Welcome to Episode 33

The Nursing Show is a proud member of the Blubrry Podcast Network.

Right Click to download (Macs Option Click)

Subscribe with iTunes here (must have iTunes installed — it’s free)

RSS Feed to subscribe (copy url to Juice, Zune Marketplace, or your favorite podcatcher)

Click the arrow to play the Nursing Show

A podcast for Nurses, Nursing Students, and others interested in what it takes to be a Nurse

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Sponsors

Get 10% off Pepid’s portable nursing solutions

Nursing Show Listener Deals –

Save 50% off first month of Blockbuster Total Access (visit MyMovieSavings.com)

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News–

Brain Injury a Key Risk in Falls

10 Questions with an ER Nurse

24 Million Have Diabetes

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Tip of the Week — Interview with an ER Nurse

Emergency Nurse Association Home Page

Certification in Emergency Nursing

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Don’t miss an episode! Get the Nursing Show Newsletter by email. Fill out the email form in the right hand column of the site. Get it now!

Comment or share ideas here on the comment link below or by email:

Comment@NursingShow.com

Other Podcasts from Jamie Davis:

• The MedicCast (for EMTs, Paramedics, EMS field work)
• MedicCast News (Weekly short medical news program)
• MedicCast Live (Monthly live call-in show with a single EMS topic)
  
• Headliner News Roundup (Weekly single new item with facts and commentary)
  

Contact Me!

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This Week is Codie Prevost with, “Not Just the Beer Talkin”
Click here to check out other Songs from the MedicCast Network Podcasts at the iTunes Store.

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This work is licensed under a
Creative Commons Attribution-Noncommercial-No Derivative Works 3.0 United States License.

The Missouri State Supreme Court sided with the state’s trained but unlicensed midwives in removing a lower court’s injunction against a law that would allow these people to assist with home delivery of babies. The lower court ruled based on a lawsuit by the Missouri State Medical Association and other physician groups that said the law posed a danger to the public. The state’s high court said the doctors didn’t have the right to sue.

Read the full article here.

Many are touting this law as a victory for personal freedom and the right for families to have a home birth. Until this law was passed in August, 2007, Missouri was among 10 states that refused midwives without a nursing or medical degree the right to deliver babies. These home health specialists do however come with significant training and a strong apprenticeship program requiring them to train under an experienced midwife before being allowed to operate alone.

In a time of increasing health care costs and decreased access to care in rural areas, locally trained midwives may be the only cost effective and viable alternative to a system dominated by physicians, hospitals, and insurance companies who have little interest in providing anything but the minimum of care.

For more information on midwives and nurse- midwives and what the differences are between the two check out the comments on another article here at the Nursing Show site.

Nursing is considered one of the top 5 recession proof careers. Home care nursing may not be as economically viable based on the price of gas and this article on the number of miles driven by the average home care nurse over the course of a year.

According to a report from the National Association for Home Care and Hospice, recent cuts and freezes in Medicare and Medicaid reimbursement rates have caused many home health agencies to cut back on necessary home visits and decrease the reach of their services.  This is especially hard hitting in rural areas where homebound patients depend on the services provided by these nurses.

Some patients have been told they are no longer in a home care agency’s range due to these cut backs.  Medicare used to offer a rural access fee to allow home health agencies and ambulance services additional funds to cover the increased mileage traveled.  That rural fee allowance was removed even as fuel prices continued to rise.

This problem underlines the basic issues that are tearing apart the U.S. health care system.  The patients most in need of primary care and home based services are the ones who are told they no longer have coverage.  These patients have no recourse but to access emergency services to arrange hospital transport to the ER, taking up valuable resources that might be needed for true emergencies.

When these patients have access to affordable and nearby health care, they do not have to abuse an overtaxed EMS and 911 system.  The answer is put forth in the article over at Medical News Today.

1. Recognize home telehealth interactions as bona fide Medicare home health services; if home care nurses can do more monitoring of patients over the Internet, it will cut back in the number of miles they need to travel each week to visit patients and save those visits for critical care situations rather than routine monitoring
2. Require the Secretary of Health and Human Services to revise the method for calculating annual market-based inflation updates and establish a temporary fuel cost add-on to 5
3. Commit to preserve the annual inflation updates for home health and hospice as provided under the Medicare law
4. Reinstate the 5 percent rural add-on for home health services delivered to patients residing in rural areas

Seems like a collection of good ideas to me.  Let’s see what we can do about getting these programs amended to make some sense.

With the death toll from air ambulance crashes nearing record numbers (16 so far in 2008, 2 short of the record of 18), I have to wonder when the FAA or other agency is going to wake up and realize that these services operate under a questionable emergency mandate.

These helicopters and fixed wing aircraft fly out to pick up patients who are in critical condition in an effort to bring them to definitive care. However, they often fly in questionable weather conditions when other commercial services stay grounded. The argument is made that it is an emergency situation.

What happened to safety first?

The truth of the matter is that these services are profit makers for their health systems, bringing in many more dollars than the transport fees charged to the patients. In fact, when you add up the critical care, advanced surgical interventions, and recovery and rehab fees these patients are worth hundreds of thousands of dollars apiece!

I have talked to some local flight nurses and paramedics about how the safety processes work. It is often left up to the crews to determine if they think it’s safe enough to fly in questionable weather. A single dissenting vote and the helicopter stays on the ground. In the face of $100,000+ in lost income, though, I wonder if there isn’t some amount of pressure from above when a crew repeatedly opts for their own safety instead of taking a questionable transport call.

The fact of the matter is, when you compare commercial safety records to public service based med-evac helicopters like the Maryland State Police units, there is a broad divide. The MSP helicopters have hard and fast rules for safe flying conditions. They don’t break them, period. If they are grounded then the transport falls to the ground ambulances.

The same rules should apply to the commercial services. There should be no “gray area” where employees, under pressure from their bosses, are expected to make decisions about their own lives and the lives of their co-workers. We don’t need to lose more valuable flight nurses, paramedics, or pilots because of the greed and glory seeking practices of a few physicians and administrators waiting safe and sound in the hospital for their well-insured patient to arrive.

It’s about saving lives (our own included), and not the money!

A reminder for all of the Nursing Show listeners. I’ll be attending and speaking at the podcast expo coming up here in August 2008.

If you are in the Las Vegas area or will be there August 14 through 16, 2008, you can come and meet your favorite podcasters (including me), check out all of the great information and get some really cool free stuff at the New Media Expo.

Best of all, you can get in for free by pre-registering for the Exhibit Hall and Keynote pass. I’m looking forward to meeting with listeners in the area for a coffee or soda break one day during the event so make sure you don’t miss out on this chance to get some free stuff from me from the show and from the companies in the exhibit hall.

Find out more about how you can attend this conference and learn more about podcasting and new media ventures — Click here.

One question I often receive is about what podcasts I take the time to listen to. It seemed like a good time to pass on to you some of the better medical podcasts out there. If you have been listening to the show for a while or reading the blog here, you might have a good idea of a few of them based on comments and links here at the Nursing Show.

Now for the shows I Recommend (in no particular order):

Johns Hopkins PodMed Medical News Podcast is a standout review of recent medical and health news and research. They do a good job of boiling down the news to the key issues without the news hype and with an understanding of good research.  Hosts Elizabeth Tracey and Dr. Rick Lange give us a look at science based medicine at its best — short, sweet and to the point!

Mitigation Journal Podcast is produced by Rick Russotti and is an outstanding look at some of the key issues surrounding disaster preparedness and planning from the streets all the way up to the major hospital response and beyond. If you wonder how you would respond to a disaster in your region and how your medical response might be affected, the Mitigation Journal podcast is for you.  You should check out Rick’s podcast now!

The Brain Science Podcast with Dr. Ginger Campbell. Ginger Campbell is an ER doc with an interest in what makes our brains tick. She takes that passion and turns it into a very informative program on how our minds work featuring interviews with leading neuro-science experts from around the world. If you’ve ever wondered why you wonder — this podcast is for you!

PediaCast with Dr. Mike is a show on a variety of pediatric issues presented for parents and providers. Mike is a pediatrician with a large practice who shares his views on recent pediatric medicine news and issues, along with a chuckle and a healthy dose of common sense.

Surgery ICU Rounds with Dr. Jeff Guy. Jeff Guy is a former paramedic who is now a surgeon, medical school professor, and a burn doctor at a major U.S. hospital. His program takes a single ICU or critical care topic and reviews the anatomy and physiology, the etiology, and morbitiy and mortality associated with the problem. He also reviews the research surrounding the topic and the changes to current treatment guidelines. Check this one out!

EMS Live podcast is the granddaddy of EMS and medical podcasting. John Bignell looks at a variety of emergency medical topics in this informative and innovative show. Currently on hiatus, you can still find the back episodes at iTunes and I’m assured by John that the EMS Live microphones will be warming up with fresh episodes again soon!

I’ll wrap up by tooting my own horn a bit:

The MedicCast EMS podcast is a show that offers information on general medical treatment for emergency services providers at all levels. The show covers common medical emergencies seen in the field as well as meds and procedure reviews. My first podcast and the longest running regularly produced EMS podcast out there!

The Nursing Show podcast for nurses, nursing students, and nurse educators lives here on the Nursing Show blog. If you stumbled onto this page but haven’t listened to the show, click the play button and decide for yourself.

The MedicCast News podcast is a weekly review of some of the news items that pop up mid-week between my other podcasts. Each show is only 6 minutes long and is a quick look at some interesting medical news for you without taking up too much of your time. This is hosted over at the Podcaster News Network.

Welcome to Episode 32

The Nursing Show is a proud member of the Blubrry Podcast Network.

Right Click to download (Macs Option Click)

Subscribe with iTunes here (must have iTunes installed — it’s free)

RSS Feed to subscribe (copy url to Juice, Zune Marketplace, or your favorite podcatcher)

Click the arrow to play the Nursing Show

A podcast for Nurses, Nursing Students, and others interested in what it takes to be a Nurse

—————————-

Sponsors

Get 10% off Pepid’s portable nursing solutions

Nursing Show Listener Deals –

Save 50% off first month of Blockbuster Total Access (visit MyMovieSavings.com)

———————————–

News–

Hospitals Spreading “Superbug”

Chief Nursing Officer Gives Nurses Political Voice

New Vaccine Means Less Shots

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Tip of the Week — Fall Prevention

Joint Commission Article PDF

NIH Medline on Falls

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Don’t miss an episode! Get the Nursing Show Newsletter by email. Fill out the email form in the right hand column of the site. Get it now!

Comment or share ideas here on the comment link below or by email:

Comment@NursingShow.com

Other Podcasts from Jamie Davis:

• The MedicCast (for EMTs, Paramedics, EMS field work)
• MedicCast News (Weekly short medical news program)
• MedicCast Live (Monthly live call-in show with a single EMS topic)
  
• Headliner News Roundup (Weekly single new item with facts and commentary)
  

Contact Me!

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Ingrid Michaelson with, “The Way That I Am”

Click here to check out other Songs from the MedicCast Network Podcasts at the iTunes Store.

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This work is licensed under a
Creative Commons Attribution-Noncommercial-No Derivative Works 3.0 United States License.

Listener Tim sent me this press release from the ANF (Australian Nursing Federation).

Nurses congratulate Rosemary Bryant on becoming Australia’s first Chief Nurse

The Australian Nursing Federation (ANF) today warmly welcomed Rosemary Bryant to the position of National Chief Nursing and Midwifery Officer.

Ged Kearney, ANF federal secretary said that the Australian government’s announcement of the appointment was great news for nurses.

“Throughout her extensive and significant career, Rosemary Bryant has worked to maintain and develop excellence in nursing. She is a great choice for the position, Australia’s nurses will benefit from this appointment.” Ms Kearney said.

The ANF looks forward to continuing their strong relationship with Rosemary, working together on issues that are vital to Australia’s nurses and the reform of health care.

“Nursing plays a role in so many of the Government’s programs it is essential there is a nursing representative at a senior level in government to provide input and ensure quality health care is accessible to all people and families.”

“It is also important for Australia to be officially represented in international nursing forums by their Chief Nursing and Midwifery Officer,” Ms Kearney said.

The ANF anticipates the appointment will facilitate greater nursing input to the current health reform process.

“Nurses have been lobbying strongly for health reform for many years,” Ms Kearney said. “Nurses comprise over 50% of the health workforce in Australia working across all sectors; the community, hospitals and aged care, so it is essential they are represented at a national level.”

The ANF warmly congratulates Rosemary Bryant on her appointment.

Welcome to Episode 31

The Nursing Show is a proud member of the Blubrry Podcast Network.

Right Click to download (Macs Option Click)

Subscribe with iTunes here (must have iTunes installed — it’s free)

RSS Feed to subscribe (copy url to Juice, Zune Marketplace, or your favorite podcatcher)

Click the arrow to play the Nursing Show

A podcast for Nurses, Nursing Students, and others interested in what it takes to be a Nurse

—————————-

Sponsors

Get 10% off Pepid’s portable nursing solutions

Nursing Show Listener Deals –

Save 50% off first month of Blockbuster Total Access (visit MyMovieSavings.com)

———————————–

Link From Listener Tim– Hydroflouric Acid Burns

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News–

Nursing Quality Measured by Compassion of Care

Neonatal Nurse Shortage

Nursing Faculty Troubled

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Tip of the Week — Pressure Ulcers

NIH Medline Links Page for Pressure Ulcers

NIH Medline Patient Info and Education Page

National Treatment Guidelines Study Link

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Don’t miss an episode! Get the Nursing Show Newsletter by email. Fill out the email form in the right hand column of the site. Get it now!

Comment or share ideas here on the comment link below or by email:

Comment@NursingShow.com

Other Podcasts from Jamie Davis:

• The MedicCast (for EMTs, Paramedics, EMS field work)
• MedicCast News (Weekly short medical news program)
• MedicCast Live (Monthly live call-in show with a single EMS topic)
  
• Headliner News Roundup (Weekly single new item with facts and commentary)
  

Contact Me!

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Podsafe music from the PMN — Jim’s Big Ego with — “Stress” at iTunes

Click here to check out other Songs from the MedicCast Network Podcasts at the iTunes Store.

————————————-

This work is licensed under a
Creative Commons Attribution-Noncommercial-No Derivative Works 3.0 United States License.

Welcome to Episode 30

The Nursing Show is a proud member of the Blubrry Podcast Network.

Right Click to download (Macs Option Click)

Subscribe with iTunes here (must have iTunes installed — it’s free)

RSS Feed to subscribe (copy url to Juice, Zune Marketplace, or your favorite podcatcher)

Click the arrow to play the Nursing Show

A podcast for Nurses, Nursing Students, and others interested in what it takes to be a Nurse

—————————-

Sponsors

Get 10% off Pepid’s portable nursing solutions

Nursing Show Listener Deals –

Save 50% off first month of Blockbuster Total Access (visit MyMovieSavings.com)

———————————–

News–

Night Nurses and Restorative Naps

Specialty Nurses Support Patients

Town Nurses

Uninsured and Underinsured Americans

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Tip of the Week — Poison Control Toxtidbit with Lisa Booze

Household Cleaner Poisonings

NIH Household Products Database

Children’s Hospital of Philadelphia on Household Poisonings

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Don’t miss an episode! Get the Nursing Show Newsletter by email. Fill out the email form in the right hand column of the site. Get it now!

Comment or share ideas here on the comment link below or by email:

Comment@NursingShow.com

Other Podcasts from Jamie Davis:

• The MedicCast (for EMTs, Paramedics, EMS field work)
• MedicCast News (Weekly short medical news program)
• MedicCast Live (Monthly live call-in show with a single EMS topic)
  
• Headliner News Roundup (Weekly single new item with facts and commentary)
  

Contact Me!

————————————————

Click here to check out other Songs from the MedicCast Network Podcasts at the iTunes Store.

————————————-

This work is licensed under a
Creative Commons Attribution-Noncommercial-No Derivative Works 3.0 United States License.