At Gateway, we celebrate the miracles of medicine. We are inspired by our partners and our people everyday.

Monday, September 21, 2015

Allergies And Richmond

According to the Natural Resources Defense Council ("NRDC"), Richmond ranks NUMBER ONE as the “sneeziest and wheeziest” city in the nation. Richmond has also been at the top of the Asthma and Allergy Foundation of America’s “allergy capitals” list for two years in a row.  The report details the top 35 U.S. cities most vulnerable to the combination of pollen and ozone pollution and warns that climate change is leading to worsening levels of allergy and asthma. 
 
The National Climate Assessment, a federal report released last year, confirms what was in the NRDC report, warning that both ozone levels and allergens would likely worsen due to climate change. 
"This is bad news for allergy sufferers and asthmatics because both ragweed pollen and high levels of ozone smog can trigger asthma attacks and worsen allergic symptoms in adults and children," the NRDC report said.
 
Now that Fall is in the air, the biggest allergy trigger during the fall months is ragweed. The weed typically begins releasing pollen with warm days and cool nights in August and can last into November.
 
According to an article published on WebMD, there are 17 different species of ragweed in the U.S. These plants are most common in the rural areas of the Eastern states and Midwest, but are found throughout the U.S.  Scientists estimate that a single ragweed plant can release one billion grains of pollen over the course of a single ragweed season. And the grains are so light that they float easily even on gentle breezes. Pollen has been detected as far as 400 miles out to sea and up to two miles up in the atmosphere.
 
Finally, though it may sound strange, studies have shown that certain foods and drinks can affect your seasonal allergies. One of the reasons for this is that some foods and drinks contain histamines, which can both cause or worsen allergies. Many items that are aged, pickled, or fermented have naturally-occurring histamines and can lead to sneezing, itching, coughing, and headache. If you suffer from seasonal allergies, eating and drinking fermented foods could make your symptoms worse. 
 
Certain foods can trigger oral allergy syndrome, a condition that causes pollen-induced allergy-sufferers to experience an itchy mouth or throat after eating certain fruits and vegetables. This happens because some of the proteins found in these fruits and vegetables are related to those found in the pollens that cause the seasonal allergy. The fruits and vegetables to avoid depend on the related pollens; for example those with grass allergies should avoid celery while those with ragweed allergies should avoid zucchini.

So, unless moving is an option, here are some tips to help combat fall allergies!

  • Wear oversized sunglasses to block airborne pollens and molds.
  • Avoid outdoor line drying of clothing and bed linens on a high pollen day.
  • Consider exercising indoors on very high pollen days. Pollen levels may peak during the mid-day and afternoon, and are generally higher on warm, dry, windy days.
  • Get confirmation that you have seasonal allergies, with simple in-office tests.
  • Begin treatment with medications such as nasal antihistamines, oral antihistamines, steroids and eye drops even before symptoms start. (Check with your doctor before beginning any OTC treatments)
  • Talk to your doctor about allergy shots, which can slow the progress of allergic disease.
  • Shower and shampoo nightly to to rinse pollens from skin and hair. Change clothes before entering your bedrooms to keep pollens out.
  • At home and in the car, keep the windows closed and set your air conditioner to "recirculate." Clean filters in room air conditioners frequently. Do not use fans that suck outdoor pollens into your living area.
  • Eliminate weeds from your yard and plant allergy-friendly greenery such as azaleas and begonias;, palm, pine, fir and dogwood trees; hibiscus, boxwood and yucca shrubs.

Wednesday, July 22, 2015

Mental Health Issues In Children

Nearly 5 million children in the U.S. have some type of serious mental illness (one that significantly interferes with daily life). In any given year, 20% of American children will be diagnosed with a mental illness.  Identifying mental disorders in children can be tricky for healthcare providers because children differ from adults in that they experience many physical, mental, and emotional changes as they progress through their natural growth and development. They also are in the process of learning how to cope with, adapt, and relate to others and the world around them.  Mental Health issues in children run a full spectrum of disorders that can include anxiety and depression, affective mood disorders, substance abuse issues and a multitude of disorders in between.
 
Americans are routinely shut out of mental health facilities across the country for lack of beds.  In many major US cities, bed shortages have prompted emergency rooms to "warehouse" the mentally ill in holding rooms and hallways, where they go without treatment before they are released.  For Virginians, the impact became very real when details emerged about the shooter at Virginia Tech in 2007, the deadliest shooting rampage in U.S. history that killed 32 people.  Seung-Hui Cho was ordered by a judge to seek care after making suicidal remarks to his roommates. He was evaluated at a mental health facility and later released.  In 2013, State Senator Criegh Deeds was stabbed when his son, Gus Deeds, was released from a Virginia hospital after a mental health evaluation, reportedly because there were no psychiatric beds available in the area.  The consequences of that release were exceptionally tragic as well when the day after being released, Gus Deeds stabbed his father, before killing himself. 
 
In response to the tremendous need in Richmond for a children’s psych center, a story in Richmond BizSense reported:
"HCA Virginia’s Chippenham Hospital recently unveiled its new 9,000-square-foot Child and Adolescent Treatment Center.  The $4.5 million project, part of the hospital’s Tucker Pavilion, added 24 new beds for patients ages 5 to 17 in need of treatment for psychiatric trauma and crisis stabilization.   In 2014, Tucker was forced to turn away 1,160 young patients and prior to opening the addition, it had to refuse another 969 patients in the first half of 2015, a 30 percent increase from the same period last year."
An organization that is near and dear to all of our hearts here at Gateway is SpeakUp.  SpeakUp is the legacy of Cameron Gallagher who was running the Shamrock Half Marathon in Virginia Beach when she passed away as she crossed the finish line from an undiagnosed heart condition. Cameron suffered from severe depression and anxiety for several years and was in the process addressing the misplaced stigma held by so many about teenage depression. Her dream was to create a 5k race in her community to help raise awareness of teenage depression. She had titled that race the SpeakUp5k in order to draw attention to the issue of teen depression and to let other teens like herself know that it was okay to “Speak Up” about their personal battles.    This year the second annual Richmond SpeakUp5K is being held on September 12th in Byrd Park.  Gateway proudly supports SpeakUp and encourages you to visit http://speakup5k.com/ to volunteer, register, donate or to simply learn more about this great organization and what they are doing to be a positive force that works to cultivate awareness and understanding of teenage depression and anxiety. 

If you know of a child or adolescent that you think might need help, don't wait.  There a lots of resources available to help combat this growing concern.  Call your pediatrician or visit some mental health resources such as http://www.dbhds.virginia.gov/ or http://www.mentalhealth4kids.org/ for more information.

Tuesday, July 14, 2015

Nursing Shortages

The U.S. is projected to experience a shortage of Registered Nurses (RNs) that is expected to intensify as Baby Boomers age and the need for health care grows. Compounding the problem is the fact that nursing schools across the country are struggling to expand capacity to meet the rising demand for care given the national move toward healthcare reform.
 
According to the Bureau of Labor Statistics’ Employment Projections 2012-2022 released in December 2013, Registered Nursing is listed among the top occupations in terms of job growth through 2022. The RN workforce is expected to grow from 2.71 million in 2012 to 3.24 million in 2022, an increase of 526,800 or 19%. The Bureau also projects the need for 525,000 replacements nurses in the workforce bringing the total number of job openings for nurses due to growth and replacements to 1.05 million by 2022!
 
We found multiple documents and resources citing reasons and contributing factors impacting the nursing shortage that included nursing school enrollments not growing fast enough to meet the projected demand; significant segments of the nursing workforce nearing retirement age; insufficient staffing is raising the stress level of nurses, impacting job satisfaction, and driving many nurses to leave the profession.  The list goes on and on. 
 
To attract much-needed nurses, some organizations are offering large sign-on bonuses and are advertising significant salary increases for key specialties, such as intensive care. However, increased stress levels and growing stories of nurse burnout make incentives like these only a short-term solution. Job dissatisfaction is on the rise due to increased workloads, longer hours and not having the resources to provide the highest quality care to patients.
 
Many hospitals and practices are turning to agencies such as Gateway to help combat these shortages.  Using a trusted partner like Gateway is beneficial for both our nurses and our healthcare partners.  On the healthcare side it's clear - unfilled shifts are staffed.  Additional staffed shifts helps to alleviate burn-out of nurses because of prolonged shifts.  And above all, patient care remains paramount.
 
On the nursing side, nurses receive a lot more flexibility with an agency - they can pick up extra shifts for spending money, they can have the flexibility to pick what shifts help with their work/life balance, they can obtain continuing education training or renewal courses to keep industry related licenses up-to-date.  Agency nursing is also a good way to break into the job market in a new location, or to make yourself known to a particular facility, your "foot in the door" so to speak.   In addition, there is the potential for short- and long-term employment contracts to provide stability.

Gateway is the bridge between facilities and nurses that is optimizing success.

Monday, June 22, 2015

Working for Gateway

One of our Recruiting Managers writes a blog about her life taking care of her special needs child.  Below is a post that we wanted to share that she wrote about her experience working with Gateway. 

http://ourlifewithalex.blogspot.com/2015/06/lucky-vs-blessed.html

At Gateway we do celebrate the miracles of medicine every day and we are happy that we can contribute to our community in more ways than one.


Tuesday, March 31, 2015

RVA Nursing Expo

Thanks to everyone who came out to our very first RVA Nursing Expo at Old City Bar on March 19th!!!




Managing Partners Scott Fisher and James Driscoll are excited about all of the nursing opportunities we are offering to RN's and making our healthcare community be the best it can be!


Will you be our next Kindle Fire raffle winner?!? 


We are in our planning stages for our next event to be held at the end of April  - stay tuned for details!