Patients with impaired mobility are especially susceptible to pressure injuries in a hospital setting. These injuries, also commonly referred to as bed sores, tend to develop when there is unrelieved pressure on the skin. This pressure in return creates a reduction in blood flow to the area.
Each year, it’s estimated that 2.5 million patients in U.S. acute-care facilities suffer from pressure injuries, according to the Agency for Healthcare Research and Quality. What’s more, patients who develop pressure injuries in the hospital are more likely to have longer stays and a higher risk readmission within 30 days of discharge.
To help improve patient safety and clinical outcomes, Fauquier Health, identified an opportunity to replicate the Smith+Nephew LEAF Patient Monitoring System*. The system is manufactured by Smith+Nephew. Implementation of this advanced technology will help ensure timely and accurate repositioning of our high-risk patient to the minute.
Hospitals using the LEAF Sensor technology have reported significant improvements in adherence to patient turning protocols and reductions in hospital-acquired pressure injuries by as much as 85 percent. The sensor is placed directly on the patient’s chest. Its triaxial accelerometer then automatically measures the patient’s position, orientation and activity and wirelessly transmits the data to monitoring stations for easy viewing by clinical staff. The system provides visual alerts to staff so patients can be repositioned according to their individually prescribed turning schedule and confirms when adequate pressure reduction is achieved with each turn. The sensor registers independent patient movement and automatically adjusts the schedule accordingly which saves valuable time for clinical staff.
Unique alerts can also be set to help prevent repositioning patients on an existing wound or an area of concern. In addition, the system provides various levels of reporting to help with root cause analysis and improve care delivery.
Dr. Christine Hart Kress, Chief Nursing Officer at Fauquier Health, commented, “Traditional everyday measures for preventing pressure injuries already included daily skin inspections, patient repositioning, padding, and using specialized mattresses to reduce/redistribute pressure. Over the last several years, we have implemented numerous protocols to intervene sooner in high-risk patients including associated labs that may indicate a need for supplement replacement, wound consults to ensure appropriate measures are in place, and dietician consults to ensure if supplements are needed, they are ordered. The LEAF Patient Monitoring System is a new technology we were excited to debut this month, in July 2022, to help us continue our progressive focus on enhanced patient safety and clinical outcomes.”
However, even with traditional measures in place, some patients still remain at-risk for pressure injuries. These include:
- Patients over the age 70 (due to aging skin, greater risk for hardening of the arteries and poor circulation)
- Patients with multiple medical diagnoses
- Patients with health conditions such as paralysis after stroke or other diseases that make mobility difficult and/or affect sensation (the ability to feel pressure)
- Patients with poor nutrition or malnourishment
- Patients with type 2 diabetes, who have damage to their blood vessels that makes blood flow slow and obstructed
*Trademark of Smith+Nephew
A view from a bench on Main Street: Sue Laurence, White Picket Fence
On Saturday morning, our publisher Mike McCool joined White Picket Fence proprietor Sue Laurence on a bench in front of White Picket Fence, on the 400 block of Main Street in Front Royal, and discussed all the events going on in Front Royal this fall, from Octoberfest, Festival of Leaves and Zombie Walk to name a few – all happening in Front Royal.
The big news is the 50th Annual Festival of Leaves happening on October 14-15, 2022 in downtown Front Royal. The Festival of Leaves has been reorganized and is now under the direction of the Front Royal Independent Business Alliance (FRIBA).
On October 14, 2022, the Town of Front Royal will kick off the festival with a “block party” at the Town Commons, providing music and fun for all ages. More information is available at FestivalofLeaves.org. There is still room for vendors, and applications are available on the Festival website.
VDOT: Warren County Traffic alert for August 15 – 19, 2022
The following is a list of highway work that may affect traffic in Warren County during the coming weeks. Scheduled work is subject to change due to inclement weather and material supplies. Motorists are advised to watch for slow-moving tractors during mowing operations. When traveling through a work zone, be alert to periodic changes in traffic patterns and lane closures.
*NEW* or *UPDATE* indicates a new or revised entry since last week’s report.
Mile marker 0 to 15, eastbound and westbound – Right shoulder closures for utility work from 8 a.m. to 5 p.m. through Saturday (August 13).
Mile marker 8 to 7, westbound – Right lane closures for utility work, 8 a.m. to 5 p.m. through Saturday (August 13).
Mile marker 299 to 300, northbound and southbound – Right shoulder closures for utility work, 8 a.m. to 5 p.m. through Saturday (August 13).
Route 55 (Strasburg Road) – Shoulder closures for utility work in the area of Route 664 (Whipporwill Road), 8:30 a.m. to 3:30 p.m. through Friday.
No lane closures were reported.
Vegetation management may take place district-wide on various routes. Motorists are reminded to use extreme caution when traveling through work zones.
Traffic alerts and traveler information can be obtained by dialing 511. Traffic alerts and traveler information also are available at www.511Virginia.org.
The VDOT Customer Service Center can assist with reporting road hazards, asking transportation questions, or getting information related to Virginia’s roads. Call 800-FOR- ROAD (800-367-7623) or use its mobile-friendly website at my.vdot.virginia.gov. Agents are available 24 hours a day, seven days a week.
West Virginia roadwork may produce Interstate 81 Northbound delays in Virginia
Roadwork on northbound Interstate 81 in West Virginia at the Virginia state line will potentially cause traffic delays in Virginia.
Motorists should be alert for delays on I-81 northbound in Frederick County, VA., during two periods of pavement repair work in West Virginia. The first period is for preparation work, and the second is for pavement work.
The first work period is 12 a.m. to 6 a.m. on Wednesday, August 17. Significant traffic delays are not anticipated during this time.
The second work period begins on August 17 around 6 p.m., extending into Thursday, August 18, possibly into the midday hours. Significant traffic delays may occur throughout this period.
In Virginia, traffic accessing I-81 northbound at Exit 323 off of Route 669 (Rest Church Road) will be stopped at the end of the on-ramp before entering I-81. This will accommodate anticipated slow or stopped traffic on I-81 at this location.
The Virginia Department of Transportation will monitor traffic back-ups. If back-ups become significant and sustained, the following alternate routes will be recommended.
- Interstate 66 or Route 7 to Route 340 northbound through Warren and Clarke counties
- I-81 exit 310 to Route 37 (Winchester bypass) to Route 522 northbound in Frederick County.
Variable message boards along the northbound I-81 and westbound I-66 corridors will alert drivers of traffic delays and alternate routes as needed.
Additional roadwork on northbound I-81 in West Virginia is anticipated to occur in the coming weeks, with potential traffic delays into Virginia.
Traffic alerts and traveler information can be obtained by dialing 511. Traffic alerts and traveler information also are available at http://www.511Virginia.org.
The VDOT Customer Service Center can assist with reporting road hazards, asking transportation questions, or getting information related to Virginia’s roads. Call 800-FOR- ROAD (800-367-7623) or use its mobile-friendly website at https://my.vdot.virginia.gov/. Agents are available 24 hours a day, seven days a week.
The Staunton District Twitter feed is at @VaDOTStaunton. VDOT can be followed on Facebook, Flickr, Twitter, and YouTube. RSS feeds are also available for statewide information. The VDOT Web page is located at http://www.VirginiaDOT.org.
The VDOT Staunton District serves Frederick, Shenandoah, Clarke, Warren, Page, Rockingham, Augusta, Highland, Rockbridge, Alleghany, and Bath counties.
17th Annual Route 11 Yard Crawl will bring thousands to the area
Bargain hunters can break out the fanny packs Saturday morning as the 17th Annual Route 11 Yard Crawl begins at 7 AM. The event is always held on the second Saturday in August and covers over 43 miles of yard sales and business sales along the Old Valley Pike, U.S. Route 11. According to the event’s website, the official crawl is from New Market (I-81 Exit 264) to Stephens City (I-81 Exit 307).
The Route 11 Yard Crawl has become a huge draw for bargain hunters and a source of revenue for residents, businesses and nonprofit organizations participating in the well-attended event. Localities see revenue added to their coffers through lodging, meals, and sales taxes.
Following a break during the Covid pandemic, the Yard Crawl Scavenger Hunt returns this year, with an app, the Free Traipse App. By visiting 15 of the 43 businesses, participants can get an official Yard Crawl t-shirt and be entered into a drawing for a $100 gas card. Download the free app here.
Sarah Paul, a Middletown resident whose home is along the Rt. 11, has had yard sales in the past, but won’t this year. She said, “We’ve sold things every couple of years, but for me, the best part is rocking on the porch and people-watching!”
Mrs. Paul’s daughter, Elise, could not contain her enthusiasm, saying, “Yard Crawl? Fun! Money!” Elise’s sister, Abigail chimed in, “It’s great because you can get rid of the stuff in your house you need and make a profit!”
Tina Maddox, of Strasburg, says, “My husband and I have been going to the yard crawl every year since it started. We’ve weathered the blazing hot weather to gully washers and everything in between. We’ve come home with truckloads and there was a time we had to come home, unload and go out again.
My favorite story is from several years ago when we stopped at a house where two gentlemen were swinging on their front porch swing. My husband went up and sat down right in between them and asked them how they were doing. After they got over being dumbfounded, they chatted briefly before we left. Every year after that, we would go there and do the same thing. We all looked forward to it each year. Recently my husband met up with one of those men in a job in a surrounding area. Small world!”
Alex Shaw, a Stephens City native who now lives in Durham County, NC relayed, “Last year’s Yard Crawl was my first one back in almost 10 years. It was so much busier and so much more overpriced junk than I remembered from my earlier years going.
I used to love going so much, and found many wonderful treasures in the past, but I most likely won’t make the trip this year.”
A number of local businesses will have special discounts and sales during the event. Those offering “Crawl Specials” will display gold mylar balloons outside their business. Shoppers can expect specials such as half-price or ‘buy one get one” (BOGO) items, sidewalk sales, freebies, event-related items, drawing for prizes, and more.
Teresa Lamb, with Front Royal business Strites Doughnuts, says she will be selling her tasty wares on Rt. 11 at Dixie Glass and Mirror beginning at 7 AM.
The official Yard Crawl t-shirts are collectible, with each year featuring a different color. This year’s 17th Crawl t-shirt is a royal blue heather and costs $15 and $20, depending on size. They can be purchased at these locations:
- Cedar Creek Battlefield Foundation in Middletown
- Edinburg Mill Museum in Edinburg
- Main Street Classics in Stephens City
- Route 11 Potato Chips in Mt Jackson
- The Flea Market in Edinburg
- The Strasburg Emporium in Strasburg
- Shenandoah County Chamber of in Woodstock
- Shenandoah Valley Flea Market in New Market
- Travelers Treasures in Woodstock
The Route 11 Yard Crawl is a collaborative effort between Shenandoah County Tourism, the County Chamber, and the Towns of Strasburg, Woodstock, Edinburg, Mount Jackson, New Market, Middletown, and Stephens City.
For more information on the Crawl, inquire about vendor spaces available, or participating businesses, visit www.Route11YardCrawl.org or call 540-459-2542.
Senator Tim Kaine visits George Banks Blvd
On August 11, 2022, Senator Tim Kaine visited George Banks Blvd and met in the front yard of Cornelia Banks, along with her family, and friends.
On Saturday, June 25th, friends, neighbors, and town officials gathered to officially open George Banks Boulevard on the Town of Front Royal’s north side from East 13th to 16th Street near Edgemont and Scranton Avenues.
Belle Grove to host Jerome Bias as an artist-in-residence
Belle Grove Plantation will host North Carolina furniture maker, Jerome Bias, as an artist-in-residence August 27-October 2.
Mr. Bias has been making period furnishings and studying southern decorative arts for more than 20 years. He was a joiner for Old Salem Museums and Gardens in Winston-Salem and has been a presenter at Winterthur Museum, Garden and Library, and with the Slave Dwelling Project.
His interest in working at Belle Grove, and at other sites of enslavement like it, is to bring attention to the skilled and talented craftspersons who had significant roles in shaping Southern decorative traditions. These furniture pieces represent the local areas in which they were made, and became a way for the makers, though enslaved, to survive and thrive. Learning and demonstrating these furniture making techniques and skills has been a way for Mr. Bias to connect with his enslaved ancestors, get a glimpse at the pain, trauma, and joys that they experienced, and begin a process of healing. His current project is reproducing pieces of furniture from six areas of the United States in which his family was enslaved, including a buffet from South Carolina, and a china press from Louisville, Kentucky.
While at Belle Grove, Mr. Bias will have both indoor and outdoor workshop spaces where visitors can learn about the pieces he is making, their history, and the history of the craftspersons who inspire him. He will be demonstrating during Belle Grove’s Wine Festival on Saturday, August 27, 11 a.m.-6 p.m. Thereafter, he will be doing demonstrations Wednesday-Sundays when Belle Grove is open (10 a.m.-4 p.m. and 1-5 p.m. Sundays). For a specific schedule, please visit bellegrove.org/calendar/artist. Access to these demonstrations will be free of charge.
Another way Mr. Bias has connected with experiences of his ancestors is learning about the foodways of enslaved communities. He will share his experience and talents with hearth cooking during a free program by the Cedar Creek and Belle Grove National Park Ranger Shannon Moeck, “Kneading in Silence: A Glimpse into the Life of the Enslaved Cook Judah.” It is Sunday, September 4, at 2:30 p.m. in the historic kitchen of the Belle Grove Manor House. Attendees of the program will see first-hand the wide variety of skills, intense labor, and personality characteristics that Judah had to have in order to be the head cook.
Support for Mr. Bias’s residency has been provided through the Interpretation and Education Grants of the National Trust for Historic Preservation.
“Belle Grove is delighted to host Mr. Bias for this residency, and we are excited to share his craft and insights on African-American history with our guests, ” said Executive Director Kristen Laise.
Belle Grove is actively researching and interpreting the African American history of the site and honoring the lives of those enslaved and free. More information may be found at
bellegrove.org/about/enslaved. Some of the stories of the people enslaved at Belle Grove are featured in a monthly newsletter found at virtual.bellegrove.org.
About Belle Grove—Belle Grove Plantation is located off Route 11 at 336 Belle Grove Road just south of Middletown, Virginia, and is conveniently situated to I-81 (exit 302) and I-66. Belle Grove Plantation is a non-profit historic house museum that is a National Trust for Historic Preservation historic site (www.savingplaces.org). It is also one of the legislated partners in Cedar Creek and Belle Grove National Historical Park (www.nps.gov/cebe).