Beth Carpenter and Associates
November 2007
THE PATHFINDER
In This Issue
HOW THE NURSING STAPH LET ME DOWN
STANDING ORDER AND GUIDELINES: BENEFITS AND ADVANTAGES
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Since 1995 Beth Carpenter and Associates has provided its real-world experience to the management of healthcare companies, especially those  organizations with a focus on home health, hospice and private duty, in the areas of operations, clinical services, sales and marketing.  We work with management to identify the strategic direction of the organization and implement the necessary changes that allow health care providers to move forward in today's environment.
 
We help you choose the right path to success and then we walk it with you.
 

Hello!

Welcome to the November issue of THE PATHFINDER.

We are fast approaching my most favorite holiday, Thanksgiving.  It is a day that I look forward to all year and this special day contains some of my top tier preferences - time with family, favorite foods and football!
 
I have a lot to be thankful for.  My family is healthy.  My life is blessed with loving friends and family.  And I work along side incredibly commited professionals in an industry that I love.
 
But I was also reminded this morning, that "Thanksgiving, after all, is a word of action." (W. J. Cameron)  Consequently, with recognition that November is National Home Care and Hospice month, I want to express my gratitude to all the home care and hospice staff across America who care for patients without regard to the time of day, the day of the week or their personal needs.  I want to acknowledge that they truly make a difference in the lives of others.
 
I am happy this month to be able to share with you some articles that have been written especially for this newsletter.
 
The first is an article by Lynn Serra, Senior Associate with this firm.  It has been my good fortune to work with Lynn for nearly 20 years in both home care and hospice settings.  She is organized, totally reliable and able to tactfully redirect me when I am about to head off in the wrong direction.  Her dry sense of humor has saved more than one day in my life. 
 
I have eagerly awaited this article - the first in a projected series on infection control.  I must admit that I read all of the CDC report this summer ("Guideline for Isolation Precautions: Preventing Transmission of Infectious Agents in Healthcare Settings 2007') inspired initially because it was - to my knowledge - the first time that home care and hospice had been included in a report of this type by the CDC.  Several comments in the report startled me.  The most striking was the observation that our most experienced caregivers are the ones most likely to break sterile technique.  An informal discussion with many of you over the last couple of months confirmed that we, as healthcare professionals, are aware that this may be the case.  Holy Moley!! 
 
The second article is written by Diane Briney.  Diane is the Chief Nursing Officer of Hospice On Call, a unique after-hours triage service.  I feel fortunate to count Diane among my friends.  This article is the result of several discussions Diane and I have had on the appropriate use of Standing Orders and Guidelines.  She makes a good case for their use in improving the care of hospice patients.
 
With the smell of pumpkin pies in the air and the annual worry as to whether there is ever enough stuffing available for my family, I wish you all a Happy Thanksgiving.  Thank you for making a difference in the lives of so many.
 
If we can provide you with any assistance , please do not hesitate to contact us.

Best wishes,  Beth Carpenter

HOW THE NURSING STAPH LET ME DOWN
 
By Lynn Serra RN, BA, MBA
 
You cannot pick up a paper or turn on the television news lately without finding something about methicillin-resistant Staphylococcus aureus (MRSA), the "super bug".  Consumer advocates state and early evidence suggest that this "super bug" kills mor Americans than AIDS.  Recent studies found that over 90,000 Americans each year are infected by MRSA.
 
STANDING ORDERS AND GUIDELINES:
BENEFITS AND ADVANTAGES IN HOSPICE
 
By Diane Briney RN, BSN
 
Because the symptoms of hospice patients, progressing toward the end of life, are identical for many different diagnoses, many hospices have adopted Standing Orders or Guidelines for use by the Interdisciplinary Team in dealing with these symptoms.  Standing Orders are generally a standardized set of directives ...
I would like to invite you to visit our website, www.bethcarpenterandassociates.com, to learn more about how we can help your organization move forward and find your path to success.
 
Beth Carpenter and Associates has earned a reputation as a company with deep industry experience and one that works closely with its clients to identify solutions that meet their business goals and strategic objectives.  We do not simply advise.  We partner with our customers to implement the solution and ensure its success.
 
Sincerely,
Beth Carpenter
 

Beth Carpenter
Beth Carpenter and Associates
847-382-1035
Beth Carpenter and Associates | 2408 Oak Hill Road | Lake Barrington | IL | 60010