August 15, 2010
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.
***~~~***~~~***~~~***
SNIPPETS
Presenting two nurses for whom we owe a great deal of respect:
Loretta Ford, a pioneer in shaping the role of NPs In 1965, nurse leader Loretta Ford collaborated with physician Henry Silver in developing a model for the pediatric nurse practitioner with a focus on health and wellness. Their first training program aimed to ensure the NP was competent, safe and acceptable to patients. Since then, Ford has seen the number of NPs grow to 150,000 in the U.S. Nurse.com
^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^
Lystra Gretter: Public Health Advocate and Professional Reformer By David Yates
When Lystra Eggert Gretter was inducted into the Michigan Women's Hall of Fame in 2004, she was honored for her "tireless" efforts in promoting nursing as a respectable profession in the late 19th and early 20th centuries. Gretter made many contributions to nursing. She shifted the model of nursing education from a one-year apprenticeship to a three-year academic pursuit. She created nurse-run hospital wards instead of allowing nursing students to run them. Gretter cut the work day to 8-hour shifts, to afford nurses and students more time to study and recreate. She wrote what is believed to be the first standardized textbook for nursing education and created one of the first professional nursing libraries. And Gretter was a founding member, at the end of the 19th Century, of groups that later became the American Nurses Association and the National League for Nursing. She established an early visiting nurses association. Noting that the public perception of nursing was that of "women's work," Gretter lobbied for more political power, including aligning nursing with suffragettes who sought the vote. And Gretter was "the moving spirit behind the creation of "The Florence Nightingale Pledge," an oath of ethics that many graduating nursing students still make today. Gretter also worked to advance public health generally. She established tuberculosis hospitals, lobbied for in-home nursing care and became a vocal public health advocate for Detroit's burgeoning poor and immigrant population. She also successfully introduced the first state-wide health inspections of school children and a free maternity/infant care clinic in Detroit. more...
~~**~~**~~**~~**~~**~~
MEDICAL NEWS
Secretary Sebelius Announces Funding for Nurse Practitioner Led Clinics
On June 16, 2010, Secretary Sebelius announced the release of $15,000,000 for the operation of 10 nurse managed health clinics which will support the education and training of nurse practitioners.
Nurse managed health centers staffed by nurse practitioners; provide comprehensive primary health care services to populations living in medically underserved communities. According to Joanne Pohl,Professor at the University of Michigan School of Nursing and nurse managed center consultant, ”Nurse managed health centers provide high quality, cost effective primary care to vulnerable populations in
many communities across the country. This funding will increase access to primary care as well as additional nurse practitioner training sites at a time when millions more will need access.”
http://www.aanp.org/NR/rdonlyres/5304E868-224A-4627-8604-44A1ABEFBB6D/0/NurseManaged.pdf
~~~~~~~~~~~~~~~~~~~~
Anti-AIDS Gel cuts in half women's chances of Infection Researchers are reporting a breakthrough against AIDS. A vaginal gel containing an AIDS drug cut in half a woman's chances of getting HIV from an infected partner.
The results need to be confirmed, and scientists disagree about whether this amount of protection is enough to justify using the gel now. But it is the first hope of protection for women if their partners refuse to use condoms.
Results of the South African study are being presented at the International AIDS Conference in Vienna and were published online Monday by the journal Science.
"It's the first time we've ever seen any microbicide give a positive result that you could say was statistically significant," said Dr. Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases....
http://www.aolhealth.com/condition-center/hiv/aids-gel-reduces-infection-rate?icid=main|htmlws-main-n|dl1|link4|http%3A%2F%2Fwww.aolhealth.com%2Fcondition-center%2Fhiv%2Faids-gel-reduces-infection-rate
~~~~~~~~~~~~~~~~
Hospitals' infection-prevention measures don't correlate with outcomes Data from the Surgical Care Improvement Project show that publicly reported measures implemented by hospitals to prevent postsurgical infections do not correlate with actual post-operation infection rates. "So many other things [that we don't measure] happen to a patient in the health care setting that can influence outcomes," an expert said. http://tinyurl.com/27jqfhu
********************
AORN supports Pennsylvania's signing of HB 1641 requiring perioperative RN during surgery As advocates for patient safety in the operating room, the Association of periOperative Registered Nurses, (AORN), announced support for Pennsylvania Governor Ed Rendell's signing of HB 1641 requiring the presence of a circulating nurse in certain operating rooms. The bill, signed into law on June 16, applies to any hospital or class C ambulatory surgical facility.
http://www.news-medical.net/news/20100619/AORN-supports-Pennsylvanias-signing-of-HB-1641-requiring-perioperative-RN-during-surgery.aspx
~~**~~**~~**~~**~~**~~
INTERESTING READING
Please remember that the REUTERS articles usually good for only 30 days
Preventing deep venous thromboses (DVTs) and pulmonary emboli (PEs) is one of the constant challenges facing nurses specializing in critical care.
Lisa M. Soltis, MSN, APRN, CCRN-CSC, CCNS, cardiovascular/critical care clinical nurse specialist at Wake Med Health and Hospitals, Raleigh, NC, described the two-pronged approach her organization has taken to prevent DVTs and PEs over the past year.
"One group was evaluating some adverse drug events and non-therapeutic results with patients on anticoagulation therapy, so we decided to look at our medication regimens for DVT prevention," she said. "The second work group developed a prophylaxis advisor with risk stratification of patient circumstances." ...
http://nursing.advanceweb.com/Features/Articles/Preventing-DVTs-Pulmonary-Emboli-2.aspx
*********************
The following is a very important safety advisory......re: poorly attached labels on syringes causing potentially serious problems, including needlesticks. Please view an important safety advisory about "Needlestick injury due to label issue with Lovenox Unit Dose injection" posted on the Web site. http://www.ismp.org/newsletters/acutecare/articles/lovenox_alert_v5_layout_1.pdf
*********************
Japanese Women Extend Life Expectancy to a new high TOKYO (AP) -- Japanese women are expected to live almost 86 1/2 years, topping the world longevity ratings for the 25th straight year, the government reported Monday.
The statistics for 2009 compiled and published by the Ministry of Health, Labor and Welfare showed both Japanese women and men extended their average life expectancy to new records - 86.44 years for women and 79.59 years for men. Average life spans rose by almost five months for women and nearly four months for men compared to the previous year. ... http://hosted.ap.org/dynamic/stories/A/AS_JAPAN_LIFE_EXPECTANCY?SITE=AP&SECTION=HOME&TEMPLATE=DEFAULT&CTIME=2010-07-26-13-22-45
***********************
RANDOM FACT: Individual orcas can be identified by their dorsal fins and saddle patches. These characteristics are unique for each orca just as human fingerprints are all different.
**********************
The Answer Sheet - Good, bad news on U.S. Children Even before the U.S. economic troubles of the late 1990s, the child poverty rate had increased in this decade, affecting nearly one-fifth of American kids, according to a new report released today on the well-being of American kids
The annual KIDS COUNT Data Book compiled by the nonprofit Annie E. Casey Foundation and released today also shows the following: *New Hampshire, Minnesota, and Vermont rank highest in child well-being across a number of indicators. *Arkansas, Louisiana, and Mississippi rank the lowest. *Virginia ranks 16th, Maryland ranks 25th. The District is not ranked. ... http://voices.washingtonpost.com/answer-sheet/health-1/good-and-bad-news-about-child.html
*************************
Modest weight loss may curb urine leakage (Reuters 7/26) - Overweight women with bladder-control problems can often improve those symptoms if they lose even a modest amount of weight, a new study suggests.
Excess weight, particularly in the abdomen, is one risk factor for urinary incontinence, and studies have found that shedding those extra pounds can help prevent the problem or reduce symptoms. However, it has not been known exactly how much weight women need to lose in order to see a significant improvement in symptoms. ... http://www.reuters.com/article/idUSTRE66P5KJ20100726
***********************
Disabling the off switch: Wall Street Journal and Boston Globe on hospital errors March 16, 2010 -- Recent reports in The Wall Street Journal and The Boston Globe discuss efforts to address potentially lethal hospital errors, with each piece using as its main example a case in which nurses did not spot a problem until it was too late and a patient died. It is very helpful for the public to hear that nursing (just like medicine) is so important to patient care that such problems can mean the difference between life and death. And we commend the journalists responsible for both of these pieces, which provide serious, thoughtful discussion of some important issues, including systemic factors beyond the nurses' control. But neither piece consults nurses to the extent it should, considering that the problems addressed are primarily nursing ones, and the effect is to undervalue nursing expertise and possibly to suggest that nurses report to physicians in providing the relevant care. ... http://www.truthaboutnursing.org/news/2010/mar/16_errors.html
*************************
RANDOM FACT: The Hawaiian alphabet only has 12 letters.
****************
Will you lose more pounds at a bigger diet center? For every additional 10 people signed up at a clinical center for a weight loss trial, the average person loses half a percent more weight, the study found.
Dr. Arne Astrup of the University of Copenhagen in Denmark and his colleagues delved into a database of 22 weight-loss centers across five countries, gathered in a previous large clinical trial.
Each center served between 4 and 85 men and women, and all of the more than 600 total participants were instructed to follow a nutritionally balanced diet of 800 to 1,000 calories a day. (Typical recommendations for non-dieters range from 1,600 to 2,400 calories per day, depending on gender, age, and level of activity.) http://www.reuters.com/article/idUSTRE6614R620100702?feedType=nl&feedName=ushealth1100
***************************
Brain patterns may be signs of mental illness risk British scientists believe they have found specific patterns of brain activity in children and young people which could be signs or "markers" of those who will later go on to develop mental illnesses such as schizophrenia.
Researchers from Nottingham University, who presented their study at the Forum for European Neuroscience in Amsterdam, said the patterns suggest it may be possible in future to identify those at risk of becoming ill before they develop symptoms. ... http://www.reuters.com/article/idUSTRE66414D20100705?feedType=nl&feedName=ushealth1100
************************
Unique Protein Source Snuffs Out Wrinkles Ahhh, soy. It's a love-it-or-hate-it kind of food. But maybe you would grow to adore tofu, tempeh, and edamame if you knew this: It could help you look younger.
Yep. Eating lean, nutritious soy foods may help smooth fine wrinkles and buoy your skin's snap-back qualities, according to recent research. Those are two big victories for face freshness.
Reference: Oral intake of soy isoflavone aglycone improves the aged skin of adult women. Izumi, T. et al., Journal of Nutritional Science and Vitaminology (Tokyo) 2007 Feb;53(1):57-62.
http://www.realage.com/tips/unique-protein-source-snuffs-out-wrinkles?eid=7197&memberid=4687812
*****************
RANDOM FACT: The density of Saturn is so low that if you were to put it in a giant glass of water it would float. The actual density of Saturn is 0.687 g/cm3 while the density of water is 0.998 g/cm3. At the equator Saturn has a radius of 60,268 ± 4 km – which means you would need an extremely large glass of water to test this out.
****************
Frozen blood a source of stem cells, study finds Frozen blood from stored samples can be used to make cells resembling stem cells, researchers said on Thursday -- opening a potential new and easier source for the valued cells.
They used cells from blood to make induced pluripotent stem cells or iPS cells -- lab-made cells that closely resemble human embryonic stem cells but are made from ordinary tissue. ... http://www.reuters.com/article/idUSTRE6604SI20100701?feedType=nl&feedName=ushealth1100
*******************
Good Insulin Injection Practices From the healthcare professional's perspective, patient adherence to the treatment regimen in diabetes management is essential to achieving optimal glycemic control.
Good injection practices, such as injection technique, site rotation and proper needle use, are as important to glucose control as are the type and dosage of insulin.1
Over time, some patients often develop their own injection techniques, which may be less attentive to professional guidelines and standards for what has become commonplace activity.
Consequently, assessment of injection technique is paramount to evaluating the need for re-education on recommended practices to help them understand that changes to injection technique may alter insulin absorption. ... http://nursing.advanceweb.com/Features/Articles/Good-Insulin-Injection-Practices-2.aspx
**********************
The Relationship between Workplace Stress and Depression in Nurses Imagine this workplace situation: an overcrowded unit in an overcrowded and understaffed hospital. Patients constantly need your attention, and yet your documentation and other tasks make it hard to keep up. And the doctors and nurse managers are slow to respond when you need them, because they are also stretched to the limit.
Now imagine yourself working in that place, day after day after day. What is your mood like? You might be stressed out. You might be angry. And according to two recently released studies, you might be much more prone to depression than nurses and health care workers in other types of health care facilities, especially the less crowded ones. ...
http://www.nursezone.com/nursing-news-events/more-features.aspx?articleid=34420
***********************
Study identifies best tests to predict Alzheimer's Combining a specific imaging test of the brain with a memory recall test appears to be the best predictor so far of Alzheimer's disease, U.S. researchers said on Wednesday.
The findings were culled from a large, ongoing study testing various brain imaging tests and biomarkers that aims to identify which patients with cognitive problems will progress to Alzheimer's disease. ... http://www.reuters.com/article/idUSTRE65T6DW20100630?feedType=nl&feedName=ushealth1100
*****************
90 % in USA get too much sodium; 5 foods blamed. June 24, 2010 -- Five high-sodium foods -- not all of them salty tasting -- are a big reason why nine in 10 Americans get way too much sodium every day.
New CDC data show that only 9.6% of U.S. adults limit their daily sodium intake to recommended levels. Where's all that sodium coming from? From salt, mostly. But only 10% of it comes from our shakers. An estimated 77% comes from sodium in processed or restaurant foods.
"All food categories contribute to sodium intake. But grains and meat -- the foods we eat most -- contribute the most sodium," Elena V. Kuklina, MD, PhD, senior service fellow at the CDC's division of heart disease and stroke prevention, tells WebMD. ... http://www.webmd.com/hypertension-high-blood-pressure/news/20100624/90-percent-in-us-get-too-much-salt-5-foods-blamed http://www.webmd.com/diet/slideshow-salt-shockers
**************
RANDOM FACT: A crocodile cannot stick its tongue out.
************
Suggestions to reduce impact of anesthesia care on global warming Inhaled anesthetics widely used for surgery—particularly the anesthetic desflurane—make a measurable contribution to global warming, according to a study in the July issue of Anesthesia & Analgesia, official journal of the International Anesthesia Research Society (IARS).
http://www.news-medical.net/news/20100702/Suggestions-to-reduce-impact-of-anesthesia-care-on-global-warming.aspx
*************************
Olive oil, Mediterranean diet modify expression of atherosclerosis-related genes
Everyone knows olive oil and a Mediterranean diet are associated with a lower risk for cardiovascular disease, but a new research report published in the July 2010 print issue of the FASEB Journal offers a surprising reason why: These foods change how genes associated with atherosclerosis function.
http://www.news-medical.net/news/20100701/Olive-oil-Mediterranean-diet-modify-expression-of-atherosclerosis-related-genes.aspx
************************
MabCure's test detects ovarian tumors in blood (Reuters) - An experimental test that uses antibodies to detect ovarian tumor cells in the blood correctly identified 16 of 17 women who had the cancer, a Belgian company said on Tuesday.
MabCure Inc said its monoclonal antibodies threw up no false positives -- meaning none of them incorrectly identified the blood of healthy women as carrying tumors.... http://www.reuters.com/article/idUSTRE66R00E20100728?feedType=nl&feedName=ushealth1100
************************
RANDOM FACT: Thirty-five percent of the people who use personal ads for dating are already married.
******************
BOSTON (Reuters) - When someone collapses suddenly, mouth-to-mouth rescue breathing may not be necessary and could lower the chances of survival, researchers said in two studies on Wednesday that found chest compression alone is enough. The findings add to evidence that the simpler approach works best during cardiopulmonary resuscitation, or CPR.
"Chest compression alone is at least as good, at least as beneficial," Dr. Thomas Rea, medical program director for King County Emergency Medical Services in Washington state and chief author of one of the studies, said in a telephone interview. ... http://www.reuters.com/article/idUSTRE66R5RJ20100728?feedType=nl&feedName=ushealth1100
*******************
Six Questions to Protect Elderly Patients This week, Pam Belluck reported in The Times on the risk that elderly patients may become confused and delirious while in the hospital. Here she offers advice on how to prepare when an elderly patient is headed to surgery or a hospital stay. About a third of patients over age 70 experience hospital delirium, and the consequences can be serious, delaying a patient’s recovery and even leading to placement in a nursing home. Elderly patients who experience delirium are also more likely to develop dementia later on, and more likely to die sooner than patients who do not become delirious. ... http://well.blogs.nytimes.com/2010/06/24/six-questions-to-protect-elderly-patients/
***********************
RANDOM FACT: In England, the Speaker of the House is not allowed to speak.
******************
These foods aren't just for Hippies and Health Nuts You can't open a magazine without being bombarded with information about superfoods like tofu, sardines and flaxseed. We know they're nutritional powerhouses, but it can be daunting to muster up the courage to try such exotic nibbles. Why eat goji berries, which sound like they were named after a Smurf, or drink almond "milk" when you can pour yourself a bowl of cereal topped with skim milk and a few familiar strawberries? As it turns out, these superfoods pack an even bigger punch than the healthy items normally stocked in your kitchen, and they actually taste pretty darn good, too.... http://www.ivillage.com/these-foods-aren-t-just-hippies-and-health-nuts/4-b-212149?nlcid=hr|06-25-2010|
***********************
Welcome to: Be Tenacious, the campaign created by TENA, in alliance with HealthyWomen, the nation's leading health information source for women, and six-time Olympian Anne Abernathy, to help women live life fully, with or without bladder control issues. Be Tenacious encourages women to be more http://www.tena.us/women/betenacious
*************************
Study finds welfare cuts can cost lives (Reuters) - Radical cuts in social welfare spending by governments intent on reducing budget deficits can cost lives as well as cause economic pain, according to a study published on Friday.
British researchers found that levels of social spending in Europe are strongly associated with risks of premature death, particularly from diseases linked to wealth and social circumstances such as heart attacks and alcohol-related illness. ... http://www.reuters.com/article/idUSTRE65N6PS20100624?feedType=nl&feedName=ushealth1100
*****************
Heparin might still look like the same old heparin, but it's not! Deborah J. Brouwer, RN, CNN
Two years ago, voluntary recalls of heparin sodium injection in vials occurred. The heparin lots were recalled due to a high incidence of allergic-type reactions. The U.S. Food and Drug Administration (FDA) website recall listed the following adverse patient reactions: abdominal pain, burning sensation, chest pain, diarrhea, dizziness, drug ineffectiveness, dyspepsia, dyspnia, erythema, flushing, headache, hyperhidrosis, hypoesthesia, hypotension, including profound and refractory hypotension [italics added], increased lacrimation, loss of consciousness, malaise, nausea, pallor, palpitations, paresthesia, paresthesia (oral), pharyngeal adema, restlessness, vomiting/retching, stomach discomfort, tachycardia, thirst, trismus, and unresponsiveness to stimuli. The recall stated that reports of profound and refractory hypotension usually occur within the first few minutes of bolus administration. ... http://www3.interscience.wiley.com/cgi-bin/fulltext/123356483/HTMLSTART?CRETRY=1&SRETRY=0
********************
RANDOM FACT: Mount Rushmore is perhaps the most impressive rock formation carved by men. It was made by Gutzon Borglum and took just 14 years to carve it.
**********************
Guidelines on uncomplicated urinary tract infections are difficult to follow: perceived barriers and suggested interventions Urinary tract infections (UTI) are among the most common health problems seen in general practice. Evidence-based guidelines on UTI are available, but adherence to these guidelines varies widely among practitioners for reasons not well understood. The aim of this study was to identify the barriers to the implementation of a guideline on UTI perceived by Dutch general practitioners (GPs) and to explore interventions to overcome these barriers....
http://www.biomedcentral.com/1471-2296/11/51
***********************
New osteoporosis treatment approved for postmenopausal women American Pharmacists Association, 06/28/2010 The safety and efficacy of Prolia were demonstrated in FREEDOM, a 3–year, randomized, double–blind, placebo–controlled, Phase III trial. In the study, the drug reduced the incidence of vertebral, nonvertebral, and hip fractures in postmenopausal women 60 to 91 years old with osteoporosis Free full text .... http://www.pharmacist.com/AM/Template.cfm?Section=Pharmacy_News&template=/CM/ContentDisplay.cfm&ContentID=23563
*******************
The Aged Mouth: An Insight Raina A et al. -- Oral health and function is frequently distorted in the elderly As oral physicians, an awareness of the extreme diversity and multifarious presentations that may affect the aged is essential. This paper intends to review some of the myriad oral conditions that afflict the old. It also intends to highlight the need for exercising caution in dealing with the geriatric population. Read this article in The Internet Journal of Geriatrics and Gerontology
************************
This was sent in by BAcello (Barbara) Thank you
The American Nurses Association (ANA) and co-publisher National Nursing Staff Development Organization announced this month the release of Nursing Professional Development: Scope and Standards of Practice, the long-awaited update of a key resource. Last updated in 2000, the revised edition, reflects the complex and rapidly developing factors that influence its current and future practice: globalization, dynamic practice
environments, evidence-based practice, and the technologies of nursing and health care. For more information and ordering, go to www.nursesbooks.org
While Nursing Professional Development: Scope and Standards of Practice is a reference guide and primarily for practicing nurses and nursing faculty and students, it is also an essential source for others in related areas of professional development, healthcare providers, researchers, and scholars, along with those involved in funding, legal, policy, and regulatory activities. http://tinyurl.com/273vdbf
***************************
Eat These "Top 3" Antioxidant-Rich Veggies Anyone who's been to the Saturday farmers market knows there are a lot of veggies out there to choose from. But do you know which ones are richest in antioxidants? A recent study of close to 30 different types of veggies put these three at the top of the list: broccoli, beets, and bell peppers (the red kind). Yep, the top-notch veggies all start with B. Makes it easier to remember, doesn't it? ... Reference: Cellular antioxidant activity of common vegetables. Song, W. et al., Journal of Agricultural and Food Chemistry 2010 Jun 9;58(11):6621-6629.
http://www.realage.com/tips/eat-these-top-3-antioxidant-rich-veggies?eid=7204&memberid=4687812
********************
Bad Blood: Reports highlight global abuse of nurses -- Recent news reports reveal that many nurses around the world confront high levels of abuse from patients and colleagues. On February 4, the OneIndia web site posted an unsigned item from ANI, the South Asian news agency, about an Australian study published in the U.K.-based Journal of Clinical Nursing that found not only that most nurses had been physically assaulted at work, but that many nurses considered violence to be "just part of the job." That short piece does a good job of conveying the magnitude of the problem and of highlighting nursing research, though it might have dug a little deeper about why nurses may view abuse that way, and it might have clarified that lead study author "Dr. Rose Chapman" is a nurse with a PhD, not a physician. ... http://www.truthaboutnursing.org/news/2010/feb/25_abuse.html
*********************
Top 5 Suspected Everyday Carcinogens in the American Cancer Society's Scary New Report
July 15) -- Some carcinogens you already know and fear: cigarettes, asbestos, smoked meat.
But what about the ones you've never even heard of? That's the crux of a new report from the American Cancer Society (ACS), which rounds up 20 "suspected carcinogens" the organization would like to see studied more extensively.y 15) -- Some carcinogens you already know and fear: cigarettes, asbestos, smoked meat.
But what about the ones you've never even heard of? That's the crux of a new report from the American Cancer Society (ACS), which rounds up 20 "suspected carcinogens" the organization would like to see studied more extensively. (check out #5)
http://www.aolnews.com/surge-desk/article/top-5-suspected-everyday-carcinogens-in-american-cancer-societys-scary-new-report/19556272?icid=main|htmlws-main-n|dl1|link3|http%3A%2F%2Fwww.aolnews.com%2Fsurge-desk%2Farticle%2Ftop-5-suspected-everyday-carcinogens-in-american-cancer-societys-scary-new-report%2F19556272
~~**~~**~~**~~**~~**~~
HUMOR SECTION
After putting her children to bed, a mother changed into old slacks, a droopy, faded blouse and proceeded to wash her hair. As she heard the children getting more and more rambuctious, her patience grew thin.
At last she threw a towel around ther hair and stormed into their room, putting them back to bed with stern warnings.
As she left the room, she heard her 3-year old ask with a trembling voice, "Who was that?"
************************
The first-time father , beside himself with excitement over the birth of his son, was determined to do everything right.
"So, tell me, nurse, " he asked as his family headed out the hospital door, "What time should we wake the little guy in the morning?"
~~**~~**~~**~~**~~**~~
CEU SITES---(CME and CNE)
Those that are-----Free and Otherwise..........
Remember!! Write me for the full page of CEUs......RNFrankie@AOL.com
Pay Only $34.99 for a full year of CONTACT HOURS http://www.nursingspectrum.com /
Free CEs http://www.myfreece.com/welcome.asp
https://nursing.advanceweb.com/CE/TestCenter/Main.aspx
www.MEDCEU.com
~~**~~**~~**~~**~~**~~
WEBSITES/ LINKS
Always on the lookout for interesting websites / links. Please send them to:RNFrankie@AOL.com.
Back issues of the 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.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
Critical Thinking is More Than Problem Solving
Metric conversion calculators and tables for metric conversions
http://www.metric-conversions.org/
Good Insulin Injection Practices on ADVANCE for Nurses
*******************************************************
********************************************
*
MEDICAL RECALLS
*
*******************************************
******************************************************
I have had to post the medical recalls separately. The list for this month was extensive. Please take the time to check the warnings out. One person stated that a member of her family had been given one of the medications listed-- which could have resulted in a nasty pneumonia...
~~**~~**~~**~~**~~**~~
NURSING HINTS CORNER
To improvise an ice pack, try using the kitchen appliance that seals a meal into a plastic bag. Fill a large-sized bag with ice and seal it. Apply this pack to the affected area. The ice will melt, but the pack remains cool, with no leakage.
Place the bag of water (after cleaning thoroughly) in the freezer and you have an ice pack ready for the next injury. You can make a few in various sizes and keep in the freezer. Sherri Sener, RN, BSN
Used with permission from 1,001 Nursing Tips & Timesavers, Third Edition, 1997, p.133, 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.Visit us at http://www.accu-ruler.com/.
~~**~~**~~**~~**~~**~~
NEW MEMBERS
Please send the prospective members' screen names and first names to me: RNFrankie@AOL.com
WELCOME TO:
Our newest member: libby.smith@bellsouth.net (Libby) July 13, 2010
jeluciano@gmail.com (Jacquie) June 12, 2010
~~**~~**~~**~~**~~**~~
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....lol So please send me your new name/address, ok? RNFrankie@AOL.com
OLD ADDRESS: springns88@AOL.com changed to: springns88@yahoo.com (Barbara)
~~**~~**~~**~~**~~**~~
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
Propaganda is persuading people to make up their minds
while withholding some of the facts from them.
--Harold Evans
Hope to see you online or write me !
RNFrankie@AOL.com
