Saturday, March 17, 2012

March..... PARADIGM BYTES (cont'd)

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HUMOR SECTION

We all fail sometimes. But there's something about failing with style. Here are some of the best test paper blunders from the most clueless - and inventive - of students.

* Classical Studies *
Question: Name one of the early Romans' greatest achievements.
Answer: Learning to speak Latin

* Biology *
Question: What is a fibula?
Answer: A little lie

* Classical Studies *
Question: What were the circumstances of Julius Caesar's death?
Answer: Suspicious ones

* Biology *
Question: Give an example of a smoking-related disease
Answer: Early death

* Biology *
Question: What is a plasmid?
Answer: A high definition television

* Religious Studies *
Question: Christians only have one spouse, what is this called?
Answer: Monotony

* Physics *
Question: Name an environmental side effect of burning fossil fuels.
Answer: Fire

* Geography *
Question: What does the term "lava" mean?
Answer: A pre-pubescent caterpillar

* Geography *
Question: The race of people known as Malays come from which country?
Answer: Malaria

* Geography *
Question: Name one famous Greek landmark
Answer: The most famous Greek landmark is the Apocalypse

* History *
Question: Where was the American Declaration of Independence signed?
Answer: At the bottom.

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CEU SITES---(CME and CNE)
Those that are-----Free and Otherwise..........

Go to www.sharedgovernance.org for access to a just released, free continuing education module about shared governance, written by Robert Hess, Forum’s founder, and Diana Swihart, Forum advisory board member. Please follow me on Twitter as DrRobertHess.

Pay Only $34.99 for a full year of CONTACT HOURS

www.nurse.com for CNE offerings.

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

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

This site was sent in by FNPMSN@aol.com (Cindy) http://cmepain.com/ !

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WEBSITES/ LINKS
Always on the lookout for interesting websites / links. Please send them to me: RNFrankie@AOL.com.

This is an excellent nursing site, check it out: http://nursingpub.com/

An interesting website: http://www.uptodate.com/home/clinicians/index.html

Back issues of the ISMP newsletter are available at: http://www.ismp.org/Newsletters/nursing/backissues.asp.

Robert Hess, RN, PhD, FAAN (856) 424-4270 (610) 805-8635 (cell) Founder, Forum for Shared Governance
info@sharedgovernance.org www.sharedgovernance.org

Decubqueen's website: www.accu-ruler.com

Exclusive Access to Free Grocery Coupons
AARP members receive exclusive online access to hundreds of free printable grocery coupons from leading brands at the Grocery Coupon Center powered by Coupons.com.

http://www.thebreastcancersite.com/clickToGive/home.faces?siteId=2

http://www.nationalnurse3.blogspot.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

The Nursing Site http://thenursingsite.com .

http://www.thebreastcancersite.com/clickToGive/home.faces?siteId=2
http://www.snopes.com

http://www.solutionsoutsidethebox.net/ Raconte's website

http://www.theanimalrescuesite.com/clickToGive/home.faces?siteId=3
National Do Not Call Registry

If you're buying a used car, it is recommended having a mechanic inspect it first.
And screen the car's VIN through the free database at carfax.com/flood

This is a sampling of the offers on : Rozalfaro's website: http://www.alfaroteachsmart.com/articles.htm

Ten Great Public Health Achievements --- United States, 2001--2010
http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6019a5.htm?s_cid=mm6019a5_w


Metric conversion calculators and tables for metric conversions
http://www.metric-conversions.org/

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MEDICAL RECALLS
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Multaq (dronedarone): Drug Safety Communication - Increased Risk of Death or Serious Cardiovascular Events


FDA completed a safety review of Multaq (dronedarone). This review showed that Multaq increased the risk of serious cardiovascular events, including death, when used by patients in permanent atrial fibrillation (AF). The review was based on data from two clinical trials, PALLAS and ATHENA. FDA is providing new information and recommendations for the use of Multaq to manage the potential serious cardiovascular risks with the drug.
The Multaq drug label has been revised with the following changes and recommendations:

Healthcare professionals should not prescribe Multaq to patients with AF who cannot or will not be converted into normal sinus rhythm (permanent AF), because Multaq doubles the rate of cardiovascular death, stroke, and heart failure in such patients.
Healthcare professionals should monitor heart (cardiac) rhythm by electrocardiogram (ECG) at least once every 3 months. If the patient is in AF, Multaq should be stopped or, if clinically indicated, the patient should be cardioverted.
Multaq is indicated to reduce hospitalization for AF in patients in sinus rhythm with a history of non-permanent AF (known as paroxysmal or persistent AF)
Patients prescribed Multaq should receive appropriate antithrombotic therapy.

http://www.fda.gov/Safety/MedWatch/SafetyInformation/SafetyAlertsforHumanMedicalProducts/ucm264204.htm

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Recall of Prevnar13 Pneumococcal 13-valent Conjugate Vaccine

DATE RECALL INITIATED: February 10, 2012

PRODUCT / LOT NUMBER / EXPIRATION DATE:
Prevnar 13 Pneumococcal 13-valent Conjugate Vaccine 0.5mL pre-filled syringes

NDC #: 00005-1971-02
Lot #: F73652

Expiration Date: September 30, 2013
Pfizer Inc is recalling the above referenced lot of Prevnar 13 Pneumococcal 13-valent Conjugate Vaccine 0.5mL pre-filled syringes. Pfizer Inc voluntarily initiated this recall when it was determined the lot was formulated and filled with expired serotype 3 conjugate material. This recall is being conducted at the wholesale level.
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Flight Medical V24-00400-29 Cable for Newport HT50 Ventilator: Class I Recall – Cable May Cause an Electrical Shortage That can Cause Ventilators to Shutdown Unexpectedly
The recalled cable may cause an electrical shortage that can cause Newport HT50 ventilators manufactured prior to 2007 to shutdown unexpectedly.
The V24-00400-20 cable is an accessory intended to transfer the alarm signal from a Newport HT50 ventilator to a nurse station. The affected cables were distributed between April 25, 2007 and July 6, 2011. A total of 328 cables were distributed within the US. ...

http://www.fda.gov/Safety/MedWatch/SafetyInformation/SafetyAlertsforHumanMedicalProducts/ucm293753.htm
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Cardiac Science Powerheart, CardioVive, CardioLife; GE Responder and Responder Pro; and Nihon-Kohden Automated External Defibrillators (AEDs)
Affected Models: Powerheart 9300A, 9300E, 9300P, 9390A, and 9390E; CardioVive 92532, 92533; CardioLife 9200G and 9231; GE Responder and Responder Pro; and Nihon-Kohden AEDs

Reason for Recall: The affected AEDs contain a component that may fail unexpectedly due to a defect. If the component were to fail during a rescue attempt, the AED may not deliver defibrillation therapy causing serious adverse health consequences, including death. The unit’s self test may not detect the failure or impending failure of the component.
(Go to: http://www.cardiacscience.com/services-support/service-announcements-and-upgrades/aed210.php for further info)

http://www.fda.gov/MedicalDevices/Safety/RecallsCorrectionsRemovals/ListofRecalls/ucm294452.htm
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Bedford Laboratories™Issues Nationwide Voluntary Recall of Cytarabine for Injection, USP 1 Gram per Vial

Bedford Lboratories™ announces a nationwide voluntary recall for the following three lots of Cytarabine for Injection, USP:
Cytarabine for injection, USP 1 gram per viral - NDC #55390-133-01

Lot 2066986 - Exp. Date March 31, 2014
Lot 2111675 - Exp. Date April, 30, 2014
Lot 2131148 - Exp. Date May, 31, 2014

This voluntary market recall is being conducted due to a post-release investigation of the manufacturing area which determined a potential elevated risk of a lack of sterility assurance for these specific lots. To date, there have been no reports of any adverse events for the lots being recalled.
Cytarabine in combination with other approved anticancer drugs is indicated for remission induction in acute non-lymphocytic luekemia of adults and children. it has also been found useful in the treatment acute lymphocytic luekemia and the blast phase of chronic myelocytic luekemia. Intrathecal administration of cytarabine is indicated in the prophylaxis and treatment of meningeal luekemia.

http://www.fda.gov/Safety/Recalls/ucm293076.htm?source=govdelivery

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Smiths Medical Bivona Neonatal, Pediatric and Flextend Tracheostomy Tubes: Class 1 Recall - Inadvertent Dislodgement
FDA notified healthcare professionals and medical care organizations about the Class 1 recall of certain lots of these tracheostomy tubes. Difficulty arising from disconnecting accessories from the connectors of the affected tubes may result in excessive force to detach the accessory and the tracheostomy tube may dislodge from the patient. This could lead to serious patient injury or death, especially if no replacement tube is immediately available.
BACKGROUND: The Bivona Pediatric, Neonatal and Flextend tracheostomy tube is intended to provide direct airway access for a tracheostomized patient for up to 29 days. This product is used in health care facilities and home care environment. Lot Numbers 1631477 through 1923406 are being recalled. The recalled products were manufactured from August 29, 2009 to January 29, 2011. ...

http://www.fda.gov/MedicalDevices/Safety/RecallsCorrectionsRemovals/ListofRecalls/ucm293062.htm

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Norgestimate and Ethinyl Estradiol Tablets: Recall - Packaging Error, Potential for Incorrect Dosing Regimen

Glenmark Generics Inc. issued a nationwide, consumer-level recall of seven (7) lots of Norgestimate and Ethinyl Estradiol Tablets USP (0.18 mg/0.035 mg, 0.215 mg/0.035 mg, 0.25 mg/0.035 mg), because of a packaging error where select blisters were rotated 180 degrees within the card, reversing the weekly tablet orientation and making the lot number and expiry date visible only on the outer pouch. As a result of this packaging error, the daily regimen for these oral contraceptives may be incorrect and could leave women without adequate contraception, and at risk for unintended pregnancy. http://www.fda.gov/Safety/MedWatch/SafetyInformation/SafetyAlertsforHumanMedicalProducts/ucm293385.htm
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Cytarabine for Injection, 1 gm/vial [Bedford Labs]: Recall: Risk of Lack of Sterility
Bedford Laboratories announced a nationwide recall of three lots of cytarabine for injection—2066986, 2111675, and 2131148—because vials have a potential risk of a lack of sterility. The risk was determined from a post-release investigation of the manufacturing area.

BACKGROUND: Cytarabine in combination with other approved anticancer drugs is indicated for remission induction in acute non-lymphocytic leukemia of adults and children. It has also been found useful in the treatment of acute lymphocytic leukemia and the blast phase of chronic myelocytic leukemia. Intrathecal administration of cytarabine is indicated in the prophylaxis and treatment of meningeal leukemia.

http://www.fda.gov/Safety/MedWatch/SafetyInformation/SafetyAlertsforHumanMedicalProducts/ucm293132.htm
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Phenylephrine HCl Injection, USP, 1% 5 mL Vial, (Lot# 0693) recalled.

ISSUE: Recall initiated because some vials exhibit translucent visible particles consistent with glass delamination. Potential adverse events after intravenous administration include damage to blood vessels in the lung, localized swelling, and granuloma formation.
BACKGROUND: Glass delamination can occur with high pH solutions when the surface glass from the vial separates into thin layers, resulting in glass particles with a flaky appearance.

http://www.fda.gov/Safety/MedWatch/SafetyInformation/SafetyAlertsforHumanMedicalProducts/ucm242365.htm
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NURSING HINTS CORNER

The drainage collection devices used after surgery can irritate your patient's skin when they are taped on and changed often. To avoid the discomfort of tape, take a 6" piece of stockinette and seal one end to form a bag. Then insert the collection device into the new bag. Attach the bag to the patient's dressing, or else make a gauze belt (can use a large stockinette) to hold the bag in place.
Because the bag stays in place without tape, you can change the collection devices whenever necessary and without any worry about hurting your patient. Louise Sweeten, RN.

Used with permission from 1,001 Nursing Tips & Timesavers, Third Edition, 1997, p.149, Springhouse Corporation/www.springnetcom. ;

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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.Visit us at http://www.accu-ruler.com/.

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NEW MEMBERS
Please send the prospective members' screen names and first names to me: RNFrankie@AOL.com

WELCOME TO:

dcooper@centralia.edu (Debi) February 10, 2012

ernsmith@valdosta.edu (Ernest) February 17, 2012

janetn.dyer@att.net (Janet) February 18, 2012

reneedavis@chancydrugs.com (Renee) February 18, 2012

jean_folarin@yahoo.com (Jean) February 19, 2012

Summertime_66_2000@yahoo.com (Summer) March 14, 2012

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NOTICE:
I attempt to send newsletters to your 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. So please send me your new name/address, okay? RNFrankie@AOL.com


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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)


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PARADIGM 97 CO-FOUNDERS:
MarGerlach @AOL.com (Marlene) and RNFrankie @AOL.com (Frankie)

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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.

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THOUGHT FOR THE DAY

Consider how hard it is to change yourself and you'll understand
what little chance you have in trying to change others.


--Benjamin Franklin
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A bank is a place where they lend you an umbrella in fair weather and ask for it back when it begins to rain.
--Robert Frost


Why not send me an e-mail ? Would love to hear from you !
..... Frankie / Frances

RNFrankie@AOL.com

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