Showing posts with label direct patient care. Show all posts
Showing posts with label direct patient care. Show all posts

Friday, July 8, 2011

When Nurse Make Mistakes (Theresa Brown, RN) - NYTimes.com

This year, a Seattle nurse named Kim Hiatt committed suicide. Ms. Hiatt’s death came nearly seven months after she had given an unintended overdose to an infant heart patient, a medical error that was said to have contributed to the child’s death days later.

Ms. Hiatt had been a nurse for 27 years and had often cared for the 8-month-old girl during the child’s stay in the pediatric intensive care unit of her hospital. She had probably drawn up the right dose of the drug hundreds of times in her career. But once, she made a life-changing error. A baby died, and she was suspended, then fired from a profession she loved. And now she’s dead.

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Monday, June 13, 2011

Good Samaritan Laws & Acts. Do They Cover Nurses Volunteering Nursing Care When A Citizen Goes Anaphylactic.

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Summary:  "Off-duty" healthcare professionals rendering
Emergency aid are in most cases "covered" by the Good
Samaritan Acts.  These are laws enacted in each state
that provide some degree of immunity from liability for
good faith efforts in giving emergency care.  In this
case, a nurse and physician were sued for providing
assistance in a volunteer function at a "first-aid" station.
Good Samaritan "immunity" was not recognized by the
courts.

A nurse, physician and several others volunteered to help
out with a first-aid station at a food festival being held locally.
 During the festivities one attendee would suffer an anaphylactic
attack.

The man had a known allergy to fish and helped himself to a
"gumbo" mix that contained the allergen.  He proceeded to experience
an anaphylactic allergic reaction.  The event "first aid squad" was
notified only of a "problem" and the person's location.

"Anaphylactic Shock

is the most severe form of allergy which is a medical emergency,
is a type I reaction in Gell And Coombs Classification .An often
severe and sometimes fatal systemic reaction in a susceptible
individual upon exposure to a specific antigen (as wasp venom
or penicillin) after previous sensitization that is characterized
especially by respiratory symptoms, fainting, itching, urticaria,
swelling of the throat or other mucous membranes and a sudden
decline in blood pressure."2

Of those present, all but a nurse remained at the station.  With the
physician and others on the way to assist the victim, clearly someone
had to stay at the station in case there were other emergencies.  The
question would arise of whether or not their actions were covered
under existing Good Samaritan Laws.  A key consideration is whether
or not a legal "duty to assist" the victim was created when the
responsibility to "volunteer" was accepted.

"Flynn v. United States, 681 F. Supp. 1500, 1506 (D. Utah 1988),
modified in part, 902 F.2d 1524 (10th Cir. 1990). Good Samaritan
laws responded to the common law rule that made one liable for
negligently rendering voluntary emergency assistance by extending
immunity from suit, thereby encouraging humanitarian acts by
licensed medical providers."3

Arriving on the scene, not knowing what to expect, they found
the person symptomatic, still conscious and standing on his own.
He indicated that he'd had a reaction and was in need of "a shot."

"Symptoms of anaphylactic shock include dizziness, loss of
consiousness, labored breathing, swelling of the tongue and
breathing tubes, blueness of the skin, low blood pressure, and
death bronchospasm"1

The physician recognizing the anaphylactic nature of the situation
requested one of the others obtain "epinephrine," while she stayed
with the patient.

When the other member of the squad returned with a single "Epi pen."
 The physician administered a dose.  The patient claimed to not have
obtained any relief.  A second shot was requested.  The pen was a
single dose unit only.  Having already used the available dose, the
physician explained it would be nearly empty.  There was no other
immediate source of epinephrine available at the time.  Unable to
offer an alternative, the physician gave the patient a second shot with
the same injector hoping it might still contain "some" medication.

Again the patient did not obtain relief.  With symptoms persisting,
the patient's condition deteriorated.  At this point an ambulance was
on the way, the nurse had been relieved at the station and came up
to assist, still unaware of what the problem had been.

When she came upon the patient, the best she could do was stay
with him until the emergency medical personnel arrived.  The
patient would complain of increasing shortness of breath.  En route
to the hospital, he would slip into a coma.  He would die the next day.

A lawsuit was filed naming both the physician and the nurse alleging
a "wrongful death."  Both the nurse and physician fought this in court.
 In the initial trial, the complaint was dismissed.

They argued for protection under the Good Samaritan Acts of the state.
  This legislation was enacted to encourage health professionals to
render aid at the roadside.  Previously, professionals had and still do
hesitate to assist for fear of being sued by the injured party.

"Because of the pervasive myth of liability in the medical professions,
most states have enacted some form of Good Samaritan law prohibiting
a patient from suing a physician or other health care professional for
injuries from a Good Samaritan act. To trigger the protection of such
an act, two conditions must be satisfied: it must be a volunteer act, and
the actions must be a good-faith effort to help. Displacing a neck fracture
in an effort to do rescue breathing might be malpractice in the Emergency
Room, but it is not bad faith on the roadside."4

While a Good Samaritan Act may protect you in state-specific circumstances
from being found and held liable, it will not protect you (nor will an
employer's malpractice insurance policy) from being sued in the first place.

In most states there is no obligation for a bystander to render aid or
legislation to penalize those that do not decide to get involved.
Minnesota, Vermont and Wisconsin are exceptions to this rule.
Minnesota statutes follow:

"A person at the scene of an emergency who knows that another person
is exposed to or has suffered grave physical harm shall, to the extent
that the person can do so without danger or peril to self or others, give
reasonable assistance to the exposed person. Reasonable assistance
may include obtaining or attempting to obtain aid from law enforcement
or medical personnel. A person who violates this subdivision is guilty
of a petty misdemeanor. "5

A common thread in each of the Good Samaritan laws is that no
immunity will be afforded for specific exceptions.

"The most commonly stated exception to immunity is for conduct that
is willful and wanton. Many jurisdictions also exclude other categories
of conduct, such as conduct that is grossly negligent, reckless, malicious,
in bad faith, fraudulent, or intentionally tortious or that is a knowing
violation of law. A few even included ordinary negligence, which arguably
negates the protection afforded."6

In the state of Rhode Island, in which this event occurred, there are
no specific laws requiring that a bystander give assistance.

Interestingly, immunity by the state laws is granted in the following
which do not specify volunteer medical and first aid activities.

"Rhode Island law also grants immunity from civil damages to:

(1) Persons rendering service as, or assisting, a manager, coach, instructor,
umpire, referee or official in certain interscholastic or intramural
sports programs;

(2) Any uncompensated person voluntarily serving as or assisting a
manager, coach, instructor, umpire, referee or official in a youth
sports program organized and conducted by or under the auspices
of a nonprofit corporation; or

(3) Directors, officers, trustees or employees of any nonprofit
organization, authorized to do business in the state, that organizes,
conducts or sponsors a youth sports program.208"6

It is debatable whether the initial trial led to a dismissal on grounds
of protection under existing Good Samaritan laws, or simply a lack
of evidence to prove negligence.  Of these, the latter is more likely.

With the complaint initially dismissed, the patient's estate appealed.

Questions to be answered.

1. In rendering care to the patient in a state of anaphylaxis, did
both the nurse and physician perform to the best of their abilities
with the resources available to them.

2. In rendering emergency aid to the patient, were they covered by
the state's existing "Good Samaritan" laws.

The plaintiff's attorneys would argue that negligence had been
a factor in the patient's death.  They accused the physician and
nurse of arriving on the scene "unprepared" to deal with the situation.

Interestingly, the plaintiff could offer no expert witness testimony
to support this.

In deciding the second question, the court explicitly stated that
"it assumed the defendants were not covered under Good Samaritan Laws."

This is alarming in that if the plaintiff had been able to produce
sufficient expert testimony to prove negligence, the nurse and
physician may well have been held liable.

In light of these circumstances,  the ruling of the lower court was
affirmed.

It sends a frightening message to nurses, medical and health care
personnel who chose to "volunteer" their expertise in times of need.
Some state laws do require action in specific circumstances:

It is unclear whether this opinion was offered because the assistance
was "organized."  Is an exception made to the Good Samaritan Acts
for First Aid Squads and Organized Emergency Medical Personnel
regardless of whether or not they charge the patient for their services?

Troubling questions for the individual when deciding whether or not
to render aid.  The answers and exceptions are defined in individual
state laws that vary widely.

Many nurses rely on malpractice insurance provided by their
employers to cover them at work.  It is highly unlikely that such
a policy would cover them while performing volunteer duties.

If you accept responsibility to perform expected duties either on
a paid or volunteer basis, for a profit or non-profit organization, you
may not be covered under otherwise applicable Good Samaritan Statutes.
If you chose to protect yourself by carrying malpractice insurance
policy, it would be wise to make sure this coverage is specifically included.

Related link Sections:

Direct Patient Care Links
http://www.nursefriendly.com/nursing/linksections/directpatientcarelinks.htm

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

Good Samaritan Laws & Acts:
http://www.legalnursingconsultant.org/legal.nurse.consultants.lnc/good.samari...

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

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

Sources:

1. 38 RRNL 4 (September 1997)

2. Health on The Net Foundation. July 2, 1998.  HON Allergy Glossary Anaphylactic Shock. Retrieved July 18, 1999 from the World Wide Web:  http://wolfgang.hcuge.ch/Library/Theme/Allergy/Glossary/shock.html

3. Utah State Courts. Filed November 14, 1997.  Hirpa v. IHC Hospitals, Inc., No. 960180.  Retrieved July 18, 1999 from the World Wide Web:  http://courtlink.utcourts.gov/opinions/supopin/hirpa.htm

4. Law and the Physician Homepage.  No Date Given.  Good Samaritan Laws. Retrieved July 18, 1999 from the World Wide Web:   http://plague.law.umkc.edu/Xfiles/x894.htm

5. LawGuide.  1998.  Minnesota Good Samaritan Law.  Retrieved July 18, 1999 from the World Wide Web:  http://www.lawstreet.com/lawguide/sigsgomn.HTML

6. Carter-Yamauchi, Charlotte A. 1996.  Volunteerism - A Risky Business? Retrieved July 18, 1999 from the World Wide Web:  http://www.hawaii.gov/lrb/vol/volchp3.html
 

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Send comments and mail to Andrew Lopez, RN

Created on July 14, 1999

Last updated by Andrew Lopez, RN on Monday, February 28, 2011

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Andrew Lopez, RN
Nursefriendly, Inc. A New Jersey Corporation.
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With nurse shortage looming, America needs shot in the arm - Washington Times

Saturday, May 7, 2011

During National Nurses Week, we should focus on nursing shortage | The Progressive

By Suzanne Gordon, May 6, 2011

May 6-12 is National Nurses Week. Don’t believe the hype that the nursing shortage is over.

After warning of a shortage for years, American hospitals now claim that we have plenty of nurses at the bedside.

Hospital administrators are essentially saying that the bad economy is coercing more nurses to stay on the job. Since some nurses’ husbands or wives have lost their jobs in other sectors, nurses are hanging on to their own jobs and delaying retirement.

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Andrew Lopez, RN
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Thursday, May 5, 2011

Notes of a Student Nurse: A Dose of Reality « Off the Charts

It’s been said before that we are our own worst enemies, our own worst critics. I can’t imagine a time when these phrases are truer than during nursing school. Little more than a year ago, when I was starting my prerequisites for admission to the BSN nursing program, I was giddy with excitement. Images of what life would be like played in my head like episodes of Grey’s Anatomy, or, on a day I was feeling a bit more goofy, reruns of Scrubs.

I took any opportunity I had to share with friends, family—even new apartment neighbors—that I was well on my way to nursing school with the confident smile of a person destined to save the world, one patient at a time. I scoured discussion boards and nursing student forums late into the night, anticipating the day that I, too, would have something profound to contribute.

I laughed off those who warned me that the path was difficult and ridden with challenges. There was no bridge I couldn’t cross, no task I couldn’t do, and no test I couldn’t pass with flying colors. The world was mine. Now, I’m living those moments as a first semester nursing student—but a funny thing happened on the way to the present, a thing I will lovingly refer to as reality.

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Sunday, May 1, 2011

What Nurses Wish You Knew - Philadelphia Magazine - phillymag.com

No matter what health-care reform winds up looking like, one thing’s certain: Nurses will play a bigger role than ever, taking over duties from doctors, moving out of hospitals and into the community, looking after frail aging boomers, leading the push to keep costs down and improve outcomes. So this seemed the perfect time for a consult with the people who really run health care in Philadelphia. As one nurse told us, “Doctors only think they’re the quarterbacks.” Here’s what nurses had to say about their work, their patients, life and death, and those little white caps they used to wear.

1 // It’s okay to buzz // Really. Go ahead. Room too cold? Need a pillow? Got a question about your meds? Use the buzzer; that’s why they put it there. “My 82-year-old mother was just in the hospital for a stroke,” says Presbyterian Hospital’s Michael Becker, “and she said, ‘I can only hit the buzzer two times a day.’ I asked, ‘Why is that?’ and she said, ‘Because they’re going to get tired of seeing me.’ I said, “No, no, Mom, it doesn’t work that way.’” If somebody’s pushing the buzzer all the time, nurses know there’s a deeper issue and work to address it.

2 // You don’t have to be afraid // Nurses understand that patients often don’t speak up because they feel vulnerable. But when we don’t voice our thoughts, they have no way of knowing what needs improvement—until the patient-satisfaction survey arrives after the fact. And they hate finding out there was something they could have fixed if they’d known about it. “It’s natural to be fearful,” says Pennsylvania Hospital’s Mary Del Guidice, “because you’re lying in bed with all these faces looking down at you. But don’t be afraid of us.”

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Thursday, April 28, 2011

New Jersey Collaborating Center for Nursing

The New Jersey Collaborating Center for Nursing is a primary source for data-based evidence to formulate reliable health policy that has a positive impact on nursing care, nursing education, and patient outcomes.  The Center serves as a catalyst for the implementation of innovative practice and education models.

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Collaborating Nurses

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Friday, April 15, 2011

New Zealand Nurses, Marietta Duffy-Burgess on: The Nursefriendly

ShareThis Buzz up!11 votes

Last First Name: Duffy-Burgess Marietta
License degrees: Bachelor Health Nursing Sciences RN Critical Care Cert Business Cert Teaching Certificate
E-Mail: mariettadb@xtra.co.nz
City: Tauranga
State: New Zealand
What kind of nursing do you do: Family Health, Critical Care Nursing

How did you hear about the Nurse Friendly Homesite: search
Marital Status: married
How many years have you been practicing as a nurse: 23
Employment changes in career:
Reason for the change: needing the freedom to practice my principles and wisdom
Your most pressing concerns with the profession and healthcare: The service is being determined by accountants who have no concept of practice wisdom and patient needs

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Last updated by Andrew Lopez, RN on Friday, October 17, 2010

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A Silent Epidemic of Needle Injuries - NYTimes.com

needle sticksCraig Dilger for The New York Times Medical students appear to be at high risk for needle injuries.

Surgical students are frequently stuck by needles, but many students don’t bother reporting the injuries, a new study found.

Researchers from Johns Hopkins University surveyed 699 recent medical school graduates who had trained to become surgeons at 17 medical centers in the United States. The survey found that 59 percent had been stuck by a needle at some point during medical school, according to the study, in the December issue of Academic Medicine.

Inadvertent needle sticks are a concern to both doctor and patient. A health care worker accidentally pierced by a needle is at risk for contracting hepatitis C or H.I.V. or developing an infection. And if the health care worker already has a blood borne illness, a needle stick injury could expose patients to a droplet of infected blood.

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Thursday, April 7, 2011

Tips for Your First Year as a Nurse - Associated Content from Yahoo! - associatedcontent.com

When I first got out of nursing school and was hired as a Medical-Surgical RN in a local hospital I began searching to find tips that might help me make the transition from student nurse to RN. I wanted a list of  specific things I could do to help me learn to care for a greater patient load without an instructor there to back me up. I was disappointed that I could not find a lot of information regarding this crucial transition. I later composed the following list of tips and tidbits. I sincerely hope these prove to be useful to someone else who is in the same shoes I once wore.

1. Be early for work. If you receive report at 7:00 am be there at 6:30am. Most nurses appreciate you relieving them early and are more than happy to give you report. In the two years I worked as a Med-Surg nurse I worked over only twice and that was for a maximum of fifteen minutes only. I found that getting a jump on my day enabled me to start out ahead. 

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http://4nursing.blogspot.com/

Linked In:
http://www.linkedin.com/in/nursefriendly

Nursing Entrepreneurs, Nurses In Business
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

A to Z Nursing Links, Alphabetical Nursing, Links Starting With "W"

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For quicker loading time (less time waiting for you), we've split this page into sections. Please choose from:

Wages, Nurse Pay - to - West Virginia Schools of Nursing

What Are Kidney Stones - to - Kelly Williams, RN

Wilms Tumor - to - Womens Health

Women With AIDS - to - Workers Compensation Insurance

Working Conditions - to - Wyoming Nursing

Welcome to NursingA2Z.com.

This website is owned, operated by Andrew & Melanie Lopez (RNs). 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. We'd ask that if you don't find what you are looking for, kindly contact us! If you are looking for a certain topic, it's likely you are not the only one. We will be adding to this index daily, be sure check back frequently.

If your website is not listed here, we encourage you to submit it: Add Your Website/URL, please note, you do not have to install the nursingtop10.com linking code, to be listed.

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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:

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/a.to.z.nursing.links.alphabetical/w.htm

Last updated by Andrew Lopez, RN on Wednesday, March 23, 2011


This Page is Part of The Nursefriendly National Nursing A To Z & Consumer Health Directories

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Nursefriendly, Inc.
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This website Is © Copyright 1997 - 2011, Andrew Lopez, RN, Nursefriendly, Inc. Please contact us for permission to reproduce.
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http://nursefriendly.posterous.com

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.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

Why Not The Best (Hospital Benchmark Data)

Comparative Health Care
Performance Data

 

  • See how well U.S. hospitals perform on measures of evidence-based care, patient experience, readmission and mortality rates, and costs
  • Compare a hospital's performance with peer organizations and national benchmarks
  • Find case studies and tools to help improve the quality of care

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

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Linked In:
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http://nursingentrepreneurs.ning.com/

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

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

Saturday, March 19, 2011

How to Give an IM Injection, Kathy Quan RN BSN

When it is necessary to inject medication, the route is determined by the chemical make up and viscosity of the medication. Many times the route will be intramuscular (into the muscle) known as an IM injection or "shot' as opposed to subcutaneous or intradermal injection.

The injection site will be determined by the volume of medication to be injected. Other considerations are the age of the patient, the size and weight of the patient and mobility issues. The patient’s ability to relax and cooperate can also play a role in determining a safe injection site. Needle size depends on factors such as the site, medication and size/weight of the patient.

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

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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
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

Thursday, March 17, 2011

When a Nurse Says, "I Don't Care" - Nursing Link

I don’t care.

Those aren’t the words you want to hear coming from the mouth of a nurse.

Now true, nurses are human, and there are things that we don’t care about, but the phrase itself, while on the job, just sounds so… unprofessional.

As nurses, we encounter so many challenges every day. Often times we have to wait on other departments, facilities, or patients. If we are not waiting on something (a lab, a transporter, a phone call), we are rushing to do or get something done ourselves. It’s very much a feast or famine profession. It is rare that things progress and a steady predictable pace. We have those days, but they are few and far between. Most of the time we are constantly trying to balance the push and pull required to deliver good patient care. And sometimes that means being made to wait.

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

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For Health Information you can use, Follow, Connect, Like us on (Most Invites Accepted):
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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
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

Tuesday, March 15, 2011

What's New, Recent Nursing Updates on: The Nursefriendly

Andra DeCarlo, RN, Summit Medical Litigation Consulting, Inc.:"Andra DeCarlo, owner of Summit Medical Litigation Consulting and her team of nurses provide Legal Nurse Consulting for both defense and plaintiff attorneys looking for a clear explanation of what actually happened with the client. Is there a case? Is there a defense? We specialize in looking outside-the-box to help find the key to the case. Nursing home neglegance, PI, Medical Malpractice and more."
1586 El Tair Trail
Clearwater, FL, 33765
E-mail Address: andradecarlo@tampabay.rr.com

Social Networks: Ecademy.com, Facebook, Gather.com, LinkedIn, Twitter
http://summitmlc.com or http://www.andradecarlo.info/
http://www.legalnursingconsultant.com/decarlo/

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The Skin Cancer Foundation - American Academy of Pediatrics Calls for Ban on Youth Tanning:"Tanning The American Academy of Pediatrics (AAP), a group of 60,000 pediatricians, today called for all US tanning salons to bar minors. With this new policy statement, the AAP joins health groups such as the American Medical Association, the World Health Organization (WHO), the Academy of Dermatology, and The Skin Cancer Foundation in demanding a ban on indoor tanning for young people.
We strongly commend the AAP for this definitive statement pushing for prohibition of indoor tanning for young people,” said Perry Robins, MD, President of The Skin Cancer Foundation. “The damage caused by the UV radiation from tanning beds and the sun is cumulative and often irreversible, and the earlier people start to tan, the higher their risk of developing skin cancer in their lifetimes."
The Skin Cancer Foundation
149 Madison Avenue Suite 901 New York, New York 10016
(212) 725-5176
http://www.skincancer.org/american-academy-of-pediatrics-calls-for-ban-on-youth-tanning.html

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10 Greatest Novels for Nurses, February 23rd, 2011, Nursingschools.net:"One great way to escape the pressures and stresses of nursing school or work is to read a great novel. These literary works, featuring nurses and health care facilities, will provide you with a much-needed dose of fun and fantasy while reminding you why you chose the profession in the first place. So if you want to re ignite your passion for nursing or just spend a wonderful evening kicking back, check out one of these amazing novels." http://www.nursingschools.net/blog/2011/02/10-greatest-novels-for-nurses/

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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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Amanda Dieterich, RN, The Cruise Academy:"Amanda is a Registered Nurse with a passion for cruising who also runs a small cruise agency with her husband, Bob. When New Jersey & Pennsylvania announced the newly instituted requirements for 30 continuing education hours to be earned every two years, I thought, Why Not a cruise seminar? We're now in our fifth year of continuing education cruises for nurses. We hope to offer more seminars every year. We are currently doing 2 seminars yearly, and will expand to more by 2011. When you call The Cruise Academy, you'll be greeted by Bob or Amanda."
New Jersey, USA
Call Toll Free: 1-800-688-9385
Email: info@thecruiseacademy.com
Facebook: http://www.facebook.com/pages/The-Cruise-Academy-Continuing-Education-Cruises-for-Nurses/150419491654480 Twitter: http://twitter.com/#!/cruiseacademy http://www.thecruiseacademy.com

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Time for Nurses:"Time for Nurses is here to help spark a public conversation about improving the work-life balance of nurses nationwide. The site is run by OnCall Scheduling Solutions of Westborough, Mass., and we encourage contributions by nurses and medical professionals about how to improve scheduling and make life better for nurses everywhere. OnCall Scheduling provides an advanced, affordable, easy-to-use Web 2.0 service to help nurses manage their work lives better and to help hospitals reduce the unnecessary costs of hiring last-minute temp workers. See the For nurses or For administrators pages for descriptions of how OnCall benefits nurses and hospitals while reducing costs.
Twitter: Time for Nurses @timefornurses, Marybeth Mills, RN, Boston & San Francisco:"We help nurses find work-life balance & hospitals get Web 2.0 & save $. Tweeting: Marybeth Mills (20 years as nurse), JD & Stephen for OnCall. We follow back."
69 Milk St., Suite 216
Westborough, MA 01581
p: 866.512.0413
m: 508.259.1209
http://twitter.com/#!/timefornurses
http://timefornurses.com/ or http://www.oncallscheduling.com

Categories: Massachusetts Nurses, Nursing Agencies, Staffing Resources. Nursing Entrepreneurs, Nurse-Owned Businesses, Twitter Nurses

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Kristen Jones Consulting, LLC:"Kristen Jones Consulting, LLC, Legal Nurse Consulting and Life Care Planning will provide for your firm an in-depth understanding of complex medical situations and patient care issues, and bring an “insider’s perspective” of hospitals and healthcare today. KJC will enhance your understanding of the injury or disease process, including the impact of various healthcare professionals specific to the situation. In the area of personal injury and medical malpractice litigation, this can make a important difference for your firm. Legal Nurse Consulting services include reviewing and interpreting medical records, preparing time-line chronologies, screening cases for merit, and assisting with discovery. Specialties include Medical Staff Peer Review issues, Hospital Policies and Procedures, community, state, and federal Standards of Care, and Obstetrical Case Review. Our services are used by both Plaintiff and Defense firms."
Kristen Jones Consulting, LLC
Kristen Jones, RN, CLNC, CNLCP
3000-F, Danville Blvd
Suite #141
Alamo, CA 94507
Email: kristenjones@sbcglobal.net
Telephone: (925) 855-1956
Fax: (925) 855-1930
http://www.kristenjonesconsulting.com/

Categories: California Legal Nurse Consultants, California Nurse Entrepreneurs, California Nurses, Certified Legal Nurse Consultants, Hospital Quality Assurance, Independent Medical Examinations, Life Care Planners

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Joni Watson @joniwatson Austin, Texas:"Nonprofit Director, RN, OCN, wife, mom, Christ lover, shoe junkie, reader, blogger, and oh, so much more."
Twitter: http://twitter.com/#!/joniwatson
http://www.nursetopia.net

Categories: Nursing Blogs, Oncology (Cancer) Nurses

Texas Nurses, Twitter Nurses

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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

Categories: Cancer, Oncology Nurses, Cardiovascular Nurses, Nurse Educators, Hospice Nurse Consultants, Consulting, North Carolina Nursing Entrepreneurs, North Carolina Nurses, Nursing Resources, Orthopedic Nursing, Orthopedics Nurses, Ortho, Speakers Bureaus, Conference Keynotes, Motivational, Inspirational, Humorists

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Gillian Ehrlich, RN, 2009-2010 Winners, Nurses' Educational Funds, Inc.:"Gillian Ehrlich's mission is to make holistic health our common ground in medicine and improve universal access to primary care. This vision of health evolved over a decade spent working mainly with non-profit organizations in direct-service level positions. Beginning with the Pacific Crest Outward Bound School and other wilderness programs, she shared with adolescents the elements required for healthy living: food, shelter, community, exercise, purpose and competency, joy and fresh air. Onto this foundation, she added a season of growing organic food for 25 families in southwest Ohio and functioning as a teacher and domestic violence counselor on the Yankton Sioux Reservation in Lake Andes, South Dakota. Health has been the consistent thread and nursing became the venue for the life-long application of these skills and values. Gillian graduated with a BA/BS degree from The Evergreen State College in Olympia, Washington and a BSN from Drexel University in Philadelphia, Pennsylvania. She balances her understanding of allopathic medicine with 1000+ hours of Ayurvedic training with Dr. Vasant Lad in Albuquerque, New Mexico, and Pune, India. She emerged with sound convictions that health and contentment are possible for each of us, that authentic relationships and a clean environment account for much of this, and that we start healing from whatever shoes in which we currently stand. Gillian currently works as an RN at Harborview Medical Center in Seattle, Washington and is studying towards a Doctorate of Nursing Practice as a Family Nurse Practitioner at the University of Washington. Her focus is relationship-centered care, innovative health delivery systems and integrating complementary and alternative medicine into public health primary care."
Nurses' Educational Funds, Inc.
304 Park Avenue South
11th Floor
New York, NY 10010
Phone: 212-590-2443
Fax: 212-590-2446
Email: info@n-e-f.org
http://www.n-e-f.org/index.php/scholars/2009-2010-winners/gillian-ehrlich.html

Categories: Alternative Medicine, Ayurvedic, Ayurveda, Certified Family Nurse Practitioners, CFNP, Health, Wellness, Alternative Medicine, Healthy Living, Health Promotion, Masters Prepared Nurses, MSN, MA, MS, MN, Nurse Practitioners, Advanced Practice Nursing, Nursing Entrepreneurs, Preventative Health, Preventative Medicine

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Travis Callender, BA in Maharishi Ayurvedic Medicine, RN, Washington Ayurvedic Medical Association:"Travis studied Ayurveda with Ayurvedic Doctors from India for 3 years at Maharishi University of Management, in Iowa. He went to nursing school at the University of Washington and now works in General Medicine at Harborview Medical Center. He continues to attend class at UW where he is studying to be a Nurse Practitioner. He has been meditating since he was nine and is an avid yogi."
Washington Ayurvedic Medical Association
http://www.ayurveda-wama.org/travis-callender-ba-maharishi-ayurvedic-medicine-rn

Categories: Alternative Medicine, Ayurvedic, Ayurveda, Health, Wellness, Alternative Medicine, Healthy Living, Health Promotion, Nursing Entrepreneurs, Preventative Health, Preventative Medicine, Washington State Nurses

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Mary Michaud, RN, MSN, FNP, Herbalist & Herbal Clinical Instructor, Be-herbal.com:"Mary Michaud, an herbalist & nurse practitioner, will teach a series of classes to give you the skills to use Ayurveda in your everyday life. Discussion of theory will be reinforced with yoga breath & postures, hands-on demonstration, and mind-body exercises. A free monthly meeting will continue after completion of the class to support your use of Ayurveda. This small group class will meet on Wednesdays from March 2nd to May 4th from 9 am to noon."
Mary Michaud, RN, FNP, Herbalist
Herbal Clinical Instructor
313 Second Street SE, Suite 211
Charlottesville, VA 22902
http://www.be-herbal.com/

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Keesha Ewers, ARNP, MS, Fern Life Center:"Fern Life Center offers you a life-transforming journey into wellness through balance. Learn how the integration of the timeless wisdom of Ayurveda and modern Western, and Functional Medical science can assist you in restoring health, finding balance in your life, and nurturing mind, body, and soul. Discover how you can be healed with the help of top-notch medical care, and also rejuvenated through relaxing body work, aromatic oils, age-reversing skin care, nourishing foods, and meditation. Listen to our daily radio show, Healthy You! Radio, and get inspiration and education; all designed to empower you to heal you. We welcome you to begin your path into health and wholeness. Most of our services are covered by major insurance providers. To get started, call 425-391-3376 to make an appointment, or check out our Medical Services, Spa Services, or Class Schedule. A free Introduction to our weight-loss program is also offered monthly."
Fern Life Center
410 Newport Way NW Suite B
Issaquah, WA 98027
phone: 425.391.3376/ 877.391.3376
fax: 425.391.3378
Radio Broadcast: Healthy You!Radio Network: LinkedIn: http://www.linkedin.com/in/keeshaewers
Twitter: http://twitter.com/#!/keeshaewers
Youtube.com Channel: http://www.youtube.com/fernlifecenter
http://www.fernlifecenter.com/

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Marcia Meredith, RN, NP, Certified Ayurvedic Practitioner:"Marcia Meredith has been a registered nurse for 31 years and a nurse practitioner since 2002. She is a 2006 graduate of the two-year program at the Ayurvedic Institute in Albuquerque, New Mexico and a grateful student of Dr. Vasant Lad. She has also studied with Swamini Mayatitananda (formerly Bri. Maya Tiwari) of the Wise Earth School of Ayurveda for 8 years. She is grateful to Alakananda Ma of Alandi Ashram in Boulder, Colorado for her wisdom and teachings. Marcia offers Ayurvedic health consultations, at two locations - at the Penny George Institute for Health and Healing, the integrative medicine outpatient clinic at Abbott Northwestern Hospital campus, and at the new Surya Ayurveda Wellness Center. At the clinic, she offers integrative nurse practitioner/Ayurvedic consultations that are covered by insurance in most cases. The Surya Ayurveda practice includes Ayurvedic consultations as well as Ayurvedic treatments, and introduction to Ayurveda classes (see next page). Marcia has a deep passion for Ayurveda with its gentle, natural medicine approach."
Surya Ayurveda Practice
Minneapolis, Minnesota
Business phone: 651-503-0471
marcia@suryaayurveda.com
http://www.healththruayurveda.com/

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Pamela Egan, FNP-C, CDE, Board-Certified Adult and Family Nurse Practitioner:"Pamela Egan, FNP-C, CDE is a board-certified adult and family nurse practitioner, certified diabetes educator and health columnist at Northshore Living Magazine. Pam has completed a fellowship in Anti-Aging and functional medicine through A4M (American Academy of Anti-Aging and Functional Medicine)."
Wellness & Anti-Aging Clinic
1116 W. 21'st Ave.
Covington, Louisiana 70433
Phone: (985) 892-3031
Fax: (985) 892-9504
Email: info@pamelaegan.com
LinkedIn: http://www.linkedin.com/pub/pamela-egan/10/684/842
http://www.pamelaegan.com/

Category: Certified Diabetic Educators (CDE), Certified Family Nurse Practitioners, Nurse Practitioner NP Owned Businesses, Nurse Practitioners, Wellness Educators

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HealthcareJobsite.com:"HealthcareJobsite.com is dedicated to professionals working in the healthcare field. Search our continuously updated database of healthcare job postings, post your resume, and connect with top employers in the healthcare & medical industry. Get started now and land your ideal healthcare job today!"
http://www.healthcarejobsite.com/

Category: Nursing Jobhunting Search Engines/Resources

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Christian Nursing, Nurses:"Our vocation of Nursing leads us to share in some of the most beautiful and profound mysteries of life. We join all nurses in their efforts to bring safe, competent and compassionate care to our patients. We thank you for the many contributions to Nursing. There are many wonderful Nursing Organizations with dedicated leaders; each has something special to offer its members."
http://www.nursefriendly.com/christian

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25 prayers for nurses:"We pulled from many traditions to give you prayers that we hope will work for any nurse of faith. Find a prayer that’s helpful to you today from the list below. And please, share a prayer from your own life in the comments."
http://scrubsmag.com/prayers-for-nurses/

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Nurse Entrepreneurs: Start your Journey in becoming a great Nurse Entrepreneur, Articlesphere.com:"Who would not want to have a privilege of becoming your own boss? This would include those in nursing career. Now, if you are one of those experience nurses and look forward to venture into entrepreneurship, just look closely into the practice of your nursing career and you will soon see opportunities that you can attack so as to become a successful entrepreneur. Think positively as the world of nursing is filled with lessons which you can always take the benefit of it. Understand the needs by the community as well the growth of this kind of business that you can grow with. First, in order to be one great nurse entrepreneur, you must have a passion. Find your real passion. Turn this passion into your business venture. It is not wrong if you want to get older in hospitals while taking care of the patients in the most critical conditions. After some years of employment experience in the hospital, most nurses are geared towards some more serious focus other than caring for their patients."
http://www.articlesphere.com/Article/Nurse-Entrepreneurs--Start-your-Journey-in-becoming-a-great-Nurse-Entrepreneur/59026

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Kind Coupons.org:"Kind Coupons.org donates 50% of all profits to charity! So, not only will you be saving money by leveraging our coupons, but also you'll be helping charities in need. Check out the "About Us" section for additional info and to learn how you can nominate your favorite charity."
http://kindcoupons.org/

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Venoscope, LLC:"Venoscope, LLC has been the leader in utilizing LED technology for transillumination since 1989. It holds patents for its Venoscope® pediatric and adult transilluminator as well as patents for its Neonatal Transilluminator, both utilizing LED technology. The Venoscope® isproducts have FDA 510k premarket approval. Venoscope, LLC company and sales distribution offices are located in Lafayette, LA. Our friendly staff stands ready to answer any questions you may have as. We will conduct an In-Service over the phone if you desire to prove how easy it is to learn and use. "
Phone (800)284-7655 or (337)234-8993 FAX (337)268-4080
e-mail: info@venoscope.com
Physical Address: 1018 Harding St., Suite 104 Lafayette, LA 70503
Mailing Address: P.O. Box 52703 Lafayette, LA 70505-2703
http://www.venoscope.com

Category: Intravenous Therapy, IV Nursinghttp://www.intravenousnursing.com
Louisiana Nursing, Medical Equipment, Durable Goods

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Bare Bones Biz Planning:"Bare Bones Biz Planning helps you get focused...and profitable! Expanding peace, prosperity and freedom through extraordinary business!"
Blog: http://barebonesbiz.blogspot.com/
Facebook: http://www.facebook.com/barebonesbiz
http://www.barebonesbiz.com/

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Stephanie Borgmann, RN, BeachBodyCoach.com:"Hi, I’m Stephanie. I just graduated from nursing school, and am currently working as a RN. I have recently become a beachbody coach. I love helping people, and would love to help you get started on your journey to better health!"
(815) 297-2287
Twitter: http://twitter.com/stephborgmann
Wordpress: http://sborgmann.wordpress.com/
http://beachbodycoach.com/esuite/home/SBORGMANN

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Stephanie Borgmann, Wordpress.com:"Hi, I’m Stephanie. I just graduated from nursing school, and am currently working as a RN. I have recently become a beachbody coach. I love helping people, and would love to help you get started on your journey to better health!"
http://sborgmann.wordpress.com/

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Stephborgmann, Twitter.com:"Bio I'm a RN and also a beachbody coach. Check me out at www.beachbodycoach.com/SBORGMANN"
http://twitter.com/stephborgmann

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Victoria Powell, RN, CCM, LNCC, CNLCP, CLCP, MSCC, CEASII, VP Medical:"VP Medical was established to provide comprehensive, focused and affordable medical management and legal nurse assistance for employees, attorneys and individuals with complex medical concerns. Our goal is to facilitate medical care for individuals with illness or disability. Contact us today to learn how we can assist you with your medically related concerns."
Victoria Powell, RN, CCM, LNCC, CNLCP, CLCP, MSCC, CEASII
VP Medical Consulting, LLC.
1201 Military Road, Ste. 2 Box 214
Benton, AR 72015
Phone: 501 778-3378
Fax: 501 315-3378
Email: info@VP-Medical.com
http://vp-medical.com/

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How We Got Started, Sarah Cruz, RN, Little Boots Publishing, Rhode Island (RI) Nursing Entrepreneurs:"By some twist of fate, my nursing career has been taken into a new and exciting direction...writing and illustrating storybooks for children. Three years ago our daughter became a burn injury statistic. She sustained a preventable second-degree burn to her hand just a few days before her first birthday that has since healed. Each year too many children are severely burned by various kitchen appliances or by hot foods prepared in the kitchen. The United States has one of the highest rates of burn injury with the peak incidence occurring among children 1 to 5 years of age."
For more information, please contact:

Sarah Cruz, R.N.
Little Boots Publishing
P.O. Box 3110
Pawtucket, RI 02861
Phone/Fax: 508-639-9405
Email: Sarah@littlebootspublishing.com
Website: www.littlebootspublishing.com, or call (401)-475-5852.

http://www.nursingentrepreneurs.com/boots/

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ITPtSafetyRN, Toni King, Kentucky:"Bio IT Patient Safety Analyst, RN, caring, and compassionate health care professional, doing my part to make the world a better place by spreading JOY."
http://twitter.com/ITPtSafetyRN

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PT Perspective: Heart Disease in Women - Overshadowed and Understated, By: Son Trinh, DPT, Putmebacktogether.com:"It's good to be informed. As PTs, I'd add that it's our responsibility to inform ourselves then to pass on the information to patients. I've come across many women, patients, and co-workers who recognize the dangers of breast cancer and the necessity of research to cure it. Clearly, breast cancer is serious business and the stats are grim. The lifetime prevalence: 1 in 8; number of deaths per year: 40,000. But consider this. Lung cancer claims 70,000 women a year which is more than breast, ovarian and uterine cancers combined. Of those diagnosed with lung cancer, only 1 in 8 survives. The public consciousness seems misinformed on this."
http://www.putmebacktogether.com/

Category: http://www.nursefriendly.com/cancer/ or http://www.nursefriendly.com/oncology/
Cardiac, http://www.nursefriendly.com/cardiac/
Mortality, Morbidity, Comorbidity, Causes of Death, http://www.legalnursingconsultant.com/mortality
Physical Therapy, http://www.legalnursingconsultant.com/pt

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Legal Consulting by Nurses, By Joy Collins, RN, BSBA, CLNC, LNCC, Wild Iris Medical Education, Inc.:"Nurses have been assisting attorneys with their medically related cases for far longer than is generally realized. It is only lately that the sub-specialty of legal nurse consulting has become a recognized field of nursing that the media has thrust into the mainstream. As far back as the 1980s (and probably earlier), nurses and other medical professionals were assisting the legal world to arrive at a fair settlement by moving through the quagmire of medical records and jargon that we nurses take for granted."
Wild Iris Medical Education
PO Box 257 Comptche, CA 95427
(707) 937-0518 ph (707) 937-2546 fax nurses@nursingceu.com
http://www.nursingceu.com/courses/244/index_nceu.html

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easyNCLEX.com:"At easyNCLEX.com, we know that preparing to take the nclex exam, or even considering taking it, can be a stressful exprerience. For this reason, we created this site to help ease the process, making it easy for you to understand the test and prep yourself to pass it. To make it even easier on you, we offer high quality test practice that is simple to use but at the same time effective. Since the NCLEX is given by computer, our NCLEX practice is designed with the interactive format to help you get used to taking the real exam."
Address:
1581 Route 202 Suite 143
Pomona NY USA, 10970
Phone: (845) 521-7553
info@easynclex.com
http://www.easynclex.com/