Keith Carlson, RN, BSN, @nursekeith: What Attracted You To The Field of Nursing? #MaleNurses #Nurseup

Keith Carlson, RN, BSN, @nursekeith: What Attracted You To The Field of Nursing?

"I was a Certified Swedish Massage Practitioner and Certified Kripalu Yoga Instructor during my 20’s after leaving behind my studies in several schools of fine art. After some years in the holistic health field, I found that I wanted to be able to impact people’s health from the “inside” of the system rather than just the “outside.”

I had three aunts who were nurses---one who was a personal nurse to General Patton during World War II---and their stories of nursing and its importance made an impression on me from a very early age.

I always perceived nursing as a humble and important profession, and joining the ranks of nurses seemed like a perfect “fit” for me vis-à-vis fulfilling my goal of bringing improved health to as many people as possible over the course of my career. The holistic nursing model was a good match with my previous training in holistic health, and my ongoing goal has always been to bring that holism back to the forefront of nursing practice."

Keith Carlson, RN, BSN, Nurse Keith Coaching, New Mexico Nurse Entrepeneurs, Nurse Coaches:" Nurse Keith Coaching provides professional coaching services for nurses and nursing students. My services include health and wellness coaching, work-life balance, burnout prevention, burnout recovery, career coaching, and life coaching. The majority of my coaching sessions are conducted via telephone and Skype, although some face-to-face sessions are possible for clients living in Northern New Mexico. The development of workshops and webinars is currently in process."
2300 West Alameda, D7
Santa Fe, New Mexico 87507
Blogs:Digital Doorway: http://digitaldoorway.blogspot.com
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http://www.nursingentrepreneurs.com/Carlson



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Discover Martine Ehrenclou, @Med_Writer, Author of "The Take Charge-Patient"
http://www.thetakechargepatient.com/

Power Strategies For Nurses:"Do your nursing shifts feel like you’re running full speed ahead on a treadmill that you just can’t stop?
http://revolutionarynurse.com/power-strategies-nurses-program-2/

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Nursefriendly National Directories
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Nancy Carey, RN, CCRN, BS: What attracted you to the field of Nursing: #nurseup #nursing #nurses

Nancy Carey, RN, CCRN, BS: What attracted you to the field of Nursing: The need for a challenging field where if I became bored with an area I could move into and learn about other areas.

Nancy Carey, RN, CCRN, BS, California Nurses:
Specialty Areas: Recovery Room PACU http://www.nursefriendly.com/carey/



New!

Discover! "Unconventional Nurse: Going from Burnout to Bliss" Michelle Podlesni, RN @MPodlesnihttp://unconventionalnurse.com/al/

Discover Martine Ehrenclou, @Med_Writer, Author of "The Take Charge-Patient"http://www.thetakechargepatient.com/

Power Strategies For Nurses:"Do your nursing shifts feel like you’re running full speed ahead on a treadmill that you just can’t stop?http://revolutionarynurse.com/power-strategies-nurses-program-2/

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Did you know? Our team of nurses has been researching, indexing healthcare resources for over a decade? If you have questions, need resources, stop here first and search our index. If we don't have it, ask us

Andrew Lopez, RN
Nursefriendly National Directories
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856-415-9617, Fax: 856-415-9618, info@nursefriendly.com, @nursefriendlyhttp://www.nursefriendly.com/

Ending Nurse Bullying: "Freire Style" Renee Thompson, MSN, RN, @RTconnections #nurseup #bullying

Ending Nurse Bullying: "Freire Style" Renee Thompson, MSN, RN, @RTconnections #nurseup #bullying:"Nurse bullying is a problem. But is it a new problem? The answer is no. Humans treating humans with disrespect has been documented since we walked on two feet instead of four. I’m sure there is a caveman drawing somewhere depicting bullying behavior. Although I’d like to believe we’ve evolved a bit since the caveman era, humans treating humans badly still exists.

It’s no different in the nursing profession. However, bullying just seems more perverse in a profession dedicated to caring and compassion. It just doesn’t make sense. How can nurses, who are equals, pick on each other? Isn’t nursing challenging enough without having our own peers making it worse? I just don’t get it. Neither did Paulo Freire, a sociologist, who spent time in various countries observing human behavior. Dr. Freire witnessed people oppressing each other – peers oppressing peers. Not administration/government oppressing the people. In his book, Pedagogy of the Oppressed, Dr. Freire’s offers us a solution to oppression by taking an in-depth look at the dynamics between the oppressor and the oppressed. I took the liberty of adapting his recommendations to nurse bullying."
RTConnections, LLC
Renee Thompson
146 Aidan Ct. Pittsburgh, PA 15226
412 . 445 . 2653
http://blog.rtconnections.com/2013/01/ending-nurse-bullying-freire-style.html


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New!

Discover! "Unconventional Nurse: Going from Burnout to Bliss" Michelle Podlesni, RN @MPodlesni
http://unconventionalnurse.com/al/

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http://www.thetakechargepatient.com/

Power Strategies For Nurses:"Do your nursing shifts feel like you’re running full speed ahead on a treadmill that you just can’t stop?
http://revolutionarynurse.com/power-strategies-nurses-program-2/

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Patient Left Unrestrained, #Patient Injured. #Nurses Judgement Call, #nursing #malpractice #nursefriendly #epatient #negligence

See also: Medical, Legal Nurse Consultants, Clinical Nursing Case of the Week, Clinical Charting and Documentation, Nurses Notes, Courtrooms, Disability, Discrimination, Employment, Expert Witnesses, Informed Consent, Medical Malpractice, Nursing Practice Acts, Pensions, Search Engines, Torts and Personal Injury, Unemployment, Workers Compensation, Workplace Safety:

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Summary: The decision to use or not use restraints must be made with caution and good judgement. Their intended purpose must be to protect either the patient or others who may be injured by the patient including the staff caring for the client. The ultimate determination of necessity is left with the physician. Often, the moment to moment necessity is determined by the nurse. In this case a nurse did not feel restraining the patient was necessary. When an injury occurred, the patient sued.

The patient was involved in a motor vehicle accident. A head injury was suffered leaving him in a state of confusion and prone to agitation.

"Each year, an estimated 2 million people sustain a head injury. About 500,000 to 750,000 head injuries each year are severe enough to require hospitalization. Head injury is most common among males between the ages of 15-24, but can strike, unexpectedly, at any age. Many head injuries are mild, and symptoms usually disappear over time with proper attention. Others are more severe and may result in permanent disability." 2

Following the head injury, the patient was visibly confused and frequently became agitated. During the course of his admission, an order for "soft" wrist restraints was obtained and implemented to protect the patient from injury related to mental status (personality) changes.

"Personality Changes-Apathy and decreased motivation. Emotional lability, irritability, depression. Disinhibition which may result in temper flare-ups, aggression, cursing, lowered frustration tolerance, and inappropriate sexual behavior."2

On the day of the incident, the nurse on duty had assessed the patient. In her professional opinion restraints were not needed.

"What Is Restraint?

"Restraint" is physical force, mechanical devices, chemicals, seclusion, or any other means which unreasonably limit freedom of movement. hospital staff may use four types of restraint to restrict patients who are acting, or threatening to act, in a violent way towards themselves or others.

Physical restraint--holding a patient for over five minutes in order to prevent freedom of movement.

Mechanical restraint--using a device, such as 4-point or full sheet restraint, to restrict a patient's movement (excludes devices prescribed for medical purposes).

Chemical restraint--medicating a patient against her will for the purpose of restraint rather than treatment.

Seclusion--placing a patient alone in a room so that she cannot see or speak with patients or staff and the patient cannot leave or believes she cannot leave."3

She based this decision on her observation of the patient's mental, physical state and level of consciousness. It is common procedure and protocol in facilities for patient's to be released from restraints when the danger of violence is felt to have passed.

"How Long May Restraint Continue?

When an emergency no longer exists, the patient should be released. Thus, staff should release a patient who, upon examination, appears calm. The total time which a patient may be restrained is limited:"3

Later in the shift, the same nurse was helping the patient get up. In the course of this maneuver, the patient fell and claimed that an injury was sustained.

A lawsuit would be filed against the facility alleging negligence on the part of the nurse. The patient contended that the removal of the restraints breached standards of care.

In the initial trial, the jury was instructed to view the nurse's role as an "error in judgement." Based on this and on testimony on the proper use of restraints, standards of care, the court found for the facility.

The patient appealed.

Questions to be answered:

1. Was the nurse in error to remove the restraints from a patient when she felt they were no longer needed.

2. Did the removal of the restraints directly contribute to the "injury" that the patient claimed to sustain?

3. Were the standards of care governing restraint use adequately maintained?

The plaintiff's arguments sought to convince the jury that poor judgement was exercised by the nurse. It was contended that removal of the restraints and ambulation of the patient put him in harm's way.

With the patient assessed to be calm, the purpose of the restraints, "to prevent the patient from harming himself or others," had been achieved.

The purpose of the restraints had not been to "keep the patient from falling out of bed." The removal of the restraints then, could not be deemed as negligent. There was no duty of care breached in allowing the calm patient to remain unrestrained.

The order was in place to ambulate the patient when stable. In the nurse's opinion, the patient was ready. Another nurse may not have agreed with her actions. The patient under a different nurse's care might have been kept in restraints. A nurse could have "held off" on the order to ambulate.

There was no causative relationship between removing the restraints and the patient's fall. In carrying out orders for ambulation, the nurse was providing proper nursing care.

It's not difficult to picture a lone nurse with an unsteady patient losing control and having the patient slip away. Would this be a breach of duty owed to the patient?

One could argue that the nurse had no business trying to move a patient by herself. One might also observe the staffing patterns at the time and realize the nurse was doing "the best she could."

The decision to remove the restraints was clearly a nursing decision. Often the decision to use them in the first place lies with the nurse too.

This illustrates the leeway and discretion given nurses when carrying out physician's orders. It also shows the typical catch 22 situation some nurses may find themselves in regarding restraint use.

"Historically, conventional wisdom supported using physical restraints, including bed side rails, to "protect and safeguard" residents. Ironically, little documented evidence exists that restraints prevent falls and risk of injury from falls. Clinical studies demonstrate that restraints, conversely, in some instances, precipitate or exacerbate fall risk."4

Both nurses in the above situation would be acting within their scope of practice. Each would be adhering to standards of care.

For the plaintiff to have a case, it would need to proven that either the removal of the restraints or the ambulation of the patient was premature.

This was clearly not the case. The actions of the nurse were in good faith and exercised reasonable concern for the well being of the patient. The fact that the patient suffered a fall is unfortunate, and reasonably unforseeable.

It can be compared to the actions of a physician when dealing with an acute patient. Depending on which course of treatment that physician chooses, the patient might or might not have a favorable outcome.

In either case, as long as the physician exercises reasonable judgement based on established principles of practice, a finding of negligence is unlikely.

It has been well established that Medicine is not an exact science. Outcomes are not guaranteed when prescribing courses of treatment.

They are the result of standard medical practices and individual patient responses. These responses are not always predictable. Basically, the caregiver can only hope for the best.

The same principle applies to Nursing care. Regardless of how accurate assessments are and how diligently orders are carried out, patients may or may not experience favorable outcomes.

When outcomes are unfavorable, it is the constitutional right of the patient or patient's estate to sue anyone felt to be involved.

The court reviewed the facts of the case and a nursing expert's testimony on restraint use. The appeals court agreed that standards of care had been maintained.

There exists today intense pressure from family members, governmental agencies and regulatory agencies to limit restraint use to "only when absolutely necessary." As soon as they are put in use, the plan of care must include provisions for their removal.

Link Sections:

Head Injuries:
http://www.nursefriendly.com/nursing/directpatientcare/head.injuries.htm

Ethics:
http://www.nursefriendly.com/nursing/directpatientcare/ethics.htm

Mechanical & Physical Restraints:
http://www.nursefriendly.com/nursing/directpatientcare/mechanical.physical.re...

Medical Legal Consulting Nurse Entrepreneurs
http://www.nursefriendly.com/nursing/ymedlegal.htm

Sources:

1. RRNL 2 (July 1997)

2. Family Caregivers Alliance Clearinghouse. Revised November 1996. Fact Sheet: Head Injury. Retrieved May 30, 1999 from the World Wide Web: http://www.caregiver.org/factsheets/head_injury.html

3. Mental Health Legal Advisors Committee. No date given. Your Rights in Hospitals Regarding Restraining and Seclusion. Retrieved May 30, 1999 from the World Wide Web: http://www.psychiatry.com/mhlac/basicrights/restraintandseclusion.html

4. Braun, Julie A. & Quish, Clare J. 11/10/98. Illinois Institute for Continuing Legal Education. Physical Restraints And Fall-Related Injuries. Retrieved May 30, 1999 from the World Wide Web: http://www.iicle.com/articles/braun11_10_98b.html

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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."

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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."

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http://www.nursinghumor.com

#Elderly #Patient Repeatedly Injured In #NursingHome "Accidents." #Negligence, Coincidence? http://bit.ly/sFOyRe #nursefriendly

See also: Medical, Legal Nurse Consultants, Clinical Nursing Case of the Week, Clinical Charting and Documentation, Nurses Notes, Courtrooms, Disability, Discrimination, Employment, Expert Witnesses, Informed Consent, Medical Malpractice, Nursing Practice Acts, Pensions, Search Engines, Torts and Personal Injury, Unemployment, Workers Compensation, Workplace Safety:

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Summary:  As the elderly population continues to increase, more and more families are faced with the decision to place loved ones in nursing homes.  When a family member is placed in a facility, a certain standard of care is expected.  In this case, a resident was injured repeatedly while under their care.  When the patient died a few days after being "dropped" the family sued.

The patient was a 95 year old woman who was placed in a Missouri nursing home when the family was no longer able to care for her needs.

"Approximately 1.5 million people live in the nation's 17,000 nursing care facilities. . .The typical nursing home resident is a woman in her 80s displaying a mild form of memory loss and dementia. Although physically healthy for a woman her age, she needs help with approximately 4 of 5 activities of daily living (eating, transferring, toiletting, dressing, and bathing)."2

During her admission the patient would sustain  multiple injuries over the course of her stay.  In 1993, on two occasions, the patient's legs were broken with fractures diagnosed.  Each time the patient was transferred to the hospital for treatment and then returned to the nursing home.

Each time the documentation would show that the family had been "made aware."  This was reflected in incident reports that had been filed.  The incident reports did not specify which family members had been notified.

A third injury took place in 1995 when the patient was being transferred from her bed.  Documentation of the incident stated that the patient had been "dropped" during a transfer.  The charted notes documented that a head injury was sustained and that family members were notified.

The patient was again transferred to the hospital and was evaluated in the Emergency Department.  Interestingly, when examined by a physician, the day after the incident, the physician stated that there was no evidence of head injury.  Five days following this examination, the patient died.

The family would sue the nursing home.  They would allege that standards of care had not been met.  They would accuse the nursing home of rendering negligent care.

It is no secret that nursing home abuse occurs.  It can take many different forms and have devastating consequences on residents and their families.

"The United States Department of Health and Human Services researchers identified seven categories of abuse. Ninety-five percent of those surveyed said they felt that all seven are problems for nursing home residents:

Physical abuse --infliction of physical pain or injury.

Misuse of restraints --chemical or physical control of a resident beyond physician's order or outside accepted medical practice.

Verbal/emotional abuse --infliction of mental or emotional suffering.

Physical neglect --disregard for the necessities of daily living.

Medical neglect --lack of care for existing medical problems.

Verbal/emotional neglect --creating situations harmful to the resident's self-esteem.

Personal property abuse --illegal or improper use of a resident's property for personal gain."3

The basis of the family's lawsuit centered on the assumption that a certain standard of care, and a "duty" is owed to nursing home residents.   This duty it was assumed, included safe living conditions, freedom from harm and timely medical treatment.  They alleged that these standards had not been observed by the nursing home.

In the initial trial, a review of the charting and documentation showed that in each "incident," facility protocols had been followed.  Upon discovery of the injuries, medical treatment and family notification had been provided.

The Defense moved to have the charges dismissed.  The court agreed.

The family appealed.

Questions to be answered.

1. Was there clear evidence of either neglect or abuse on the part of the nursing home staff in either of the three documented incidents of injury?

2. Had standards of care been met in regard to treating an injured patient and providing safe and reasonable care.

Chiefly due to the timely documentation of the incidents, the records were used to demonstrate adequate care being given.

The family's lawsuit chiefly targeted the "handling" of the incidents rather than the "cause" of injury.  The documented interventions and notifications on the part of the nursing staff provided sufficient proof that standards were upheld.

It is common knowledge that documented nurses' notes and the medical chart are legal records.  They should be written and treated at all times as if a jury will later examine them.

Had the incident not been documented as thoroughly or had incident reports not been filled out, it might have been a different story.  It was the clear and concise charting of the nursing homes staff's handling of the incidents that saved the facility from a potentially costly lawsuit and trial.

This was particularly evident when the family accused the nursing home staff of "failure to notify" the family members.  As long as efforts were documented in the notes to notify the family, the facility was covered.

It is a bit strange that the specifics as to "who" was notified was not included in the chart.  Under a different set of opinions, this could easily be interpreted as a "red flag."  In this case it was not.

This documentation of  "notification" could have been seen as the nursing home staff charting to cover themselves regardless of whether a family member had been contacted.

To minimize suspicions of impropriety it is suggested that when a family member is contacted, the name and phone number also be documented.  All evidence is subject to interpretation.  This can be applied to physician notification as well.

When a patient has an attending, consulting physicians and residents responsible for their care, "MD made aware" leaves much room for debate as to who was notified.  If the name of the physician is noted, the guesswork is removed and accountability easier to establish.

What was not addressed in this case was the nature of the "accidental" injuries.  It is not difficult to imagine a 95-year-old patient falling as she tries to get out of bed.  It is common for patients to fall on their way to or from the bathroom.  The pertinent question is "could the injuries have been avoided."

It is clear from published studies that indeed many can be.

""We found that neither complaint investigations nor enforcement practices are being used effectively to assure adequate care for Nursing Homes residents and the prevention of nursing home abuse and neglect. As a result, allegations or incidents of serious problems, such as inadequate prevention of pressure sores, failure to prevent accidents, and failure to assess residents' needs and provide appropriate care, often go uninvestigated and uncorrected."4

Lawsuits against nursing homes are common and on the rise.  If you are working in a nursing home, you need to be aware that you are responsible for documenting adequate care.  You are equally responsible for prevention.  If a dangerous condition or "accident waiting to happen" is identified, steps must be taken and documented to correct it.

If a patient is at risk for falling they may refuse to call for assistance.  If they try to get out of bed anyway, it should be documented that the patient was instructed to "call for assistance," and did not.

If a patient is clearly a danger to himself or herself and others, restraints may be indicated.  The family or the physician may refuse to allow or write an order for them.  The nurse must document that the need for them was communicated, to whom and the response.

Even with adequate care being given accidents can happen with legal consequences.  Nursing homes are currently the focus of intense governmental supervision and regulation.  The effectiveness of the regulation is debatable.  There are many that feel that the only "solution" to correcting problems are legal actions against nursing homes.

If this approach is to be paralleled to eliminating medical malpractice, a solution may be a long way off.  What can be anticipated is increased pressure from the government, from consumers and the courts.  This will result in increased litigation and increased pressure on nursing home staff and facilities.  Each member of the nursing staff would be wise to document carefully daily care and especially incidents that result in injury.

Related Case Studies:

June 13, 1999: Felony Child Abuse Conviction, Made Possible Thanks to Nurse's Documentation.
State v. Gillard, 936 S.W. 2d 194 - MO (1999).
http://www.nursefriendly.com/nursing/clinical.cases/061399.htm

June 6, 1999: Emergency Department Nurse Verbally Abused, Physician History Well Documented
Gordon v. Lewiston Hospital, 714 A.2d 539 - PA (1998)
http://www.nursefriendly.com/nursing/clinical.cases/060699.htm

May 30, 1999: Patient Left Unrestrained, Patient Injured. Nurses Judgement Call
Gerard v. Sacred Heart Medical Center - 937 P. 2d 1104 (1997)
http://www.nursefriendly.com/nursing/clinical.cases/053099.htm

Related Link Sections:

Abuse:
http://www.nursefriendly.com/nursing/directpatientcare/abuse.htm

Clinical Charting and Documentation, Nurses Notes:
http://www.nursefriendly.com/nursing/linksections/directpatientcarelinks.htm

Emergency Department Nurses on the Nurse Friendly:
http://www.nursefriendly.com/nursing/directory/spec/ed.html

Ethics:
http://www.nursefriendly.com/nursing/directpatientcare/ethics.htm

Head Injuries:
http://www.nursefriendly.com/nursing/directpatientcare/head.injuries.htm

Mechanical & Physical Restraints:
http://www.nursefriendly.com/nursing/directpatientcare/mechanical.physical.re...

Medical Legal Consulting Nurse Entrepreneurs:
http://www.nursefriendly.com/nursing/ymedlegal.htm

Nursing Homes, Long Term Care Links:
http://www.nursefriendly.com/nursing/nursing.homes.long.term.care.htm
 

Sources:

1. 40 RRNL 1 (June 1999)

2. American Health Care Association.  September 1998. Profile: Nursing Facility Resident: Retrieved June 27, 1999 from the World Wide Web:  http://www.ahca.org/secure/nfres.htm

3. Seniors-Site.  No date given.  Nursing Home Abuses to Senior Citizens.   Retrieved June 27, 1999 from the World Wide Web: http://seniors-site.com/nursing/abuses.html

4. United States Senate.  March '99. Excerpts from Committee On Aging Hearings.  Retrieved June 27, 1999 from the World Wide Web: http://www.jeffdanger.com/

The Uniform Resource Locator (URL) or Internet Street Address of this page is
http://www.nursefriendly.com/nursing/clinical.cases/062799.htm

Send comments and mail to Andrew Lopez, RN

Created on Saturday May 23, 1999

Last updated by Andrew Lopez, RN on Saturday, September 17, 2011

via nursefriendly.com

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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:

For Health Information you can use, Follow, Connect, Like us on Facebook, Google +, LinkedIN, Twitter, StumbleUpon (Most Invites Accepted):
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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

(Nursing's) Most Pressing Concerns About #Healthcare @yoganurse @wwwrnorg #nursing #epatients #patients #nursefriendly

New!

I see the most pressing concern in the nursing profession and healthcare is the assurance that the consumer is getting what they are not only paying for, but what they deserve as they put their trust in others to care for them with utmost skill.

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

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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Your most pressing concerns with the profession and healthcare: The Healthcare crisis in the US with the costs way out of control.

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 (Español - 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/

Categories: Emergency Department Nursing, Nursing Continuing Education, Nursing Education

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Your most pressing concerns with the profession and healthcare: Burn out, low-self esteem, nurses do not realize how powerful they are View previous responses: http://www.nursefriendly.com/concerns/

Annette Tersigni RN, Yoga Nursing®:"I am the founder of Yoga Nurse Medical Yoga and Stress Management and am the creator of the enlightening new field of Yoga Nursing® and the Yoga Nursing Institute. Yoga Nursing is the marriage of modern nursing science with the ancient science of yoga. My programs are endorsed by lots of doctors and health care providers as a safe therapy to decrease pain and suffering and help folks to find peace instead of going to pieces. I have dedicated the past 16 years educating people around the world on leading healthier, spiritual lifestyles and with a dose of tough love and loads of laughter helped them to WAKE UP and GET CONSCIOUS NOW.

I am a sought after no barriers heart felt speaker, coach, teacher and writer and am featured extensively in the media including in the Associated Press and on NBC, CBS, Fox News affiliates and have been interviewed on national TV by Arielle Ford as one of America's Experts. I am producing, writing, and acting in several DVD documentary/educational projects: I am training and coaching other nurses, yoga teachers and health professionals throughout the USA and Canada to be Yoga Nursing Therapists and I lead fantabulous Yoga and Juice fasting Makeover Retreats on the magnificent Pyrate laden Crystal Coast of North Carolina. My programs our hip, conscious, filled with hilarious humor, enlightening and designed to inspire and leave a legacy. This is the most prolific, jamming and juicy time of my life and I get to do it all by serving others. SERVING RULES!"
Street Address: 103 short st apt. E
Beaufort, North Carolina, 28516
E-mail Address: theyoganurse@gmail.com
Phone: 252.725.1924
Facebook: http://www.facebook.com/profile.php?id=629639595&v=info
Homepage Address: http://www.yoganurse.com
http://www.nursingentrepreneurs.com/tersigni

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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:

For Health Information you can use, Follow, Connect, Like us on Facebook, Google +, LinkedIN, Twitter, StumbleUpon (Most Invites Accepted):

http://www.nursefriendly.com/social/

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

#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

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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/

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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

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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

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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/

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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

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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

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

See also:

Nursing Topics, A to Z:

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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

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

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

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A Nurse's Wish, Nursing Poems, Caregiver Stories

To Receive our inspirational stories as we post them subscribe to our mailing list by sending a blank e-mail to inspirationalstories-subscribe@topica.com

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To be a nurse requires dedication,
with years of study and preparation.
I pray for guidance and humbly ask
that I will do well at this chosen task.
When illness strikes or pain demands,
and a life is placed within my hands,
give me compassion, knowledge and skill
to do the things that comfort and heal

Suffering makes patients' fears grow worse
and they seek reassurance from their nurse.
Help me see things from their point of view
and always know what is best to do.

May I have a part in some small way,
in restoring good health to someone today.
Let my work be all that I want it to be
I ask the Great Healer to work through me.

Helen Bush

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

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

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

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

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