ClickCare Café

Telemedicine -- One Tool for Wound Care Nurses' Exceptional Work

Posted by Lawrence Kerr on Mon, Apr 18, 2016 @ 07:30 AM



Every year, we take a moment to pause when WOCN week comes around on the calendar. As this week of recognition for Wound Ostemy and Continence Nurses comes to a close, we congratulate and laud our WOCN colleagues and customers.

Wound care is a difficult speciality with a lot of complex decision making. We have noticed that nurses who are dedicated to wound care, our WOCNs, show an uncommon and exceptional understanding of the need to collaborate on behalf of the patient. Moreover, they have the skills to do so.

iClickCare was developed from the early days in collaborated with dedicated WOCNs in our hometown of Binghamton, NY as well as farther afield. 


iClickCare has always been designed to support Wound Care nurses, by: 

  • Providing the visually rich media that lets a picture be a thousand words, and more.
  • Allowing comparison of wounds over time, visit to visit -- or, in life saving events, minute to minute and hour to hour.
  • Empowering discussion which leads to better outcomes through understanding and communication.
  • Saving time in avoiding the need for written orders.
  • Allowing an “onset, immediate” surgeon visit with a secure click of the iPhone.
  • Limiting the experience of standing around and waiting for supplies and personnel while gowned, masked and gloved.

    There are some special friends who we think of daily and with whom we grew up in our hospital system. They are our mentors, or examples, and our examples of who we should be. Janet and Chris, thank you.

    And thank you to all WOCNs.


Tags: WOCN, telemedicine, wound care

Why Medical Collaboration Is Important in a Skilled Nursing Facility

Posted by Lawrence Kerr on Mon, May 13, 2013 @ 11:05 PM

Not so long ago, a resident of the old-fashioned “nursing home” might receive only palliative care from a nurse’s aide, RN and a general practitioner. A doctor would make rounds occasionally, prescribing treatments to ease the aging process. Nurses took care of patients on a healthcare island, separate from medical and public health communities.

A nurse’s aide would notice something with the patient and ask an RN or LPN for guidance. If themedical coordination can be given at the SNF nurse could not resolve the problem, she would telephone the doctor’s office and wait for the physician to return her call – a process that arrests workflow for both busy environments. The nurse would describe the problem verbally. If the problem described seemed serious enough, staff members would trundle the frail resident off to the hospital where specialists could surround her bedside and collaborate about her condition. A family member was asked to leave work to accompany the patient and staff. Then, all together, they waited.

Residents in a skilled nursing facility are typically not robust, facing increased risk any time they are away from the facility. Elderly patients often become confused in the hospital, and they suffer an increased risk for falls and infections. Residents of skilled nursing facilities can introduce MRSA into hospital settings and vice versa. Collaboration would keep these individuals in their own beds, where the highly qualified CNAs and RNs they already know can deliver advanced skilled nursing techniques under the guidance of their trusted physician specialists.

Collaboration in today’s technically advanced skilled nursing facility
Today’s skilled nursing facility provides more than end-of-life care. Nurses and caretakers at these facilities provide special treatments, including enteral nutrition and intravenous injections.

The modern patient, especially one sick enough for placement at a skilled nursing facility, requires a team of specialists. Skilled nursing facilities now only provide palliative care. While a facility can grant privileges to multiple specialists, it is not feasible for all these physicians to maintain onsite offices or make rounds at the facility.

Caring for today’s skilled nursing facility resident requires a new approach to collaboration between everyone on the healthcare team, from the CNA to the oncologist. Collaboration provides feedback to the doctor regarding efficacy of treatment, and reassures the nurse’s aide that the physician was cognizant of her concerns regarding the patient’s health.

Medical collaboration is the communication and exchange of ideas between doctors, nurses, and other caregivers. Medical collaboration is an information superhighway connecting caretakers of all levels, from nurse’s aide to anesthesiologist.

The Association of American Medical Colleges says there are more than 200 types of physician specialists in the United States. Medical collaboration improves the likelihood a resident in a skilled nursing facility struggling with a specific condition will connect with a leading professional in that field. Before the advent of care coordination, chances of getting a nursing home patient into the hands of the right specialist were nearly infinitesimal.

Technology has driven medical collaboration. In 2010, the Apple iPhone led the way with the expanded adoption of smartphone apps. Today, clinicians use hybrid store and forward. This technology allows doctors to add personal health information for each patient at an intermediate, safe location and then send it to others on the collaborative team.

Collaboration keeps all caregivers in the loop without jostling the patient from office to office. A hospital radiology department can upload a chest x-ray, for example, to save the patient from repeating it for a consulting physician. A nurse’s aide can update pictures of a resident’s decubitis, or rash, or edema, frequently to the team of physicians and reduce the need for office visits.

Benefits of Medical Collaboration
Along with convenience, medical collaboration has many benefits to the patient and her healthcare team. 

Benefits to the resident include:

· Improved healthcare

· Increased access to specialists without travel

· Reduced risk for hospital-acquired problems like infection

· Coordinated healthcare

· Family stays at work and at home instead of going on office visits

Benefits to doctors and other caregivers:

· Fewer errors

· Less redundancy

· Greater efficiency and productivity

· More appropriate use of expertise and medications

· More confidence that comes with support 

Everyone benefits from medical collaboration; care coordination fully utilizes advancing technology to share patient information safely and effectively. This new approach to care brings together caregivers of all levels to provide superior care to patients in skilled nursing facilities. Nothing is needed except an iPhone, iPad or camera and computer. 

Introducing iClickCare

Tags: medical collaboration, care coordination, store and forward medical collaboration, nurse collaboration, wound care

WOC Nurse Week 2012: Models of Medical Collaboration

Posted by Lawrence Kerr on Mon, Apr 09, 2012 @ 09:04 PM

This week is WOCN week. 

WOCN knows collaborative care

We wish to honor these three special people. They are three dedicated nurses with whom we work everyday as we carry on with our clinical practices. They are nurses at United Health Services Hospitals.

  • Janet Brhel, RN, BS, CWOCN.
  • Christine Oliver, RN, BS, CWOCN.
  • Ann Semo, RN, BS, CWOCN.

WOCNs provide collaborative care at the bedside

Ann Semo, RN, BS, WOCN-C 

At first meeting, these exceptional people seem like just any other WOCN. They can be easily described as committed, patient, personable, educated, and advocating for their patients.

They are all of these, but with so much more richness. They are always available and always receptive. They are always supportive of their colleagues and avid teachers. They are resources for our hospital system and for our nearby and distant communities.

And even more, they are visionaries. They know the value of collaboration. Collaborative care is part of their natures which makes their championing of ClickCare humbling and inspiring.

As they talk about ClickCare, listen to the back story -- their idealism, their commitment, their advocacy.

They are the Best. As a spring time wish, we wish that each of you could be as fortunate as us to have them as collaborative colleagues.

Christine Oliver, RN, BS, WOCN-C


Janet Brhel, RN, BS, WOCN-C 

Our thanks to them and to every other member of the WOCN Society

Here is a WOCN Nurse Week Brochure about WOCNs from the WOCN Society.

Learn more about care coordination and medical collaboration using iClickCare:


Click me




Tags: WOCN, medical collaboration software, wound care

ClickCare is Announcing the Second Dallas Wound Care Symposium

Posted by Lawrence Kerr on Tue, Jan 10, 2012 @ 10:14 AM

Telemedicine, particularly Store and Forward Telemedicine, is extremely valuable for taking care of patients with wounds.

We are pleased and proud to announce and support the Dallas Wound Care Symposium 2012. Presentations will be done by true leaders in wound care, research and teaching:

Matthew Pompeo, MD graduated from the University of Miami School of Medicine and completed his General Surgery residency and fellowship at Parkland Memorial Hospital. Dr. Pompeo is Board Certified in General Surgery, has 15 years of experience in wound care, and is the Medical Director of Wound Care at Vibra Specialty Hospital of Dallas.

Kris Dalseg, MS PT CWS CLT graduated from Texas A&M in 1988 with a BS in HEED. In 1992, she received her Masters of Physical Therapy from TWU. In 2006, she received her certified wound care specialty license, and her certified lymphedema therapy license in 2009. Kris has practiced wound care in a variety of settings from outpatient, skilled nursing facilities, long term acute care facilities, to rural home health. Kris’s goal has been to achieve the highest level of care possible in the treatment of her patients. She is currently working as a CWS in long term care facilities where her primary function is to teach and train all staff involved in the patient's wound care. 

ClickCare helps Wound Care

The symposium will include:

  • Free Event Parking
  • Continental Breakfast
  • Catered Lunches
  • Vendor Exhibits and Demonstrations - Giveaways and Prizes
  • iPhone Photography Lab
  • Mobile Health Collaboration Demo

Medical iPhone Photography, the new book, big enough to fill your knowledge gaps and small enough to be put into you pocket, will be available.

The brochure is available now.

The venue is Dallas Marriott Suites, Dallas and early registration is now open.

Tags: Medical iPhone Photography, mhealth, wound care

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