ProceduresConsult : Like "YouTube for Medicine" via Clinical Key

 

Think of ProceduresConsult as a trustworthy and reputable version of “YouTube for Medicine.”

Procedures Consult is an online procedure reference tool that offers easy access to complete details on how to prepare for, perform and follow up on the most common procedures required in today's hospital and clinical settings.

Procedures Consult covers the procedures required by the ABIM (American Board of Internal Medicine) and conforms to ACGME standards to help physicians and residents to consistently achieve the best patient outcomes.

Procedures Consult:

·         High quality video, text and illustrations for top medical procedures

·         Browsable and searchable for quick and easy access to any procedure

·         Highlights when patient “informed consent” is required

·         Customizable, for institution-specific protocols and procedures

·         Provides time-effective, self-directed procedures training and testing—with trackable results

·         Reinforces Joint Commission patient safety concepts

·         Provide Pre-, During, and Post-procedure reference

·         Includes indications, contraindications, anatomy, equipment

Where to find Procedures Consult  at Ascension Wisconsin Health Care :

Ø  Procedures Consult is part of Clinical Key.

Ø  Direct Link :  http://www.clinicalkey.com

Ø  Also available on the legacy Ascension Wisconsin Library Web Pages

Ø  and as a reference link in some of our EMRs.

Once in Clinical Key, click on the down arrow to choose ProceduresConsult :

See examples : 

          Femoral Nerve Block (c2016)

           Central Venous Line Placement (c2017)

Note: There is an app version for ProceduresConsult but unfortunately, the app version is not accessible for institutional subscribers. The publisher continues a separate pricing model for the stand alone version. You will be able to access all of PC, but only through the Clinical Key platform.

Other Helpful Links:

Clinical Key (direct link)

Setting up a Clinical Key Personal Account with Remote Access [Pdf tutorial]

Get the CK Mobile App [Instructions].

Clinical Key Quick Reference Card (pdf)

Clinical Key Search Tips Page (Ascension Wisconsin Library Services)

Questions or Comments?   Feel free to contact Your Ascension Wisconsin Librarians:

Michele Matucheski    Elissa Kinzelman-Vesely    Kellee Selden

Clinical Key Offers Free CME

Clinical Key provides free internet point-of-care CME credits for the clinical searches you perform daily.

CME Credits are issued through the Elsevier Office of Continuing Medical Education, which means:

·         CME can be earned, redeemed and tracked right from your personal account through Ascension Wisconsin’s Clinical Key subscriptions.

·         You can earn 0.5 AMA PRA Category 1 Credit ™ for each search conducted through Clinical Key.  Searches will be tracked when accessing CME accredited content. 

·         CME credits can be accessed on desktop or mobile devices.

·         Credits can be claimed up to 2 years after the date of accrual.

Earn, track and redeem CME right in Clinical Key. 

1)      ACCESS.  Log in or register for your personal account at an Ascension Wisconsin work computer.   You must be signed in for CK to track your progress.   More info …

2)      EARN.  Perform a search in Clinical Key to answer a clinical question relevant to your practice.  As you open eligible, peer-reviewed content, your search will be automatically recorded as potential CME.

3)      CLAIM.  From your dashboard (the 3 horizontal lines in the upper right corner next to your name), click on CME > claim credit.  Potential or earned credits can be filtered by timeframe and reviewed right from your dashboard.

4)      SUBMIT.  Select the query you want to claim, answer a few questions, click submit and print the certificate.  You can access your CME transcript at any time—you have two years from the date of accrual to claim.

Other Helpful Links:

Clinical Key (direct link)

Setting up a Clinical Key Personal Account with Remote Access [Pdf tutorial]

Get the CK Mobile App [Instructions].

Clinical Key Quick Reference Card (pdf)

Clinical Key Search Tips Page (Ascension Wisconsin Library Services)

Questions or Comments?   Feel free to contact Your Ascension Wisconsin Librarians:

Michele Matucheski    Elissa Kinzelman-Vesely    Kellee Selden

Fast Answers with the Clinical Key Mobile App

Fast Answers with the Clinical Key Mobile App

Here's what you need to do :

1)    Set up a Clinical Key Personal Account on an Ascension Wisconsin work computer.   [See this tutorial with screenshots.]  If you already have a CK personal account, skip down to Step 2 below. 

A)   Go to Clinical Key.com and click Register in the top right corner.

B)   Using your Ascension email address, fill in the required information on the registration page. 

C)   Click Register when finished.  Clinical Key will display an activation message and sends a confirmation email.

D)   In the confirmation email, click on the link to officially start your remote access.

Ø  This will grant 180 days of remote access. Prior to the end of the 180 days, log into your Clinical Key personal account while on your institutions IP. This will extend access another 180 days.  If your remote access expires, follow the above steps to re-activate your access. 

2)    Activate Remote Access [See Tutorial in #1 above.]   

3)   Get the Clinical Key Mobile App : 

·         Open the App Store on your mobile device.

·         Search for "ClinicalKey" and install at no charge.

·         Once in the app, two options will appear: ClinicalKey and ClinicalKey for Nursing. [Please note: Ascension Wisconsin does NOT subscribe to ClincialKey for Nursing.]

·         Select ClinicalKey.  Enter your ClinicalKey personal account username and password used for remote access and start using the app!

Note: An internet connection is required to use the ClinicalKey Mobile App.

For additional articles and tutorials, visit our ClinicalKey Search Tips & Tutorials Page.

How to set up a Clinical Key Personal Account with Remote Access (pdf) – Detailed instructions / tutorial with screenshots. 

 Questions or Comments?   Contact Your Ascension Wisconsin Librarians:

Michele Matucheski    Elissa Kinzelman-Vesely    Kellee Selden

Clinical Key : Setting Up a Personal Account with Remote Access

A personal account for Clinical Key allows you to get the most out of CK including:

* Access to the CK mobile app

* Open PDF versions of eBook chapters on Clinical Key

* Saved Content within CK

* Presentation Maker

* Personalized Patient Education

* Free CME Credit

Use this pdf tutorial for more details about how to set up a Clinical Key personal account with remote access. 

Also available: The Clinical Key Mobile App

For additional articles and tutorials, visit our Clinical Key Search Tips & Tutorials Page.

For help with CK registrations, or other questions about access, contact Your Ascension Wisconsin Librarians:

Michele Matucheski    Elissa Kinzelman-Vesely    Kellee Selden

Nurses Choice Recommended Reading - April 2018

April 2018

Vasoactive agents in shock
Nursing Critical Care, March 2018

The Management of Critically Colonized and Locally Infected Leg Ulcers with an Acid-Oxidizing Solution: A Pilot Study
Advances in Skin & Wound Care: The Journal for Prevention and Healing, April 2018

Deciphering chest pain in women
The Nurse Practitioner, April 2018

Preventing suicide beyond psychiatric units
Nursing, March 2018

Exploring bariatric surgery
Nursing Made Incredibly Easy!, March/April 2018

Pregnancy-Related Coronary Artery Dissection: Recognition of a Life Threatening Process
Dimensions of Critical Care Nursing, March/April 2018

The Diuretic Potential of Sacubitril/Valsartan: A Tale of 2 Patients
Journal of Cardiovascular Nursing, March/April 2018

Recognizing Delirium in Hospitalized Children A Systematic Review of the Evidence on Risk Factors and Characteristics
AJN, American Journal of Nursing, April 2018

Strategies for overcoming language barriers in healthcare
Nursing Management, April 2018

Neonatal Abstinence Syndrome: Exploring Nurses' Attitudes, Knowledge, and Practice
Advances in Neonatal Care, April 2018


* List and links courtesy of Anne Chaney at Wolters-Kluwer/Ovid.

* Questions about access, contact Your Ascension Wisconsin Librarians : 

Michele Matucheski        Elissa Kinzelman-Vesely      Kellee Selden

Clinical Key is now available statewide across Ascension Wisconsin

Brought to you by Ascension Wisconsin Library Services.

Clinical Key    http://www.clinicalkey.com

Intended Audience : Physicians and Providers

Content includes :

·         over 500 medical eJournals

·         over 1100 medical textbooks

·         Clinical Overviews from Elsevier Point-of-Care (similar to UptoDate)

·         Procedures Consult - medical and surgical videos

·         Patient Education 

·         Drug Info

·         millions of images that can easily be added to presentations

·         over 2,000 practice guidelines

Where to find Clinical Key?      https://www.clinicalkey.com

Use the direct link above.  Save it to your favorites/bookmarks it for easy access.

OR the legacy Library Intranet Pages for Ministry/Affinity, CSM  and WFHC

• Also available in some of the Ascension EHRs
• And on The Physician & Provider Tool Box for Clinical Reference

Clinical Key : How to Search (5-minute video) (Use Internet Explorer)

Clinical Key Quick Reference Guide (pdf)

More info and tutorials on the Clinical Key Search Tips Page.

Questions or Comments? Contact Your Librarians:

     Michele Matucheski        Elissa Kinzelman-Vesely      Kellee Selden 

Introducing the Nursing Point-of-Care LibGuide--now available statewide across Ascension

By Michele Matucheski, MLS, AHIP – Ascension Librarian

           

The Nursing Point-of-Care LibGuide

http://ascension-wi.libguides.com/Nursing-POC

            > Save this link for future use. 

The Nursing Point-of-Care  LibGuide pulls together some of the just-in-time online reference tools that are most useful for nurses in direct care of patients, including:

• Nursing Procedure Manuals
• (includes The Lippincott Manuals, known to be excellent nursing references for policies & procedures)
• Diseases & Disorders
• Drug Info
• Lab Tests
• Taber’s Cyclopedic Medical Dictionary
• Cinahl (Find Nursing Articles)
• Patient Education
• And links to go deeper with the Nursing Specialties LibGuide and Clinical Key.

This is meant to be a temporary solution until Ascension chooses a standardized nursing point-of-care tool and makes it available nation-wide.  There will be some lag time before an Ascension Wisconsin state-wide subscription for this NEW nursing point-of-care (POC) tool goes into effect later in 2018.   Until then, use this LibGuide.   

How to get there via the legacy intranets :

            CSM : CSM Intranet > Departments & Resources > Library > Nursing Point-of-Care

            MHC : The Source > Departments & Intranets > Library > Nursing Point-of-Care

            or    MHC : The Source > Links & Resources > Nursing Point-of-Care

            WFHC : TauNet > Library > Nursing Point-of-Care Tools

We are also working to get this link included in the various EHRs around Wisconsin and legacy intranets. 

Questions or comments, contact your Ascension Wisconsin Librarians:

            Michele Matucheski        Elissa Kinzelman-Vesely          Kellee Selden    

Nurses Choice Recommended Reading - March 2018

March 2018

impact of Relational Coordination on Nurse Job Satisfaction, Work Engagement and Burnout: Achieving the Quadruple Aim
JONA: Journal of Nursing Administration, March 2018

Medications and Patient Characteristics Associated With Falling in the Hospital
Journal of Patient Safety, March 2018

USP <800> and Strategies to Promote Hazardous Drug Safety
Journal of Infusion Nursing, January/February 2018

An Intervention to Reduce Medication Noncompliance and Hospitalizations
Home Healthcare Now, January/February 2018

Understanding tuberculosis in an era of global travel
The Nurse Practitioner, February 2018

Impact of a Restraint Management Bundle on Restraint Use in an Intensive Care Unit
Journal of Nursing Care Quality, April/June 2018

Developing a Mobile App for Prevention and Treatment of Pressure Injuries
Advances in Skin & Wound Care, February 2018

Malnutrition in Older Adults
AJN, American Journal of Nursing, March 2018

“It Just Is What It Is”: The Positive and Negative Effects of Living With Inflammatory Bowel Disease and Irritable Bowel Syndrome
Clinical Nurse Specialist, January/February 2018

What the Advanced Practice Nurse in the Emergency Department Needs to Know About the Health Risks and Hazards of Electronic Cigarette Use by Youth
Advanced Emergency Nursing Journal, January/March 2018



* List and links courtesy of Anne Chaney at Wolters-Kluwer/Ovid.

* Questions about access, contact Your Ascension Wisconsin Librarians : 

Michele Matucheski        Elissa Kinzelman-Vesely      Kellee Selden

Ascension Wisconsin Library Services Literature Search Survey Annual Report - 2017

 By Michele Matucheski, MLS, AHIP,  Librarian for Ascension Wisconsin

In 2016, Ascension Wisconsin Librarians began collecting feedback on the research (literature searches) we provided to our patrons.  This feedback helps us understand how this information was used system-wide. This survey data was saved to a QuickBase App where we could compile and present the data visually.

2017 AscWis Literature Search Survey Annual Report for Leaders (pdf)

This report shows the impact Library Services has on Ascension Wisconsin’s  Quadruple Aim :

                  1)      Delivering high quality care

                  2)      Better patient and

                  3)      provider experiences and

                  4)      lowering overall costs

The word cloud above illustrates just SOME of the research projects that your Librarians have worked on in 2017.

Research demonstrates that Librarian-led information services improve clinical decision making and patient care outcomes. Library Services and quality health information can

·                     Reduce hospital costs,  length of stay

·                     Prevent Hospital Readmissions

·                     Improve diagnosis, patient care outcomes and clinical decision making

·                     Further their institution's mission and goals through expert searches, teaching health professional literature searching skills, providing community outreach programs, supporting innovation and research, and disseminating the best medical and business practice information.

·                     Contribute to a culture of inquiry and quality improvement by teaching nurses, physicians and staff information literacy and  literature searching skills

·                     Help avoid adverse events

·                     Save health professionals' time

A single literature search takes a professional Health Sciences Librarian on average about 90 minutes to complete.  She usually consults 3-4 databases such as PubMed/Medline, Cinahl, Cochrane, Clinical Key, the Library catalog, and even Google. *  Some searches can take even longer and involve contacting experts in the field. 

The Ascension Wisconsin Librarians spent more than 1047 hours doing research for the organization in 2017.  This frees up time for associates to spend on patient care and other duties.

 The report includes :

·         A word cloud listing SOME of the high profile searches we did in the past year

·         Introduction & Purpose

·         Meet Your Librarians

·         Charts & Graphs

Ø  Reasons for asking a Librarian to do Research

Ø  Value of the Knowledge Provided

Ø  Change in Practice

Ø  Impact of Research Provided

Ø  Outcomes (as in Adverse Events Avoided)

Ø  Satisfaction

Ø  Time Saved

·         Total number of Searches done by AW Librarians in 2017

·         What Our Library Customers Say About Us

Thank you for using Library Services!

If you have questions or comments, please contact Your Ascension Wisconsin Librarians:

Michele Matucheski        Elissa Kinzelman-Vesely          Kellee Selden    

* Carol Friesen, Mê-Linh Lê, Carol Cooke & Melissa Raynard (2015) Analysis of a Librarian-Mediated Literature Search Service, Medical Reference Services Quarterly, 34:1, 29-46, DOI: 10.1080/02763869.2015.986782