Practice Management
Readers of JUCM News know the Centers for Disease Control and Prevention shortened the amount of time it recommends quarantining for certain people with, or who have been exposed to, COVID-19. Now the College of Urgent Care Medicine is advising urgent care providers to read the proverbial fine print in that guidance. The CUCM stresses that the CDC statement offers “acceptable alternatives” to the quarantine periods, in spite of the fact that multiple media reports …
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With several COVID-19 vaccines heading for approval and rollout, the Centers for Disease Control and Prevention Each state has required every state to submit plans for statewide administration, including distribution and how populations within the state will be prioritized. Of even more relevance to the urgent care operator, the plans are also expected to include provider enrollment details. If this is news to you, or if you’re fuzzy on the details, you should be aware …
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The first evidence that rates of venous and arterial thromboembolism are high in patients with COVID-19 has arrived, in the form of an article just published in The Lancet’s online journal EClinicalMedicine. The meta-analysis of 42 studies involving 8,271 patients notes that rates range anywhere from 20% to 70% among patients who have been diagnosed with the virus. Overall mortality rate among patients with COVID-19 and thromboembolism was 23%, vs 13% without thromboembolism. The authors concluded …
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Burnout is always a concern in busy urgent care centers. However, with a 46% increase in visit volume and urgent care centers administering 25% of U.S. COVID-19 tests weekly recently, the risk is greater than ever. While you may not be able to singlehandedly end the COVID-19 crisis, you can take steps to provide care for your team. Some of them will be spelled out in an upcoming webinar, Managing Provider Burnout: Tips for Physicians …
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Just last week we told you about an Emergency Use Authorization from the Food and Drug Administration for a home COVID-19 test—along with an admonition that self-testing may make already-insufficient reporting of COVID-19 data even worse. As the pandemic continues and we wade deeper into flu season, the FDA has now authorized the first home dual test for COVID-19 and influenza A and B. Available by prescription only, the Quest Diagnostics product includes a self-collection …
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Anecdotal evidence that ongoing direct oral anticoagulant (DOAC) use might reduce a patient’s risk for severe disease with COVID-19 appears to have been wishful thinking, if the results of a study just published in the Journal of Internal Medicine are any indication. The authors found no association between DOAC use and lower incidence of hospital admission for COVID-19, or a composite of intensive care unit admission of death. As such, they concluded that DOAC use …
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There’s a constant push-and-pull in every urgent care center in the country: prescribe antibiotics only for the indications for which they’re approved, or give in to patient demands that they “need” an antibiotic even if your years of medical training and experience tell you otherwise. Refuse the patient and they just might stalk out of your office and write a damning review on social media. Give them exactly what they ask for (ie, prioritize making …
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As many as 40 million doses of coronavirus vaccine may be available in the United States by the end of this year. While that’s clearly good news, it’s significantly fewer than will be needed to offer widespread protection and make a dent in the pandemic. That being the case, the Centers for Disease Control and Prevention’s Advisory Committee on Immunization Practices has issued its official recommendations on who should be able to be immunized first …
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As the COVID-19 pandemic continues to resurge in the United States, urgent care providers aren’t the only ones at risk of experiencing burnout. Many in the general public have had it with restrictions, isolation, and worry over sick loved ones (or those at risk), with some acting out with hostility toward healthcare workers. A woman in Berks County, PA was arrested recently after intentionally coughing on a nurse in an urgent care center. When the …
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Patients who are concerned they may have contracted a sexually transmitted infection may favor urgent care over their “regular” doctor due to both the convenience and relative anonymity of this setting. Recognizing that such patients are likely to have engaged in unsafe sex practices, should any related counseling routinely include discussion of pre-exposure prophylaxis against HIV (PrEP)? Northwell Health-GoHealth Urgent Care apparently thinks so, as the company is pledging to include discussion of PrEP when …
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