Review of Nursing Reference Center Plus

What is Nursing Reference Center Plus?

Nursing Reference Center Plus is an evidence-based point-of-care tool for nurses, that includes:

·                     Nursing Skills & Procedures (with Competencies)

·                     Diseases & Conditions

·                     Evidence-Based Care Sheets

·                     Drug Info with Nursing Implications

·                     Management Topics

·                     Patient Education Handouts to supplement what is already in the EHRs

·                     Easy Journal Search

·                     Continuing Education

·                     Videos & Images

NRC Plus is considered an excellent source-of-truth for current nursing skills & procedures.  After your local policies, NRC Plus should be the go-to reference that will help you provide consistent and highly reliable care across Ascension.

Where to find it (Accessing NRC Plus):

• Nursing Reference Center Plus (Direct Link)

• Look for the desktop icon on ALL Ascension Wisconsin computers.  Note : This is on the computer desktop, not the intranet. 

       or 

• Also on local intranets and Library Pages 
• Also on The  Nursing Point-of-Care LibGuide  and The Nursing Specialties LibGuide
• It may also be listed as a reference link through the many EHRs around the state

Nursing Reference Center Plus Search Tips page

• Helpful handouts, videos and tutorials for NRC Plus
• Includes info about access NRC at home and via mobile devices
• How to cite documents and reference content from NRC Plus.

The short 3-minute video is on the landing page for NRC – Plus under the Take a Tour link in the middle of the page. [Requires Flash].

• This is what we told / showed nurses during the site visits. 
• Short, sweet and practical!

NRC Plus Takeaway Guide (1-page handout)

Questions or comments, contact Your Ascension Wisconsin Librarians: 

                     Michele Matucheski        Kellee Selden

Physical Therapy Apps

This short list of PT Apps is recommended by the Ebling Health Science Librarians at UW Madison.   Can you recommend other useful mobile apps for PT / Rehab?

iOrtho+Apple  Free

An orthopedic app for clinicians, rehabilitation specialists and educators providing reference, including over 325 special tests and 88 joint mobilization techniques as well as images and descriptions for use with patients or as a study guide.

Using PubMed in Evidence-Based Practice: New Tutorial Available

The Using PubMed in Evidence-Based Practice tutorial is available now from the PubMed Online Training page on the NLM Web site. 

• This tutorial was created to help clinicians including nurses and allied health professionals develop a clinical question using the PICO framework and efficiently find relevant biomedical literature using PubMed. 

• The tutorial was designed to be completed in less than 30 minutes. 
• This tutorial replaces the PubMed for Nurses tutorial.

Using PubMed in Evidence-Based Practice: New Tutorial Available. NLM Tech Bull. 2020 May-June;(434):b5.

This brief article (above) was originally published in the NLM Technical Bulletin.  It is reprinted here because the content is not copyrighted and is freely reproducible.

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• PubMed Medline (New) 

Free access to Medline back to 1946 from The National Library of Medicine. This link also includes the print and journal holdings for the MHC Libraries as well as links to our Ascension Wisconsin full-text.

• New PubMed Search Tips & Tutorials

Tips for local Ascension Wisconsin users:

1. If you use the PubMed links on the Asc. WI Library pages, you'll tap into our fulltext offerings.  
2. If we don't have online access to a particular article, you'll be able to order it easily through PubMed by clicking on the Ascension icon. 
3. Use the New PubMed Search Tips page with helpful tips and tutorials. 

Questions or Comments?​

Contact Your Ascension Wisconsin Librarians:

Michele Matucheski and Kellee Selden

May-June Summary of Blog Posts: DynaMed - Rough Guide to Bad Science - Nurses Choice - Citing a Website - Radio Advisory Podcast - Training & Tutorials for New PubMed

Your Ascension Wisconsin Librarians are safe-at-home, supporting our Health Care Heroes.    

Contact us for research, articles, or online access.   Read more ...  

Catch up on the latest news from Ascension Wisconsin Library Services:

Discontinuation of UptoDate; Transition to DynaMed as the Ascension-wide Physician Point-of-Care Tool

Introducing DynaMed: A Physician Point-of-Care Clinical Reference Tool

DynaMed Search Tips

Earn CME/CE and MOC Credits by Using DynaMed

A Rough Guide to Spotting Bad Science: Infographic

Nurses Choice Recommended Reading - June 2020

Q&A: How do I cite a website for an article I wrote?

Radio Advisory: Advisory Board's New Podcast for Health Care Leaders

Training & Tutorials for New PubMed

Using PubMed in Evidence-Based Practice: New Tutorial

Questions, comments, or search requests, contact Your Ascension Wisconsin Librarians: 

 Michele Matucheski        Kellee Selden

Earn CME/CE and MOC Credits by Using DynaMed

DynaMed is committed supporting the lifelong learner. Whether it’s a clinician in need of continuing medical education (CME) or Maintenance of Certification (MOC), a resident preparing for rounds, or a medical student looking to enhance their learning beyond the classroom, DynaMed can help.

 

Clinicians using DynaMed are eligible to earn continuing medical education (CME) credits and continuing education (CE) contact hours. 

• To earn CME/CE and MOC credit with every search of DynaMed users simply create a personal user account and the DynaMed CME Ticker tracks the credits accrued across all their devices. 
• Clinicians can redeem CME credits individually or in a bulk submission, and after an easy onetime configuration.

 

Physicians in certain specialties may also be eligible to earn Part II Maintenance of Certification (MOC) points. DynaMed will automatically submit your credits to your designated boards, once configured in your personal user profile.

 

Boards accepting MOC credits from DynaMed include:

• The American Board of Internal Medicine
• Allergy and Immunology
• Anesthesiology
• Family Medicine
• Nuclear Medicine
• Ophthalmology
• Otolaryngology – Head and Neck Surgery
• Pathology
• Physical Medicine and Rehabilitation
• Plastic Surgery
• Preventive Medicine
• Psychiatry and Neurology
• Radiology
• Surgery
• Thoracic Surgery
• Urology

 

Earn your credits quickly and easily: create a personal account and complete your CME profile to get started.

 

When logged into your personal account, open the CME module and click the “tools” icon to complete your profile

 

 

 

All fields except for Workplace Information are required. Click “Save” then complete the CME and MOC tabs:

See also: The DynaMed Search Tips & Tutorials Page

DynaMed CME/MOC Handout

Questions or comments? Contact your Ascension Wisconsin Medical Librarians for support:

Michele Matucheski        Kellee Selden

A Rough Guide to Spotting Bad Science: Infographic

A Rough Guide to Spotting Bad Science 

From Compound Chem:  "This graphic looks at the different factors that can contribute towards ‘bad’ science – it was inspired by the research I carried out for [a different project,] where many articles linked the compound to causing breast cancer, referencing scientific research which drew questionable conclusions from their results."  Read more ...

Nurses Choice Recommended Reading - June 2020

June 2020 See what your fellow nurses are reading! Browse this month's round-up of the top 10 most read articles from Lippincott's prestigious list of nursing journals. Register below for "Calming the COVID-19 Storm", a free CE Webinar.

COVID-19: Never Seen Anything Like This Ever! JONA: Journal of Nursing Administration, June 2020 Nurses' Attitude, Behavior, and Knowledge Regarding Protective Lung Strategies  of Mechanically Ventilated Patients Critical Care Nursing Quarterly, July/September 2020 Establishing a Geriatric Hip Fracture Program at a Level 1 Community Trauma Center Orthopaedic Nursing, May/June 2020 A Survey of Nurses' Need for Care Robots in Children's Hospitals: Combining Robot-Care,  Game-Care, and Edu-Care CIN: Computers, Informatics, Nursing, Publish ahead of print Wound Healing and Wound Care in Neonates: Current Therapies and Novel Options Advances in Skin & Wound Care, June 2020 Care coordination for children with medical complexity Nurse Practitioner, June 2020 Nurse-Reported Bullying and Documented Adverse Patient Events: An Exploratory Study  in a US Hospital Journal of Nursing Care Quality, July/September 2020 Opioid Use Disorder: Pathophysiology, Assessment, and Effective Interventions AJN, American Journal of Nursing, June 2020 Vaping: What Every Emergency Nurse Practitioner Should Know! Advanced Emergency Nursing Journal, April/June 2020 Cognitive Impairment Level and Elderly Hip Fracture: Implications in Rehabilitation  Nursing Rehabilitation Nursing Journal, May/June 2020

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

* Questions about access, contact Your Ascension Wisconsin Librarians: 

 Michele Matucheski        Kellee Selden

Introducing DynaMed: A Physician Point-of-Care Clinical Reference Tool

What is Dynamed?

DynaMed is a physician point-of-care clinical reference tool created by physicians for physicians and other health care professionals.  It offers clinically-organized summaries for more than 3,200 topics. 

DynaMed utilizes an editorial team to continually improve, update and manage content by combining the skill, experience, and expertise of physicians, pharmacists, allied health professionals, scientists, epidemiologists, medical writers, medical editors, and medical librarians.

• DynaMed

  A reference tool for answers to clinical questions. Content is written by a team of physicians and researchers who synthesize the evidence and provide objective analysis.

Evidenced-based methodology

A clinical resource that is truly evidenced-based must contain summaries and recommendations based on the best evidence to date. This can only be done by systematically identifying and appraising the literature available. DynaMed plus employs a 7 step process to consistently and systematically identify, select, evaluate, interpret, and summarize available evidence. DynaMed Plus also appraises and updates evidence daily, and even alters their conclusions when new evidence becomes available. 

Below is a link to the 7 step process as well as sources of content and editor information.  

• 7 step process
• DynaMed Content Sources
• DynaMed Editors and Contributors

DynaMed Features

Content

• Overviews and recommendations
• In-depth specialty content
• Graphics and images
• Link to Micromedex® Standard Drug Information, including DRUGDEX®
• Calculators
• CME
• Links to full text

Search

• Precise search results
• Exact-match function
• Easy access to topic sections

User Interface

• Easy to scan, bulleted format
• Alerts
• Mobile-friendly design

Editorial Processes

• Evidence-based
• Expert specialty authors
• Recommendations based on evidence
• Daily updates

Your Ascension Wisconsin Librarians have created a DynaMed Search Tips support page with handouts and tutorials to help you get the most out of DynaMed.

Discontinuation of UptoDate; Transition to DynaMed as the Ascension-wide Physician Point-of-Care Tool

To: Ascension Medical Group WI Clinicians, Ascension WI All Medical Staff 

cc: Gregory Brusko DO, MMM, FACOS, Chief Clinical Officer, Ascension Wisconsin, 

Lisa Benson, MD, MBA, FACP, Chief Medical Officer, Ascension Wisconsin,

Douglas Reding, MD, MPH, FACP, Chief Academic Officer, Ascension Wisconsin, 

AMG-WI Regional Vice Presidents,

From: Doug Culling, DO, MS, CPE, President, Clinical, Ascension Medical Group WI

Date: June 11, 2020

Subject: **ACTION REQ**: UpToDate® Discontinuation- Transition to New Physician Point of Care Tool

WHAT’S HAPPENING 

Effective July 1, 2020, Ascension will transition from UpToDate® to using DynaMedⓇ as a single
nationwide physician point of care tool for assisting with care decisions, research, Graduate Medical
Education (GME) and continuing medical education (CME). 

The decision to move to a single nationwide point of care tool, and the selection of DynaMedⓇ was
made in close collaboration with Ascension Clinical & Network Services and Ascension Medical Group
dyad leadership and library services, along with input from several Ascension ministry markets with
previous experience using DynaMedⓇ. 

There were many important considerations for this decision, including the need for an evidence-based
resource, access for medical and nursing staff, allied health and GME, affordability and an ability
to achieve standardization, an extension of coverage to inpatient and ambulatory sites of care that
may not currently have access.

As part of the transition to to using DynaMedⓇ beginning July 1, clinicians should begin now
retrieving their CME credits housed in UpToDate®.
Please click here for step by step instructions for redeeming CME credits. Instructions
start on page 6.

DynaMedⓇ will be available to Medical staff (including employed and non-employed providers
associated with our hospitals and academic medical centers. This includes GME.),
Nursing staff and Allied Health professionals.

** ACTION REQ** TRANSITIONING TO DynaMedⓇ

• Ascension Wisconsin’s Enterprise license for UptoDate® will no longer be available after June 30, 2020.
• 
  

  > No further Ascension access will be provided after this date.

  > After June 30, individual access is available for UptoDate® at the discretion and initiation

  of the provider.

• Clinicians should begin now retrieving their CME credits housed in UpToDate®.
• > Please click here for step by step instructions for redeeming CME credits. Instructions start on page 6.

• Clinicians can register now for DynaMedⓇ - click here to access the registration guide.
  
• Live training sessions are available now through June 30 to get you started with Dynamed:

Monday thru Friday

7:00 am Central WebEx Meeting Link

12:00 pm Central: WebEx Meeting Link

Monday thru Thursday

4:00 pm Central    WebEx Meeting Link

A call in number appears when you log into the meeting or participants can join via computer audio.

WHO TO CONTACT FOR QUESTIONS & TECH SUPPORT

For basic questions about the DynaMed tool, including training and education, please contact:

• Kellee Selden, Ascension Region 1 Program Manager, Library Services, Ascension Clinical & Network Services, Kellee.Selden@ascension.org 
• Michele Matucheski, Michele.Matucheski@ascension.org, Medical Librarian, Ascension Wisconsin - Library Services

24 hour technical support is available by Dynamed (EBSCO) at 1 (800) 653-2726.  
Please provide the name of your Ministry and share that support is needed for
Dynamed technical difficulties.

ABOUT DynaMedⓇ

DynaMedⓇ combines the best available evidence with clinical expertise through a seven-step
evidence-based methodology, providing clinicians with trusted information to support diagnosing
and managing patients. Advantages include: 

• A robust systematic literature surveillance with daily updates
• Clinical expertise that clarifies the evidence so that the right information is quickly surfaced.
• Actionable recommendations, key takeaways, and synopses that provide quick answers
• Integration with EMRs

Thank you.

[Memo sent by John McCurdy, Director of Communications, Ascension Medical Group - Wisconsin]