Friday, December 9, 2011

Home Health, Home Care Nurses #nursefriendly #healthcare #nurses #nursing

New!

Donna M. Post, RN, BSN, MBA / HCM, CLNC, LNCP-C , Mid-Valley Legal Nurse Consulting, Inc., California Nurse Entrepreneurs, Legal Nurse Consultants:"Mid-Valley Legal Nurse Consulting has over 24 years of experience clinically and administratively, in cardiac, adult and pediatric critical care, and dialysis. Our experience extends to both the inpatient and outpatient settings. MVLNC provides effective identification of practice standards, regulatory standards, adherence and/or deviations to these standards. Our background provides our clients the added benefit of understanding healthcare infrastructure, budgets, and healthcare labor issues. This extensive experience allows for identification of medical and nursing issues in any case that involves health, illness and injury. The clients we serve are attorneys, insurance companies, healthcare facilities and others. At Mid-Valley Legal Nurse Consulting, our goal is to provide our clients with cost-effective, efficient, review and analysis providing you with winning services while critically defending your bottom-line.
2491 Alluvial #7
Clovis, Ca 93611
Phone: 559-294-7580 or 877-532-5676
Email: midvalleylegalnurseconsulting@gmail.com
http://www.mvlnc.com
http://www.nursingentrepreneurs.com/post/

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See also:

  • Case Management, Advance Practice Nursing, http://www.nursefriendly.com/ccm/

  • Care Givers, Caregiving, http://www.nursefriendly.com/caregivers/

  • Hospice, Palliative Care, End of Life, Dying, Death, http://www.nursefriendly.com/hospice/

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

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    Dominique Ann Bernard, RN, BSN, Virginia Nurse Entrepreneurs:"My goal is to work from home. Currently I am employed in a psychiatric facility and I work part time in a geriatric setting. My interests are varied."
    http://www.4nursing.com/bernard

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    Kelly Brown, AASDN, RN, The Body Depot:"A Hydraulic fitness center that consists of a exercise circuit that can be performed by pre-teens to the elderly. A great way to prevent bone loss, feel good, maintain weight, prevent cardiopulmonary conditions, and socialize."
    Arkansas Nurse Entrepreneurs, Healthy Living, Health Promotion, Home Health, Hospice Programs, Medical/Surgical
    http://www.nursefriendly.com/brown/

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

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    Chris Cavanaugh, Certified Registered Nurse Infusion (CRNI), Florida, Advanced Practice Nurses, Nursing Entrepreneur, Critical Care, , Home Care, Home Infusion, Intravenous Therapy, Legal Nurse Consulting, Nursing Consultants
    http://www.nursingentrepreneurs.com/cavanaugh/

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    Melissa Charleston, LPN, South Carolina Nurses:
    Specialty Area: Home Health
    http://www.nursefriendly.com/charleston

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    Alyce Clark, RN, Caregiver Scrubs, Nursing Uniforms, Nurse-Owned Businesses, Entrepreneurs:"Sales of scrubs and accessories to medical personnel in hospitals, clinics, doctor's offices, dental offices, and veterinary clinics."
    http://www.nursingentrepreneurs.com/clark

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    Sandra Clark RN BSN, Kansas
    Emergency Department, Flight Nursing, Home Health, Medical-Surgical, /Trauma and and School Nursing.
    http://www.nursefriendly.com/clark

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    Cathy DeLave, RN, BSN, CPR Plus, Michigan Nursing Entrepreneurs, Nurse-Owned Businesses::"Nurse owned and operated provider of emergency response training including CPR/AED, First Aid and Bloodborne Pathogens. We are an authorized distributor of Philips Headstart Defibrillators. Honored as a "Preferred Trainer" for the American Heart Association, all of our instructors are Registered Nurses. We offer full service sales and tranining, as well as assistance with emergency response planning and implementation. All classes can be customized to meet the needs of our clients. Courses can be taught in our classroom or onsite at a home or workplace."
    2794 Red Fox Trail Dr.
    Troy, Michigan (MI) 48098

    E-mail Address: cdelave@cprplus.net
    Homepage: http://www.cprplus.net
    http://www.nursingentrepreneurs.com/delave

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    Lisa Desimon R.N, D.C, CLNC, Illinois Nurse Entrepreneurs:"Certified Legal Nurse Consultant business, serving as a consulting expert and testifying expert on a variety of medical/legal issues/cases."
    7358 Timberwolf Trail
    Fairview Heights, Illinois 62208
    http://www.nursingentrepreneurs.com/desimon

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    Susan Dule, RN, BSN, Innovative Nursing Consultants
    Pennsylvania, Case Management, Home Care, Legal Nurse Consulting, Utilization Review
    http://www.nursefriendly.com/dule/

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    Hamilton Pamela, ADON (Pediatric), Minnesota
    http://www.nursefriendly.com/nursing/directory/mn/rn/hamilton-p.html

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    Helen Heiskell, MSN, RN, Legal Nurse Consultant, Nurse Entrepreneur
    Clinical Experience: Critical Care, Medical-Surgical, Staff Development, Utilization Review, Workers' Comp Case Management, Home Health


    Services: Expert Witness Location, Life Care Planning, Medical Malpractice, Negligence, Personal Injury, Professional Medical Record Review, Worker's Compensation,
    http://www.nursingentrepreneurs.com/heiskell/

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    LeaRae Keyes, RN, BSN, PHN, CDMS, CCM, Nurse Entrepreneur Network, Minnesota Nursing Entrepreneurs:The network provides online and telephonic training, networking, and coaching. Our focus is to provide marketing and business solutions for nurse entrepreneurs so they can succeed and prosper. We also strive to foster an environment of sharing and support amoung our members."
    Categories: Associations for Entrepreneurs, Case Management, Coaching, Education, Home Health Care, Nurse-Owned Business.
    http://www.nursingentreprneurs.com/keyes/

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    Gerry A. Kinjorski, BS, RN, CLNC, Aidant Research Nurses, Inc., Florida Nursing Entrepreneurs:"Aidant Research Nurses, Inc., is a legal nurse consulting firm that serves the patient-client and the attorney. If you have questions concerning negligence or medical-malpractice, personal injury or assault, toxic tort, worker's comp or any medical injury you may need Aidant."
    7 So. Aurora Ave.
    Clearwater, Florida (FL) 33765-3517
    Phone number: 727-448-0455
    Fax number: 727-447-8012
    aidantresearch@aol.com http://www.nursingexperts.com/aidant/

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    Helen Lakeru, RN, Good Health Connection, Colorado, Psychiatric Nurses, Operating Room (OR) Nurses, Critical Care Nurses, (Emergency Department, Intensive Care Unit, CCU, CVCU), Post Anesthesia Recovery (PACU, Recovery Room), Home Health
    http://www.nursefriendly.com/lakeru/

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    Donna Maheady, Ed.D., ARNP, ExceptionalNurse.com:"A resource network for nurses and nursing students with disabilities. We provide links to disability related organizations, mentors, employment opportunities, financial aid, continuing education, books, equipment, legal issues, research, related articles as well as support and career counseling.
    13019 Coastal Circle
    Palm Beach Gardens, Florida 33410
    Phone number: (561) 627-9872
    http://www.nursingentrepreneurs.com/exceptional

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    Matson, Kelly, RN, Pioneer Nursing Agency, Virginia Nursing Entrepreneurs:"Independently contracting myself out to nursing homes."
    http://www.nursefriendly.com/matson/

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    Karen Mercereau, RN, RN Patient Advocates, PLLC:"For over 7 years, we at RN Patient Advocates have worked independently with patients to assist them in finding the best healthcare and treatment outcomes possible. Do you have a medical crisis? Wonder what doctors might best help you? Have a mystery illness that no one can diagnose? Have several doctors who dont speak to each other? Wonder what all of your medications actually do for you? Experienced clinical RNs are a treasure trove of information and, working as independent RN Patient Advocates, can stand by your side through your illness: asking the healthcare questions you dont know how to ask, teaching you what is really going on in your body, researching and teaching you the full range of treatment options, guiding you through the maze of the healthcare system so it can best serve you."
    Karen Mercereau, RN
    RN Patient Advocates, PLLC
    3400 West Goret Road
    P.O. Box 87968
    Tucson, AZ 85754-7968
    (520) 743-7008
    http://patientadvocates.com/

      Category:
    AIDS & HIV Nurses, Arizona Nurse Entrepreneurs, Arizona Nurses, Home Health, Home Care Nurses, Hospice, End of Life Care, Intensive Care Unit (ICU) Nurses, Nursing Entrepreneurs, Nurse-Owned Businesses, Patient Advocate, Advocacy ******************************************************

    Darlene Norton, RN, CLNC, Verum Dictum, Inc., Michigan Legal Nurse Consultants:"Legal Nurse Consulting in the areas of: Medical Malpractice, Personal Injury, Toxic Tort and Environmental, Criminal, Products Liability and Class Action Suits."
    964 Sugarbush Lane Beulah, Michigan 49617

    Contact person: Darleen Norton, President
    Phone number: (231) 590-3123
    E-mail Address: NurseNorton@hotmail.com
    http://www.legalnursingconsultant.org/norton

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    Victoria Pettograsso, LPN, BS, MS, Coastal Care Nursing Associates:"Private nurse Ownership assures our patients of superior nursing care and personalization. Presently, we are expanding our horizons into the nurse registry-consulting field. We would like to help you set up your own nurse registry. Time saved in policy and procedure development can yield earlier profits."
    1525 S. Tamiami Trail Suite 603

    Venice, Florida 34285
    Phone: 941-492-4474, Fax: 443-342-2493
    CoastalCare@nursingentrepreneurs.com
    http://www.nursingentrepreneurs.com/pettograsso

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    Yvonne Praschma, RN, LMT, New York
    Private Duty, Homecare, Massage Therapy
    http://www.nursefriendly.com/praschma/

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    Stephanie Salings, RN,CRNAC, LNC
    Kentucky Nurses, Legal Nurse Consultant, Nurse Entrepreneur, Nursing Expert

    Specialty Areas: Geriatrics, Home Health
    http://www.nursingexperts.com/salings/

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    Pamela Schuck, RN, BS, LNC, Ohio Operating Room Nurses
    http://www.nursefriendly.com/schuck/

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    Tami Skinner, LPN, Michigan Nurses, Pediatrics, Respiratory, Home Health, Medical-Surgical, Long Term Care
    http://www.nursefriendly.com/skinner/

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    Kathryn Spilker RN, BSN, LNC, Lifeline Medical/Legal Consulting L.L.C.:"As Legal Nurse Consultants, we use our nursing experience, and knowledge of legal issues in preparing cases related to health care issues. Screen cases for merit, prepare chronologies, summaries, timelines and analysis of the medical records. Identify standards of care, causation issues, locate experts, research and review medical data and literature. Assist attorneys with all aspects of discovery and trial preparation. The success of your medically related cases relies on qualified, detailed, and accurate assessment of the facts.
    3034 Ridgetop Ct., St. Peters, Missouri 63376
    E-Mail: educate5@verizon.net

    Homepage Address: http://www.nursingentrepreneurs.com/spilker/

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    Pamela Steinacher, RN, LNC, Illinois Legal Nurse Consultants:"Assist plaintiff and defense attorneys with injury-related cases by reviewing for merit, standards of care, duty, breach of duty, causation and damages. Location of appropriate experts, medical literature research, IME's where appropriate, assist with demonstrative evidence, deposition questions and interrogatories. Screen records for missing records or tampering; assist in any way that is deemed necessary and appropriate to win cases."
    http://www.legalnursingconsultant.org/steinacher
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    J. Stilley, RN, Utah
    http://www.nursefriendly.com/nursing/directory/utah/rn/stilley-j.htm

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    Leah Stockdale, R.N., B.S.N., Nurse Registry, Inc., Maryland Nurse Entrepreneurs:

      Specialty Areas:

    Community Health, Consulting, Health Promotion, Home Health Care, Infusion Therapy, Long Term Care, Med/Surg, Nurse Staffing, Pediatric, Woundcare http://www.nursingentrepreneurs.com/stockdale

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    Jill Thomas: Home Health, Long Term Care, Wound Consulting, Legal Nurse Consultant

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    Liz Sake, BSN, RN: Liz Sake & Associates: As Legal Nurse Consultants, we determine the merits of a medical malpractice case, review and translate medical records, chronicalize events, determine; damages/injuries, future health needs, causation and standards of care. An information discovery program through research of medical literature and the latest on-line information. We prepare written summaries and reports of medical records, research findings, and expert witness information. We identify and obtain expert witnesses as needed. Basically, we are here to make the med/mal attorney's life easier by synthesizing, sorting, and condensing medical information to be used as exhibits and for MD expert review.
    http://www.nursingexperts.com/sake/

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    P. K. Scheerle, RN, American Nursing Services:"American Nursing Services, Inc. (ANS), a nurse owned and operated supplemental staffing and home care agency, is a remarkable success story. Chartered in February of 1982 and headquartered in Metairie, a part of the greater New Orleans Metropolitan area, ANS is one of the most dynamic and progressive nursing service organizations. P.K. Scheerle, RN, a registered nurse with a clinical background in Pediatric Intensive Care, as well as nursing administration, founded ANS and is committed to quality and excellence. P.K.'s motivation is to serve the community with nurses who first and foremost love being nurses. ANS provides nurses, therapists and certified nursing assistants in the home and hospital with compassion and professionalism."
    3012 26th Street Metairie, Louisiana 70002
    504.833.3100 Fax 504.833.7635 800.444.6877, recruiter@american-nurse.com
    http://www.american-nurse.com/

    See also:

    Associated Home Health Nurses of America, Inc.:"Associated Home Health Nurses of America, Inc. (AHHNA) delivers quality, timely, cost-effective services to patients in the home. The company Consists of three divisions:"
    Associated Home Health Nurses of America, Inc.
    3293 Pacific Avenue
    Long Beach, CA 90807-5067
    Telephone: (562) 981-3100 (800) 749-2446
    Fax: (562) 981-1220
    info@ahhna.com
    http://www.ahhna.com

    Michigan Home Health Nursing:

    Michigan Visiting Nurses:"Michigan Visiting Nurses provides a broad range of high-quality, reasonably priced home care services to the community. Care may range from minimal assistance with personal care to highly technical and specialized nursing support. All services are customized to fulfill our patients unique and changing needs, and are available on a per-visit, shift or hourly basis. Care is available 24 hours a day, 365 days a year.
    Michigan Visiting Nurses
    Toll Free: (800) 842-5504 Locally: (734) 677-1515 Facsimile: (734) 677-0505 E-Mail: Info@UMVN.com
    http://www.umvn.com/

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    New York Home Health Nursing:

    Lower West Side Household Services Corporation:"Lower West Side Household Services Corporation is the first organization to provide comprehensive, home care services, vital to the residents of New York City. We are a not-for-profit organization, licensed by the New York State Department of Health, and are accredited by JCAHO - Joint Commission on Accreditation of Healthcare Organizations."
    Lower West Side Household Services Corp.
    250 West 57th Street Suite 1511 New York, NY 10107-1511
    Telephone 212-307-7107 Fax 212 956 2308, contact@homecareny.org
    http://www.homecareny.org/

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    Ohio Council For Home Care (OCHC):
    http://www.homecareohio.org/

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    Associations:

    National Association for Home Care (NAHC):"Welcome to HomeCare Online the virtual headquarters of the National Association for Home Care (NAHC). Since its inception in 1982, NAHC has remained committed to serving the home care and hospice industry, which provides services to the sick, the disabled, and the terminally ill in the comfort of their homes."
    National Association for Home Care
    228 7th Street, SE Washington, DC 20003
    Phone: 202/547-7424 Fax: 202/547-3540
    http://www.nahc.org/

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    Government Agencies:

    National Institute on Aging (NIA):"one of the National Institutes of Health, the principal biomedical research agency of the United States Government. The NIA promotes healthy aging by conducting and supporting biomedical, social, and behavioral research and public education."
    http://www.nia.nih.gov/

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    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

    What's New

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

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

    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

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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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    --

    Sincerely,

    Andrew Lopez, RN

    Nursefriendly, Inc. A New Jersey Corporation.

    38 Tattersall Drive, Mantua New Jersey 08051

    http://www.nursefriendly.com info@nursefriendly.com ICQ #6116137

    856-415-9617, (fax) 415-9618

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

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

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

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

    http://www.4nursing.com

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

    http://www.inspirationalnursing.com

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

    http://www.jocularity.com

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

    http://www.legalnursingconsultant.com

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

    http://www.nursefriendly.com

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

    http://www.nursinga2z.com

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

    http://www.nursingdiabetics.com

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

    http://www.nursingdiscussions.com

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

    http://www.nursingentrepreneurs.com

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

    http://www.nursinghumor.com

    Home Health, Home Care Nurses #nursefriendly #healthcare #nurses #nursing

    New!

    Donna M. Post, RN, BSN, MBA / HCM, CLNC, LNCP-C , Mid-Valley Legal Nurse Consulting, Inc., California Nurse Entrepreneurs, Legal Nurse Consultants:"Mid-Valley Legal Nurse Consulting has over 24 years of experience clinically and administratively, in cardiac, adult and pediatric critical care, and dialysis. Our experience extends to both the inpatient and outpatient settings. MVLNC provides effective identification of practice standards, regulatory standards, adherence and/or deviations to these standards. Our background provides our clients the added benefit of understanding healthcare infrastructure, budgets, and healthcare labor issues. This extensive experience allows for identification of medical and nursing issues in any case that involves health, illness and injury. The clients we serve are attorneys, insurance companies, healthcare facilities and others. At Mid-Valley Legal Nurse Consulting, our goal is to provide our clients with cost-effective, efficient, review and analysis providing you with winning services while critically defending your bottom-line.
    2491 Alluvial #7
    Clovis, Ca 93611
    Phone: 559-294-7580 or 877-532-5676
    Email: midvalleylegalnurseconsulting@gmail.com
    http://www.mvlnc.com
    http://www.nursingentrepreneurs.com/post/

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    See also:

  • Case Management, Advance Practice Nursing, http://www.nursefriendly.com/ccm/

  • Care Givers, Caregiving, http://www.nursefriendly.com/caregivers/

  • Hospice, Palliative Care, End of Life, Dying, Death, http://www.nursefriendly.com/hospice/

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

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    Dominique Ann Bernard, RN, BSN, Virginia Nurse Entrepreneurs:"My goal is to work from home. Currently I am employed in a psychiatric facility and I work part time in a geriatric setting. My interests are varied."
    http://www.4nursing.com/bernard

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    Kelly Brown, AASDN, RN, The Body Depot:"A Hydraulic fitness center that consists of a exercise circuit that can be performed by pre-teens to the elderly. A great way to prevent bone loss, feel good, maintain weight, prevent cardiopulmonary conditions, and socialize."
    Arkansas Nurse Entrepreneurs, Healthy Living, Health Promotion, Home Health, Hospice Programs, Medical/Surgical
    http://www.nursefriendly.com/brown/

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

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    Chris Cavanaugh, Certified Registered Nurse Infusion (CRNI), Florida, Advanced Practice Nurses, Nursing Entrepreneur, Critical Care, , Home Care, Home Infusion, Intravenous Therapy, Legal Nurse Consulting, Nursing Consultants
    http://www.nursingentrepreneurs.com/cavanaugh/

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    Melissa Charleston, LPN, South Carolina Nurses:
    Specialty Area: Home Health
    http://www.nursefriendly.com/charleston

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    Alyce Clark, RN, Caregiver Scrubs, Nursing Uniforms, Nurse-Owned Businesses, Entrepreneurs:"Sales of scrubs and accessories to medical personnel in hospitals, clinics, doctor's offices, dental offices, and veterinary clinics."
    http://www.nursingentrepreneurs.com/clark

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    Sandra Clark RN BSN, Kansas
    Emergency Department, Flight Nursing, Home Health, Medical-Surgical, /Trauma and and School Nursing.
    http://www.nursefriendly.com/clark

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    Cathy DeLave, RN, BSN, CPR Plus, Michigan Nursing Entrepreneurs, Nurse-Owned Businesses::"Nurse owned and operated provider of emergency response training including CPR/AED, First Aid and Bloodborne Pathogens. We are an authorized distributor of Philips Headstart Defibrillators. Honored as a "Preferred Trainer" for the American Heart Association, all of our instructors are Registered Nurses. We offer full service sales and tranining, as well as assistance with emergency response planning and implementation. All classes can be customized to meet the needs of our clients. Courses can be taught in our classroom or onsite at a home or workplace."
    2794 Red Fox Trail Dr.
    Troy, Michigan (MI) 48098

    E-mail Address: cdelave@cprplus.net
    Homepage: http://www.cprplus.net
    http://www.nursingentrepreneurs.com/delave

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    Lisa Desimon R.N, D.C, CLNC, Illinois Nurse Entrepreneurs:"Certified Legal Nurse Consultant business, serving as a consulting expert and testifying expert on a variety of medical/legal issues/cases."
    7358 Timberwolf Trail
    Fairview Heights, Illinois 62208
    http://www.nursingentrepreneurs.com/desimon

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    Susan Dule, RN, BSN, Innovative Nursing Consultants
    Pennsylvania, Case Management, Home Care, Legal Nurse Consulting, Utilization Review
    http://www.nursefriendly.com/dule/

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    Hamilton Pamela, ADON (Pediatric), Minnesota
    http://www.nursefriendly.com/nursing/directory/mn/rn/hamilton-p.html

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    Helen Heiskell, MSN, RN, Legal Nurse Consultant, Nurse Entrepreneur
    Clinical Experience: Critical Care, Medical-Surgical, Staff Development, Utilization Review, Workers' Comp Case Management, Home Health


    Services: Expert Witness Location, Life Care Planning, Medical Malpractice, Negligence, Personal Injury, Professional Medical Record Review, Worker's Compensation,
    http://www.nursingentrepreneurs.com/heiskell/

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    LeaRae Keyes, RN, BSN, PHN, CDMS, CCM, Nurse Entrepreneur Network, Minnesota Nursing Entrepreneurs:The network provides online and telephonic training, networking, and coaching. Our focus is to provide marketing and business solutions for nurse entrepreneurs so they can succeed and prosper. We also strive to foster an environment of sharing and support amoung our members."
    Categories: Associations for Entrepreneurs, Case Management, Coaching, Education, Home Health Care, Nurse-Owned Business.
    http://www.nursingentreprneurs.com/keyes/

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    Gerry A. Kinjorski, BS, RN, CLNC, Aidant Research Nurses, Inc., Florida Nursing Entrepreneurs:"Aidant Research Nurses, Inc., is a legal nurse consulting firm that serves the patient-client and the attorney. If you have questions concerning negligence or medical-malpractice, personal injury or assault, toxic tort, worker's comp or any medical injury you may need Aidant."
    7 So. Aurora Ave.
    Clearwater, Florida (FL) 33765-3517
    Phone number: 727-448-0455
    Fax number: 727-447-8012
    aidantresearch@aol.com http://www.nursingexperts.com/aidant/

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

    Helen Lakeru, RN, Good Health Connection, Colorado, Psychiatric Nurses, Operating Room (OR) Nurses, Critical Care Nurses, (Emergency Department, Intensive Care Unit, CCU, CVCU), Post Anesthesia Recovery (PACU, Recovery Room), Home Health
    http://www.nursefriendly.com/lakeru/

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    Donna Maheady, Ed.D., ARNP, ExceptionalNurse.com:"A resource network for nurses and nursing students with disabilities. We provide links to disability related organizations, mentors, employment opportunities, financial aid, continuing education, books, equipment, legal issues, research, related articles as well as support and career counseling.
    13019 Coastal Circle
    Palm Beach Gardens, Florida 33410
    Phone number: (561) 627-9872
    http://www.nursingentrepreneurs.com/exceptional

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    Matson, Kelly, RN, Pioneer Nursing Agency, Virginia Nursing Entrepreneurs:"Independently contracting myself out to nursing homes."
    http://www.nursefriendly.com/matson/

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    Karen Mercereau, RN, RN Patient Advocates, PLLC:"For over 7 years, we at RN Patient Advocates have worked independently with patients to assist them in finding the best healthcare and treatment outcomes possible. Do you have a medical crisis? Wonder what doctors might best help you? Have a mystery illness that no one can diagnose? Have several doctors who dont speak to each other? Wonder what all of your medications actually do for you? Experienced clinical RNs are a treasure trove of information and, working as independent RN Patient Advocates, can stand by your side through your illness: asking the healthcare questions you dont know how to ask, teaching you what is really going on in your body, researching and teaching you the full range of treatment options, guiding you through the maze of the healthcare system so it can best serve you."
    Karen Mercereau, RN
    RN Patient Advocates, PLLC
    3400 West Goret Road
    P.O. Box 87968
    Tucson, AZ 85754-7968
    (520) 743-7008
    http://patientadvocates.com/

      Category:
    AIDS & HIV Nurses, Arizona Nurse Entrepreneurs, Arizona Nurses, Home Health, Home Care Nurses, Hospice, End of Life Care, Intensive Care Unit (ICU) Nurses, Nursing Entrepreneurs, Nurse-Owned Businesses, Patient Advocate, Advocacy ******************************************************

    Darlene Norton, RN, CLNC, Verum Dictum, Inc., Michigan Legal Nurse Consultants:"Legal Nurse Consulting in the areas of: Medical Malpractice, Personal Injury, Toxic Tort and Environmental, Criminal, Products Liability and Class Action Suits."
    964 Sugarbush Lane Beulah, Michigan 49617

    Contact person: Darleen Norton, President
    Phone number: (231) 590-3123
    E-mail Address: NurseNorton@hotmail.com
    http://www.legalnursingconsultant.org/norton

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    Victoria Pettograsso, LPN, BS, MS, Coastal Care Nursing Associates:"Private nurse Ownership assures our patients of superior nursing care and personalization. Presently, we are expanding our horizons into the nurse registry-consulting field. We would like to help you set up your own nurse registry. Time saved in policy and procedure development can yield earlier profits."
    1525 S. Tamiami Trail Suite 603

    Venice, Florida 34285
    Phone: 941-492-4474, Fax: 443-342-2493
    CoastalCare@nursingentrepreneurs.com
    http://www.nursingentrepreneurs.com/pettograsso

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    Yvonne Praschma, RN, LMT, New York
    Private Duty, Homecare, Massage Therapy
    http://www.nursefriendly.com/praschma/

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    Stephanie Salings, RN,CRNAC, LNC
    Kentucky Nurses, Legal Nurse Consultant, Nurse Entrepreneur, Nursing Expert

    Specialty Areas: Geriatrics, Home Health
    http://www.nursingexperts.com/salings/

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    Pamela Schuck, RN, BS, LNC, Ohio Operating Room Nurses
    http://www.nursefriendly.com/schuck/

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    Tami Skinner, LPN, Michigan Nurses, Pediatrics, Respiratory, Home Health, Medical-Surgical, Long Term Care
    http://www.nursefriendly.com/skinner/

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    Kathryn Spilker RN, BSN, LNC, Lifeline Medical/Legal Consulting L.L.C.:"As Legal Nurse Consultants, we use our nursing experience, and knowledge of legal issues in preparing cases related to health care issues. Screen cases for merit, prepare chronologies, summaries, timelines and analysis of the medical records. Identify standards of care, causation issues, locate experts, research and review medical data and literature. Assist attorneys with all aspects of discovery and trial preparation. The success of your medically related cases relies on qualified, detailed, and accurate assessment of the facts.
    3034 Ridgetop Ct., St. Peters, Missouri 63376
    E-Mail: educate5@verizon.net

    Homepage Address: http://www.nursingentrepreneurs.com/spilker/

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

    Pamela Steinacher, RN, LNC, Illinois Legal Nurse Consultants:"Assist plaintiff and defense attorneys with injury-related cases by reviewing for merit, standards of care, duty, breach of duty, causation and damages. Location of appropriate experts, medical literature research, IME's where appropriate, assist with demonstrative evidence, deposition questions and interrogatories. Screen records for missing records or tampering; assist in any way that is deemed necessary and appropriate to win cases."
    http://www.legalnursingconsultant.org/steinacher
    ******************************************************

    J. Stilley, RN, Utah
    http://www.nursefriendly.com/nursing/directory/utah/rn/stilley-j.htm

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

    Leah Stockdale, R.N., B.S.N., Nurse Registry, Inc., Maryland Nurse Entrepreneurs:

      Specialty Areas:

    Community Health, Consulting, Health Promotion, Home Health Care, Infusion Therapy, Long Term Care, Med/Surg, Nurse Staffing, Pediatric, Woundcare http://www.nursingentrepreneurs.com/stockdale

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

    Jill Thomas: Home Health, Long Term Care, Wound Consulting, Legal Nurse Consultant

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    Liz Sake, BSN, RN: Liz Sake & Associates: As Legal Nurse Consultants, we determine the merits of a medical malpractice case, review and translate medical records, chronicalize events, determine; damages/injuries, future health needs, causation and standards of care. An information discovery program through research of medical literature and the latest on-line information. We prepare written summaries and reports of medical records, research findings, and expert witness information. We identify and obtain expert witnesses as needed. Basically, we are here to make the med/mal attorney's life easier by synthesizing, sorting, and condensing medical information to be used as exhibits and for MD expert review.
    http://www.nursingexperts.com/sake/

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

    P. K. Scheerle, RN, American Nursing Services:"American Nursing Services, Inc. (ANS), a nurse owned and operated supplemental staffing and home care agency, is a remarkable success story. Chartered in February of 1982 and headquartered in Metairie, a part of the greater New Orleans Metropolitan area, ANS is one of the most dynamic and progressive nursing service organizations. P.K. Scheerle, RN, a registered nurse with a clinical background in Pediatric Intensive Care, as well as nursing administration, founded ANS and is committed to quality and excellence. P.K.'s motivation is to serve the community with nurses who first and foremost love being nurses. ANS provides nurses, therapists and certified nursing assistants in the home and hospital with compassion and professionalism."
    3012 26th Street Metairie, Louisiana 70002
    504.833.3100 Fax 504.833.7635 800.444.6877, recruiter@american-nurse.com
    http://www.american-nurse.com/

    See also:

    Associated Home Health Nurses of America, Inc.:"Associated Home Health Nurses of America, Inc. (AHHNA) delivers quality, timely, cost-effective services to patients in the home. The company Consists of three divisions:"
    Associated Home Health Nurses of America, Inc.
    3293 Pacific Avenue
    Long Beach, CA 90807-5067
    Telephone: (562) 981-3100 (800) 749-2446
    Fax: (562) 981-1220
    info@ahhna.com
    http://www.ahhna.com

    Michigan Home Health Nursing:

    Michigan Visiting Nurses:"Michigan Visiting Nurses provides a broad range of high-quality, reasonably priced home care services to the community. Care may range from minimal assistance with personal care to highly technical and specialized nursing support. All services are customized to fulfill our patients unique and changing needs, and are available on a per-visit, shift or hourly basis. Care is available 24 hours a day, 365 days a year.
    Michigan Visiting Nurses
    Toll Free: (800) 842-5504 Locally: (734) 677-1515 Facsimile: (734) 677-0505 E-Mail: Info@UMVN.com
    http://www.umvn.com/

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

    New York Home Health Nursing:

    Lower West Side Household Services Corporation:"Lower West Side Household Services Corporation is the first organization to provide comprehensive, home care services, vital to the residents of New York City. We are a not-for-profit organization, licensed by the New York State Department of Health, and are accredited by JCAHO - Joint Commission on Accreditation of Healthcare Organizations."
    Lower West Side Household Services Corp.
    250 West 57th Street Suite 1511 New York, NY 10107-1511
    Telephone 212-307-7107 Fax 212 956 2308, contact@homecareny.org
    http://www.homecareny.org/

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

    Ohio Council For Home Care (OCHC):
    http://www.homecareohio.org/

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

    Associations:

    National Association for Home Care (NAHC):"Welcome to HomeCare Online the virtual headquarters of the National Association for Home Care (NAHC). Since its inception in 1982, NAHC has remained committed to serving the home care and hospice industry, which provides services to the sick, the disabled, and the terminally ill in the comfort of their homes."
    National Association for Home Care
    228 7th Street, SE Washington, DC 20003
    Phone: 202/547-7424 Fax: 202/547-3540
    http://www.nahc.org/

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

    Government Agencies:

    National Institute on Aging (NIA):"one of the National Institutes of Health, the principal biomedical research agency of the United States Government. The NIA promotes healthy aging by conducting and supporting biomedical, social, and behavioral research and public education."
    http://www.nia.nih.gov/

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

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

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

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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

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

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

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    --

    Sincerely,

    Andrew Lopez, RN

    Nursefriendly, Inc. A New Jersey Corporation.

    38 Tattersall Drive, Mantua New Jersey 08051

    http://www.nursefriendly.com info@nursefriendly.com ICQ #6116137

    856-415-9617, (fax) 415-9618

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

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

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

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

    http://www.4nursing.com

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

    http://www.inspirationalnursing.com

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

    http://www.jocularity.com

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

    http://www.legalnursingconsultant.com

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

    http://www.nursefriendly.com

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

    http://www.nursinga2z.com

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

    http://www.nursingdiabetics.com

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

    http://www.nursingdiscussions.com

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

    http://www.nursingentrepreneurs.com

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

    http://www.nursinghumor.com

    Tuesday, December 6, 2011

    Elderly Patient Repeatedly Injured In Nursing Home "Accidents." Negligence, Coincidence or Abuse? #nursefriendly #nursecasestudy #elderly #geriatrics

    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.

    For a free subscription to our publication:
    Please send a blank e-mail to: clinicalnursingcases-subscribe@topica.com

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

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

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

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

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

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

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

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

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

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

    Physical abuse --infliction of physical pain or injury.

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

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

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

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

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

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

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

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

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

    The family appealed.

    Questions to be answered.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

    Related Case Studies:

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

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

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

    Related Link Sections:

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

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

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

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

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

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

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

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

    Sources:

    1. 40 RRNL 1 (June 1999)

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

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

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

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

    Send comments and mail to Andrew Lopez, RN

    Created on Saturday May 23, 1999

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