Showing posts with label Safe Bedside Practice. Show all posts
Showing posts with label Safe Bedside Practice. Show all posts

Friday, April 15, 2011

A Silent Epidemic of Needle Injuries - NYTimes.com

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

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

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

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

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Nursefriendly, Inc. A New Jersey Corporation.
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Thursday, April 14, 2011

Sarah's Tears by Tony Collins, LVN, Inspirational Nursing Stories

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Late one December night on the cancer ward the halls were quiet and solemn, the patients were asleep and most of the visitors were gone. The nurses were gathered about the nurse's station preparing for shift change. Sarah, one of the nurses, was especially tired, having worked seven straight 12 hour days. The kids had needs, her husband had been laid off, and the house payment was due. What kept her going was that in January she was going to find a new job. After ten years of answering call lights, working short staffed, putting up with constant administrative changes, she had decided that it was not worth the effort anymore.

PING. PING. PING. Sara angrily looked at the call light box, "Good grief!" The patient was a seventy-year-old woman. Sarah had been to her room at the end of the hall at least fifteen times. Angrily she started down the hall.

On her way, she suddenly stopped. She stood motionless as a soft voice wafted out of room 235.

"And then one day I'll cross the river; I'll fight life's final war with pain; And then as death gives way to victory, I'll see the lights of glory and I'll know He lives."

Tears welled up in her eyes as she listened and thought about the young woman in that room -- a thirty-five year old mother of two with cancer, with only a week to live, perhaps days. Sarah stood there, with tears in her eyes, remembering how this young terminal woman had such peace. The patient would speak to everyone who came into her room and she would smile even in her pain and took the time to share her faith and let people know the reason for her peace was a faith in God. All the nurses who had been around her commented on her strength and how they had felt peace and calm after talking with this exceptional young woman..

"Because He lives, I can face tomorrow; Because He lives, all fear is gone Because I know who holds the future, Life is worth all the living, just because He lives."

Unstoppable tears flowed as Sarah stood a few moments more, but the tears had taken on a newness. No longer were they tears of sadness for this young woman but tears of renewal that washed away the disappointment and disillusionment of her job, and the fear about the future.

Sarah started down the hall to answer the call light, but she was no longer going to check on some pestering old woman. She was going to the room of a patient, a person, a fellow human in need. Sarah no longer looked to January so she could quit -- she looked to her next shift when she would again have the opportunity to serve her fellow man. Sarah left work with a new outlook on life. She had a rekindling of the spirit of service that had motivated her to become a nurse. Those fires had almost died, but for a young terminal woman who had the desire to be of service to her fellow man even unto death.

This is a reminder to me that the reason that we are on this earth at all is to be of service to each other. Christ said it best when He said, "Greater love hath no man than this, that he lay down his life for his brother."

-- by Tony Collins

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Andrew Lopez, RN
Nursefriendly, Inc. A New Jersey Corporation.
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Thursday, April 7, 2011

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

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

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

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Sincerely,

Andrew Lopez, RN
Nursefriendly, Inc. A New Jersey Corporation.
38 Tattersall Drive, Mantua New Jersey 08051
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856-415-9617, (fax) 415-9618

150,000 + Nurse-Reviewed & Approved Nursing Links

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Wednesday, April 6, 2011

Battle Hymn of the California Nurse, by Marilou Morgan RN

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You can find them at the bedside
With shot to kill the pain
You can find them passing bedpans
They do this without disdain
As they share with you compassion
Always hoping for your gain
There're dwindling away.
 

California Needs more nurses
HMO's have filled their Purses
Now were really in the Lurches..
We're dwindling away
 

She is working extra hours
He is working extra days
Tryin' to keep a nurse beside you
As you struggle thru this maze
If they had an extra minute
They would take a coffee break
Like other people do.
 

New York City Needs more nurses
HMO's have filled their Purses
Now were really in the Lurches..
Where has the money gone?

We are told were are an item
Like the linen or the lights
We must work under conditions
Never mentioning our rights
If we try to buck the system
A New Grad will be your plight
so we keep hanging on.

Carolina Needs more nurses
HMO's have filled their Purses
Now were really in the Lurches
How long will this go on!

When you think about your nurses
Let your voices ring out clear
they are trying to protect you
From the system, and they fear
You will be in worse condition
from the shorgages we face
and it sould not be so...

Arizona Needs more nurses,
HMO's have filled their purses
Puts us really in the Lurches
and it should not be so!

Copywrite 1999
Marilou Morgan RN

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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:
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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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http://nursefriendly.posterous.com

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Andrew Lopez, RN
Nursefriendly, Inc. A New Jersey Corporation.
38 Tattersall Drive, Mantua New Jersey 08051
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856-415-9617, (fax) 415-9618

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Monday, April 4, 2011

About Licensed Practical Nurses (LPNs), Licensed Vocational Nurses (LVNs) and Nursing on: The Nurse Friendly

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Top 10 Qualities of a Great Nurse, NursingLink.com:"Nurses are pretty amazing. Great nurses aren’t just compassionate and kind — they have all the medical smarts of a doctor too! Plus, a career as a nurse offers a sense of personal satisfaction that you just can’t beat."
http://nursinglink.monster.com/careers/articles/5019-top-10-qualities-of-a-great-nurse?utm_source=nlet&utm_content=nl_c1_20100525_greatnurse#

Categories:
Advanced Practice Nurses (APNs), http://www.4nursing.com/apn
Licensed Practical Nurses (LPNs), Licensed Vocational Nurses (LVNs), http://www.nursefriendly.com/lpn
Male Nurses, Men In Nursing, http://www.nursefriendly.com/male/
Nursing Profession, About The, http://www.nursefriendly.com/profession
Registered Nurses (RNs)http://www.nursefriendly.com/rn/
Traits & Qualities That Make Nurses Excellent Entrepreneurs, http://www.nursingentrepreneurs.com/qualities
Traveling Nurses, Travel Nursing Agencies, http://www.4travelnursing.com

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Tribute to Rebecca Anderson by E.V. Stankowski RN:"Rebecca was an LPN that responded to the Oklahoma City Bombing and courageously gave of herself to help the injured. While she was inside the Federal building caring for the sick, she was struck by a piece of concrete debris from a falling wall. The incident ultimately led to her death (five days later)."
http://www.inspirationalnursing.com/anderson

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Nurses Views of The Nursing Profession, http://www.nursefriendly.com/views

To Be A Nurse Takes A Special Kind Of Person By Vicky Oliver, LPN:"As an LPN for the last ten years I believe I could give some insight on my experience as a nurse. I am the type of person who is always doing something for others instead of me. My experiences in nursing consist of Medical Surgical, Doctors' Office, Emergency Room, Surgery, GI Lab, Urology, Utilization Review, Recovery Room, and the Nursing Home.
http://www.nursefriendly.com/views

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Advance for LPNs:"Advance for LPNs is a regional biweekly trade publication offering content relevant to licensed practical nurses, including jobs, career advice, clinical articles and CE opportunities."
ADVANCE Newsmagazines/Merion Publications, Inc.
2900 Horizon Dr.
King of Prussia, PA 19406
Phone number: 800-355-5627
Subscribe by phone: 800-355-1088
http://lpn.advanceweb.com

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

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Andrew Lopez, RN
Nursefriendly, Inc. A New Jersey Corporation.
38 Tattersall Drive, Mantua New Jersey 08051
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856-415-9617, (fax) 415-9618

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

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Care Givers, Caregiving, Ten Commandments of Care

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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
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Career Alternatives For Nurses
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ER
Georgia Nurse Entrepreneurs, Nurse Owned Businesses
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Motivational speaker
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NCLEX-Reviews for RN's & LPNs
Neonatal Intensive Care Unit (NICU) Nurses
Nurse Aid Training Provider
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Nursing Educators
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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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http://nursingentrepreneurs.ning.com/

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

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

Sincerely,

Andrew Lopez, RN
Nursefriendly, Inc. A New Jersey Corporation.
38 Tattersall Drive, Mantua New Jersey 08051
http://www.nursefriendly.com info@nursefriendly.com ICQ #6116137
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Friday, April 1, 2011

Cancer patients get better care than patients in primary care

Why do my patients with cancer get better care than my patients in primary care? As the senior resident on my hospital’s inpatient leukemia service recently, this question troubled and intrigued me daily.

Despite the sheer complexity of treating leukemia (administration of chemotherapy, bone marrow biopsies, stem cell transplantation), the resources required (transplantation routinely costs $1 million), and the severity of the illness (patients with little to no functional immune system), I couldn’t help but marvel at how coordinated, integrated, and patient-centric the care was.

From the first day I saw that things in leukemia worked differently. Most inpatient ward teams consist of an attending, a senior medical resident, one or two interns, and medical students. Each member of the team is “on service” for 2-4 weeks after which they rotate to different parts of the hospital or to the outpatient or research setting. As a result a patient admitted to general medicine today is taken care of by a completely different team than took care of her 3 months earlier when she came in for the same problem. On leukemia, our medical team included an advanced practice nurse (APN) who did not rotate off and on service.

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Thursday, March 31, 2011

The Nursefriendly Daily, Current Nursing News Shared on Twitter

businessweek.com - Litigation rates similar for poor and good facilities, researchers find By Jenifer GoodwinHealthDay Reporter WEDNESDAY, March 30 (HealthDay News) -- High-quality nursing homes get sued almost as of...

vidaltaxes
parenting.blogs.nytimes.com - A number of breastfeeding stories have been in the news the past week or so. First, a study from Montana State University, published online in the Personality and Social Psychology Bulletin, sugges...

lifeandlemons
nursinglink.monster.com - Career Advice >> Browse Articles >> Interview TipsPrepping for an important interview means researching the company and making sure you have smart responses to anticipated questions. It also means ...

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

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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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