Journal of Urgent Care Medicine

CDC Update on Antibiotics Embraces Role of Urgent Care

The Centers for Disease Control and Prevention’s 2017 report Antibiotic Use in the United States: Progress and Opportunities embraces urgent care as an active participant in both healthcare delivery and antibiotic stewardship more than ever before. The CDC notes that urgent care has experienced “tremendous growth” and that continuing to incorporate antibiotic stewardship as a core value “will be an important factor in optimizing antibiotic use.” To support those efforts, the CDC put together The …

Consider What Else Might Be Going on with Sunburn Patients

Patients who seek care for sunburn in emergency rooms and urgent care centers often have complicating concerns—some of which have little directly to do with the sunburn, according to a new report published in JAMA Dermatology. Psychiatric illness (9.3% of cases), alcohol use (6.4%), and homelessness (6.4%) were among the more common, according to researchers from Brigham & Women’s Hospital, Massachusetts General Hospital, and associated urgent care clinics. More closely linked with sunburn were blistering …

Opioid Prescriptions Are Down—But Still Too High, According to NIDA

Though the rate of prescriptions for opioids has fallen over the past 7 years, more than one third of all adults in the U.S. were prescribed a narcotic pain medication in 2015. Worse, according to the National Institute on Drug Abuse (NIDA), around 5% of the population is misusing opioids—eg, by not following directions or taking them without a prescription at all (having received them from family or friends in 41% of those cases). Around …

Start Beating the Back-to-School Vaccination Drum Now

Lots of families are just heading out for summer vacation these days, which means they probably haven’t even considered whether children have all the vaccinations they need before going back to school. That gives you the perfect opportunity to remind them. The next time a child comes in for care, make sure you know their vaccine status—and what’s required based on their age, guidelines, and state law. Helping patients understand your role as a public …

Most Kids in Anaphylaxis Have No Treatment Before Presenting to Urgent Care or ED

Barely more than a third of children brought to an urgent care center or emergency room with anaphylaxis have received epinephrine before arriving, according to a new study published in the Annals of Allergy, Asthma, and Immunology. According to the report, which reflects the cases of 408 children with an average age of 7.25 years, just 36% of the patients had received epinephrine before reporting to an urgent care center or ED. The odds were …

Stress Hydration—and Urgent Care Services—This Summer

We see lots of public service announcements and signs every summer warning against the dangers of locking pets in hot cars. Less publicized are the everyday dangers of people sweating profusely in extreme heat without drinking enough water. Providence Urgent Care noted that with an advisory to residents around its locations, and garnered media attention in the Spokane, WA area in the process. Revealing that they see patients with symptoms of dehydration much more frequently …

Data Confirm that Urgent Care Can Keep Cancer Patients Out of the ED

The University of Colorado Cancer Center in Aurora, CO has quantified just how much urgent care can contribute to the overall health of patients with cancer—and it’s considerable. The Clinical Assessment and Rapid Evaluation (CARE) Clinic within the cancer center helped keep 21% of cancer patients out of the emergency room, generating over $176,000 in revenue over a period of 7 months. There’s no telling how many potentially serious complications were prevented by saving immunocompromised …

Longer Shifts = More Stress, Fatigue, and Less Satisfaction for Nurses

Four additional hours in a shift makes a big difference to busy nurses, according to new data published in the Journal of Nursing Education and Practice. Nurses working 12-hour shifts are more likely than those who put in 8 hours to experience anxiety, musculoskeletal disorders, disturbed sleep, and stress. The metaanalysis focused on 12 studies. The authors concluded that it was not so much the mere act of working for 12 hours, but the prolonged …

Mumps Cases Among College Students Are Climbing—Probe for Vaccine Status

Summer vacation just started, but it won’t be long before college students are getting ready to head back to campus. With mumps cases continuing to be reported at Harvard University, among other schools, reminders that patients need to ensure they’re up to date on vaccinations should be considered in every patient who comes into your urgent care center. Harvard has seen a resurgence in mumps cases over the past year. In spring 2016, there were …

Another Application for Telemedicine: Adolescent Concussions

Add adolescent concussion to the growing list of conditions for which telemedicine can be useful, in terms of effectiveness, cost, and satisfaction scores, according to data presented at the annual meeting of the American Association of Nurse Practitioners. Researchers employed a nurse practitioner-led, remote assessment of young athletes (13–18 years of age) with concussions, in conjunction with in-person athletic trainers. The most common positive feedback involved the accessibility of the program from any location, notably …

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