Showing posts with label working conditions for nurses. Show all posts
Showing posts with label working conditions for nurses. Show all posts

Wednesday, April 6, 2011

A to Z Nursing Links, Alphabetical Nursing, Links Starting With "W"

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Welcome to NursingA2Z.com.

This website is owned, operated by Andrew & Melanie Lopez (RNs). 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. We'd ask that if you don't find what you are looking for, kindly contact us! If you are looking for a certain topic, it's likely you are not the only one. We will be adding to this index daily, be sure check back frequently.

If your website is not listed here, we encourage you to submit it: Add Your Website/URL, please note, you do not have to install the nursingtop10.com linking code, to be listed.

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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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The Uniform Resource Locator (URL) or Internet Street Address of this page is
http://www.nursefriendly.com/nursing/a.to.z.nursing.links.alphabetical/w.htm

Last updated by Andrew Lopez, RN on Wednesday, March 23, 2011


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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

150,000 + Nurse-Reviewed & Approved Nursing Links

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

Thursday, March 17, 2011

The #1 stressful thing about being a nurse, Scrubsmag.com

So, we all know there are a million things that ‘stress’ us out during our shifts. Do I really need to list them? Here are just a few that come to mind:

Causes of Stress

  • Inadequate staffing
  • Nurse-to-staff ratio overload (does the word unsafe come to mind)
  • Lack of teamwork
  • Lack of effective and fair management
  • Coworker strain
  • Paperwork
  • Endless charting – repeating information on multiple forms
  • Miscommunication or the lack of communication
  • Census overload and strain (revolving door of admissions and discharges)
  • No time to even use the bathroom

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

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

150,000 + Nurse-Reviewed & Approved Nursing Links

http://www.4nursing.com
http://www.legalnursingconsultant.com
http://www.nursinghumor.com
http://www.nursefriendly.com
http://www.nursingcasestudy.com
http://www.nursingentrepreneurs.com
http://www.nursingexperts.com

Sunday, March 13, 2011

Friendly Footwear a Must for Those Who Work Standing Up

The average American’s foot pain often gets in the way of daily activities. Perhaps no group suffers from chronic foot pain more than those who are constantly on their feet. According to the American Podiatric Medical Association's (APMA) 2009 foot ailments survey, 44 percent of respondents said they spend at least four hours standing every day. Additionally, nearly 78 percent of Americans have experienced foot problems as a result of wearing uncomfortable or ill-fitting shoes.

"The excess strain put on the legs and feet of those standing for long periods of time can take a massive toll on the body—especially for those working in the health care community," said APMA President Ronald Jensen, DPM. "Without the proper footwear that provides necessary support to the ligaments and joints of the feet, these individuals are subject to a host of ailments that can lead to chronic problems such as metatarsalgia—a pain and inflammation in the ball of the foot.”

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

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

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

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

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

Sincerely,

Andrew Lopez, RN
Nursefriendly, Inc. A New Jersey Corporation.
38 Tattersall Drive, Mantua New Jersey 08051
http://www.nursefriendly.com info@nursefriendly.com ICQ #6116137
856-415-9617, (fax) 415-9618

150,000 + Nurse-Reviewed & Approved Nursing Links

http://www.4nursing.com
http://www.legalnursingconsultant.com
http://www.nursinghumor.com
http://www.nursefriendly.com
http://www.nursingcasestudy.com
http://www.nursingentrepreneurs.com
http://www.nursingexperts.com

Tuesday, February 22, 2011

Nursing Unions, Organized Labor, Industrial Support on: The Nursefriendly

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1199 League of Registered Nurses, New York State:"Staff Nurses throughout New York State know an 1199 League of Registered Nurses contract ensures the highest quality of care for their patients – and the best working conditions for themselves. Our 7,000 RNs lead the profession in guaranteeing job security, nurse/patient ratios, seniority rights, raises, longevity increases and the highest level of benefits.
212-631-4501
http://www.1199seiu.org/

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Canadian Federation of Nurses Unions:"A National Voice For Nurses: A Voice With Power. Protecting the health of patients and our national health system, and promoting nurses and the nursing profession at the national level - and doing it effectively - is the job of the Canadian Federation of Nurses Unions. We pressure the federal government to recognize the professional skills and knowledge that nurses bring to our jobs. We also push them to recognize the caring, human touch nurses bring which is so important to patients' healing. We work to make sure nurses' and patients' priorities are reflected in health and budgetary policy and when national politicians talk "health."
Canadian Federation of Nurses Unions
2841 Riverside Drive
Ottawa, Ontario K1V 8X7
Telephone: 1-613-526-4661
Fax: 1-613-526-1023
Toll Free: 1-800-321-9821
cfnu@nursesunions.ca
http://www.nursesunions.ca/

Category: Canadian Nursing Associations, Healthcare Organizations, Nursing Associations, Nursing Unions, Organized Labor

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Federation of Nurses and Healthcare Professionals - A Division of the American Federation of Teachers:"Welcome to the home page of AFT Healthcare--the Federation of Nurses and Health Professionals. We are the health care division of the American Federation of Teachers, and we represent more than 60,000 nurses and other health professionals working in hospitals, clinics, home health agencies and schools throughout the United States."
http://www.aft.org/healthcare/index.html

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Health and Community Services Union:"HACSU is a Victorian branch of the Health Services Union of Australia (HSUA). HSUA is registered organisation under the provisions of the Australian Workplace Relations Act 1996. HACSU represents the majority of staff employed in psychiatric, intellectual disability and alcohol and drug services in Victoria. As a Union HACSU represents members to provide the collective strength to bargain for reasonable wages and conditions and ensure proper professional standards are delivered."
HACSU
Level 2 102 Victoria Street
Carlton VIC 3053
Phone 03 9340 4100 Toll free 1300 651 931 Fax 03 9347 2122
Email: hacsu@hacsu.asn.au
http://www.hacsu.asn.au

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Health Care Employees Union, District 1199:"Welcome to the New England Health Care Employees Union, District 1199, an organization of 22,000 health care employees who are working together and winning a better life for ourselves, our families, our patients and clients. By joining together, we achieve what we could not accomplish alone. 1199 provides the vehicle for pursuing our beliefs and goals – a voice where we work, a say in what our pay and benefits will be, a hand in the decisions that affect our daily work lives and the quality of care for our patients and clients."
Hartford Office (Main Office)
77 Huyshope Ave. Hartford, CT 06106
Get directions 860-549-1199
1-800-922-1768: toll-free 860-251-6049: fax
mailbox@nehceu.org
http://www.nehceu.org/

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New York Professional Nurses Union:"The New York Professional Nurses Union has represented the nurses at Lenox Hill Hospital since 1985. The staff RNs knew that no big union could represent them better than they could represent themselves, so they started their own grassroots organization. This is a very precarious time for health care workers and nurses in particular: many of our colleagues in neighboring hospitals are discovering the devastating consequences of not having a union to represent them. Our leaders know firsthand of the challenges nurses face, since they are also nurses working side by side with our members. They aim to make a contribution to the hospital while preserving the respect of the people that make the hospital run."
http://www.nypnu.org/

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Northern Michigan Hospital Registered Nurses, Local 406:"The majority of the Registered Nurses at Northern Michigan Hospital have been united by a common cause and it is our goal by building this web page to keep ourselves informed and enable us to get our issues made known to the public. We, the striking nurses of NMH have taken a stand for what is right. This web page has been built by the RNs and will be maintained by the RNs. We would like to thank everyone for their support of food, money, editorials and letters to various newspapers and politicians, as well as your emotional and spiritual support. We are overwhelmed by your kindness."
NMH RN Strike Fund, c/o First Community Bank
200 East Main Street
Harbor Springs, MI 49740
http://www.mash406nmhnurses.com

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Nurse Alliance of California:"In California, the SEIU Nurse Alliance is: More than 30,000 registered nurses and 5,000 licensed vocational nurses at dozens of hospitals and health care facilities statewide. SEIU Nurse Alliance members include public health nurses, nurse anesthetists, nurse practitioners, and nurse midwives. The only union for registered nurses with members in other health care occupations, including staff physicians, radiologic technologists, licensed vocational nurses, respiratory therapists, pharmacists, certified nurse assistants, and every other type of health care profession. Affiliated with the 1.5 million-member Service Employees International Union (SEIU), the largest health care union in California and the nation."
Phone: (888) 208-3538 Fax: (213) 833-1977
Email: info@nurseallianceCA.org
http://www.nurseallianceca.org

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Nurse Alliance of Pennsylvania:"The Nurse Alliance of Pennsylvania is an initiative of District 1199P/SEIU nurses who are united in commitment to provide the highest quality of compassionate care for our patients and the public we serve. As an LPN or RN member in good standing in the District, you are automatically a member of the Nurse Alliance of Pennsylvania. Our mission is to unite nurses across the state to work for common goals. This is verified by our collective commitment for universal health care, excellence in patient care, dignity and respect for our patients, their families, our profession and the future."
Union Office, District 1199P/SEIU
1500 N. 2nd St. Harrisburg, PA 17102
1-800-252-3894 (toll free in PA)
(717) 238-3030 (main) (717) 238-8354 (fax) Office Hours: M-F, 9:00 a.m. - 5:00 p.m.
http://seiu1199p.org/nurse_alliance_of_pa/index.cfm

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PEF Nurses, New York State Public Employees Federation Afl-Cio:"Lenore L. Boris fills the full-time staff Organizer (Nurse) position created in May 1998. Ms. Boris has a wide range of professional experience ranging from clinical nursing to professional negotiating. She holds both nursing and law degrees. Prior experience includes a position as Faculty Course Chair at Samaritan Hospital School of Nursing in Troy for 3 years and Labor Relations Representative for the New York State Nurses Association for 5 years. She is currently a Lieutenant Colonel in the Air Force Reserves Nurse Corps."
1168-70 Troy-Schenectady Road PO Box 12414 Albany, NY 12212-2414 (800)342-4306 (518)785-1900
http://www.pef.org/nurses/index.shtml

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Pennsylvania State Education Association, PSEA:"Welcome to PSEA Interactive, the online home of the Pennsylvania State Education Association. We represent 153,000 teachers, school employees and health care workers across the Keystone State. We are the state affiliate of the National Education Association, and we pride ourselves as the foremost advocate for children and public education in Pennsylvania."
http://www.psea.org

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Service Employees Int'l Union, SEIU, Nurse Alliance:"The SEIU Nurse Alliance is more than 105,000 nurses from every health care setting who are members of the Service Employees International Union, the nation's largest and fastest-growing health care union. We are working together to improve patient care, enhance our profession, and build a better future for ourselves and our families. SEIU nurses at each health care facility are part of our own local unions and make our own decisions. But we also benefit from automatically becoming part of the national SEIU Nurse Alliance, which helps nurses speak with a strong, united voice in today's rapidly changing health care industry."
http://www.nursealliance.org/

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SEIU Healthcare Florida Local 1991:"SEIU Healthcare Florida Local 1991 is the exclusive bargaining representative for the 5,000 registered nurses, attending physicians and healthcare professionals in the Jackson Health System and the RNs who work in the health clinic at Florida International University. Since SEIU Local 1991 was chartered in 1991, we have negotiated some of the best wages and working conditions in the United States for our members. We are proud to have one of the few contracts in the nation with a guaranteed 40-hour work week as well as a full-time 36-hour work week. We recently negotiated into our contract a rare and coveted provision requiring a nurse-to-patients staffing ratios policy at Jackson."
SEIU Healthcare Florida
14645 NW 77th Ave, Suite 201
Miami Lakes, FL 33014
(305) 623-3000 - main
(888) 313-4448 - toll free
(305) 826-1604 - fax
info@seiufhu.org
http://www.seiufhu.org/

Category:
Associations, Organizations, Patient Education, Healthcare, Medical, http://www.4nursing.com/healthcare
Florida Nurses, http://www.4nursing.com/florida/
National, State Nurse (Nursing) Organizations, http://www.4nursing.com/associations/
Nursing Unions, Organized Labor, http://www.nursefriendly.com/unions/

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Australian Nursing Unions:

Australian Nursing Federation:"The ANF is the national union for nurses and the largest professional nursing organisation in Australia. The ANF's core business is the industrial and professional representation of nurses and nursing through the activities of a national office and branches in every State and Territory."
Professional Services (Canberra Office)
Unit 3, 28 Eyre Street, Kingston ACT 2604 Australia
Tel. 61 2 6232 6533 Fax. 61 2 6232 6610
professional@anf.org.au
http://www.anf.org.au/

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Nurses Board of Victoria:"The NBV is a self-funded statutory authority incorporated under the Nurses Act 1993. The statutory regulation of the nursing profession has a long history - beginning in December 1923. In regulating the profession, we register nurses and require an annual renewal of their status. Only nurses registered by us are entitled to use the term 'registered nurse' in this state. To ensure the high standard in the profession, we accredit nursing programs in universities and VET institutions, approve programs by other educational providers and set the standards and guidelines for nursing practice. We also have a complaints process, which examines the professional conduct or health of a registered nurse. We provide advice to the Minister for Health on all matters relating to our function."
595 Little Collins Street
Melbourne Victoria 3000 Australia
GPO Box 4932
Melbourne Victoria 3001 Australia
Telephone: +61 3 8635 1200 Facsimile: +61 3 8635 1248
generalenquiries@nbv.org.au
http://www.nbv.org.au

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Queensland Nurses' Union:"The Queensland Nurses' Union is a democratic organisation. This means that we actively encourage membership involvement in union activities. The policies and activities of the Union are determined by our members. The Union's structure provides opportunities for members to be involved."
Brisbane Office (main office of the QNU)
56 Boundary Street West End Queensland 4101 Australia
Telephone (07) 3840 1444
Toll free 1800 177 273
Fax (07) 3844 9387
Email qnu@qnu.org.au
http://www.qnu.org.au/

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Canadian Nursing Unions:

B.C. Government and Service Employees Union:"The BCGEU is one of the most diverse unions in British Columbia. We represent approximately 60,000 men and women in more than 550 bargaining units. Our union can trace its beginnings back to the early 1900s when provincial government employees formed an association to address their working conditions. Since then, the union has organized thousands of workers outside the government service."
BCGEU Headquarters
4911 Canada Way, Burnaby V5G 3W3
Fax: (604) 291-6030 Phone: (604) 291-9611 1-800-663-1674
http://www.bcgeu.bc.ca/

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British Columbia Nurses'Union:"The official British Columbia Nurses'Union website, featuring current nursing and healthcare labour news, and relevant organizational information."
Debra McPherson, PRESIDENT
H: 604 681.3711, W: 604 433.2268
or 1 800 663.9991
contactbcnu@bcnu.org
http://www.bcnu.org/

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Nurse Active:"Hello! This page is largely the personal effort of Charlene Long, with some barely tolerated and largely unsought and unnecessary advice from her partner in crime, Bill Long. Both are registered nurses in Antigonish, Nova Scotia. Both work in acute care in a now small community hospital that serves a region of approximately 20,000 people in the northeastern part of the province. A small university town. A good place to live. Both became involved in the "Web" and social activism through activity with the Nova Scotia Nurses' Union. This page is part of an effort to move beyond (but not away from) that limited level of endeavour and to attempt to expose more nurses and others to the influences that are changing the world around us..........changes that we live with and adapt to every day, but seldom appreciate for their profundity and scope."
http://www3.ns.sympatico.ca/nurse.active/welcome.html

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

See also:

Nursing Topics, A to Z:

Nursing Degrees, LPN-RN, RN-BSN, RN-MSN, Online/Offline College, University and more!:"Higher income. Career mobility. Now, no matter where you live or what your schedule, you can earn your Associate or Bachelor Degree to take your professional life to the next level — without putting the rest of your life on hold!"

If you do any Browsing or Windowshopping online, please visit our online Mall:
http://www.nursefriendly.com/shopping/

Gifts For Nurses:
http://www.nursefriendly.com/gifts/

4nursinguniforms.com:"Choose from Top Nursing Uniform Companies. All sizes, styles and popular name brands available. Large selection of accessories as well: Accessories Blood Pressure Cuffs, Sphygnomanometers Nursing Tote Bags, Carry-Ons, Medical Bags Clinical, Medical Supplies, Nurses Discount Outlet: Angels, Books, Clothing , Equipment, Figurines, Holidays, Home Decor, Jewelry, Nurses, Office Decor, Scrubs, Shoes, T-Shirts Footwear, Shoes, Sandals, Discount, Bargains Gifts For Nurses (Nurses Week) Hosiery, Socks, Stockings Hats, Jackets, Jumpers Jewelry, Earrings, Necklaces, Watches Luxury Spas, Facials, Manicures, Pedicures Perfumes, Fragrances, Phermones Shoes, Boots, Sandals, Footwear, High Heels, Slippers Stethescopes, Nurse Kits, Replacement Parts Swimwear (Tan-Through) Women's Lingerie "
4nursinguniforms.com

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

Choose Nursing Uniforms, Shoes, Scrubs, Accessories By Brand:

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Any questions, please drop me a line.

******************************************************
Follow us on:

What's New:
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Blogger:
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Facebook:
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Linked In:
http://www.linkedin.com/in/nursefriendly

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

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

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

Sincerely,

Andrew Lopez, RN
Nursefriendly, Inc. A New Jersey Corporation.
38 Tattersall Drive, Mantua New Jersey 08051
http://www.nursefriendly.com info@nursefriendly.com ICQ #6116137
856-415-9617, (fax) 415-9618

150,000 + Nurse-Reviewed & Approved Nursing Links

http://www.4nursing.com
http://www.legalnursingconsultant.com
http://www.nursinghumor.com
http://www.nursefriendly.com
http://www.nursingcasestudy.com
http://www.nursingentrepreneurs.com
http://www.nursingexperts.com

Monday, February 21, 2011

Are 12-hour shifts safe? Donna Cardillo, MA, RN - American Nurse Today

Are 12-hour shifts safe?

Donna Cardillo, MA, RN

 

12-hour shifts have become the norm in hospitals and most nurses love them. One can work 3 days and have 4 days off, there is one less major shift change to contend with, and patients have fewer names and faces to get acclimated to in a 24-hour period. It all makes sense on the surface.

 

But is working 12 consecutive hours in a fast-paced, high stress, physically and mentally demanding environment a good idea? Does it support the clear judgment, quick thinking and reflexes, and life and death decisions that we must make in the acute care setting?

 

I know a few nurses who do three 12-hour shifts a week, at least two of the shifts on two consecutive days. Some nurses do three consecutive 12s. Factor in commuting time, shift transition (it can sometimes take 1-2 extra hours to actually finish up), time to get ready for work—never mind making time (if at all) for family or self and they’re lucky to get 5-6 hours of sleep if that. Compound that with the fact that many nurses no longer take meal breaks or even short breaks during their shift to rest and refresh because they believe they don’t have the time or they don’t make the time. This is a recipe for disaster. 

Click on the "via" link to read the rest of the article.

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Any questions, please drop me a line.

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Follow us on:

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http://nursingentrepreneurs.ning.com/

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

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

Sincerely,

Andrew Lopez, RN
Nursefriendly, Inc. A New Jersey Corporation.
38 Tattersall Drive, Mantua New Jersey 08051
http://www.nursefriendly.com info@nursefriendly.com ICQ #6116137
856-415-9617, (fax) 415-9618

150,000 + Nurse-Reviewed & Approved Nursing Links

http://www.4nursing.com
http://www.legalnursingconsultant.com
http://www.nursinghumor.com
http://www.nursefriendly.com
http://www.nursingcasestudy.com
http://www.nursingentrepreneurs.com
http://www.nursingexperts.com

Wednesday, February 9, 2011

Nurses’ Widespread Job Dissatisfaction, Burnout, And Frustration With Health Benefits Signal Problems For Patient Care — Health Aff

Job dissatisfaction among nurses contributes to costly labor disputes, turnover, and risk to patients. Examining survey data from 95,499 nurses, we found much higher job dissatisfaction and burnout among nurses who were directly caring for patients in hospitals and nursing homes than among nurses working in other jobs or settings, such as the pharmaceutical industry. Strikingly, nurses are particularly dissatisfied with their health benefits, which highlights the need for a benefits review to make nurses’ benefits more comparable to those of other white-collar employees. Patient satisfaction levels are lower in hospitals with more nurses who are dissatisfied or burned out—a finding that signals problems with quality of care. Improving nurses’ working conditions may improve both nurses’ and patients’ satisfaction as well as the quality of care.

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Any questions, please drop me a line.

******************************************************
Follow us on:

What's New:
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Blogger:
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Facebook:
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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, December 13, 2010

It All Comes Down to Posture My Friend, Putmebacktogether.com

So we’ve all seen it… the elderly male who presents with such an exaggerated forward-flexed posture it looks as though he will fall over if not for the cane propping up his torso with every step, or the middle aged woman who’s “hunch” or kyphosis is accentuated further by her significant loss of lordosis, stiff pelvis, and short hamstrings.  Certainly age related changes and conditions occur, we become stiff, our bones become brittle and our discs become more rigid and narrow.  Aside from this, far too many cases of preventable postural deformities occur and unfortunately, once a person is in the later stages of life they are almost impossible to correct.

Of course posture related deformities are no longer exclusive to the older population, it is now more prevalent than ever in our youth.  Children and teenagers are receiving increased medical care for posture related conditions; chronic back pain is at the top of the list.  I see far too many young men and women with significant slouched postures.  Imagine how many hours are spent in front of the TV or computer today vs. even 10 years ago.  The last statistic I read stated up to 6-7 hours per day!  Paired with a lack of awareness and decreased activity, poor posture is an epidemic in our society and one that is not going away any time soon.  

Therefore, it is increasingly important for those of us in the healthcare field, especially in the Physical Therapy profession, to educate our patients and their families on the importance of using proper posture with daily activities while increasing physical activity.  In addition, we need to increase awareness of the deformity that can occur later in life and the painful conditions that may occur right now.   I always tell patients the best thing they can do to improve their posture is to simply to, “be aware of it.”  Aware of it in the car, aware of it on the bus, aware of it at their desks, aware if it as they are standing, walking, squatting, sitting, bending, talking, exercising, cleaning, playing, eating and most of all when they are doing any of these things for a prolonged period of time.  Let’s teach our youth to be proactive; a little effort today will go a long way and will likely prevent illness and injury in the future.  Does it really surprise you that you’re Mothers and Grandmothers were right?   

Read more about author Holly Zahler

Let's see, back pain, injury is the #1 cause of disability amount the nursing occupations. Ever wonder if your posture factoring into it? Maybe you should.

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Andrew Lopez, RN
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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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Sunday, November 21, 2010

How to call in sick without jeopardizing your job - CNN.com

Eric McCoole, 38, called in sick on St. Patrick's Day in 2000, and no, he didn't have a cold, the flu, or a sinus infection. He didn't even have the sniffles.

"Being of Irish descent, I wanted to take the day off," says McCoole, a government employee in Alpine, California.

He called early enough so he could leave a message and skip the awkward talk with his boss. "The next day a supervisor came over the PA system and announced, 'Two people called in sick yesterday, St. Patrick's Day: Eric McCoole and Brian O'Malley.' Luckily, everyone laughed," McCoole recalls. "He said next year we should flip a coin to decide who takes that day off."

Ah, the good old days. Few folks in today's workplace are calling in sick even if they have a cold, the flu, or a sinus infection. Given the economic meltdown, the highest unemployment rate in years, and layoffs around every corner, workers are more likely to drag themselves into the office even when they feel like death warmed over.

Health.com: Is it a cold, flu, or something else?

The fear? If they call in sick, they won't have an office to drag themselves into the next day.

Why you should call in sick

While they might feel heroic, sick employees who come to work -- a phenomenon known as presenteeism -- can actually hurt companies. Even if you're not scheduled to scrub into the ER and save lives, you can still endanger others by showing up for work in a cloud of germs.

"You always have to weigh the risks and the benefits," says Dr. Aaron E. Glatt, M.D., a spokesperson for the Infectious Diseases Society of America and president and CEO of the New Island Hospital in Bethpage, New York.

Glatt suggests asking yourself, "What greater good can I do by being there?" If it's not essential for you to go in, and you know you won't be productive, stay home.

Health.com: Is your job making you sick?

People who are coughing or sneezing (symptoms of illnesses spread by airborne transmission) should probably stay home anyhow, according to Glatt, as should anyone with an open wound or those incapable of keeping good hygiene. "We have to be conscious that we are not only taking care of our own health, but the health of other people," he says.

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Andrew Lopez, RN
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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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Nurses Share Stories From The Health Care Frontlines - Health - Madison Magazine News Story - WISC Madison

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By Brennan Nardi
Madison Magazine

Wilma Rohweder

Wilma Rohweder was just seventeen years old when polio struck. Her dream was to become a nurse, but when she fell ill, her mother began to worry.

“She tried to talk me out of it,” Rohweder recalls. “I wouldn’t listen to her.”

Two years later, she packed her bags and moved to Des Moines, Iowa, where she literally earned her stripes—one for each of her three years in nursing school. At graduation, each woman—no men in the field yet—received a beret with a wide black stripe to signify her status as a registered nurse. Today one of Rohweder’s caps is on display in the UW–Madison School of Nursing.

It was the beginning of World War II, and a shortage of wartime nurses led to the creation of the U.S. Army Nurse Corps. For fifteen dollars a month, the eager and precocious Rohweder signed on as a cadet. Rightly so, she is extremely proud of her honorable service to the profession—sixty-four years and counting.

Rohweder has spent the majority of her career in ophthalmology. However, when her husband of sixty-two years, Dwayne, was starting out, his jobs with the county extension office took him all over the state of Iowa, so Rohweder accepted whatever nursing positions were available. The couple moved a dozen times in the first few years of their marriage, but wherever they landed, Rohweder always found work. The hospital urology department, a school nurse, an operating room supervisor—whatever it was, she loved every minute of it.

“I never missed a day in nursing,” she says. And that includes a two-and-a-half-year stint in Brazil in the late 1960s, where her husband, who had since earned a Ph.D. in agronomy and moved the family to Madison, was sent to develop a graduate program. There she worked as a consulate nurse, helping procure safe, sterilized needles and administering gamma globulin shots to boost immunity to diseases that today are prevented with vaccines.

Her specialized skills and training in diseases and disorders of the eye made her a perfect fit for her current work as a volunteer for Dean Foundation’s BSP Free Clinic for under- and uninsured patients seeking specialty health care. She assisted the clinic in the planning and launching of its ophthalmology services, and colleagues say her help is critical on days when volunteer doctors see patients with glaucoma, macular degeneration and other eye-related disorders.

“She does the best charting ever,” says BSP office manager Kathy Williams. “We love Wilma and hope she continues to provide TLC and share her knowledge with all of us at BSP for many more years.”

Peggy Weber

It’s difficult to write about Peggy Weber’s impact on patients, survivors and their families without drawing on symbolism and cliché. But it’s just so easy—and honestly, so fitting—to describe her as “an angel from heaven,” “a pillar of faith,” “the Mother Theresa of Madison,” or, in the kind words of someone whom Peggy has supported through several family tragedies, “the pot of gold at the end of everyone’s rainbow.” When life is a struggle, or when the worst happens and it’s time to say goodbye to our loved ones, cliché is comforting—and it’s a simple, beautiful way to articulate Weber’s deeply genuine commitment to everyone she cares for.

And if a record twenty-three nominations for “Madison’s Favorite Nurse” doesn’t reflect the depth and breadth of her work, a walk through St. Mary’s Hospital, where Weber was educated and where she has spent most of her forty-one-year career, or a visit to Sunday Mass at St. Patrick’s in Cottage Grove certainly does.

Weber jokes about it but it’s true—after it began to take too long to make her way out of church every week, her husband switched from waiting patiently in the car to bringing along the Sunday paper to giving up and taking a separate vehicle. But Peggy doesn’t mind; it’s simply the nature of her work. “Nursing is such an art and science,” she says. “It’s the art of relationships,” adding, “Most nurses—we’re wired to do this.”

That ability to communicate, to connect with people during their most difficult and painful times, is a strength that she has nurtured and grown into a remarkable outreach arm for St. Mary’s, including an ongoing support program called Kids Can Cope that she founded in 1985, the Parish Nurse program started in 1997 and the cancer survivors group she facilitates once a month at St. Patrick’s. “Sometimes I walk into work and I don’t know what’s happening,” Peggy says of her job as a Parish Nurse and Parish Nurse Program coordinator. “I immediately have to relate to [patients and families] and build their trust.” It’s that trust, she says, that helps us work through the frightening experience of death and dying. “The more they can replace that fear with trust, the more calm they’ll be.”

For Peggy, that trust she builds with people extends beyond the walls of hospital and church—and for as long as God intends.

“I go to almost every wake and funeral I can because it helps me and it helps them. I don’t abandon people. They can find me,” she says, with a steely look in her eyes that tells me she means it absolutely and without condition. “They can find me.”

For all of this strength, knowledge, warmth and compassion, Peggy very humbly credits the Sisters of St. Mary, thirty years of experience in the field of psychiatry and two very special nurse mentors, Carol Viviani and Barbara Komoroske, among others. For her faith and spirituality, she thanks her German Lutheran father and Roman Catholic mother.

“I grew up with an incredible spirit in my home,” she says.

Today, Peggy’s incredible spirit is evident in her own home where she, along with her husband Jim, is blessed with four children and soon-to-be eleven grandchildren.

“So what’s next?” I ask her.

“What else?” she answers back. “When you love what you do and it’s the most favorite thing you do, why would you want to quit?”

Mary Saur

Mary Saur was a bright young college student at UW–Oshkosh with a keen interest in science. But it was the late 1960s, and her career options were limited. “At that time it was nursing or teaching,” she says.

Nursing won out in part because she had a role model in the field: her aunt, an idol and mentor. Saur eventually transferred to UW–Madison, earned her RN license, married and moved to Milwaukee. A year and a half later she made her way back to Madison, and settled in to start a family. At the time—1974—the natural childbirth movement was sweeping across the country. Preparing for their first child, Saur and her husband, Ed, decided to enroll in a Lamaze class.

“It was something for us that was truly a bonding, growth experience,” she says.

On the professional side, the class got Saur thinking about a nursing career in labor and delivery. Over the next few years she’d have two more children and teach Lamaze classes. In 1984, she returned to full-time nursing. When Madison General and Methodist hospitals merged in 1987 to become Meriter Hospital, Saur helped develop the childbirth classes and continued to teach until the late 1990s. Over the course of her career, she figures she’s taught some two thousand couples.

Saur, a staff nurse, is frequently assigned to Meriter Birthing Center’s triage unit, where labor patients are screened and evaluated. And while the one thing that’s certain about her job is uncertainty, “My hope for the day is that I’ll have a birth with somebody,” she says.

It’s in this role as support and advocate for mom and her loved ones that Saur thrives. “Communication is key to meeting one’s needs, and being at the bedside with them the nurse can often be that conduit,” she says.

“I remember one time a woman wanting to stand to have her baby. This is no big deal now, but it was out of the norm then and the doctor came in and said, ‘Mary, she needs to lie back.’ Well it was not going to happen—this woman was where she wanted to be so we did end up delivering the baby with her standing above us in the birthing bed.”

Saur feels richly rewarded by her career and is thankful for the “fantastic nurses” she works with as well as the many families who’ve given her the opportunity to share in their most intimate and special moments.

“I love to see my ‘babies’ whether they are two weeks old or in their twenties and thirties and to hear how their lives are,” says Saur. “How lucky can I get?”

Shelley Bazala

Sometimes our parents’ love of what they do for a living influences our own career paths. For Shelley Bazala, it was a more serendipitous route.

“My mom was a nurse,” says Bazala. “So I discounted it.”

She decided she was more interested in social work and pharmacy. But somewhere along the way, the light bulb turned on.

“It hit me that nursing combined both of them.”

Three kids, seven grandkids and more than thirty-five years later, Bazala has enjoyed a successful and fulfilling career in behavioral health as a nurse providing direct patient care and now as a nurse supervisor for Meriter Hospital’s alcohol and drug treatment program, NewStart.

Not only is she a skilled RN, her colleagues say she brings out the best in everyone, she’s an invaluable advocate for patients and families, and in general, “You feel better when Shelley is around.”

Bazala is equally effusive about her co-workers. “I am blessed with a wonderful, competent staff,” she says. “We help people be accepting of where they’re at, offer them hope.”

In a field where the illness has the added disadvantage of societal stigma, Bazala’s calm leadership style, particularly when a patient is in crisis, and her compassion for the person behind the addiction is a winning combination.

"Systems can be overwhelming. Access to services can be challenging,” she says. And to top it all off, “They’re being judged.”

“Lack of understanding and knowledge among health care providers themselves about substance use and addiction can be a barrier for the person in need of help,” Bazala says. “Attitudes, in both health care and society at large, compound the embarrassment/guilt/shame/anger that may be present for the person in need of help.”

Her daunting task? “We try to educate and support the health care provider as well as meet the patient’s needs and intervene in a timely manner.” In today’s world, that means treating the whole patient and acknowledging the physical as well as the environmental issues surrounding addiction.

“Seeing how someone regains their life is a true ‘high,’” she says.

Zach Southard

Zach Southard easily recalls the man whose grateful parents wrote a letter nominating him to be one of “Madison’s Favorite Nurses.” “This is about as young a patient as we’d ever see,” he says.

Southard also remembers the moment a year ago when the father of his twenty-year-old patient, who’d just returned from surgery to repair a congenital hole in his heart, had to step out of the room. Hot and lightheaded, he was overcome by the shock of seeing his own son so weak and tethered to countless tubes and machines.

“No matter how much you explain to them about what they’re going to see, it looks like mass chaos,” says Southard, a nurse clinician on the cardiac and thoracic surgery, heart and lung transplant team at UW Hospital and Clinics. “But from our standpoint it’s pretty organized.”

Southard enjoys breaking down the health of the patients and the care they’re receiving into bite-size pieces that people can digest, particularly at a frenetic time when emotions are high.

“I like the high-acuity, high-intensity stuff,” he says.

And he may come by it naturally. The UW–Madison grad’s father is a nurse on a post-anesthesia recovery unit in Appleton, and his younger brother, Sam, also a UW alum, followed in Southard’s footsteps—exactly. He works at the same hospital. On the same heart and vascular team.

Calm and competent, Southard says the job, which he landed right after graduation, comes with a steep learning curve.

“You don’t learn to be a nurse in nursing school,” he says. “Over time you learn far more than you ever could’ve imagined.”

To that end, he describes the mentoring and training on his unit as top-notch, and his colleagues as “the best part of this job.” He serves on his unit’s advisory council, which reviews cases, helps manage organization and protocol, and teases out best practices.

Best practices, for instance, like knowing that no two cases are ever alike.

“You learn very quickly that you can’t treat numbers,” says Southard. “You treat patients.”

Alyssa Hanekamp

Late last year, bacterial meningitis followed by a heart attack landed Laurie Gomoll-Koch in the hospital for six weeks. Not only did Alyssa Hanekamp provide expert medical care, she went above and beyond for her patient’s husband and two sons, including regular private updates to her youngest, who attended college four hours away.

“She is more than a nurse,” writes Gomoll-Koch in her nomination letter for “Madison’s Favorite Nurses.” “She was our lifeline.”

So it’s no surprise that this facet of nursing—compassionate care for both patient and family—is what drew Hanekamp to the field. She always wanted to be a doctor, but a passion for singing led her to a music major in college. On her mother’s advice to have a back-up plan, she enrolled in nursing courses at Blackhawk Technical College. During the course of her clinical work, she fell in love with bedside care.

“It’s the best part of my job,” she says.

Working at the St. Mary’s medical ICU unit for the last six years, Hanekamp says she’s never once regretted her decision to forego medical school—or singing—for a career in nursing.

“We work very closely with the doctors in intensive care and they allow us to use the knowledge that we have,” she says.

She also doesn’t feel like she’s missing out on family thanks to a schedule—common in her field—that allows for multiple days off at a time and an incredible support network of friends and family. Hanekamp is married with three young children and for now the lifestyle works. As it turns out, the intensive care environment suits her, too. “It’s your direct action that gets people through the good or the bad,” she says.

Inevitably, though, there will be those shifts that take their physical and emotional tolls, which is why she relishes the hour-long commute.

“Some days you just cry all the way home from work,” Hanekamp says. On both good days and bad, she is thankful for “the best co-workers you could ask for,” and for the opportunity to “change people’s lives.”

Says Hanekamp: “It’s the ones that we save, who get to walk out the door, that keep you coming back every day.”

Alyce Columbia

Alyce Columbia’s busy life and career have taken her across the state and the country, and the nursing positions she’s held in the field have been equally diverse. From independent and assisted living environments to caring for people with AIDS to her current work in intensive care, she’s pretty much seen it all.

“I like the patient population. I like to work with people,” says Columbia, a nurse care team leader for cardiac and thoracic surgery, and heart and lung transplant at UW Hospital and Clinics.

For the last seven years Columbia has worked with very sick people in “a very fast-paced place,” she says, where in any given week she and her team of sixty nurses might see multiple heart surgeries and one, two or even three sets of lung transplants. “The doctors, they’re all incredible,” she adds. “The things that happen here are phenomenal.” Columbia holds the nursing staff she leads and trains in the same high regard. “The caliber of the individuals who work there—amazing.”

The unit also equips patients with ventricular assisted devices/heart pumps while they await life-saving transplants. Columbia remembers one patient in particular, an eighteen-year-old teenager being treated for cardiomyopathy, a weakening of the heart muscle that can be fatal. “It’s the one that pulled my heartstrings,” she says. The man, young and poor, was in and out of the hospital, one scary episode after another. Eventually he was put on the VAD, waiting for an organ donation.

“It was his bridge to transplant,” says Columbia, recalling a hospitalization episode when she thought the man might die. Fortunately, his mother and younger sister were able to be there with him, but it was an evening shift, and the nights can be long and difficult when a patient is gravely ill. To ease the tension, Columbia brought in movies and popped popcorn. “We had a slumber party,” she says. Eventually, the patient received a heart transplant and went home to live his life. For Columbia, it makes her high-intensity, sixty-hour workweek worthwhile.

“When they come back after a period of time and they don’t look anything like they did when they came in, and you participated in that—that’s the reward.

Jodi Casper

Jodi Casper was just ten years old when an automobile accident sent her to the hospital for three weeks. She had a fractured femur, so her injured leg was suspended with all sorts of wires and weights. She spent six weeks inside a body cast and became way too familiar with reclining wheelchairs and walkers. Throughout the ordeal, the fifth grader had extra time on her hands to observe her surroundings—plus rack up plenty of interactions with the hospital staff.

“I came to appreciate what it meant to be a nurse,” says Casper. Afterward, she pretty much decided that was exactly what she wanted to do someday. “I never deviated from that—ever.”

Thanks to that chapter in her life, Casper also developed a strong empathy for patients and their health care experiences. When it came time to decide on a nursing specialty, she knew it would be one with an emphasis on bedside care. That, coupled with a fascination for “the miracle of birth,” as she puts it, eventually led her to labor and delivery.

She’s been a St. Mary’s Family Birth Center nurse since 2004, and her varied duties on a twelve-hour shift include labor and delivery support, postpartum and nursery care, and rotations through triage, which is equipped to handle a significant level of high-risk care.

“Our senses fluctuate like an ER,” Casper says. And as in an emergency room, no day is typical. “We really are on our toes.”

Casper’s smile widens when she talks about the women and families she’s cared for—and is quick to point out that each birth involves not one patient but two—both mother and baby (or babies, as is sometimes the case).

“I’ve always loved newborns,” she says. “To visualize that baby inside and the journey it went through—it’s just so surreal.”

Casper says the changes in technology—like 3-D ultrasounds and the hospital’s electronic records system—learning curves aside—have been mostly positive.

“I feel like I can focus more on the patient,” she says.

And, she says, her department benefits greatly from a diverse nursing staff that includes a wide range of ages and experience.

“We learn from older nurses the techniques to support the patient; younger nurses help with technology,” she says. “I love the people I work with.”

Patricia Peltier

Patricia Peltier is a people person. She thrives on the positive, meaningful connections she makes with others. For the patients and residents she cares for as an LPN at Capitol Lakes Retirement Community, her brand of care is often a blessing.

There’s the elderly man, an artist in his eighties, who lost his voice to cancer. His paintings hang on the walls around him, but before Peltier visits, he moves them around—a welcoming change of scenery for them both. Excited about the upcoming football season, the man was delighted when “Nurse Patti,” as she’s known to all, brought him a Packers hat and jersey.

“The little things,” Peltier says. “That’s what I like.”

But Peltier is being modest. In her twenty-three years in nursing, she’s seen and done a lot, and now she hopes to pursue an RN license, and perhaps teach someday, because she still has more to give. And as the saying goes, you get what you give. Fifteen years ago, Peltier was driving to work when she saw a car accident and arrived first on the scene. The car was totaled and the victim had suffered a severe head injury. She knew he didn’t have much time left, but she did everything she could to stabilize him while waiting for the paramedics. The man died at the hospital, but not before he was able to fulfill his final wish to donate his organs. The Red Cross later honored Peltier with a Good Samaritan Award, which she appreciates, but she insists she was only doing her job.

“I just did what I would want somebody to do for me in this situation,” she says.

For the last year and a half at Capitol Lakes, Peltier has been working with patients and residents in independent and assisted living environments, and in short- and long-term rehabilitation. In that role, she cares for people whose illnesses are progressing, as well as those on the road to recovery. No matter what situation she finds herself dealing with from day to day, Peltier loves providing the comfort and care each person needs and deserves. And she always does it with a dose of the very best medicine.

“Make them laugh,” she says. “Humor is the best thing.”

How We Did It

Last summer, Madison Magazine and WISC-TV3 asked the community to help us find and recognize practicing nurses in all areas of health care who go above and beyond the call of duty. The response was immediate and overwhelming: more than 150 e-mails, letters and phone calls from employers, peers, patients, friends and family who felt compelled to share their stories and experiences with the nursing community.

Editor Brennan Nardi and news anchor Charlotte Deleste pored over every nomination, then chose nine winners based on a variety of editorial critera, including nursing specialty (we were looking for a nice mixture of health care environments in which our nurses practiced), professional experience (from those just starting out in the field to accomplished veterans) and quality of the nominations (a compelling story or anecdote always helps).

To be chosen for this honor, winners must have been trained in a formal nursing program and all were vetted by the state Department of Regulation & Licensing.

Copyright 2010 by Madison Magazine. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.

--

Any questions, please drop me a line.

******************************************************
Follow us on:

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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

http://www.4nursing.com
http://www.howtostartanursingagency.com
http://www.jocularity.com
http://www.nursinghumor.com
http://www.nursefriendly.com
http://www.nursingentrepreneurs.com
http://www.nursingexperts.com

Thursday, November 18, 2010

Why Do 18% of New Nurses Quit Their First Jobs? Nurse Recruitment and Retention:

I just learned about the RN Work Project (www.RNWorkProject.org) that will track careers among newly licensed registered nurses.

With funding from the Robert Wood Johnson Foundation until 2016, they’ll study RN work careers for 10 years.

 

To understand the supply of and demand for nurses, it is critical that we understand the needs and challenges of new RNs. This study examines the first work settings of newly licensed registered nurses to learn what influences their first job choice and where they move afterward.

 

About 18% of newly licensed RNs leave their first nursing job within a year of starting, and 26% leave within 2 years. Of these, about 92% take another nursing job with a different employer.

 

This study is crucial for nurse recruitment and retention.

 

Please leave a comment below sharing your thoughts on what can be done to retain nurses.

 

(Tune in every Monday to LeAnn Thieman's Nurse Recruitment and Retention column the home page.)

 

About the Author: LeAnn Thieman, Nurse, Author and Speaker Hall of Fame is an expert in nurse recruitment and retention and author of Chicken Soup for the Nurse’s Soul. To have her help hire and inspire your nurses, contact her at www.NurseRecruitmentandRetention.com

--

Any questions, please drop me a line.

******************************************************
Follow us on:

Blogger:
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Twitter!
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StumbleUpon,
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******************************************************

Sincerely,

Andrew Lopez, RN
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Mass. aims to cut drug overuse for dementia - The Boston Globe

State regulators and the Massachusetts nursing home industry are launching a campaign today to reduce the inappropriate use of antipsychotic medications for residents with dementia — a practice that endangers lives and is more common here than in most other states.

During the next year, a team of specialists will identify nursing homes with successful methods for avoiding overuse of antipsychotics and determine which homes need help cutting back. Nursing home staff will be taught how to deal with aggressive and difficult behaviors, often displayed by dementia patients, without resorting to antipsychotics to sedate them.

In 2009, 22 percent of Massachusetts nursing home residents who received antipsychotic medications did not have a diagnosis for which the drugs were recommended — the 12th highest rate of inappropriate antipsychotic use in the nation, the Globe re ported earlier this year.

Twice in the past five years, federal regulators have issued nationwide alerts about troubling and sometimes fatal side effects when antipsychotics are taken by people with dementia, often Alzheimer’s patients.

Specialists say that understaffing sometimes prompts overuse of these medications to help control dementia patients’ behavior, but that inappropriate use can also be traced to lack of training in alternative approaches.

“There is a knowledge gap between the front-line workers — the nurses — and the black-box warnings on these medications,’’ said Laurie Herndon, a geriatric nurse practitioner who is leading the initiative for Massachusetts Senior Care, the trade group representing the state’s 430 nursing homes. A black-box warning is the most serious type of caution used in prescription drug labeling.

“We wanted to avoid talking at them, and instead provide educational material they can use,’’ Herndon said.

Campaign details will be unveiled at the association’s annual meeting today in Worcester, which is expected to draw about 900 people.

Alice Bonner, the state’s top nursing home regulator, said she appointed a task force to study the overuse of antipsychotics in nursing homes and develop alternative approaches after the Globe highlighted the problem in Massachusetts earlier this year. The task force includes nursing home physicians, nurses, social workers, and pharmacists, along with elder advocates, researchers, and state surveyors who monitor the quality of the facilities.

Bonner, director of the Bureau of Health Care Safety and Quality in the Department of Public Health, said the state, given its budget problems, does not have new resources to devote to the campaign, but is working with legislators and the Patrick administration to get new funding in the next state budget. The trade association intends to apply for grants from nonprofit groups to fund the initiative.

“No one is going to plunk a whole lot of money in our laps,’’ Herndon said, “but that shouldn’t stop us.’’

Bonner said that the task force has already identified low-cost approaches used by some nursing homes. One approach involves more careful screening of patients when they are admitted, which includes gathering more detailed information from families about the patient’s personality before the onset of illness. This, Bonner said, helps staffers tailor care and activities to each patient.

“They get a good sense of who a person was before they began to suffer with dementia, what kinds of things they like to do, and what kinds of things their family can tell us makes them calm or gets them engaged,’’ Bonner said.

“When you see a nursing home with a low rate of antipsychotics, very often you will see these programs,’’ she said.

Bonner also said that nursing homes that give workers consistent schedules that allow them to work with the same patients have also been successful.

“That helps reduce difficult behaviors with patients with dementia because staff knows the patients so well, they pick up on early signs of trouble and prevent a catastrophic event, so they can intervene early,’’ she said. Consistent schedules have the side benefit of helping nursing homes retain their workers longer, Bonner said. “Once this is in place, it turns out it is less expensive because staff turnover is expensive,’’ she said.

The education campaign will draw on the work of Dr. Susan Wehry, a geriatric psychiatrist and associate professor of psychiatry at the University of Vermont College of Medicine. Wehry recently concluded an intensive, nine-month pilot project in four Vermont nursing homes that taught all staffers, from housekeepers to medical directors, alternative approaches, such as using music and massage, to manage difficult patient behaviors.

The program, she said, helped identify which alternatives work, which don’t, and how challenging the mission can be.

Wehry is still analyzing the results but said preliminary findings showed that in one of the homes where the administrator made all of the training sessions mandatory for staff, antipsychotic use was dramatically reduced. A third of the patients with dementia had been prescribed antipsychotics before the program, and not one was on them by the end, she said.

“They were much improved in terms of staff-resident interactions and level of alertness,’’ Wehry said. “And they looked happier.’’

Data from another home that did not make all of the training mandatory showed no change in the number of dementia patients given the medications. Wehry said a more troubling trend also emerged there — one of the physicians switched from giving antipsychotics to prescribing antianxiety medications.

“If all we do is shift the burden, then all we have done is create a different set of problems,’’ Wehry said. “Our goal is not to just reduce our reliance on antipsychotics, but to change [patient] behaviors.’’

Kay Lazar can be reached at klazar@globe.com

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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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