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Ep. 11: Eliza Alberto-Widdowson – Bridging the Gap with Nursing Informatics | This Week in Surgery Centers
Here’s what to expect on this week’s episode. 🎙️
Nursing Informatics is not new, but as we continue to weave more technology into the patient’s journey, the need and interest are escalating.
If you can’t quite put your finger on precisely what Nursing Informatics is though – you’re certainly not alone.
Eliza Alberto-Widdowson is the Director of Nursing at Mann Cataract Surgery Center, and she is here breaking it down for us.
What is Nursing Informatics?
• Simply put – it’s integrating data and healthcare technology to enhance patient outcomes and reduce medical errors.
Why does it matter?
• Implementing new tech might be the best decision for your ASC, but if your staff isn’t comfortable using it, your patient care will ultimately suffer. Bridging the gap is critical.
• Nursing is both an art and a science. Combining a nurse’s firsthand experience and emotional intelligence with state-of-the-art tools they are well-trained on will ultimately achieve the best outcomes.
How can we address it?
• Educate yourself – take courses on Nursing Informatics and learn from your peers.
• When selecting any new equipment or technology, you must involve the staff members who will use it daily from the beginning of the decision-making process.
• Make sure that whatever new technology you select has a user-friendly interface.
• Training is vital – ensure your staff has ample training and time to learn new tools.
• Remind your team not to focus on the technology alone and lose the human element of caring for patients.
Find the full episode on Apple Podcasts, Spotify, or YouTube to hear even more insights!
Episode Transcript
0:00
welcome to this week in surgery centers
0:03
if you’re in the ASC industry then
0:05
you’re in the right place every week
0:07
we’ll start the episode off by sharing
0:10
an interesting conversation we had with
0:11
our featured guests and then we’ll close
0:13
the episode by recapping the latest news
0:15
impacting surgery centers we’re excited
0:18
to share with you what we have so let’s
0:20
get started and see what the industry’s
0:22
been up to
0:23
[Music]
0:27
hi everyone here’s what you can expect
0:30
on today’s episode this week we’re
0:32
joined by Alisa Alberta widowson Alisa
0:36
is the director of nursing at Mann
0:38
cataract surgery center and she’s here
0:40
to talk to us about Bridging the Gap
0:42
with nursing informatics as Technology’s
0:45
role in healthcare continues to expand
0:47
so too will the role of nursing
0:49
informatics so this is a really
0:51
interesting and timely topic and not one
0:53
that a lot of people are talking about
0:55
but really should be
0:57
in our news recap we’ll cover what’s
0:59
going on with Kaiser and the California
1:00
Nurses Association the latest updates on
1:04
the no surprises act medical terms that
1:06
are baffling patients and of course and
1:09
the new segment with the positive story
1:11
about a nurse who saved a man’s life
1:13
during a flight
1:14
hope everyone enjoys the episode and
1:16
here’s what’s going on this week in
1:18
surgery centers
1:20
[Music]
1:25
all right how’s it going everyone I’m
1:27
your host Rafael akinsby here at this
1:30
week in surgery centers we’ve got a
1:32
fantastic episode this week that I have
1:34
had on my calendar circled and just
1:36
super pumped about
1:38
um this week I am joined by Elisa
1:40
Alberto widowson she is the director of
1:43
nursing at the Mann cataract surgery
1:45
center in Houston Texas and this week
1:48
we’re going to be talking about Bridging
1:50
the Gap with nursing informatics so I
1:53
think this is a really exciting topic an
1:55
area that I personally don’t have a ton
1:58
of knowledge on so I think it’ll be
1:59
exciting to kind of learn here talk
2:01
about this topic and I think uh you know
2:03
all of our listeners are going to get a
2:05
lot of value out of this one so Elisa
2:07
thank you so much for joining us today I
2:09
appreciate you you coming on the on the
2:11
podcast you’re welcome my pleasure so
2:14
for anyone who doesn’t know a ton about
2:16
you
2:17
um can you just you know share with our
2:18
guests just a little bit about yourself
2:20
your background uh maybe what you guys
2:22
are doing for the holidays
2:24
um I think they’d all love to get to
2:25
know you yeah um so my name is Elisa
2:28
Alberto widows
2:30
um
2:31
I am a registered nurse currently
2:33
serving as the director of nursing at
2:35
Mann cataract surgery center in Humble
2:37
Texas
2:39
um
2:39
I have two kids one girl one boy
2:44
um
2:44
just got married actually three years
2:46
ago and he’s from United Kingdom and
2:49
hence the last name widowson
2:51
my my name so I had to keep it
2:55
um I am currently in graduate school
2:59
to obtain my Darcy administration degree
3:02
um I love everything about patient care
3:04
and promoting patient safety as far as
3:06
the holidays we are planning to go to
3:09
Universal Studios awesome that’s super
3:12
exciting well
3:14
congrats on on one you know being in
3:16
grad school and all the your
3:18
professional success there as well and
3:19
also on your family that’s fantastic
3:22
um Universal Studios is a good time so I
3:24
think you’ll have a lot of fun there
3:26
absolutely yes yeah and I appreciate you
3:28
I am I’m actually I’m from Houston
3:31
um and I love that you you clarified
3:33
there on the Houston versus versus
3:35
humble piece because I do think that
3:37
happens a lot where everyone kind of
3:39
categorizes all of the cities and kind
3:41
of areas that are kind of tangential to
3:43
Houston so kind of pulls them all
3:45
together but I think it’s good that’s
3:46
that’s how I know you’re you’re truly
3:48
truly from from Texas when you you’re
3:51
able to kind of give everyone the
3:52
clarification there so love it
3:54
all right well jumping in you know we’ve
3:57
got an exciting topic today and I I want
3:59
to dive in there but
4:01
um you know when it comes to the surgery
4:03
center that you’re with you’re with the
4:04
man um cataract surgery center would it
4:07
be correct to assume you guys are an
4:08
Ophthalmology Center yes we are awesome
4:12
awesome
4:13
um and for anyone who’s not familiar
4:14
with um with man with the manned
4:16
cataract surgery center
4:18
um anything you want to share about the
4:19
surgery center before we we get started
4:22
sure um just free marketing so
4:25
uh well when I for those who do not know
4:28
we it was founded in 1977.
4:31
um Dr Mike Mann who was the founder of
4:34
our Healthcare organization
4:36
um always had a vision for Innovation
4:38
and advancements in technology
4:40
um obviously to promote Optimal Care for
4:42
our patients I mean that’s always been
4:45
his Niche okay
4:47
um our specialty is ophthalmology and we
4:49
have several board certified surgeons
4:51
who perform different Ophthalmology
4:53
cases from cataract glaucoma and
4:57
oculoplastic surgeries
5:00
um and on average we average about 660
5:03
cases
5:04
um between our two ASE locations monthly
5:06
awesome awesome that’s fantastic so you
5:09
know kind of now that we have a sense of
5:11
your background a little bit on um you
5:14
know the surgery center that you’re with
5:15
jumping into the topic today on you know
5:18
just that nursing
5:20
um informatics I feel like that’s an
5:22
area that you know the name makes sense
5:25
um but in terms of if someone asked me
5:27
to describe it I probably wouldn’t be
5:28
able to to give an accurate description
5:30
there so I imagine some of our listeners
5:32
uh might have a similar gap on their
5:34
knowledge of it so
5:36
if you were given a quick overview on
5:38
just you know what nursing informatics
5:41
is you know how would you describe that
5:44
um and kind of a brief sense yeah
5:48
yeah I asked my sister who’s also a
5:50
nurse she’s a travel nurse and I asked
5:52
her you know
5:54
um how would you define nursing
5:56
informatics is like what the heck is
5:58
that and she’s been a nurse for 14 years
6:01
so but nursing informatics is basically
6:05
it’s integrating the use of data and
6:07
Healthcare technology to help with
6:10
enhancing patient outcomes which is yeah
6:13
medical errors and also it also provides
6:17
um efficient results in clinical
6:19
procedures you know for patients and the
6:22
nursing staff
6:25
basically it’s like with EMR systems
6:28
even just
6:29
blood pressure machines EKG machines
6:32
those have made
6:35
um
6:36
those are some examples big that made
6:38
the biggest impact in our Surgery Center
6:41
to be honest
6:44
um and to me nursing informatics
6:47
is improving the patient care and safety
6:51
overall that makes sense that makes
6:53
sense kind of you know the elements you
6:55
mentioned there in terms of kind of the
6:57
that clinical data and how that is is
6:59
leveraged to kind of inform that makes
7:01
makes a lot of sense around improving
7:02
the patient care you know when I think
7:04
about that there’s a lot of Industries
7:06
and in many senses in particular with
7:08
Healthcare that are becoming more
7:10
informed with data and kind of um
7:12
leveraging that information to improve
7:14
their processes their systems the way
7:16
that they drive value for their
7:18
customers and in the case of healthcare
7:19
you know our patients you know do you
7:22
feel like this is a concept that’s kind
7:24
of relatively new in terms of you know
7:26
the nursing side of it
7:29
um as far as nursing informatics I would
7:32
actually say yes and no
7:35
um only because the advancement in
7:37
technology and Healthcare has taken a
7:40
leap I would say since the 1980s right
7:42
yeah
7:43
um slowly like the advancements just
7:46
slowly has progressed however nursing
7:48
and the field of nursing informatics
7:50
itself I would say yes it’s a fairly New
7:53
Concept yeah
7:55
um but it’s definitely gaining a lot
7:57
more attention now
7:59
yeah I think it’s important that
8:02
this should be part of the nursing
8:06
education whether you’re an associate
8:08
degree of you know nursing I’m sorry
8:11
associate degree of nursing or
8:13
bachelor’s or Master’s I think from the
8:16
get-go I think that’s something that
8:17
needs to be taught because of the
8:19
advancement of technology and health
8:20
care that makes sense so
8:24
to answer your question it is a fairly
8:26
New Concept yeah that makes sense I feel
8:30
like I could probably have an entire
8:31
podcast episode with you on the um on
8:33
that kind of education side of it in
8:35
terms of
8:36
um you know things like that that should
8:38
be included at every level of Education
8:40
across nursing so that that’s a great
8:42
call out there and it makes a ton of
8:43
sense to me so you know as I think about
8:46
what that means and how that translates
8:48
for our listeners you know we have lots
8:50
of listeners that are at surgery centers
8:52
across the country and I’m I’m hopeful
8:55
we’re getting I’ve seen some of our
8:56
International stats we got a couple of
8:57
listeners from outside the country so
8:59
um you know a lot of people working at
9:01
surgery centers in different places and
9:03
if you know they were kind of taking an
9:05
approach to this it seems like something
9:07
where if you’re using any technology in
9:10
your surgery center whether that’s an
9:11
EMR an EKG or even a blood pressure
9:13
machine there’s probably lots of data
9:15
and information that would impact how
9:18
you are treating your patients and you
9:20
know if I’m one of our listeners right
9:22
now who’s kind of hearing this and
9:24
thinking okay this is probably important
9:25
for me what is kind of what’s my
9:28
starting point on this how do I start
9:29
taking an approach on nursing
9:31
informatics and in my surgery center
9:34
right to me I would say when you’re
9:38
selecting
9:39
um
9:41
any type of equipment whether it’s a new
9:43
EMR system
9:45
a new e-caging machine or blood pressure
9:48
machine it is vital that you involve
9:51
um
9:52
staff members who’s going to be using
9:55
the the equipment or the system
9:57
the decision making
10:00
because after all is said and done there
10:02
will be the ones who’s going to be using
10:04
this on a daily basis with the patient
10:06
right
10:07
um another thing is making sure that the
10:10
interface is user friendly yeah that’s
10:13
very crucial in my own in my opinion
10:17
um
10:18
it’s also to ensure the safety of the
10:20
patients yeah
10:22
training is also vital making sure that
10:25
once you get a new system
10:28
um in place in your surgery center make
10:30
sure that your your staff members are
10:32
properly trained and if they’re not then
10:35
spend the time training your your staff
10:37
members especially
10:39
um not to call anybody out to be honest
10:41
but the the Baby Boomers the different
10:43
generation you got them but it’s also so
10:45
good in computers and you got the Baby
10:47
Boomers who’s been a nurse for God knows
10:50
20 30 years and they get an Emar system
10:53
and they’re going what the heck I want
10:55
to go buy paper yeah so
10:58
um if especially within a surgery center
11:00
efficiency is such a big thing yeah so
11:05
um
11:05
having said that we always want to put
11:08
the safety of the patients yeah
11:11
efficiency is second so
11:14
um
11:15
that makes sense and I want to dive in a
11:17
little bit on some of the things you
11:19
mentioned there between two two key
11:21
things I think you called out there
11:23
um one you mentioned you know that kind
11:25
of difference between paper versus a an
11:28
EMR there and you know this is still a
11:30
factor in both scenarios do you feel
11:32
like the approach when it comes to kind
11:34
of having that data and the the
11:36
information on this do you feel like
11:37
there’s a gap between centers that might
11:39
be on paper versus centers that are on
11:42
emrs and kind of their approach to
11:43
nursing informatics I believe so and I
11:47
noticed it every day yeah
11:50
um I think nursing is both an art right
11:53
and it’s an art and science yeah
11:57
um one cannot exist with the other
11:59
having said that
12:01
would the advancement of technology and
12:03
Healthcare whether which recently we
12:06
just had a new EMR system
12:08
and I see my nurses just focusing on on
12:13
the computer
12:14
that eye contact with the patients is
12:17
losing that
12:19
um of caring so to speak yeah so I think
12:24
nurses get they get lost
12:28
um in transition in a way
12:31
um because they’ve been so used to with
12:34
with the paper you know paper charts
12:38
um and then now you implement this new
12:40
system now they’re they just don’t know
12:43
what to do and they just want to make
12:44
sure they’re documenting properly
12:45
they’re getting the patients ready for
12:48
surgery and for getting that care aspect
12:50
of the patient so I think that’s one
12:53
thing that I would like to reiterate
12:55
that make sure
12:57
that you’re looking at your patient when
12:59
you’re when you’re assessing the patient
13:00
stop looking at your computer you know
13:02
even intermittent just just have that
13:04
eye contact with that patient
13:07
um even the sense of touch if it’s if
13:08
it’s all right with that patient you
13:10
know make sure that you’re showing them
13:12
that you do care and they’re just not a
13:15
number yeah that makes sense that makes
13:17
a ton of sense and it kind of feeds into
13:19
what you mentioned before around the
13:21
training aspect as well I feel like that
13:23
balance thereof one obviously leveraging
13:26
the technology but two that you know
13:28
kind of that bedside Manner and
13:29
engagement with the patient do you feel
13:31
like the kind of what you were
13:32
mentioning before around training do you
13:34
feel like that’s a factor in the way
13:36
that
13:37
um kind of nurses approach not only the
13:39
data that they’re going to leverage from
13:41
the technology but also how they
13:42
interact with patients
13:45
I believe so I think it’s also important
13:47
that they do not lose their core values
13:49
yeah with taking care of patients with
13:52
integrating all this advancement in
13:55
technology
13:57
um
13:57
and again it’s that caring you know that
14:00
caring aspect uh
14:03
um nursing
14:05
um
14:06
I agree I agree I feel like there’s so
14:08
much of it that’s based on the nurses
14:10
obviously having a a deep concern care
14:13
for their for their patients so that
14:15
makes a ton of sense to me you know as I
14:17
kind of think about that you know and
14:19
also just thinking about how
14:20
Technologies role in healthcare kind of
14:22
continues to expand and evolve you know
14:25
and I feel like on a similar parallel to
14:27
that the role of nurses and kind of the
14:29
nursing informatics piece of it
14:31
um evolves in a very similar way you
14:34
know for our listeners can you kind of
14:36
share an example of how
14:39
um you’ve used your knowledge to kind of
14:41
bridge some of the Gap there between the
14:43
new technology that’s coming in and kind
14:45
of the science and approach of Nursing
14:50
um just like what I’ve mentioned nursing
14:53
is both Art and Science and that’s
14:55
something I have learned all throughout
14:57
my nursing career
14:59
um it is important
15:02
for a nurse to have a sense of emotional
15:05
intelligence yeah treating a patient
15:09
um
15:10
and that’s something that they do not
15:11
teach in nursing school unfortunately
15:13
and something you just have to learn
15:15
even growing up it’s something that my
15:18
parents bestowed upon me growing up you
15:21
know from the Philippines born and
15:24
raised
15:26
that’s something that my parents
15:27
instilled in me you know respect caring
15:30
and even if I didn’t become a nurse
15:33
that’s something that was in me and and
15:35
that’s something that I incorporate when
15:37
I’m treating and um taking care of my
15:40
patients and as far as a nurse nursing
15:43
leader
15:44
I tried to bridge the gap by
15:47
training those those staff members that
15:50
are needing
15:51
um the training or
15:54
or someone that needs
15:56
um
15:57
education on emotional intelligence and
16:01
that’s something that’s very very
16:03
difficult to fix because that’s like
16:05
changing someone’s personality but you
16:08
know
16:09
no that that makes sense though
16:14
yeah it’s an experience
16:17
yeah that makes sense I I think both to
16:19
that point around the emotional
16:20
intelligence and that just kind of over
16:22
time with the experience it’s in it’s
16:24
ways that you kind of will will get
16:26
there and I agree with you emotional
16:27
intelligence is such a huge factor and
16:30
not only kind of you know nursing but
16:32
really in any professional environment I
16:34
think the the way that we handle um you
16:36
know our engagement with other people
16:37
and kind of the impact that it has on on
16:39
our business but also on on obviously
16:41
the lives that we’re engaging with and
16:43
especially in healthcare
16:45
um it’s super critical so so that makes
16:47
sense to me awesome so you know I feel
16:50
like we’ve hit a number of really good
16:52
topics and I’m excited for some of the
16:54
different kind of nuggets and clips that
16:56
we’re going to take from this because
16:57
you know with all of our episodes we
16:58
always kind of take these clips and
17:00
there’s you know the whole episode but
17:01
there’s some of these really exciting
17:02
Parts I feel like we’ve got some really
17:03
good stuff here that
17:05
um you know people will be playing back
17:06
over and over but
17:08
with all of our episodes you know
17:10
there’s something that we do every week
17:11
with our guest and we ask our guests
17:13
what is one thing our listeners can do
17:16
this week that they can do to improve
17:19
their Surgery Center so I’d love to get
17:21
your thoughts there
17:23
I would say and in any surgery center a
17:26
great surgery team is what makes
17:30
an Asus
17:32
he’s my advice
17:34
is leaders
17:36
you must show your appreciation to your
17:38
staff
17:40
happy staff
17:42
means happy patience and it it all
17:44
translates to increased patient
17:46
satisfaction and better outcomes awesome
17:50
I love that I love that being kind of
17:53
focused on on you know treating your
17:55
staff the right way and that impact on
17:57
on the patients makes a ton of sense
17:59
there we have all the tools in the world
18:01
but
18:02
at the end of the day it’s
18:06
it’s team itself is what makes it what
18:08
makes it work
18:09
awesome love it well Elisa this has been
18:13
a fantastic episode we’ve got some great
18:15
nuggets here for our listeners some gems
18:17
that they’ll be able to take back to
18:18
their Surgery Center this week
18:21
um you know for anyone who wants to
18:22
reach out get a hold of you or or
18:23
contact you is there any
18:25
um any way that people can get in
18:27
contact with you if they have more
18:28
questions about nursing informatics or
18:31
um any other things like that that they
18:32
want to learn from you absolutely they
18:35
could um email me
18:38
um it’s e Alberto at mani.com
18:43
awesome we’ll have to have our producers
18:45
put those links in the in the podcast
18:47
description so that people can can
18:49
quickly email you that’s great I
18:51
appreciate this so much um you know
18:53
thank you for coming on the Pod and
18:55
um you know we look forward to hopefully
18:57
having you back on all right thank you
18:58
Ralph all right thanks bye
19:03
[Music]
19:06
as always it has been a busy week in
19:08
healthcare so let’s Jump Right In
19:10
first and foremost we have to talk about
19:13
what’s going on with Kaiser Permanente
19:15
nurses in the state of California
19:18
so to set the scene the California
19:20
Nurses Association is a union that
19:23
represents about 22 000 nurses across 22
19:27
different Kaiser facilities in June
19:30
negotiations began between the
19:32
California Nurses Association and Kaiser
19:34
in an effort to avoid what would have
19:36
been the biggest private sector nurses
19:39
strike in American history
19:41
thankfully on Monday December 5th after
19:44
months of negotiations the union
19:47
announced that its nurses voted to
19:49
ratify a new four-year contract and the
19:52
strike would officially be called off
19:54
so what is in this new four-year
19:56
contract this article from Med City News
19:59
sums it up nicely
20:02
2 000 new positions in Northern
20:05
California
20:07
a 22.5 wage increase over the next four
20:11
years
20:12
increased tuition reimbursement for
20:15
nurses continuing education
20:17
a guaranteed three-month stockpile of
20:20
personal protective equipment
20:23
scaled workplace violence prevention
20:25
plans and lastly a promise to eliminate
20:29
racial and ethnic disparities in patient
20:32
outcomes promote culturally competent
20:34
care delivery and expand the diversity
20:37
of its Workforce so
20:40
there’s a ton of stuff in there that is
20:42
is groundbreaking but obviously this is
20:44
a huge win for the nurses Union but also
20:47
for patients in California uh and the
20:49
quality of care that they’re receiving
20:51
these ratifications will allow nurses to
20:54
work more safely and under better
20:55
conditions which will ultimately improve
20:58
their experience and outcomes
21:00
in our Second Story CMS delayed the
21:04
enforcement of good faith estimates
21:05
stemming from the no surprises Act so
21:08
just a quick reminder as to where we are
21:12
today per the no surprises act as of
21:15
January 1st 2022 providers which
21:18
includes ASCS are required to notify
21:21
uninsured and self-pay patients of their
21:25
ability to request a good faith estimate
21:28
of expected charges and deliver it to
21:30
the patient upon their request
21:32
so and even though the good faith
21:35
estimates will ultimately be expected to
21:38
include charges from ancillary providers
21:40
involved in the procedure CMS delayed
21:43
enforcement of those charges from
21:44
co-parieters and cope facilities for
21:46
2022 and the enforcement was expected to
21:49
begin on January 1st 2023 just a couple
21:52
weeks away but CMS has actually now
21:55
extended that date in the enforcement of
21:59
that indefinitely
22:01
so even though the enforcement is not
22:03
happening just yet it absolutely will
22:06
come eventually this is one of those
22:08
things where waiting for the federal
22:10
requirement is not the recommended
22:13
approach
22:14
um I know there’s been a lot of
22:15
questions concerns even lawsuits around
22:18
the no surprises act but patients are
22:21
becoming more familiar with it and they
22:23
are becoming more vocal when it comes to
22:25
their rights and what they consider fair
22:27
and wanting to know exactly what they
22:29
owe as best they can prior to having
22:33
their procedure done so you will still
22:35
absolutely want to get ahead of what’s
22:37
coming down the pike especially if it’s
22:39
something that’s in your patient’s best
22:40
interest and if done correctly will help
22:43
surgery centers get paid faster as well
22:45
so just know that right now it’s
22:49
suspended indefinitely and we will be
22:51
providing updates as soon as there is
22:54
something to share
22:55
in our third story from NBC news Dr
22:59
Michael Pitt is a program director and
23:01
professor at the University of Minnesota
23:03
and he recently polled 215 non-medical
23:07
folks on common words and phrases that
23:09
means something different in the medical
23:11
world than they do in day-to-day
23:13
conversation I thought his findings were
23:16
really eye-opening and just wanted to
23:18
share what he had found
23:20
to start he found that patients were
23:23
getting confused by with the terminology
23:26
of negative and positive so for example
23:29
the fact that a negative cancer test is
23:32
actually a good thing and a positive
23:35
cancer test is actually a bad thing can
23:38
be confusing for patients using those
23:40
those simple terms can kind of trip
23:43
people up
23:45
um another example he shared is when you
23:48
have a chest X-ray done and the doctor
23:50
tells you that it was very impressive 79
23:54
of those polls said that they would
23:56
assume that in an impressive chest x-ray
23:59
is a good thing but in fact it means the
24:01
doctor has something that that he’s
24:03
worried he or she is worried about
24:05
other examples were describing a tumor
24:08
as Progressive or telling a patient that
24:11
we’re going to put you to sleep which is
24:14
a saying most have only come across at
24:17
the end of their Pet’s lives
24:18
unfortunately so simple terms like that
24:21
can be misconstrued by patients and
24:25
lastly he said the term most surveys
24:27
were confused about was occult those
24:30
survey thought it was related to
24:32
Witchcraft or meant something demonic
24:34
when it actually does not in the medical
24:36
world so first I thought these data
24:39
points were interesting in general but
24:40
also just a reminder to remember that
24:43
speaking clearly with patients is so
24:45
important and even simple words like the
24:48
one shared and not even the complicated
24:51
medical terms can still leave patients
24:53
feeling confused and maybe more stressed
24:55
than they have to to be
24:56
and to end our new segment on a positive
24:59
note in a story shared by the daily
25:01
nurse Cassandra Josie and an unnamed
25:04
doctor helped save a passenger’s life in
25:07
the middle of a flight the flight
25:09
attendants asked if there were any
25:11
medical personnel on board so a doctor
25:13
jumped up and accepted Cassandra’s offer
25:16
for help after she shared that she was a
25:18
nurse the passenger was unresponsive and
25:22
despite a tight aisle no tourniquet and
25:25
turbulence she was able to start an IV
25:28
and provide much needed fluids so thanks
25:31
to Cassandra and the doctor the man is
25:33
now awake and stable
25:36
and that news story officially wraps up
25:38
this week’s podcast thank you as always
25:40
for spending a few minutes of your week
25:42
with us make sure to subscribe or leave
25:45
a review on whichever platform you’re
25:46
listening from I hope you have a great
25:49
day and we’ll see you again next week
25:53
[Music]
welcome to this week in surgery centers
0:03
if you’re in the ASC industry then
0:05
you’re in the right place every week
0:07
we’ll start the episode off by sharing
0:10
an interesting conversation we had with
0:11
our featured guests and then we’ll close
0:13
the episode by recapping the latest news
0:15
impacting surgery centers we’re excited
0:18
to share with you what we have so let’s
0:20
get started and see what the industry’s
0:22
been up to
0:23
[Music]
0:27
hi everyone here’s what you can expect
0:30
on today’s episode this week we’re
0:32
joined by Alisa Alberta widowson Alisa
0:36
is the director of nursing at Mann
0:38
cataract surgery center and she’s here
0:40
to talk to us about Bridging the Gap
0:42
with nursing informatics as Technology’s
0:45
role in healthcare continues to expand
0:47
so too will the role of nursing
0:49
informatics so this is a really
0:51
interesting and timely topic and not one
0:53
that a lot of people are talking about
0:55
but really should be
0:57
in our news recap we’ll cover what’s
0:59
going on with Kaiser and the California
1:00
Nurses Association the latest updates on
1:04
the no surprises act medical terms that
1:06
are baffling patients and of course and
1:09
the new segment with the positive story
1:11
about a nurse who saved a man’s life
1:13
during a flight
1:14
hope everyone enjoys the episode and
1:16
here’s what’s going on this week in
1:18
surgery centers
1:20
[Music]
1:25
all right how’s it going everyone I’m
1:27
your host Rafael akinsby here at this
1:30
week in surgery centers we’ve got a
1:32
fantastic episode this week that I have
1:34
had on my calendar circled and just
1:36
super pumped about
1:38
um this week I am joined by Elisa
1:40
Alberto widowson she is the director of
1:43
nursing at the Mann cataract surgery
1:45
center in Houston Texas and this week
1:48
we’re going to be talking about Bridging
1:50
the Gap with nursing informatics so I
1:53
think this is a really exciting topic an
1:55
area that I personally don’t have a ton
1:58
of knowledge on so I think it’ll be
1:59
exciting to kind of learn here talk
2:01
about this topic and I think uh you know
2:03
all of our listeners are going to get a
2:05
lot of value out of this one so Elisa
2:07
thank you so much for joining us today I
2:09
appreciate you you coming on the on the
2:11
podcast you’re welcome my pleasure so
2:14
for anyone who doesn’t know a ton about
2:16
you
2:17
um can you just you know share with our
2:18
guests just a little bit about yourself
2:20
your background uh maybe what you guys
2:22
are doing for the holidays
2:24
um I think they’d all love to get to
2:25
know you yeah um so my name is Elisa
2:28
Alberto widows
2:30
um
2:31
I am a registered nurse currently
2:33
serving as the director of nursing at
2:35
Mann cataract surgery center in Humble
2:37
Texas
2:39
um
2:39
I have two kids one girl one boy
2:44
um
2:44
just got married actually three years
2:46
ago and he’s from United Kingdom and
2:49
hence the last name widowson
2:51
my my name so I had to keep it
2:55
um I am currently in graduate school
2:59
to obtain my Darcy administration degree
3:02
um I love everything about patient care
3:04
and promoting patient safety as far as
3:06
the holidays we are planning to go to
3:09
Universal Studios awesome that’s super
3:12
exciting well
3:14
congrats on on one you know being in
3:16
grad school and all the your
3:18
professional success there as well and
3:19
also on your family that’s fantastic
3:22
um Universal Studios is a good time so I
3:24
think you’ll have a lot of fun there
3:26
absolutely yes yeah and I appreciate you
3:28
I am I’m actually I’m from Houston
3:31
um and I love that you you clarified
3:33
there on the Houston versus versus
3:35
humble piece because I do think that
3:37
happens a lot where everyone kind of
3:39
categorizes all of the cities and kind
3:41
of areas that are kind of tangential to
3:43
Houston so kind of pulls them all
3:45
together but I think it’s good that’s
3:46
that’s how I know you’re you’re truly
3:48
truly from from Texas when you you’re
3:51
able to kind of give everyone the
3:52
clarification there so love it
3:54
all right well jumping in you know we’ve
3:57
got an exciting topic today and I I want
3:59
to dive in there but
4:01
um you know when it comes to the surgery
4:03
center that you’re with you’re with the
4:04
man um cataract surgery center would it
4:07
be correct to assume you guys are an
4:08
Ophthalmology Center yes we are awesome
4:12
awesome
4:13
um and for anyone who’s not familiar
4:14
with um with man with the manned
4:16
cataract surgery center
4:18
um anything you want to share about the
4:19
surgery center before we we get started
4:22
sure um just free marketing so
4:25
uh well when I for those who do not know
4:28
we it was founded in 1977.
4:31
um Dr Mike Mann who was the founder of
4:34
our Healthcare organization
4:36
um always had a vision for Innovation
4:38
and advancements in technology
4:40
um obviously to promote Optimal Care for
4:42
our patients I mean that’s always been
4:45
his Niche okay
4:47
um our specialty is ophthalmology and we
4:49
have several board certified surgeons
4:51
who perform different Ophthalmology
4:53
cases from cataract glaucoma and
4:57
oculoplastic surgeries
5:00
um and on average we average about 660
5:03
cases
5:04
um between our two ASE locations monthly
5:06
awesome awesome that’s fantastic so you
5:09
know kind of now that we have a sense of
5:11
your background a little bit on um you
5:14
know the surgery center that you’re with
5:15
jumping into the topic today on you know
5:18
just that nursing
5:20
um informatics I feel like that’s an
5:22
area that you know the name makes sense
5:25
um but in terms of if someone asked me
5:27
to describe it I probably wouldn’t be
5:28
able to to give an accurate description
5:30
there so I imagine some of our listeners
5:32
uh might have a similar gap on their
5:34
knowledge of it so
5:36
if you were given a quick overview on
5:38
just you know what nursing informatics
5:41
is you know how would you describe that
5:44
um and kind of a brief sense yeah
5:48
yeah I asked my sister who’s also a
5:50
nurse she’s a travel nurse and I asked
5:52
her you know
5:54
um how would you define nursing
5:56
informatics is like what the heck is
5:58
that and she’s been a nurse for 14 years
6:01
so but nursing informatics is basically
6:05
it’s integrating the use of data and
6:07
Healthcare technology to help with
6:10
enhancing patient outcomes which is yeah
6:13
medical errors and also it also provides
6:17
um efficient results in clinical
6:19
procedures you know for patients and the
6:22
nursing staff
6:25
basically it’s like with EMR systems
6:28
even just
6:29
blood pressure machines EKG machines
6:32
those have made
6:35
um
6:36
those are some examples big that made
6:38
the biggest impact in our Surgery Center
6:41
to be honest
6:44
um and to me nursing informatics
6:47
is improving the patient care and safety
6:51
overall that makes sense that makes
6:53
sense kind of you know the elements you
6:55
mentioned there in terms of kind of the
6:57
that clinical data and how that is is
6:59
leveraged to kind of inform that makes
7:01
makes a lot of sense around improving
7:02
the patient care you know when I think
7:04
about that there’s a lot of Industries
7:06
and in many senses in particular with
7:08
Healthcare that are becoming more
7:10
informed with data and kind of um
7:12
leveraging that information to improve
7:14
their processes their systems the way
7:16
that they drive value for their
7:18
customers and in the case of healthcare
7:19
you know our patients you know do you
7:22
feel like this is a concept that’s kind
7:24
of relatively new in terms of you know
7:26
the nursing side of it
7:29
um as far as nursing informatics I would
7:32
actually say yes and no
7:35
um only because the advancement in
7:37
technology and Healthcare has taken a
7:40
leap I would say since the 1980s right
7:42
yeah
7:43
um slowly like the advancements just
7:46
slowly has progressed however nursing
7:48
and the field of nursing informatics
7:50
itself I would say yes it’s a fairly New
7:53
Concept yeah
7:55
um but it’s definitely gaining a lot
7:57
more attention now
7:59
yeah I think it’s important that
8:02
this should be part of the nursing
8:06
education whether you’re an associate
8:08
degree of you know nursing I’m sorry
8:11
associate degree of nursing or
8:13
bachelor’s or Master’s I think from the
8:16
get-go I think that’s something that
8:17
needs to be taught because of the
8:19
advancement of technology and health
8:20
care that makes sense so
8:24
to answer your question it is a fairly
8:26
New Concept yeah that makes sense I feel
8:30
like I could probably have an entire
8:31
podcast episode with you on the um on
8:33
that kind of education side of it in
8:35
terms of
8:36
um you know things like that that should
8:38
be included at every level of Education
8:40
across nursing so that that’s a great
8:42
call out there and it makes a ton of
8:43
sense to me so you know as I think about
8:46
what that means and how that translates
8:48
for our listeners you know we have lots
8:50
of listeners that are at surgery centers
8:52
across the country and I’m I’m hopeful
8:55
we’re getting I’ve seen some of our
8:56
International stats we got a couple of
8:57
listeners from outside the country so
8:59
um you know a lot of people working at
9:01
surgery centers in different places and
9:03
if you know they were kind of taking an
9:05
approach to this it seems like something
9:07
where if you’re using any technology in
9:10
your surgery center whether that’s an
9:11
EMR an EKG or even a blood pressure
9:13
machine there’s probably lots of data
9:15
and information that would impact how
9:18
you are treating your patients and you
9:20
know if I’m one of our listeners right
9:22
now who’s kind of hearing this and
9:24
thinking okay this is probably important
9:25
for me what is kind of what’s my
9:28
starting point on this how do I start
9:29
taking an approach on nursing
9:31
informatics and in my surgery center
9:34
right to me I would say when you’re
9:38
selecting
9:39
um
9:41
any type of equipment whether it’s a new
9:43
EMR system
9:45
a new e-caging machine or blood pressure
9:48
machine it is vital that you involve
9:51
um
9:52
staff members who’s going to be using
9:55
the the equipment or the system
9:57
the decision making
10:00
because after all is said and done there
10:02
will be the ones who’s going to be using
10:04
this on a daily basis with the patient
10:06
right
10:07
um another thing is making sure that the
10:10
interface is user friendly yeah that’s
10:13
very crucial in my own in my opinion
10:17
um
10:18
it’s also to ensure the safety of the
10:20
patients yeah
10:22
training is also vital making sure that
10:25
once you get a new system
10:28
um in place in your surgery center make
10:30
sure that your your staff members are
10:32
properly trained and if they’re not then
10:35
spend the time training your your staff
10:37
members especially
10:39
um not to call anybody out to be honest
10:41
but the the Baby Boomers the different
10:43
generation you got them but it’s also so
10:45
good in computers and you got the Baby
10:47
Boomers who’s been a nurse for God knows
10:50
20 30 years and they get an Emar system
10:53
and they’re going what the heck I want
10:55
to go buy paper yeah so
10:58
um if especially within a surgery center
11:00
efficiency is such a big thing yeah so
11:05
um
11:05
having said that we always want to put
11:08
the safety of the patients yeah
11:11
efficiency is second so
11:14
um
11:15
that makes sense and I want to dive in a
11:17
little bit on some of the things you
11:19
mentioned there between two two key
11:21
things I think you called out there
11:23
um one you mentioned you know that kind
11:25
of difference between paper versus a an
11:28
EMR there and you know this is still a
11:30
factor in both scenarios do you feel
11:32
like the approach when it comes to kind
11:34
of having that data and the the
11:36
information on this do you feel like
11:37
there’s a gap between centers that might
11:39
be on paper versus centers that are on
11:42
emrs and kind of their approach to
11:43
nursing informatics I believe so and I
11:47
noticed it every day yeah
11:50
um I think nursing is both an art right
11:53
and it’s an art and science yeah
11:57
um one cannot exist with the other
11:59
having said that
12:01
would the advancement of technology and
12:03
Healthcare whether which recently we
12:06
just had a new EMR system
12:08
and I see my nurses just focusing on on
12:13
the computer
12:14
that eye contact with the patients is
12:17
losing that
12:19
um of caring so to speak yeah so I think
12:24
nurses get they get lost
12:28
um in transition in a way
12:31
um because they’ve been so used to with
12:34
with the paper you know paper charts
12:38
um and then now you implement this new
12:40
system now they’re they just don’t know
12:43
what to do and they just want to make
12:44
sure they’re documenting properly
12:45
they’re getting the patients ready for
12:48
surgery and for getting that care aspect
12:50
of the patient so I think that’s one
12:53
thing that I would like to reiterate
12:55
that make sure
12:57
that you’re looking at your patient when
12:59
you’re when you’re assessing the patient
13:00
stop looking at your computer you know
13:02
even intermittent just just have that
13:04
eye contact with that patient
13:07
um even the sense of touch if it’s if
13:08
it’s all right with that patient you
13:10
know make sure that you’re showing them
13:12
that you do care and they’re just not a
13:15
number yeah that makes sense that makes
13:17
a ton of sense and it kind of feeds into
13:19
what you mentioned before around the
13:21
training aspect as well I feel like that
13:23
balance thereof one obviously leveraging
13:26
the technology but two that you know
13:28
kind of that bedside Manner and
13:29
engagement with the patient do you feel
13:31
like the kind of what you were
13:32
mentioning before around training do you
13:34
feel like that’s a factor in the way
13:36
that
13:37
um kind of nurses approach not only the
13:39
data that they’re going to leverage from
13:41
the technology but also how they
13:42
interact with patients
13:45
I believe so I think it’s also important
13:47
that they do not lose their core values
13:49
yeah with taking care of patients with
13:52
integrating all this advancement in
13:55
technology
13:57
um
13:57
and again it’s that caring you know that
14:00
caring aspect uh
14:03
um nursing
14:05
um
14:06
I agree I agree I feel like there’s so
14:08
much of it that’s based on the nurses
14:10
obviously having a a deep concern care
14:13
for their for their patients so that
14:15
makes a ton of sense to me you know as I
14:17
kind of think about that you know and
14:19
also just thinking about how
14:20
Technologies role in healthcare kind of
14:22
continues to expand and evolve you know
14:25
and I feel like on a similar parallel to
14:27
that the role of nurses and kind of the
14:29
nursing informatics piece of it
14:31
um evolves in a very similar way you
14:34
know for our listeners can you kind of
14:36
share an example of how
14:39
um you’ve used your knowledge to kind of
14:41
bridge some of the Gap there between the
14:43
new technology that’s coming in and kind
14:45
of the science and approach of Nursing
14:50
um just like what I’ve mentioned nursing
14:53
is both Art and Science and that’s
14:55
something I have learned all throughout
14:57
my nursing career
14:59
um it is important
15:02
for a nurse to have a sense of emotional
15:05
intelligence yeah treating a patient
15:09
um
15:10
and that’s something that they do not
15:11
teach in nursing school unfortunately
15:13
and something you just have to learn
15:15
even growing up it’s something that my
15:18
parents bestowed upon me growing up you
15:21
know from the Philippines born and
15:24
raised
15:26
that’s something that my parents
15:27
instilled in me you know respect caring
15:30
and even if I didn’t become a nurse
15:33
that’s something that was in me and and
15:35
that’s something that I incorporate when
15:37
I’m treating and um taking care of my
15:40
patients and as far as a nurse nursing
15:43
leader
15:44
I tried to bridge the gap by
15:47
training those those staff members that
15:50
are needing
15:51
um the training or
15:54
or someone that needs
15:56
um
15:57
education on emotional intelligence and
16:01
that’s something that’s very very
16:03
difficult to fix because that’s like
16:05
changing someone’s personality but you
16:08
know
16:09
no that that makes sense though
16:14
yeah it’s an experience
16:17
yeah that makes sense I I think both to
16:19
that point around the emotional
16:20
intelligence and that just kind of over
16:22
time with the experience it’s in it’s
16:24
ways that you kind of will will get
16:26
there and I agree with you emotional
16:27
intelligence is such a huge factor and
16:30
not only kind of you know nursing but
16:32
really in any professional environment I
16:34
think the the way that we handle um you
16:36
know our engagement with other people
16:37
and kind of the impact that it has on on
16:39
our business but also on on obviously
16:41
the lives that we’re engaging with and
16:43
especially in healthcare
16:45
um it’s super critical so so that makes
16:47
sense to me awesome so you know I feel
16:50
like we’ve hit a number of really good
16:52
topics and I’m excited for some of the
16:54
different kind of nuggets and clips that
16:56
we’re going to take from this because
16:57
you know with all of our episodes we
16:58
always kind of take these clips and
17:00
there’s you know the whole episode but
17:01
there’s some of these really exciting
17:02
Parts I feel like we’ve got some really
17:03
good stuff here that
17:05
um you know people will be playing back
17:06
over and over but
17:08
with all of our episodes you know
17:10
there’s something that we do every week
17:11
with our guest and we ask our guests
17:13
what is one thing our listeners can do
17:16
this week that they can do to improve
17:19
their Surgery Center so I’d love to get
17:21
your thoughts there
17:23
I would say and in any surgery center a
17:26
great surgery team is what makes
17:30
an Asus
17:32
he’s my advice
17:34
is leaders
17:36
you must show your appreciation to your
17:38
staff
17:40
happy staff
17:42
means happy patience and it it all
17:44
translates to increased patient
17:46
satisfaction and better outcomes awesome
17:50
I love that I love that being kind of
17:53
focused on on you know treating your
17:55
staff the right way and that impact on
17:57
on the patients makes a ton of sense
17:59
there we have all the tools in the world
18:01
but
18:02
at the end of the day it’s
18:06
it’s team itself is what makes it what
18:08
makes it work
18:09
awesome love it well Elisa this has been
18:13
a fantastic episode we’ve got some great
18:15
nuggets here for our listeners some gems
18:17
that they’ll be able to take back to
18:18
their Surgery Center this week
18:21
um you know for anyone who wants to
18:22
reach out get a hold of you or or
18:23
contact you is there any
18:25
um any way that people can get in
18:27
contact with you if they have more
18:28
questions about nursing informatics or
18:31
um any other things like that that they
18:32
want to learn from you absolutely they
18:35
could um email me
18:38
um it’s e Alberto at mani.com
18:43
awesome we’ll have to have our producers
18:45
put those links in the in the podcast
18:47
description so that people can can
18:49
quickly email you that’s great I
18:51
appreciate this so much um you know
18:53
thank you for coming on the Pod and
18:55
um you know we look forward to hopefully
18:57
having you back on all right thank you
18:58
Ralph all right thanks bye
19:03
[Music]
19:06
as always it has been a busy week in
19:08
healthcare so let’s Jump Right In
19:10
first and foremost we have to talk about
19:13
what’s going on with Kaiser Permanente
19:15
nurses in the state of California
19:18
so to set the scene the California
19:20
Nurses Association is a union that
19:23
represents about 22 000 nurses across 22
19:27
different Kaiser facilities in June
19:30
negotiations began between the
19:32
California Nurses Association and Kaiser
19:34
in an effort to avoid what would have
19:36
been the biggest private sector nurses
19:39
strike in American history
19:41
thankfully on Monday December 5th after
19:44
months of negotiations the union
19:47
announced that its nurses voted to
19:49
ratify a new four-year contract and the
19:52
strike would officially be called off
19:54
so what is in this new four-year
19:56
contract this article from Med City News
19:59
sums it up nicely
20:02
2 000 new positions in Northern
20:05
California
20:07
a 22.5 wage increase over the next four
20:11
years
20:12
increased tuition reimbursement for
20:15
nurses continuing education
20:17
a guaranteed three-month stockpile of
20:20
personal protective equipment
20:23
scaled workplace violence prevention
20:25
plans and lastly a promise to eliminate
20:29
racial and ethnic disparities in patient
20:32
outcomes promote culturally competent
20:34
care delivery and expand the diversity
20:37
of its Workforce so
20:40
there’s a ton of stuff in there that is
20:42
is groundbreaking but obviously this is
20:44
a huge win for the nurses Union but also
20:47
for patients in California uh and the
20:49
quality of care that they’re receiving
20:51
these ratifications will allow nurses to
20:54
work more safely and under better
20:55
conditions which will ultimately improve
20:58
their experience and outcomes
21:00
in our Second Story CMS delayed the
21:04
enforcement of good faith estimates
21:05
stemming from the no surprises Act so
21:08
just a quick reminder as to where we are
21:12
today per the no surprises act as of
21:15
January 1st 2022 providers which
21:18
includes ASCS are required to notify
21:21
uninsured and self-pay patients of their
21:25
ability to request a good faith estimate
21:28
of expected charges and deliver it to
21:30
the patient upon their request
21:32
so and even though the good faith
21:35
estimates will ultimately be expected to
21:38
include charges from ancillary providers
21:40
involved in the procedure CMS delayed
21:43
enforcement of those charges from
21:44
co-parieters and cope facilities for
21:46
2022 and the enforcement was expected to
21:49
begin on January 1st 2023 just a couple
21:52
weeks away but CMS has actually now
21:55
extended that date in the enforcement of
21:59
that indefinitely
22:01
so even though the enforcement is not
22:03
happening just yet it absolutely will
22:06
come eventually this is one of those
22:08
things where waiting for the federal
22:10
requirement is not the recommended
22:13
approach
22:14
um I know there’s been a lot of
22:15
questions concerns even lawsuits around
22:18
the no surprises act but patients are
22:21
becoming more familiar with it and they
22:23
are becoming more vocal when it comes to
22:25
their rights and what they consider fair
22:27
and wanting to know exactly what they
22:29
owe as best they can prior to having
22:33
their procedure done so you will still
22:35
absolutely want to get ahead of what’s
22:37
coming down the pike especially if it’s
22:39
something that’s in your patient’s best
22:40
interest and if done correctly will help
22:43
surgery centers get paid faster as well
22:45
so just know that right now it’s
22:49
suspended indefinitely and we will be
22:51
providing updates as soon as there is
22:54
something to share
22:55
in our third story from NBC news Dr
22:59
Michael Pitt is a program director and
23:01
professor at the University of Minnesota
23:03
and he recently polled 215 non-medical
23:07
folks on common words and phrases that
23:09
means something different in the medical
23:11
world than they do in day-to-day
23:13
conversation I thought his findings were
23:16
really eye-opening and just wanted to
23:18
share what he had found
23:20
to start he found that patients were
23:23
getting confused by with the terminology
23:26
of negative and positive so for example
23:29
the fact that a negative cancer test is
23:32
actually a good thing and a positive
23:35
cancer test is actually a bad thing can
23:38
be confusing for patients using those
23:40
those simple terms can kind of trip
23:43
people up
23:45
um another example he shared is when you
23:48
have a chest X-ray done and the doctor
23:50
tells you that it was very impressive 79
23:54
of those polls said that they would
23:56
assume that in an impressive chest x-ray
23:59
is a good thing but in fact it means the
24:01
doctor has something that that he’s
24:03
worried he or she is worried about
24:05
other examples were describing a tumor
24:08
as Progressive or telling a patient that
24:11
we’re going to put you to sleep which is
24:14
a saying most have only come across at
24:17
the end of their Pet’s lives
24:18
unfortunately so simple terms like that
24:21
can be misconstrued by patients and
24:25
lastly he said the term most surveys
24:27
were confused about was occult those
24:30
survey thought it was related to
24:32
Witchcraft or meant something demonic
24:34
when it actually does not in the medical
24:36
world so first I thought these data
24:39
points were interesting in general but
24:40
also just a reminder to remember that
24:43
speaking clearly with patients is so
24:45
important and even simple words like the
24:48
one shared and not even the complicated
24:51
medical terms can still leave patients
24:53
feeling confused and maybe more stressed
24:55
than they have to to be
24:56
and to end our new segment on a positive
24:59
note in a story shared by the daily
25:01
nurse Cassandra Josie and an unnamed
25:04
doctor helped save a passenger’s life in
25:07
the middle of a flight the flight
25:09
attendants asked if there were any
25:11
medical personnel on board so a doctor
25:13
jumped up and accepted Cassandra’s offer
25:16
for help after she shared that she was a
25:18
nurse the passenger was unresponsive and
25:22
despite a tight aisle no tourniquet and
25:25
turbulence she was able to start an IV
25:28
and provide much needed fluids so thanks
25:31
to Cassandra and the doctor the man is
25:33
now awake and stable
25:36
and that news story officially wraps up
25:38
this week’s podcast thank you as always
25:40
for spending a few minutes of your week
25:42
with us make sure to subscribe or leave
25:45
a review on whichever platform you’re
25:46
listening from I hope you have a great
25:49
day and we’ll see you again next week
25:53
[Music]
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