JUNE 2009<br />
VOLUME 3, NUMBER 9<br />
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THE JOURNAL OF URGENT CARE MEDICINE®<br />
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www.jucm.com | The Official Publication of the Urgent Care Association of America<br />
IN THIS ISSUE<br />
FEATURES<br />
11 Toward Ensuring Patient<br />
Safety in Urgent Care<br />
25 Bouncebacks: The Story<br />
of Jonathan—One Week<br />
in January<br />
32 Case Report: Appendicitis Due<br />
to Squirrel Dinner<br />
<br />
DEPARTMENTS<br />
35 Insights in Images:<br />
Clinical Challenge<br />
37 Abstracts in Urgent Care<br />
40 Health Law<br />
42 Occupational Medicine<br />
43 Coding Q&A&l<a title="JUCM, The Journal of Urgent Care Medicine page 1" href="http://viewer.zmags.com/publication/f1e2dbf9?page=1"> JUNE 2009 </a> JUNE 2009 <a title="JUCM, The Journal of Urgent Care Medicine page 2" href="http://viewer.zmags.com/publication/f1e2dbf9?page=2">We are Committedto Urgent CareUnparalleled c</a> We are Committedto Urgent CareUnparalleled c<a title="JUCM, The Journal of Urgent Care Medicine page 3" href="http://viewer.zmags.com/publication/f1e2dbf9?page=3"> LETTER FROM THE EDITOR-IN-CHIEFOf Swine Flu, ‘</a> LETTER FROM THE EDITOR-IN-CHIEFOf Swine Flu, ‘<a title="JUCM, The Journal of Urgent Care Medicine page 4" href="http://viewer.zmags.com/publication/f1e2dbf9?page=4">THE RIGHT TOOL FOR THE JOB. STIX is the only C</a> THE RIGHT TOOL FOR THE JOB. STIX is the only C<a title="JUCM, The Journal of Urgent Care Medicine page 5" href="http://viewer.zmags.com/publication/f1e2dbf9?page=5">™The Official Publication of the Urgent Care A</a> ™The Official Publication of the Urgent Care A<a title="JUCM, The Journal of Urgent Care Medicine page 6" href="http://viewer.zmags.com/publication/f1e2dbf9?page=6">JUCM EDITOR-IN-CHIEFLee A. Resnick, MDCase West</a> JUCM EDITOR-IN-CHIEFLee A. Resnick, MDCase West<a title="JUCM, The Journal of Urgent Care Medicine page 7" href="http://viewer.zmags.com/publication/f1e2dbf9?page=7"><==@:@<EK8::LI8K< @EK<>I8K<; :FDGC@:8K<;</a> <==@:@<EK8::LI8K< @EK<>I8K<; :FDGC@:8K<;<a title="JUCM, The Journal of Urgent Care Medicine page 8" href="http://viewer.zmags.com/publication/f1e2dbf9?page=8"> LETTERS TO THE EDITORRegarding Our Marchand M</a> LETTERS TO THE EDITORRegarding Our Marchand M<a title="JUCM, The Journal of Urgent Care Medicine page 9" href="http://viewer.zmags.com/publication/f1e2dbf9?page=9"> JUCM CONTRIBUTORSI deally, patients leave t</a> JUCM CONTRIBUTORSI deally, patients leave t<a title="JUCM, The Journal of Urgent Care Medicine page 10" href="http://viewer.zmags.com/publication/f1e2dbf9?page=10">LETTERS TO THE EDITORIDr</a> LETTERS TO THE EDITORIDr<a title="JUCM, The Journal of Urgent Care Medicine page 11" href="http://viewer.zmags.com/publication/f1e2dbf9?page=11"> FROM THE EXECUTIVE DIRECTORHearing Voices■ </a> FROM THE EXECUTIVE DIRECTORHearing Voices■ <a title="JUCM, The Journal of Urgent Care Medicine page 12" href="http://viewer.zmags.com/publication/f1e2dbf9?page=12">Provide your patientswith convenienceand peace </a> Provide your patientswith convenienceand peace <a title="JUCM, The Journal of Urgent Care Medicine page 13" href="http://viewer.zmags.com/publication/f1e2dbf9?page=13">ClinicalToward Ensuring PatientSafety in Urgen</a> ClinicalToward Ensuring PatientSafety in Urgen<a title="JUCM, The Journal of Urgent Care Medicine page 14" href="http://viewer.zmags.com/publication/f1e2dbf9?page=14">TOWARD ENSURING PATIENT SAFETY IN URGENT CARE</a> TOWARD ENSURING PATIENT SAFETY IN URGENT CARE<a title="JUCM, The Journal of Urgent Care Medicine page 15" href="http://viewer.zmags.com/publication/f1e2dbf9?page=15">FOR THE TOPICAL TREATMENT OF ACUTE PAINDUE TO MI</a> FOR THE TOPICAL TREATMENT OF ACUTE PAINDUE TO MI<a title="JUCM, The Journal of Urgent Care Medicine page 16" href="http://viewer.zmags.com/publication/f1e2dbf9?page=16">Flector® Patch (diclofenac epolamine topical patc</a> Flector® Patch (diclofenac epolamine topical patc<a title="JUCM, The Journal of Urgent Care Medicine page 17" href="http://viewer.zmags.com/publication/f1e2dbf9?page=17">TOWARD ENSURING PATIENT SAFETY IN URGENT CARE</a> TOWARD ENSURING PATIENT SAFETY IN URGENT CARE<a title="JUCM, The Journal of Urgent Care Medicine page 18" href="http://viewer.zmags.com/publication/f1e2dbf9?page=18">TOWARD ENSURING PATIENT SAFETY IN URGENT CARE</a> TOWARD ENSURING PATIENT SAFETY IN URGENT CARE<a title="JUCM, The Journal of Urgent Care Medicine page 19" href="http://viewer.zmags.com/publication/f1e2dbf9?page=19">TOWARD ENSURING PATIENT SAFETY IN URGENT CARE</a> TOWARD ENSURING PATIENT SAFETY IN URGENT CARE<a title="JUCM, The Journal of Urgent Care Medicine page 20" href="http://viewer.zmags.com/publication/f1e2dbf9?page=20">MOXATAG is indicated for the treatment of tonsill</a> MOXATAG is indicated for the treatment of tonsill<a title="JUCM, The Journal of Urgent Care Medicine page 21" href="http://viewer.zmags.com/publication/f1e2dbf9?page=21">New for the treatment of tonsillitis and/orphary</a> New for the treatment of tonsillitis and/orphary<a title="JUCM, The Journal of Urgent Care Medicine page 22" href="http://viewer.zmags.com/publication/f1e2dbf9?page=22">The following is a brief summary only; see full P</a> The following is a brief summary only; see full P<a title="JUCM, The Journal of Urgent Care Medicine page 23" href="http://viewer.zmags.com/publication/f1e2dbf9?page=23">TOWARD ENSURING PATIENT SAFETY IN URGENT CARE</a> TOWARD ENSURING PATIENT SAFETY IN URGENT CARE<a title="JUCM, The Journal of Urgent Care Medicine page 24" href="http://viewer.zmags.com/publication/f1e2dbf9?page=24">TOWARD ENSURING PATIENT SAFETY IN URGENT CARE</a> TOWARD ENSURING PATIENT SAFETY IN URGENT CARE<a title="JUCM, The Journal of Urgent Care Medicine page 25" href="http://viewer.zmags.com/publication/f1e2dbf9?page=25"> The powerful combination o</a> The powerful combination o<a title="JUCM, The Journal of Urgent Care Medicine page 26" href="http://viewer.zmags.com/publication/f1e2dbf9?page=26">DESCRIPTIONCIPRODEX® (ciprofloxacin 0.3% and dex</a> DESCRIPTIONCIPRODEX® (ciprofloxacin 0.3% and dex<a title="JUCM, The Journal of Urgent Care Medicine page 27" href="http://viewer.zmags.com/publication/f1e2dbf9?page=27">BouncebacksThe Story of Jonathan—One Week in J</a> BouncebacksThe Story of Jonathan—One Week in J<a title="JUCM, The Journal of Urgent Care Medicine page 28" href="http://viewer.zmags.com/publication/f1e2dbf9?page=28">THE STORY OF JONATHAN—ONE WEEK IN JANUARY“</a> THE STORY OF JONATHAN—ONE WEEK IN JANUARY“<a title="JUCM, The Journal of Urgent Care Medicine page 29" href="http://viewer.zmags.com/publication/f1e2dbf9?page=29">THE STORY OF JONATHAN—ONE WEEK IN JANUARYan</a> THE STORY OF JONATHAN—ONE WEEK IN JANUARYan<a title="JUCM, The Journal of Urgent Care Medicine page 30" href="http://viewer.zmags.com/publication/f1e2dbf9?page=30">THE STORY OF JONATHAN—ONE WEEK IN JANUARY</a> THE STORY OF JONATHAN—ONE WEEK IN JANUARY<a title="JUCM, The Journal of Urgent Care Medicine page 31" href="http://viewer.zmags.com/publication/f1e2dbf9?page=31">THE 2009/2010 URGENT CAREBuyer’sGuideFrom Th</a> THE 2009/2010 URGENT CAREBuyer’sGuideFrom Th<a title="JUCM, The Journal of Urgent Care Medicine page 32" href="http://viewer.zmags.com/publication/f1e2dbf9?page=32">THE STORY OF JONATHAN—ONE WEEK IN JANUARYCa</a> THE STORY OF JONATHAN—ONE WEEK IN JANUARYCa<a title="JUCM, The Journal of Urgent Care Medicine page 33" href="http://viewer.zmags.com/publication/f1e2dbf9?page=33"></a> <a title="JUCM, The Journal of Urgent Care Medicine page 34" href="http://viewer.zmags.com/publication/f1e2dbf9?page=34">Case ReportAppendicitis Due toSquirrel Dinner</a> Case ReportAppendicitis Due toSquirrel Dinner<a title="JUCM, The Journal of Urgent Care Medicine page 35" href="http://viewer.zmags.com/publication/f1e2dbf9?page=35">CASE REPORT: APPENDICITIS DUE TO SQUIRREL DINNER</a> CASE REPORT: APPENDICITIS DUE TO SQUIRREL DINNER<a title="JUCM, The Journal of Urgent Care Medicine page 36" href="http://viewer.zmags.com/publication/f1e2dbf9?page=36">Share YourInsights At its core</a> Share YourInsights At its core<a title="JUCM, The Journal of Urgent Care Medicine page 37" href="http://viewer.zmags.com/publication/f1e2dbf9?page=37"> INSIGHTS IN IMAGESCLINICAL CHALLENGEIn eac</a> INSIGHTS IN IMAGESCLINICAL CHALLENGEIn eac<a title="JUCM, The Journal of Urgent Care Medicine page 38" href="http://viewer.zmags.com/publication/f1e2dbf9?page=38">INSIGHTS IN IMAGES: CLINICAL CHALLENGE 1THE</a> INSIGHTS IN IMAGES: CLINICAL CHALLENGE 1THE<a title="JUCM, The Journal of Urgent Care Medicine page 39" href="http://viewer.zmags.com/publication/f1e2dbf9?page=39"> ABSTRACTS IN URGENT CAREOn AMI in Syncopal Pat</a> ABSTRACTS IN URGENT CAREOn AMI in Syncopal Pat<a title="JUCM, The Journal of Urgent Care Medicine page 40" href="http://viewer.zmags.com/publication/f1e2dbf9?page=40">ABSTRACTS IN URGENT CARE2.4 months) who prese</a> ABSTRACTS IN URGENT CARE2.4 months) who prese<a title="JUCM, The Journal of Urgent Care Medicine page 41" href="http://viewer.zmags.com/publication/f1e2dbf9?page=41">ABSTRACTS IN URGENT CAREwho presented to a pe</a> ABSTRACTS IN URGENT CAREwho presented to a pe<a title="JUCM, The Journal of Urgent Care Medicine page 42" href="http://viewer.zmags.com/publication/f1e2dbf9?page=42"> HEALTH LAWA Short Course in Tort■ JOHN SHU</a> HEALTH LAWA Short Course in Tort■ JOHN SHU<a title="JUCM, The Journal of Urgent Care Medicine page 43" href="http://viewer.zmags.com/publication/f1e2dbf9?page=43">HEALTH LAWThere a number of viable defenses to </a> HEALTH LAWThere a number of viable defenses to <a title="JUCM, The Journal of Urgent Care Medicine page 44" href="http://viewer.zmags.com/publication/f1e2dbf9?page=44"> OCCUPATIONAL MEDICINEIdentifying, Contacting, </a> OCCUPATIONAL MEDICINEIdentifying, Contacting, <a title="JUCM, The Journal of Urgent Care Medicine page 45" href="http://viewer.zmags.com/publication/f1e2dbf9?page=45"> CODING Q&AMedication Supplies, New PatientE/</a> CODING Q&AMedication Supplies, New PatientE/<a title="JUCM, The Journal of Urgent Care Medicine page 46" href="http://viewer.zmags.com/publication/f1e2dbf9?page=46">CODING Q&AFigure 1. Established vs. New E/M (Re</a> CODING Q&AFigure 1. Established vs. New E/M (Re<a title="JUCM, The Journal of Urgent Care Medicine page 47" href="http://viewer.zmags.com/publication/f1e2dbf9?page=47">NORTHERN VIRGINIA/D.C. SUBURBAN – Full- and pa</a> NORTHERN VIRGINIA/D.C. SUBURBAN – Full- and pa<a title="JUCM, The Journal of Urgent Care Medicine page 48" href="http://viewer.zmags.com/publication/f1e2dbf9?page=48">CareerOpportunitiesYou bring healing.You re</a> CareerOpportunitiesYou bring healing.You re<a title="JUCM, The Journal of Urgent Care Medicine page 49" href="http://viewer.zmags.com/publication/f1e2dbf9?page=49">CareerOpportunitiesUrgentCarePhysiciansNeeded </a> CareerOpportunitiesUrgentCarePhysiciansNeeded <a title="JUCM, The Journal of Urgent Care Medicine page 50" href="http://viewer.zmags.com/publication/f1e2dbf9?page=50"> DEVELOPING DATAInGenaerlryal2H00o8sp, iUtaClA</a> DEVELOPING DATAInGenaerlryal2H00o8sp, iUtaClA<a title="JUCM, The Journal of Urgent Care Medicine page 51" href="http://viewer.zmags.com/publication/f1e2dbf9?page=51"></a> <a title="JUCM, The Journal of Urgent Care Medicine page 52" href="http://viewer.zmags.com/publication/f1e2dbf9?page=52">PRACTICE VELOCITY®Urgent Care Solutions®</a> PRACTICE VELOCITY®Urgent Care Solutions®