Showing posts with label Nursing Home Residents. Show all posts
Showing posts with label Nursing Home Residents. Show all posts

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

Tuesday, May 17, 2011

Elderly Patient Repeatedly Injured In Nursing Home "Accidents." Negligence, Coincidence or Abuse?

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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 Monday, February 28, 2011

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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

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http://www.inspirationalnursing.com
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http://www.nursingentrepreneurs.com
http://www.nursingexperts.com
http://www.nursinghumor.com

Friday, April 15, 2011

Long Term Care (LTC) Nurses on: The Nurse Friendly

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See Also: Falls, Injuries & Prevention, Geriatric Nurses

National Gerontological Nursing Association (NGNA):"We are the first and only nursing specialty organization dedicated to helping you realize your full potential as a gerontological nurse. We are a growing, dynamic and dedicated group of professionals who share ideas and information that improve the quality of nursing care for our elderly.
National Gerontological Nursing Association (NGNA)
7794 Grow Drive
Pensacola, FL 32514
Tel:(850) 473-1174 or (800) 723-0560
Fax:(850) 484-8762
email: ngna@puetzamc.com
http://www.ngna.org/

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

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

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."
Specialty Areas:

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  • Expert Witness Location, http://www.nursingexperts.com

  • Home Care, http://www.nursefriendly.com/home.care/

  • IV Team, http://www.nursefriendly.com/intravenous/

  • Legal Nurse Consultant, http://www.legalnursingconsultant.org

  • Long Term Care, http://www.nursefriendly.com/ltc/

  • Managed Care Organizations, HMO's, http://www.nursefriendly.com/hmo

  • Psychiatric, http://www.nursefriendly.com/psych/

  • Vaccine Injury Issues, http://www.nursingexperts.com/vaccines

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    Atkinson, Julie, South Carolina:
    Specialty Areas: Community Health, Long Term Care
    http://www.nursefriendly.com/atkinson

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

    Tina Berkofsky, RN, CLNC, Florida Legal Nurse Consultants, Nursing Entrepreneurs
    http://www.nursingentrepreneurs.com/berkofsky/

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    Natalie A. Cole, RN, BHSA, CMCN, LNC, West Virginia Legal Nurse Consultants:"I provide medical record reviews and case analyses for attorneys working in medical malpractice, wrongful death, personal injury, and general negligence. My skills and education as a Registered Nurse, in addition to my training as a Legal Nurse Consultant, eases the burden of other legal team members by allowing them to concentrate on other important areas of a case."
    5167 Procious Maysel Road
    Procious, West Virginia (WV) 25164
    Phone number: (304) 587-7010
    http://www.nursingentrepreneurs.com/cole

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    Andra DeCarlo, RN, Summit Medical Litigation Consulting, Inc.:"Andra DeCarlo, owner of Summit Medical Litigation Consulting and her team of nurses provide Legal Nurse Consulting for both defense and plaintiff attorneys looking for a clear explanation of what actually happened with the client. Is there a case? Is there a defense? We specialize in looking outside-the-box to help find the key to the case. Nursing home neglegance, PI, Medical Malpractice and more."
    1586 El Tair Trail
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    Social Networks: Ecademy.com, Facebook, Gather.com, LinkedIn, Twitter
    http://summitmlc.com or http://www.andradecarlo.info/
    http://www.legalnursingconsultant.com/decarlo/

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    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
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    http://www.nursingentrepreneurs.com/desimon

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    Baraka Dimson, BSN, New York City Nursing Agencies, Nurse-Owned Businesses:"Staff Nurse Inc. is a staffing agency for nursing homes in the state of New York. We staff nursing homes with qualified licensed practical nurses and registered professional nurses. Our rates are extremely competitive and we offer on-going staff development for our nurses. In addition to this we have a department that offers 5 weeks NCLEX review class for repeat NCLEX test takers only. We offer them the support they need and review in a small and intimate classroom environment. Our NCLEX review classes are so good, if after taking it the graduate nurse is still not successful, we allow him or her to continue taking our review classes up to 1 year until they pass the NCLEX and obtain their license.
    312-316 East 149th street
    Bronx New York Zip Code: 10452
    Phone number: 718-772-6663 Fax number: 718-293-3980
    http://www.nursingentrepreneurs.com/dimson

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    Teddi Nuss, RN, Mid-South Litigation Support Services:"We use our knowledge and experience to help attorneys de-mystify the medical issues in legal cases. We provide screening for merit, medical record review, interpretation and organization, time line chronologies, case summary, medical literature research, and written reports (on paper and/or disk). We collaborate with attorneys to develop a cost effective and winning aproach to the medical issues in their cases."
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    Angela M Rowe, RN, LNC, GCM, Senior Care Solutions, Alabama Nursing Entrepreneurs:"Senior Care Solutions provides Geriatric Care Management Services to aging adults and their families in Central Alabama. Our goal is to help seniors and disabled individuals to obtain the assistance they need to maintain safety, dignity, and quality of life. Senior Care Solutions provides advocacy, evaluation, education, and support services to seniors in Alabama."
    3049 Lansdowne Drive
    Montgomery Alabama 36111
    Phone number: 334-834-9483
    Fax number: 214-279-6602
    http://www.nursingentrepreneurs.com/rowe

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    Tirzah Silver, LPN, Essential Staffing, LLC, Nurse Owned Businesses, Nursing, Staffing Agencies:" Providing temporary staffing solutions to the Phoenix Metro area Hospitals and Nursing homes. Looking for quality RN's, LPN's, and CNA's.
    153 W. Desert Ct
    Gilbert, AZ 85233
    Phone number: (480) 507-3797, Fax number: (480) 926-2502
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    http://www.nursefriendly.com/skinner/

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

  • --

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

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    Monday, April 4, 2011

    Certified Nursing Assistants, CNA, Nursing & Healthcare Jobs on: The Nurse Friendly

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    Are good CNA jobs that hard to find?, Nursingdiscussions.com:
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    Tracy McClelland, RN, MSN, Ycarte Health Career Center, Georgia Nursing Entrepreneurs:"Opening doors to the Nursing Profession is our primary concern. We are a nursing tutorial facility designed to assist our community by training healthcare professions with the most updated nursing information and training equipment. We focus on assisting individuals who want to advance in the healthcare profession, or begin with an entry level into healthcare. Our goal is to bring education to you in a comfortable non-threatening environment that allows for learning. Whether you are new to healthcare or desire to advance in this profession, we can provide you with the training you need."
    Tracy McClelland, RN, MSN, Ycarte Health Career Center
    North Pointe Plaza
    1214 North Peterson Ave. Suite P
    Douglas, GA 31533
    Phone: (912) 384-8680
    Fax: (912) 384-4390
    info@ycartehealth.org
    http://www.nursingentrepreneurs.com/mcclelland

    Categories: ACLS (Advanced Cardiac Life Support)
    Adult Critical Care Nursing
    BLS (Basic Life Support)
    Career Alternatives For Nurses
    Certification for Nurse Aid Students
    Certification Program for Nurses
    Continuing Education Provider
    Critical Care Nurses
    EKG Technician (New Class)
    ER
    Georgia Nurse Entrepreneurs, Nurse Owned Businesses
    Geriatrics Nurses
    Intensive Care Unit (ICU)
    Masters Prepared Nurses
    Medical/Surgical Nursing
    Motivational speaker
    Motivational Workshops
    NCLEX-Reviews for RN's & LPNs
    Neonatal Intensive Care Unit (NICU) Nurses
    Nurse Aid Training Provider
    Nursing Education
    Nursing Entrepreneur
    Nursing Educators
    Nursing Educators
    Nursing Workshops for CE hours
    Operating Room (OR)
    Pediatric Intensive Care Unit (PICU) Nursing
    Pediatrics Nurses
    Professional Nurse
    Public Speaker
    Remediation NCLEX Review (One- on- One)

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    February 12, 2009: The stressed out life of a nursing assistant:"This morning I got a call from a supervisor of a nursing facility. This supervisor was beyond frustration. Stressed, disappointed and between a rock and a hard place. The supervisor had three nursing assistants call out of work for the day shift on a Saturday. Unfortunately, more people call off work on the weekends than on weekdays."
    http://www.delmarvanow.com/article/20090212/DCP05/902120371

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    Nursing Malpractice Case Studies: http://www.nursingcasestudy.com

    September 26, 1999: Nursing Assistants Leave Client Alone, Patient Receives Second Degree Burns During Bath.
    Registered and Licensed Practical Nurses frequently delegate responsibilities and tasks to Certified Nursing Assistants and Unlicensed Assistive Personnel. It is clearly recognized that they are responsible for the actions/inactions of those they supervise. In this case, two nursing assistants recognized injuries to a patient while giving a bath. When they failed to notify the nurse of the injuries, they would be reported and lose their certifications.
    http://www.nursefriendly.com/nursing/clinical.cases/092699.htm

    Nursing Assistant Resources:

    Caregiver's Beacon newsletter:"The Caregiver's Beacon newsletter is a free service to family caregivers. It is formerly known as The ElderCare Beacon and Keepin' Up With ALZwell. Simply enter your e-mail address in the box and click "Subscribe." Twice each month we will send you a supportive and informative newsletter that includes feature articles, caregiving tips, book reviews, hot topics, community updates and our chat schedule."
    http://www.ec-online.net/Knowledge/Newsletters/subscribe.htm

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    Certified Nursing Assistants, Typical Workday:"This, is a typical workday schedule of Duties, for 6-2 shifts in a Nursing Home Environment. SCENARIO is 2 Nursing Assistants, Floor has 20 people, each CNA has about 10 each of residents."
    http://members.tripod.com/~CNA_MUNCHKIN/shari2doc3.htm

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    ceus-r-ez.comHello, and welcome to ceus-r-ez.com! This site is designed to help long-term care administrators, assisted-living administrators and managers, certified nursing assistants, personal care assistants, group-home caregivers, and residential aides obtain continuing education units easily and inexpensively."
    http://www.ceus-r-ez.com/

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    CNA FORUM Frequently Asked Questions/ Making Change Count
    http://www.network54.com/Forum/11252?achk=1

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    CNA Message Board:"Welcome to the CNA Message Board, a companion site to the Certified Nursing Assistants Website at http://pages.ivillage.com/bostonality This forum is provided for the benefit of professional caregivers as a place to come together for discussion, encouragement, information and friendship. We were originally located at Community Zero and we had almost 900 members! I hope you will decide to join in. Registration is simple, free and all are welcome!
    http://www.hostboard.com/cgi-bin/ultimatebb.cgi?ubb=forum&f=3386

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    CNA-Secrets.com, CNA Training Site:"If you'd like to know more about the resources necessary for a Certified Nursing Assistant career, then this site is for you. CNA's offer a wide range of essential healthcare services to patients in a variety of healthcare settings. In addition, CNA's are a part of the healthcare team. CNA's can be referred to a geriatric aides, rehab aides, nursing assistants and nursing aides. CNA's can either make or break a patient's perception of a facility. The job of a CNA is both tough and rewarding. In fact, over 2 million jobs are held by nursing assistants and home health aides across America."
    MO Media LLC
    3827 Phelan #179 Beaumont, TX 77707
    http://www.cna-secrets.com/

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    CNA Today:"CNA Today is a quarterly magazine published by the National Association of Geriatric Nursing Assistants (NAGNA) for and about certified nursing assistants and their role in long term care. It is a special magazine, a publication virtually every person in the long term care industry will want to read. With a circulation of well over 20,000, we reach CNAs, Directors of Nursing, facility Administrators, nursing home residents, and their families, product manufacturers, policy makers, and other health care associations. The first issue debuted June 2001 and was unveiled at the NAGNA National Convention. CNA Today will prove to be a remarkable resource for information on long term care."
    CNA Today
    PO Box 375 Joplin, MO 64802
    800-784-6049 fax-417-623-2230
    Editorial Content ctrendel@cnatoday.com
    http://www.cnatoday.com

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    Diary of the Certified Nurse Assistant, A day in the life of:"This is where YOU should begin a daily diary of your day, whether good or bad, once you create a diary of your feelings you will notice alot about the LTC, the residents, the co workers, your own self worth and what may lie in the feelings of others you work with."
    http://members.tripod.com/~CNA_MUNCHKIN/shari4.htm

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    Direct Care Alliance:"Nationwide, we face a critical shortage of high-quality direct-care workers — home health aides, certified nursing assistants, and personal care attendants — who can meet the needs of our country's long-term care consumers — people who are elderly, chronically ill, or living with disabilities. Direct-care workers provide the vast majority of hands-on care within our long-term care health system. Consumers rely on these workers to provide them with comfort, companionship, and care in an atmosphere that preserves their dignity and well-being. As a result, consumers consistently cite the quality of their relationship with their paraprofessional workers as a primary determinant of their quality of life."
    Direct Care Alliance
    c/o Paraprofessional Healthcare Institute
    349 East 149th Street, 10th Floor- Bronx, NY 10451
    Phone: 718.402.7766 - Fax: 718.585.6852
    email: info@directcarealliance.org
    http://www.directcarealliance.org/

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    ElderCare Online:"ElderCare Online is a beacon for people caring for aging loved ones. Whether you are caring for a spouse, parent, relative or neighbor, we are committed to providing an online community where supportive peers and professionals help you improve quality of life for yourself and your elder."
    http://www.ec-online.net/

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    Florida Certified Nursing Assistant Registry:"Welcome to the Florida Certified Nursing Assistant Registry. The Florida Certified Nursing Assistant certificate does not have an expiration date. Once certified the CNA must perform any nursing-related services for monetary compensation during the preceding 24 months to remain active; otherwise, the certificate will lapse and one must be re-certified to work as a CNA."
    4052 Bald Cypress Way, Bin #C13
    Tallahassee, Florida 32399-3252
    Telephone: (850) 245-4567, Email: MQA_CNA@doh.state.fl.us
    http://www.doh.state.fl.us/mqa/cna/index.html

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    Institute for Caregiver Education:
    Center for Advocacy for the Rights and Interests of the Elderly
    100 North 17th Street, Suite 600 Philadelphia, PA 19103
    (215) 545-5728 phone (215) 545-5372 fax
    http://www.caregivereducation.org/

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    In the Know, Inc.:"In the Know is a publishing company dedicated to developing quality paraprofessional inservice solutions for health care organizations. The company was founded in North Carolina in 1998 by Linda Leekley, a registered nurse with extensive experience in clinical education, staff development and both acute and long term care. At In the Know, we recognize that: Nursing paraprofessionals will continue to be the health care occupation most in demand as the U.S. population ages. Nursing assistants play a crucial role in a health care team. Nursing paraprofessionals have the least amount of pre-employment education of any clinical employees and therefore require effective ongoing on-the-job training. A serious difficulty exists in training and retaining a strong nurse aide staff."
    In the Know, Inc.
    306 Brandermill Drive Durham, NC 27713
    lindaleekley@knowingmore.com
    Phone: (877) 809-5515 (Toll Free, USA) (919)-403-8979 (Voice) (919) 490-4808 (FAX)
    http://www.knowingmore.com/

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    National Network of Career Nursing Assistants:"Career Nurse Assistants' Programs, Inc. is a non-profit, tax exempt, educational organization promoting recognition, education, research, advocacy and peer support development for nursing assistants in nursing homes and other long term care settings. (EIN # 34-1782518). The membership of CNAP is the National Network of Career Nursing Assistants."
    3577 Easton Road Norton, OH 44203
    Phone Number: 330 825-9342 Fax Number: 330 825-9378
    Email Address: cnajeni@aol.com
    http://www.cna-network.org/

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    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

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