Monday, January 29, 2007

RNs as Health Coaches - - A Growing Role

Employers and health insurance companies in the U.S are using Registered Nurses as health coaches. Although this is not a new career path for RNs, it is one that is growing as trends in health care are placing an emphasis on wellness and patient responsibilities for their own health status.

Health Coaching Cuts Healthcare Costs

Employers are following this popular trend to help cut health care costs without skimping on the needs of their employees and families. A recent survey by the National Business Group on Health and the consulting firm of Watson Wyatt, showed that by 2007, 54 of the of the largest employers in the U.S. will offer some form of health coaching. Small employers are also beginning to follow suite.

Employers Hire RNs Directly

Some employers such as UPS are hiring nurses directly as health coaches for their employees.

RNs Assist to Understand Care

The nurse then contacts the employee to offer assistance in disease management through literature or through personal phone calls to instruct in care. They can also help employees find appropriate medical care and even clinical trials.

Patient Education Opportunities

In some instances with appropriate approvals, lab and other test results can be forwarded to the health coach nurse to follow up with the employee and explain the results, and help them to understand medication and treatments prescribed. This kind of follow-up has proved to be most beneficial especially directly post hospitalization.

Insurance Based Programs

Health coach nurses also work for health insurance plans such as Aetna, Cigna, Health Net and Blue Shield. In most instances, the employee calls in to the insurance company to make the initial contact. From there it can vary who follows up.

Weight-loss programs, smoking cessation, and stress management are some of the most popular topics for insurance company run health coaching. In some instances the employee will be assigned to a specific health care coach for follow-up, and in other cases, they talk to the nurse "on duty" when they call in. There are options for changing assigned nurses if needed.

Privacy and HIPAA

Privacy and HIPAA are a concern, but for the system to work there has to be a sense of trust and employers as well as insurers have a strong sense of need to protect the employee. The goals are to improve outcomes and reduce medical costs. Employers are not going to use data collected to penalize or fire employees. The National Association of Insurance Commissioners denies knowledge of any insurance company raising rates for non compliance with the health coach's advice.

Alternative to Bedside Care for Nurses

These positions offer many nurses an alternative to hands-on, bedside patient care. Patient education is an exciting field and as the nursing population ages, more alternatives to the physical and stressful demands of bedside care will be needed to continue to tap into the expertise of nurses no longer able to deal with the demands of the job

Assessing Cranial Nerves I to IV and VI

What are the Cranial Nerves?

The Cranial Nerves are made up of 12 pairs of nerves which are located on the ventral surface of
The brain. Some control muscles. Some transmit information from the sensory organs to the brain. Others still are connected to glands or organ such as the lungs and heart.

Examining the function of the cranial nerves will provide you with pertinent information about your patient's nervous system.

The cranial nerves are numbered using Roman Numerals I-XII. There are a number of mnemonics to help you remember the names of the nerves.

I. Olfactory Nerve Its modality is Special Sensory and its function is smell. In routine examinations this is not usually tested unless the patient complains of loss or changes in a sense of smell.

Each nostril should be patent. Have the patient occlude on and then the other during testing. With the eyes closed, a patient should be able to identify common smells such as cinnamon, coffee, vanilla or cloves.

II. Optic NerveIts modality is Special Sensory and its function is vision. To test visual acuity, have the patient read A Snellen eye chart from a distance of 20 feet (6 meters). The patient covers one eye at a time and reads to smallest line possible.

To test visual fields. Stand about 2 feet (60 cm) away from the patient. Ask the patient to concentrate his gaze on your nose or directly into your eyes. Spread your arms so that your hands are about 2 feet apart and lateral to the patient's ears. Wave your fingers as you slowly draw your hands in towards the patient's line of gaze. Ask him to tell you when he first visualizes your wiggling fingers. DO this from all quadrants of the visual field. The patient should see both hands simultaneously and from all directions.

Cranial Nerves III, IV and VI are tested together. They each control the extraoccular muscles involved in eye movement.

III. Oculomotor NerveIts modality is two-fold; Somatic Motor and Visceral Motor. The Somatic Motor function is eye movement and the Visceral Motor function is pupil dilation.

IV. Trochlear Nerve Its modality is Somatic Motor and its function is eye movement.

VI. Abducens Nerve Its modality is Somatic Motor and its function is eye movement.

To test these nerves, have the patient hold his head steady while you move your finger about 1 foot (30 cm) from his nose to watch his eyes move peripherally and up and down. First out to the right side then up and down; and back in towards the nose and up and down.

Then outward from the left side and up and down; back in towards the nose and up and down. Have the patient follow your finger with his eyes without moving his head.

Change and the Power of You

Take Charge of Your Own Career and Destiny Now

Change is never an easy thing to live through. The degree of change of course directly affects the difficulty associated with it.

Don't Be Afraid of Change

Avoiding change is not always the best thing either. If, for example, you are terribly unhappy in your present situation, you need to make a change. Deciding what to change and how much of a change to make will take some consideration.

Easier to Give Up

Too many nurses just give up. They've given all they have to give and don't have the strength left to figure out how to find a better situation. Or they are more afraid of change than sticking with the same old same old until they can't take it anymore at all. They don't believe in themselves, or they don't believe something else could be better. Before you make the choice to give up, try something else.

And don't let management stop you.

Don't Burnout

Nursing is one of the most physically and emotionally challenging professions. Nursing is a giving process and once you've given all you have to give, there isn't anything left. This is burnout. Nurses need to constantly replenish themselves, and yet they are not good at doing this.

Nursing is About Helping Others

Nurses want to help others. That's how they got into this in the first place. Ask anyone considering becoming a nurse and they'll tell you they "want to help people."

Reward Yourself

What nurses (and future nurses) don't understand is that they will have to make their own rewards in most instances. They will give their all to advocate, educate, assist and help others, and what will they get in return? A days wages, which most will tell you is not enough!

Don't Expect Thank You's

Sick people are not at their best. Their families, care givers and other loved ones are frightened and frazzled. All they can focus on is getting through the current crisis and figuring out what and where to go from there. If they smile or even offer a simple "Thank you," consider yourself lucky and well paid. That is not the norm

Tuesday, January 23, 2007

Certified Nursing Aide Online


Interested in becoming a CNA? An online Certified Nursing Aide program may be the right educational choice for you. Preparing students for professional certification, a certified nursing aide online education trains individuals in cutting edge methods in caring for in-hospital and homebound patients; as well as geriatric care.

An extensive online Certified Nursing Aide curriculum will most likely include education and instruction in the human anatomy and common conditions and illnesses; medical machinery; and applicable communication skills. While there are no set prerequisites to enrolling in an online certified nursing aide course, most online schools do require a minimum of a high school diploma; with preferably, some extra science classes in Biology and/or Chemistry.

Certified Nursing Aide Online courses may be completed in as little as six weeks on up to six months, depending on individual online institutions. Furthermore, upon successful training and online course completion, students may go onto attaining certification by taking their independent State-administered Exam.

While online certified nursing aide education is a good beginning, practical hands-on experience is the best way to comprehend the full aspects of what it means to be a CNA. Additionally, individuals who desire this line of work must possess patience, compassion and the will to help people in distress.

If you are interested in learning more about certified nursing aide online and other programs of study, search our site for more in-depth information and resources.

California Nursing Jobs


Nursing is a health care profession that is pursued by a large number of men and women around the world. In the United States, the demand for nurses has been steadily increasing and almost each state offers numerous nursing jobs in various specialized fields. The state of California provides a number of opportunities to fresh as well as experienced working nurses in the healthcare industry. This can be in a hospital, private care facility, as a private nurse or as a home health care nurse.

There are about 600 hospitals located throughout the state of California. Many hospitals require full time registered nurses to work as Clinical Care Coordinators for different hospital programs. The CCC works together with the hospital care team and organizes the patient care process, right from supervising their admission, to their discharge. Such a position gives the CCC a unique opportunity being a patient caretaker and also an administrator.

California travel nurse jobs are among one of the highest paying nursing jobs in the country. The state requires ICU/CCU, ER, Medical Surgery and Telemetry Nurses. Throughout CA, there are, a number of traveling nursing assignments. Many aspiring nurses are attracted towards this field because of the competitive pay, cash bonuses, opportunity of traveling to different places across the state and other benefits.

California has widened the avenues for nursing jobs to overcome the shortage for nurses faced by different cities within the state. There are many medical employment services, that help experienced as well as fresh nursing graduates, find suitable nurse jobs in California. There is also a unique opportunity of employment as a travel nurse, wherein the nurses agree to be temporarily re-located to different regions and earn a considerable income. There are many Web sites that help people find available nursing positions in different cities of California

Nursing Home Staffing Levels: How Much Is Enough

During the week of February 17, 2002, headlines screamed the news - more than 92% of US nursing homes fail to have an adequate number of staff to provide quality care for elderly residents. Newspapers and radio programs based their stories on the new study the Health Care Financing Administration (HCFA) recently provided to the Senate's Special Committee on Aging.

Interesting findings led us to reexamine our current data set of nursing home deficiencies. What we found may surprise you; there was no relationship between the level of staffing and the number of deficiencies reported for nursing homes. However, there was a relationship between level of staffing and percent of residents with pressure sores and physical restraints.

This article is provided to you so you'll have a greater understanding of what these findings mean.

The HCFA Study

Purpose - HCFA's study was performed at the request of the Senate's Special Committee on Aging to determine what minimum level of nursing home staffing was required in order to provide quality care.

Findings - The study reported that a minimum level of staffing, determined to be 2.9 hours of Certified Nursing Aide (CAN) time per resident was required for quality care. A number of measures went into this finding. Among them, a time and motion study examined the time required for basic services such as dressing and toileting.

A correlational study that examined the relationship between pressure (bed) sores and staffing found that a higher level of staffing was related to lower levels of pressure sores. This study was somewhat limited by the fact that homes with very low levels of staffing refused to participate; it may be inferred that the correlational findings would have been stronger with the participation of these homes.

In addition, the HCFA study examined the accuracy of reported level of staffing in survey and cost reports. They found that cost reports were more accurate than survey results in reflecting an accurate level of staffing as determined by nursing home payrolls.

Limitations - The report was limited by the extent of the data gathered (3 states included) and may not be generalizable across all states.

When Should Staffing Concern You

When the best is yet.net began examining long-term care, we attempted to gather data on staffing and found that it was extremely difficult to acquire accurate information. Then a well-respected administrator advised us that while staffing was important, it was not as good as measure of quality as the level of care residents actually received. We have learned through experience how right his advice was.

So what should you look for when determining the quality of care residents receive?

* Look for residents who are well groomed and not lethargic.

* Look for residents actively engaged in activities; although each nursing home is required to have an activities director, this does not mean that scheduled activities actually occur.

* Check the latest survey ratings for the percent of residents with pressure sores. Look for a rating close to zero. We also suggest that you examine the percent of residents with physical restraints because physical restraints may be used as a substitute for staff. Again, look for a rating close to zero.

* Look for the quality of interactions between staff and residents. Even though a minimum level of staffing is required for quality care, merely having staff at that level does not guarantee quality care. Homes may have high numbers of staff that do not interact appropriately with residents.

* Listen for reactions to resident complaints. Staff who ignore requests and complaints are not providing quality care.

What You Can Do to Find Good Care

* Check nursing home ratings and visit only those with few or, still better, no deficiencies.

* Call your state's long-term care ombudsman to get information on resident/family complaints. Although these complaints are not standardized and may include wide variations in severity, a large number of complaints should warn you away from homes receiving them.

* Consider non-profit care first. In general, non-profit homes have fewer reported deficiencies and higher levels of staffing than do for-profit homes.

What Else Can You Do?

The current growth in an aging population means that more and more people will require long-term care unless we do something about it now. That something becomes very personal for those of us in the Baby Boomer generation who will, within a few years, be part of the generation potentially needing nursing home care.

So, how's your health? Do what you can to ensure that your later life will not be complicated by any of the three leading causes of nursing home stays: heart disease, stroke and cancer.

Nursing Scholarship: An Invite to the Dying Profession

Over the past years, there is a significant in the number of students who are taking up the course that leads to become nurses. In fact, nearly 100,000 vacant slots for nurses have been reported in 2005. And since America needs healthcare services, 100,000 are very big number and needs to be responded immediately.

Yes, the government has made international call for help. This results to the influx of nurses from all over the world especially from the Philippines and India. But then, we cannot say that it is enough. The country should not always be taken cared of by others. It should be taken cared of their very citizen.

However, as nationalistic as it may sound, the fact still remains that very few Americans are taking this problem seriously and very few Americans don’t like the idea of working at the hospital unless they are doctors.

As a good response, institutions and other local governments have supported the call for the promotion of nurses are a good profession. And one way to do that is by offering several types of nursing scholarships all across the country.

Nursing scholarship is not different from other types of scholarship. Before the student becomes a nursing scholar, he or she has to go through exams and screening processes. The student has to submit the necessary documents similar to other students who apply for other types of scholarship. If the student passes, he or she will receive as much as 100% financial aids. The nursing scholar will receive allowances for books, laboratory materials, dorm and lodging, foods, and everything a regular scholar would get. Of course, all these would depend on the institution that grants the scholarship. Others may give different amounts but the same principle applies; to invite students to take nursing for free or almost free.

If becoming an RN has never been your dream or has never been they chosen profession, remember this: if you cannot afford to finance your studies and have no choice but to apply for a scholarship program, consider nursing scholarship. Not only you would save the dying profession, you will also get the honor to take care of your citizens. Who knows, it could be your relative lying on a hospital bed without a nurse to assist him (her). Act now for your future.

Nursing Scrubs: One-stop-window Guide

WHAT EXACTLY IS NURSING SCRUB?

Nursing scrub means the different types of equipment used in the medical institutions. This article aims at providing a one-window stop for any person wishing to find anything about nursing scrub. Significantly, even the web does not have a proper answer to the queries pertaining to nursing scrub.

A nursing scrub is a vital means to bring in hygiene in the hospitals. Nursing scrub is used for disinfecting purposes either before or after any operation process. The term nursing scrub is a combination of two terms, viz., nurse and scrub. Hence, it would be pertinent to first know the various meanings of these two terms. It would also be helpful to also trace the roots of these two terms.

MERCANTILE VALUE OF NURSING SCRUBS

In the recent times, various companies have come up to manufacture, and market the nursing scrubs. Taking into consideration the immense potential market for nursing scrubs and its never saturating prospect, nursing scrub manufacturing and marketing have combined to form a viable industry.

SURFING FOR NURSING SCRUBS

When one surfs the internet for the nursing scrubs, one will definitely get the feel of the huge mercantile impact of this ancillary medical sector. Be it the quality or the material or the price, one would have to patiently log on to the different sites dealing with nursing scrubs to get the best among them. Of course, patience will ultimately pay off. You would ultimately lay your hands on the reasonably priced quality nursing scrubs.

DIFFERENT TYPES OF NURSING SCRUB

Nursing scrubs vary in shape, size, color and material. Nursing scrub can be a simple safety pin and can also be a pair of scissors or a pair of gloves for that matter. The only connecting links among these various nursing scrubs are that they are sterilized and ready to use.

WHERE TO FIND NURSING SCRUB

The internet is the ideal place to find for answers to immense queries of mankind. However, with reference to nursing scrub, the different sites provide very limited scope. One can, of course, find the lists of various sites selling with the nursing scrubs or their prices. But then, one has to keep on constantly move form one site to another to seek the apt answer. This becomes rather tedious and cumbersome. Nonetheless, the internet can definitely give you the best one-stop window to select the best nursing scrubs.

EASY STEPS TO SELECT THE BEST NURSING SCRUB OUTLET

Here are 10 easy steps to clinch an ideal deal with an online nursing scrub outlet.

First, make a list of the types of the nursing scrubs you require.

Second, select the ideal materials for the nursing scrubs.

Third, chalk out the appropriate colors or the combination of colors.

Fourth, finalize the customization you would opt for. While deciding on the above factors, ensure that the designs are not too extravagant. The outlook should be that the nursing scrub is comfortable to the user and also psychologically soothing to all.

Fifth, spend some time cross-checking the many websites that offer the world with reference to the nursing scrub.

Sixth, shortlist those websites that have less gestation periods while delivering the consignments. Obviously, you cannot wait for ages waiting for the nursing scrubs to reach your doorstep.

Seventh, see that you are not taken for a ride. Talk out the possibilities of having a long-term business tie-up with the nursing scrub marketing company.

Eighth, delve deep into the intricacies of the business (especially if it is foreign company) and find out if you would be a gainer by ordering the consignments directly from the manufacturing unit instead of the marketing wing. In this way, you will be able to cut down on the commission cost that is inevitably deducted from the customer. Doubly check out the ancillary or hidden costs that may later turn out to be sources of headache for you.

Ninth, insist on an undertaking from the company to bear the excess costs that may be emanating consequent upon any delay in the delivery process. It always pays to be cautious prior to the closing of the transaction. If the deal can be via the VPP process, it would be ideal for you. Under this arrangement, you will have to pay the money after the consignments arrive at your office.

Last but not the least, leave some spaces for exigencies. Let the dealer know that the customization may have to be changed subsequently. Go for the deal only if the other party agrees to such a later possibility.

Happy nursing scrub deal!

Monday, January 22, 2007

Nursing Home Background Checks


Nursing home background checks have become compulsory. An applicant seeking employment into a nursing home needs to undergo a series of background checks, which is carried out by the employer. These checks are carried out for the safety of the safety and well being of residents of nursing home. Laws and regulations passed have made such checks mandatory in many states in the US. According to the law, an applicant may refer to a person seeking employment in a nursing home, a present employee of a nursing home who seeks a promotion in the capacity or an individual referred by a provisional agency to a nursing home. Similarly, nursing home refers to supported living amenities, intermediate care amenities for people with mental retardation, vicinity group homes, family care homes and rest residential amenities.

The laws relating to the hiring of applicants have become extremely stringent with an increase in the rate of crime against the inhabitants of these nursing homes who often tend to be a soft target for such criminals. The law states that no employer who runs a nursing home or a management company or other business entity that commits to operate a nursing home may hire or employ any applicant without getting hold of a report of the person's entire criminal history record. This may be obtained from the State Bureau of Identification. Similarly no agency, comprising but not restricted to temporary employment agencies, may refer an applicant to a nursing home without obtaining a report of the person's entire criminal history record from the State Bureau of Identification. The employer must instantaneously dismiss any employee upon notification of the employee's conviction of any disqualifying crime. An employer who employs an applicant for without conducting suitable checks shall be subject to a civil penalty of not less than $1,000 or more than $5,000 for each violation.

A nursing home is a place where generally sick, aged or handicapped patients reside in order to receive adequate treatment. These patients tend to form easy prey for criminals who take advantage of their disability

Chef and Nursing Uniforms Trends


When you hear the words "chef" or "nurse" you probably think at a chef dressed in white and with a large hat, and at a nurse also dressed in a fancy white uniform. The standards in chef and nursing uniforms include a wide range of clothing equipment, and these days you can find a variety of uniforms for sale on the internet. Here is a little more about them:

Many chefs do not wear their full uniforms while they are working, but usually the respectable hotels and restaurants insist that their chefs wear all the uniform. These uniforms are made of several pieces. From these, the most popular is of course the chef hat, which is a big white hat with special decorations on top. Also known are the chef's apron and scarf. Most chefs wear these pieces all the time. But the uniform is also composed of a bandanna, a tie, a pair of pants, gloves and shoes. These parts are not compulsory however.

Large chains of restaurants and hotels usually prefer that their chefs wear designer jackets that have the brand of the hotel written on them. Also, instead of the well-known chef hats they may wear normal caps. This is recommended, because they can keep hair finds from falling inside the food. But the other people in the kitchen are wearing regular caps, so it's better if the chef wears his special hat so that he can be recognized.

When it comes to the chef uniform's color, usually the regular color is white, a color that inspires higene, but this is not a standard, the uniforms may have any color, depending on what the company wants. Some prefer dark colors because stains are less visible in this case.

The apron is usually used to display the company's logo, and the pants are usually baggy ones, that allow freedom of movement. Finally, the shoes must have low heels and they too must be comfortable.

On the other hand, nurses uniform's included few pieces at the beginning. The first ones were simply white dresses with an apron attached. But as time passed, this changed, and now they are composed of a pair of comfortable pants and a tunic. The colors may vary from situation to situation, but the most popular colors are of course the white ones, and these also help the patients recognize the nurses.

Many different types of uniforms are available for purchasing on the Internet, and clients may also order customized ones, that fit their preferences.

Treatment For Dementia In Care Facilities or Nursing Homes

The loss of mental capacity and abilities is commonly known as dementia, and regularly affects anywhere between five to eight percent of men and women over the age of 65 and between an astounding 25 and 50 percent of men and women over the age of 80.

If you or a loved one has been diagnosed with this mental disease, know that many patients have had success with several options for treatment for dementia .

Although there are different forms and severities of dementia, the most commonly known one is Alzheimer's disease.

Alzheimer's is usually brought on by mini-strokes or other problems that can dramatically constrict the blood vessels in the brain, thus preventing necessary oxygen from accessing the brain.

Once dementia has been recognized and diagnosed, ensure the patient is immediately started on a plan for treatment for dementia .

The most common treatment for dementia is to provide proper care for the individual in question.

Depending on the level of dementia, the patient may need more care than a spouse, child, or loved one can provide.

In many cases, adults with advanced stages of dementia or Alzheimer's can potentially become dangerous to themselves if they are left to their own devices.

Quite often, adults with advances stages of dementia are harmed when they exit their homes to shop or exercise and are exposed to the elements when they cannot find their way home again.

This happens far too often and, although the family or loved ones are not to blame for these accidents, the immense task of caring for a patient with dementia is often too much for a person to handle.

If you are facing a situation with a loved one, consider looking into a nearby care facility or nursing home.

There are different levels of care available for patients with dementia based on the advancement of the specific case of dementia.

These facilities will ensure the patient receives the proper nutrients on a daily basis, a proper amount of exercise , and the treatments that will prevent his or her dementia from advancing.

Furthermore, these facilities will be able to introduce the dementia patients to other individuals with similar interests.

Types of Long Term Care Insurance


Regardless of what some people might think, medical insurance will not cover the expenses and services that long term care insurance covers.

There are three types of long term care insurance. The first plan is the skilled nursing care. It has to be ordered by a physician and the patient must be able to fully recover form his or her illness or injuries. It involves a treatment plan, skilled therapy with a licensed therapist and nursing care.

Intermediate nursing care is another type of long term care insurance. Likes skilled nursing care it must be ordered by a physician and the patient must be able to recover from their illness or injury. Unlike skilled nursing care, Intermediate nursing care is not provided on a daily basis. It depends on what treatment and therapy plan tht the doctor has ordered. It is basically a prescribed as needed to get well plan.

The custodial nursing care plan is the full coverage plan of long term care insurance. Custodial care includes daily nursing care and nursing assistance walking, eating, bathing and other hygiene matters, and also includes colostomy and catheter use, as well. Custodial care can be an in home care plan, an assisted living care plan or a nursing home plan. It can range from a few hours per week to 24 hours per day. The intention is that the patient will not be able to recover from their injuries or illnesses.

Studies how that 40% of the people who receive any type of long term care services are under the age of 65. Studies also show that there is a 50% chance that a person will need some type of long term care service after the age 65.

Long term care insurance is right for many people, but if you are in the position that you can pay for your care with assets then long term care insurance might not be the best idea.

The Value of Having a Nursing Drug Guide


Nowadays, there are many different variations and brands of drugs. That is why it is hard for everyone, even for professionally trained doctors, to distinguish between drugs, to know well their specifications and to be capable to use them while taking care of patients. Therefore, both student nurses and professional nurses need some help with the dugs. The best solution for this problem is a nursing drug guide.

A nursing drug guide provides detailed information about all the available drugs, complete lists of both brand and generic names. In a nursing drug guide, everyone is able to find essential, basic information about mechanism of action, common uses, dosages, side effects, and drug class.

A nursing drug guide is always user-friendly. It includes pictures of drugs in order to be easy to distinguish between them using as identifying marks their packages. Most nursing drug guides even include a CD-rom, which can be easily accessed with any computer.

If you are interested in buying a nursing drug guide, no matter whether you work as a nurse or a doctor or you are simply interested in drugs do not think that there are any special requirements which you should meet to take a nursing drug guide. Nursing drug guides are available almost in every book retailer, very online bookstore, at all at university and college bookstores. In addition, nursing drug guides are not expensive at all. In fact, they are quite affordable for everyone.

Some nursing guides are offered in a smaller, more portable size so that you will be able to carry it always with you in your pocket.

Usually nursing drug guides are used by student nurses as auxiliary books while they are learning how they should define treatment for their patients or while they are studying pharmacology. Nursing drug guides are very helpful both for initial assessment and for the following care of the patient.

Nursing drug guides include important information, which cannot be learned by heart by the physicians. Moreover, they do not need to know all the information by heart while they are carrying a nurse drug guide in their pocket. Most medical classes demand from their students to have a nursing drug guide in both the classroom and clinical settings.

As well, nursing drug guides are very useful for professional doctors in case they need a quick reference during medication administration or while they are supervising patients’ treatment.

What is more, the information included in the nursing drug guides is periodically updated so that anyone who wants to fresh up their knowledge about drugs can check out the novelties in health care and some recently released medication. Updated versions of nursing drug guides are released every six months and they include all changes in medications, which have taken place for six months.

You know, different medications are developed every day so nursing drug guides undoubtedly need to be updated frequently. If you are a professional nurse and you want to ensure your patients with the best healthcare available, then you certainly need a nursing drug guide. Nurses are inseparable part of the overall healthcare so they need to have adequate information about changes in their areas of expertise, new medications, and other.

Thursday, January 18, 2007

Nursing Cover Letter: Guides Nurses to Standout and Get the Job


One of the most sought after jobs today are related to medical professions such as nurses. However, it is a fact that competitions are so tight. So, to standout among the rest, nurses are advised to write a good nursing cover letter when applying for a nursing post.

Remember, every time you are passing your resume; make sure that it is accompanied with a good cover letter. The cover letter will help the employer to focus on reading your credentials. It will give you the opportunity to explain the reasons why you are applying for that position. Likewise, it must also indicate your interests in their organization.

The cover letter should target specific aspects in your resume that will correspond to the employer's specific needs. It is important that you are knowledgeable about the person and the organization. In this manner, you will be able to focus on the things that will give genuine interests to the employer. It is a mortal sin when writing a cover which just addresses "Dear Sir" or "Dear Madame". Address your letter to a specific person. In case it was not listed in the advertisement, make a call to the organization to ask who will be the addressee of your letter.

Moreover, the employer will first meet you in your cover letter together with your resume. It is advisable to print it on a high quality bond paper using the standard business format. Always check for grammatical errors and misspelled words. Make sure that you use the same paper in printing both your resume and cover letter.

There are four main areas of a nursing cover letter that should be given an adequate attention by nurses.

1. Introduction. It explains the reasons why you are applying for the position. Be specific. The organization and the position should be always mentioned. State how or where you learned about the job opening. Never forget to write about your present status. Take for instance; you are going to finish your masteral degree in nursing and you learned about the hiring. The introduction should say something about considering your application. If you learned the hiring from a friend or acquaintance, then mention his or her name.

2. Highlighting your educational background and work-related experiences. It should stress your potential that will make you qualified for the applied position. Never repeat what is written in your resume. Just select the aspects that will interest your employer. Give direct emphasis on important medical and professional accomplishments.

Mention your strengths and acquired skills related to the position. Also include the time when you have work, important promotions, specific responsibilities, and what have you contributed in the institutions you have worked for.

3. Briefly explain the reasons which tackle about your interests in the applied position, organization, and qualifications. It is very important to an employer that he will read something about your enthusiasm in applying for a certain nursing position and why you chose their medical institution. You should put much weight on the things that you can offer to your employer and his organization rather than what you could obtain from him as an employee.

4. Structuring your final paragraph. You should mention how you are going to make follow-ups. Indicate your eagerness for an interview. If possible maintain your control over the matter. Take your initiative by making phone calls so that you could be scheduled for an interview, just be polite about it.

Nurses should allow their personalities to come out in their cover letters. Make it creative but never jeopardize professional presentation of the qualifications

Scrubs Nursing: How to Go for Only the Best Deals

WHAT EXACTLY IS SCRUBS NURSING ?

Scrubs nursing actually refers to nursing scrubs. Scrubs nursing means the different types of equipment used in the medical institutions. This article aims at providing a one-window stop for any person wishing to find anything about scrubs nursing. Significantly, even the web does not have a proper answer to the queries pertaining to scrubs nursing. A scrubs nursing is a vital means to bring in hygiene in the hospitals. Scrubs nursing is used for disinfecting purposes either before or after any operation process. The term scrubs nursing is a combination of two terms, viz., scrub and nurse. Hence, it would be pertinent to first know the various meanings of these two terms. It would also be helpful to also trace the roots of these two terms.

MERCANTILE VALUE OF SCRUBS NURSING

In the recent times, various companies have come up to manufacture, and market the scrubs nursing. Taking into consideration the immense potential market for scrubs nursing and its never saturating prospect, scrubs nursing manufacturing and marketing have combined to form a viable industry.

SURFING FOR SCRUBS NURSING

When one surfs the internet for the nursing scrubs, one will definitely get the feel of the huge mercantile impact of this ancillary medical sector. Be it the quality or the material or the price, one would have to patiently log on to the different sites dealing with scrubs nursing to get the best among them. Of course, patience will ultimately pay off. You would ultimately lay your hands on the reasonably priced quality scrubs nursing.

DIFFERENT TYPES OF SCRUBS NURSING

Scrubs nursing vary in shape, size, color and material. Nursing scrub can be a simple safety pin and can also be a pair of scissors or a pair of gloves for that matter. The only connecting links among these various nursing scrubs are that they are sterilized and ready to use.

WHERE TO FIND SCRUBS NURSING

The internet is the ideal place to find for answers to immense queries of mankind. However, with reference to nursing scrub, the different sites provide very limited scope. One can, of course, find the lists of various sites selling with the nursing scrubs or their prices. But then, one has to keep on constantly move form one site to another to seek the apt answer. This becomes rather tedious and cumbersome. Nonetheless, the internet can definitely give you the best one-stop window to select the best nursing scrubs.

EASY STEPS TO SELECT THE BEST SCRUBS NURSING OUTLET

Here are 10 easy steps to clinch an ideal deal with an online scrubs nursing outlet.

First, make a list of the types of the scrubs nursing you require.

Second, select the ideal materials for the scrubs nursing.

Third, chalk out the appropriate colors or the combination of colors.

Fourth, finalize the customization you would opt for. While deciding on the above factors, ensure that the designs are not too extravagant. The outlook should be that the nursing scrub is comfortable to the user and also psychologically soothing to all.

Fifth, spend some time cross-checking the many websites that offer the world with reference to the nursing scrub.

Sixth, shortlist those websites that have less gestation periods while delivering the consignments. Obviously, you cannot wait for ages waiting for the nursing scrubs to reach your doorstep. Seventh, see that you are not taken for a ride. Talk out the possibilities of having a long-term business tie-up with the nursing scrub marketing company.

Eighth, delve deep into the intricacies of the business (especially if it is foreign company) and find out if you would be a gainer by ordering the consignments directly from the manufacturing unit instead of the marketing wing. In this way, you will be able to cut down on the commission cost that is inevitably deducted from the customer. Doubly check out the ancillary or hidden costs that may later turn out to be sources of headache for you.

Ninth, insist on an undertaking from the company to bear the excess costs that may be emanating consequent upon any delay in the delivery process. It always pays to be cautious prior to the closing of the transaction. If the deal can be via the VPP process, it would be ideal for you. Under this arrangement, you will have to pay the money after the consignments arrive at your office. Last but not the least, leave some spaces for exigencies. Let the dealer know that the customization may have to be changed subsequently. Go for the deal only if the other party agrees to such a later possibility.

Now you are all set to go for only the best of the scrubs nursing deals!

Tuesday, January 16, 2007

Student Nurses Learning to Prevent Back Injuries

Back injuries are preventable. Nurses are taught how to prevent back injuries and yet, according to the U.S. Dept. of Labor Bureau of Statistics, nurses are still more likely to suffer a back injury than even construction workers.

A minor injury can cost a nurse precious work time and even lead to chronic pain issues later in life. Cumulative injuries or a moderate to severe single back injury can be a career-ending event.

With all of the education and emphasis on prevention, why are nurses still suffering so many back injuries? The factors which influence this most are the fact that the population is aging and obesity is becoming an epidemic.

Nurses are not immune to either of these factors themselves. Older, heavier and less mobile patients make the nurse's job much harder when it comes to moving and transferring patients.

The nursing population is also aging, and many nurses are among those suffering from obesity.

Injuries result most often from transferring patients from bed to chair or commode, lifting or repositioning in the bed and in routine bedmaking activities in which the patient remains in the bed.

The National Institute for Occupational Safety and Health (NIOSH) funded the Safe Patient Handling Pilot Project which is supported by the (ANA) American Nurses Association's Handle With Care Initiative, the University of South Florida College of Nursing, and the Tampa VA Patient Safety Research Center of Inquiry. In this project, the ANA selected several different patient-handling equipment vendors to supply their products to participating nursing schools. The vendors installed the equipment and instructed faculty in the uses and care of the equipment which will be used to instruct students in safe patient handling.

A draft document derived from the pilot project is avaialabel for download and use in training nurses. NIOSH is soliciting public comment on the document as well. The presentation as well as information on how to comment on the Safe Patient Handling and Movement Prnciples is available here.

The state-of-the-art equipment being used includes powered lifts such as full-body lifts, overhead lifts and sit-to-stand lifts. Padded gait belts with handles and friction-reducing lateral transfer devices are also being utilized in the evidence-based education project.

Suggestions For Celebrating Nurses Week

Here have been some great responses to the call for suggestions for celebrating Nurses Week (May 6-12). If you'd like to contribute a suggestion, or read the great ideas, please log in to the Forum and voice your ideas. Or you can Email me as several others have done, and I'll compile them.

An idea that could be adapted for Nurses Week is something I helped our nursing supervisor pull together last year for a Quality Improvement meeting. We used this to draw more participants to the meeting, but it was successful in honoring our staff.

Pick a Theme

We used the Academy Awards to base the program on. We matched each staff member up with a movie role and/or former Oscar winner, who's acting role or other position such as directors, cinematographers, etc.

related to the personality or recent events for that staff member. (Not all of the examples were winning roles or even nominees, but they fit the theme.)

For example, a nurse who had demonstrated great efforts to get pictures of her patient's wounds for the charts, was named Best Cinematographer.

Best Screenplay went to the nurse who demonstrated the best efforts at charting. Best Actor went to our staff member who gave the best performance of a nurse who knew why he was making this home visit. (The information he was given about the patient and why she needed care was completely blank!)

Others were based on roles such as Nurse Ratchet (not!). This went to the nurse who gave the best performance of being extremely kind, caring and compassionate in the face of the most difficult patient we had serviced in a long time. (She really just wanted to throttle the patient, but went overboard to be nice instead.)

You could use movie themes, sports themes, even famous nurses. Let your imagination help you to brainstorm. Then let us know how it worked!

Everyone received a certificate of their award with the brief blurb as to why they were chosen for the award. We had a Red Carpet (red fabric or paper rolled out) and made our own silly Oscars from toilet tissue rolls covered in gold wrapping paper with a Styrofoam ball on the top that was spray painted gold.

Power Point Presentations

During their buffet luncheon, one group of nurses played a Power Point presentation on a laptop computer. It looped continuously so everyone got a chance to view it at some point. They had taken pictures of their nurses with patients (who gave written permission to be photographed and their pictures used... be careful about HIPPA!!). They "caught" their nurses in the act of doing what they do best...caring for their patients.

This was a small group, but I think it could work well with enough prep time, for a large group especially where not everyone knows each other. The picture could be captioned with the nurse's name, dept., and even a short tribute from peers or patients.

The presentation could be more or less formal. If you have a projector, a slide show format could be the entertainment portion of your celebration. Or letting it run on a laptop continuously throughout the day so that everyone has a chance to see it.

Print some of the pictures and post in the nurse's lounge. (Again being mindful of HIPPA if patients are included.

Involve Your Patients

Solicit tributes from patients, and former patients. Again, obtain permission to use their names, or allow them to be anonymous. Print their words on certificates, and read them at your celebration.

Hope this helps to get you going. Celebrate yourselves and your peers this year! And let us know what works, and doesn't.

Many Diverse Roles Open to Nurses

Not All Nurses Work in Hospitals

Hospital nursing is not the only role for nurses, although approximately 3 out of 5 nurses do work in hospitals according to the Bureau of Labor Statistics. And many roles in the hospital are changing to accommodate the aging population of nurses.

Other Venues and Roles

Nurses work in industry as health care educators and industrial health nurses; they assist on movies sets providing first aid and medical assistance and sometimes as consultants or coaches for those portraying medical personnel.

They work in home health, doctors offices, public health clinics, and as flight nurses assisting patients who need to be transported. Nurses are a vital part of the armed forces throughout the world. Research nurses work in areas such as pharmaceuticals, and clinical trials of drugs and other treatment modalities.

Pharmaceutical companies also employ nurses as drug reps to educate physicians and pharmacists on new medications. Medical supply companies hire nurses to educate other nurses and healthcare workers on their products such as wound care supplies.

Insurance companies utilize nurses in a variety of roles from educating patients to case managing care for patients from single episodes to catastrophic illnesses.

Nurse Educators for Nurses and Patients

Of course nurses are educators who not only educate other nurses and healthcare workers, but those who specialize in diseases such as diabetes also educate patients and other healthcare workers in managing chronic illnesses.

Nursing education (clinicals) takes place primarily in hospitals to give nurses the general skills that will take them on their journey throughout their career.

Advanced Education Needed?

Nursing roles expand constantly to meet the needs of patients and the healthcare and wellness environments. Some roles require advanced or specialized education. Others just require the courage to make a change. If you're not happy in your current role; investigate a change before you give up nursing all together.

Wednesday, January 10, 2007

The Nursing Process

The nursing process is based on a nursing theory developed by Ida Jean Orlando. She developed this theory in the late 1950's as she observed nurses in action. She saw "good" nursing and "bad" nursing.

From her observations she learned:

* the patient must be the central character
* Nursing care needs to be directed at improving outcomes for the patient; not about nursing goals
* The nursing process is an essential part of the nursing care plan

Not As Complicated as it Seems

The nursing process is really not as complicated as it seems. It consists of basically five steps. Originally, Ms. Orlando had four, but through practical application over the past 40 years, one step became two and now there are five. All nursing personnel take part in the nursing process.

The RN has the primary responsibility however.
The Five Steps

* Assessment
* Diagnosis
* Planning
* Implementation
* Evaluation

Assessment

This is the data collection step. For RNs it also entails analyzing the data. LPNs, CNAs and all non-licensed nursing personnel are not trained in analyzing data. This gives rise to statements that "LPNs cannot assess patients". In truth they do asses, they just don't complete the second portion of that step; analysis.

Assessment involves taking vital signs, performing a head to toe assessment, listening to the patient's comments and questions about his health status, observing his reactions and interactions with others. It involves asking per tenant questions about his signs and symptoms, and listening carefully to the answers.

Once you have collected the data, the process moves on to analysis of the data to determine the health status, the patient's coping mechanisms or lack thereof, his ability to use these mechanisms and to identify his problems related to his health status.
Diagnosis
Nurses only make nursing diagnoses, except in the case of Nurse Practitioners who have been trained and licensed to make medical diagnoses.

Once you have identified the patient's problems related to his health status, you formulate a nursing diagnosis for each of them. You will also prioritize the problems in formulating your plan and goals. The nursing diagnoses are categorized by a system commonly referred to as NANDA.

The North American Nursing Diagnosis Association (NANDA) has now become an international group who works to classify nursing diagnoses, and to review and accept new diagnoses as needed. In 2000, NANDA adopted the current classification system (known as a taxonomy) as Taxonomy II. There are 13 domains which are subdivided into 106 classes and 155 nursing diagnoses.

The RN chooses a nursing diagnosis from the NANDA list which most closely describes the patient's problem related to his health status. This might be a current problem or a potential problem which needs to be addressed. It can even be a problem that relates to his family rather then to him alone such as the family's inability to cope with life style changes necessitated by the patient's illness.
Planning
Setting goals to improve the outcomes for the patient are a primary focus of the nursing process. Based on the nursing diagnoses, what are the expectations for this patient? This not about nursing goals. This is about improving the quality of life for your patient. This is about what your patient needs to do to improve his health status or better cope with his illness.

Planning also involves making plans to carry out the necessary interventions to achieve those goals.

Implementation

Setting your plans in motion and delegating responsibilities for each step. Communication is essential to the nursing process. All members of the health care team should be informed of the patient's status and nursing diagnosis, the goals and the plans. They are also responsible to report back to the RN all significant findings and to document their observations and interventions as well as the patient's response and outcomes.

Evaluation

The nursing process is an ongoing event. Evaluation involves not only analyzing the success of the goals and interventions, but examining the need for adjustments and changes as well. Evaluation leads back to Assessment and the whole process begins again. The evaluation incorporates all input from the entire health care team, including the patient.
The Whole Patient

The nursing process involves looking at the whole patient at all times. It personalizes the patient. He is not "the CVA in 214B." It also forces the health care team to observe and interact with the patient, and not just the task they are performing such as a dressing change, or a bed bath. The process provides a roadmap that ensures good nursing care and improves patient outcomes.

Most Misunderstood Theory

The nursing process is perhaps one of the most misunderstood nursing theories, and yet one of the most effective as well as practical. It takes time for students and new nurses to get the hang of this process, and many fight it every step of the way, until one day a light bulb begins to burn brightly.

Hospitals Respond to Nursing Shortage

It Takes More Than Money

Over 1000 interviews were conducted with participants and a variety of short term plans have been initiated to help solve specific issues at hospitals in each of the twelve markets throughout the U.S. A primary finding has been that it takes more than money to solve the nursing shortage. Financial incentives such as salary increases and benefits do play a significant role in the issue, but other factors have also come to light as hospital administrators begin to think outside the box.

Some hospitals have made changes in the nursing environment.

Physical changes that improve the efficiency and reduce the work load for nurses have been implemented. Improved software changes have also been introduced with success.
Flexible Scheduling

Scheduling changes have been found to be useful. In fact one hospital has introduced several flexible schedules for nurses such as a "parent plan" which allows nurses to work short shifts of two to four hours at peak periods to supplement staff during these times. According to those interviewed this has brought many nurses back into the field.
Per Diem Pools

Other hospitals have built their own pools of per diem nurses. These nurses are specifically trained in policies and procedures for this institution and used according to their availability similar to an agency, but yet specifically familiar with a facility.
Education Incentives and Assistance

Many of the hospitals have provided education incentives including tuition reimbursement and training programs for nurses such as lengthy orientation programs and preceptorships for new grads and new hires who require more intense orientation. Some are also helping to subsidize salaries for faculty at local nursing schools as well as to provide classroom and clinical rotation opportunities. In some instances they are also providing the schools with instructors. (Poor salaries, part time positions and lack of benefits have been a driving force in the shortage of nurse educators.)

Steps in Right Direction

Although most recognize that these efforts won't solve the nursing shortage, they are steps in the right direction to improve working conditions and help to entice more individuals to explore the opportunities in nursing. Most statistical information indicates that by 2012, there will be a deficit of over one million nurses in the U.S. alone

New Year's Resolutions for Your Nursing Career

Each new year people make resolutions for themselves. All too often they try to set goals that are not realistic or that set them up to fail in some way such as a resolution to lose 50 pounds by June.

This year try to set realistic goals for yourself. Think about your nursing career and try to find ways to grow professionally as well as personally.

Here are a few suggestions. Think of ways to modify them and make them fit your own lifestyle and career.

1) Learn a new skill. This could be something such as learning to insert PICC lines, or how to perform a (successful) venipuncture to obtain a blood sample.

2) Take some CEUs (continuing education units)in an area or subject you're totally unfamiliar with.

3) Even if you're completely happy with your role, explore another role and find out what type of training, education or experience you would need to move into that field.

Then explore how you could be trained to move into this field. Learn to keep your options open.

4) Encourage at least one person to become a nurse.

5) Plan something that you can do for your boss or colleagues for Nurses Day or Week.

6) Become a better team member. You might even take on some leadership responsibilities.

7) Buy a new drug book or drug software and toss your old one.

8) Preceptor someone. This could be a student nurse, a new nurse, a new staff member, or teach a colleague something new.

9) Review a body system or process you've forgotten or didn't understand well. Let your knowledge base and experience guide you through the review and see if you can learn something new.

10) Do something for YOU each week. Replenish yourself so you can continue to give to those who need you

Wednesday, January 3, 2007

Home Nursing Jobs

Home nursing jobs are nursing jobs for people who can provide care to those who require personalized patient care. In home nursing jobs, the nurses have to mingle with patients and their family members. Home nursing jobs offer quality and affordable home nursing services for the needy elderly sick or disabled persons in the home. Home nurses provide periodic services to patients at home. They care for a wide range of patients, such as elderly people who are confined to the bed, those recovering from illnesses and accidents, and those resting after childbirth.

Home nurses are also hired by the parents who are unable to take care of their children. Most of the families treat home nurses as close friends or as family members. Addressing the patient’s health problems and needs is the main responsibility in home nursing jobs. Based on their needs, the home nurse develops and implements nursing care plans.

The other responsibilities of home nursing jobs include providing an extensive range of services from very specialized home care to supportive long-term care for people of all ages. In addition, it includes helping aged people with a variety of needs from companionship through to high-dependency nursing, and routine jobs like checking patients’ pulse, blood pressure, temperature, and respiration rate. Home nurses work relatively independently and therefore have more personal responsibility than other types of nurses.

In recent years, home nursing jobs have become one of the fastest growing occupations, as more and more nurses are in demand. There has also been an increase in the number of nursing agencies that offer home nursing jobs. Most of these agencies offer experienced home nurses who provide quality health care to each and every one in the family. While seeking the help of home nursing agencies, one should ensure whether the agency is Medicare-certified. Certain Web sites also list the opportunities for home nursing jobs. The minimum requirement is that the nursing job seekers should have home care or home care related experience

Licensed Vocational Nursing Programs

Launch into a Personal and Financial Rewarding Career

If you are considering building a career in the medical field as a LVN (Licensed Vocational Nurse) or LPN (Licensed Practical Nurse), you are definitely on the right track! A career as a LVN or LPN offers a lot of advantages and satisfactions on multiple levels: apart from being a noble and morally rewarding career, it also brings major financial benefits, ensuring a financially stable future. The American Nurses Association informs that the average annual salary for licensed vocational nurses revolves around $35,000. Similarly, administrators earn an average $45,000. Clinical Nurse Specialists earn around $40,000, nurse practitioners earn an average $70,000, while Nurse Anesthetists earn up to $110, 000 a year! Undoubtedly, a career as a nurse can be very lucrative, allowing and facilitating various possibilities of promotion in other adjacent medical specialties.

In addition to being financially rewarding, a career as a Vocational Nurse is also very durable and secure on professional level, as there is a very high demand for nurses in medical institutions, clinics or schools, not only in the United States, but also everywhere else throughout the world! Statistics indicate that there is a pronounced shortage of well-trained vocational nurses in present, rendering qualified practitioners in the branch highly requested among healthcare institutions and various other establishments.

Nevertheless, the shortage of vocational nurses is expected to double or even triple in the following years. This is very good news for those aspiring to become Licensed Vocational Nurses in order to build a solid and durable career. In spite of the fact that unemployment and job insecurity are ever-growing problems in our insecure world, nursing job opportunities seem to be growing continuously, rendering a career in the field a very smart move for anyone who wishes to achieve financial stability.

In order to make sure that you experience no difficulties in passing your NCLEX-PN licensing examination, and rapidly become a member of the qualified staff in the best healthcare institutions, it is very important to attend to a high quality LVN program. By attending a high quality program you will be able to become completely prepared for the challenging NCLEX-PN examination. LVN programs are usually structured over the period of three to four semesters, however some fast track programs in less than a year of training have recently appeared and students are having great success.

An appropriate LVN program offers students the opportunity to develop a series of specific technical skills, corroborated with a set of interpersonal abilities. By the end of the LVN program, students will have developed good practical skills and abilities regarding nursing care, administering medical treatments, identifying, reporting and registering patients’ symptoms, as well as fulfilling various therapeutic and recuperative methods. State Nursing Board Accredited LVN programs account for every aspect of being a qualified and skilled vocational nurse, guaranteeing graduates the opportunity to work in the best healthcare establishments in the world. After completing an LVN program, graduate students are a single step away from a much desired and rewarding career in the medical field. Attend to a high quality LVN program and you will experience fewer difficulties in passing your licensing exam!