Newsletter for Paradigm 97
April 10, 2012
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.
Our website...... http://paradigm97.blogspot.com/ Please copy, paste, and bookmark it.
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.
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SNIPPETS
Nurses’ assessments of individualised care in long-term care institutions Journal of Clinical Nursing (full text available)
Aims. The aims of this study were to explore nurses’ assessments of individualised care in long-term care wards and to examine how their sociodemographic variables were associated with their views of such care.
Background. Although the importance of individualised care is highlighted both by nurses and by older people, there is a limited amount of research about individualised care, especially in the long-term care of older people.
Design. An exploratory design was employed.
Methods. Data were collected using questionnaires [Individualised Care Scale (ICS)-Nurse] from nurses (n = 283, n = 215, response rate 76%) working in the long-term care wards (n = 19) of four institutions in 2009. Data were analysed statistically.
Results. Overall, nurses perceived that they supported patient individuality during nursing activities but the care they provided was not so individualised. Nurses perceived that they supported older peoples’ individuality in the clinical situation and in decisional control over care well but supported older peoples’ individual life situation to a lesser extent. The higher the nurses’ age, the longer the working experience in health care or experience in the current ward, the more positive views they had about the support of individuality.
Conclusions. This study identified some shortcomings in the realisation of individuality in the care of older people. Nurses seem to think they generally provide individualised care but this was not necessarily realised in the current evaluations of the care they delivered.
Relevance to clinical practice. There is need to identify issues that may help in developing individualised care in clinical practice. Nurses’ attitude to older people in the geriatric care settings needs exploration. Nurses may focus on physiological needs that may hinder the recognition of older patient’s individuality. http://onlinelibrary.wiley.com/doi/10.1111/j.1365-2702.2011.03855.x/abstract;jsessionid=287B14BCA8D9C27F28454B634EA07DA9.d01t02
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Counting Nurses, Nurses Counting
Even before last year's Future of Nursing report from the Institute of Medicine highlighted the need for better data on the number of working nurses, people were beginning to pay serious attention to how nurses are counted. Cyclic nursing shortages and surpluses have piqued interest in just how many nurses we have—and how many are needed.
Most of the estimates of nursing supply come from state licensure files. These sources are problematic for various reasons, including the inability to link across states. There's no standard set of data collection questions about nurse employment and, in general, scant information specifying actual site of practice or specialty, except by type of institution or setting. Finally, if nurses don't maintain their licensure—and many who work outside of direct care don't—they aren't captured in these data, even though they may be applying nursing intelligence in their various jobs. ...
http://journals.lww.com/ajnonline/Fulltext/2012/01000/Counting_Nurses,_Nurses_Counting.2.aspx
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Registered nurses’ attention to and perceptions of pressure ulcer prevention in hospital settings
(please note this is the abstract...purchase of full document offered. Also, note the very small participation)
Aim. To describe how registered nurses perform, document and reflect on pressure ulcer prevention in a specific nurse–patient care situation, as well as generally, on hospital wards.
Background. Registered nurses should provide safe and qualified pressure ulcer prevention, but pressure ulcers remain a problem. Compliance with evidence-based guidelines impedes pressure ulcer formation.
Design. A descriptive design with a multimethods approach.
Method. Nine registered nurses at three wards and hospitals participated. The registered nurses were observed in a specific nurse–patient care situation with patients at risk for pressure ulcers. Interviews followed and patients’ records were reviewed. Quantitative and qualitative data analysis methods were used.
Results. Pressure ulcer prevention performed by the registered nurses was dependent on the cultural care, which ranged from planned to unplanned prevention. Diversity was found in compliance with evidence-based guidelines across the wards. Although all patients involved were at risk and the nurses described pressure ulcer prevention as basic care, the nurses’ attention to prevention was lacking. Few prevention activities and no structured risk assessments using risk assessment tools were observed, and few care plans were identified. The lack of attention was explained by registered nurses’ trust in assistant nurses’ knowledge, and prevention was seen as an assistant nurse task.
Conclusion. Registered nurses paid little attention to pressure ulcer prevention among patients at risk. The planned and unplanned care structures affected the prevention. The nurses trusted and largely delegated their responsibility to the assistant nurses.
Relevance to clinical practice. Evidence-based pressure ulcer prevention is fundamental to patient safety. Care quality is created in situations where patients and care providers meet. How registered nurses work with pressure ulcer prevention, their role and communication, particularly with assistant nurses, should be of major concern to them as well as to healthcare managers.
http://onlinelibrary.wiley.com/doi/10.1111/j.1365-2702.2011.04000.x/abstract
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MEDICAL NEWS
FDA Calls on Tobacco Companies to List Harmful Ingredients (looking forward to this !)
FRIDAY, March 30 (HealthDay News) --The U.S. Food and Drug Administration announced Friday that it will require the tobacco industry to report on a range of toxic chemical ingredients, and to also back up any claims for "safer" tobacco products.
Both actions are preliminary at this point, and subject to a period of public comment.
While there are more than 7,000 chemicals in tobacco and tobacco smoke, the FDA has a working list of 93 chemicals that cause or may cause harm to smokers or non-smokers. These include formaldehyde, nicotine, arsenic, cadmium, ammonia and carbon monoxide. Tobacco companies will be required to list quantities of 20 different ingredients associated with cancer, lung disease and other health problems on consumer-friendly packaging by April 2013. ... http://consumer.healthday.com/Article.asp?AID=663306
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Supreme court rules against Nestle unit on patent (Reuters) -
The Supreme Court ruled on Tuesday that Prometheus Laboratories could not patent a diagnostic method to observe changes in a patient's body to determine the best drug dosage for certain diseases, a decision that may affect the future of personalized medicine.
The justices unanimously overturned a ruling by a U.S. appeals court allowing the patent for Nestle SA unit Prometheus for using synthetic thiopurine compounds to treat gastrointestinal disorders such as Crohn's disease and other auto-immune illnesses.
Doctors are told to monitor patients taking the compounds for certain metabolites in red blood cells, with the goal of hitting certain levels to ensure the best treatment with the fewest side effects. Prometheus markets a diagnostic test that uses the technology covered by the two
patents. ...
http://www.reuters.com/article/2012/03/20/us-mayo-prometheus-patent-idUSBRE82J0NV20120320?feedType=RSS&feedName=healthNews
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INTERESTING READING
Please remember that the REUTERS articles usually good for only 30 days (but, if I offer an "old one", I have verified the availability of the article).
Hepatitis B program helps cut infant infections (Reuters Health) A program to prevent chronic hepatitis B infection in newborns seems to be working, according to a new study from researchers at the Centers for Disease Control and Prevention.
They found that more babies exposed to hepatitis B through their moms have gotten vaccinated right away, and fewer have ended up with chronic infections, since the program started in 1990.
That's important because the virus can be passed between mother and child during birth, and over the long run chronic infection increases the risk of liver failure and cancer. ...
http://www.reuters.com/article/2012/03/27/us-hepatitis-idUSBRE82Q18M20120327?feedType=RSS&feedName=healthNews
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RANDOM TIDBIT:
The game of jacks started out as dibstones and was played using pebbles or even sheep's knuckles. When a player captured a piece, he would call out "I've got dibs!" which led to the contemporary usage of the expression.
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Evaluation of a Suicide Prevention Training Program for Mental Health Services Staff
Abstract
Training for health services staff often focuses on improving individual practitioner’s knowledge and skills, with less emphasis given to the broader organizational context, in particular those elements that support successful implementation of changes post-training. This paper compares the effectiveness of a standard training model for suicide prevention to an enhanced training model. The training involved the public mental health workforce throughout the State of Queensland, Australia and was developed in collaboration with the State health department and as such took place within a policy and practice context. The standard training involved participation in a one-day training workshop, which provided information on evidence-based suicide prevention strategies. The enhanced model took an organizational development approach and incorporated a focus on creating and strengthening networks to enhance the capacity of mental health service staff to undertake preventive strategies. Findings suggest that multi-component organizational approaches for suicide prevention produces benefits that should now be trialled through experimental approaches.
(Can be read in full at this link: http://www.springerlink.com/content/j8h0134031705m4r/
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Hydrogen Peroxide (corrected)
Toothbrushes hold a lot of bacteria, so once a week or so you should let your toothbrush take a dip to get disinfected.
Dip your toothbrush in a 3% solution of hydrogen peroxide solution to help kill bacteria on the brush after brushing.
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A tablespoon of 3% hydrogen peroxide solution in a cup of water can be used as a mouthwash -
swish for up to 60 seconds once a day; but don't swallow and be sure to rinse your mouth out afterwards. This can
also help whiten teeth.
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Hydrogen peroxide in a 3% solution applied to a rag can be used to clean bench tops and cutting boards to help kill
salmonella and other bacteria.
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FDA approves generic Boniva for osteoporosis (Reuters)
Ibandronate is in a class of medications called bisphosphonates, which help increase bone mass and reduce the chance of having a
Boniva, known generically as ibandronate, is taken once a month to treat or prevent osteoporosis in women after menopause.
Mylan Pharmaceuticals Inc and privately held Apotex Inc and Orchid Healthcare are the manufacturers that have gained approval to make generic 150-milligram ibandronate tablets, the FDA said. ...
http://www.reuters.com/article/2012/03/19/us-boniva-idUSBRE82I10I20120319?feedType=RSS&feedName=healthNews
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Nurse study finds patients like it better when providers sit
One study concluded what many nurses already believed to be true. Patients feel more satisfied when clinicians sit at the bedside versus standing. “It was a simple position change,” said Jennifer Moran, RN, BSN, CNRN and clinical nurse educator at the University of Kansas Hospital.Moran collected data as research assistant on the Effect of sitting vs. standing on perception of provider time at bedside: A pilot study, led by Kelli Swaden, RN. The study compared the actual duration of 120 consultations and concluded that patients perceive a clinician has spent more time at their bedside when they sit rather than stand. Moran said she was amazed to find that patients believed the clinician spent anywhere from five minutes to as much as 15 more minutes when sitting versus standing, though the time spent was the same in both scenarios.“Most of the patients were alert and oriented,” she said. “It was shocking.” ... http://www.kccommunitynews.com/kc-nursing-news/30636412/detail.html
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Hospital Saved Millions by Keeping Close Eye on Antibiotic Use ;
Seven-year program eliminated overuse without compromising care
THURSDAY, March 15 (HealthDay News) -- Reducing unnecessary use of antibiotics could save hospitals millions of dollars a year, a new study suggests.
Researchers evaluated a seven-year antibiotic stewardship program at the University of Maryland Medical Center, and found that it led to a $3 million reduction in the hospital's annual budget for antibiotics by its third year.
After seven years, the program had slashed antibiotic spending per patient day by nearly half. The savings occurred in departments including the cancer center, trauma center, surgical and medical care intensive care units and transplant service.
After the program was canceled in 2008 in favor of providing more infectious disease consultations, antibiotic costs increased 32 percent (almost $2 million) within two years, according to the study in the April issue of the journal Infection Control and Hospital Epidemiology.
Reducing unnecessary use of antibiotics is encouraged as a way to protect against the spread of drug-resistant infections. This study shows that it also offers financial benefits. ...
http://www.nlm.nih.gov/medlineplus/news/fullstory_122984.html
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Endoscopy May Be Better Than Surgery for Severe Pancreatic Infection; Small, early study found lower risk of death and complications with less invasive procedure (HealthDay News) -- Patients with infected severe
pancreatitis fare better if they undergo a less invasive endoscopic
procedure rather than surgery, a new study finds.
The small, preliminary trial of 20 patients with infected necrotizing pancreatitis found that those who underwent endoscopic transgastric necrosectomy (removal of the pancreatic tissue) were less likely to die or experience major complications than those who had surgical necrosectomy.
Five of the 20 patients died -- 10 percent of those in the endoscopy group compared with 40 percent of those in the surgery group. All deaths were caused by multiple organ failure.
Major complications occurred in 20 percent of patients in the endoscopy group and 80 percent of those in the surgery group, according to the researchers.
"Acute pancreatitis is a common and potentially lethal disorder. In the United States alone, more than 50,000 patients are admitted with acute pancreatitis each year," wrote Dr. Olaf Bakker, of University Medical Center Utrecht in the Netherlands, and colleagues. "One of the most dreaded complications in these patients is infected necrotizing pancreatitis that leads to sepsis and is often followed by multiple organ failure."
Most patients with infected necrotizing pancreatitis require necrosectomy. Surgical necrosectomy causes inflammation and has a high complication rate, the researchers said in a journal news release. http://www.nlm.nih.gov/medlineplus/news/fullstory_122891.html
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Health panel: Pap tests needed only every 3 years (Reuters Health) - Women only need to get a Pap test once every three years to check for cervical cancer, and don't need to be screened until age 21 - even if they're sexually active earlier, according to new guidelines from a government-backed panel.
The statement from the United States Preventive Services Task Force, released on Wednesday, aligns closely with guidelines from three U.S. cancer groups that were also announced on Wednesday.
Once they hit 30, women also have the option of getting screened once every five years if they choose to do Pap tests together with human papillomavirus (HPV) testing every time, the committees agreed.
"The bottom line is, we strongly recommend screening," said Dr. Virginia Moyer, chair of the USPSTF and a pediatrician at Baylor College of Medicine and Texas Children's Hospital in Dallas. ...
http://www.reuters.com/article/2012/03/15/us-cancer-idUSBRE82D1CE20120315?feedType=RSS&feedName=healthNews
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An Educational Intervention to Increase “Speaking-Up” Behaviors in Nurses and Improve Patient Safety Abstract
“Speaking up” is a critical component in improving patient safety. Studies indicate, though, that most registered nurses prefer using behaviors of avoidance or accommodation in conflict situations. The purpose of this quasi-experimental study was to determine whether an educational intervention using scenarios, personal reflection, and peer support in small groups could improve speaking-up behaviors in registered nurses. Results showed a significant difference in speaking-up behaviors and scores in the intervention group (P < .001).
http://journals.lww.com/jncqjournal/Abstract/2012/04000/An_Educational_Intervention_to_Increase.9.aspx ;
(You could be reading the full-text of this article now...
if you become a subscriber
if you purchase this article
If you have access to this article through your institution, you can view this article in OvidSP.
Journal of Nursing Care Quality: April/June 2012 - Volume 27 - Issue 2 - p 154–160
doi: 10.1097/NCQ.0b013e318241d9ff Articles )
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Vascular dementia is the second most common type of dementia, accounting for approximately 15 to 20% of all cases of dementia.1 Vascular dementia is defined as the loss of cognitive function resulting from ischemic, ischemic-hypoxic, or hemorrhagic brain lesions as a result of cerebrovascular disease and cardiovascular pathological changes.2 Most studies that investigated the genetics of dementia have focused on Alzheimer disease, the most common type of dementia. ...
http://stroke.ahajournals.org/content/43/2/315.full?WT.mc_id=EMxj02x20120316xL1
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Bacterium H. Pylori May Undermine Blood Sugar Control The presence of Helicobacter pylori (H. pylori), a bacterium, has been linked to higher levels of HbA1c, a diabetes biomarker which is used for measuring blood sugar levels in patients with diabetes. For people with higher BMIs (body mass indexes), the association was even higher. Researchers from the NYU School of Medicine, part of NYU Langone Medical Center reported their findings in the Journal of Infectious Diseases. Researchers said the bacterium may alter the levels of glucose-regulating hormones and that antibiotics could benefit older type 2 diabetes patients as well as obese people who have H. pylori infection. ...
http://www.medicalnewstoday.com/articles/242899.php
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Monthly shots of Amgen drug slash cholesterol up to 66 percent (Reuters)-
Monthly injections of an experimental drug from Amgen Inc slashed levels of cholesterol by up to an additional 66 percent in patients already
taking statins, researchers said on Sunday, making it a potential strong rival to a similar drug being developed by Regeneron Pharmaceuticals
Inc.
Amgen and Regeneron are racing to develop medicines that cut cholesterol through a new strategy, by blocking a protein called PCSK9.
In earlier studies, both drugs cut levels of "bad" LDL cholesterol by up to two thirds, although Amgen's AMG 145 had been tested in healthy
volunteers taking no other cholesterol medicines, while Regeneron's REGN 727 was tested in patients with high cholesterol that also took
statins. ...
http://www.reuters.com/article/2012/03/25/us-amgen-cholesterol-idUSBRE82O0CR20120325?feedType=RSS&feedName=healthNews
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Warfarin Helps Cut Stroke Risk, Researchers Report TUESDAY, March 27 (HealthDay News) -- The anti-clotting drug warfarin
reduces stroke risk in patients with a heart rhythm disorder called atrial fibrillation, research shows. The investigators found that stroke risk
was higher among women, the elderly, patients who had a previous stroke or mini-stroke (TIA), and patients who had never taken anti-
clotting vitamin K antagonists. Cleveland Clinic researchers led by Dr. Shikhar Agarwal examined data from more than 32,000 people who
took part in eight studies that compared Warfarin (coumadin) with newer anti-clotting medications.
The study was released online March 26 in advance of publication in an upcoming print issue of the Archives of Internal Medicine.
http://www.nlm.nih.gov/medlineplus/news/fullstory_123432.html
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U.S. autism rates reach new height: CDC (Reuters) - About one in 88 children has autism or a related disorder, the highest
estimate to date and one that is sure to revive a national argument over how the condition is diagnosed and treated. The estimate released
on Thursday by the Centers for Disease Control and prevention represents and overall increase of 25% since the last analysis in 2006
and a near-doubling of the reported rate in 2002.
Among boys, the rate of autism spectrum disorders is one in 54, almost five times that of girls in whom the rate is one in 252. ...
http://www.reuters.com/article/2012/03/29/us-autism-idUSBRE82S0P320120329?feedType=RSS&feedName=healthNews
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Man hugs doctors after seeing face transplant in mirror (Reuters) - (The change is astonishing....wonderful)
Surgeons from the University of Maryland Medical Center on Tuesday detailed what they said was the world's most comprehensive
face transplant- allowing a 37-year-old man to emerge from behind a mask 15 years after a gun accident almost killed him. ...
http://www.reuters.com/article/2012/03/27/us-usa-health-face-idUSBRE82Q15O20120327?feedType=RSS&feedName=healthNews
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Controversial Arizona late-term abortion bill advances (Reuters) - A controversial Arizona bill that bans most abortions performed after 20 weeks of pregnancy moved closer to becoming law on Wednesday in the Republican-controlled state legislature after clearing the state Senate. The bill, which would still allow abortions after 20 weeks in the case of medical emergency, was passed by a mostly party- line 20-to-10 vote in the Senate on Tuesday. Only a small number of abortions are performed in Arizona after 20 weeks. State Representative, Kimberly Yee, a Republican who sponsored the bill, said she has the votes needed for the late-term abortion bill to pass the House and head for Arizona Governor Jan Brewer to sign. ...
http://www.reuters.com/article/2012/03/28/us-arizona-abortion-idUSBRE82R1D020120328?feedType=RSS&feedName=healthNews
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HUMOR SECTION
A lawyer was speaking to his client about the potential for a lawsuit.
"Sir," the lawyer said, "you have the best case I have ever heard." At that, the man thanked him and headed for the door.
"Where are you going?" the lawyer asked, astonished.
"I'm going to settle this out of court," the man replied.
"Why? I told you that you have the best case I have ever heard."
"It probably is, but not for me. I was telling you the other guy's story."
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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.
http://w3.rn.com/nursing-education/education_main.aspx?cs_section=2
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: 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
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
The following is the last time it will be in the newsletter:
12 lead EKG Interpretation Part #1
http://nursingpub.com/12-lead-ekg-explained-part-1
12 Lead EKG Interpretation Part #2 http://nursingpub.com/12-lead-ekg-interpretation-part-2
12 Lead EKG Interpretation Part #3
http://nursingpub.com/12-lead-ekg-interpretation-part-3
This is a sampling of the offers on : Rozalfaro's website: http://www.alfaroteachsmart.com/articles.htm
Metric conversion calculators and tables for metric conversions
http://www.metric-conversions.org/
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MEDICAL RECALLS
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FDA Enforcement Report... (There are too many recalls for blood, platelets, blood products....please read at website)
1) Enoxaparin Sodium Injection, USP, 100 mg/mL, 1 mL pre-filled Single Dose Syringe in a blister (NDC 0781-3500-05) packaged in 10-count Syringes in a blister per carton (NDC 0781-3500-69), Rx Only. Recall # D-1274-2012;
2) Enoxaparin Sodium Injection, USP, 30 mg/0.3 mL, 0.3 mL pre-filled Single Dose Syringe in a blister, NDC 0781-3133-01, packaged in 10-count Syringes in a blister per carton, NDC 0781-3133-63, Rx Only. Recall # D-1275-2012
CODE
1) Lot #: 917713, Exp 08/13;
2) Lot #: 917995, Exp 08/13
Recalling Firm: Sandoz Inc., Broomfield, CO, by letters on February 13, 2012.
Manufacturer: Baxter Pharmaceuticals Solutions, LLC, Bloomington, IN. Firm initiated recall is ongoing.
Defective Container: Small defects with stopper ribs. 100 mg: 27,059 cartons; 30 mg: 15,051 cartons
DISTRIBUTION
Nationwide and PR
http://www.fda.gov/Safety/Recalls/EnforcementReports/ucm297823.htm?source=govdelivery
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Celexa (citalopram hydrobromide) - Drug Safety Communication: Revised Recommendations,
Potential Risk of Abnormal Heart Rhythms
Citalopram is not recommended for use at doses greater than 40 mg per day because such doses cause too large an effect on the QT interval and confer no additional benefit.
Citalopram is not recommended for use in patients with congenital long QT syndrome, bradycardia, hypokalemia, or hypomagnesemia, recent acute myocardial infarction, or uncompensated heart failure.
Citalopram use is also not recommended in patients who are taking other drugs that prolong the QT interval.
The maximum recommended dose of citalopram is 20 mg per day for patients with hepatic impairment, patients who are older than 60 years of age, patients who are CYP 2C19 poor metabolizers, or patients who are taking concomitant cimetidine (Tagamet) or another CYP2C19 inhibitor, because these factors lead to increased blood levels of citalopram, increasing the risk of QT interval prolongation and Torsade de Pointes.
http://www.fda.gov/Safety/MedWatch/SafetyInformation/SafetyAlertsforHumanMedicalProducts/ucm297624.htm
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Proton Pump Inhibitors (PPIs) - Drug Safety Communication: Clostridum Difficile-Associated Diarrhea (CDAD) Can be Associated With Stomach Acid Drugs
AcipHex (rabeprazole sodium)
Dexilant (dexlansoprazole)
Nexium (esomeprazole magnesium)
Omeprazole (omeprazole) Over-the-Counter (OTC)
Prevacid (lansoprazole) and OTC Prevacid 24hr
Prilosec (omeprazole) and OTC
Protonix (pantoprazole sodium)
Vimovo (esomeprazole magnesium and naproxen)
Zegerid (omeprazole and Sodium bicarbonate) and OTC
FDA notified the public that the use of stomach acid drugs known as proton pump inhibitors (PPIs) may be associated with an increased risk of Clostridium difficile–associated diarrhea (CDAD). A diagnosis of CDAD should be considered for patients taking PPIs who develop diarrhea that does not improve. The FDA is working with manufacturers to include information about the increased risk of CDAD with use of PPIs in the drug labels.
http://www.fda.gov/Safety/MedWatch/SafetyInformation/SafetyAlertsforHumanMedicalProducts/ucm290838.htm
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FDA Med Watch-Salter Labs 7600 Bubble Humidifier Used with Supplemental Oxygen Therapy: Class I Recall-Humidifier Lids Fail to Pop Off at the Intended Pressure
Special order patient kits were sold under the following brand names:
Salter Labs
AdvaCare
Allcare Medical
Memorial Home Services
Therapy Support Inc.
Mendo-Lake Home Respiratory Services
MedAssurance Inc.
Abundant Home Care
The 7600 Bubble Humidifier is used for supplemental oxygen therapy. The humidifier is used to provide additional humidity to supplemental oxygen therapy. This product is a single-use device used in health care facilities and home health care. Model numbers include 7600-0-50, E7600-0-50, NP7600-0-50 and special order patient kits that contain 7600 bubble humidifiers. Lot numbers: 091911 and 092611.
http://www.fda.gov/Safety/MedWatch/SafetyInformation/SafetyAlertsforHumanMedicalProducts/ucm291820.htm
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NURSING HINTS CORNER
When seconds count... When suctioning an artificial airway, you should not apply suction for longer than 15 seconds at a time. But how do you know when the seconds have passed? Use this technique from the CPR procedure. During CPR, you count---" one, one thousand; two, one thousand; three, one thousand"-- to mark off the seconds. Similarly, in suctioning, you can count, "one, one thousand; two, one thousand" and so on until the seconds have elapsed. Then remove the suction catheter. (I believe the patient will be very grateful ---editorial comment) Robert Hutson, RRT, EdD
Used with permission from 1,001 Nursing Tips & Timesavers, Third Edition, 1997, p.131, 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:
PDQOPERA@yahoo.com (Ann) March 28, 2012
TKriewald@bellsouth.ne (Theresa) March 29, 2012
June_Luke@Yahoo.com (June) March 29, 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/e-mail address, okay? RNFrankie@AOL.com
OLD ADDRESS: Gingermyst@AOL.com
NEW ADDRESS: lglnrse@gmail.com (Annie)
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EDITORIAL STAFF:
(GingerMyst) lglnrse@gmail.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
Justice has been described as a lady who has been subjected
to so many miscarriages as to cast serious reflections on her virtue.
--William Prossner, Lawyer
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"What people say, what people do, and
what they say they do, are entirely different things"
-Margaret Mead
QUIZ ANSWER: d. A Signs and symptoms of generalized (dysesthetic) vulvodynia may be diffuse or may occur in different areas at different times. Pain may occur in the labia majora, labia minora, and/or vestibule. Some women experience pain in the clitoris, mons pubis, perineum, or inner thighs. The pain is constant or intermittent.
Hope to get your e-mail..... Frankie (Frances)
RNFrankie@AOL.com
