Sunday, February 8, 2009

Paradigm Bytes


PARADIGM BYTES
Newsletter for Paradigm 97
February 8, 2009

PARADIGM DEFINED:1) an outstandingly clear or typical example or archetype.2) a philosophical and theoretical framework of a scientific school or discipline within which theories, laws, and generalizations, and the experiments performed in support of them, are formulated.
MISSION STATEMENT
We believe that nurses need each other for support during the "lean and mean" days to help survive them. We offer research results and other ideas to enrich the nursing experience.

~~**~~**~~**~~**~~**~~
SNIPPETS

The ANA has this as Nurses Bill of Rights:
1. Nurses have the right to practice in a manner that fulfills their obligations to society and to those who receive nursing care.
2. Nurses have the right to practice in environments that allow them to act in accordance with professional standards and legally authorized scopes of practice.
3. Nurses have the right to a work environment that supports and facilitates ethical practice, in accordance with the Code of Ethics for Nurses and its interpretive statements.
4. Nurses have the right to freely and openly advocate for themselves and their patients, without fear of retribution.
5. Nurses have the right to fair compensation for their work, consistent with their knowledge, experience and professional responsibilities.
6. Nurses have the right to a work environment that is safe for themselves and their patients.
7. Nurses have the right to negotiate the conditions of their employment, either as individuals or collectively, in all practice settings.
Another web site (non ANA) added these as an adjunct:
A few they forgot:
8. Nurses have the right not to be abused in any form by physicians, pharmacists, administrators or nursing directors. Any abuse that occurs should be delt with in a professional and inpartial manner by the nurse's employer.
9. Nurses have the right not to be exploited and abused by being floated to areas of practice that they are not familiar with.
10. Nurses have the right to refuse any assignment that they feel is unsafe. Such as when a nurse is assigned a patient load he/she feels is unsafe. A nurse is assigned to work in an area of nursing in which he/she is not familiar. A nurse knows that equipment/supplies are inadequate or not available.
~~**~~**~~**~~**~~**~~
FROM THE MEMBERS

ExceptionalNurse.com is pleased to offer a calendar for 2009. Each month showcases a nurse or nursing student with a disability. You can preview the calendar on the home page of ExceptionalNurse.com.

If you are creative, crafty or financially challenged... you can download the pdf and make one for your office or you can purchase a hard copy of the calendar for $20.00 plus shipping and handling. Payment can be made through Amazon.com on ExceptionalNurse.com.

Proceeds of the sale of the calendar will benefit the Exceptional Nurse scholarship fund for nursing students with disabilities. Thanks in advance for your support....and feel free to share!

Have a great year, Donna Maheady

**********************

The following was sent in by MarGerlach (Marlene) relating to the article about venipuncture safety in the January Paradigm Bytes Newsletter. She writes::

" I can surely relate to this. When I had my colon resection in 1993, I did fine, although was hospitalized 9 days back then. I was home a few days, developed an ileus and had to go back in for 3 more days. My sister-in-law drove me back to the hospital that morning and in the ER a nurse started an IV in my radial nerve area, just above my right wrist. WOW! I about jumped off the cart. I had an electric shock to beat them all, all the way up to my shoulder. I shouted, ""take it out, take it out!" and she did, immediately, I apologized for my reaction, I was a bit embarrassed, but it was soooo terribly intense. She felt bad, proceeded to go in at another area and I was fine. But that was a horrendous experience, worse than you would think just talking about it. That taught me to be very careful if using that site for starting an IV after that".
*************************
Please note the following message from Sandy Summers........ use this link to order the "Saving Lives" book.. http://www.truthaboutnursing.org

The Center for Nursing Advocacy announces the publication (2/3/09) of Sandy's new book: "Saving Lives: Why the Media's Portrayal of Nurses Puts Us All at Risk". With striking examples and an irreverent style, the book explores nursing stereotypes from TV shows to the news media, and it explains how these images affect real-life decisions about nursing. The book also offers a comprehensive plan to help everyone improve nurses' image--and public health. Saving Lives has already won high praise from many leaders in nursing and the media. Order your copy of Saving Lives from the Center now! For each copy you order from us, your donation will allow us to send an additional copy of the book to an influential member of the media who needs to know what Saving Lives shows: how many media products damage public understanding of nursing.
~~**~~**~~**~~**~~**~~**~~**~~
INTERESTING READING

Please remember that the REUTERS articles are usually good for 30 days.

Do Shoes Matter? A story of shoes in the Neonatal intensive Care Unit... Faced with an increase in foot-related absences and complaints of foot pain by staff, a nurse manager sought help from the nursing research department staff to help find answers to this problem. The authors discuss how replacing the shoes that the nurses wore to a walker-style shoe was able to improve not only the foot pain but also the unit's health as well.... http://www.jonajournal.com/pt/re/jona/abstract.00005110-200901000-00001.htm;jsessionid=JTGFBVYfzy1nFZQr31fyPzVfKXhJhDwftfCdm2GCTP31Q7tpgkJV!1321082991!181195629!8091!-1
*******************************************

(Reuters 1/8) - The craze for touch-screen gadgets, sparked by Apple Inc's popular iPhone, is raising worries that a whole generation of consumer electronics will be out of the reach of the blind. Motown icon Stevie Wonder and other advocates came to the world's biggest gadget fest, the annual Consumer Electronics Show in Las Vegas this week, to convince vendors to consider the needs of the blind... http://www.reuters.com/article/healthNews/idUSTRE5080T320090109?feedType=nl&feedName=ushealth1100
*************************
RANDOM FACT... There are more than 10 million bricks in the Empire State Building!
*****************

Feeling Like a Nurse: A Study Purpose: To explore the essential meaning of being a nurse. Design: Nine registered nurses were each asked to write a story of a time when they felt like a nurse. Analysis was informed by Heideggerian hermeneutic philosophy, seeking to reveal the phenomenon of "feeling like a nurse." http://jhn.sagepub.com/cgi/content/abstract/26/4/243
**************************
Postnatal depression can be treated, prevented: studies Many women struggling with the post-baby blues may expect only a hug or a couple of pills, but in new studies published on Friday, doctors say counselling can not only treat this risky condition but prevent it, too.... http://news.yahoo.com/s/afp/20090116/hl_afp/healthdiseasementaldepressionpostnatal
**********************
RANDOM FACT... There are 18 different animal shapes in the Animal Crackers cookie zoo!
****************
A routine childhood vaccine used to prevent several common types of infections has helped cut the rate of a deadly form of meningitis by 30 percent in children and adults, U.S. researchers said on Wednesday, suggesting even the unvaccinated are benefiting from the shot. They said the vaccine Prevnar made by Wyeth significantly reduced cases of meningitis caused by pneumococcal bacteria strains covered by the vaccine.... http://www.reuters.com/article/healthNews/idUSTRE50D7XI20090114?feedType=nl&feedName=ushealth1100 (Reuters 1/14) -
*********************
A new device may help doctors decide the best way to use artery-clearing stents, reducing serious risks and unnecessary followup procedures by 28 percent, U.S. researchers said on Wednesday.... (Reuters 1/14) http://www.reuters.com/article/healthNews/idUSTRE50E04V20090115?feedType=nl&feedName=ushealth1100
***********************
A study of more than 1 million Danish women found severe stress can raise the risk of premature delivery in a subsequent pregnancy. Researchers say women who become pregnant within six months of experiencing the death or serious illness of a loved were 16% more likely to have a preterm birth. If the stress involved one of their children, the odds of preterm delivery increased by 23%.... (Reuters (12/17) http://www.reuters.com/article/healthNews/idUSTRE4BG5JJ20081217

******************
RANDOM FACT... A Boeing 747 airliner holds 57,285 gallons of fuel!
***************
Scientists find way to remove lead from blood... - South Korean scientists may have found a way to remove dangerous heavy metals such as lead from blood by using specially designed magnetic receptors.
http://www.reuters.com/article/healthNews/idUSTRE50F3D120090116?feedType=nl&feedName=ushealth1100
HONG KONG (Reuters 1/16)
**************************
I truly believe it is up to nurses to really educate diabetics no matter how long they have had diabetes. So many of them have severe holes in their knowledge (one guy had been a diabetic for 30 years.......and knew next to nothing about his disease despite amputations) !

Diabetes in 2007 cost the U.S. $218 billion in direct medical care and indirect costs, such as lost productivity, according to a report released on Tuesday, the AP/Raleigh News & Observer reports. ...
http://www.kaisernetwork.org/daily_reports/rep_hpolicy_recent_rep.cfm?dr_cat=3&show=yes&dr_DateTime=18-Nov-08#55620
********************
A simple checklist can save billions for hospitals Scrawl on the patient with a permanent marker to show where the surgeon should cut. Ask the person's name to make sure you have the right patient. Count sponges to make sure you didn't leave any inside the body. (as all nurses must do)--- Doctors worldwide who followed a checklist of steps like these cut the death rate from surgery almost in half ... http://www.msnbc.msn.com/id/28662096/ (duh)
*************************
RANDOM FACT... Babe Ruth wore a cabbage leaf under his cap to keep him cool! He changed it every 2 innings!
***************
Two Keys to Eating Better: Getting more goodness into your meals could be as easy as these two steps: Plan ahead, and eat at the dinner table....
http://www.realage.com/ct/eat-smart/food-and-nutrition/tip/7916
**************************
Women's Death Rate Higher from Severe Heart Attack: Undertreatment at the hospital may be a contributing cause, study suggests Women who suffer the most severe form of heart attack are twice as likely as men to die in the hospital, a new study finds.... http://www.nursingknowledge.org/Portal/main.aspx?PageId=56&channelid=2&ContentID=91266%20%20&utm_source=medsurg[11709]&utm_medium=email&utm_campaign=SpecialtyNewsletters
**********************
Nurses treat the Triad The trauma triad of death has a lot in common with the Bermuda Triangle: Once you get caught within its vortex, your chances of rescue and survival are bleak....
http://include.nurse.com/article/20090112/NATIONAL02/101120091/
***********************
RANDOM FACT... The reason firehouses have circular stairways is from the days of yore when the engines were pulled by horses. The horses were stabled on the ground floor and figured out how to walk up straight staircases. **************
Horray for Hollywood ! ...past images of fictional nurses in film might be viewed as a public relations disaster for the profession. But new evidence is offering a glimmer of hope for improving the often stereotypical and inaccurate images of nurses that have long been portrayed on TV and the silver screen... http://include.nurse.com/article/20090112/NATIONAL02/101120088
***************************
Nursing Innovations: ... Cases in Point In fact, nurses can already point to dozens of remarkably effective initiatives they’ve spearheaded to improve the quality and, concomitantly, the scope, equity, efficiency and economy of American health care. Consider these nurse-driven programs and their results: http://www.hhnmag.com/hhnmag_app/jsp/articledisplay.jsp?dcrpath=HHNMAG/Article/data/01JAN2009/090113HHN_Online_Weber&domain=HHNMAG
**************************
RANDOM FACT... There are 40,000 New York City cab drivers, who
collectively drive more than a million miles each day ****************
I'm including this because I found two large charges on my Chase Account that had appeared-- and they were not charges by me ! Don't Forget To Check Your Bills Make sure you check over all of your bills in case you are overcharged or billed for something you weren't suppose to be billed for.
*****************
RANDOM FACT: Did you know that a snail only has one foot? A snail moves with a series of muscular contractions like waves that pass along the bottom of the foot. To help it to move, the snail produces a trail of slime from a gland under its mouth. You can often see these slime trails on paths, plant pots and even on windows.
**************************
FDA: Peanut processor knew of salmonella problem The Peanut Corp. of America, linked to the salmonella outbreak that has sickened hundreds and killed as many as eight, found salmonella in internal tests 12 times in 2007 and 2008 but sold the products anyway, according to the FDA. Federal inves-tigators also announced they had found four strains of salmonella at the facility. The Washington Post
******************************
Thanks to MarGerlach (Marlene) for this one:
Cutting Edge medicine: News segment highlighting cell regeneration and the future of growing organs and This video describes the advancements in use of cord blood stem cells as a ...
http://www.youtube.com/results?search_type=&search_query=regenerative+medicine&aq=f
***********************************
Feel Stronger with this Mineral Been feeling like a wet dishrag lately? Could be you’re low on magnesium. Magnesium is a multitasking mineral, and one of its jobs is to power up our muscles. Unfortunately, many of us don’t get enough of it -- especially as we get older. Adequate magnesium intake is (400 to 500 milligrams per day)... http://www.realage.com/ct/tips/7964
***********************
Internal and External Urinary Catheters: A Primer for Clinical Practice Internal and external urinary catheters are used to manage urinary incontinence and incomplete bladder emptying. Bladder dysfunction cause determines whether short- or long-term catheter use is required which, in turn, deter-mines whether an indwelling, intermittent, or external catheter should be used. The method of catheterization is based on the underlying bladder condition, the goals of treatment, and gender appro-priateness... http://www.o-wm.com/content/internal-and-external-urinary-catheters-a-primer-clinical-practice

~~**~~**~~**~~**~~**~~ HUMOR SECTION
Question of the day:


"How many files can my laptop hold before it gets too heavy for me to carry?"
~~**~~**~~**~~**~~**~~

CEU SITES---(CME and CNE)
Those that are-----Free and Otherwise.........IF you have a favorite CEU/CME site, please share !
Send your links to me: RNFrankie@AOL.com

Free CEs http://www.myfreece.com/welcome.asp

https://nursing.advanceweb.com/CE/TestCenter/Main.aspx

Can either pay $8 / course OR pay $26.99 for a year for all the CE courses you want to take
.
www.nurse.com Pay Only $34.99 for a full year of CONTACT HOURS .
^^^^^^^^
For a Healthy Environment, Nurses and Hospi… CE489
Pulseless Electrical Activity: Where is the… CE497
Critical Blood Loss Demands Fluid Resuscita… CE490
Aspiration: Preventing a Deadly Complicatio… CE491
http://www.nurse.com
~~**~~**~~**~~**~~**~~
WEBSITES/ LINKS
Always on the lookout for interesting websites / links.
Please send them to:RNFrankie@AOL.com.

RNs launch a national safe staffing campaign http://www.1199seiu.org/media/magazine/sept_2007/safe_staffing.cfm

H.R. 2123, The Nurse Staffing Standards for Patient Safety and Quality Care Act of 2007
http://www.washingtonwatch.com/bills/show/110_HR_2123.html

Board Supports Your Right to Refuse An Unsafe Assignment: Nurse Practice Act cites three conditions for patient abandonment http://findarticles.com/p/articles/mi_qa4102/is_200408/ai_n9450263

Click here: Dismantling the Arguments of the Hospital Industry Against a Minimum Safe Standard of Care

These were sent in by BAcello (Barbara):
QIS Surveyor Training Manual http://www.aging.state.ks.us/Manuals/QISManual.htm Resident Functional Capacity Screen Manualhttp://www.agingkansas.org/ProviderInfo/forms/RFCSManualJuly08.pdf Resident Functional Capacity Screen Formhttp://www.agingkansas.org/ProviderInfo/forms/ResidentFunctionalCapacityScreen.pdf Restorative and peer-shared tools for ADLs
Any time you want to check a rumor ... this is the link:
http://www.snopes.com/

This is fun! See if you can place the state:
http://www.sheppardsoftware.com/states_experiment_drag-drop_Intermed_State15s_500.html

This site has passed the Snopes.com test
http://www.theanimalrescuesite.com/clickToGive/home.faces?siteId=3

*******************************************************
********************************************
*
MEDICAL RECALLS
*
*******************************************
******************************************************
Innohep (tinzaparin sodium injection) Celgene has issued a ... notice suggesting that Innohep may increase the risk for death, compared to unfractionated heparin when used to treat elderly patients with renal insufficiency. It recommended consideration of alternatives to Innohep when treating these patients for deep vein thrombosis with or without pulmonary embolism. http://www.fda.gov/medwatch/safety/2008/safety08.htm#Innohep
****************
FDA issued a public health advisory about potentially serious hazards of using topical anesthetics, for relieving pain from mammography and other medical tests and conditions. FDA is concerned about the potential for these products to cause serious, life-threatening adverse effects, such as irregular heartbeat, seizures, breathing difficulties, coma and even death, when applied to a large area of skin or when the area of application is covered. ... http://www.fda.gov/medwatch/safety/2009/safety09.htm#Anesthetics
********************
FDA notified consumers not to take Venom HYPERDRIVE 3.0, a product sold as a dietary supplement but containing sibutramine, an undeclared drug product and a controlled substance with risks for abuse or addiction. http://www.fda.gov/medwatch/safety/2009/safety09.htm#Venom
*****************************
ETHEX Corporation has expanded two previous 2008 recalls to include over 60 generic drug products recalled to wholesalers, and two generic drug products, Hydromorphone HCl and Metoprolol Succinate, recalled to retailer level. These generic products may have been manufactured under conditions that did not sufficiently comply with current Good Manufacturing Practices. Some of these products have had specific lots recalled ... http://www.fda.gov/medwatch/safety/2009/safety09.htm#Ethex

~~**~~**~~**~~**~~**~~
NURSING HINTS CORNER
A Clear Chaser: To hasten vomiting after administering a dose of ipecac syrup, offer the patient a clear soft drink such as ginger ale or 7-Up. The soft drink is more palatable than the warm water that is usually given, and the carbonation makes the patient feel full. A word of caution, though: The soft drink produces results quickly-- so be prepared ! Grace Redheffer, RN, BSN
Used with permission from 1,001 Nursing Tips & Timesavers, Third Edition, 1997, p. 51, Springhouse Corporation/www.springnetcom.
~~**~~**~~**~~**~~**~~
ADVERTISEMENTS
from the members

This ad is from Decubqueen (Gerry)..........Accu-RulerAccurate wound measurement designed by nurses, for nurses. Now carrying wound care and first-aid supplies at prices you can afford. By using the following code: Paradigm10 , you will get 10% off of their first order. ( I have ordered through Gerry...and it was a very satisfactory deal. )
Visit us at http://www.accu-ruler.com/.
~~**~~**~~**~~**~~**~~
NEW MEMBERS
No new members this issuePlease send the prospective members' screen names and first names to me: RNFrankie@AOL.com~~**~~**~~**~~**~~**~~
NOTICE:
I attempt to send newsletters to your current email addresses on file and if the newsletters are rejected THREE consecutive times, I must then delete the email address until you contact me with an updated email address; I have no way to reach you without a correct email address....You could always send me your Home number.......lol So please send me your new name/address, ok? RNFrankie@AOL.com
NEW ADDRESS:

mle1675@gmail.com (Mary)

OLD: ssummers@nursingadvocacy.org NEW: ssummers@truthaboutnursing.org (Sandy)

~~**~~**~~**~~**~~**~~

EDITORIAL STAFF:
GingerMyst @AOL.com (Anne), GALLO RN @AOL.com (Sue), HSears9868 @AOL.com (Bonnie), Laregis @AOL.com (Laura), Mrwrn @AOL.com (Miriam), and Schulthe @AOL.com (Susan)
~~**~~**~~**~~**~~**~~
PARADIGM 97 CO-FOUNDERS:
MarGerlach @AOL.com (Marlene) and RNFrankie @AOL.com (Frankie) ~~**~~**~~**~~**~~**~~
DISCLAIMER: The intent of this PARADIGM BYTES Newsletter is to provide communication and information for our members. Please research the hyperlinks and information provided by our members. The articles and web sites are not personally endorsed by the editors, nor do the articles necessarily reflect the staff's views.~~**~~**~~**~~**~~**~~
THOUGHT FOR THE DAY

"Until we stop harming all other living things, we are still savages."
Thomas A. Edison (1847-1931)

and, from Gingermax (Sandy), this quote:

Some people speak from experience;
others, from experience, don't speak.

Anonymous




Hope to see you online..... Frankie

RNFrankie@AOL.com