Peripheral Intravenous Infiltrates: Engaging Staff to Increase Reporting

A large free standing children’s academic hospital aimed to improve patient safety and outcomes by decreasing the overall severity of peripheral intravenous infiltration and extravasations (PIVIEs). A care bundle was developed by creating a PIVIE measurement tool within the electronic medical record (EMR) and integrating the tool into standardized daily practice for nurses. The care bundle included creating a team of clinical leaders consisting of empowered bedside nurses acting as mobilized resources embedded into each unit. The initiative resulted in a large scale increase in reported PIVIEs system-wide within 1 month of education dissemination to bedside RN staff. The QI interventions captured a realistic interpretation allowing for a more global and accurate reflection of the number and severity of PIVIE events system-wide, while creating documentation for the PIVIE tool in the EMR and a clinical leader model. The results reflected a dramatic rise in the number of reported PIVIE events, increase in staff awareness of PIVIEs, increased peripheral intravenous line assessments, and decreased severity of PIVIEs that do occur

Ending ‘Period Poverty’: A Holistic Proposal to Address Menstrual Hygiene Management for People Experiencing Homelessness in Denver, Colorado.

This proposal is for a holistic, community-based approach to MHM, with a specific focus on people experiencing homelessness in Denver, Colorado. The proposal culminates in a holistic set of recommendations, including both actionable items and systems- and policy- level suggestions, to improve access to clean and dignified MHM for the intended beneficiaries. The goals of this proposal are to: 1) Increase community collaboration on addressing MHM; 2) Provide equitable access to MHM products for all people experiencing homelessness; 3) Reduce the stigma associated with MHM; 4) Provide safe, private, and clean spaces for dignified MHM in Denver; and 5) Create systems-level change that will sustainably improve access to MHM. Recommended activities to meet these goals include creating barrier-free systems to distribute menstrual products, increasing street outreach efforts, securing grant funding, training staff working with people experiencing homelessness on equitable access to MHM, and improving public restroom facilities. Additionally, systems-level recommendations include passing legislation to include menstrual products in public assistance programs, eliminating taxation on menstrual products, and addressing the root cause of the issue through a housing-first model

Balancing Purpose, Power, and Discretion Between Article III Courts and the Patent Office

The function of the United States Patent and Trademark Office (“USPTO”) is to promote the industrial and technological innovation of the nation and strengthen the economy through the preservation, classification, and dissemination of patent information. The America Invents Act (“AIA”) prescribed a multitude of supporting goals to best promote innovation, such as preserving “quality patents,” “timely consideration” of issues, maintaining “cost-effective” methods, preventing “frivolous litigation,” and preventing “uncertainty.” The AIA ensures the “efficiency, objectivity, predictability, and transparency” of the patent system. Part of this act included revamping the adjudicatory forum located within the USPTO, the Patent Trial and Appeal Board (“PTAB”), a body that decides patentability questions via AIA trials. One type of is Inter Partes Review (“IPR”), a post-grant review proceeding. IPR has the potential to promote innovation and support the many goals of the AIA. However, that potential is unrealized. This is in part because the policies surrounding IPR are heavily influenced by the discretion of the acting USPTO Director (“the Director”). This discretion has allowed external factors, such as trial dates of district court litigation, to greatly affect the effectiveness of IPR. In the past decade, institution of IPR has been inefficient, subjective, unpredictable, and not transparent. This Note explores the relationship between IPR and the discretion of the Director, the consequences of that relationship, and how that relationship is influenced by external factors

Research: South Dakota State University, Spring 2016

CONTENTS: Genome Researcher investigate impact of L1 jumping genes [Page] 2CRP funds important resource for hunters [Page] 3Nurse-researchers help health-care facilities develop, improve tobacco-free policies [Page] 3MS: Exercise scientist improves movement, quality of life for MS patients [Page] 5Plant scientists defend South Dakota crops against diseases [Plant] 7Investigating influenza D virus earns doctoral student scholarship [Page] 9Steel shavings trap phosphorous, protecting water quality [Page] 10https://openprairie.sdstate.edu/research_mag/1008/thumbnail.jp

Research: South Dakota State University, Spring 2017

Pharmacy researcher investigates how aspirin kills cancer cells [page] 1Problem-solving, cornerstone of SDSU research [page] 2Fluid flow model evaluates clotting risk in new stent graft design [page] 2Sanford research project inspires graduate student [page] 3Experience key to nurses\u27 comfort in communicating with terminally ill patients [page] 4Nondigestible starch feeds gut microbes, reduces inflammation [page] 5Researchers investigate workings if antibody therapeutics [page] 6DNA, RNA sequencing available in campus to researchers statewide [page] 7QUBIC-R software helps researchers model, visualize gene expression networks [page] 8Scientists assess survival of swine viruses in imported feed ingredients [page] 9Gene linked to hormone that impacts soybean-nodule development [page] 10 Measuring research investments [page] 10-11Ag engineering doctoral student develops separation methods for biofuels [page] 11Research enhances undergraduate experience [page] 12https://openprairie.sdstate.edu/research_mag/1011/thumbnail.jp

Research: South Dakota State University, Fall 2015

CONTENTS: Pine Ridge Elders to educate peers about wills, advanced care planning [Page] 2Diversity: Teaching diverse learners requires responsiveness to students\u27 needs [Page] 3Renaissance writers address social values still relevant today [Page] 5Forest fire expert helps Indonesians assess carbon emissions [Page] 7Diagnostic tests key to controlling swine virus [Page] 9Experience, networking fuel wastewater filtration research [Page] 9Breast-feeding friendly climate benefits businesses, communities [Page] 10Dairy scientist harness power of milk protein [Page] 11Pharmacists\u27 study helps prevent antibiotic-induced kidney failure [Page] 11Plants exchange carbohydrates for nitrogen, phosphorus from mycorrhizal fungi [Page] 12https://openprairie.sdstate.edu/research_mag/1007/thumbnail.jp

Factors Associated with Subjective Improvement Following Midurethral Sling Procedures for Stress Urinary Incontinence: A Masters Thesis

Background Female stress urinary incontinence (SUI) greatly affects quality of life. The midurethal sling (MUS) procedure has been widely accepted as the standard of care treatment for SUI, although there is little information regarding patients\u27 subjective reports of symptom improvement. Objectives The objective of this study was to identify clinical and demographic characteristics that predict subjective symptom improvement following MUS procedures in women with SUI. Materials and Methods The study design was retrospective cohort. Subjects included women who underwent MUS between 2006 and 2008, returned mailed surveys and met our predefined inclusion criteria. Pre-operative data included demographics, prior surgery, co-morbid diseases, urodynamics and concomitant reconstructive surgery. Subjective improvement was measured by score improvement on the UIQ-7, UDI-6, the UDI stress subscale and Question 3 of the UDI, Do you experience urine leakage related to physical activity, coughing, or sneezing? Results The mean age of the study sample was 57 years, parity was 2.5 and BMI was 28. Subjects with lower MUCP demonstrated more improvement on the UIQ-7. ΔUDI-6 stress subscale scores were more sensitive to symptom change than either the ΔUDI-6 or ΔUIQ-7. Older, menopausal subjects with urethral hypermobility and concomitant vaginal suspension showed less improvement than subjects without these characteristics. After controlling for urethral straining angle, PVR, menopause and time out from surgery, older age and concomitant vaginal suspension were associated with persistent post-op symptoms on the UDI-6 Question 3 and age remained the only variable associated with persistent symptoms on the UDI-6 stress subscale. Conclusion Concurrent vaginal suspension and advancing age were risk factors for persistent symptoms following MUS procedures in patients with SUI. Symptoms may recur after 24 post-operative months. Clinicians are encouraged to provide additional preoperative counseling to those women who are at greatest risk for persistent symptoms

College of Nursing

Features Celebrating Excellence — The College of Nursing honors leaders during 80th anniversary[Page] 2 — Photo gallery of honorees.[Page] 6 — A brief look at the college’s history.[Page] 12 — The first four-year class.[Page] 14 — The gala’s honorees.[Page] 23 — Class of 1965 gives back.[Page] 24 — Alumni profiles. Department news[Page] 28- Faculty and professional staff publications.[Page] 30- Faculty and student awards and honors.[Page] 31- Deans’ distinguished lecture.[Page] 32- College honors. Alumni news[Page] 32- In memoriam.[Page] 33- Stacey Tait-Goodale Thank you for making the 80th Gala a success.https://openprairie.sdstate.edu/con_mag/1001/thumbnail.jp

College of Nursing

Features[Page] 2 — Path to awarding graduate degrees has been worth the effort.[Page] 6 — Work/work balance—Faculty members discuss teaching and health-care careers.[Page] 10 — Finding her niche: A class section spurs Kim Nearhood to find her passion.[Page] 12 — West River Nursing Program graduates first DNP class.[Page] 13 — Certified nurse midwife Brenna Tate gets to experience miracles.[Page]14 — Lesley Cook and Julie Jones found ideal careers with VA.[Page] 16 — It took some time but Susan Leddy found a role she loves.[Page] 17 — Grant Jaspers makes the most of recent degree.[Page] 18 — Brenda Andersen plays a major role in care of Jackrabbits.[Page] 20 — Donelle King enjoys the relationships made as a DNP. Department news[Page] 22 - Stenvig receives multiple honors.[Page] 23- College receives grants to impact health care. Alumni news[Page] 26- Baker and Cundy named to 100 Great Iowa Nurses 2015 listing.[Page] 28- In memoriam.[Page] 29- Stacey Tait-Goodale: Be part of a gift transformation.https://openprairie.sdstate.edu/con_mag/1000/thumbnail.jp