A little bit about Janet Orf, NP in the Surgical Intensive Care Unit (SICU) at BMC

janet-SICU

By: Boston Trauma Staff

Janet Orf is a Nurse Practitioner in the Surgical Intensive Care Unit (SICU) at Boston Medical Center. She graduated with her BSN from State University of New York at Stony Brook and her MS from University of Maryland at Baltimore. She received her Acute Care Nurse Practitioner degree from University of Massachusetts at Worcester. She previously worked as a Critical Care Transport Nurse for Boston MedFlight for about 9 years.

She has been at BMC for the past 16 years working in various roles. Apart from working as an NP in the Emergency Department and now currently in the SICU she also has experience as a Trauma Program Manager for about 18 months. She is grateful for BMC for providing her with the opportunity to do what she enjoys the most. About three years ago she traveled to Antarctica for 6 months to be a Flight Nurse with the Raytheon Polar Services Corp. She brings a unique set of skills to BMC and her ability to thrive in challenging environments is a tremendous asset to the team. She is passionate about taking care of the sickest and complex patients.

During her spare time she enjoys traveling, hiking, renovating her home, and is an accomplished sailor.

Parents Are the Key to Safe Teen Drivers

driving

10/20/14; Courtesy of CDC

Many parents don’t realize it, but the #1 threat to their teen’s safety is driving or riding in a car with a teen driver. The fact is, about 3,000 teens lose their lives every year in car crashes. That’s eight teens a day too many. The main cause? Driver inexperience.

CDC’s Parents Are the Key campaign helps to educate parents on their invaluable role in reducing risk and managing their teens’ driving behavior. Now, just in time for National Teen Driver Safety Week (October 19-25), CDC has launched a refreshed Parents Are the Key website, featuring new materials and resources in English and Spanish—including a Parent-Teen Driving Agreement.

We encourage you to visit the Parents Are the Key website, which we’ve designed to help parents, pediatricians, and communities keep teen drivers safe on the road.

Spread the Word

We ask that you please help us raise awareness of these resources during National Teen Driver Safety Week. Here are some sample tweets and Facebook posts that you can use:

Click here for more information

Motor Vehicle Crash Injuries Costly but Preventable

cdc data

Courtesy of CDC website.

More than 2.5 million Americans went to the emergency department (ED)—and nearly 200,000 were then hospitalized—for crash injuries in 2012. On average, each crash-related ED visit costs about $3,300 and each hospitalization costs about $57,000 over a person’s lifetime. The best way to keep people safe and reduce medical costs is to prevent crashes from happening in the first place. But if a crash does occur, many injuries can still be avoided through the use of proven interventions. More can be done at every level to prevent crashes and reduce injuries, but state-level changes are especially effective.

State officials can:

  • Consider using proven interventions that increase the use of car seats, booster seats, and seat belts; reduce drinking and driving; and improve teen driver safety.
  • Support traffic safety laws with media campaigns and visible police presence, such as those used with sobriety checkpoints.
  • Link medical and crash data to better understand why crashes happen, the economic cost of those crashes, and how to prevent future crashes.

Click here to read full article

CPSC Approves Strong Federal Safety Standard for High-Powered Magnet Sets to Protect Children and Teenagers

SEPTEMBER 25, 2014

WASHINGTON, D.C. – To protect the safety of  consumers, especially young children, tweens, and teenagers, the U.S. Consumer Product Safety Commission voted to approve a new national safety standard for high-powered magnet sets.

High-powered magnet sets are hazardous to young children, who have mouthed and ingested these magnets.  The magnets also pose a serious risk to teens and tweens, who have used them to create mock lip, tongue, and nose piercings.

Hazardous magnet sets include, on average, approximately 200 magnets, although some sets have up to 1,700 magnets.  If multiple magnets are ingested, the magnets attract each other, pinching or trapping intestines or other digestive tissue between them.  The result can be a serious injury that requires surgery and can lead to lifelong health consequences or death.  High-powered magnet sets were found to be responsible for the death of a 19-month-old girl and, according to CPSC analysis, an estimated 2,900 emergency room-treated injuries between 2009 and 2013.  The Commission concluded that the safety standard is necessary to address the unreasonable risk of injury or death associated with these magnet sets.

Courtesy of http://www.cpsc.gov/

Click here to read full article

Bike Safety Tips from TranSComm

Bike Safety Tips from TranSComm

BMC now has a bike cage located behind the 710 parking garage. We would like to remind you of some important safety tips for cyclists and motorists because we all need to share the road.

For cyclists:
– The same laws that apply to motorists apply to cyclists. Obey all stoplights and signs.
– Use hand signals; indicate stops and turns.
– Always wear a properly fitted helmet.
– Stay to the right side of the road. Always ride in the same direction as traffic.
– Be visible! Wear safely colored clothing and use a white front light and red rear light in low light.
– Be aware. Scan the road ahead of you. Don’t listen to headphones while biking; you need to hear everything around you.

For motorists:
– Yield to cyclists. Bicyclists are vehicles of the road and should be given the appropriate right of way.
– Be considerate. Do not blast your horn in close proximity to cyclists. Look for cyclists when opening car doors.
– Pass with care. When passing, leave 4 feet between you and a cyclist.
– Wait for safe road and traffic conditions before you pass.
– Check your rearview mirror before moving back.

Courtesy of BMC Communications.

Elderly Falls and Evidence-Based Prevention Activities

Statement on older adult falls and falls prevention

The following statement was developed by the American College of Surgeons (ACS) Committee on Trauma and was approved by the Board of Regents at its June 6–7 meeting.

The following statement was developed by the ACS Committee on Trauma’s Committee on Injury Prevention and Control to educate surgeons and other medical professionals about the significance of older adult falls and evidence-based prevention activities.

The ACS recognizes the following facts:

  • Falls are the leading cause of both fatal and nonfatal injuries for older adults.1
  • One out of three older adults falls each year. Of these, fewer than half talk to their health care providers about it.2
  • Many people who fall, even if they are not injured, develop a fear of falling, which may cause them to limit activities, leading to reduced mobility, loss of physical fitness, and, in turn, an increased risk of falling.3,4
  • A person who has fallen once is two to three times more likely to fall again within a year.5

The ACS supports efforts to promote, enact, and sustain legislation and policies that encourage:

  • Older adult care providers to implement comprehensive fall prevention programming including:
    • Developing community partnerships with community-based centers, such as YMCAs, churches, senior centers, and older adult living centers.
    • Incorporating an evidence-based exercise/physical therapy fall prevention program. Helpful information can be found at the CDC and other websites.
    • Partnering with home-based visiting programs to complete multi-factorial risk assessments, including: medication review, including the use of opioids; assessment of vision, home safety, and balance and gait; and consideration of vitamin D supplementation.
  • Assessment of the risk/benefit of anticoagulation and anti-platelet therapies in older adult patients.
  • Risk assessment of falls in regular practice. Examples are included in the STEADI (Stopping Elderly Accidents, Deaths, and Injuries) tool kit.
  • Collaboration with regional and statewide fall prevention coalitions for local networking/resources.

Click here to access full article.

Courtesy of http://bulletin.facs.org/ 

School Bus Safety: Be Prepared, Not Scared

Photo of kids getting aboard school bus

Posted by David Friedman, 8/25/14; Courtesy of US  Department of Transportation 

It’s that time of year again, when our kids start making their way from home to school. For those of you who are putting a child on a school bus for the very first time, I know first-hand that it can be a nerve-wracking experience. My wife and I recently put our young son on one of those big yellow buses for the very first time.

We had many questions —will he be nervous when it sinks in that we’re not getting on the bus too, will he make new friends, will he like kindergarten, and will he get a great education? Most of all, there was that feeling of powerless when he eagerly stepped aboard and waved goodbye from his seat for the very first time.

But, as a concerned dad and Acting Administrator of the National Highway Traffic Safety Administration, I had checked the numbers. School buses are the safest way to get to school, even safer than in the family car. And when you are sending your little one off for a first solo adventure, I hope that fact will bring you comfort.

When it comes to school buses, the real safety challenge is not riding the bus, but approaching or leaving the bus; that’s actually when the risk for injury is greatest.

So, if your children ride the school bus, please walk with them to the bus stop and wait with them until they get on the school bus. And to make the school bus trip even safer, prepare kids for getting on and off the bus by sharing these keys for school bus safety:

  • Be especially careful around the school bus “danger zone,” which is the 10 feet in front, behind, and on each side of the bus.
  • Wait until the driver says it is safe to board. Then get on one at a time.
  • Once on the school bus, go directly to your seat and sit down facing forward. Remain in your seat facing forward when the school bus is moving.
  • To cross the street once you’re off the school bus, walk five giant steps from the front of the bus, cross in front of the bus when the driver indicates it is safe, stop at the edge of the bus – look left-right-left again for traffic, and if there’s no traffic, cross the street.
  • Ask the driver for help if you drop something while getting on or off the school bus.
  • Keep your loose items inside your backpack or book bag.
  • Be respectful of the school bus driver, and always obey his or her instructions.

Click here to access to full article