by Tim Gieseke, MD, CMD

Is it enough for your staff to “Sing Happy Birthday” as they wash their hands?  This article provides your staff with immediate feedback on the effectiveness of their hand washing technique rather than relying on time alone.  If failure occurs, it provides training videos.

I took the test with some concern about “passing”.  I passed, but found I've changed my technique to address the more recalcitrant areas of my hands. I suspect your attending physicians and non-clinical staff might also benefit from this training tool.  Please read on.

by Karl Steinberg, MD, CMD

AMDA was invited to participate in the American Board of Internal Medicine’s Choosing Wisely Campaign, in which numerous medical professional organizations and specialty societies were asked to weigh in on what common practices should be reduced or eliminated.  Many organizations have shared their evidence-based recommendations this year, and they are available at

by Tim Gieseke MD, CMD

As a full time LTC physician who has on-call coverage from other physicians, I frequently am faced with interpreting faxed abnormal UAs and Urine Cultures on my patients where I may not have ordered the UA.  I also receive faxes with an incomplete assessment of a problem, but a request, “Would I consider ordering a UA?”.  

by Anonymous

As a standard, during the annual survey process, a request is made for a certain number of files associated with abuse reporting.  As expected, this request was made at a facility in northern California, and met with some astounding results.  As a long term care facility, you may want to pay close attention to the details.