Showing posts with label Emergency Room Visits. Show all posts
Showing posts with label Emergency Room Visits. Show all posts

Monday, November 21, 2011

Emergency Department (ER, Casualty, Trauma) Nurses on: The #NurseFriendly #emergency #nursing #trauma #nursingstudents #nurses #healthcare

Please choose from the following:

New!

Sharon Gauthier RN/MSN-iRNPA, Patient Advocate for You, LLC:"Our services coordinate care, educate patients and families, collaborate with your healthcare team and support your needs with a personal seasoned RN patient advocate. We do not provide hands on care and don't replace home care agencies. We are adjunct to your support system while expanding your resources to stay well. Relieving your stress is our expertise. We are your voice helping you navigate through the system. We tell your story and make sure someone listens. We are a well respected addition to your present healthcare team by your side throughout the system you are in, evaluating, collaborating, educating and supporting you and your family."
Sharon Gauthier RN/MSN-iRNPA
[c] Patient Advocate for You, LLC (PAFY,LLC)
100 Pearl Street Hartford, CT 06103
ph: 860-249-7271 | fax: 866-281-5768
Facebook: http://www.facebook.com/pages/Patient-Advocate-for-You-LLC/128616980502014
LinkedIn: http://www.linkedin.com/in/sharonadvocate
Twitter: http://twitter.com/#!/ptadvocate4u
http://www.ptadvocate4u.com/

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Judi S. Brantley, RN BSN MEd. Certified Legal Nurse Consultant, Charleston Medical Legal Consultants, South Carolina Legal Nurse Consultants, Nursing Entrepreneurs, Nurse-Owned Businesses:Charleston Medical Legal Consultants, LLC provides Case Analysis for Medical Malpractice cases. This includes, but not limited to:

  1. Inventory for necessary medical records
  2. Screening for merit
  3. Identify adherences to/deviations from Standards of Care
  4. Medical story
  5. Chronologies with Lexis Nexis CaseMap/TimeMap
  6. Rendering list of potential defendants
  7. Educate in medical questions
  8. Medical Research
  9. Assist in locating expert witnesses
  10. Charleston Medical Legal Consultants, LLC
    3575 Maybank Hwy., Suite D192
    Johns Island, South Carolina 29455
    Email Address: judibrantley@gmail.com
    http://www.legalnursingconsultant.com/charleston/

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    Carol J. Rhodes RN, LNC, Medical-Legal Remedies Inc (MLR):"Medical-Legal Remedies Inc (MLR) provides medical-legal Litigation Support Services for Legal Professionals that include Legal Nurse Consulting, Paralegal Litigation Support, a Medical Information Service called Virtual Legal Nurse and Medical Expert Referral Service for Attorneys, Insurance Companies, Hospital Risk Managers, Government, and Claims Management. MLR MLR's Paralegal Staff and Legal Nurse work together as a team to assist our legal clients with comprehensive medical-legal litigation issues and are committed to serve clients by offering our extensive experience and expertise to provide specialized high quality medical-legal litigation support services. By utilizing Medical-Legal Remedies Inc Paralegal/Legal Nurse Team allows the litigator to control costs and increase revenues while securing the competitive advantage with superior work products. So whether your firm or company needs a Paralegal, a Legal Nurse, or both - MLR will assist your firm or company with any medical-legal litigation case project."
    Carol J. Rhodes RN, LNC
    14286-19 Beach Blvd. #248
    Jacksonville, FL 32250
    (904) 223-3969
    Carol@JaxLegalNurse.com or Carol@VirtualLegalNurse.com
    LinkedIn: http://www.linkedin.com/pub/carol-j-rhodes/30/81b/685
    http://www.jaxparalegal.com/

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    Larry Snyder, BA, RN, DBA, RN.ORG, SA, Nursing Continuing Education Providers:"Larry Snyder, RN is the Founder and President of RN.ORG®, SA. As a licensed healthcare professional with over 15 years of experience in nursing as well as a computer authority with in-excess of 20 years of experience, he is knowledgeable with the integration of healthcare and computers and sees a strong need for licensed professionals to maintain their license in an easy, convenient, comfortable no stress environment. Larry has worked in various aspects of nursing in many states in both large and small hospitals and has the experience and background to make healthcare and nursing education friendly. Larry also functioned as a consulant at large corporations in various aspects of IT management including CBS Sports, Sportsline.com, Sports.com, Universal Studios, Nickelodeon, Viacom, Flexsys and Monsanto. Larry also has served as an expert witness on several high profile cases throughout the United States sharing his valuable input as an experienced Emergency Room nurse."
    Latin America Office (Corporate Offices)
    Larry Snyder - RN.ORG®, SA
    CR 15A # 10A-03
    El Poblado, Medellin, Colombia
    Hospital Sales (English) USA: 1-954-369-4556
    Hospital Sales (EspaƱol - E.E.U.U): 1-860-786-1866
    E-mail Address: info@rn.org
    Blogs, Social Media (Twitter, Linkedin, Facebook, etc): http://www.facebook.com/MedellinRN
    http://www.linkedin.com/pub/dir/Larry/Snyder
    http://www.twitter.com/wwwRNorg
    Phone number: 954-369-4556
    Website: http://www.rn.org
    http://www.nursingentrepreneurs.com/snyder/

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    Jennifer A. Grisso, RN BSN LNC, GrissoMedLegal:"Experienced RN with recent experience in most areas including: Telemetry, Cardiac, CCU, Stepdown, MedSurg, ER, ICU, Ambulatory, Telephonic Triage, Telephonic Disease Management. We bridge the legal and medical world. We are involved in any type of litigation that involves injury or illness, to save you time and money on the medical record, research, chronology. Also we help you prepare for depositions, mediation, or trial, all at a lower cost than other medical professionals."
    Jennifer A. Grisso, RN BSN LNC
    GrissoMedLegal
    8640 Springfield
    Skokie, IL, 60076
    Phone: 847-204-2084
    Email: Jennifer@grissoinc.com
    Linkedin: http://www.linkedin.com/in/jenniferagrisso
    Twitter: http://twitter.com/Grissomedlegal
    http://grissomedlegal.com/

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    About Emergency Department Nurses:

    Emergency Nurse, Nurses for a Healthier Tomorrow:"Emergency nurses specialize in rapid assessment and treatment when every second counts, particularly during the initial phase of acute illness and trauma. Emergency nurses must tackle diverse tasks with professionalism, efficiency, and above all—caring. Emergency nursing is a specialty area of the nursing profession like no other. To provide quality patient care for people of all ages, emergency nurses must possess both general and specific knowledge about health care to provide quality patient care for people of all ages. Emergency nurses must be ready to treat a wide variety of illnesses or injury situations, ranging from a sore throat to a heart attack. There are approximately 90,000 emergency nurses in the US."
    Nurses for a Healthier Tomorrow/STTI
    Honor Society of Nursing, Sigma Theta Tau International
    550 West North Street Indianapolis, IN 46202
    bennison@stti.iupui.edu
    http://www.nursesource.org/emergency.html


    Lucille "Lou" Addington, RN, CLNC, Florida:"We do medical-legal consulting for attorneys, insurance companies and HMO's, and private individuals. Presuit investigations and affidavits. Expert witness location. Special interest in vaccine damage cases and long term care/elder care issues. My associate and I bring a combined 42 years of professional nursing practice to our cases."
    http://www.nursingentrepreneurs.com/addington

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    Battistella Kasey BSN, Louisiana

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    Brady, Karen Bryant, RN, EMT/Paramedic Instructor, Kentucky
    http://www.nursefriendly.com/brady/

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    Bulfamante, Joyce, RN BSN, New York

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    Bykowski, David, Nurse Entrepreneur, Texas Nursing Entrepreneurs:"I have a great interest in holistic medicine I am questioned many times as to why I sell products My answer is simple to spread the holistic approach You may ask how selling products spreads the holistic approach Well I have found that I can preach holistic philosophy all day long and accomplish very little but if I can change a persons life via the use of a natural substance not only have I won them over but all the people they share their joy with. Thus I find selling products is more effective than merely preaching the benifits of holistic health."
    Specialty Areas: ER, ICU, Psych and Home Health
    http://www.nursefriendly.com/bykowski

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    Callueng, Ronel RN CCRN, Delaware, Nurse Entepreneur

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    Cari Caruso, RN SANE-A, Forensic Nurse Professionals, Inc., California Nurse Entrepreneurs:"Forensic Services: Forensic Sexual Assault, Evidentiary Exams for Victims and Suspects, Domestic/Interpersonal Violence evaluations and Photography, Consulting for Defense and Prosecuting Attorneys, Expert Testimony, Education."
    Specialty Areas:

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Sincerely,

Andrew Lopez, RN
Nursefriendly, Inc. A New Jersey Corporation.
38 Tattersall Drive, Mantua New Jersey 08051
http://www.nursefriendly.com info@nursefriendly.com ICQ #6116137
856-415-9617, (fax) 415-9618

Visit our network of sites. Over 150,000 + Nurse Selected, Approved Nursing & Healthcare Resources:

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4nursing.com:"In this Nursing Portal you'll find information on Nursing Jobs, Nursing Schools, Nurse Degrees, CNAs, LPNs, RNs, Travel Nursing, Prescriptions Drugs, Medications, Nursing Associations and much more."
http://www.4nursing.com

InspirationalNursing.com:"InspirationalNursing.com. Touching Poems, and Inspiring stories that touch the heart and occasionally bring a tear to your eye. Affection, Ambition, Angels In Our Lives, Animals, Babies, Bereavement, Caring, Caring, Children, Christian Stories, Christmas, Computers & The Internet, Death, Dependability, Determination, Dying, Easter, Emergency Medical Services (EMS), End of Life, Etc., Friendship, God's Creatures, Grief, Holiday Thoughts, Honesty, Hospice Poems, etc."
http://www.inspirationalnursing.com

Jocularity.com (Former home to the Journal of Nursing Jocularity (JNJ)):"Nursing & Medical Humor. Find hundreds of jokes and links to sites that will make you smile. Therapeutic Humor Associations, Battle of the Sexes, Bedside Nursing Humor, Brain Teasers, Clowning, Clowns, Therapeutic Humor & Comedy Links, Dental Humor, Emergency Department Humor, General Nursing Humor, Geriatrics, Senior Citizen, etc."
http://www.jocularity.com

Legalnursingconsultant.com:"This website is intended to be a resource for Legal Nurse Consultants, Attorneys looking to use their services, and nurses looking to enter the field of Legal Nurse Consulting. On our site you'll find a directory of LNCs by state and specialty."
http://www.legalnursingconsultant.com

Nursefriendly.com:"Nationwide Nursing Resources: In this Nursing Portal you'll find information on Nursing Jobs, Nursing Schools, Nurse Degrees, LPNs, RNs, APNs, Nursing Associations and much more."
http://www.nursefriendly.com

Nursinga2z.com:"It is our intent for this Alphabetical, A to Z index to be a comprehensive listing (In Progress) of Nursing-related resources on the Internet. It is indexed by Google and fully searchable."
http://www.nursinga2z.com

Nursingdiabetics.com:"Welcome to NursingDiabetics.com. Here you will find information on all aspects of Diabetes, a disease that afflicts millions of people world wide. I'll be adding pages as fast as I can research the information so remember to bookmark this page and return."
http://www.nursingdiabetics.com

Nursingdiscussions.com:"This website will be a portal to Nursing Discussion boards throughout the Web. If your site has a discussion board we don't have listed here, please contact us."
http://www.nursingdiscussions.com

Nursingentrepreneurs.com:"Nationwide Nursing resource to nurse entrepreneurs looking to nework and start home based businesses. On it you will find links to small and large business related resources."
http://www.nursingentrepreneurs.com

Nursinghumor.com:"Nursing & Medical Humor. Find hundreds of jokes and links to sites that will make you smile. Therapeutic Humor Associations, Battle of the Sexes, Bedside Nursing Humor, Brain Teasers, Clowning, Clowns, Therapeutic Humor & Comedy Links, Dental Humor, Emergency Department Humor, General Nursing Humor, Geriatrics, Senior Citizen, etc."
http://www.nursinghumor.com

Thursday, May 26, 2011

Swimmer's ear is a common and expensive malady that can be prevented- Linda Shrieves, latimes.com

- Swimmer's ear is a common malady every summer as millions of Americans plunge into pools, lakes and oceans seeking relief from the heat.

But swimmer's ear takes a toll — and not just on parents and patients.

According to a new study from the U.S. Centers for Disease Control, swimmer's ear also costs the nation a lot of money and time spent on doctors' visits. In 2007, the latest data available, the CDC found that an estimated 2.4 million health care visits were attributed to swimmer's ear — at a cost of about $500 million.

Click on the "VIA" link to read the full article.

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

Sincerely,

Andrew Lopez, RN
Nursefriendly, Inc. A New Jersey Corporation.
38 Tattersall Drive, Mantua New Jersey 08051
http://www.nursefriendly.com info@nursefriendly.com ICQ #6116137
856-415-9617, (fax) 415-9618

150,000 + Nurse-Reviewed & Approved Nursing Links

http://www.4nursing.com
http://www.inspirationalnursing.com
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http://www.nursefriendly.com
http://www.nursingcasestudy.com
http://www.nursingentrepreneurs.com
http://www.nursingexperts.com
http://www.nursinghumor.com

Tuesday, May 10, 2011

Circle of Life, by Jeff Reichardt RN, BSN, CNOR, CRNFA, CSA

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I am tired.
I work so hard.

But, lately, I have been especially overworked.

My career has many stresses in it that are inescapable.
When I started it, I knew I would not get rich.
I knew that this career was a difficult one.
I knew that respect from my fellow professionals was hard won.

I knew that this profession had an image problem with the public.
But I felt that I could make a difference.
I felt that I could be a positive influence on my chosen career.

I was wide-eyed and naive, I'll admit, but part of me wishes that reality was different.

Part of me wishes that I could take all of the positives I have received and cancel out all of the negatives.

As for the positives. I am thankful that I was able to give a life back to an 18 year old who is just now learning how to live with being a quadraplegic.

I feel honored to have been asked to share in the bedside prayer for a brain dead 12 year old victim of an accidental gunshot wound. That his family, in their grief, thought to include me, his caregiver, in their grieving process.

For those experiences, I am grateful.

For the physicians who took the extra time to ask for my thoughts about the care of OUR patient. I am grateful as well.

For the families of hundreds of patients who stopped me in the hall to say thanks, I now say thank you.

I say thank you because I am leaving bedside nursing.

I am tired of the politicking.
I am tired of the back-stabbing.

I am so tired of the kinds of people who bolster their own pitiful egos by debasing someone else's. This group is not at all limited to physicians, although some nurses would like to say so.

I am tired of feeling guilty when I turn down a request from my manager to stay late for "another emergency". (The fifth one this week.)

I am tired of not receiving the respect I deserve, from my co-workers especially, as they should be keenly aware of what it takes, mentally, physically and emotionally to perform this, my chosen career.

I am tired of hearing about the shortage of nurses.
I think it's a wonder that there are any left to practice when you consider my above negative statements.

I know I am burned out. It's a shame too. I consider myself to be a good bedside nurse.

I worry about the next trauma victim, and their family as well.
Who will take the time (or will they?) to address the total family's needs ?

Who will sit and hold the hands of the parents who have just signed the organ procurement papers on their brain dead child, and now hope that, in their grief, some good will come ?

Who will take care of the body of the infant that just died in the ICN ?

It won't be me...

I am tired...

I hurt...

I am not alone, but it doesn't help...

I feel empty inside...

I can no longer do this to myself or my family...

I'm leaving what I love, but how can I?

The truth is I can't.

So, you see,
I am refreshed.
I still work hard.

But, lately, I have been eager to work.

My career has many stresses in it that are inescapable.
When I started it, I knew I would not get rich financially.
But my rewards have been many, and much more than money can buy.

I knew that this career was a difficult one.

But I have always enjoyed a challenge.
I knew that respect from my fellow professionals was hard won.
But I forgot that respect was a two way street.

I knew that this profession had an image problem with the public.
But, for a long time, I was just as much a part of the problem as the people that I had come to disdain.

I realize now that I HAVE made a difference.

I am no longer wide-eyed and naive.
I am seasoned and a little wiser.

And , YES, the positives DO outweigh the negatives.

So, to all the patients, the families, the doctors and all my fellow workers, let me say thank you.

I can't leave bedside nursing.

I need to be there for the next trauma victim and their family.

I need to hold the hands of the parents of that brain dead child.

And yes, I DO need to take care of the body of that child that died in the ICN.

It's GOT to be me !

I am refreshed...

I am now whole...

I have not been alone...

I am fulfilled...

I owe it all to my wife and children...

They have reminded me that this is what life is all about.

It's about joy, pain, courage and sorrow.

It's about taking care of each other. Meeting each others needs.
It's about renewing life and dignifying death.
But most of all, it's about being human. With all our faults and frailties...
all our strengths and weaknesses....
with all our capacities for kindness and compassion....
all our hopes and dreams...

In the end, we still carry on. Some say it's through God's will. I don't know...

For me, it's because I cannot turn my back on my fellow MAN. It's as simple as that.

For, if we turn our backs on our fellows, we greatly diminish ourselves...

Jeff Reichardt RN, BSN, CNOR, CRNFA, CSA
Cincinnati, Ohio

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StumbleUpon,
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******************************************************

Sincerely,

Andrew Lopez, RN
Nursefriendly, Inc. A New Jersey Corporation.
38 Tattersall Drive, Mantua New Jersey 08051
http://www.nursefriendly.com info@nursefriendly.com ICQ #6116137
856-415-9617, (fax) 415-9618

150,000 + Nurse-Reviewed & Approved Nursing Links

http://www.4nursing.com
http://www.inspirationalnursing.com
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http://www.nursefriendly.com
http://www.nursingcasestudy.com
http://www.nursingentrepreneurs.com
http://www.nursingexperts.com
http://www.nursinghumor.com

Monday, April 11, 2011

McDonald's Medicine: Too Impatient to Wait for Care, Time

Doctor asks, "Why did you come to the ER today?"

This question — emphasizing today is common practice in emergency departments — helps us figure out how urgent a patient's illness might be. But it's a loaded question. Rephrased, it could easily mean, "Do you really believe you are seriously ill, or is it just that you couldn't wait to see a regular doctor?"

Behind the sanctimony is a clichĆ©: McDonald's medicine. Spend time in a busy ER and you'll hear a recurrent theme among the harried staff: patients in the U.S. want their health care like they want their food — served up speedily and made "your way." According to the conventional wisdom among medical professionals, overcrowding in the ER is exacerbated by America's culture of instant gratification. (See Healthland's 5 rules for good health in 2011.)

Click on the "via" link for the rest of the article.

With the high value we put on Instant Gratification, have to say they have a point here.

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

Sincerely,

Andrew Lopez, RN
Nursefriendly, Inc. A New Jersey Corporation.
38 Tattersall Drive, Mantua New Jersey 08051
http://www.nursefriendly.com info@nursefriendly.com ICQ #6116137
856-415-9617, (fax) 415-9618

150,000 + Nurse-Reviewed & Approved Nursing Links

http://www.4nursing.com
http://www.legalnursingconsultant.com
http://www.nursinghumor.com
http://www.nursefriendly.com
http://www.nursingcasestudy.com
http://www.nursingentrepreneurs.com
http://www.nursingexperts.com

Should Emergency Departments Turn Away Nonurgent Patients? - TIME

A few weeks ago, the American College of Emergency Physicians (ACEP) launched a campaign to derail proposed policies to reduce the use of emergency departments (EDs). ACEP's problem with the campaign is the logic that underpins it: policymakers think that ED use, in aggregate, is a costly problem and a major driver of unnecessary health care costs in the U.S. ACEP claims that rather than delivering unnecessary care, EDs treat many patients who have no alternative when they need comprehensive medical care in a timely manner; that is, EDs deliver altogether necessary care.

ACEP has challenged reports from South Carolina and Massachusetts suggesting that a high percentage of ED use is unnecessary and that reform efforts — particularly payment incentives — will reduce "inappropriate" usage. In South Carolina, a state legislator, Representative Bill Herbkersman, even recommended that special call boxes be placed in the homes of more than 3,000 Medicaid patients to give them 24-hour access to nurses who could diagnose them over the phone and reduce costly and unnecessary ED visits. Blue Cross Blue Shield of Georgia has also increased the co-pay on ED visits from $100 to $200 and has been steering its members away from EDs to urgent-care centers and retail clinics (with the help of a Google Maps application, soon be available as an app for members' mobile phones).

Click on the "via" link for the rest of the article.

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******************************************************
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http://nursingentrepreneurs.ning.com/

StumbleUpon,
http://www.nursefriendly.com/stumbleupon
******************************************************

Sincerely,

Andrew Lopez, RN
Nursefriendly, Inc. A New Jersey Corporation.
38 Tattersall Drive, Mantua New Jersey 08051
http://www.nursefriendly.com info@nursefriendly.com ICQ #6116137
856-415-9617, (fax) 415-9618

150,000 + Nurse-Reviewed & Approved Nursing Links

http://www.4nursing.com
http://www.legalnursingconsultant.com
http://www.nursinghumor.com
http://www.nursefriendly.com
http://www.nursingcasestudy.com
http://www.nursingentrepreneurs.com
http://www.nursingexperts.com

Wednesday, April 6, 2011

Dan Weberg (NurseDan) on Twitter

Dan Weberg

Dan Weberg

@NurseDan Phoenix, AZ
ER Nurse, masters degree in healthcare innovation, PhD student health innovation, Own innovation business, changing the world.

»

Dan Weberg
@
@ @ Thursday between 11 to 1 pst or Friday after 1 pst

»

Dan Weberg

@ @ need to set up a call to chat about healthcampAZ. Got buy in from MHI director to do during one immersion weekend

»

Mark Scrimshire
by NurseDan

@ and I are planning healthca.mp/radio to host a healthca.mp/ct @ recap on Wednesday 4/6/11 8p ET/5p PT

»

Dan Weberg

Back from vacation weekend in SD. Loved the tweets of . Awesome conversations.

»

Dan Weberg

I'm in! RT @: @ Phebe Real passion (not policy) = co-create a community committed to "Sustainable Health"

»

Dan Weberg

Listen to "ACO Watch A Mid Week Review A Roun..." hosted by ACOwatch on 4/1/2011 2:00 PMMDT

Click on the "via" link for the rest of the article.

******************************************************
For Health Information you can use, Follow, Connect, Like us on (Most Invites Accepted):
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Linked In:
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http://nursingentrepreneurs.ning.com/

Posterous.com
http://nursefriendly.posterous.com

StumbleUpon,
http://www.nursefriendly.com/stumbleupon
******************************************************

Sincerely,

Andrew Lopez, RN
Nursefriendly, Inc. A New Jersey Corporation.
38 Tattersall Drive, Mantua New Jersey 08051
http://www.nursefriendly.com info@nursefriendly.com ICQ #6116137
856-415-9617, (fax) 415-9618

150,000 + Nurse-Reviewed & Approved Nursing Links

http://www.4nursing.com
http://www.legalnursingconsultant.com
http://www.nursinghumor.com
http://www.nursefriendly.com
http://www.nursingcasestudy.com
http://www.nursingentrepreneurs.com
http://www.nursingexperts.com

Wednesday, March 30, 2011

Harmed in the hospital? Should you sue? - CNN.com

Ryan Jeffers finds it hard to believe his daughter, Malyia, went from being a perfectly healthy 2-year-old who loved to dance, sing and entertain to an amputee facing a lifetime of medical care.

"I can't believe something so small turned into something so big," recalls Jeffers, who noticed that his daughter had a fever one Sunday in November.

Malyia's fever continued to climb, and unusual bruises appeared on her cheek; her parents say they rushed her to the emergency room near their Sacramento home. But things did not go as they expected.

The family says that they couldn't get a physician to examine Malyia and that the five-hour wait in the emergency room nearly killed her. Her septic infection worsened as she waited to be seen.

Click on the "via" link for the rest of the article.

******************************************************
For Health Information you can use, Follow, Connect, Like us on (Most Invites Accepted):
http://www.nursefriendly.com/social/

Twitter!
http://www.nursefriendly.com/twitter

Facebook:
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What's New:
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Blogger:
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Linked In:
http://www.linkedin.com/in/nursefriendly

Nursing Entrepreneurs, Nurses In Business
http://nursingentrepreneurs.ning.com/

Posterous.com
http://nursefriendly.posterous.com

StumbleUpon,
http://www.nursefriendly.com/stumbleupon
******************************************************

Sincerely,

Andrew Lopez, RN
Nursefriendly, Inc. A New Jersey Corporation.
38 Tattersall Drive, Mantua New Jersey 08051
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amednews: Model legislation drafted for out-of-network balance billing :: March 29, 2011 ... American Medical News

A legislative organization calls on hospitals, insurers and physicians to disclose when patients must pay for care.

By Emily Berry, amednews staff. Posted March 29, 2011.

As several states consider whether, or how, to restrict balance billing by out-of-network physicians, the National Conference of Insurance Legislators on March 6 adopted model legislation on the issue.

Rather than explicitly banning or allowing physicians to bill patients when insurance doesn't cover what a physician is owed, the model legislation calls for greater transparency on the part of hospitals, insurers and doctors to alert patients to the possibility that they could end up paying out of pocket for care.

The model bill builds on laws recently adopted in Louisiana and Texas, according to NCOIL's announcement.

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Sunday, March 13, 2011

Danger of multiple emergency room visits to different hospitals

If you are one of the more than 100 million Americans who visit emergency rooms (ER) at least once a year, you’re not alone.

Americans, insured and not, make ample use of hospital emergency rooms. One out of every five visited an ER at least once in 2007, the latest year for which the National Center for Health Statistics has data. Among the uninsured, 7.4 percent made two or more visits to an ER, but so did 5.1 percent of people with private insurance.

Well if you want to stay safe and receive quality medical care while you’re in the ER, it’s best if you visit the same ER each time.

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Wednesday, February 23, 2011

Medical News: Arizona Mulls Checking Hospital Patients' Citizenship - in Public Health & Policy, Health Policy from MedPage Today

Arizona's state government is considering new legislation that would prevent hospitals from giving nonemergency treatment to suspected illegal immigrants.

Under Arizona Senate Bill 1405, nonemergency patients would have to show proof of citizenship or legal immigrant status before they could be admitted to hospitals in the state.

Patients without adequate documentation who need emergency care could still be treated, but hospital officials would be required to notify federal immigration officials after treatment was provided.

Hospitals would also have to notify the federal authorities about nonemergency patients denied care because of their lack of documentation.

The bill would stiffen what is already the nation's toughest -- and most controversial -- state law on illegal immigration. Last year, Arizona enacted legislation requiring police officers to check citizenship and immigration status of anyone they may suspect of being in the country illegally.

The Arizona Hospital and Healthcare Association condemned the bill, calling it "an undue burden" on hospitals as well as patients.

In a statement provided to MedPage Today, the group said the legislation "would result in a delayed hospital admissions process for all patients, including U.S. citizens."

Moreover, the group said, "all hospital patients would be required to carry documentation acceptable for citizenship verification, placing an undue burden on patients and possibly jeopardizing their care."

It's unclear whether the bill is popular enough to win passage.

It had appeared on the state Senate Judiciary Committee agenda for Monday. But according to the website Politico, it was pulled at the last minute when the bill's backers -- including Senate President Russell Pearce, who was among its co-sponsors -- decided they weren't going to win a vote.

But, the website reported, supporters may seek to bring it before other committees.

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Monday, February 21, 2011

Emergency Nurses Launch Workplace Violence Toolkit on ADVANCE for Nurses

A recent ENA study found more than half of emergency nurses surveyed reported experiencing such verbal or physical abuse within the previous 7 days. Of more concern, according to ENA, was the finding that in almost half of the cases of physical violence, nurses said no action was taken against the perpetrator; and in three out of four cases, hospitals did not respond to nurses' reports of violence.

"Research has shown hospitals that have policies and plans for addressing workplace violence have lower rates of violence than hospitals that don't," said ENA President Ann Marie Papa, DNP, RN, CEN, NE-BC, FAEN. "Hospitals with policies are far safer for the healthcare professionals working in them and for the patients they care for. We have a responsibility to our colleagues and our patients to make our hospitals - and our emergency departments - as safe as possible. I strongly urge all [ED] managers and hospital administrators to download and use this invaluable, important and free resource." 

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B.C. nurses to train in gang awareness - British Columbia - CBC News

The health authority in Prince George, B.C., plans to teach nurses how to deal with gang members who arrive at a hospital's emergency ward.

Northern Health Authority spokeswoman Eryn Collins said RCMP members will be invited to speak to staff about gang awareness and other safety issues.

"I couldn't definitively say whether the gang perspective on it has ever been raised before," said Collins. "It would be logical in terms of being aware of who you're dealing with."

via cbc.ca

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Wednesday, February 9, 2011

Patient test follow-up often lacking, medcitynews.com

As discussed recently (Let’s not forget patient safety in med mal reform) I don’t buy the idea that excessive testing is mainly attributable to ’defensive medicine,’ i.e., doctors doing too much for fear of frivolous lawsuits. Rather, there are other reasons for ordering unneeded tests, such as profit motive on the part of the doctor or hospital, a desire for more information for decision making, habit, lack of familiarity with low-tech techniques, patient preference, and diagnostic company sales efforts. If med mal reform happened tomorrow, I’d be willing to bet plenty of excessive testing would still occur and that some other excuse would be given to explain it. Only payment reform, provider education and changes in patient demand are likely to make a big difference.

An article out today (Follow up lacking on a majority of hospital tests) in FierceHealthcare adds credence to my assertion.

Follow up on patient tests is often poor, according to a review of international studies, an article published in BMJ Quality and Safety reports. Up to 61 percent of inpatient test results and 75 percent of tests on ER patients saw no follow up after discharge, the researchers found.

Poor or inadequate care of patients after discharge can have serious implications for patients, among them missed or delayed diagnoses, or even death. For hospitals, when a patient’s transition to outpatient care features poor test follow-up, a readmission down the road is possible.

Providers that order tests and don’t follow them up open themselves up to charges of negligence. If they really ordered the tests as a defensive practice to reduce liability, wouldn’t they make sure someone followed up on the results rather than leave themselves vulnerable to lawsuits?

It’s unreasonable to expect all tests to be followed up. After all, sometimes the information is irrelevant by the time it’s received. And communications across settings are notoriously poor. Still, the percentage not followed up seems awfully high.

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