EVALUATION OF INTRAVENOUS CATHETER INSERTION SKILLS AND CONFIDENCE LEVELS OF NURSES IN THE ACUTE CARE SETTING

The use of IVs for medication administration is an essential component in healthcare and benefits the patients (Castro-Sanchez, Charani, Drumright, Sevdalis, Shah, & Holmes, 2014). Obtaining intravenous access is a specialized nursing skill that requires a combination of clinical knowledge and psychomotor coordination (Ramer, Hunt, Ortega, Knowlton, Briggs, & Hirokawa, 2016). Difficulties created by vein size, obesity, and tortuosity can make even a skilled staff member struggle which then can lead to delays in treatment (Idemoto, Rowbottom, Reynolds, & Hickman, 2014). A single phase survey was conducted in a rural southwest Missouri hospital in order to assess confidence levels in IV skills, the approximate percentage of IVs successfully started, and to examine the willingness to learn how to use an assistive device, such as an ultrasound, in order to administer difficult to start IVs. Sixty-six nurses were surveyed with a 41% response rate. Confidence levels of IV skills were high among all participants along with percentage of successful IV starts. However, the willingness to learn how to utilize an assistive device in order to start IVs was also high. The information gathered could lead to implementing ultrasound training and use for more nurses when starting difficult IVs in order to expedite medical care, improve nurses’ confidence levels with IV skills, and improve overall patient satisfaction

Entanglement entropy of composite Fermi liquid states on the lattice: In support of the Widom formula

Quantum phases characterized by surfaces of gapless excitations are known to violate the otherwise ubiquitous boundary law of entanglement entropy in the form of a multiplicative log correction: $S\sim L^{d-1} \log L$. Using variational Monte Carlo, we calculate the second R\'enyi entropy for a model wavefunction of the $\nu=1/2$ composite Fermi liquid (CFL) state defined on the two-dimensional triangular lattice. By carefully studying the scaling of the total R\'enyi entropy and, crucially, its contributions from the modulus and sign of the wavefunction on various finite-size geometries, we argue that the prefactor of the leading $L \log L$ term is equivalent to that in the analogous free fermion wavefunction. In contrast to the recent results of Shao et al. [PRL 114, 206402 (2015)], we thus conclude that the "Widom formula" holds even in this non-Fermi liquid CFL state. More generally, our results further elucidate---and place on a more quantitative footing---the relationship between nontrivial wavefunction sign structure and $S\sim L \log L$ entanglement scaling in such highly entangled gapless phases.Comment: 8 pages, 6 figure

Majorana lattices from the quantized Hall limit of a proximitized spin-orbit coupled electron gas

Motivated by recent experiments demonstrating intricate quantum Hall physics on the surface of elemental bismuth, we consider proximity coupling an $s$-wave superconductor to a two-dimensional electron gas with strong Rashba spin-orbit interactions in the presence of a strong perpendicular magnetic field. We focus on the high-field limit so that the superconductivity can be treated as a perturbation to the low-lying Landau levels. In the clean case, wherein the superconducting order parameter takes the form of an Abrikosov vortex lattice, we show that a lattice of hybridized Majorana modes emerges near the plateau transition of the lowest Landau level. However, unless magnetic-symmetry-violating perturbations are present, the system always has an even number of chiral Majorana edge modes and thus is strictly speaking Abelian in nature, in agreement with previous work on related setups. Interestingly, however, a weak topological superconducting phase can very naturally be stabilized near the plateau transition for the square vortex lattice. The relevance of our findings to potential near-term experiments on proximitized materials such as bismuth will be discussed.Comment: 13 pages, 9 figure

Approaching a topological phase transition in Majorana nanowires

Recent experiments have produced mounting evidence of Majorana zero modes in nanowire-superconductor hybrids. Signatures of an expected topological phase transition accompanying the onset of these modes nevertheless remain elusive. We investigate a fundamental question concerning this issue: Do well-formed Majorana modes necessarily entail a sharp phase transition in these setups? Assuming reasonable parameters, we argue that finite-size effects can dramatically smooth this putative transition into a crossover, even in systems large enough to support well-localized Majorana modes. We propose overcoming such finite-size effects by examining the behavior of low-lying excited states through tunneling spectroscopy. In particular, the excited-state energies exhibit characteristic field and density dependence, and scaling with system size, that expose an approaching topological phase transition. We suggest several experiments for extracting the predicted behavior. As a useful byproduct, the protocols also allow one to measure the wire's spin-orbit coupling directly in its superconducting environment.Comment: 13 pages, 8 figure

Quantum Entangled Dark Solitons Formed by Ultracold Atoms in Optical Lattices

Inspired by experiments on Bose-Einstein condensates in optical lattices, we study the quantum evolution of dark soliton initial conditions in the context of the Bose-Hubbard Hamiltonian. An extensive set of quantum measures is utilized in our analysis, including von Neumann and generalized quantum entropies, quantum depletion, and the pair correlation function. We find that quantum effects cause the soliton to fill in. Moreover, soliton-soliton collisions become inelastic, in strong contrast to the predictions of mean-field theory. These features show that the lifetime and collision properties of dark solitons in optical lattices provide clear signals of quantum effects.Comment: 4 pages, 4 figures; version appearing in PRL, only minor changes from v

Dephasing and leakage dynamics of noisy Majorana-based qubits: Topological versus Andreev

Topological quantum computation encodes quantum information nonlocally by nucleating non-Abelian anyons separated by distances L, typically spanning the qubit device size. This nonlocality renders topological qubits exponentially immune to dephasing from all sources of classical noise with operator support local on the scale of L. We perform detailed analytical and numerical analyses of a time-domain Ramsey-type protocol for noisy Majorana-based qubits that is designed to validate this coveted topological protection in near-term devices such as the so-called “tetron” design. By assessing dependence of dephasing times on tunable parameters, e.g., magnetic field, our proposed protocol can clearly distinguish a bona fide Majorana qubit from one constructed from semilocal Andreev bound states, which can otherwise closely mimic the true topological scenario in local probes. In addition, we analyze leakage of the qubit out of its low-energy manifold due to classical-noise-induced generation of quasiparticle excitations; leakage limits the qubit lifetime when the bulk gap collapses, and hence our protocol further reveals the onset of a topological phase transition. This experiment requires measurement of two nearby Majorana modes for both initialization and readout—achievable, for example, by tunnel coupling to a nearby quantum dot—but no further Majorana manipulations, and thus constitutes an enticing prebraiding experiment. Along the way, we address conceptual subtleties encountered when discussing dephasing and leakage in the context of Majorana qubits

Signatures of gapless fermionic spinons on a strip of the kagome Heisenberg antiferromagnet

The search for exotic quantum spin liquid states in simple yet realistic spin models remains a central challenge in the field of frustrated quantum magnetism. Here we consider the canonical nearest-neighbor kagome Heisenberg antiferromagnet restricted to a quasi-1D strip consisting entirely of corner-sharing triangles. Using large-scale density matrix renormalization group calculations, we identify in this model an extended gapless quantum phase characterized by central charge $c=2$ and power-law decaying spin and bond-energy correlations which oscillate at tunably incommensurate wave vectors. We argue that this intriguing spin liquid phase can be understood as a marginal instability of a two-band spinon Fermi surface coupled to an emergent U(1) gauge field, an interpretation which we substantiate via bosonization analysis and Monte Carlo calculations on model Gutzwiller variational wave functions. Our results represent one of the first numerical demonstrations of emergent fermionic spinons in a simple SU(2) invariant nearest-neighbor Heisenberg model beyond the strictly 1D (Bethe chain) limit.Comment: 14 pages, 12 figure

Partial breakdown of quantum thermalization in a Hubbard-like model

We study the possible breakdown of quantum thermalization in a model of itinerant electrons on a one-dimensional chain without disorder, with both spin and charge degrees of freedom. The eigenstates of this model exhibit peculiar properties in the entanglement entropy, the apparent scaling of which is modified from a "volume law" to an "area law" after performing a partial, site-wise measurement on the system. These properties and others suggest that this model realizes a new, non-thermal phase of matter, known as a quantum disentangled liquid (QDL). The putative existence of this phase has striking implications for the foundations of quantum statistical mechanics.Comment: As accepted to PR

Ising Anyons in Frustration-Free Majorana-Dimer Models

Dimer models have long been a fruitful playground for understanding topological physics. Here we introduce a new class - termed Majorana-dimer models - wherein bosonic dimers are decorated with pairs of Majorana modes. We find that the simplest examples of such systems realize an intriguing, intrinsically fermionic phase of matter that can be viewed as the product of a chiral Ising theory, which hosts deconfined non-Abelian quasiparticles, and a topological $p_x - ip_y$ superconductor. While the bulk anyons are described by a single copy of the Ising theory, the edge remains fully gapped. Consequently, this phase can arise in exactly solvable, frustration-free models. We describe two parent Hamiltonians: one generalizes the well-known dimer model on the triangular lattice, while the other is most naturally understood as a model of decorated fluctuating loops on a honeycomb lattice. Using modular transformations, we show that the ground-state manifold of the latter model unambiguously exhibits all properties of the $\text{Ising} \times (p_x-ip_y)$ theory. We also discuss generalizations with more than one Majorana mode per site, which realize phases related to Kitaev's 16-fold way in a similar fashion