An Urgent Care Approach to Fishhook Removal

By Ashley Blachford  /  June 1, 2021
Urgent message: While fishhook injuries are common in urgent care centers located in or near recreation areas, especially during vacation…
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An Urgent Care Approach to Fishhook Removal

What Does a Hybrid Workforce Look Like for Urgent Care?

By Ashley Blachford  /  June 1, 2021
Alan A. Ayers, MBA, MAcc is Practice Management Editor of The Journal of Urgent Care Medicine and is President of…
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What Does a Hybrid Workforce Look Like for Urgent Care?

A Novel Method for Blinding Reviewers to Gender of Proceduralists for the Purposes of Gender Bias Research

By Ashley Blachford  /  February 9, 2021
Urgent message Gender bias, whether overt or subconscious, may be to blame for disparities in hiring practices, salary, and advancement…
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A Novel Method for Blinding Reviewers to Gender of Proceduralists for the Purposes of Gender Bias Research

Breakthrough COVID Infection in a Vaccinated person from a Possible Vaccinated Exposure

By Ashley Blachford  /  June 8, 2021
Sergio Ramoa MD, MS Urgent Message: With variant COVID-19 mutations, incomplete herd immunity, and less restrictive government regulatory statues, it…
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Breakthrough COVID Infection in a Vaccinated person from a Possible Vaccinated Exposure

A 32-Year-Old Male with Pain After Dropping a 20-Pound Weight on his Finger

By Ashley Blachford  /  May 14, 2021
The patient is a 32-year-old man who presents with pain over the distal phalanx of the middle finger after dropping…
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A 32-Year-Old Male with Pain After Dropping a 20-Pound Weight on his Finger

Urgent Care News

Day to Day, the COVID-19 News Gets Sunnier—but the Long-Term Forecast Is Concerning

Masks are coming off, restaurants, stadiums, and theaters are welcoming patrons back, and summer vacation …
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Urgent Care Centers Had It Bad at the Height of the Pandemic, but ED’s May Take a Bigger Hit

Readers of JUCM News are painfully aware of downturns in urgent care patient visits throughout …
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UnitedHealthcare Will Stop Covering Some ED Visits. Could Urgent Care Benefit?

When even the headline of one of Yahoo News’s rotating lead stories notes “backlash” against …
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Not Seeing Enough Adolescents Show Up for COVID-19 Shots? Stress the Social Benefits

Just weeks after the Food and Drug Administration extended the Emergency Use Authorization on COVID-19 …
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It’s Not Too Early to Start Looking at the Next Flu Season—and It’s Not a Pretty Picture

As reported in JUCM News previously, mandatory mask-wearing and social distancing through much of the …
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Web Exclusive Articles

A Novel Method for Blinding Reviewers to Gender of Proceduralists for the Purposes of Gender Bias Research

Urgent message Gender bias, whether overt or subconscious, may be to blame for disparities in …
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When It’s More Than Just A Cough

Urgent message: Take vital signs and physical examination of the chest with the utmost importance …
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Employer COVID-19 Testing Needs are Not Fully Met; Rapid Testing is an Unprecedented Opportunity for Urgent Care

Urgent message: The critical role of rapid COVID-19 testing in keeping Americans working presents a …
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The COVID-19 Pandemic Is Making Burnout Worse for Physicians Already in Crisis

Urgent message: For several years, JUCM has reported on the national crisis of “provider burnout.” …
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The Role of Aseptic Technique During Repair of Traumatic Lacerations in the Urgent Care Center

Urgent message: The goal for urgent care clinicians tasked with treating patients presenting with traumatic …
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Clinical Articles

Fishhook in Hand - Fishhook Removal

An Urgent Care Approach to Fishhook Removal

Urgent message: While fishhook injuries are common in urgent care centers located in or near recreation areas, especially during vacation …
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Outpatient Management of COVID-19 in the Urgent Care Clinic: Administering Monoclonal Antibodies

Urgent message: The approved use of monoclonal antibodies to treat patients who have COVID-19 may signal a shift from inpatient …
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Pretravel Consultation - World with Stethoscope

Pretravel Consultations in the Urgent Care Setting

Urgent message: A pretravel consultation assesses the patient’s fitness for travel in the context of anticipated risks associated with their …
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Managing Concussions in Acute Care

Jordan Wackett MD, MPH, Joshua Kornegay, MD, Craig Rudy, MD The most recent recommendation from the Concussion in Sport Group …
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Practice Management Articles

PM Hybrid Workforce, work from home

What Does a Hybrid Workforce Look Like for Urgent Care?

Alan A. Ayers, MBA, MAcc is Practice Management Editor of The Journal of Urgent Care Medicine and is President of …
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Direct-To-Consumer Testing in Urgent Care

Understanding the Benefits and Risks of Direct-to-Consumer Testing for Urgent Care

Urgent message: Urgent care centers equipped to draw blood and collect other specimens are well positioned to create new revenue …
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medical marketing data with graphs, digital marketing tactics for urgent care

Seven Digital Marketing Tactics for Every Urgent Care Center

Urgent message: Urgent care operators are spending an increasing amount of their marketing budget on seven digital tactics. Fortunately for …
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Adapting Urgent Care Marketing Strategies to Include Mobile and Voice Technologies

Urgent message: As consumers become more dependent on their internet-connected smartphones for health information, urgent care centers must adapt their …
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Insights in Images Challenges

A 24-Year-Old Man with Ankle Pain After a Fall

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A 36-Year-Old Man with Wrist Pain After a Traumatic Impact

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A 38-Year-Old Female with Abdominal Pain and Chest Tightness

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A Patient on Dialysis with Syncope

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A 34-Year-Old Man with Pain and Burning in Both Eyes

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A 46-Year-Old Woman with a Painful, Erythematous Plaque on Her Leg

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JUCM CAREER CENTER

Download Past Issues

 

June 2021 : Gone Fishin,’ Then Going to Urgent Care

VIEW ISSUES ARCHIVE

CASE REPORTS

Breakthrough COVID Infection in a Vaccinated person from a Possible Vaccinated Exposure

Sergio Ramoa MD, MS Urgent Message: With variant COVID-19 mutations, incomplete herd immunity, and less restrictive …
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A ‘Red Herring’ Chief Complaint

Urgent message: Chief complaints may lead the provider “off the trail” of a more urgent diagnosis …
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A 60-year old Male with Dyspnea and Hypoxemia at the Start of a Global Pandemic

Urgent message: The identification and global impact of the novel coronavirus has significantly challenged medical decision-making …
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An Atypical Presentation of Thyroid Storm: A Stark Yet Potentially Lethal Diagnosis

Urgent message: Unmanaged hyperthyroidism can cause any number of acute conditions that would drive a patient …
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A Hand Wound Caused by a Pressure Washer

Urgent message: Injuries caused by pressure washers often require debridement or, in severe cases, amputation. Immediate …
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HEALTH LAW

Are There Any Restrictions on an Urgent Care Provider Charging a No-Show or Cancellation Fee?

Urgent message: When holding a time slot that could go to another paying customer, it’s common …
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Liability of an Urgent Care Center for Third-Party Labs

Urgent message: While an urgent care center is responsible for the collection and safeguarding of clinical …
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New Lawsuits Re-examine Prescribing of PrEP in Urgent Care

Urgent message: Urgent care providers should take note of emerging class-action lawsuits when helping patients decide …
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Can Employers Mandate the COVID-19 Vaccine?

Urgent message: Based on precedent, urgent care operators and other employers can mandate the COVID-19 vaccine …
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Does the OSHA General Duty Clause Encompass Psychological or Emotional Injury?

Urgent message: Despite tort law and emerging workplace policies validating how sexual harassment, workplace bullying, and …
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CLINICAL CHALLENGES

A 34-Year-Old Man with Pain and Burning in Both Eyes

The patient is a 34-year-old male who presents with bilateral ocular pain and burning. He is noted to have excessive …
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A 38-Year-Old Female with Abdominal Pain and Chest Tightness

A 38-year-old female with no past medical history presents to an urgent care with right upper quadrant abdominal pain and …
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A 24-Year-Old Man with Ankle Pain After a Fall

The patient is a 24-year-old male who reports to urgent care with right ankle pain after falling from a ladder …
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A Patient on Dialysis with Syncope

History:  A 67-year-old female presents to urgent care complaining of one episode of syncope earlier in the day. No seizure-like …
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A 36-Year-Old Man with Wrist Pain After a Traumatic Impact

The patient is a 36-year-old man who presents with wrist pain after “hitting it on something.” Further history reveals that …
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OCCUPATIONAL MEDICINE

As Travel Opens Up, Opportunities to Offer COVID-19 Tests Could Be Lucrative

Urgent care has had it tough during the pandemic, but the travel industry has faced unprecedented challenges as Americans hunkered …
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Occ Med Providers Take Note: Companies Are Pushing Workers to Get Tested Frequently

Amazon and Whole Foods employees were told this week that weekly, no-cost testing for COVID-19 is available to them—and encouraged—on …
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Occ Med Providers Take Note: Valid or Not, Lawsuits Against Employers Over COVID-19 Spread Are Inevitable

Just recently, a woman in Illinois filed what is thought to be the first COVID-19-related wrongful death suit against an …
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Can Urgent Care Be the Solution to Reduce COVID-19 Spread in High-Risk Environments?

The risks of heading off to work on site during the COVID-19 pandemic vary greatly according to the nature of …
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Not Up to Speed on New Workplace Protections? Then Neither Are Your Occ Med Clients!

Virginia just joined a short list of states that are enacting legislation to help protect workers from exposure to COVID-19 …
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Revenue Cycle Management

Can I Bill Patients for COVID-19 Vaccine Administration?

As practices start offering vaccinations for COVID-19 to their patients, we are getting a lot of questions about whether the …
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New Technical Corrections Issued by the AMA Explained

On March 9, 2021, the American Medical Association updated the new evaluation and management (E/M) coding guidelines with technical corrections …
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Credentialing and Contracting: What to Expect When Expanding

For those trying to grow their urgent care business, conversations around payer contracting and credentialing (CC) can often be overwhelming …
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Last Minute Coding Changes for 2021

December brought us some last-minute coding changes. In some cases, this caused a small claim delay as clearinghouses and payers …
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FAQ: New E/M Guidelines

It’s 2021, and the new E/M guidelines for office visit codes are here. Hopefully, providers will feel some relief in …
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DEVELOPING DATA

Millennials Are Drifting Away from Primary Care—Just as They Need a Physician Most

There’s no gentle way to put it: Members of the Millennial generation simply are not as interested in having a …
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Pandemic Fluctuations: A Historic Drop, Then a Meteoric Rise in Patients Visits Per Day

Just to confirm, the COVID-19 pandemic has generally not been kind to the urgent care industry. Locations that could get …
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More and More, Urgent Care Is a One-Stop Destination

It’s not uncommon for the uninitiated to view urgent care as just the first, most convenient stop in what may …
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Is Specialization the Future of Urgent Care?

Urgent care has historically been viewed as a setting where patients could present with anything short of life- or limb-threatening …
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Children Are Visiting Urgent Care in Growing Numbers—Is That Reflected in Your Practice?

JUCM has devoted a lot more space to covering aspects of providing urgent care for children. In this very issue …
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Abstracts in Urgent Care

Abstracts in Urgent Care – June 2021

Light Exercise and mTBIAsymptomatic Hypertension—What’s the Risk?Racial Factors in Pain TreatmentSupplemental Oxygen in ACSShorter Courses of Antibiotics for Pediatric CAPWho’s …
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Focus on Pediatrics

Neuro Effects of COVID-19Melatonin and Children with Postconcussive SymptomsPediatric, Sports-Related ConcussionAcute Migraine in Children and Adolescents Emily Montgomery, MD and …
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Abstracts in Urgent Care – April 2021

Acetaminophen vs Ibuprofen in ChildrenOptimizing Podcasts for LearningDosing Ketorolac IV in Renal ColicTorus Distal Radius FracturesAvulsion Fractures of the Fifth …
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Abstracts in Urgent Care – March 2021

‘Seat Belt’ Signs Post MVAPain Control in Corneal AbrasionsAnalgesia with Reduction of Shoulder DislocationCan Early PT Help with Sciatica?How Vaping …
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Abstracts in Urgent Care – February 2021

Septic Knee Joints in AdultsRecurrent CellulitisAnalgesics and Risk for Fracture NonunionAssessing for MACE with and without a TroponinIV Fluids in …
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LETTER FROM THE EDITOR-IN-CHIEF

ICYMI: A Rational System for Charting Has Finally Arrived

Remember the fall of last year—when the nation and world pined for an expedient end to 2020, as if such …
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A Crisis of Trust

The conversation was going nowhere. After 15 minutes of explaining my concerns about the possibility of COVID-19, the lack of …
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Why Don’t You Take A Break?

I took up smoking for about 6 months in college, but not for the reasons you’d guess. This was during …
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Don’t Forget about the Road Behind

If you’re reading this, you’ve survived 2020. Congratulations!—although it probably doesn’t feel like there’s much success to revel in at …
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Opportunity is Knocking. Do you hear it?

It is not the strongest species that survive, nor the most intelligent, but the most responsive to change. – Charles …
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