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Wednesday, December 15, 2010

Nursing and Social Networking - Think Twice About What You Write

With the ever-growing popularity of social-networking sites such as Facebook and Twitter, the lines become less clear between what is public and what could potentially be a violation of patient privacy.

With social networking becoming an integral part of our daily lives, the boundaries between social conduct and professional misconduct are becoming increasingly difficult to navigate.

This social connection between patient and healthcare provider can open a myriad of breaches of patient privacy.

Pictures of patients posting comments regarding care provided, or even a simple “don’t forget to take your medicine” to a patient on a social media network, could be a violation of patient privacy and conflict with HIPAA rules and regulations.

HIPAA, (the law that protects us all against unauthorized disclosure of protected health information) can result in fines up to $250,000 and/or imprisonment. The discovery of a “nurse-patient” relationship via Facebook or other social-network could be considered a violation of protected patient or health information.

In June of this year, Tri-City Medical Center in Oceanside CA fired five nurses for allegedly discussing patient cases on Facebook.

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Why Your Back Hurts: The Surprising Causes of Low Back Pain - Chronic Pain - Health.com

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Most low back pain is triggered by some combination of overuse, muscle strain, and injury to the muscles, ligaments, and discs that support the spine. Many experts believe that over time muscle strain can lead to an overall imbalance in the spinal structure. This leads to a constant tension on the muscles, ligaments, bones, and discs, making the back more prone to injury or reinjury.

The causes of pain in the low back, or lumbosacral region, tend to add on to one another. For example, after straining muscles, you are likely to walk or move in different ways to avoid pain or to use muscles that aren't sore. That can cause you to strain other muscles that don't usually move that way.

The most common causes of low back pain are:

Injury or overuse of muscles, ligaments, facet joints, and the sacroiliac joints.

Pressure on nerve roots in the spinal canal. Nerve root compression can be caused by:
A herniated disc, often brought on by repeated vibration or motion (as during machine use or sport activity, or when lifting improperly), or by a sudden heavy strain or increased pressure to the lower back.

Osteoarthritis (joint degeneration), which typically develops with age. When osteoarthritis affects the small facet joints in the spine, it can lead to back pain. Osteoarthritis in other joints, such as the hips, can cause you to limp or to change the way you walk. This can also lead to back pain.

Spondylolysis and spondylolisthesis, vertebra defects that can allow a vertebra to slide over another when aggravated by certain activities.

Spinal stenosis, or narrowing of the spinal canal, which typically develops with age.

Fractures of the vertebrae caused by significant force, such as from an auto or bicycle accident, a direct blow to the spine, or compressing the spine by falling onto the buttocks or head.

Spinal deformities, including curvature problems such as severe scoliosis or kyphosis.

Compression fractures. Compression fractures are more common among postmenopausal women with osteoporosis, or in men or women after long-term corticosteroid use. In a person with osteoporosis, even a small amount of force put on the spine, as from a sneeze, may cause a compression fracture.

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What Causes ADHD? 12 Myths and Facts - Health.com

Because attention deficit hyperactivity disorder (ADHD) symptoms—inattention, impulsivity, and/or hyperactivity—affect a child's ability to learn and get along with others, some people think an ADHD child's behavior is caused by a lack of discipline, a chaotic family life, or even too much TV.
In fact, research suggests that ADHD is largely a genetic disorder.
However, some environmental factors may play a role as well. Here, we separate fact from fiction about the causes of ADHD.

Next: Pesticides

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Cancer patients die too often in hospitals, study says - The Boston Globe

Researchers at the Dartmouth Atlas Project in Lebanon, N.H., analyzed the records of 235,821 Medicare patients ages 65 and older who died between 2003 and 2007. Overall, the researchers found that one-third of patients spent their last days in hospitals and intensive-care units. But there was a big range. At one end was Manhattan, where 46.7 percent died in the hospital. In contrast, 7 percent of cancer patients died in the hospital in Mason City, Iowa.
While chemotherapy and other aggressive procedures can prolong life and enable some cancer patients to return home and to work, studies have shown that these treatments have little or no value for frail elderly patients and those with advanced cancer. But 6 percent of patients received chemotherapy in their last two weeks of life, and the rate was much higher — more than 10 percent — in some places, the researchers found.
Similarly, more than 18 percent of cancer patients were placed on a feeding tube or received cardiopulmonary resuscitation in their last two weeks of life in Manhattan, compared with less than 4 percent in Minneapolis.

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Tuesday, December 14, 2010

Change of Address: 40 Top Nursing Home Blogs for Families

40 Top Nursing Home Blogs for Families

It can be a struggle to decide when the timing is right to put a loved one into a nursing home. In general, they aren’t overly thrilled about it and you can understand why as they are giving up some of the independence that they have enjoyed for so long (at least to some extent). That’s really a tough transition for the person going into the nursing home as well as for their friends and family who love and care for them. Part of the concerns stem from the grim news we hear so often about nursing home abuse and other potential ways that our loved one can be taken advantage of (financial scams, isolation, and more). The best thing that we can do is stay informed and make sure that we are vigilant about looking after their care by checking in on them on a regular basis. Another great way is to stay in touch with current events, things to watch for, and more by reading news and blogs related to nursing homes. I put together this list of 40 blogs to help keep you up-to-date on the latest in senior care.

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Organ Donation Informed Consent, Is A Single Parent's Sufficient?

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:
Each week a case will be reviewed and supplemented with clinical and legal resources from the web. Attorneys, Legal Nurse Consultants and nursing professionals are welcome to submit relevant articles. Please contact us if you'd like to reproduce our material.

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Summary: Organ donors are in high demand. Frequently intended recipients can wait a lifetime for the critical matching organ. In this case, two nurses obtained a consent from a child's mother. When the father later expressed his disagreement, the child's corneas had been harvested and it was too late.
The patient was an 11-year-old child that had died soon after an Asthma attack.
"By condition (excluding pregnancy), the five leading causes of hospitalization among children are: bronchitis/asthma, digestive disease, pneumonia and respiratory infection, otitis media and mental disorders."1
The parents were approached for the purpose of donating the child's corneas under the Uniform Anatomical Gift Act.
"What is a Corneal Transplant?
The cornea is a dime-sized clear tissue covering the front of the eye. Light rays pass through the cornea and then through the lens. The lens forms an image on the retina in the back of the eye where the optic nerve is located. Sight is controlled by the optic nerve, the only nerve of vision. This nerve activates the retina to pick up the image in view."2
The mother alone was present at this time when it was first discussed.
"The child's mother maintains that she told the nurse it "did not matter" to her."3
"The Uniform Anatomical Gift Act (UAGA) of 1968 provided for the first time that an individual could donate his or her organs at death to another for medical purposes. It was adopted in all 50 states and the District of Columbia, and was a major step toward solving the organ donation problem. But new medical technologies have now made many transplant operations commonplace, and a shortage of donor organs remains."4
With this, the harvesting center was contacted and the patient's information left. A consent form was faxed over to the hospital. Two nurses then spoke to the mother by telephone and signed off on the form that consent had been obtained.
Individual state laws may vary in procedure for who can consent to an anatomical gift. In Alaska for instance:
"(a) A competent person who is 18 or more years of age may make a gift to take effect upon death of all or a part of the person's body for a purpose specified in AS 13.50.020.
(b) When persons in prior classes are not available at the time of death, and in the absence of actual notice of contrary indications by the decedent or actual notice of opposition by a member of the same or a prior class, any of the following persons, in order of priority listed, may give all or a part of the decedent's body for a purpose specified in AS 13.50.020:
(1) the spouse;
(2) an adult son or daughter;
(3) either parent;
(4) an adult brother or sister;
(5) a guardian of the decedent at the time of death;
(6) any other person authorized or under obligation to dispose of the body.
(c) The persons authorized by (b) of this section may make the gift after or immediately before death."5
The agent for the organ center came and harvested the child's corneas and returned to the center. He had looked over the consent form obtained, initialed it to verify it had been obtained by phone and was satisfied.
"When the cornea, a thin tissue that covers the front of the eye, becomes cloudy or damaged due to disease, injury or hereditary conditions, the result is vision loss or even blindness.
To clear this window, the damaged cornea is removed surgically and replaced with healthy, transplanted eye tissue-a donated cornea. This transplant operation is successful in more than 90 percent of cases in the US. After a successful transplant, patients have renewed vision or see for the first time."6
Each individual facility must generate protocols on organ procurement and obtaining informed consent:
"Each hospital in the state shall develop procedures for identifying potential donors of gifts, requesting gifts, notifying and coordinating with eye banks, tissue banks, and organ procurement agencies, and assisting in the procurement, removal, storage, and transportation of gifts."7

The child's father would arrive on the scene soon after. When approached and informed of the harvesting, he was perturbed. He would not sign the consent after the fact and chose to take legal action against the hospital and the donor center.
In court, summary judgement was entered for the defense:
The parent's appealed.
Questions to be answered:
1. Under the Uniform Anatomical Gift Act (UAGA), is the consent of a parent sufficient to proceed with harvesting of a child's organs.
2. Were the nurses negligent in their explanation of the procedure or in not waiting till the father was available?
The applicable laws stated that as long as a consent from a legally "responsible" and informed party is obtained, no liability or negligence can be assigned. It was clear from the testimony of the nurses that they spoke to the mother and informed her of what was to happen.
In obtaining organs, time is typically of the essence. The longer an organ or tissues remains in a body, the less likely it will be useful for the purposes of transplantation.
There was no evidence that the mother was either "coerced" or "rushed" into making a decision. There was no documentation that she "wished to speak to her husband" before making the decision. If more time had been needed or another family member needed to be consulted, the mother could have clearly stated this.
On the part of the nurses, a single adult guardian consent only was needed and obtained.
When the agent of the eye bank looked over the informed consent, he as satisfied that it was legitimate. In harvesting the child's corneas, he acted in good faith and had no reason to believe a proper consent had not been obtained.
The court dismissed the plaintiff's argument that the "good faith" actions of the hospital or eyebank were "subject to interpretation." The court was satisfied that under the conditions, the actions of the employees were reasonable and within the boundaries of existing law.
This case does point out the need for judgement and clear documentation when a consent for organ donation is obtained. The nurses were wise to obtain not one but two witness signatures on the consent form. The agent of the eye bank was wise to make sure the notation was made of a "telephone" consent.
Regardless of these precautions, the nurses, hospital and eyebank were still sued. Had this lawsuit been initiated after either of the employees involved had left, the hospital may or may not have covered or defended them.
Related Link Sections:
Clinical Charting and Documentation, Nurses Notes
http://www.nursefriendly.com/nursing/linksections/directpatientcarelinks.htm
Informed Consent
http://www.legalnursingconsultant.org/legal.nurse.consultants.lnc/informed.co...
Medical Legal Consulting Nurse Entrepreneurs
http://www.nursefriendly.com/nursing/ymedlegal.htm
Organ Donation:
http://www.nursefriendly.com/nursing/directpatientcare/organ.tissue.donation.htm

Sources:
1. National Association of Children's Hospitals and Related Institutions. No date given. About Childrens Hospitals - Facts on Children's Health - Illness and Injury. Retrieved June 20, 1999 from the World Wide Web: http://www.nachri.org/abouth/facts/hlth_illness.html
2. Old Dominion Eyebank. No date given. Corneal Transplant. Retrieved June 20, 1999 from the World Wide Web: http://www.odeb.org/html/cornealtransplant.htm
3. RRNL 39 May 12 (1999)
4. National Conference of Commissioners on Uniform State Laws. No date given. Why All States Should Adopt The Revised Uniform Anatomical Gift Act (1987). Retrieved June 20, 1999 from the World Wide Web: http://www.nccusl.org/whystate/uagawhy.html
5. The Alaska Legal Resource Center. No date given. Persons Who May Execute An Anatomical Gift. Retrieved June 20, 1999 from the World Wide Web: http://www.touchngo.com/lglcntr/akstats/Statutes/Title13/Chapter50/Section010...
6. Medical Eye Bank of Florida. No date given. Anatomy of the Eye. Retrieved June 20, 1999 from the World Wide Web: http://www.castlegate.net/mebfl/anatomy.htm
7. The Alaska Legal Resource Center. No date given. Requests By Hospitals For Anatomical Gifts. Retrieved June 20, 1999 from the World Wide Web: http://www.touchngo.com/lglcntr/akstats/Statutes/Title13/Chapter50/Section014...

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Send comments and mail to Andrew Lopez, RN
Created on Saturday May 23, 1999

Last updated by Andrew Lopez, RN on Monday, January 25, 2010

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Golden Gate Community Health - Golden Gate Community Health

Planned Parenthood Golden Gate is now Golden Gate Community Health!
As we continue on under a new name we will still serve the community with the same high quality health care we have been for almost 90 years. We will work diligently to make sure you get the care you deserve. Thank you for your continued loyalty. Learn More . . .

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How adult smoking affects behavior in children, KevinMD.com

by Nancy Walsh
Both maternal and paternal cigarette smoking can contribute to adverse chronic conditions — physical and psychological — in children, two large studies found.
Writing in the July issue of Pediatrics, Marie-Jo Brion, PhD, of the University of Bristol in England, and colleagues reported that children in two cohorts whose mothers smoked were more likely to have conduct/externalizing behavior problems than were those who had no prenatal tobacco exposure:
* British cohort, OR 1.24 (95% CI 1.07 to 1.46, P=0.005)
* Brazilian cohort, OR 1.82 (95% CI 1.19 to 2.78, P=0.005)
In a second study in the same issue, Chinese researchers found that daily paternal pre- or postnatal smoking was associated with increased mean body mass index (BMI) Z-scores in offspring at seven years, with a mean difference of 0.10 (95% CI 0.02 to 0.19) and also at 11 years, when the mean difference was 0.16 (95% CI 0.07 to 0.26).
These studies “tighten the evidence around tobacco smoke exposure and chronic conditions of childhood,” observed Jonathan P. Winickoff, MD, of Massachusetts General Hospital for Children in Boston, and colleagues in an editorial accompanying the studies.
Winickoff and colleagues wrote that these studies contribute to a growing body of research findings linking tobacco smoke exposure and multiple childhood morbidities and mortality, ranging from miscarriage, stillbirth, and sudden infant death syndrome to decreased lung function and obesity.
Brion and colleagues sought to determine if maternal smoking also could be causally related to the widely reported psychological problems seen in offspring.
Their study included 6,735 children residing in southwest England born between April 1991 and December 1992, as well as 509 children from the city of Pelotas in southern Brazil who were born during 1993.
The prevalence of maternal smoking was almost twice as high in the Brazilian cohort (29.4% versus 15.9%), but consistency was observed otherwise in the two groups.
In unadjusted models, maternal smoking was associated with behaviors in children at four years of age including inattention/hyperactivity, conduct/externalizing problems, and peer/social difficulties, but not with emotional/internalizing problems.
After adjusting for multiple potential confounders, however, such as birth weight and gestational age, socioeconomic factors, and maternal-paternal smoking, only conduct/externalizing problems were seen in both cohorts.
These findings support the concept that these children’s behavioral problems may be mediated by the influence of intrauterine tobacco exposure, and particular
ly nicotine, on neurodevelopmental pathways, according to the investigators.
They acknowledged that the study had shortcomings. Information about potentially important confounders, such as maternal antisocial behavior, was not available, and different instruments were used to assess child behavior in the two cohorts.
Also, parental smoking was measured by self-report, which may represent an underestimation.
In the second study, C. Mary Schooling, PhD, and colleagues from the University of Hong Kong, examined the effects of secondhand smoke on 6,790 children born during 1997 whose mothers did not smoke, stratifying them according to degree of paternal smoking.
They found that children of daily paternal smokers were from lower socioeconomic backgrounds, had mothers not born in Hong Kong, and were less likely to be breastfed.
Unlike BMI, the children’s height was not affected by paternal smoking.
At age seven, the difference in height Z-scores was −0.01 (95% CI −0.08 to 0.06), and at age 11 the difference was 0.02 (95% CI −0.05 to 0.10).
“To date, most of the evidence for the association between parental smoking and offspring overweight comes from Western or long-term developed settings, where smoking and childhood BMI are socially patterned and usually associated with low socioeconomic position,” the investigators wrote.
They noted that in Hong Kong, few women smoke and about one-quarter of men do, and although the prevalence of overweight in childhood is comparable to that in Western countries, it may be less socially patterned.
“Therefore, currently developed Hong Kong may serve as an ideal, non-Western social laboratory in which to verify associations from Western societies that are potentially confounded by [socioeconomic position],” they wrote.
In this study, the data were collected prospectively but there still were limitations. Secondhand smoke exposure was determined by parental report, so underreporting was possible, and childhood adiposity was measured by proxy using BMI, which does not differentiate between body fat and lean mass.
Nonetheless, the study suggests that paternal smoking may contribute to excess weight in offspring. Possible explanations for this include the fact that infants in households of smokers were less likely to be breastfed, and parents may have been generally less health-conscious.
“Alternatively, our findings might reflect the physiologic effects of paternal smoking and perhaps prenatal [secondhand smoke] exposure,” they wrote.
For example, while nicotine exposure from secondhand smoke might not be sufficient to cause intrauterine growth restriction, it might lead to restricted brain development and changes in appetite and metabolism.
In the editorial, Winickoff and colleagues urged continuation of efforts to curb smoke exposure in workplaces, restaurants, homes, and cars, recommending that clinicians utilize office systems, family-centered approaches, and community outreach to further minimize exposures and improve the health of both parents and children.
“Parental tobacco dependence, itself a chronic condition, begets other chronic conditions of childhood,” they wrote.
Nancy Walsh is a MedPage Today contributing writer.
Originally published in MedPage Today. Visit MedPageToday.com for more smoking news.
Similar Posts:
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Chronic pain patients may have been disobedient children
How can quitting smoking improve lung function in patients with asthma?
Will co-sleeping with your infant increase the risk of SIDS?

Tagged as: Patient, Primary care

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Integrating New Nursing Grads, Nursetogether.com

Do you remember what it was like to be a new nursing graduate? One day you were a student, and ‘poof,’ one day you were a nurse. Expectations ran high and responsibilities ran even higher. The cushion of ‘just being a student’ and having your instructor ultimately be responsible is gone in an instant. Do you remember the anxiety, fear and unsure feelings of those first few months?

When you are well into your own career and overloaded with your own patients, it is easy to forget what it was like in the beginning. But wait, we need your active participation to help us integrate our new staff, now more than ever! In a profession that is one of the most trusted and respected in the world, it is embarrassing that we have a phenomenon known as ‘nurses eating their young’ - the well known, but little talked about, epidemic of senior nurses making work life even more challenging for their young counterparts. I am hopeful that the general public is unaware of this, as it would be rather embarrassing for us!

Why do you think this exists? Do we feel that new grads must ‘pay their dues,' that because no one supported us, we don’t need to support them? Is it our own insecurities? Are we worried they have newer, fresher knowledge, and that they will want our jobs?

Whatever our reasons, whether conscious or not, many of us are hurting, rather than helping, our new nurses integrate into our institutions. With the shortage of nurses so prevalent, wouldn’t it be in OUR best interest to help these ladies and gentlemen through their first, and possibly most challenging, year in the profession?

Dr. Judy Boychuk Duchscher, RN, PhD, has made her life’s work helping new nurses transition into the workplace. Beyond this article, her compelling research and tools for integration can be found on www.nursingthefuture.ca.

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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.
A few months after the accident, with hopes of possibly preventing other children from the trauma of being burned, I began conducting research, then my husband and I wrote a story about burn injury prevention and safety in the home for infants, toddlers, preschoolers and their parents and caregivers, called Bernie Burn.
Initially, we had submitted our story in manuscript form to some well-known publishers for consideration. After waiting for what seemed to be an eternity, we finally received our responses informing us that…although they liked the story very much, they did not know how to market the book.
Believing that we have a significant contribution to offer in the fight against childhood burn injuries, with our combined talents in January 2004 we decided to move forward and establish our very own publishing company.
Little Boots Publishing celebrates children and their families by offering storybooks with imagination and purpose.
Emphasizing health promotion and safety awareness, we are devoted to presenting storybooks that are fascinating and delightful for children, informative and comprehensive for parents and caregivers, and valuable for professionals.
Bernie Burn became available at the end of April 2004. In addition to working with the public, we’re hoping to work with hospitals, community outreach programs, health and safety promotion programs, burn and injury prevention programs, and preschools, just to name a few.
As a new small business owner, we’ve quickly learned that sacrifice, dedication, skill, and perseverance are essential to be successful …and a little luck goes a long way.
Just starting out, as many new small business owners do, we’ve devoted much time and invested just about all our life’s savings and then some to make this dream a reality.
Right now, we’re filling many roles ourselves, such as research and development, writing, illustrations, editing, graphic art, website design, book design/layout, marketing/promotions, secretary/administrative, accounting, purchasing, distribution, customer service, etc.
We’ve accepted some of the “realities” to owning our own business like taking a large financial risk, working long hours, fewer opportunities to take vacations, and doing other things we enjoy.
For us, the benefits clearly outweigh the “realities”, like personal satisfaction and working in a field we truly enjoy, having complete creative control, being our own boss and making decisions that are crucial to our business’ success or failure. More importantly, working directly with our clients, and having an opportunity to possibly make a difference in the community and the lives of others.
We’re true believers that sometimes things happen for a reason. Looking back though, we never imagined that our daughter’s accident would propel us to write and illustrate a storybook and go so far as to establish our very own publishing company in our efforts to reach children, parents, caregivers and professionals. Three years later…here we are, and we’re just getting started. Wishing everyone a happy, healthy, burn-safe day!
For more information, please contact:
Sarah Cruz, R.N.
Email: Sarah@littlebootspublishing.com
Website: www.littlebootspublishing.com, or call (401)-475-5852.

Nursingentrepreneurs.com is a networking and resource directory for Nurse-Owned businesses and nurses looking for an alternative to working at the bedside.
If you explore the site a bit, you'll find profiles of hundreds of nurse entrepreneurs around the country. We encourage you to browse around, find a business category you are interested in, then contact the nurse directly. We're available for questions as well. This website is Owned-Operated by Andrew Lopez, RN a Medical/Surgical/Telemetry nurse.
Has your Nurse-owned business been written up in the news? Do you send out a newsletter or regular press releases? We'd like to hear about it!

Our Newest article is from an Arizona Nurse Entrepreneur:
Should You Incorporate Your Registry Business? By Joseph Caracci, RN:"The short answer is yes! When starting a new nurse registry business, you are entering into a legal business environment that requires you to take steps to protect your personal assets, such as your home, your savings, and your retirement. With this in mind, you need to determine which legal form you are going to take for your new registry. Some of the common choices are a sole proprietorship, a partnership, a limited liability partnership (LLP), a limited liability company (LLC), and a corporation."
http://www.nursingentrepreneurs.com/incorporate
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The #1 question, we've been receiving lately is about Starting A Nursing Agency, resource sites & manuals

Please choose from the following:

1. Register for the directory (Includes website, business cards, etc).

20 low-cost homebased businesses, Smallbizbooks.com:
25 businesses you can start and run from home.:'Here are a variety of businesses that you can start and operate from the comfort of your home."

Advertising Resources: Advertising Networks and Merchants that support the Nursefriendly and keep us a free website to visitors. Look here for income sources for your own site.

Affiliate Programs: Make Money From Any Type of Website! Here we link you with advertisers ready to pay you for hosting their links. If you're not sure which type of program would work best on your site, we'll review it and make some suggestions.

Are You Making Any of These 10 Deadly Small Biz Mistakes?
Associations For Entrepreneurs, Small Businesses, Business Basics

Career Alternatives For Nurses:

Discusss Nurse Entrepreneur Opportunities, Issues and Concerns

Franchise Opportunities: Allow you to purchase a business with an established name, product or service building on a reputation they have already established.
Health Insurance: Medical, Dental, Prescription, Vision Coverage, Employed & Self-Employed

How To Earn Money With Any Kind of Website
Nurses In Business, Articles About Nurse-Owned Businesses:

Our Newest Nurse-Owned Businesses (look here for your listing after you register).: We research and receive new nurse entrepreneur directory listings daily (they are free for nurses). These are the newest.

Review Nursing Entrepreneurs by State:

Review Nursing Entrepreneurs by Category:

Starting A Nursing Agency, How To Start

Traits & Qualities That Make Nurses Excellent Entrepreneurs

Turn Your Knowledge & Experience Into Revenue!
What Exactly Is A Nurse Entrepreneur
What Made You Decide To Start Your Own Business?

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Please note, Listings in this directory are FREE permanently to Nurse-Owned businesses.
If you're just starting out a business and are not sure how to go about it, feel free to give us a call or send us an E-mail.
We're available 9am to 9pm for calls EST.
If you have a lot of questions, we'd suggest getting a cell phone with lots of national minutes (smile).
We can walk you through step by step from deciding
what type of business organization is right for you to, payroll, marketing, etc.
Call or E-mail Andrew Lopez, BS RN, President & CEO of Nursefriendly, Inc. at 856-415-9617 or info@nursefriendly.com.
If you don't see a category or state your business belongs in, we'll create it!
We're very supportive of nurses looking to start or expand their nurse-owned businesses.
If you have questions, please contact us. In our directories, we've organized resources to help you start, build and grow your business.
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Article Index:

Eight Tips for Aspiring Healthcare Entrepreneurs by Megan Malugani, Monster.com:"You may dream about being your own boss, but are you really ready to take the plunge into healthcare entrepreneurship? Besides having a winning idea or service to offer, you must be self-motivated, persistent and energetic, say successful healthcare entrepreneurs. Faye Berger Mitchell, a nutritionist in private practice since 1988 in Chevy Chase, Maryland, and Thom Golden, a former emergency room nurse who founded Doctor Baby Proofer in 1986 in Dallas, offer eight tips to aspiring entrepreneurs:
http://allhealthcare.monster.com/benefits/articles/2298-8-tips-for-aspiring-healthcare-entrepreneurs

How to Use Other People's Money for Your Business, By Matthew Lesko

The New Power of Advertising, By Jay Conrad Levinson
The Story of the Hypnotic Writing Monkey, by Joe Vitale

The Truth Must Be Told, Ted Nicholas

Interesting Reading For Nurse Entrepreneurs, Actual or Soon To Be:
Nurse Entrepreneurs: Tales of Nurses in Business:"This book is vey inspiring! Learn how 50 different nurses brought their vision to reality! Learn some great tips on starting your own business. Nurses don't have to just work at the bedside. Read this book and you will be thinking of how you can make your dream a reality!"
Own Your Own Corporation: Why the Rich Own Their Own Companies and Everyone Else Works for Them:"Rich Dad's-"Own your Own Corporation" is a must read for anyone comtemplating a new business-or someone who already owns their own business. Garrett's direct yet simplistic explanations of the different business entities,the proper and best suited entity for your business-is followed by real-life scenarios which helps drive home the importance of corporate ownership in today's business world. Use Garrett's legal expertise to establish a successful, legally responsible and fiscally protected business...And understand the why's and how's of that ownership."
21 Success Secrets, Success Secret #4- "Do What You Love to Do." Get your FREE CD and find out the other 20 secrets of self-made millionaires.:"Order your FREE CD ($4.95 S&H) from Brian Tracy's acclaimed 21 Success Secrets series. Start with 21 Success Secrets of $elf-Made Millionaires - full of techniques practiced by all men and women who go from rags to riches in one generation. Brian Tracy is a noted success expert. He's trained over 2 million people in 23 countries how to achieve their financial goals faster than ever before."

Business To Business:

Subscribe to our newsletters to learn how to make any site sell! Please enter your e-mail address into the box and click on the "Subscribe" button.

Click Here To Start accepting credit cards online! Surefire Premium Processing ($100,000 and over)

Make Your Knowledge Sell!:""Make Your Knowledge Sell!" makes it possible for Y-O-U to develop and sell your infoproduct! My co-author Monique Harris started out pretty much like you. She didn't use rocket science to achieve her tremendous e-publishing success."

Make Your Net Auction Sell:"As a business, Net auctions are truly a whole new kind of opportunity. To sell at auction just a few years ago, you had to be a Sotheby's, a business liquidator, a car dealer… or some other kind of "traditional" business. Or pay them to do the job."

Make Your Price Sell:"Know Your Perfect Price™ in 50 Minutes "Why is the Perfect Price™ so important?" That depends on whether you are considering a new product concept, launching a new product, or managing existing ones... Considering a new product concept? Not sure if it will fly? Imagine if you could know how much people would pay. You'd know if this new idea was worth pursuing... or not (think of the dollars and time saved)."

Make Your Site Sell:"Starting a major new business on the Net? Want to improve upon results from an existing Web presence? Or merely looking to build a solid second income stream? Whatever your e-commerce goals, we'll OVERdeliver, no matter how lofty your expectations are. As you will soon see, SiteSell.com products are globally acclaimed by major authorities as best of breed. Yet they are priced so that you can afford them... easily."

Make Your Words Sell:"What Do YOU Sell? Want to Sell More? Selling software on the Net? Infoproducts? A service? Million dollar cables for suspension bridges? If you want to sell more... Use the right words. Because words sell, not graphics. If you have any doubts, try this simple experiment."

Site Build It :"Site Build It! is the complete, all-in-one traffic-building system. It builds income by giving you all the software, tools and techniques that you need to build targeted traffic... all tied together into a terrific, time-saving, step-by-step process."

Please select from the following, see also Doing Business Resources:

Make Money From Any Type of Website! Webmasters will want to check out our Paid Link Affiliate Programs Directory

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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
Nurses' Station:"The idea for the Nurses' Station Catalog was conceived in 1989. After searching the marketplace in response to customer inquiries, it became obvious that there were no catalogs of this type serving the nursing profession. To be sure, there were several catalogs offering nurse's uniforms and a smattering of professional items. But there weren't any catalogs at the time offering a range of gifts, clothing, professional items, name badges, shoes and scrubs for nurses. It took two years of hard work to gather samples and put a together a catalog of the most unique and high-quality items for nurses."
Nurses Station P.O. Box 388 Centerbrook, CT 06409-03881
http://www.nursefriendly.com/station/
Choose Nursing Uniforms, Shoes, Scrubs, Accessories By Brand:

Accessories
Nursing Carry-Ons, Medical Bags,
Clinical, Medical Supplies,
Footwear, Shoes, Sandals, Discount, Bargains
Gifts For Nurses (Nurses Week)
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

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

Any questions, please drop me a line.

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Sincerely,

150,000 + Nurse-Reviewed & Approved Nursing Links

Nursefriendly.com

Wednesday, December 15, 2010

Nursing and Social Networking - Think Twice About What You Write

Why Your Back Hurts: The Surprising Causes of Low Back Pain - Chronic Pain - Health.com

What Causes ADHD? 12 Myths and Facts - Health.com

Cancer patients die too often in hospitals, study says - The Boston Globe

Tuesday, December 14, 2010

Change of Address: 40 Top Nursing Home Blogs for Families

40 Top Nursing Home Blogs for Families

Organ Donation Informed Consent, Is A Single Parent's Sufficient?

Golden Gate Community Health - Golden Gate Community Health

How adult smoking affects behavior in children, KevinMD.com

Similar Posts:

Integrating New Nursing Grads, Nursetogether.com

How We Got Started, Sarah Cruz, RN, Little Boots Publishing, Rhode Island (RI) Nursing Entrepreneurs

Our Newest article is from an Arizona Nurse Entrepreneur:

Make Money From Any Type of Website! Webmasters will want to check out our Paid Link Affiliate Programs Directory

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

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