Thursday, April 7, 2011

50 Super Cool Blogs on Nursing

Nursing is one of the most rewarding and difficult professions today. Having a little support can make a huge difference. From the history of nursing, to humorous stories from a long day; nursing blogs provide entertainment and tips that help you be a better nurse. You are one of nearly three million nurses in the United States or five million in the world. The network that connects you all together is a valuable resource for making you the best nurse you can be, as well as enriching the entire nursing community.

Below is a list of fifty of the best blogs for nurses in any stage. Nursing students, specialized nurses, job searches, day to day work, advice, etc. can all be found online. These blogs connect you to the greater nursing community. You are never alone. Check out these blogs to find others in the same boat as you are.

General

The following are general nursing blogs that any nurse could enjoy regardless of status. Students, experienced nurses, or specialized nurses can benefit from being a part of blogs like these.

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

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

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

StumbleUpon,
http://www.nursefriendly.com/stumbleupon
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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
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http://www.nursingcasestudy.com
http://www.nursingentrepreneurs.com
http://www.nursingexperts.com

Errors still common in U.S. hospitals | Reuters

About one in three people in the United States will encounter some kind of mistake during a hospital stay, U.S. researchers said Thursday.

The finding, which is based on a new tool for measuring hospital errors, is about 10 times higher than estimates using older methods, suggesting much work remains in efforts to improve health quality.

"Without doubt, we've seen improvements in health care over the past decade, and even pockets of excellence, but overall progress has been agonizingly slow," said Susan Dentzer, editor-in-chief of Health Affairs, which published several studies on a special issue on patient safety.

The special issue came 10 years after an influential Institute of Medicine report that found significant gaps in health quality.

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

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

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

Facebook:
http://www.nursefriendly.com/facebook

What's New:
http://www.nursefriendly.com/new/

Blogger:
http://4nursing.blogspot.com/

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

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International Resources

    Nursing - Ask an Expert! Liveperson.com:" Administration, Cardiology, Counseling, Diabetes, Education, Fitness, Home Health, ICU, IV Therapy, Mental Health, Oncology, Pediatrics, Practical Nurse, Public Health, Registered Nurse, Rehabilitation, Senior Health, Stress Management, Supervision, Surgery"
    http://www.liveperson.com/experts/health-medicine/nursing/?banid=1366

    Vhi Healthcare, Ireland:"The "Ask the Nurse" service provides access to general, non-diagnostic health information via: • Email Your Query - Request up-to-date facts on general health matters using the query form below. • Call Me Back - Request a health professional from the HealthLine to call you at a convenient time for you."
    http://www.vhi.ie/nurse/index.jsp

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    National Resources:

    ASK-A-NURSE, McKesson Health Solutions LLC.:"ASK-A-NURSE is the trademark name for telehealth services provided by registered nurses. Telehealth services include the telephone, Internet, electronic mail (email) and/or facsimile (fax). A consumer or patient may contact an ASK-A-NURSE call center to talk with a registered nurse about their symptoms. The nurse will assess the symptoms and provide advice on seeking care and improving symptoms. ASK-A-NURSE call centers answer healthcare questions, and give physician referrals. ASK-A-NURSE call centers also provide information about hospital and community services as well as wellness classes."
    http://www.ask-a-nurse.com/

    BSNDegree.org, Kaitlyn Smith-Woods:"Hi! My name is Kaitlyn Smith-Woods, I'm a fulltime nurse at a major hospital in a beautiful city somewhere in the heart of California. I struggled with the decision to quit my job as a research technician and return to school to get a BSN but it's the most emotionally and financially rewarding choice I've made in life and I hope my website will encourage others to take the plunge. Have questions you'd like covered? Ask away and I'll do my best to answer them. Scroll past my articles for the Q&A section."
    http://www.bsndegree.org/

    Categories: Ask The Nurse, Nursing Discussions, Nursing Schools (Nurse Education), Colleges of Nursing, Personal Nurse Websites

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    Ask a healthcare professional. eCureMe.com:"No more long waits on the phone or at the doctor's office. We'll connect you with a physician or therapist immediately. Through email or video, eConsult Live provides you with quick, easy and affordable access to medical advice and lifestyle counseling. Just click into one of the programs below."
    eCureMe.com: 909 S. Gramercy Place Los Angeles, CA 90019
    Tel: 323.731.9200 Fax: 323.386.0078 Email: info@eCureMe.com
    http://www.ecureme.com/econsultlive/splash/econsultlive_splash.asp

    Virginia Duffy PhD, RN, CS, NP-PMH, Psychiatric http://www.nursingentrepreneurs.com/duffy/

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    State Specific Resources:

      Arizona Ask A Nurse Services:

      Ask The Doctor, Arizona Center for Fertility Studies, Arizona:The Nurse will personally respond to your questions in 5 to 7 working days. If you would like written information please see the E-mail page. Please make your questions as specific as possible and include a breif history if appropriate."
      8997 E. Desert Cove Ave. 2nd fl Scottsdale, AZ 85260
      phone:(480) 860-4792 fax:(480) 860-6819
      http://www.acfs2000.com/ask_the_doctor.html

      California Ask A Nurse

      BSNDegree.org, Kaitlyn Smith-Woods:"Hi! My name is Kaitlyn Smith-Woods, I'm a fulltime nurse at a major hospital in a beautiful city somewhere in the heart of California. I struggled with the decision to quit my job as a research technician and return to school to get a BSN but it's the most emotionally and financially rewarding choice I've made in life and I hope my website will encourage others to take the plunge. Have questions you'd like covered? Ask away and I'll do my best to answer them. Scroll past my articles for the Q&A section."
      http://www.bsndegree.org/

      Categories: Ask The Nurse, Nursing Discussions, Nursing Schools (Nurse Education), Colleges of Nursing, Personal Nurse Websites

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      Florida Ask A Nurse Services:

      Florida Hospital ASK-A-NURSE®:"ASK-A-NURSE allows you to speak confidentially with a registered nurse who can evaluate any symptoms you or a family member may have, enabling you to determine the most appropriate action for care. The nurses use an extensive computerized database that contains a wealth of medical information and guidelines to assist you with your health concerns. "
      http://www.bizjournals.com/orlando/stories/2003/01/13/daily10.html

      Ask A Nurse, Florida Hospital’s Healthcare Information Center:"Florida Hospital’s Healthcare Information Center is dedicated to giving you and your family precise health care information through a variety of free telephone information services 24 hours a day, seven days a week. All you have to do is pick up the telephone and call one number. Call 303-1700 in Orange and Seminole Counties or in Osceola County call 870-1700."
      http://www.bizjournals.com/orlando/stories/2003/01/13/daily10.html

      Illinois Ask A Nurse Services:

      Ask-A-Nurse, Illinois State University:"The Ask-A-Nurse is a registered nurse available for telephone consultation for illnesses, injuries, or other health concerns and questions. The nurse can assist you in scheduling an appointment when necessary. When you call, the Ask-A-Nurse may need to know your name, social security number, address, telephone number, and reason for calling. As with any Student Health Service encounter, the information discussed with the Ask-A-Nurse is confidential and may be entered in your medical record. The information provided by telephone by the Ask-A-Nurse is consultative and should not be considered a definitive diagnosis or treatment."
      438-7676
      http://www.shs.ilstu.edu/about_us/contact.shtml

      Ask The Nurse, Illinois, University of:"Students, Staff and Faculty of UIS are welcome to ask the nurse Questions. Lynne Price, R.N., B.S.N., is the Campus Health Service Director for the University of Illinois, Springfield campus. If you have any medical questions or questions regarding the UIS Campus Health Service, just ask Lynne by using the comment box and clicking on the "Submit" button below."
      You can also contact Lynne by calling (217) 206-6676 or faxing (217) 206-7779.
      http://www.uis.edu/healthservices/services/nurse.html

      Massachusetts Ask A Nurse Services:

      Cancer AnswerForm, University of Michigan:"Communicate with a cancer nurse online! The information you send through this form will go directly to a knowledgeable cancer nurse who will respond promptly. Note: The Cancer InformationLine will not review medical records or make a diagnosis based on the information you provide online."
      If you would rather speak with a nurse directly, please call 1-800-865-1125
      U-M, Comprehensive Cancer Center 1500 E. Medical Center Drive CCGC 6-303
      Ann Arbor, MI 48109-0944
      http://www.cancer.med.umich.edu/support/cancer_answerline.shtml

      Missouri Ask A Nurse Services:

      Nurseline (Ask a NurseP), Saint Luke's Health System, Missouri:"Saint Luke's Health System is proud to offer the Kansas City and surrounding communities this valued telephone information service. Speak to a team of experienced Registered Nurses, who are available to take your call day and night, 24-hours per day, seven days per week. Callers can turn to us for health care guidance on everything from how to remove a tick or treat the flu, to more serious health care concerns."
      For more Information call NurseLine at 816.932.6220 or 800.932.6220 (outside KC)
      https://www.saintlukeshealthsystem.org/service/nurseline

      Montana Ask A Nurse Services:

      Ask A Nurse: Montana, Billings: St. Vincent Healthcare:"Sometimes you just need a quick answer to a medical question that's worrying you. Our nurses are trained to answer questions like those, and our ASK-A-NURSE program lets you get simple answers to simple questions fast. If you have a question for one of us, we have several ways you can reach us quickly and with complete confidentiality (and they're all free). You may either send an e-mail message using the form below to one of our nurses at ASK-A-NURSE, or call 406-657-8778 . We promise we'll have an answer for you as soon as we can. Any time of day or night, any day of the week, we're here and ready to listen."
      http://www.svh-mt.org/body.cfm?id=202

      New Hampshire Ask A Nurse Services:

      ASK-A-NURSE®, Catholic Medical Center, Manchester New Hampshire:"With ASK-A-NURSE®, a registered nurse is as close as your phone. You can get around-the-clock health care information by dialing 626.2626. You'll speak with a specially-trained registered nurse who will carefully listen to your questions and then help you make an informed decision about your health care. You'll get accurate, confidential information in the privacy of your home...free of charge. You can trust all your health care concerns to ASK-A-NURSE® because we are upheld by the leading doctors and services of Catholic Medical Center. In addition to these many resources, our experienced team of registered nurses uses a comprehensive data base of health information to give you fast, reliable health information when you need it most...day or night."
      100 McGregor Street, Manchester, NH 03102. For more information, please call 603.668.3545, 800.437.9666 or call ASK-A-NURSE® at 603.626.2626
      http://www.catholicmedicalcenter.org/ASK-A-NURSE/Default.aspx

      New Jersey Ask A Nurse Services:

      Women's Heart Foundation, Inc:"Ask the Nurse is currently under construction to change the formatting so that we can better serve you. Questions and answers previously responded to will remain posted until such changes have been completed but email service has been temporarily closed. Thank you for your patience. – Administrator"
      WHF – PO Box 7827 – West Trenton, NJ 08628
      Phone 609.771.9600 / Fax 609.771.9427, Contact us: admin@womensheartfoundation.org.
      http://www.womensheart.org/content/askthenurse/ask_the_nurse.asp

      New York Ask A Nurse Services:

      Ask Viahealth, Rochester New York:"You can fill out the form below or call 1-877-922-LINK. Please note that ViaHealth will only answer health questions from people who live in the seven county Rochester, New York area including: Livingston, Monroe, Ontario, Seneca, Wayne, Wyoming, and Yates counties. In conjunction with the ViaHealth Wellness Information Center, we can provide information on nearly any health concern, including specific diseases and conditions, emotional or mental health issues, and information on how to lead a healthy lifestyle including diet, exercise, and stress management."
      http://www.rochestergeneral.org/rochester-general-health-system/health-library/ask-a-nurse/

      Saint Vincent Ask-A-Nurse, West New York:"*Saint Vincent Ask-A-Nurse is licensed to accept calls from within the Erie County region and from Westfield, NY, only. Please consult your local phone book for your region's health information service. With Ask-A-Nurse®, a service of Saint Vincent Health System, health information is just a phone call away. When you dial our number between 7 a.m. and 11 p.m., you'll speak directly to a specially-trained registered nurse. You can trust even your most serious health care concerns to Ask-A-Nurse, because we're backed by leading physicians and hospital services right here in the Erie community. Our experienced team of registered nurses uses a computerized database to give you fast, reliable health care information 365 days a year. You'll get accurate, confidential information in the privacy of your own home free of charge. "
      Phone: 814/452-5500 Toll-free: 800/326-8080
      http://www.saintvincenthealth.com/Patients/Ask-a-Nurse/default.aspx

      Ask-A-Nurse®, Saint Vincents: Westfield Memorial Hospital, New York State:"Ask-A-Nurse® is ready to assess your symptoms, help you decide what to do and help you find a doctor to meet your needs. As a community service of Westfield Memorial Hospital, Ask-A-Nurse is one of the most trusted health care information and physician referral programs. And best of all, the Ask-A-Nurse registered nurses are on duty 24 hours a day, every day of the year. If you live in the Westfield, NY, area, just call 1-800-326-8080.
      Westfield Memorial Hospital
      189 East Main Street Westfield, NY 14787
      716-326-4921
      http://www.saintvincenthealth.com/Patients/Ask-a-Nurse/default.aspx

      North Carolina Ask A Nurse Services:

      ASK FIRST, NorthEast Medical Center:"Free 24-Hour Information Line in Concord, North Carolina. The most advanced phone information system in the area is right here at NorthEast Medical Center. The ASK FIRST system centralizes health information making it more accessible to out patients and the community. Ask First is manned 24 hours a day, seven days a week by trained healthcare professionals. In addition, free automated information covering over 1,000 health-related topics can be easily accessed with just one phone call."
      NorthEast Medical Center
      920 Church Street North Concord, NC 28025
      (704)783-3000
      Phone: 1-800-575-1275 or 783-1275
      http://www.cmc-northeast.org/body.cfm?id=184

      Conemaugh Nurse Connection, Conemaugh Health System, Pennsyvlania:"The toll-free Conemaugh Nurse Connection gives you 24-hour, direct access to a caring and compassionate registered nurse who offers health information, physician referral or patient symptom assessment. Our nurses have access to a vast electronic library, which is used in more than 500 hospitals in the U.S. and Canada. From the library, our nurses can access information about more than 1,500 medical topics and 6,000 medications. Printed reference information can also be sent to you upon request."
      1086 Franklin Street · Johnstown, PA 15905
      1-800-587-5875
      http://www.allbusiness.com/health-care/health-care-professionals-nurses-nursing/13142765-1.html

      Ohio Ask A Nurse Services:

      Ask-A-Nurse: 972-7808, University of Akron Health Services, Ohio:"Do you have questions about your health? Would you like to know more about recommendations for wellness regarding blood pressure, self breast exam (SBE), self testicular exam (STE), nutrition and exercise? Call Ask-A-Nurse: 972-7808 Calls will be confidential. Ask-A-Nurse is designed for educational purposes only. Information given is not intended for diagnosis or treatment of medical conditions or as a substitute for professional medical care."
      http://www.uakron.edu/studentaff/health/index.php

      South Carolina Ask A Nurse Services:

      MUSC Enurses, Medical University of South Carolina:"MUSC's specially trained health resource nurses are available to answer your health related questions. Our nurses tap the resources of our esteemed physicians and professors to give you the most complete response possible. Please note that this forum is not a substitute for your physician's advice and is intended for health information only. Health resource nurses cannot diagnose your condition or answer specific questions regarding a specific patient. They have training which qualifies them to assist you in determining your need to seek medical attention and to provide health information. If you or your family member has a medical emergency please call 911."
      Medical University of South Carolina
      171 Ashley Avenue Charleston, SC 29425
      MUSC Health Connection can be reached toll-free by dialing 1-800-424-MUSC, or 792-1414
      http://www.muschealth.com/medunurse/index.htm

      South Dakota Ask A Nurse Services:

      Avera McKennan ASK-A-NURSE®, South Dakota:"Avera McKennan ASK-A-NURSE® is a free community health information service. ASK-A-NURSE is completely confidential, and Registered Nurses provide answers to health related questions and physician referrals in the Sioux Empire. Please call us at (605) 322-6877 or (800) 658-3535, or contact us directly."
      http://www.mckennan.org/amck/contact/asknurse/

      Virginia Ask A Nurse Services:

      Ask-A-Nurse Your "Healthcare" Hotline, Eastern Virginia:"It would be nice if we only needed medical attention from 9 to 5. But what can you do when your child wakes up with an earache at four in the morning? Or your spouse complains of a high fever or a persistent cough at midnight? Fortunately, there's Ask-A-Nurse®. Available around the clock. Our registered nurses are specially trained to assess your symptoms over the phone, help you decide what to do, and recommend appropriate doctors and health services. We keep the same hours as your body. So call our free hotline anytime. Day or night."
      1-800-675-6368
      http://www.riversideonline.com/services/riverside-nurse.cfm

      Wisconsin Ask A Nurse Services:

      ASK-A-Nurse: Wisconsin: Bellin:"Bellin ASK-A-NURSE® is a confidential, free health inffree health information and referral service for the public staffed by Registered Nurses 24 hours a day . Bellin ASK-A-NURSE® can be reached by calling (920) 433-7900 The nurses ask a series of questions about your concern and then direct callers to the level of medical care appropriate for the symptoms. They use an approved computerized program and document each call. Because they have to document each call for legal reasons they will ask for your name, address, birthdate, physician and insurance carrier. This information is confidential and never used outside of the ASK-A-NURSE® department."
      http://www.bellin.org/portal/page/portal/Section/facilities

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      Topic Specific Ask A Nurse Resources:

      Childbirth, Obstetrics, Pregnancy

      Ask A Nurse Questions and Answers, Childbirth.org:"Shirley Wingate RNC CD is an OB/GYN nurse with 12 years experience as an obstetrical nurse and childbirth educator. She is certified as a specialist in women's health and is an experienced labor and postpartum doula in private practice. She is the founder and director of "Birth Matters Inc." a prenatal and parenting resource and support center. Throughout her career she has been involved in developing, teaching and expanding services in the community to educate families and support them as they face the changes, challenges and choices that childbearing brings."
      http://www.childbirth.org/AskANurse/

      Cancer, Oncology

      Ask the nurse, Breastcancer.org (Great Britain):"A diagnosis of breast cancer can leave you feeling afraid, shocked, angry, or any number of different emotions. We have prepared this website so you should be able to find information about your specific treatment, diagnosis or worry. We also have a team of specialist breast care nurses who can to address any queries you may still have. Email nurse@breastcancercare.org.uk and we guarantee to send a personal response within five working days. If your query is urgent, you may want to ring our helpline on 0808 800 6000 (textphone 0808 800 6001). See about us for details of opening hours."
      http://www.breastcancercare.org.uk/

      Ask the Nurse, Bladder Cancer WebCafe:"Sharon McMullen, RN, CCRN, BSN, BA is a critical care nurse working in Philadelphia, Pennsylvania, USA with professional experience ranging from general surgical nursing to critical care nursing to emergency nursing. She will be glad to help you translate medical jargon, read between the lines of your medical records, or just navigate the often confusing world of health care."
      Please send your questions to "Ask the Nurse" c/o wendy@blcwebcafe.org
      http://blcwebcafe.org/askthenurse.asp

      Nursing School Questions

      BSNDegree.org, Kaitlyn Smith-Woods:"Hi! My name is Kaitlyn Smith-Woods, I'm a fulltime nurse at a major hospital in a beautiful city somewhere in the heart of California. I struggled with the decision to quit my job as a research technician and return to school to get a BSN but it's the most emotionally and financially rewarding choice I've made in life and I hope my website will encourage others to take the plunge. Have questions you'd like covered? Ask away and I'll do my best to answer them. Scroll past my articles for the Q&A section."
      http://www.bsndegree.org/

      Categories: Ask The Nurse, Nursing Discussions, Nursing Schools (Nurse Education), Colleges of Nursing, Personal Nurse Websites

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      Woundcare, Decubitus Ulcers

      Ask-A-Nurse, Amerigel Wound Care Products:"Welcome to Amerigel's Ask-A-Nurse. Amerx Health Care Corporation is dedicated to producing quality products and providing support to our customers, both professional and consumer alike. We understand the frustration associated with managing wounds and the difficulty in finding a product that works well. Managing a wound is not a simple task and occasionally a customer has questions regarding our products, application techniques, appropriate dressings, etc. Clearly, any problem wound should be seen and assessed by a qualified practitioner so that a Management plan can be established. The information that we provide through Ask-A-Nurse should not be construed as the sole source of medical advice, but as a suggestion, as it is impossible to properly assess an individual's condition over the phone or in writing."
      Amerx Health Care Corporation
      1150 Cleveland Street, Suite 410 Clearwater, FL 33755
      Phone 888/263-7942 Fax 727/447-5617
      Email: sales@amerxhc.com http://www.amerigel.com/asktheamerigelnurse1.asp

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      Individual Nursing, Ask A Nurse Sites:

      Richard J. Boyle, RN, Ask A Nurse:"Feel free to email me if you have a health-related question. You will receive a response. As the site grows a new page of FAQ's will be added. Be aware that the information at this site is not intended for the diagnosis and treatment of illness. Only a licensed physician may perform those duties."
      http://myweb.ecomplanet.com/ASAN7069/

      Nurse To Nurse Ask A Nurse Services:

      Ask-A-Nurse is our Q&A column for students and other individuals interested in the nursing profession. Research and education questions are answered by the site leader, and questions related to nursing practice are answered by one or more members of our nursing panel. Do you have a question about the field of nursing you would like to see addressed on this site? Use the form below to send your questions to the site leader (Submission Form). Previous questions are listed on the side bar - click on any question you would like to read to be taken to the archives. http://kcsun3.tripod.com/id19.htm

      We can help.

      Through Keen, you'll have live access to healthcare professionals ready to answer your questions on any topic 24 hours/day, 7 days a week.

      When you first register with Keen, you'll receive a $5.00 credit to spend on any speaker you choose! We charge 50 cents/minute which will give you a 10 minute conversation for free.

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      Other Medical Advice sites:

      Asktheinternettherapist.com:"Our site is one of the first complete medical clinics online ! All your healthcare concerns can be addressed on asktheinternettherapist. Our medical staff includes physicians, nurses, chiropractors, nutritionists, and masseuses. We even have a staff veterinarian for those special members of your household! Our goal is to treat the whole person. We can provide an economical Internet consultation with several specialists simultaneously or individually to help you with ALL your health concerns."
      http://www.asktheinternettherapist.com

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      Ask Your Pharmacist! How to Read a Doctor's Prescription, Brilliant Communication or Chicken Scratch? :"Q. What does all that doctor's scribble on my prescription mean? Is there a trick to help me read prescriptions? A. Just like the English speak English, French speak French and the Vietnamese speak Vietnamese, doctors, nurses and pharmacists speak the language of medicine. It takes years of training to understand what might be spoken amongst health care professionals in your local hospital or the dense pages of information written in your own medical chart. Your prescription is an extension of this medical terminology. It contains key information and directions regarding your medication including the name, the dose, how to take it, when to take it, how frequently it should be ingested, and when the medication should be stopped, if it is to be taken for a definite duration."
      http://www.askyourpharmacist.ca/how_to_read_prescriptions.html

      Illegible Handwriting, Physician's Penmanship, Direct Patient Care, http://www.nursefriendly.com/illegible

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      The Doctors Lounge:"The Doctors Lounge is one of the most popular online medical resources for physicians, students and allied clinical professionals. It provides both clinical and technical information through multimedia tutorials and other study aids. Both patients and professionals can seek answers to medical questions via the public discussion boards. Please review our Terms & Conditions of Use. The Doctors Lounge was founded in April 2000 in South Dakota, USA; when two physicians, Dr. Tamer Fouad, M.D. and Dr. Yasser Mokhtar, M.D., decided to create a free online medical community that provides its visitors with premiere articles that can only be found in a paid service. webmaster@thedoctorslounge.net
      http://www.doctorslounge.com/ask.htm

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      NewDoctor.com:"If you've made the decision to obtain doctor guidance and doctor services, you have now found yourself facing the tough task of finding the best possible provider of doctor services. In this day and age, there are literally tens of thousands of different doctor service providers and professionals in operation on both the Internet and World Wide Web. However, when it comes to the best service and latest technology offered by a doctor service provider either on the Net or on the real world, NewDoctor.com is unmatched, unparalleled. One of the unique and most significant benefits of NewDoctor.com is found in the fact that NewDoctor.com offers a wide range of different doctor services. NewDoctor.com understands that when it comes to doctor services, one size does not fit all. What works for one person does not necessarily work for someone else. Therefore, NewDoctor.com has worked hard to offer the most comprehensive menu of meaningful doctor services to be found anywhere in the word today"
      Mon-Fri, 9am-5pm at 888 3 NEW DOCTOR, (888) 363 9362
      info@newdoctor.com
      http://www.newdoctor.com

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Racial Disparities Remain for Health Care for Vets - MSN Health - High Blood Pressure

Gaps in care for black and white U.S. veterans have been reduced over the past decade as the VA Health Care System improved access to screenings and treatment of high-risk conditions among all patients. But major disparities persist in control of cholesterol, diabetes and high blood pressure, a new study says.

Researchers assessed 10 clinical performance measures among a national sample of more than 1.2 million VA enrollees between 2000 and 2009.

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Breast Cancer Care - Support and information for anyone affected by breast cancer

'); <img width="0" height="1" border="0" src="http://smp.adviva.net/track/v=4;m=1;t=15297;ts=34897" />


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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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Wednesday, April 6, 2011

Sexually Transmitted Diseases - Information from CDC

Pregnancy & Infertility

April is STD Awareness Month

What's New

Reverse Sequence Syphilis Screening Webinar – Archive available and CME information
(April 1, 2011)

CDC Grand Rounds: Chlamydia Prevention: Challenges and Strategies for Reducing Disease Burden and Sequelae MMWR April 1, 2011
(March 31, 2011)

Community Approaches to Reducing Sexually Transmitted Diseases - funding announcement, Q & A, and realignment of funding report
(March 21, 2011)

Dear Colleague Letter STD Awareness Month 2011 Adobe PDF file

- summarizes CDC activities and resource
(March 18, 2011)

2009 Gonococcal Isolate Surveillance Project (GISP) Profiles
(March 16, 2011)

News Archive

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Autism Diagnoses Still More Likely in Richer Neighborhoods - Yahoo! News

Poor children with autism are less likely than richer kids to have the condition diagnosed, but this disparity has decreased in recent years, according to a new study.

Researchers analyzed data on children in California and found that the average age of autism diagnosis fell from 5.9 years among children born in 1992 to 3.8 years for those born in 2000.

Of the 4,906,926 children born in California between 1992 and 2000, they found that 18,731 (0.38 percent) were diagnosed with autism. The prevalence of autism in the state increased from 29 per 10,000 children in 1992 to 49 per 10,000 children in 2000.

The study appears in the April issue of the American Sociological Review.

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Seminole dentist, doctor accused of writing each other prescriptions for pain pills - St. Petersburg Times

Pinellas deputies accused two doctors of writing each other hundreds of prescriptions for thousands of pills Monday.

Dentist Kevin O'Callaghan and podiatrist Brian Hameroff were arrested Monday after a four-month investigation titled "Operation Doctor Doctor," according to deputies.

Over three years, Hameroff, 39, received 91 prescriptions for 840 hydrocodone pills, 660 lorazepam pills and 1,960 oxycodone pills, deputies said.

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

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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, February 28, 2011

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