Friday, September 30, 2011

Impaired Nurses, Chemical Dependence, Substance Abuse

Impaired Nurses, Chemical Dependence, Substance Abuse

Nursing & Healthcare Directories on: The Nursefriendly
Chemical Dependence, Substance Abuse
Impaired Nurses

The Shortcut URL To This Section Is: : http://www.nursefriendly.com/impaired/

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Support needed to help nurses tackle substance abuse, Vanderbilt University:"An estimated 10 percent to 20 percent of nurses and nursing students in the United States may have substance abuse, misuse, dependency or addiction problems. The key to tackling this difficult issue — and protecting public safety — is support and treatment rather than punishment, according to a recent paper in the Journal of Clinical Nursing by Todd Monroe, a post-doctoral fellow at Vanderbilt University School of Nursing, and colleagues at the University of Tennessee. "Doctors and nurses are only human and face the same problems as everyone else, which can include chemical dependency," said Monroe."
Vanderbilt University
Nashville, Tennessee 37240 · (615) 322-7311
http://news.vanderbilt.edu/2011/02/help-nurses-tackle-substance-abuse/

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Forum Discussions:

Drug Use As A Nursing Student:"Hi all. I am a male nursing student in my 2nd semester of school. I have 3 more after this and will take the boards next fall. I'm really excited about all of the possibilities and most of all (not to sound too cliche)about the opportunities to change lives that I'll have. I do have a question for current RN's. I occasionally smoke small amounts of marijuana. I don't have remorse or shame because I know it's a personal choice that I let affect noone around me. I only do it alone or with very close friends. I don't sell it or try to get anyone else to try it." http://www.nursingdiscussions.com/drug

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Impaired Nurses Bibliography, Alcohol And Drug Abuse Institute (ADAI):
http://lib.adai.washington.edu/biblist.htm#SP#occ

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Narcotic Use and Diversion in Nursing, Mandy L. Hrobak, University of North Carolina Charlotte:"Narcotic use and diversion in nursing is a growing problem that may be difficult to identify. Clinical indicators can help managers and staff become knowledgeable about signs and symptoms. Areas related to job performance, personality/mental status, and diversion are looked at as indicators. Workplace access and deviant work group norms can contribute to the picture. Certain methods of diversion may be hard to detect. Institutions need to be prepared to handle incidences of narcotic use and diversion before they occur. Policies can help provide for positive outcomes for the institution and the nurse, should she/he decide to receive treatment. Patient safety is of the utmost concern. A supportive environment is important for reentry of the rehabilitated nurse at work. Alcohol and drug dependency are covered under the American Disability Act of 1990. Assistance programs, education, and further research are needed in this area."
http://juns.nursing.arizona.edu/articles/Fall%202002/hrobak.htm

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National Resources:

American Society of Addiction Medicine:""The nation's medical specialty society dedicated to educating physicians and improving the treatment of individuals suffering from alcoholism and other addictions."
American Society of Addiction Medicine
4601 North Park Ave, Arcade Suite 101 Chevy Chase, M.D. 20815
Telephone 301/656-3920 Fax: 301/656-3815
http://www.asam.org

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National Association of Drug Diversion Investigators, Inc. (NADDI):"Established in 1987, the National Association of Drug Diversion Investigators, Inc. (NADDI) is a unique membership organization whose members are responsible for investigating and prosecuting pharmaceutical drug diversion. The organization has proven to be a valuable asset to law enforcement, the pharmaceutical industry and health regulatory personnel. NADDI's objective is simple: to improve the members' ability to investigate, and prosecute, pharmaceutical drug diversion."
http://www.naddi.org

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National Association of State Alcohol and Drug Abuse Directors, Inc.:"NASADAD's basic purpose is to foster and support the development of effective alcohol and other drug abuse prevention and treatment programs throughout every State. The Board of Directors is composed of a President, First Vice President, Vice President for Treatment, Vice President for Internal Affairs, Vice President for Prevention, Past President, Secretary, and Treasurer, as well as 10 regional representatives elected by the Association members in the region. The Washington, DC, office is headed by an Executive Director and includes divisions concerned with Research and Program Applications, Prevention Services, and Public Policy."
808 17th Street, NW, Suite 410, Washington, DC 20006
(202) 293-0090.
http://www.nasadad.org/

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September 12, 2000, Illinois, Chicago: Problem nurses escape punishment:"Lax government oversight and a shoddy system of reporting medical errors allow negligent, incompetent and impaired registered nurses to return to work in Illinois even after committing deadly errors. In Chicago, registered nurses have injected themselves with heroin and cocaine, then committed dozens of errors. They have stolen prescribed medications, then left patients to suffer in pain for hours."
http://chicagotribune.com/news/specials/chi-000912nursing3.story

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State Specific Resources:

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    Illinois:

      Illinois Nurses Association Statement on Chicago Tribune series on "Nursing Errors":"Like the general public, the Illinois Nurses Association was alarmed to see the disturbing headlines in the Chicago Tribune's series on nurses' involvement in medical errors. A close reading of the articles, however, reveals the findings that “nursing errors” are overwhelmingly attributable to inadequate staffing and systems, issues that nurses and the Illinois Nurses Association have long warned would result in the deterioration of quality care."
      http://www.illinoisnurses.org/erorsTribStmt.html

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      Peer Assistance Network for Nurses, Nurses Helping Nurses:"The Illinois Nurses Association developed a support network for nurses whose professional performance is hampered by abuse of chemicals or any resulting mental or physical illness. This support network is the Peer Assistance Network of Nurses, or PANN.
      Peer Assistance Network for Nurses (PANN)
      Illinois Nurses Association
      105 W. Adams, Suite 2101
      Chicago, IL 60603
      p: 312-419-2900
      Toll-free, confidential hotline: 1-800-262-2500
      http://www.illinoisnurses.org/benefits.htm

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    Kansas Nurses Assistance Program:"KNAP is a professional assistance program designed to assist all nurses and mental health technicians who have a problem or illness that has or could impair their ability to practice safely. KNAP is overseen by a voluntary Board of Directors comprised of nurses who are knowledgeable in these issues and who are willing to donate their time and expertise to assist other nurses."
    Kansas Nurses Assistance Program
    6005 Martway Suite 100 Mission, KS 66202
    (913)236-7575, webmaster@ksbn.state.ks.us
    http://www.ksbn.org/knap.htm

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    New Jersey:

    Nurses with Impaired Practice Problems:"The Institute for Nursing provides information and support to nurses with problems of impaired practice. These practice issues have primarily referred to substance abuse, a problem to which the nursing population is increasingly vulnerable. Services provided."
    The Institute for Nursing 1479 Pennington Road Trenton, New Jersey 08618-2661
    24 Hour Hotline 1-800-662-0108
    http://www.njsna.org/displaycommon.cfm?an=1&subarticlenbr=40

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    Drug diversion, qsl.net:"Drug diversion can be best defined as the diversion of licit drugs for illicit purposes. Prescription drug abuse accounts for almost 30% of the overall drug problem in the United States, representing a close challenge to cocaine addiction. Pharmaceutical diversion reaps large profits for the traffickers, and devastation for the abusers. This eventually affects their friends, families, and their workplace. The diversion of pharmaceutical drugs means that prescription drugs were illegally obtained by a variety of methods and a variety of offenders. This may have been accomplished by deception, or an outright theft of the drugs. Health care professionals face the prescription drug abuser on a daily basis. These drug seekers prey on physicians, pharmacists, dentists, and their staff, in a relentless attempt to obtain pharmaceuticals."
    http://www.qsl.net/w5www/diversion.html

    Emergency room nurses' attitudes, nurses' attitudes toward impaired nurses, and studies of attitudinal change:"Surveys of nurses' and nurse managers' attitudes toward impaired nurses, all published in recent years, suggest that they are generally supportive of impaired nurses and sanguine about their prospects for recovery."
    http://www.ncbi.nlm.nih.gov/pubmed/11349683

    Cincinnati (Ohio) Police Pharmaceutical Diversion Squad:"The Cincinnati Police Pharmaceutical Diversion Squad was formed through a Byrnes Memorial Grant in October 1990. Initially, the squad consisted of one supervisor, four investigators, and a secretary. The grant term ended in 1994, but because of the successes, the City of Cincinnati decided to continue to finance the operation."
    Pharmaceutical Diversion Squad, Sergeant Kerry Rowland, Commander
    Cincinnati Police Department
    310 Ezzard Charles Drive Cincinnati, Ohio 45214 USA
    513-352-1610
    http://www.cincinnati-oh.gov/police/pages/-5067-/

    Pharmaceutical Diversion Education:"Pharmaceutical Diversion Education is designed to assist a wide range of the population in understanding the potential abuse and addiction that can be associated with prescription medication. Year after year, Drug Enforcement Administration statistics indicate that pharmaceuticals are almost 30% of the overall drug problem in the United States, running a close second only to cocaine abuse. However, until recently, law enforcement, health care professionals, and the general public have placed little emphasis on this huge problem."
    Pharmaceutical Diversion Education, Inc.
    P.O. Box 146 Bethel, Ohio 45106
    Phone 1-800-566-2049 Fax (513) 734-1647
    http://www.rxdiversion.com/

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    Please Choose from the following: About Nursing:

Nursing: Pros and Cons by Christy Picton, RN, BSN, Illinois Nurses' Views of The Nursing Profession

Nursing: Pros and Cons by Christy Picton, RN, BSN, Illinois Nurses' Views of The Nursing Profession

I struggle when asked whether I would recommend the nursing profession as a career. In the end it comes to down to a weighing of the pros and cons. Let me begin by introducing you to some of my patients, my "pros" so to speak.

“Evie” was a 15-year old who was diagnosed with chlamydia, gonorrhea, and herpes. Because of her history, she was scheduled for an HIV test. This was the mid-80’s, when just the word “AIDS” conjured up visions of an instant death sentence with no reprieve. Evie always came to her appointments alone, so I held her hand while the blood was drawn, and I hugged her in relief when the test was negative.

“Harry*” had been with us for some surgery one December, and was now recovering. He required a follow-up procedure in January, after some healing had taken place, but his insurance program was changing and the second surgery would take place in another hospital. He had not been his usual jovial self the past few days, and he had told us not being able to return to our unit for the surgery had him down, among other things.

When I was instructing Harry on ways to rest and reduce stress while waiting for the second procedure, I asked him what he did to relax. He answered that he enjoyed movies and listening to music. That hit a nerve with me. Music is an important part of my life. I asked what type of music he liked, and he answered, “Are you down with the Temptations?” Dutifully, I began to sing, “I know you’re gonna leave me, but I refuse to let you go”. He joined me for the rest of the song, singing and laughing.

I went back to the nurse’s station to prepare my evening medications and the other girls were just looking at me, shaking their heads. “What were you doing in there?” they asked.

“Patient teaching”, came my reply, “and this guy hasn’t smiled in 3 days, so leave me alone and don’t mess with what works, OK?”

“Abby” was a 15-year old combative autistic patient who had been a long-term resident of a psychiatric hospital. She had a psych aid at her bedside 24 hours a day, but her combative, abusive behavior toward the staff persisted. After a few days of determined conversation in a quiet tone, she let me comb her hair and she talked to me about music and boys. I got to share one of her rare moments of just being 15.

I was assigned to stay with a patient for hours until she miscarried, both of us in tears as she held her little one and said good-bye. I stood at the bedside of a patient in kidney failure, supporting her significant other as he stroked the coppery skin of her hand. A friend and I had the hideous experience of “coding” a fellow nurse who was a patient on our floor, but we also had the joyous experience of watching her recover and return to work. All of these experiences and many others like them are the things that keep a nurse coming to work.

Unfortunately the list of "cons" is long, as well. For instance:

I was charge nurse on second shift one evening when our census was down. One RN and two aids had been pulled to work on other units. As the shift progressed, we received four admissions and the condition of two of our existing patients deteriorated. There was a hospital policy against refusing admissions, but on the fifth phone call to admit a new patient to our unit, I refused. The nurse in charge of the hospital soon appeared and asked if I had refused an admission. When I said yes, we talked about it. I got my RN and one aid back, and we accepted the admission. However, I had to break hospital policy to make it happen.

I told the head of my unit that the conditions we were working under were unsafe for the patients, and she said, “You’re not supposed to say that out loud.”

On a shift with a “code,” two fresh open heart patients, four other patients with various IV drips, and everyone on telemetry, I was expected to give adequate nursing care to all patients including dressing changes, deal with the code, complete all doctor’s phone calls and charting, and clock out after precisely 8 hours, not one moment more. The only exception was if I was asked to stay over to cover an absence.

These experiences and many others are what makes some nurses leave the profession. So recommending nursing as a career is a complicated proposition. I usually decide how to answer by who is asking. If the person talks about money or nursing as a “job,” I discourage them. But if the person has a gleam in their eye, a wish to serve, lots of energy, a good sense of humor, and a feeling that nursing is their “calling,” I am happy to welcome them to our profession.



The Shortcut URL To This Section Is: http://www.nursefriendly.com/views/


In this section, you can hear from Registered Nurses, Licensed Practical Nurses, etc, new and old on why they would or would not recommend going into Nursing as a career. Our articles are frank, uncensored and brutally honest. We hope they'll help you make your decision if you're unsure about nursing being for you.

It is not our intent to "scare you off" from Nursing, some of our reviews are quite positive. It is our intention to help you go into Nursing with "open eyes" and aware of what you can reasonably expect as students and entry-level nurses.

Do you have questions or comments about our articles? Like to express an opinion? Visit our forums and make it known!

See also:
Licensed Practical Nurses, http://www.nursefriendly.com/lpn
Registered Nurses, http://www.nursefriendly.com/rn/
To Stay In Nursing or Not: http://www.nursingdiscussions.com/stay


Nursing, Not For Everyone, Not For Most People by Andrew Lopez, RN
Nurses are Licensed Professionals who's practice is regulated by Nurse Practice Acts, and the State Board of Nursing of each State. Nursing is a ...

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The Beauty of Nursing by Rebekah Hinton, BSN, RN, Virginia Nurses Views of The Nursing Profession:"I have been a caretaker for as long as I can remember. I am the oldest of four daughters and have always been a second Mother to my siblings. Going into nursing seemed to be a logical choice for me. As a student I was eager to learn and worked very hard to get the best education possible. I entered into a Bachelor of Science in nursing program without knowing the difference between a RN program and a BSN program."

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Nursing: How Do I Find Out If It's For Me? by Angela Eichenlaub, RN, BSN:"The face of nursing has changed" or "Nursing is not what it used to be" are phrases I often hear from seasoned staff. I wish I knew what nursing "used to be" so I could compare! My own personal advice to anyone considering a career in nursing is to take your reason for entering the profession into account. Some go into nursing for money, some because they have always wanted to and some people go into nursing because they don't know what else to do."

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To Be Or Not To Be, by Sharon Jones, RN, Ohio Nurses Views of The Nursing Profession:"To Be…Or Not To Be… was never the question for me. I had always been a caretaker of sorts even at a very young age. The decision to return to work was based more on a career that I could relate to and be employed at. To be it was… and I started school at a local college for a Registered Nurse program. Almost two years into school, all my pre- req. courses completed and a waiting list to get into the nursing classes (a very unbelievable thing looking back- too many students- many had to wait) forced me to change course of action that lead to LPN school."

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Twenty Years of Nursing by James E. Meekins, North Carolina Nursing Views:"Thirty years ago I walked into the Navy recruiters office; laid off, without a real skill and signed up to be a Navy Hospital Corpsman (medic). I learned basic patient care---and basic first aid; and learned to work under the direction of a physician or nurse. I enjoyed what I did, the pride of being part of a team; accomplishment of a common goal, first aid in the field with Marines, or care of a patient in the hospital. . . ."

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Nursing: Pros and Cons by Christy Picton, RN, BSN, Illinois Nurses' Views of The Nursing Profession:"I struggle when asked whether I would recommend the nursing profession as a career. In the end it comes to down to a weighing of the pros and cons. Let me begin by introducing you to some of my patients, my "pros" so to speak. . . . "

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"One of The Lucky Ones" by Christine Cruz, Minnesota Nurses Views of The Nursing Profession:"My name is Chris. I have been an RN for ten-years. I have worked in a wide variety of nursing settings, from home care, long-term care to telephone triage, clinics and nursing management. Upon graduation from nursing school in, May, 1993, I had eagerly anticipated a new RN position at a local hospital, in one of its med-surgical units. . . ."

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You Want to Be a Nurse? -- Better Leave Your Heart Behind by Pennye Diane Morgan Shaw R.N., Texas Nurses Views of the Nursing Profession:"So you're thinking about being a nurse? You probably are a person who wants to make a difference, to help others, to be a compassionate healer. Are these are the same reasons I entered the nursing profession about 9 years ago. I had been through the emotional experience of watching my father being diagnosed with colon cancer. I had been by his side though radiation therapy, and though surgery and recovery. I watched as he struggled to cope with the drastic changes to his body as he tried to return to a normal life. . . . "

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My Advice for New and Potential Nurses, by Pam Lowry, Illinois Nurses Views of the Nursing Profession:"According to the American Association of Colleges of Nursing (AACN), "The United States is in the midst of a nursing shortage that is projected to intensify as baby boomers age and the need for health care grows." They also state enrollments in nursing colleges are at a six-year decline. According to JAMA there will be a shortage of 400,000 nurses in the U.S. by the year 2020. AACN goes on to state there are declines in nursing faculty leading to limitations on enrollment, the population of R.N.'s is the lowest it has been in 20 years, and vacancy rates at hospitals are high. . . "

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An Insight Into Nursing by Leah Stockdale, R.N., B.S.N. Maryland Nurses Views of the Nursing Profession:"Although I am extremely proud of being a nurse, I will have to say that I am not sure if I would choose the profession if I could go back. At the same time, I probably would not choose any career in the health care industry. In my opinion, as far as hospital nursing is concerned, the negatives outweigh the positives. That is why I am currently in the process of applying my nursing skills and education to another field. . . "

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A Letter To A Future Nurse by Kristina Rzanca, LPN, Michigan Nurses Views:"Being a Nurse is a career you can be spiritually, emotionally and financially satisfied with. In this day and age this is a unique opportunity, but it is not for everyone. A special person with qualities such as empathy, compassion, intelligence and above all patience should only apply. . . . "

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To Be A Nurse Takes A Special Kind Of Person By Vicky Oliver, LPN:"As an LPN for the last ten years I believe I could give some insight on my experience as a nurse. I am the type of person who is always doing something for others instead of me. My experiences in nursing consist of Medical Surgical, Doctors' Office, Emergency Room, Surgery, GI Lab, Urology, Utilization Review, Recovery Room, and the Nursing Home. Anyone that goes into the nursing profession needs to be a very caring person, someone who wants to give to others and someone that is very dedicated. . . "

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After Fourteen Years As An RN, I Am Not Sorry For My Choice By Lynn Kash, RN:"Would I recommend the nursing profession? That is a good question that requires a lot of thought. Nursing was not my first choice of careers. I studied accounting in college, and after working in the business world, decided it was not for me. I fell into a job as a nursing assistant and found patient care to my liking. I then started nursing school and the rest is history. . . .

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A New York BSN's Point of View, By Melina Begun, BSN, RN, Clinical Administrative Liaison Nurse:"Nursing is suffering. Thousands of caring people enter into this profession every year only to become disillusioned by its reality. When I first started to study nursing, I immediately felt a connection with its history and our potential to be leaders in the medical community. Excited by all of the knowledge and skills I acquired in my Ivy league nursing program, I was astonished by the harsh reality of nursing in today's hospitals when I started working as a staff nurse. . .

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Tips To A Good Start In The Nursing Profession by Diane Hartley:"My name is Diane and I have been in the nursing profession for 12 years. In those years I have seen very many changes with this profession. One of the first changes was in DRG's. This for those of you who do not know what they are is diagnosis related groups. . . "

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Wednesday, September 28, 2011

Nursing Refresher Courses on: The Nursefriendly

Nursing Refresher Courses on: The Nursefriendly

Does your organization offer a nursing refresher course? Add it to our database!


National Nursing Refresher Course Providers:

  • North Dakota Board of Nursing:"This course is accepted by most State Boards of Nursing for relicensure. RN & LPN REFRESHER COURSES are based on the Adult Learning Principle of self-motivated learning. Students proceed at their own pace, with one year to complete the course. The course is divided into two main components: 100 hours of theory (RN) 60 hours of theory (LPN) plus 100 hours of clinical practicum. Nursing Practice Activities are included in each module of the Learner Guide to augment the theory learning. Support is available from the CNE-Net staff and the clinical practicum is completed at a facility near the student with an approved registered nurse preceptor. Successful completion requires passing a final exam with a minimum of 75%. The exam is administered by a proctor, whom the student chooses."
    For additional information or to enroll in the Refresher Course e-mail marna@ndna.org or call (701) 223-7105
    https://sites.google.com/site/ndnaprairierosepetal/refresher-courses-lpn-iv-course

LPNrefreshercourse.com, National Association for Practical Nurse Education and Service, Inc. (NAPNES):"For many Licensed Practical Nurses (LPN) or Licensed Vocational Nurses (LVN) nurses who have been inactive or who have let their license lapse for one reason or another, attending a University or Community College for a state-required refresher course is just not an option. Time, money, job or family obligations , or geographic proximity to an institution can prevent good nurses from reactivating their license and/or returning to work. If you've found yourself in this situation, a self-study refresher course may be the solution. This course permits you to begin at your convenience and study at home, at your own pace. You can complete the theory, testing and clinical practice in your own community."
National Association for Practical Nurse Education and Service, Inc. (NAPNES) http://www.lpnrefreshercourse.com/Home.aspx

See also: Offline/Online Nursing Degree Programs


Calling Nurses Back to the Field Ramona Salotti, RN, BS, Nursingspectrum.com:"We came from throughout the Philadelphia area, 30 women who shared a common bond: We all were inactive registered nurses. Our reasons for leaving the profession were similar, and familiar — family commitments, professional frustrations, better opportunities in other fields. But the nursing shortage had inspired many of us to reconsider our commitment, and the conference “Re-Discover Nursing,” hosted by NurseSponsorsTM, brought us together."
http://community.nursingspectrum.com/MagazineArticles/article.cfm?AID=9742

Freshen Up with a Nurse Refresher Course Valerie Kordowski, RN, BSN:"Are you tired of saying you “used to be a nurse?” If so, your first step may be to take a nurse refresher course. It can be just what you need to put your nursing career back on track. Whether your current nursing license is inactive or lapsed, your state board of nursing requires you to take a nurse refresher course to return to active status, and any nurse can take a refresher course. “The backgrounds and situations represented by RNs who’ve taken our course are incredibly varied,” says Virginia Moore, RNC, MSN, WHNP, office of lifelong learning coordinator for the Back to the Future: Renewing RNs course at Vanderbilt University School of Nursing in Nashville, TN. “The youngest person to take our course was 30 years old [and] the most mature was 75. Some have active licenses but have not been involved in bedside care in the hospital setting for several years. Others have inactive or lapsed licenses due to involvement in other careers, home-making responsibilities, or retirement.”
http://news.nurse.com/apps/pbcs.dll/article?AID=2004404010306

Hospital Mentors and College Bring RNs Back to the Workforce, Carol Bartolotti, RN, C, MPA:"You’ve been out of clinical nursing for at least 15 years, but you’d like to return to work on a medical/surgical unit. Where do you go first? You’ve heard about refresher courses and know that they might be your answer. You head to your local hospital and investigate the possibilities. If you came to Nyack Hospital in Nyack, NY, you’d find that we’ve formed a partnership with Rockland County’s only community college and developed a refresher course for RNs. This course, designed to familiarize inactive RNs with the current acute care environment, begins with a four-hour classroom/skills laboratory orientation that covers topics such as infection control and fire safety, followed by five eight-hour clinical days. We have course instructors and assigned hospital staff as clinical mentors."
http://www2.nursingspectrum.com/articles/article.cfm?aid=8170


By State:

Arizona Nurse Refresher Courses:

    Registered Nurse Refresher Course, MCC Nursing Department, Mesa Community College:"Has your nursing career been on hold but now you’re ready to return? Have you let your license lapse for one reason or another? Well, reactivate your license and return to work with the MCC Registered Nurse Refresher program. Our program is conveniently offered online. The Registered Nurse Refresher program consists of two sequential courses that are approved by the Arizona State Board of Nursing for licensure in Arizona only. The program may be completed in as little as six months"
    1833 West Southern Avenue, Mesa, AZ 85202 USA
    PHONE: 480 461 7000 (main)
    http://www.mesacc.edu/programs/nursing-refresher

Colorado Nurse Refresher Courses:

  • The RN Refresher Course, University of Colorado, Colorado Springs:"Are you an inactive registered nurse or an active registered nurse, but you feel out of practice with today's fast-paced health care environment? If so, then the new RN Refresher Course can bring you up to date with today's technology and standards. The RN Refresher course is an innovative course designed and developed by Beth-El faculty. Holly Bradshaw, RN, BSN is the current coordinator and lead faculty. Because of the need to maintain standards in a rapidly changing technological world, this course was developed to keep registered nurses knowledgeable about current nursing techniques and practices. The RN Refresher Course will cover many objectives. In this course you will: Review previous knowledge and basic patient care Acquire additional knowledge and skills required of a medical/surgical nurse Gain a renewed sense of self-confidence as a professional nurse Be exposed to traditional and new career/educational opportunities Be able to transfer into a staff orientation in any health care environment The RN Refresher course will help out-of-practice nurses feel current and technologically up-to-date. Past RN Refresher students repeatedly express the feelings of security and self-assurance that they received from taking this course: "
    Lifelong Learning Digest Fall/Winter 1999-2000 Call (719)262-3364 to Register Today!
    http://www.uccs.edu/~bethel/rn_refresher.htm

Delaware Nurse Refresher Courses:

    Nursing Refresher Course, University of Delaware:"Designed to upgrade basic competence of registered nurses who have not been in active practice and nurses who need to reinstate their Delaware licenses. This ten-session course includes lectures, seminars, and demonstrations. Independent study and clinical experience (four days, arranged by mutual agreement between students and instructor) also are required. Participants who complete the program are awarded certification from the College of Health and Nursing Sciences. Both lectures and clinical experience are required to successfully complete the course. Enrollment is limited to ten students."
    University of Delaware - Newark Campus Map
    Newark, DE
    302-831-2000
    If you have questions please contact Ruth Hurst by e-mail at continuing-health@udel.edu or by phone at 302/831-8837.
    http://www.continuingstudies.udel.edu/noncredit/review/nursing_refresher.shtml

Florida Nurse Refresher Courses:

    Health Science Continuing Education Refresher Nurse Update (Theory & Clinical)- Broward County Community College:"This course is designed for the Registered Nurse (RN) who has been away from practice for three (3) or more years, or those currently working in areas other than the medical-surgical environment. The material presented will allow the returning nurse to practice: patient care skills, the administration of medication and physical assessment in the lab setting prior to hospital clinicals. This will give an opportunity for the nurse to become aware of the changes that have occurred and that are necessary for providing effective nursing care in a variety of acute care clinical situations, so that the nurse will be able to move with confidence into a staff nurse orientation and return to practice. Clinical lab will be provided in a local hospital(s) where the returning RN will be exposed to various experiences working with an RN preceptor."
    http://www.broward.edu/cehealth/cehealth/rnrefresher/page8114.html

Indiana Nurse Refresher Courses:

    Community's Nurse Refresher Course, Indiana:"The Nursing Refresher Course is designed primarily to assist the inactive RN/LPN in updating knowledge and skills to return to active nursing employment. The curriculum consists of classroom instruction coordinated with clinical observations all designed to update a nurse on current nursing trends and to provide opportunities for sharpening skills and learning new nursing techniques. This course is offered two times a year."
    Community Health Network
    1500 North Ritter Ave. Indianapolis, IN 46219
    (317) 355-1411
    http://www.ecommunity.com/employment/index.aspx?pg=8706

New Jersey Nurse Refresher Courses:

    Center for Nursing and Health Careers, Registered Nurse Refresher Courses, New Jersey Hospital Association:"Refresher courses are designed to help registered nurses return to clinical practice with confidence in their ability to function competently in a patient-care setting."
    http://www.njha.com/healthrecruitment/rncourse.aspx

      Brookdale Community College
      765 Newman Springs Road
      Lincroft, NJ 07738
      (732) 224-2345
      http://brookdalecc.edu/pages/879.asp/

      County College of Morris
      214 Center Grove Road
      Randolph, NJ 07869
      (888) 226-8001
      http://www.ccm.edu/

      Muhlenberg Regional Medical Center School of Nursing
      Park Ave. & Randolph Rd.
      Plainfield, NJ 07061
      (908) 668-2400
      http://www.muhlenbergschools.org/

      Our Lady of Lourdes School of Nursing
      340A E. Evesham Ave. Magnolia, NJ 08049
      856-782-2103 or 856-757-3996
      pbicknell@lourdesnet.org
      http://www.lourdesnursingschool.org

      Rutgers College of Nursing
      Center for Professional Development
      (973) 353-5895
      DAY, EVENING and SATURDAY PROGRAMS
      http://nursing.rutgers.edu/

      Virtua Health
      Helene Fuld School of Nursing Camden County College
      P.O. Box 1669, College Drive Blackwood, NJ 08012
      (856) 374-0100
      http://www.virtua.org/

      • Brookdale Community College, New Jersey:"Update your skills to re-enter a workplace with a growing demand for nurses and increased career opportunities A human systems body approach will focus on the latest diagnostic, surgical and medical interventions and treatments. Topics will include: the latest medications, such as antiretrovirals for HIV, antibiotic and antineoplastic drugs; nursing care of patients with PIC lines, chest tubes, and closed system suctions; assessment and the nursing process; management and leadership; nursing issues and trends. The course includes theory, nursing lab practice and clinical experience."
        To register or obtain further information, phone (732) 224-2380 or E-mail program coordinator Susan Craig at scraig@brookdale.cc.nj.us
        http://brookdalecc.edu/pages/879.asp/

      North Carolina Nurse Refresher Courses:

      • Wilmington, North Carolina, AHEC:"Self-paced RN Refresher Program. Are you a nurse who has not worked in more than five years? Have you been working, but not in a clinical capacity? Are you interested in returning to nursing? If the answer is yes, Coastal AHEC and the Independent Study Division of UNC-Chapel Hill have a nurse refresher course designed just for YOU! Contact Gail Imhof for more information."
        Director Gail Imhof, R.N., D.Soc.Sc. Phone (910) 343.0161 ex 271 E-mail imhofg@med.unc.edu
        http://www.med.unc.edu/coahec/nursing.htm

      North Dakota Nurse Refresher Courses:

      • North Dakota Board of Nursing:"This course is accepted by most State Boards of Nursing for relicensure. RN & LPN REFRESHER COURSES are based on the Adult Learning Principle of self-motivated learning. Students proceed at their own pace, with one year to complete the course. The course is divided into two main components: 100 hours of theory (RN) 60 hours of theory (LPN) plus 100 hours of clinical practicum. Nursing Practice Activities are included in each module of the Learner Guide to augment the theory learning. Support is available from the CNE-Net staff and the clinical practicum is completed at a facility near the student with an approved registered nurse preceptor. Successful completion requires passing a final exam with a minimum of 75%. The exam is administered by a proctor, whom the student chooses."
        For additional information or to enroll in the Refresher Course e-mail marna@ndna.org or call (701) 223-7105
        https://sites.google.com/site/ndnaprairierosepetal/refresher-courses-lpn-iv-course

      South Dakota Nursing Refresher Courses:

      • Independent Study Refresher Course For Licensed Practical Nurses:"This self study refresher course was developed to provide an opportunity for inactive licensed practical nurses (LPNs) to meet requirements of a refresher course for relicensure. This self study refresher course was developed to provide an opportunity for inactive licensed practical nurses (LPN/LVN) to update their nursing knowledge and skills prior to relicensure. This course is offered over the Internet and may be completed in one's home community and at a pace and time which best meets individual needs. The course is designed to reacquaint the inactive LPN with the basic nursing knowledge and skills which will allow movement with confidence into an orientation program in a health care setting, then back into nursing practice."
        South Dakota State University, College of Nursing Office of Continuing Nursing Education
        Box 2275 Brookings, SD 57007-0098
        Telephone (605) 688-5745 Fax (605) 688-6679 Tammy Herold@sdstate.edu
        http://www.sdstate.edu/nurs/programs/lpn/index.cfm

      • Independent Study Refresher Course for Registered Nurses:"This self-study refresher course was developed to help inactive nurses review and update their nursing knowledge and skills, thus allowing them to move with confidence into a nurse orientation program and return to practice. This course is offered over the Internet and may be completed in one's home community and at a pace and time which best meets individual needs."
        South Dakota State University, College of Nursing Office of Continuing Nursing Education
        SDSU College of Nursing
        Box 2275 Brookings, SD 57007-0098
        Telephone (888) 216-9806 Fax (605) 688-6679 Tammy Herold@sdstate.edu
        http://www.sdstate.edu/nurs/programs/rn/index.cfm

      Tennessee Nurse Refresher Courses:

      Texas Nurse Refresher Courses:

        Professional Healthcare Education Service Inc.:"We are state of Texas and Louisana approved Nurse Remediation and Nurse Refresher providers. Professional Healthcare Education Service, Inc. (PHES) focuses on educational needs for healthcare professionals and the specific healthcare related needs of businesses and organizations. Nurses needing a refresher or remediation course, doctor's offices requesting CPR or OSHA training, daycare centers with special training needs for their staff, or a nursing home/hospital requesting competency skill training, Professional Healthcare Education Service, Inc. provides a full spectrum of educational services."
        Contact_person(s): Yvette Cheeks RN, BSN
        3727 Greenbriar Dr. #403 Stafford, TX 77477
        Phone number: 877-313-7437 toll free 281-313-7437 office
        Fax number: 281-313-7470, E-Mail: phes@windstream.net
        http://www.phesonline.com

        ******************************************************


      Related:

      Nursing Refresher Courses, Education-portal.com:"People who searched for nursing refresher courses found the articles, information, and resources on this page helpful. The Nursing Professions. Those who enjoy working with people and care about promoting good health may be interested in pursuing nursing careers. Nursing professionals include nurse assistants, registered nurses, gerontologic nurses, and nurse practitioners. Each of these specialties has different requirements with regards to education, training, and certification. Many colleges, universities, and vocational schools offer programs that focus on some aspect of nursing." http://education-portal.com/nursing_refresher_courses.html

      ******************************************************

      Help me get my nursing license back from 12-step nuts:"I am truly in a bind. Approximately 13 years ago, the Board of Nursing revoked my license for diversion of drugs. I hit rock bottom and decided on my own that this was over forever. I have been abstinent of narcotics since that time. I started a consulting business which has been fairly successful. I deal only with law firms. Last year, discussions with several law firms re medical/legal consulting prompted me to attempt to obtain my license back so that I could expand to include this new area."
      http://www.peele.net/faq/nursing.html

      ******************************************************

      How you can reenter the job market:"As an OR nurse, Marie Torlincasi, RN, was making good money. But when she started her family, she quit her job. Although she knew it might be hard to get back into the profession later, she was willing to take her chances."
      http://www.nurseweek.com/features/98-3/reenter.html

Tuesday, September 27, 2011

Operating Room, Surgical Nursing Malpractice Cases

Operating Room, Surgical Nursing Malpractice Cases

May 23, 1999: Sponge Count Off, Patient Develops Sepsis, Surgeon Blames Nurse.
Sponge Counts are a basic and critical safety measure during a surgical operation.  In this case, the standard three counts were not performed.  A sponge was left in the patient that would later lead to infection.  When the issue went to court, the surgeon claimed "it was not his responsibility" to keep track of the sponges. Johnston v. Southwest Louisiana Assn. 693 So. 2d 1195 –LA (1997)

Editors Note: The urls to these cases are Permanent and Will Not Change. Feel free to link to any case you feel is helpful. To host any of our cases on your website or reproduce them in your publications, please contact Andrew Lopez, RN

Please choose from the following:

Sunday, September 25, 2011

#Nursing #Care Plans, #NursingStudents Links on: The #NurseFriendly #nursingschools #careplans #patients

Nurse Entrepreneurs offering Care Plan services

Careplans.com:"This website has been provided free of charge for the last three years. Unfortunately we can no longer continue this effort without charging. Our subscription fee is now only $20 US Dollars for 12 months access to the site. We hope you understand and help support us to continue this important website! Click the link above to subscribe."
Robin Technologies, Inc.
Gary Jorgenson, RN
12 Westerville Square Suite 159, Westerville, Oh 43081
Ph: 614.895.2020, Fax: 614.899.1580, Toll-Free: 800.834.7430 Email: info@robintek.com
http://www.careplans.com

******************************************************

Comprehensive Nursing Care Plans:"We offer single month memberships or monthly recurring memberships which are automatically billed until you cancel. By joining Comprehensive Nursing Care Plans you get just that, Comprehensive Care Plan templates designed by nursing professionals with a combined 60 years of practical experience. We also offer custom care plan templates to assist you in learning how to write effective care plans. If you can't find what you are looking for in our plan selection, email our staff and we will provide you with an example template."
Comprehensive Nursing Care Plans, LLC
Julia K. Gulas, RN, BFA, MS.
Sandra Gans, RN
http://www.cncplan.com/

******************************************************

******************************************************

11 Steps To Care Planning (excerpt): Nursing Care Plans and Documentation: Nursing Diagnosis and Collaborative Problems, 4th Edition: Lynda Juall Carpenito RN, MSN, FNP:"Care plans have one primary purpose: to provide directions for the nursing staff for a particular client. For students and nurses inexperienced in caring for a person with a particular condition or after a certain surgical procedure, these directions (care plan) need to be detailed. For nurses experienced in caring for people with a particular condition or after a certain surgical procedure, these directions (care plan) will be limited to only those specific interventions that are different for this particular client."
http://connection.lww.com/products/carpenito-careplans/11Steps-Intro.asp

******************************************************

Transitional Care Planning, National Cancer Institute:"Transitional care can be defined as that which is required to facilitate a shift from one disease stage and/or place of care to another. For example, as disease progresses, a patient may proceed through phases of illness that require vastly differing levels of emphasis in the goals of care, and consequently the nature of care delivery. An individual may have a disease that is amenable to curative therapy; the major goal of therapy may focus on this. Another stage of cancer may be more amenable to an intense focus on palliation. In many cases a balance between both is the goal. For increasing numbers of individuals, challenging transitions also occur from "illness" to "health."
NCI Public Inquiries Office
Suite 3036A 6116 Executive Boulevard, MSC8322 Bethesda, MD 20892-8322
1-800-4-CANCER (1-800-422-6237), webmaster@cancer.gov
http://www.cancer.gov/cancerinfo/pdq/supportivecare/transitionalcare/HealthProfessional

******************************************************

Care Plan Corner, RN Central:"Altered/Alterations, Impaired/Impairment, General, , Bowel Elimination, Constipation, Bowel Elimination, Diarrhea, Cardiac Output, Decreased, Comfort: Chest Pain, Comfort: Pain, Family Processes, Growth and, Development, Health Maintenance, Nutrition, Less than Body Requirements, Nutrition, More than Body Requirements, Oral Mucous, Membranes: Stomatitis, Parenting, Sensory Perceptual, Sexuality Patterns, Thought Process, Urinary Elimination, Incontinence, Urinary Elimination, Retention, Adjustment, Gas Exchange, Home Maintenance, Management, Physical Mobility, Skin Integrity, Social Interaction, Verbal Communication, Activity Intolerance, Anxiety, Coping: Ineffective, Individual, Discharge, Disuse Syndrome, Diversional Activity, Deficit, Fear, Fluid Volume Deficit, Fluid Volume Excess, Grieving, Hyperthermia, Hypothermia, Knowledge Deficit, Ineffective Airway, Clearance, Ineffective Breathing, Patterns, Noncompliance, Potential for Infection, Powerlessness, Rape Trauma, Syndrome, Self Care Deficit, Bathing, Self Care Deficit, Dressing and Grooming, Sleep Pattern Disturbance."
Fran Beall, RN, CS, ANP.
http://www.rncentral.com/

******************************************************

Care Plan Constructor, Nursing Diagnosis Handbook (Free Registration Required):"Welcome to the Nursing Diagnosis Handbook Care Plan Constructor. This tool enables you to create customized plans of care by selecting items from many of the Nursing Diagnoses from the 5th edition as well as adding your own. We are always striving to improve our online offerings. Please contact us with any suggestions or problems you experience with the Care Plan Constructor for Ackley/Ladwig: Nursing Diagnosis Handbook."
http://evolve.elsevier.com/productPages/s_032302551X.html

******************************************************

Multiple Sclerosis, Problem Oriented Nursing Care Plans, Center for Neurologic Study:"At the time these nursing care plans were prepared, the Multiple Sclerosis Center was an integral part of the Department of Neurology at St. Barnabas Hospital. As patients from the outpatient MS Center used the inpatient services, the nursing staff requested assistance in their overall management of these patients. This standard care plan was the result. The inservice staff found that it improved care and provided a consistent format for assessment both for in- and outpatients. The MS Center nursing staff also found that the care plan aided communication with nursing personnel in other areas. The MS Center is now a division of the Albert Einstein College of Medicine."
Center for Neurologic Study
9850 Genesee Avenue, Suite 320 La Jolla, CA 92037
CNS Phone: (858) 455-5463 CNS FAX: (858) 455-1713 CNS General Email: cns@cts.com
http://www.cnsonline.org/www/archive/ms/ms-07.html

******************************************************

******************************************************

If your website is not listed here, we encourage you to submit it: Add Your Website/URL.

See also:

Nursing Topics, A to Z:


Nursing Degrees, LPN-RN, RN-BSN, RN-MSN, Online/Offline College, University and more!:"Higher income. Career mobility. Now, no matter where you live or what your schedule, you can earn your Associate or Bachelor Degree to take your professional life to the next level — without putting the rest of your life on hold!"

If you do any Browsing or Windowshopping online, please visit our online Mall:
http://www.nursefriendly.com/shopping/

Gifts For Nurses:
http://www.nursefriendly.com/gifts/

4nursinguniforms.com:"Choose from Top Nursing Uniform Companies. All sizes, styles and popular name brands available. Large selection of accessories as well: Accessories Blood Pressure Cuffs, Sphygnomanometers Nursing Tote Bags, Carry-Ons, Medical Bags Clinical, Medical Supplies, Nurses Discount Outlet: Angels, Books, Clothing , Equipment, Figurines, Holidays, Home Decor, Jewelry, Nurses, Office Decor, Scrubs, Shoes, T-Shirts Footwear, Shoes, Sandals, Discount, Bargains Gifts For Nurses (Nurses Week) Hosiery, Socks, Stockings Hats, Jackets, Jumpers Jewelry, Earrings, Necklaces, Watches Luxury Spas, Facials, Manicures, Pedicures Perfumes, Fragrances, Phermones Shoes, Boots, Sandals, Footwear, High Heels, Slippers Stethescopes, Nurse Kits, Replacement Parts Swimwear (Tan-Through) Women's Lingerie "
4nursinguniforms.com

******************************************************

Nursing Chat, Nurse Discussion Forums:
http://nursingdiscussions.com

******************************************************

The Uniform Resource Locator (URL) or Internet Street Address of this page is
http://www.nursefriendly.com/nursing/nursing.students/care.plans.htm

Nursing Care Plans, Nursing Student Links on: The Nurse Friendly

Nursing Care Plans, Nursing Student Links on: The Nurse Friendly

Nurse Entrepreneurs offering Care Plan services

Careplans.com:"This website has been provided free of charge for the last three years. Unfortunately we can no longer continue this effort without charging. Our subscription fee is now only $20 US Dollars for 12 months access to the site. We hope you understand and help support us to continue this important website! Click the link above to subscribe."
Robin Technologies, Inc.
Gary Jorgenson, RN
12 Westerville Square Suite 159, Westerville, Oh 43081
Ph: 614.895.2020, Fax: 614.899.1580, Toll-Free: 800.834.7430 Email: info@robintek.com
http://www.careplans.com

******************************************************

Comprehensive Nursing Care Plans:"We offer single month memberships or monthly recurring memberships which are automatically billed until you cancel. By joining Comprehensive Nursing Care Plans you get just that, Comprehensive Care Plan templates designed by nursing professionals with a combined 60 years of practical experience. We also offer custom care plan templates to assist you in learning how to write effective care plans. If you can't find what you are looking for in our plan selection, email our staff and we will provide you with an example template."
Comprehensive Nursing Care Plans, LLC
Julia K. Gulas, RN, BFA, MS.
Sandra Gans, RN
http://www.cncplan.com/

******************************************************

******************************************************

11 Steps To Care Planning (excerpt): Nursing Care Plans and Documentation: Nursing Diagnosis and Collaborative Problems, 4th Edition: Lynda Juall Carpenito RN, MSN, FNP:"Care plans have one primary purpose: to provide directions for the nursing staff for a particular client. For students and nurses inexperienced in caring for a person with a particular condition or after a certain surgical procedure, these directions (care plan) need to be detailed. For nurses experienced in caring for people with a particular condition or after a certain surgical procedure, these directions (care plan) will be limited to only those specific interventions that are different for this particular client."
http://connection.lww.com/products/carpenito-careplans/11Steps-Intro.asp

******************************************************

Transitional Care Planning, National Cancer Institute:"Transitional care can be defined as that which is required to facilitate a shift from one disease stage and/or place of care to another. For example, as disease progresses, a patient may proceed through phases of illness that require vastly differing levels of emphasis in the goals of care, and consequently the nature of care delivery. An individual may have a disease that is amenable to curative therapy; the major goal of therapy may focus on this. Another stage of cancer may be more amenable to an intense focus on palliation. In many cases a balance between both is the goal. For increasing numbers of individuals, challenging transitions also occur from "illness" to "health."
NCI Public Inquiries Office
Suite 3036A 6116 Executive Boulevard, MSC8322 Bethesda, MD 20892-8322
1-800-4-CANCER (1-800-422-6237), webmaster@cancer.gov
http://www.cancer.gov/cancerinfo/pdq/supportivecare/transitionalcare/HealthProfessional

******************************************************

Care Plan Corner, RN Central:"Altered/Alterations, Impaired/Impairment, General, , Bowel Elimination, Constipation, Bowel Elimination, Diarrhea, Cardiac Output, Decreased, Comfort: Chest Pain, Comfort: Pain, Family Processes, Growth and, Development, Health Maintenance, Nutrition, Less than Body Requirements, Nutrition, More than Body Requirements, Oral Mucous, Membranes: Stomatitis, Parenting, Sensory Perceptual, Sexuality Patterns, Thought Process, Urinary Elimination, Incontinence, Urinary Elimination, Retention, Adjustment, Gas Exchange, Home Maintenance, Management, Physical Mobility, Skin Integrity, Social Interaction, Verbal Communication, Activity Intolerance, Anxiety, Coping: Ineffective, Individual, Discharge, Disuse Syndrome, Diversional Activity, Deficit, Fear, Fluid Volume Deficit, Fluid Volume Excess, Grieving, Hyperthermia, Hypothermia, Knowledge Deficit, Ineffective Airway, Clearance, Ineffective Breathing, Patterns, Noncompliance, Potential for Infection, Powerlessness, Rape Trauma, Syndrome, Self Care Deficit, Bathing, Self Care Deficit, Dressing and Grooming, Sleep Pattern Disturbance."
Fran Beall, RN, CS, ANP.
http://www.rncentral.com/

******************************************************

Care Plan Constructor, Nursing Diagnosis Handbook (Free Registration Required):"Welcome to the Nursing Diagnosis Handbook Care Plan Constructor. This tool enables you to create customized plans of care by selecting items from many of the Nursing Diagnoses from the 5th edition as well as adding your own. We are always striving to improve our online offerings. Please contact us with any suggestions or problems you experience with the Care Plan Constructor for Ackley/Ladwig: Nursing Diagnosis Handbook."
http://evolve.elsevier.com/productPages/s_032302551X.html

******************************************************

Multiple Sclerosis, Problem Oriented Nursing Care Plans, Center for Neurologic Study:"At the time these nursing care plans were prepared, the Multiple Sclerosis Center was an integral part of the Department of Neurology at St. Barnabas Hospital. As patients from the outpatient MS Center used the inpatient services, the nursing staff requested assistance in their overall management of these patients. This standard care plan was the result. The inservice staff found that it improved care and provided a consistent format for assessment both for in- and outpatients. The MS Center nursing staff also found that the care plan aided communication with nursing personnel in other areas. The MS Center is now a division of the Albert Einstein College of Medicine."
Center for Neurologic Study
9850 Genesee Avenue, Suite 320 La Jolla, CA 92037
CNS Phone: (858) 455-5463 CNS FAX: (858) 455-1713 CNS General Email: cns@cts.com
http://www.cnsonline.org/www/archive/ms/ms-07.html

******************************************************

******************************************************

If your website is not listed here, we encourage you to submit it: Add Your Website/URL.

See also:

Nursing Topics, A to Z:


Nursing Degrees, LPN-RN, RN-BSN, RN-MSN, Online/Offline College, University and more!:"Higher income. Career mobility. Now, no matter where you live or what your schedule, you can earn your Associate or Bachelor Degree to take your professional life to the next level — without putting the rest of your life on hold!"

If you do any Browsing or Windowshopping online, please visit our online Mall:
http://www.nursefriendly.com/shopping/

Gifts For Nurses:
http://www.nursefriendly.com/gifts/

4nursinguniforms.com:"Choose from Top Nursing Uniform Companies. All sizes, styles and popular name brands available. Large selection of accessories as well: Accessories Blood Pressure Cuffs, Sphygnomanometers Nursing Tote Bags, Carry-Ons, Medical Bags Clinical, Medical Supplies, Nurses Discount Outlet: Angels, Books, Clothing , Equipment, Figurines, Holidays, Home Decor, Jewelry, Nurses, Office Decor, Scrubs, Shoes, T-Shirts Footwear, Shoes, Sandals, Discount, Bargains Gifts For Nurses (Nurses Week) Hosiery, Socks, Stockings Hats, Jackets, Jumpers Jewelry, Earrings, Necklaces, Watches Luxury Spas, Facials, Manicures, Pedicures Perfumes, Fragrances, Phermones Shoes, Boots, Sandals, Footwear, High Heels, Slippers Stethescopes, Nurse Kits, Replacement Parts Swimwear (Tan-Through) Women's Lingerie "
4nursinguniforms.com

******************************************************

Nursing Chat, Nurse Discussion Forums:
http://nursingdiscussions.com

******************************************************

The Uniform Resource Locator (URL) or Internet Street Address of this page is
http://www.nursefriendly.com/nursing/nursing.students/care.plans.htm