Archive for January, 2008

Distance Education and Nursing Degrees

January 23rd, 2008 by admin

caring-for-husband.jpgDistance education gives all nurses an opportunity to advance their careers and educational levels. It provides for flexible scheduling, allows a user controlled pace, and may help fill the rising number of RN vacancies by allowing existing LPNs to advance to RN without impacting families or jobs.

I found an article that speaks to this last. The article out of Clearwater, Florida, talks about how distance education helped an LPN with more than 20 years of experience achieve her degree as an RN and put those years of experience back to work in the health care field rather than having her retire from health care work.

Earlier in the week, I posted about a study on job and career satisfaction among nurses with Associates Degrees versus Bachelors Degrees. Read more on that here.

However, while this study found that most BSN holders had higher job and career satisfaction, I believe that in cases like this, the person with existing medical experience who advances on to a nursing degree (even a two year degree), will have a higher level of satisfaction with their new position than others with a similar degree and no prior experience.

Category: education | No Comments »

Administering IV Drugs

January 22nd, 2008 by admin

I found this online article that reviews many so called “High Alert” drugs and their safe administration practices. If you haven’t reviewed this in your practice for a while, you might want to check it out.

You can visit the page here.

The list of drugs covered includes:

  • Potassium
  • Heparin
  • Dopamine
  • Theophylline
  • Insulin

Unless periodic review is already part of your regular routine, you could probably use a quick refresher. Check back here at the Nursing Show site regularly and we’ll make sure you stay up to date on nursing news and links to review articles like this one.

Category: medications | No Comments »

Heparin, Coumadin, and Episode 5

January 21st, 2008 by admin

Welcome to Episode 5

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News:

Nurses Take Stand on Managed Care Shortfalls

Birthplace of Rubber Gloves Switches to Latex Free Gloves

Nurses in New Orleans Build Clinic in Home

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Tip/Trick of the Week — Heparin and Coumadin Administration

Heparin at NIH Medline

Warfarin at NIH Medline

Journal References

Palatnik, A. (2007). Putting a stop to thrombi. Nursing, 37(fall supplement), 2-4,6.

Joint Commission Patient Safety Guidelines pdf

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Finding the Sun

Finding the Sun

Crystal City

Diamond D Records

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Education and Job Satisfaction in Nursing

January 21st, 2008 by admin

girlatcomputer.jpgI found an article relating the level of nursing education to the level of job satisfaction and job retention among the nursing profession. The article looks at four nurse educators who recently won an award for writing a journal article back in 2005.

It was published in Sigma Theta Tau’s Journal of Nursing Scholarship under the title “Education as a Determinant of Career Retention and Job Satisfaction Among Registered Nurses.” The study compared RNs from Associates Degree programs to 4 year BSN programs, looking at their overall job satisfaction and their career retention. The conclusion of the article was that students graduating from a BSN program were more likely to be happy in their jobs and to stay in the nursing career field.

Check it out for yourself and let me know what your impressions are. You can comment using the link below or send me an email here at the Nursing Show at comments@nursingshow.com.

Category: education | 1 Comment »

MRSA Update

January 21st, 2008 by admin

med_draw_sm.jpgA new twist on the drug resistant staph infection front has surfaced.  Reports from health officials in San Francisco and Boston are stating that MRSA infections have been reported in the gay community and may have been passed during sexual contact.  The new findings were initially reported by researchers at the University of California, San Francisco.

Since transmission may occur surface to surface, wearing a condom or other tradtional STD prevention methods may not be effective at preventing spread of the infection.  This non-traditional STD is 13 times more likely to appear in a population of gay men than in the heterosexual population.

Prevention and protection are still the best ways to stop the spread of MRSA, even in cases involving transmission during sexual contact.  Thorough washing of the hands and genitals with warm, soapy water prior to sexual contact will help prevent transmission.

This rise in MRSA infection rates accompanies an increase in HIV infection, Syphilis, Rectal Gonorrhea, and other STDs has been noted and may be due to changes in beliefs about severity of these diseases or about the effectiveness of treatment.  These belief changes, though false, could be leading to participation in risky sexual behaviors.

Education is the key.  Nurses should be aware of the risks involved in certain communities of their patients and evaluate a person’s understanding of the risks involved and how he can prevent acquiring or transmitting these diseases, including MRSA.

You can find out more about MRSA infections and prevention here at the CDC site

Category: treatments | No Comments »

CBC Blood Panel and Episode 4

January 20th, 2008 by admin

Welcome to Episode 4

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

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News:

Nurse Practioners Help Make MDs Money

Reduced Fall Study in Nursing Homes

Call for Infection Nurse Specialist

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Tip/Trick of the Week — CBC Blood Panel Review

NIH Medline CBC Page

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Music from The Podsafe Music Network this week “Hear Me” by Caitlyn Smith

Check out Caitlyn Here Let her know that you heard it here on the MedicCast!

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Caitlyn Smith

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Drug Companies May Be a Bit Greedy

January 17th, 2008 by admin

EMSSyringeDraw.jpgI get a bit annoyed when I hear people talk about how there’s too much government regulation and how it stifles business or stops innovation in the free market. This week seems to give a voice to my annoyance.

Here’s the story over at WebMD.

At a time when the administration seems almost maniacally pro-business, we have yet another cautionary tale about decreased regulation and its long term effects. While the reach of the EPA (Environmental Protection Agency) and the clean air act is throttled from action, while the accounting oversight reach of the SEC (Securities and Exchange Commission) failed to stop Enron, and while the FCC (Federal Communications Commission) seems to think that less competition is good in the formation of a free press and media, we have a major breakdown in the drug approval and review process.

The FDA’s (Food and Drug Administration’s) streamlined drug approval process seems to have a few billionaire-helping holes in it under current guidelines.

It seems that drug manufacturers can produce a new drug, present the limited initial trials to the agency as proof of effectiveness and then sit on subsequent follow-up trials with less than stellar results for almost 2 years while doctors write prescriptions based on a drug profile that isn’t true.

Only when a U.S. Congressional investigation is started do the two companies (Merck and Schering-Plough) pony up the report that seems to say that their combined drug Vitorin doesn’t seem to work any better than the generic single Statin drug Simvastatin (brand name Zocor). They combined two drugs (Zetia and Simvastatin) that were available as generics and cutting into their profits and by combining the two, produced a new patent that they could release as a new cholesterol drug with exclusive pricing and seemingly better benefits.

One report says that since the FDA approval 2 years ago that as many as 80,000 prescriptions per week were written for this drug under the assumption that the patient would receive greater benefit to their health in exchange for the greater cost in price. Now we find out that they could have taken the generic statins for pennies on the dollar less and been just fine. Since many of these patients are on Medicare, these two companies may have defrauded the American public or the patients themselves out of billions of dollars in money for meds they need regularly.

Want to know the kicker? Carrie Smith Cox, Schering-Plough’s president, made $28 million in stock sales (900,000 shares) just before the unfavorable results were released. This according to a report from CBS News. I hold little hope that there will be any real reaction to this from our representatives in Congress. Both companies pay a lot of money to make friends among both Democrats and Republicans.

There is an election coming up folks. I don’t get political beyond expressing distaste for certain decisions from time to time, but don’t mistake that for complacency. One of the biggest mistakes you can make is to assume that your vote doesn’t count. I don’t care if you vote for the same people that I do, as long as you take the time to participate in the decision.

We are at one of those points in time where we get to determine the direction of our government for the next few years. Get registered to vote, find out how to send in an absentee ballot if you think you’ll have to work, and HAVE YOUR SAY!

Jamie, the Podmedic

Category: medications | No Comments »

New Educational Grants and Programs

January 16th, 2008 by admin

iv_bag_push_sm.jpgIn response to the continuing shortage of nurses and nurse educators, Indiana University of Pennsylvania has received approval to offer a doctoral program for nurse educators.

According to the article at the Pittburgh Tribune-Review site, this and other new programs are in direct response to a recent national report on the projected shortage of nurses as the average age of nurses continues to increase.

That report says that more than 30,000 qualified applicants for nursing programs were turned away because of a shortage of qualified instructors. It also says that institutions must continue to ramp up educational efforts in order to deal with the pending mass retirement of a significant portion of the nursing workforce.

Category: education | No Comments »

Kids Coping With Cancer in the Family

January 16th, 2008 by admin

familywalk_sm.jpgI found an article that looks at the reactions of children when there is a serious illness in the family, especially when that illness occurs in a sibling. It looks at a new program at Nationwide Children’s Hospital that deals with helping the siblings of cancer patients along with their adjustment to having a sick brother or sister.

They teach things like using good coping mechanisms to deal with stress and anxiety. Working on communication with caregivers and other family members is also stressed in order to help a family in crisis understand that they are all coping together.

I like seeing articles like this since I think that our patient care doesn’t end with the patient. Understanding stressors related to the family environment, relationships, and poor communication skills can go a long way towards helping us provide care in a way that supports the patient and the network of support behind them that will care for them when we are gone.

Category: pediatrics | No Comments »

Blood Product Infusion and Episode 3

January 15th, 2008 by admin

Welcome to Episode 3

ProMedNetwork.comThe Nursing Show is a proud member of the ProMed Podcast Network.

podcastdownload.jpg Right Click to download (Macs Option Click)

itunesnew.jpg 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)

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

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MedicCast Listener Deals at GoDaddy.com

  • Code BLU27 gets you 10% off your order at checkout

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Try them out and get your piece of the internet at GoDaddy.com!

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News:

A Look at Father / Son Avian Flu Transmission

A New Vaccine vs Autism Study

High Marks for Reducing Medication Errors

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Tip/Trick of the Week — Blood Product Infusions

Blood Product Info at Merck Medical Manuals Site

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

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Other Podcasts from Jamie Davis:

Contact Me!

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Music from the band Brakelazy — with “Tricks

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

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Creative Commons License

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

Category: podcasts | No Comments »