Sunday, November 14, 2010

Neonatal Intensive Care Unit (NICU) Nurses

See also:
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Neonatal Nurses

Diane M. Ellenberger, BSN, MS, RN, LNCC, California Nurses:
Specialty Areas: Neonatal, Obstetrics, Pediatrics

http://www.nursefriendly.com/ellenberger

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Janet Lane, RN, CLNC, Medical-Legal Consulting of Central Florida:"RN Certified as a legal nurse consultant to attorneys. All cases involving MEDICAL ISSUES of any kind are welcome with special focus on sick & premature infants, newborns, children with illnesses and/or disabilities. DNA TESTING is also done for forensic, criminal and paternity testing by Genetic Technologies, Inc."
http://www.nursingentrepreneurs.com/lane/

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Theresa Lawson, RN, BSN, CLNC, Ohio NICU Med/Surg
http://www.nursingentrepreneurs.com/lawson/

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

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

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Alicia Orlow, LVN ASN RN BSN, California:
Specialties: Neonatal Intensive Care Maternal Child Health
http://www.nursefriendly.com/orlow/

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Sharon Ragone, RN, Mothers of invention, To improve patient care, nurses devise innovative products, Nurseweek:"For the sixth time in one day, Sharon Ragone, RN, a neonatal intensive care unit nurse, checks the bilirubin masks on premature babies at St. Mary's Hospital in Apple Valley. The masks easily slip. If she neglects to check them, ultraviolet light used to treat the babies' jaundice could damage their delicate eyes. On her way home that night, Ragone picks up a few supplies in the emergency room. The next day, she fits the babies with her creation, which she dubs the Bili-Bonnet. Hours pass. Every time she checks, the bonnets are snugly in place."
http://www.nurseweek.com/news/features/00-08/invent.html

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

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

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Neonatal Nursing Associations

American Pediatric Surgical Nurses Association:"Join over 300 pediatric surgical nursing colleagues who care for children in perioperative, inpatient, outpatient, and office settings. APSNA membership spans the spectrum of the care of children requiring surgical care....from trauma to burns to injury prevention...from inpatient to ambulatory surgery...inpatient and outpatient care...neonatal through adolescent....NICU & PICU....the inpatient units....PACU....registered nurses and nurses in advanced practice....we are as diverse as the children we serve. One member said it best, "We are the glue of the service". Come join a very special group of health professionals whose talents are many but whose focus is singular....children."
APSNA
Post Office Box 1605 Lansdale PA 19446
Phone Number: 203 457-1275
Fax Number: 202 884-4174
admin@apsna.org
http://www.apsna.org

Healthcare Organizations, Neonatal Intensive Care (NICU), National Nursing Associations, Nurse Organizations, Pediatrics, Women's Health, Feminine Issues, Obstetrics & Gynecology

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Association of Women's Health, Obstetric and Neonatal Nurses (AWHONN):"Headquartered in Washington, D.C., the Association of Women's Health, Obstetric and Neonatal Nurses (AWHONN) is a leader among the nation's nursing associations, serving more than 22,000 health care professionals in the U.S., Canada and abroad. AWHONN advances the nursing profession by providing nurses with critical information and support to help them deliver the highest quality care for women and newborns. Through educational materials, legislative programs, research and coalition work with like-minded organizations and associations, AWHONN has firmly established itself as the leading association for women's health, obstetric and neonatal nurses."
2000 L Street, N.W. Suite 740 ~ Washington, D.C. 20036
202-261-2400(tel), (800) 673-8499 (toll free U.S.)
(800) 245-0231 (toll free Canada) ~ (202) 728-0575 (fax)
http://www.awhonn.org/

Healthcare Organizations, Neonatal Intensive Care (NICU), National Nursing Associations, Nurse Organizations, Women's Health, Feminine Issues, Obstetrics & Gynecology

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Association of Women's Health, Obstetric, and Neonatal Nurses (AWHONN) - Canada:"AWHONN Canada currently has over 500 members representing women's health, obstetric and newborn nurses from across the country. AWHONN Canada works to enact AWHONN's mission within Canada. The headquarters for AWHONN are located in Washington D.C. The Canada Section of AWHONN has a national Chair, a Secretary/Treasurer and a Communication Coordinator. The Section is comprised of 5 Chapters:"
Ms. Sylvie Paquette, CAE
Association Manager
AWHONN Canada
780 Echo Drive
Ottawa, Ontario K1S 5R7
Phone: 1-800-561-2416 ext 266
Phone: 1-613-730-4192 ext 266
Fax: 1-613-730-4314
Email: s.paquette@awhonncanada.org
http://www.awhonncanada.org/

Category: Canadian Nursing Associations, Healthcare Organizations, Neonatal Intensive Care (NICU), Women's Health, Feminine Issues, Obstetrics & Gynecology

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Foundation for Neonatal Research and Education (FNRE):"The nonprofit Foundation for Neonatal Research and Education (FNRE) was established by the 1992 leadership of the National Asociation of Neonatal Nurses (NANN) to ensure ongoing funding for neonatal research. Later, the Foundation added a scholarship awards program for nurses seeking degrees in advanced practice neonatal nursing. The Foundation is dedicated to supporting neonatal nursing through research and education. Professionally active neonatal* nurses are eligible to apply for either a research grant or a scholarship."
Foundation for Neonatal Research and Education (FNRE)
East Holly Avenue, Box 56, Pitman, NJ 08071-0056
856-256-2343 (fax)856-589-7463
FNRE@ajj.com
http://www.inurse.com/fnre/

Categories: Healthcare Organizations, Neonatal Intensive Care (NICU), National Nursing Associations, Nurse Organizations, Women's Health, Feminine Issues, Obstetrics & Gynecology

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Guidelines for the Responsible Utilization of Neonatal Intensive Care, Wisconsin Association for Perinatal Care:"The goals of Neonatal Intensive Care vary depending upon the status of the infant. In some cases, the goal is similar to adult intensive care; that is, to return the infant to its normal state of health. For infants born with a special condition or defect, the goal is to repair the problem and support them until they can be cared for at home. The majority of neonatal intensive care admissions are related to prematurity. The goal in these circumstances is to convalesce and support the infants until they have matured and can be cared for at home. Some infants are extremely premature, incurably ill or have defects or conditions where intensive care may only prolong the act of dying or result in survival with profound neurological or physical defects."
http://www.perinatalweb.org/index.php?page=shop.product_details&flypage=shop.flypage&product_id=33&category_id=2&option=com_virtuemart&Itemid=280

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Neonatology on the Web - Home Page - www.neonatology.org...
www.neonatology.orgwww.neonatology.netwww.neonatology.com [ Neo Home | New | Clinical | Computers | Jobs | Diversions | Links ] Welcome to The Neonatology WebRing. [ Previous 5 Sites | Previous | Nex...
http://www.neonatology.org

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Newborn Screen/PKU/Heelsticks:"Subsections on this page: General, Timing of Newborn Screen, Heelstick Technique and Blood Sample Collection, PKU / Phenylketonuria, Hypothyroidism, Galactosemia:"Doing a heelstick for the newborn screen (aka PKU) is so unpleasant for the technician that few will volunteer for the job. The best way to clear out a lab is to announce that you need someone to do a PKU heelstick - suddenly everybody needs to go to lunch or wash their hair. Imagine what it's like for the newborn!"
http://www.gentlebirth.org/archives/pku.html

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NICU-Web Home Page...
University of Washington Academic Medical Center, Children's Hospital and Regional Medical Center, Common Diagnoses Apnea Neonatal Abstin...
http://depts.washington.edu/nicuweb/

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Small Beginnings:"Thanks For Visiting Us At Small Beginnings..."Where Baby's Needs Are The Motivation To Produce Better Products..."Where Nurse's Needs Bring About Innovative Product Ideas That Eliminate Altering Medical Devices & Are Easier To Use...Where Products Are Developed To Be Less Expensive To Hospitals And Cost Effective As Well."
Small Beginnings Inc.
17525 Alder St. Suite #28 Hesperia, Ca. 92345
Toll Free 800 676-0462
Local # 760 949-7707
Fax # 760 948-1916
http://www.small-beginnings.com/

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See also: See also: Cocaine, Substance Abuse & Drug Addiction Links, Breastfeeding, Infertility, Contraception & Fertilization, Labor and Delivery, Obstetrics Jokes, Humor Links, Labor-Delivery-Obstetric Nursing, Labor and Delivery Management Nursing Jobs, Midwifery, Miscarriages, Neonatal Intensive Care Unit (NICU) Nurses, Neonatal Intensive Care Unit (NICU) Management Nursing Jobs, Obstetric Nurses, Obstetrics Staff Nursing Jobs, Pregnancy Nurse Entrepreneurs, Premature Infants, Low Birth Weight Babies

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California: Neonatal Intensive Care Unit, Lucile Packard Children's Hospital:"The Charles B. and Ann L. Johnson Center for Pregnancy and Newborn Services consolidates services for mother, fetus and neonate into a fully integrated clinical service line and formalizes partnerships with participating faculty and staff dedicated to the health and well-being of child bearing families from conception through infancy. The Neonatal Intensive Care Unit (NICU) at Lucile Packard Children's Hospital is a 42-Level III bed nursery."
Neonatal Intensive Care Unit, Lucile Packard Children's Hospital
725 Welch Road Palo Alto, CA 94304
Contact Phone: (650) 497-8800 Fax Number: (650) 497-8034
http://www.lpch.org/clinicalSpecialtiesServices/ClinicalSpecialties/Neonatology/neonatologyNeonatalIntensiveCareUnit.html

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Iowa, St. Luke's Hospital Division of Neonatal Medicine: Neonatal IntensiveCare Unit (NICU):"You can take comfort in knowing that should your baby require extra care, St. Luke's has the highest-rated neonatal intensive care unit and the only Level II Regional NICU in the Cedar Rapids area. In fact, other hospitals transfer babies to St. Luke's when they need special care."
St. Luke's Hospital Division of Neonatal Medicine
1026 A Avenue NE, PO Box 3016 Cedar Rapids, IA 52402-3026
Phone: 319/369-8160
http://www.stlukescr.org/body.cfm?id=115

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Missouri: Neonatal intensive care unit (NICU) at Children's Hospital, University of Missouri Health Care:"The 45-bed Neonatal Intensive Care Unit treats premature babies and other critically ill infants. Children's Hospital provides the full range of Level III neonatal care. Staff members include specially trained nurses, physicians, respiratory care practitioners, advanced practice nurses, social workers and pharmacists. Services include high-frequency jet ventilation, nitric oxide therapy, surfactant therapy and percutaneous central venous line placement."
One Hospital Drive Columbia, MO 65212
(573) 882-4141
http://www.muhealth.org/body_chserv.cfm?id=265

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New Jersey: Hackensack University Medical Center:"The Division of Neonatology includes a 28-bed Level III Regional Perinatal Center. As a Regional Perinatal Center, we provide the highest level of care for high-risk mothers and acutely ill newborns. Comprehensive medical care is provided by five full-time, board-certified neonatologists, who provide in-hospital coverage 24 hours a day."
http://www.thechildrenshospitalhumc.net/index.aspx?lobid=1054

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See Also:

National Nursing Associations:
http://www.nursingentrepreneurs.com/natlink.htm

American Association of Critical-Care Nurses:"The American Association of Critical-Care Nurses (AACN) was established in 1969 as a not-for-profit, 501(c)(3) association designed to help educate nurses working in newly developed intensive care units."
American Association of Critical-Care Nurses, 101 Columbia, Aliso Viejo, CA 92656-1491, 1-800-899-2226 or 949-362-2000, info@aacn.org
http://www.aacn.org/

Cardiopulmonary Resuscitation (CPR):

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Introduction to Pediatric Radiology, University of Virginia Health Sciences Center, Department of Radiology:"This program is intended as a self tutorial for residents and medical students to learn to assess radiographs in pediatric radiology. Self quizzes are provided for practice and self assessment."
http://www.med-ed.virginia.edu/courses/rad/peds/

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The Preemie Ring: The Preemie Ring is a collection of non-commercial premature infant web sites. Most of the sites in the ring are personal web pages about the development of a premature baby.
http://x.webring.com/hub?ring=preemie

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Radiology Cases In Pediatric Emergency Medicine: Images and history. Download Radiology Cases In Pediatric Emergency Medicine to run on your PC. Image quality on the PC version is much better than the Web version. This is free software. Feel free to distribute this software to others. Click on the volume number you want transferred to your PC.
http://www.hawaii.edu/medicine/pediatrics/pemxray/pemxray.html

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Radiology Cases In Neonatology:"Identify significant abnormalities in each of the following neonatal radiographs. Answers are displayed below the radiographs. These x-ray files load slowly. Please be patient . . ."
http://www.hawaii.edu/medicine/pediatrics/neoxray/neoxray.html

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Infantile Spasms Advocacy Network, Patricia A. Coonan, R.N., C.E.N., L.N.C.:"Infantile Spasms (sometimes called West Syndrome) is a condition that begins in infancy. Babies with this condition show abnormal, jerking body movements, also called spasms; hence the name, Infantile Spasms. The cause of Infantile Spasms is not always known. However, the most common known cause of Infantile Spasms is a lack of oxygen to the baby during delivery. In some cases the brain damage caused by this lack of oxygen could have been prevented if doctors had taken proper steps during delivery to insure the baby was receiving enough oxygen. As a result, many children who have Infantile Spasms are victims of medical malpractice."
Infantile Spasms Advocacy Network
Patricia A. Coonan, R.N., C.E.N., L.N.C.
25th Floor
1845 Walnut Street
Philadelphia, PA 19103
Telephone: 1-888-583-4942
Fax: 215-567-8333
pcoonan@feldmanshepherd.com
http://www.infantilespasmslaw.com/

Category: Emergency Department (ER, Casualty, Trauma) Nurses:, http://www.nursefriendly.com/emergency/
Healthcare Organizations, http://www.4nursing.com/healthcare
Neonatal Intensive Care (NICU) Nurses, http://www.nursefriendly.com/nicu/
Neonatology, Neonatal, Neonates Nursing, http://www.nursefriendly.com/neonatal/
Pediatric Nurses, http://www.nursefriendly.com/peds/
Pediatrics Nurses, http://www.nursefriendly.com/pediatric/
Pennsylvania Legal Nurse Consultants, http://www.legalnursingconsultant.com/pa
Pennsylvania Nurses, http://www.4nursing.com/pennsylvania/
Pennsylvania Nursing Entrepreneurs, http://www.nursingentrepreneurs.com/pennsylvania/

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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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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

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Pediatric Nurses on: The Nurse Friendly

See also: Family Practice Primary Care, Labor and Delivery Management Nursing Jobs, Midwifery, Neonatal Intensive Care (NICU) Nurses, Obstetric Nurses, Pediatric Consumer Links, Pediatric Nurses

New

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

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

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

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Michelle L. Callan Nurse-Attorney:"Medical-legal consulting and trial assistance to attorneys for Personal Injury and Medical Malpractice cases."
13 Anchor Terrace, Rochester New York 14617
Phone number: 585-266-6574
Fax number: 585-266-6574
mcallan1@rochester.rr.com
http://www.nursingentrepreneurs.com/callan/

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Joseph Caracci, RN, BSN, MBA, Nursecorp.com, Nursing Agencies, Staffing Software Support, Arizona Nursing Entrepreneurs:"NursingCorp offers serious investors and entrepreneurs the knowledge and assistance needed to enter the nurse staffing industry. We provide assistance establishing health care staffing companies, and development of nursing based software solutions. Our product offerings include a complete Nurse Registry Business Package, Nurse Staffing Software for use by Hospitals and Nurse Registries, Business Consultation, and customized software development. To learn more about how we can assist you. The founder of NursingCorp.com is a former Co-founder and President of a large Phoenix AZ based Nurse Registry."
Nursecorp.com
3165 S. Alma School Road
Suite 29-260
Chandler, AZ 85248
Phone: 888-607-1492
E-Mail: jcaracci@nursingcorp.com
http://www.nursingentrepreneurs.com/caracci

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Cari Caruso, RN SANE-A, Forensic Nurse Professionals, Inc., California Nurse Entrepreneurs:"Forensic Services: Forensic Sexual Assault, Evidentiary Exams for Victims and Suspects, Domestic/Interpersonal Violence evaluations and Photography, Consulting for Defense and Prosecuting Attorneys, Expert Testimony, Education."
Specialty Areas:

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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

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First aid rules that everyone needs to know-KevinMD.com

First aid is defined as the immediate care given to an acutely injured or ill person.  It can literally be life-saving so it behooves all of us to know some basic principles.

What follows are some rules that cover common conditions and general practices:

  1. Don’t panic.  Panic clouds thinking and causes mistakes.  When I was an intern and learning what to do when confronted with an unresponsive patient, a wise resident advised me when entering a “code blue” situation to always “take my own pulse first.”  In other words, I needed to calm myself before attempting to intervene.  It’s far easier to do this when you know what you’re doing, but even if you encounter a situation for which you’re unprepared, there’s usually some good you can do.  Focus on that rather than on allowing yourself an unhelpful emotional response.  You can let yourself feel whatever you need to feel later when you’re no longer needed.
  2. First, do no harm.  This doesn’t mean do nothing.  It means make sure that if you’re going to do something you’re confident it won’t make matters worse.  If you’re not sure about the risk of harm of a particular intervention, don’t do it.  So don’t move a trauma victim, especially an unconscious one, unless not moving them puts them at great risk (and by the way, cars rarely explode).  Don’t remove an embedded object (like a knife or nail) as you may precipitate more harm (e.g., increased bleeding).  And if there’s nothing you can think to do yourself, you can always call for help.  In fact, if you’re alone and your only means to do that is to leave the victim, then leave the victim.
  3. CPR can be life-sustaining.  But most people do it wrong.  First, studies suggest no survival advantage when bystanders deliver breaths to victims compared to when they only do chest compressions.  Second, most people don’t compress deeply enough or perform compressions quickly enough.  You really need to indent the chest and should aim for 100 compressions per minute.  That’s more than 1 compression per second.  If you’re doing it right, CPR should wear you out.  Also, know that CPR doesn’t reverse ventricular fibrillation, the most common cause of unconsciousness in a patient suffering from a heart attack.  Either electricity (meaning defibrillation) or medication is required for that.  But CPR is a bridge that keeps vital organs oxygenated until paramedics arrive.  Which is why…

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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

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http://www.nursingexperts.com

Facing doctor shortage, 28 states may expand nurses' role - USATODAY.com

A nurse may soon be your doctor. With a looming shortage of primary care doctors, 28 states are considering expanding the authority of nurse practitioners. These nurses with advanced degrees want the right to practice without a doctor's watchful eye and to prescribe narcotics. And if they hold a doctorate, they want to be called "Doctor."

For years, nurse practitioners have been playing a bigger role in the nation's health care, especially in regions with few doctors. With 32 million more Americans gaining health insurance within a few years, the health care overhaul is putting more money into nurse-managed clinics.

Those newly insured patients will be looking for doctors and may find nurses instead.

The medical establishment is fighting to protect turf. In some statehouses, doctors have shown up in white coats to testify against nurse practitioner bills. The American Medical Association, which supported the national health care overhaul, says a doctor shortage is no reason to put nurses in charge and endanger patients.

Nurse practitioners argue there's no danger. They say they're highly trained and as skilled as doctors at diagnosing illness during office visits. They know when to refer the sickest patients to doctor specialists. Plus, they spend more time with patients and charge less.

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Doctors' house calls making a comeback - USATODAY.com

Dr. Ina Li walked down the seventh-floor hallway of a local apartment building recently, pausing at each door to check the number.

She finally found the one of her patient, Katherine Talmo.

It's easier for Talmo if Li, a geriatrician, comes to her. The 90-year-old doesn't get out nearly as much since she stopped driving nine years ago. But she is determined to stay in her home.

"If I was in a nursing home, I'd only live for one more year," she said. "But if I live at home, I'll live to be 100."

The notion of doctors making house calls harkens back to an era before HMOs, medical centers and outpatient surgery centers.

Those visits offer insights not available during a 15-minute office visit. Doctors learn more about a patient's lifestyle, eating habits, their ability to take medicine and exercise.

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Music Therapy to Ease Pain and Emotional Distress in Patients With Hematologic Cancer Who Are Undergoing High-Dose Therapy and Stem Cell Transplantation - Full Text View - ClinicalTrials.gov

DISEASE CHARACTERISTICS:

  • Diagnosis of a hematologic malignancy

    • No leukemia
  • Planned high-dose therapy and autologous stem cell transplantation (HDT/ASCT) at Memorial Sloan-Kettering Cancer Center

PATIENT CHARACTERISTICS:

Age:

  • 18 and over

Performance status:

  • Not specified

Life expectancy:

  • Not specified

Hematopoietic:

  • Not specified

Hepatic:

  • Not specified

Renal:

  • Not specified

PRIOR CONCURRENT THERAPY:

Biologic therapy:

  • See Disease Characteristics
  • No prior HDT/ASCT

Chemotherapy:

  • See Disease Characteristics

Endocrine therapy:

  • Not specified

Radiotherapy:

  • Not specified

Surgery:

  • Not specified

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Music Therapy, American Cancer Society

Music Therapy

Other common name(s): none

Scientific/medical name(s): none

Description

Music therapy is the use of music by health care professionals to promote healing and enhance quality of life for their patients. Music therapy may be used to encourage emotional expression, promote social interaction, relieve symptoms, and for other purposes. Music therapists may use active or passive methods with patients, depending on the individual patient’s needs and abilities.

Overview

There is some evidence that, when used with conventional treatment, music therapy can help to reduce pain and relieve chemotherapy-induced nausea and vomiting. It may also relieve stress and provide an overall sense of well-being. Some studies have found that music therapy can lower heart rate, blood pressure, and breathing rate.

How is it promoted for use?

Music therapists work with a variety of physical, emotional, and psychological symptoms. Music therapy is often used in cancer treatment to help reduce pain, anxiety, and nausea caused by chemotherapy. Some people believe music therapy may be a beneficial addition to the health care of children with cancer by promoting social interaction and cooperation.

There is evidence that music therapy can reduce high blood pressure, rapid heart beat, depression, and sleeplessness. There are no claims music therapy can cure cancer or other diseases, but medical experts do believe it can reduce some symptoms, aid healing, improve physical movement, and enrich a patient’s quality of life.

What does it involve?

Music therapists design music sessions for individuals and groups based on their needs and tastes. Some aspects of music therapy include making music, listening to music, writing songs, and talking about lyrics. Music therapy may also involve imagery and learning through music. It can be done in different places such as hospitals, cancer centers, hospices, at home, or anywhere people can benefit from its calming or stimulating effects. The patient does not need to have any musical ability to benefit from music therapy.

A related practice called music thanatology is sometimes used at the end of a patient’s life to ease the person’s passing. It is practiced in homes, hospices, or nursing homes.

What is the history behind it?

Music has been used in medicine for thousands of years. Ancient Greek philosophers believed that music could heal both the body and the soul. Native Americans have used singing and chanting as part of their healing rituals for millennia. The more formal approach to music therapy began in World War II, when U.S. Veterans Administration hospitals began to use music to help treat soldiers suffering from shell shock. In 1944, Michigan State University established the first music therapy degree program in the world.

Today, more than seventy colleges and universities have degree programs that are approved by the American Music Therapy Association. Music therapists must have at least a bachelor’s degree, 1,200 hours of clinical training, and one or more internships before they can be certified. There are thousands of professional music therapists working in health care settings in the United States today. They serve as part of cancer-management teams in many hospitals and cancer centers, helping to plan and evaluate treatment. Some music therapy services are covered by health insurance.

What is the evidence?

Scientific studies have shown the value of music therapy on the body, mind, and spirit of children and adults. Researchers have found that music therapy, when used with anti-nausea drugs for patients receiving high-dose chemotherapy, can help ease nausea and vomiting. A number of clinical trials have shown the benefit of music therapy for short-term pain, including pain from cancer. Some studies have suggested that music may help decrease the overall intensity of the patient’s experience of pain when used with pain-relieving drugs. Music therapy can also result in a decreased need for pain medicine in some patients, although studies on this topic have shown mixed results.

In hospice patients, one study found that music therapy improved comfort, relaxation, and pain control. Another study found that quality of life improved in cancer patients who received music therapy, even as it declined in those who did not. No differences were seen in survival between the 2 groups.

A more recent clinical trial looked at the effects of music during the course of several weeks of radiation treatments. The researchers found that while emotional distress (such as anxiety) seemed to be helped at the beginning of treatment, the patients reported that this effect gradually decreased. Music did not appear to help such symptoms as pain, fatigue, and depression over the long term.

Other clinical trials have revealed a reduction in heart rate, blood pressure, breathing rate, insomnia, depression, and anxiety with music therapy. No one knows all the ways music can benefit the body, but studies have shown that music can affect brain waves, brain circulation, and stress hormones. These effects are usually seen during and shortly after the music therapy.

Studies have shown that students who take music lessons have improved IQ levels, and show improvement in nonmusical abilities as well. Other studies have shown that listening to music composed by Mozart produces a short-term improvement in tasks that use spatial abilities. Studies of brain circulation have shown that people listening to Mozart have more activity in certain areas of the brain. This has been called the “Mozart effect.” Although the reasons for this effect are not completely clear, this kind of information supports the idea that music can be used in many helpful ways.

Some clinical trials that involve listening to music have shown no benefit on anxiety during surgical procedures, although one study that allowed patients to choose their own music showed improved anxiety levels. One recent review of studies looked at the effect of music on all types of pain and found a wide variation in its effects. The study authors observed that the best effects were on short-term pain after surgery. It is important to note that not all studies of music use music therapists, who assess the patient’s needs, circumstances, and preferences, as well as the different effects of certain types of music. This may account for some differences in clinical trial results.

Are there any possible problems or complications?

In general, music therapy done under the care of a professionally trained therapist has a helpful effect and is considered safe when used with standard treatment. Musical intervention by untrained people can be ineffective or can even cause increased stress and discomfort. Relying on this type of treatment alone and avoiding or delaying conventional medical care for cancer may have serious health consequences.

Additional resources

More information from your American Cancer Society

The following information on complementary and alternative therapies may also be helpful to you. These materials may be found on our Web site (www.cancer.org) or ordered from our toll-free number (1-800-ACS-2345).

Guidelines for Using Complementary and Alternative Therapies

Dietary Supplements: How to Know What Is Safe

The ACS Operational Statement on Complementary and Alternative Methods of Cancer Management

Complementary and Alternative Methods for Cancer Management

Placebo Effect

Learning About New Ways to Treat Cancer

Learning About New Ways to Prevent Cancer

References

Bodner M, Muftuler LT, Nalcioglu O, Shaw GL. FMRI study relevant to the Mozart effect: brain areas involved in spatial-temporal reasoning. Neurol Res. 2001;23:683-690.

Cepeda MS, Carr DB, Lau J, Alvarez H. Music for pain relief. Cochrane Database Syst Rev. 2006;(2):CD004843.

Clark M, Isaacks-Downton G, Wells N, et al. Use of preferred music to reduce emotional distress and symptom activity during radiation therapy. J Music Ther. 2006;43:247-265.

Ezzone S, Baker C, Rosselet R, Terepka E. Music as an adjunct to antiemetic therapy. Oncol Nurs Forum. 1998;25:1551-1556.

Hilliard RE. The effects of music therapy on the quality and length of life of people diagnosed with terminal cancer. J Music Ther. 2003;40:113-137.

Jausovec N, Habe K. The “Mozart effect”: an electroencephalographic analysis employing the methods of induced event-related desynchronization/synchronization and event-related coherence. Brain Topogr. 2003;16:73-84.

Krout RE. The effects of single-session music therapy interventions on the observed and self-reported levels of pain control, physical comfort, and relaxation of hospice patients. Am J Hosp Palliat Care. 2001;18:383-390.

Lane D. Music therapy: a gift beyond measure. Oncol Nurs Forum. 1992;19:863-867.

Lane D. Music therapy: gaining an edge in oncology management. J Oncol Manag. 1993;2:42-46.

Pelletier CL. The effect of music on decreasing arousal due to stress: a meta-analysis. J Music Ther. 2004;41:192-214.

Phumdoung S, Good M. Music reduces sensation and distress of labor pain. Pain Manag Nurs. 2003;4:54-61.

Schellenberg EG. Music and nonmusical abilities. Ann N Y Acad Sci. 2001;930:355-371.

Schellenberg EG. Music lessons enhance IQ. Psychol Sci. 2004;15:511-514.

Watkins GR. Music therapy: proposed physiological mechanisms and clinical implications. Clin Nurse Spec. 1997;11:43-50.

What is music therapy? American Music Therapy Association Web site. Accessed at www.musictherapy.org/ on May 23, 2008.

Note: This information may not cover all possible claims, uses, actions, precautions, side effects or interactions. It is not intended as medical advice, and should not be relied upon as a substitute for consultation with your doctor, who is familiar with your medical situation.

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