Catherine Milne's blog

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By Catherine T. Milne, APRN, MSN, ANP/ACNS-BC, CWOCN-AP

Heroes are regular folks put into a circumstance they did not ask for. Faced with the impossible, they pull off the improbable. You know – Harriet Tubman, Captain Chesley "Sully" Sullenberger and his Co-pilot Jeff Skiles, first responders during 9/11, Veterans. 2020 also has its heroes. This year has been designated the Year of the Nurse and Midwife by the World Health Organization in honor of Florence Nightingale's birth in 1820. Little did we know when it was announced in 2019 that our biggest professional challenge was right around the corner.

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Mentoring in Wound Care

by Catherine Milne, APRN, MSN, ANP/ACNS-BC, CWOCN-AP

We need mentors in wound care. Why? Our number of wound care providers cannot meet the overwhelming needs of our patients, our traditional practice patterns are changing from acute to post-acute care, reimbursement models are variable and technology is rapidly shifting. Nursing, physical therapy and medical schools are teaching less and less wound care. Many times, what is being taught is archaic.

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The Future of Wound Care

by Catherine Milne, APRN, MSN, ANP/ACNS-BC, CWOCN-AP

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innovation

By Catherine T. Milne, APRN, MSN, BC-ANP, CWOCN-AP

Our New England village has an annual tradition that takes place on the town green. These two acres of well-manicured grass have historically been central to the fabric of the hamlet. Every Memorial Day, members of the fifth grade class assemble on the steps of one of the town's oldest buildings to recite the Gettysburg Address. With parents, grandparents, and residents looking toward the cherub-faced innocents, they deliver, "Fourscore and seven years ago..."

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do the right thing

By Catherine T. Milne, APRN, MSN, BC-ANP, CWOCN-AP

From Nike's "Just Do It" ad campaign to Google's corporate "Don't be evil" code, I've always been struck by the many marketing campaigns that remind us to pay attention to our conscience. A similar focus should apply to health care. In 2000, the Institute of Medicine (IOM) published a scathing report showing that the number of people who died from medical errors surpassed the combined total of those who died from breast cancer and car accidents.1 To make matters worse, this was likely a low estimate. In 2013, the Journal of Patient Safety reported that adverse events from preventable harm may affect between 210,000 and 440,000 hospital patients each year.2 As clinicians, we've all taken an oath, a pledge or a vow to "do no harm." Why is the reality so far from the ideal?

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directions

By Catherine T. Milne, APRN, MSN, BC-ANP, CWOCN-AP

My grandmother knew wound care. "Soak it in salt water," she'd say. "Keep it open to air!" she would emphatically declare the next day. You never knew what to expect. We've all heard the sage old dermatology advice "If it's wet, keep it dry, and if it's dry, keep it wet." Perhaps my grandmother was a guest lecturer at a dermatology conference and they were too intimidated not to incorporate her wisdom.

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By Catherine T. Milne, APRN, MSN, BC-ANP, CWOCN

There's a lot to be said about change, and much of what you say depends on which end of change you are on. Those of us who are early adopters of new products, technology or ideas get an adrenaline rush with just the hint of change. We love that feeling of freshness— finding the bumps in the road, meeting the challenges head on and solving the issues at hand. Then we help those who come after us—mentoring them over the hurdles we've overcome as the pioneers in a new territory. We are not early adopters, we are early adapters.

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