Johnson & Johnson Nurses Innovate QuickFire Award in Peri-operative Care – Lessons on Innovation For Nurses.

Johnson & Johnson Nurses Innovate QuickFire Award in Peri-operative Care – Lessons on Innovation For Nurses.


Ayinla Daniel, Rn.

(Editor Care City).

There is pretty much we can all learn from the novel achievements of these Nurses.

In this article, I will talk briefly on the innovative ideas that saw them becoming nominees for Johnson & Johnson Nurses Innovate QuickFire Awards in Perioperative care, their motivation and little lessons I learnt from the criteria used to choose their ideas, I strongly believe that you are going to find it inspiring.

Debbie Kantor & Chao Hsing Yeh. (Pictured with their inventions)

As a nurse and scientist, I never thought of myself becoming a nurse innovator. I would tell nurses you have to believe and love what you are doing. I often told myself, if I cannot do this, my patient won’t be able to do it. Be passionate about what you do. Find a positive environment and surround with people who will encourage, motivate and support you endlessly. Once you set up your goal, it may need to take a little detour, but your persistence will pay off. Keep trying, do not give up and do not settle.Chao Hsing Yeh, PhD, Rn.

To tread the innovative pathway in any career demands that the elements of true passion, creativity and hard work are secured in the heart of whosoever desires to become an innovator. Stories of great innovators in all fields of endeavour reveal specific characters that can be found in the lives of all those who made an impact in their various fields.

In the Nursing profession, the waves of innovation might not be too prominent today, due to a number of factors, but it steadily gathers momentum that will see the future of nursing practice cocooned by innovative ideas that improve health care practice – ideas developed by Nurses who are actively involved in critical thinking and problem-solving.

Before I begin to talk about some lessons that inspired me, let’s briefly take a look at these innovative ideas, their efficiency/criteria used to choose them and the story behind them.

The Hero Bandage.

Debbie Kantor, APRN, Co-Founder at HERO Medical, created the HERO Bandage, a simple one-piece wound care dressing for the head or limbs designed to improve the self-care and monitoring of chronic wounds. Johnson&johnson.

This bandage is truly a hero. In clinical practice, wound care is a very delicate aspect that requires extra attention by health care practitioners responsible for their management, as improper handling of wounds can greatly increase the risk of the development of complications, which may include infection, haemorrhage, deformity among a host of other physiological complications.
“I couldn’t stop thinking about how there should be a quicker, easier way to stop bleeding more efficiently for both head and leg wounds, and that’s when the idea for the one-piece HERO Bandage came to me. And the name came from my love of Superman, and my belief that this solution can have a super impact on wound care.” – Debbie Kantor.

This brief statement which I extracted from the interview with Debbie succinctly describes how she channeled her passion into solving a problem she discovered. The hero bandage is a standard bandage that surely influences the outcome of wound care, it does this by; making wound dressing more efficient – its design allows flexibility and easy manoeuvrability, it becomes more handy in emergency care when you need to stop bleeding immediately presents itself.

Debbie describes her inventions capacity to influence wound care outcomes, she explained further, saying;

The HERO Bandage is a single, sterile package that has the potential to help health systems be more efficient and lessen the burden for frontline healthcare workers. With fewer pieces and skills required, it provides an easy-to-use bandage that can cover a larger part of a wound in less time than a normal dressing would take. And I think what really makes our product unique is that it can eventually be used for the head, an amputation, a limb or other appendages. Also, current bandages only cover a part of the head while ours provides full coverage, so there really isn’t anything like it currently available.

Brilliant idea there, with more support, from the likes of Johnson & Johnson this idea is surely becoming a reality and this feat is definitely going to be a source of inspiration for nurses who are nurturing the desire to become innovators.

I would also tell myself, and younger nurses just beginning their innovation path, that it’s okay to be scared. Innovation is a journey different for everyone. Keep a journal and write down the good, the bad and the ugly. Fellow nurses of all stages can be a great resource. Find a champion who believes in you and the potential impact of your idea.Debbie Kantor, APRN, Co-founder at Hero Medical.

Wireless Auricular Point Stimulation (APS)© 2019.

Chao Hsing Yeh, PhD, RN, Associate Professor at Johns Hopkins School of Nursing, developed Wireless Auricular Point Stimulation (APS)© 2019, JHU, a treatment based on traditional Chinese medicine acupuncture that aims to provide a non-invasive, self-administered and nonpharmacological treatment for pre-, intra- and postoperative pain. Johnson&Johnson.

Pain management in medical practice is one dimension of care that requires constant research in discovering the most effective methods of alleviating pain without causing harm or too much harm to the body.

Auricular point acupressure is an old Chinese medical practice that uses pressure points of the ear to help relieve pain. The belief is that the ear represents the human body, like a “minisystem,” since it is shaped like a foetus and some points on the ear represent/correspond to the position of body organs that can be massaged and relief of pain achieved.

This may sound odd to those who do not have any idea about Chinese medical practices which have been effectively used for up to 3000 years. Chao Hsing’s method combines the wisdom of ancient medicine with the technicalities of modern technology, this ingenuity is enjoyed when you comprehend her idea of using a smartphone that can be used to stimulate these pressure points on the ear when the device is placed on the ear or auricle.

She describes the device and its benefits :

I believe opioid use has taken an incredible toll on not just patients, but entire health systems. I believe this toll has been physical, emotional and financial. Wireless APS has the potential to broaden the options of pain management and provide an adjunctive option for perioperative care. Moreover, APA could be more widely disseminated than acupuncture, allowing patients to focus on self-care by engaging the therapy daily, anywhere and anytime as a practical tool for pain control. The availability of APA as method of care offers the potential to improve patients’ quality of life in a cost-effective manner.

Now, let us look at the criteria that were used to chose these ideas.

Criteria For Selection.

Their ideas were selected based on the following criteria:

  • Thoroughness of their approach Feasibility and uniqueness of their idea.
  • Identification of key resources
  • Plan to further the idea and
  • The solution’s potential to improve perioperative (pre-, intra- and post) care and health outcomes. Johnson & Johnson

In another article, we will take more time to describe these criteria, to enable nurses who are passionate about innovation understand some requirements.

Be Inspired.

Are you going to sit back and relax, while nurses like you around the world work round the clock trying to discover new and efficient methods of delivering nursing care? No you won’t, you will get inspired and join this army of inventors.

You will awaken the inventor within you, many problems await solutions and you are in the best position to provide solutions. You may say your environment is not helping you, well if you depend on this deficiency as an excuse not to work, then you still have a long way to go. Passion supersedes impossibilities. If you are really passionate about innovating, then you will make up your mind that nothing will hinder you, absolutely nothing.

Project Care

Project care is an interactive programme developed by Care City to help inspire aspiring innovators in the field of nursing in Nigeria and other countries. We know how much you want good company on your way to becoming an inventor, so we decided to be your company.

We will remind you of your dreams, think with you as you plan, support where possible, we will be the thinking team that will inspire you to do more, we will provide you with learning materials and try and secure necessary connections and above all integrate you into a community of nurses, health care practitioners and other professionals who are passionate about innovation.

Send us a mail today:

Team Care City

Project Care – Get Inspired to begin your journey to innovation.

Project Care.
Get Inspired to begin your journey to innovation.


Are you a Registered Nurse in Nigeria who is passionate about health care innovation? Do you have a healthcare-related project you want to organise? Or an innovative idea you want to nurture?

We here at Care City can work with you as a team, come let us think together in the confines of a community of healthcare professionals and other professionals who are enthusiastic about innovation.

We do not promise financial assistant of any kind, but what we promise is our commitment, fellowship, time and care.

I have discovered that many young fellows have the desire to innovate, but do not have enough inspiration and motivation to kick-start their journey. Many also have beautiful projects that are amazing, but do not have the necessary push to begin, we will be that push you need!

With an initial focus on health care, we at Care City are creating a community for young nurses and health care professionals who are still nursing the seeds of innovation in their hearts. We want to grow together as we nurture these dreams, connect with professionals of like minds and impact our world together.

If you want a team that thinks with you on your way to fulfilling your innovative dreams, while creating real friendship and connections, we are here for you. This programme describes a core goal of care city, which is innovation! We have the desire to make interaction one of our most effective tools, where we constantly interact with aspiring nurses who have genuine desires for innovation, health-technology and outreaches.

Send us a mail at or if you prefer to be informal, you can send me a direct mail at and I will gladly reply.

We look forward to becoming friends with you as we strive together to make our world a better place.

Details will be communicated on my twitter handle @Ayinla0.

Your Friend.

Ayinla Daniel, RN.
(Team Care City).




Their raw passion is tangible, you can feel it, it’s alive, in their stories they tell it. These health care practitioners are somewhat extraordinary in their various fields of practice. They have been able to create solutions to various problems health care practitioners face in their everyday practice.

Nurses taking the lead in health care innovation. From all over the world, these brilliant minds have emerged, some of them you may know and some others you may have never heard of, but their impacts are felt in their spheres of practice as they challenge old systems, innovative ideas borne in various fields, innovations in clinical care, advocacy, community health, health technology – with information communication technology which is the bedrock of technology and other fields, with their passion and ingenuity they challenge the status quo.

Join me as I talk about these distinct practitioners, bringing out leadership lessons to inspire you to do more in your various medical fields of practice.

My focus will heavily be on the nursing practice because we want to encourage more nurses to activate their critical thinking capacities. But if we stumble upon challenging and inspiring work done by any other health care practitioner, we won’t hesitate to write about it and publish it, we do it for the learning and development.

Your Friend.

Ayinla Daniel, RN.
(Team Care City).

World Diabetes Day: Family and Diabetes.

World Diabetes Day: Family and Diabetes.

The effects of diabetes span beyond physiological [imbalances in glucose metabolism] and anatomical disturbances [amputations caused by poorly managed foot ulcers]. The patients’ life is affected in its entirety. That is why this year’s world diabetes day tackles the problem from another angle.

The International Diabetes Federation has decided to create awareness on the effects of diabetes on the family and by doing this promote the role of the family in the overall care, management, prevention [follow-up care] and education on diabetes.

“Family members are urged to learn more about the warning signs of diabetes and find out their risk of type 2 diabetes.” – IDF.

As patients are discharged home, the closest caregivers to them are the family members and friends. Family members must be health educated on the characteristics of a diabetic crisis [HHNS], early clinical manifestations of complications and most importantly they should be exposed to necessary health information that makes it easier for them to detect diabetes in its early stages and seek immediate medical attention.

The most important clinical manifestations of diabetes mellitus are excessive urination – which often leads to dehydration, increased taste – which is due to dehydration, an abnormally increased appetite and the litmus test – a persistently high blood sugar level.

“Diabetes is a leading cause of blindness, kidney failure and early death. Simple action can reduce the risk.”

In-hospital care is not complete if detailed health education is not provided to the patient/client and his/her relatives. Family members are part of the support team whose therapeutic importance can not be neglected or underemphasized.

The management of diabetes is one that has the potential to wear the sufferer out, because of regular routines, constant monitoring of blood sugar levels, discipline in what and how one eats and a whole lot of other self-care requirements the patient/client is meant to strictly adhere to in order to control the progression of damage the disease does to the body.

Family members play a vital role in making sure therapies are adhered to. They support the patient, encourage them when they need to be inspired to adhere to their treatment regimen. If more emphasis is placed on the role of family members in diabetes management, the degree of compliance with regimens will surely improve.

The stress felt on the family is also an issue we must also consider, especially when the affected is a pillar in the home; maybe a father, the mother or one who plays very significant roles in the affairs of the family.

There must be a balance, the family must be able to adapt to the new situation, as the affected is rehabilitated and supported into his new role. The health care team must also be in constant interaction with the family so as to ensure that learning provided by health education is effective, they must evaluate the impact of health education provided.

To round this discuss up, we must all know that one major benefit of family education is detection and prompt intervention. The family are the closest, they have a better knowledge of any client. If we carry them along, they will be able to support clients through rehabilitative phases, detect early signs of complications and also spot the warning signs of diabetes among themselves, since they are predisposed.

Ayinla Daniel, RN.
(Care City)

Cardiovascular Diseases & Diabetes Mellitus.

Cardiovascular Diseases and Diabetes Mellitus.

World Diabetes Day: Family and Diabetes.

November 14th of every year is set aside to enlighten the world about this public health problem – Diabetes. A metabolic disease that causes the body to utilize glucose poorly. In this short article, we will look briefly at the pathological link that exists between cardiovascular diseases and diabetes.

“I – in – 2 people with diabetes (212 million) Remain undiagnosed.”

The connection between diabetes mellitus and the development of cardiovascular diseases has been established by clinical research. The following statistics says a whole lot about the connection between cardiovascular diseases and diabetes mellitus:

  • At least 68% of people aged 65 or older with diabetes die from some form of heart disease and 16% die of stroke.
  • Adults with diabetes are two to four times more likely to die from heart diseases than adults without diabetes.
  • The American Heart Association considers diabetes to be one of the seven major controllable risk factors for cardiovascular disease.

The risk of one developing diabetes due to an underlying cardiovascular disease is considerably high and on the other hand, the risk of developing a cardiovascular problem is also high if one has diabetes mellitus.

People with diabetes have the following risk factors that highly predispose them to develop cardiovascular diseases; high blood pressure, abnormal cholesterol and high triglycerides, these abnormalities are due to the bodies inability to produce insulin (Type 2 DM) that helps the body effectively make use of glucose (complex concept here, but an article will be made that simply explains all that happens here).

The aetiology of Cardiovascular Diseases in Diabetes may not be fully understood, but they are reasonable explanations for this pathophysiology. Lipoprotein abnormality associated with diabetes mellitus can partially explain this pathological link.

“Over 50% of type 2 diabetes is preventable.”

Diabetes comes with a cascade of clinical manifestations and abnormalities in lipoproteins is one that is implicated in the formation of atherosclerotic plaques which in turn can occlude the lumen of blood vessels, especially those of the heart (coronary blood vessels), small blood vessels and highly branched vessels with blood flowing through at more pressure.

“Diabetes was responsible for four million deaths in 2017.”

Also, microvascular diseases, including endothelial abnormalities caused by Diabetes Autonomic Neuropathy (DAN) and decreased NO (Nitrous Oxide an important vasodilator) bioavailability, the underlying effects of inflammation caused by diabetes mellitus and oxidative stress are subtle effects of diabetes that are responsible for the development of cardiovascular disease (I will write a more detailed article on the connection of diabetes and cardiovascular disease, which will include more details about these pathophysiologies).

Do you know your health status as far as Diabetes is concerned? Have you checked your blood sugar levels and blood lipids? If you are at risk, maybe you have a parent or family members who have diabetes, have hypertension, are obese, do not partake in exercise or smoke or you have more than two risk factors for the development of diabetes, then you should seek medical attention and have these simple investigations done – blood lipid and sugar level.

“Up to 80% of patients with diabetes die a thrombotic death.”

In the next article, I will write briefly on this year’s theme for world diabetes day – Family and Diabetes were we will briefly explore the role of the family in the management of diabetes.

Ayinla Daniel. RN.

Selected External Links–diabetes

Technology and Community Health. Part 1. How Technology Can Improve the Health of Rural Communities.

Technology and Community Health. Part 1.

How Technology Can Improve the Health of Rural Communities.

Ayinla Daniel Rn, Rctn.
(Editor Care City).

In developing countries in Asia and Africa, small communities who are far away from urban life and the health services that are available in more developed parts can also enjoy the benefits health care technology has to offer. Smartphones have been able to help humanity achieve a whole lot in the area of information communication which is the bedrock of community, men have to communicate with themselves at all times, hence the internet is our own global village, a place where we can see our selves, read our ideas, partake in our goals and visions together and make the world a better place together, because of the science and technology of information communication.

Health care is among the most basic needs of humanity. As information and communication, health care is a vital aspect of man’s existence, he must be able to take care of his sick ones, those who need support in one way or the other, the vulnerable among his ranks. The coming together of health care and technology, especially information communication technology is like a miracle, because more lives are being saved on daily basis because of access to accurate health information and the constant health care innovations that go on every day – seeking to discover new methods of taking care of the sick, discovering cures to life-threatening disease conditions and even attempting to prolong life.

Remote communities in developing countries who do not have direct access to health care services can create strong links, tied by the ever trusted fibres of DATA. Data is number and number is life.

If more communities are integrated into health care services that utilise the technology of data management, the rate of health care interventions/services in the community levels will drastically increase.

Nurses and community health practitioners are at the best position to play this role of “Community Data Agents,” were they are able to gather important information about the overall health of a community and feed this data into systems that synthesize them; utilising them to create health care services peculiar to a particular community’s need.

Community health care practitioners must be conversant with the operation of these basic technologies. There are worldwide interventions by large bodies interested in community health that are making an impact in the communities using the tool of information communication technology.

The mother and child, who are the most vulnerable are the populations that will enjoy more the benefits of health care technology. Mobile phones are now used to provide mothers in rural areas with vital information about hygiene and newborn care. The elderly who are in rural communities can also enjoy care services compared to this, were health care workers pay occasional visits, health educate them on the technical know-how on how to use smartphones to send vital information about their health conditions which are accessed and interventions are planned afterwards.

Smart health applications can be designed – easy to navigate with user friendly interfaces that makes interaction with the software easy, these applications can be used to communicate with the primary health care centres or direct providers of specific health care services who now work in collaboration with primary health care centres to provide these health care needs to those who are in need in these areas.

Community health workers are the strong links between the poorest of the poor and the providers of health care services. In countries like Nigeria, people living in rural communities, especially mothers and children are not sufficiently exposed to good health care information, this may be due to a number of factors, but we are not considering these factors today, what we are considering are the numerous opportunities that lie fallow in these kinds of environments.

Primary health care centres, if not equipped with the state of the art equipment in diagnostics or interventional medicine, should be able to boast of basic tools that make communicating health care information easy, while catering for the health care Information needs of the community, these should have the necessary requirements to collect data from the community, collate and send to appropriate quarters that now synthesise data, make appropriate interventions and either send support or required needs.

The Primary Health Care centres are the roots of health care practice because they provide health care services to a larger percentage of the population – the poor folks. The rich can afford health care assessments at all times, but those who are far away from the stream can also enjoy these services when information technology is integrated into health care.

In the next article, I will bring together some very encouraging news about what concerned bodies all over the world are doing as regards providing communities with health care through technology, I will also include my perspectives/ideas, what I feel can be done in these situations of lack of health information in remote communities.

Do stay tuned!

Ayinla Daniel Rn, Rctn
(Editor Care City)

UNDERSTANDING NURSING PHARMACOLOGY – Study notes on Nursing responsibilities during pharmacological therapies.

Photo credit: Pina Messina/unsplash


Drug therapies are the most widely utilized method of medical therapies and currently the most effective amongst a myriad of other methods of therapies, which include osteopathic medicine, acupuncture, aquatic therapies, yoga and other forms of alternative therapies.

In the management of patients, the job of the clinical pharmacist may not allow him/her have constant observation of the patient/client, with the physician by the side whose job also creates a boundary [prescription, a bit of observation and intervention], that gives them very little insight into what happens to the patient when on drug therapies.

This important responsibility happens to gently fall on the shoulders of the nurse, they are in the best position to detect abnormalities, undertake possible interventions and alert prescribers, who may be a Physician or an NP.

Nurses play a very vital role in the cycle of drug therapies, from assessment to prescription, administration, observation/intervention and psychological support. In these aforementioned phases, the nurses’ role can not be overlooked, they are the ones who are closest to the patient, who is the most important member of the health care team.

Their mandatory proximity gives them a “clinical hedge” over other health providers, especially when it comes to the subject of assessment, observation and health education.
It is therefore of utmost importance that the registered nurse has adequate knowledge about pharmacology [pharmacokinetics and pharmacodynamics], so as to allow them understand the patient when they are on drug therapies, use their assessment skills to detect early warning signs of drug toxicity, overdose or need for prescription of a new medication or termination of an already existing prescription.

In this category on Care City, we will discuss at length the nurses’ responsibilities during drug therapies, what they must know, how they should assess the patient – identify side effects and adverse effects, their interventions and a host of other Important pharmacological concepts.

I will begin by doing a brief introduction to pharmacology, which will include a brief history, basic terms, maybe some basic calculations and vital aspects of pharmacology, before we now start considering the pharmacological management of disease conditions and the nurses’ responsibilities.

To understand in-depth the effects of a drug on the body, it is also very essential that there is adequate knowledge of anatomy and physiology of the human being and pathology – on this note, I will also include brief anatomy, physiology and pathology.

So I divided the basics. In drug therapies, the following elements are the core of clinical pharmacology:

  • The health care providers, which will include primary health care providers, physicians, nurses, medical laboratory scientist and others who make up the health team.
  • The patient, whose complex physiology key members of the health team [i.e those directly involved with assessment, prescription and observation/intervention] must fully understand, to enable them to know the appropriate interventions to take when faced with pathological conditions.
  • Pathological processes; these are the disruptions to the normal physiology and anatomy of the body due to a host of causes, ranging from microbial causes to physical trauma and psychological pathology.
  • The medication in use; the drug used is a very important element in clinical pharmacology, health care providers must be conversant with the therapeutic effects of medication used to render pharmacological care.

These are what I call the core elements of pharmacological therapy, and the nurse must understand these elements.

So, in the next article, I will begin with a brief history of pharmacology [like I said earlier], and some basic stuff, before we get to business proper.

Ayinla Daniel Rn, Rctn.
(Care City).

© Care City.