. Check all sources of information See VUnet for the scorecard we use in the selection phase. Overview Factsheet example Guidance, before, during and after your stay abroad Scholarships: Erasmus (inside Europe) and GLOBE/HSP (outside Europe) After selection: Pre-departure phase Destination February 19th 2017: Deadline second round (23.59 hours) Deadline January 8th 2017, don't wait until the last day! What is an exchange? Orientation on destinations Application for studying abroad Selection procedure Pre-departure Contact December 1st 2016: VUnet open for application Career plans 4. Select your universities and courses Topics of Interest Orientation, application, preparation Upload 2 documents through VUnet: Step by step Comfort zone International March 12th 2017: Deadline third round (23.59 hours) - CV and motivation 1. CV (your own design, in English) - Relevant experience in work and education - VU International office Buddy programme? Every application will be scored on: 5. Complete and submit your application documents in VUnet before January 8th (VUnet, VU Worldmap, websites partner universities, Study Abroad Student Handbook, student experiences) Button to apply as of Dec 1st (on homepage VUnet) Nomination by VU International Office and application at the partner university First semester of third year Partner university of VU No extra tuition fee, you only pay tuition fee here ECTS credits count towards your degree At least 60 ECTS, of first and second year (period 1 & 2 of second year) VU International Office: Renee van Waart - Grade average (we only count courses that you passed) Ranking Culture Food http://studyabroad.vu.nl Student life Application exchange 2017-2018 Master's programme Pre-departure meeting after selection Requirements LAW Facebook: OutgoingExchangeVU Requirements for application

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