Browsing: Nursing

The CNA Certification Process

For those looking for a step in the career as a nursing assistant, getting your CNA certification is the first step. The job of a nursing assistant is demanding, and there before you need to be ready for anything. This is not something that everyone feels comfortable doing, but for those who have a passion for helping people, this can be something very rewarding. You are going to be working under the supervision of a licensed nurse and you will be doing various things for patients. This can vary depending where you work, and the most common things are going to be taking vital signs and helping patients with activities of daily living, or ADLs.

One of the first steps of the process is to choose an institute to train at. Each institute can vary, but the state has requirements that must be met before you can become certified. Choosing a school or institute can be hard as you may not know what to look for. You need to get anywhere between 50-120 hours of training and this varies from state to state. Always ensure that the school you are interested in is approved by the state and is legit. This ensures that you are going to learn everything that is needed to become certified. There are certain skills you are going to need to learn so getting adequate education is essential.

Your training for CNA certification will typically last an average of 3 months, and there are going to be specific skills that you are going to learn. You are going to need a minimum of 50 hours of theory skills and an added 100 hours of your hands on training. When you have finished training, your school or institute you trained at may give you a certificate, but this does not mean you can begin working. You are going to have to continue on to take the state test which is how you get your license.

Passing the test can be hard for some, and if you have paid attention in class and have studied, you should have no issues passing the test. You will have to take 2 parts of the test. The first is a written test and the second part is a practical exam where you will show your knowledge of certain skills. You are going to learn knowledge from videos as well as hands on skills and other class work from your instructors.

If you find that you fail the test the first time, you have another chance to retake it and improve your score. Typically, a majority of the states will give you 3 tries to pass the exam within 2 years after you have completed training. Once you become certified, you are going to have to maintain renew it every two years as well as having 48 hours of continued education.

CNA certification can allow you to open new doors and opportunities to those interested in the medical field. You can work in hospitals as well as private agencies where you will be visiting patient homes.

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The Good and Bad of Online Certified Nursing Assistant Schools

Are you recently beginning to consider the option of certified nursing assistant schools to begin a career in a rewarding path? If you are interested in becoming a nursing assistant, you are going to need to consider looking into all online schools can offer, or traditional schools for that matter. More and more people are looking into online training for the convenience as well as the flexibility.

Who Benefits from Online Training?

Online training is great for those who have hectic schedules, and are looking for a way to go to school when it's convenient for them. Many people do not always have the time to dedicate to a classroom setting and want to fine certified training classes on the internet. If you are comfortable with the internet and working online while completing a few things online, you may find that you will benefit from getting your training online. If you know how to work with e-mail, attaching things, using word, and other tasks, then online training is a good choice for you.


• Cost of online certified nursing assistant schools typically costs anywhere from $ 400- $ 1000 and the actual length of the courses is shortened as well

• Access resources and tools instantly and easily

• Luxury of studying in the comfort of your own home and when you want

• You are offered the support needed even online

• Financial aid is accepted by nearly all online schools


• No hands on experience – some students learn better when they are able to see things in person and do hands on training and others do fine without it

• Classroom setting is eliminated-some people learn better in a classroom and others are fine learning in an online classroom

• Need to be self-disciplined to ensure you stay on track of your work and studying, and to make sure all deadlines and requirements are met each week

Difference from Campus Colleges

In regards to training online, one of the largest and main differences is that things are all online and that the teachers are not physically there. You are going to be learning and communicating through e-mail and online forums through the school. You need to have a set amount of time in the online classroom and participation is another difference. You need to participate a certain amount of times each week as well.

All of your training materials are going to be online and this is yet another large difference. You are going to receive e-books rather than textbooks. All of your information, courses, contact information for teachers, your syllabus, and other worksheets are all going to be delivered online rather than what you would get in a classroom. If you feel you need a textbook and hard copies of things, you can still purchase these materials through the school itself.

Certified nursing assistant training online can be beneficial and very convenient for many who are looking for an alternative to the traditional classroom setting. You are going to be able to control your future, and this is going to allow you to have the convenience of studying when you want all from your own home.

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Finding the Right Online Certified Nursing Assistant Courses

While you probably know what to look for in certified nursing assistant courses, there are some things that you may not be fully aware of. You need to start by doing research, and just when you think you have done enough, do some more. You can never be too careful nowdays. This is especially true if you are planning on taking classes online. You are not going to be physically going to the school, so you need to take extra care to ensure that they are going to offer you the education and the training that will set you up for a rewarding career as a nursing assistant and to help people on a daily basis.

1. Understand What You Want. Before you take the steps to become a CNA, make sure this is really what you want. It can be draining physically as well as emotionally, and requires certain skills. Consider what your responsibilities and job duties are going to entail as well as the types of facilities you are going to be working at. Do you want to be working with people and helping them get dressed on a daily basis?

2. Is the School Accredited? You always want to consider a school that is going to be accredited. Make sure that the college or training school is registered as this ensures your education is going to be high enough to prepare you for working as a nurse's aide. It should be associated with National League for Nursing Accreditation or the Committee on Collegiate Nursing and Education.

3. Research State Requirements. Because each state has its own requirements, and you should always learn what they are so you can ensure you meet them all. There may be some that are a little harder to meet than others, and this is simply because the schools are online so some things are a little different. Some schools are not going to provide you with training in some classes that your state requires. Therefore, finding out what your requirements are can help you choose a school that fits your needs.

4. Classes and Also Schedules. Schedules are more flexible when you are taking certified nursing assistant courses online. Each school is going to vary, but many people find that love the convenience of being able to study anytime of the day. Whether its 3 am or 10 pm students have the luxury of studying when they have time, and this allows them to still have a job and care for kids if needed.

5. Course Length. Your online training program is going to vary all based on the school you opt to attend. This can also depend on how fast paced you work as many schools work based around how fast or slow you go. There are some classes that you can finish in as little as 6 weeks, and others are 12 weeks.

When you are trying to find certified nursing assistant courses online, remember that you need to have the self-discipline to continue going to school and keeping up with your work and studying. This is important or else you are going to find that you will fall severely behind, and necessary skills may be missed.

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From LPN To Nurse Practitioner

A Nurse Practitioner (or NP) is a registered nurse that has completed additional education and training in a certain specialty area of ​​nursing. In order to become a Nurse Practitioner, a licensed practical necessity needs to undergo four stages. The first stage is learning a bachelor's degree in nursing, the second stage is becoming a registered nurse, and the third stage is completing a graduate-level education, such as a master's or a doctor degree. After completing these first three stages, a candidate will then have to pass the National Board Certification in the specialty area that they chose.

Scope Of Practice

A Nurse Practitioner can diagnose patients and prescribe medications like a physician can. Some states require that nurse practitioners work in practice with doctors, while others allow nurse practitioners to work independently. The treatments and medications that nurse practitioners are usually less expensive than those of a physician's.

Some of the duties of nurse practitioners include taking the patient's health details; diagnosing and treating or managing infections, treating injuries or illnesses; providing prescriptions; conducting physical exams; ordering, performing, and interpreting laboratory procedures and tests; educating patients on health subjects; prescribing rehabilitation treatments, such as physical therapy; and providing well-child care, which includes screenings and immunizations.

Work Settings

Nurse Practitioners can be found in a huge variety of healthcare facilities and institutions. Many of them work in hospitals and hospital clinics. Some of them may be found in clinics, such as school or college clinics, community clinics and health centers, and walk-in clinics. There are also nurse practitioners that work at health departments, health maintenance organizations, home health care agencies, public health departments, and private offices. In addition, they can work in physician offices or they can work in their own office as well. Other places that they can be found working at are nursing homes and nursing schools.

Bachelor's Degree

A Bachelor of Science in Nursing degree can be earned in four years at a college or a university. The first two years focus on completing general education requirements and the remaining years are spent on nursing practice. Some programs allow a licensed practical nurse to earn a bachelor's degree in as little as two years. Many licensed practical nurses earn their associate's degree first then they continue their education for two more years to acquire their bachelor's degree.

Passing The Exam

After completing the Bachelor's degree in nursing program, a licensed practical necessity can now take the National Council License Exam. Upon passing the exam, the licensed practical nurse becomes a registered nurse and they can immediately practice registered nursing.

Master's Degree

A master's degree in nursing is the minimum degree required to become an NP. The courses may vary depending on the area of ​​nursing that they are specializing in. Schools that offer master's degree in nursing programs usually only accept students that acquired their previous degree from an accredited program that has been accredited by the NLNAC (National League for Nursing Accreditation Commission) or the CCNE (Commission on Collegiate Nursing Education). For associate degree holders that want to earn their bachelor's and master's degree in one shot, there are ADN-to-MN / MSN degree programs that are available for them to choose from.

Doctoral Degree

Registered nurses with a master's degree can continue their studies, if they so choose, and earn a Doctor of Nursing Practice or Doctor of Philosophy. The former focuses on clinical aspects while the litter prepares students for research and teaching positions.

Board Certification

In order for candidates to earn national certification, they first must be licensed by the state where they want to practice their nursing career in. After this, a nurse practitioner can then apply for national certification from professional nursing boards such as the American Academy of Nurse Practitioners.

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Pursuing An LPN Career

A Licensed Practical Nurse or LPN is a nurse that is licensed by the state who can provide patient care to people that are old, disabled, injured, sick, or terminally ill. To become a licensed practical nurse, a candidate must complete an LPN program and pass a licensing exam. Those who pass the exam can start practicing licensed practical nursing right away.


The duties of licensed practical nurseries range from clinical practice to administrative duties. They often provide basic bed care to patients and they assist patients in their daily tasks such as bathing and dressing, standing and walking, and eating. Additionally, they take and record patients' vital signs and they help them prepare for their medical tests. They also prepare and administer injections, dress wounds, collect test samples, and perform laboratory tests. Some of the administrative duties that licensed practical nurseries meet are gathering the patient's health information and insurance details as well as keeping records and making appointments.

Work Environment

Most licensed practical nurses work 40 hours a week. They can be found working at hospitals, clinics, and doctors' offices. They face risks from radiation, caustic chemicals, and contagious diseases. They are also subjected to possible injuries when they are assisting uncooperative patients. Moreover, they often deal with the anxieties and the frustrations that the patient and their family members may have with the patient's health condition.


The average salary of licensed practical nurses is about $ 39,000 a year. Salaries may vary between states and they are determined by several factors, such as the overall work experience that the licensed practical nurse has, their educational background, the cost of living in the area, the number of hours per shift that they get, and the type of health-care facility that the licensed practical nurse practices nursing in.


An LPN program can be completed in a year or so at a technical or voluntary school. Half of the program is spent on classroom study, which focuses on nursing related subjects such as anatomy and physiology, fundamentals of nursing, pediatrics, pharmacology, nutrition, and maternal and child health. The other half is spent on clinical practice and it is done at a hospital or other health-care setting.

Program Requirements

Schools require candidates to have a high school diploma or an equivalent certificate. Prior to submitting their application, they must complete a few preparatory courses required by the school. Candidates with a high GED score and high scores on the nursing admission tests have a better chance of gaining entry into the school that they are applying for. Certificates from any volunteer nursing experience that they have should be included in the application letter, which will elevate one's chances of being accepted.

Licenser Examination

The licensing examination that candidates have to pass is called the NCLEX-PN (National Council Licensing Examination). It is owned and developed by the NCSBN (National Council of State Boards of Nursing, Inc.). The exams are taken in a computerized adapting testing format and they vary in length. The exams may involve multiple choice, identification, and math problem solving questions.


The cost of the LPN program varies from one school to another. The average cost is around $ 10,000, with all fees included. You can also pay as little as $ 4,000. The most expensive schools may cost as much as $ 25,000, excluding the cost of books and other materials.

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Four Different Types Of Nursing Jobs

Nursing jobs are extremely abundant in the job market. Although the number of graduations has been increasing year after year, there are still a lot of vacant jobs that need to be filled up. The reason for this is because there is a high demand for nurseries and now there is a shortage in certain areas of the country. Anyone who wants to become one can choose among three professions: certified nurse assistant, licensed practical nurse, registered nurse, and advanced practice nurse.

Certified Nursing Assistant (CNA)

Being a Certified Nursing Assistant requires the least amount of education and training over other jobs. Candidates only need to complete a six to 12 week training program and pass an examination. CNA work under the supervision of a registered nurse or a lpn. They provide basic patient care and assist patients with their daily living activities. They usually provide their supervisors with important details about the patient's health condition.

Licensed Practical Nurse (LPN)

A LPN defined as someone who provides patient care to sick or terminally-ill individuals, injured or disabled people, and the elderly. They work under the direction of registered nurses or doctors and they supervise CNA. They can be found working in all different types of healthcare facilities. Their duties and responsibilities include administrative tasks and clinical practice.

LPN Education

LPN has more education and training than CNA. To become one, candidates have to complete a one-year LPN program at a technical or voluntary school. They will also need to pass a licensing exam, called the National Council Licensing Exam (NCLEX-PN), before they can start working in the field.

Registered Nurse (RN)

RN combine the largest group of healthcare employees in the US. They have similar tasks as LPN, but they have more responsibilities because of their education and training. This permits them to enjoy more benefits than the two previously mentioned. They have higher salies and better chances of being promoted.

RN Education

There are three educational methods available that allow a candidate to become a RN. First is by acquiring a diploma, which takes three years to accomplish. The diploma program can only be completed at a hospital-based school. Only candidates that have two years of working experience in nursing can take this program. The second way is by learning an associate's degree. This program focuses on technical skills and it can be completed in two years. The last one is by learning a bachelor's degree, which takes up to four or five years to finish. After completing any of these three programs, a candidate will have to pass the NCLEX-RN exam.

Advanced Practice Nurse (APN)

An APN is a RN with advanced education and training in a specialty area of ​​nursing. An APN can be a midwife, nurse practitioner, nurse anesthesiologist, or a clinical nurse specialist. They may also have sub-specialties in the area that they specialize in.

APN Education

Among the four nursing jobs, APN jobs require the most advanced education and training. But the rewards are also satisfying since they enjoy a lot of benefits and they also have the highest salies. To become an APN, a candidate needs to attain a graduate-level education, such as a master's or a doctor degree. Candidates will also need to be licensed by the state and they need to acquire national board certification.

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Best Paying Nursing Jobs – Finding The Right One To Get Started With

Nurses compose the highest number of workers in the healthcare industry in the country with more than 2.5 million practicing nurses, according to the Bureau of Labor Statistics. But for most registered nurses, the factors that affect their choice of career are financial stability and job security. Since nursing can be very tough and challenging, it is but expected to be a high paying job as it requires widespread training and education.

In this profession, various healthcare care options are available. Beginners are required to have years of nursing practice to move on to another stage. Learning the skills may bring them to a high-salaried position and eventually lead them to a more advanced nursing session.

The top three nursing professions that will earn you a handsome salary are explained below based on annual income and the current demand for such careers. In order to get these high-paying nursing jobs, you have to have extensive trainings and further education to keep up with the competition. Such professions require graduate level learning and technical expertise.

Certified Registered Nurse Anesthetist (CRNA) receives one of the highest pay in the nursing profession and earns grossly an annual income of $ 100,000.00. He works hand in hand with an anesthesiologist and is responsible in handling anesthesia during surgery. For someone who has the inclining and technical know-how in surgery, this job may just be an option for you.

To become a CRNA, further graduate studies is a requisite together with your degree as a licensed registered nurse. Qualifications are important because you take the place of an anesthesiologist during his absence. A CRNA may work independently or under the guidance of an anesthesiologist, which is acceptable by state laws and regulations of the employer.

A nurse practitioner (NP) on the other hand is a healthcare provider who works under the supervision of a licensed physician. Although laws and regulations vary from state to state, a nurse practitioner is allowed to perform minor procedures, tests and exams to patients. In some states, this career may allow you to do your work independently like giving out medical prescriptions and primary health care.

This is a great career path for someone who is capable in building good rapport and friendly approach with patients. It also requires patience as you will be doing invariable care to your patients. This may just be an excellent nursing career since salary is as much as a CRNA.

A clinical nurse specialist (CNS) may earn an average of $ 70,000-80,000 annually and to qualify for this position, you must have a Master's of Science degree in Nursing and a supporting CNS certification as a being a Registered Nurse. A CNS role includes helping out with advocacy, education, specialized research and mostly time management. Such expertise requires training and education in a particular medical field.

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Professional Ethics and Code of Conduct for Nurses

International Council of Nurses Code of Ethics (2005)

According to the ICN, the fundamental responsibility of the nurse is fourfold:

  1. promote health
  2. prevent illness
  3. restore health
  4. alleviate suffering

The ICN further states that the need for nursing is universal. Inherent in nursing is respect for life, dignity and the rights of humanity. It's unrestricted by considerations of nationality, race, color, age, gender, politics or social status. The code has five principal elements that outline the standards of ethical conduct.

Nurses and people

  • The nurse's primary responsibility is to people who require nursing care.
  • The nurse, in providing care, respects the beliefs, values ​​and customs of the individual.
  • The nurse holds in confidence personal information and uses judgment in sharing this information.

Nurses and practice

  • The nurse carries personal responsibility for nursing practice and maintaining competency by continuing learning.
  • The nurse sustains the highest standards of nursing possible within the reality of a specific situation.
  • The nurse uses good judgment in relation to individual competency when accepting and delegating responsibilities.
  • The nurse, when acting in a professional capacity, should at all times maintain standards of personal conduct that would reflect credit upon the profession.

Nurses and society

  • The nurse shares with other citizens the responsibility for initiating and supporting actions to meet the health and social needs of the public.

Nurses and colleagues

  • The nurse sustains a co-operative relationship with colleges in nursing and other fields.
  • The nurse takes appropriate actions to safeguard the patient when their care is terminated by a colleague or another person.

Nurses and the profession

  • The nurse plays the major role in determining and implementing desirable standards of nursing practice and nursing education.
  • The nurse is active in developing a core of professional knowledge.
  • The nurse, acting through the professional organization, participates in establishing and maintaining equitable social and economic working conditions in nursing.

Code of ethics

A code of ethics is a group of fundamental beliefs about what's morally right or wrong, along with reasons for maintaining those beliefs. Both of these codes contain fundamental statements which represent the beliefs and values ​​of the nursing profession, and they assist in judging the standard of nursing given at any one time.


The need for confidentiality also forms part of the NMC Code. Patients and their family expect all health-care professionals to maintain confidentiality and share information with only relevant personnel.

The move to computer patient records has its own problems. It may increase the risk of more people being able to access them. Therefore, it is essential that staff understand the importance of not sharing computer log in codes, and to remember to log out when leaving a computer screen.

The Caldicott Guardian

The Caldicott Guardian is a senior member of the NHS Trust (usually a clinician) who is responsible for maintaining the confidentiality of all identifiable health-care records in that setting. All groups delivering health care were required to appoint a Caldicott Guardian to ensure the protection of patient records and who may view them.

For your eyes only

Patient records with identifiable health information must be secured so that they are not accessible to those who do not have a need for them. Identifiable health information may include the patient's name, national health number, hospital number, birth date, admission and discharge dates, and health history.

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Finger Oximeter – Benefits And Drawbacks

If you are a nurse or are studying to become a nurse, it is essential to know what physical quantity fingertip oximeter or a “finger pulse ox” measures, what could go wrong with the measurement and how to verify the accurate readings. On the other hand, and this is extremely illegally to learn in nursing school, it is also highly beneficial to know more detailed principles of fingertip pulse oximeter operation. One reason – what are you going to say when an inquiring mind of a patient asks you that? The other reason – by knowing the principles of operation, you will better understand the advantages and limitations of finger pulse oximeters and blood oxygen meters in general, and will be better able to use the devices appropriately, and replace them with a more appropriate tool when the circumstances warrant it.

Fingertip oximeters were invented by the company called Nonin just a few decades ago. A repeated series of two distinct pulses, a red pulse, and an infrared pulse, is sent through a patient's finger. It turns out that the oxygenated hemoglobin in blood transmits a different amount of red and infrared light than the non-oxygenated hemoglobin. Therefore, by calibrating, and measuring the relative absorption of both red and infrared light, the ratio of oxygenated to non-oxygenated red blood cells is determined.

Advantages of fingertip oximeter

Clearly, the fingerertip pulse oximetry procedure, when compared to drawing blood, has two advantages.

First, it is non-invasive, and the related infection issues and blood handling issues are few.

Second, since the light pulses are extremely fast, the readout can be had very quickly, in ten seconds or so. This is important in critical moments such as in an emergency medical situation, or for high performance athletes during the game, and for pilots flying above 10,000 feet where the oxygen in air becomes diluted.

Disadvantages of fingertip oximeters

The main disadvantage stems from the fact that, by just sending light pulses through the fingertip, it is elusive to determine the exact volume of the blood that is being sampled by the light. The measurement of oxygen saturation can there only only relative – it only gives the relative ratio of oxygenated hemoglobin concentration versus the non-oxygenated hemoglobin concentration. While the normal ratio is considered to be between 97% to 100%, the manufacturers warn that the reading accuracy goes down when the saturation reaches 70% or so.

When the readout percentage goes as low as 70% it could be due to several factors. One factor could be the oxygenated hemoglobin deficiency, and the other could be the hemoglobin or red blood cells deficiency itself.

So when you come across a low reading on the oximeter, check that everything is in good order with the device, and if so, a blood test is in order. The advantage of a blood test versus the fingertip oximetry is that in a blood test, the amount of the blood sample is known exactly, and therefore, the absolute hemoglobin concentrations can be determined. These are more relevant for the well-being of the patient than just the oxygen saturation ratio returned by the fingertip oximeter.

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Factors Affecting Health and Wellbeing

One of the nurse's primary functions is to assist patients in reaching an optimal level of wellness. When assessing patients, the nurse must be aware of factors that affect their health status and plan to tailor interventions accordingly. Such factors include the following:

  • genetics (biological and genetic makeup that causes illness and chronic conditions)
  • cognitive abilities (which affect a person's view of health and ability to seek out resources)
  • demographic factors, such as age and sex (certain diseases are more prevalent in a certain age group or sex)
  • geographic location (which predisposes a person to certain conditions)
  • culture (which determines a person's perception of health, the motivation to seek care and the types of health practices performed)
  • lifestyle and environment (such as diet, level of activity and exposure to toxins)
  • health beliefs and practices (which can affect health either positively or negatively)
  • previous health experiences (which influence reactions to illness and the decision to seek care)
  • spirituality (which affects a person's view of illness and health care)
  • support systems (which affect the degree to which a person adapts and copes with a situation).

Think of health as a level of wellness that's unique to the individual. One of my primary functions is to help patients reach their optimum level of wellness.

Illness defined

Nurses must understand the concept of illness, particularly how illness may affect the patient. Illness may be defined as a sickness or deviation from a healthy state. It's considered a broader concept than disease. Disease commonly refers to a specific biological or psychological problem that is supported by clinical manifestations and results in a body system or organ malfunction. (See Disease development.) Illness, on the other hand, occurs when a person is no longer in a state of perceived 'normal' health. A person may have a disease but not be ill all the time because his or her body has adapted to the disease.

What does it mean to you?

Illness also encompasses how the patient interprets the disease's source and importance, how the disease affects the patient's behavior and relationships with others and how the patient tries to remedy the problem. Another significant component is the meaning that a person attaches to the experience of being ill.

Disease development

A disease is usually detected when it causes a change in metabolism or cell division that produces signs and symptoms of the disease. How the cells respond to disease depends on the causative agent and the affected cells, tissues and organs. In the absence of intervention, resolution of the disease depends on many factors functioning over a period of time, such as the extent of disease and the presence of other diseases. Manifestations of disease may include hypofunction, hyperfunction or increased or decreased mechanical function.

Disease stages

Typically, diseases progress through the following stages:

  • exposure or injury – target tissue exposed to a causative agent or injury
  • latency or incubation period – no evident signs or symptoms
  • prodromal period – generally mild nonspecific signs and symptoms
  • acute phase – disease at its full intensity, possibly with complications; called the subclinical acute phase if the patient still functions as though the disease were not present
  • remission – second latency phase that occurs in some diseases and is commonly followed by another acute phase
  • convalescence – progress towards recovery
  • recovery – return of health or normal functioning; no remaining signs or symptoms of disease.

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Assessing a Patients Comprehensive Health History

Health histories vary from case to case according to their purpose. The most complete is referred to as the 'comprehensive health history', and includes all of the elements described later in the chapter. This type of history is the one most likely to give a picture of the whole patient, which is why a nurse assessment of a patients health history is incredibly important. It is especially useful in situations such as:

  • where reaching a diagnosis is difficult or complex
  • where the patient has a range of different health problems
  • prior to major treatment or surgery
  • when a patient is newly enrolling with a healthcare provider, such as joining a new general practice.

It is regarded as the 'gold standard' in history taking, and is arguably under-used in many settings, often due to time constraints. But a well-connected comprehensive health history may well be invaluable in recognizing a previously unidentified health problem or unmet need. Getting straight to the point in your nursing assessment Other approaches to history taking are more selective. In some situations, a selective approach, if performed safely, may be more appropriate. This is often described as a 'focused health history', and most commonly involves the examiner asking selected questions directed by the presenting problem or need. Examples of situations where this approach may be appropriate include:

  • emergency situations, where it is necessary to gain a brief history and move on to rapid physical examination (with the likelihood of returning to a more comprehensive history later)
  • minor illness or injury, where information relating directly to the presenting problem and its management may be all that is required
  • pre-operative assessment, where the focus is on history relating to past surgery, and the respiratory and cardiovascular systems, in order to ensure safe anesthesia
  • follow-up or ongoing assessment, where the patient is well known to the examiner and thus the examiner builds their history taking on previously established information
  • nutritional assessment
  • mental health assessment

It takes a lot of practice to make wise judgments about what to ask and what not to ask, so if in doubt it is better to ask rather than not. For example, if a patient has broken their arm, it may not seem relevant to explore all aspects of their family history or past medical history. Yet some factors, such as a history of previous fractures or a family history of osteoporosis, would be relevant. Guidance in the specific chapters, together with experience, will help you make these judgments.

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Certified Nursing Assistant Training: What Makes a Good Candidate?

Certified nursing assistant training is a great way to make your mark in the medical field world, and many people are many find it as a great place to start learning about the medical field and if it's something they would like to do. If you are interested in pursuing a career in nursing or other aspects of the medical field, this is the perfect place to start. You may also be wondering what exactly makes a good candidate to become a nurse's aid. In all reality, as long as you have a love for people and enjoy working with them you are going to enjoy this path.

What's a CNA?

To begin with, there are many people who are not even aware of what a CNA is, or what they do. In order to know if this is the right choice for you, you are going to need to learn as much as you can about it and what is in store for you once you are certified. You are going to be working with people on a daily basis, and your responsibilities can vary from taking vital signs to helping patients get dressed or basic oral care. Your roles as an assistant are vital to the overall well-being of the patients, and your job is very important. For the most part, you may find that you will be working with older patients.

Certified Nursing Assistant Training Requirements

If you are interested in becoming a certified nurse aid, you are going to have to check with the State Board of Nursing for your resident state to see what the requirements are. Some states require you to have no less than 75 hours of training, and others may require you to have as much as 120 hours of training. There may be other requirements as far as classroom work and clinical hands on training. Once you are certified, there is at least 8 hours of continued education you need to continue and maintain each year. The training you are going to receive is similar to what you would receive if you were going into medical billing. The only difference is that you are not going to be focusing on the billing aspect of it.

What About the Job Outlook?

One of the great things about becoming trained and certified to become a CNA is that there are several places for you to work, and there is always going to be a high demand for nursing assistants. The medical field is one of the top job industries, and it's expected to grow over the following years. There are an estimated 275,000 opening positions if not more expected all the way through 2018, and that's according to the BLS. In regards to the salary of a CNA, this varies from place to place and will also vary on your experience. On average, you can expect to make $ 20,000 to well over $ 30,000.

There really is no right or wrong person to become a CNA and certified nursing assistant training can be done at a variety of institutes and colleges. Open a world of opportunity for yourself and begin on the path of a rewarding career.

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CNA Training With the Red Cross

Becoming a certified nursing assistant can be easy for some, while for others it's a little more complex and difficult to understand. CNA training is one of the first essential steps to getting your foot in the door with the medical industry. There are several individuals who have dreams and aspire of being a nurse or a doctor. If you are one of these people, becoming a nurse assistant can help you get your start. The Red Cross has been around for several years and has been offering CNA courses. The Red Cross today is found in 36 states around the country, and to get started simply visit your local branch.

Determining if this is the right choice for you is made simple. As an aide, you are going to be working with people on a daily basis for several hours at a time. You are going to be on your feet for extended periods of time, and at times, the job can be demanding, and at others, extremely rewarding. Your training is going to be based in a classroom setting and towards the end of your course, more hands on before your state exam. Each state has their requirements as far as hours needed to become certified. Through your training, you are going to learn everything you need to help you pass the exam.

The Red Cross classes strictly adhere to state requirements as well as regulations by the Board of Nursing. Your training is going to be the same no matter what Red Cross center you visit, and the only different is going to be the hours you are in class. While some courses require you to have 50 hours, others can go as high as 120 hours.

CNA training is not completely free, and there are associated fees that come with certification. Each state has different requirements, and additionally, you need to pay for your CNA license as well as a CPR license. You are not going to be allowed to work in the field without either one. Your Red Cross branch can further inform you of these fees as you will be paying them directly.

You are going to be prepared for passing the state exam as well as situations you may be faced with once n the field. Classes can not prepare you for everything, and some skills and situations you are going to have to deal with and use your knowledge when the time comes. You are going to learn how you should deal with patients, and there are several different facilities you may be qualified to work in. Each facility can vary, and this means patients will vary. You will learn how to deal with them as well as how to offer emotional support to families of patients.

The Red Cross prides themselves with providing essential CNA training that is needed to provide you with real life. Your skills are going to improve and expand once you're in the working field, and you are going to learn about the various responsibilities you will be dealing with. To learn more, simply get in touch with a local Red Cross center to learn more about becoming a nursing assistant.

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Health Care Providers With Credentials and Experience Provide Better Patient Care for Children

Children's hospitals are growing in number all over the country, yet many families still bring their kids for medical attention at regular hospitals. Many parents still bring their children to regular hospitals for diagnosis or treatment. Many health groups encourage parent to bring their children to children's hospitals for their medical needs; yet many still do not see the difference between a regular hospital and children's hospital.

Kids' physiological and psychological maturity differs from adults which is why specialized pediatric care must be given to them when the need for it arises. The health care providers at children's hospitals must be highly trained in pediatric care.

These health care experts include anesthesiologists, surgeons, pharmacists, nurses, pediatric doctors and child life specialists. The all possess comprehensive knowledge on children's health which covers medicine and treatment procedures. They also play a key role not only in educating patient s and their families about their illnesses and treatments but also the general public about healthy living and where to seek the best medical care for children.

Research studies report that patient care received at children's hospitals had higher standards when it came to patient safety with lower mortality rates and fewer complications after treatment in comparison to regular hospitals.

There are many indicators of quality health care in hospital settings. One of the most important is the credentials of health care providers at such facilities. Findings show that the more procedures doctors and nurseries have performed the better they do the next time around with adjustments and improvements.

A high level of health care education gives them the extensive knowledge and skills to provide adequate patients care, treatment, and perform complicated medical procedures. Licensed and certified nurses and doctors give families a guarantee that their young patients are afforded the best medical care.

It is essential for clinicians, doctors and nurses to see the disease and treatment in the eyes of the young patient. Child hospitals must not only be capable to providing health care but also have a safe and comfortable environment. These facilities must make use of the latest procedures and technology such as low-dose radiation machines.

These hospitals that cater exclusively to the medical needs of children are the best avenues for treatment and recovery. Compared to other hospitals, they are more abreast with new methods of treatment and technology. They also have child life specialists, a caring staff and colorful surroundings that make the children feel secure during the course of their confinement.

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CNA Classes And Effective Strategies to Pass The CNA Certification Exam

If you are looking to make a change in your life, how about choosing to help others by becoming a certified nursing assistant (CNA) by signing up for CNA classes offered at a variety of institutions such as community colleges, vocational training centers, etc. Based on your location, you may also be able to sign up for a Red Cross CNA class offered at various Red Cross chapters in many states. Taking CNA classes will give you the tools to pass the CNA certification exam.

CNA classes combine textbook work, practice sessions using mannequins or each other as well as the clinical portion which allows students to practice in a real setting such as a hospital or nursing home the various skills learned during the CNA training classes on real patients.

The training received from the CNA classes will enable you to practice as a certified nursing assistant at various hospitals, nursing homes, clinics, residential homes, doctor's offices, etc, on various patients or residents. CNAs usually report to a licensed nurse typically a Registered Nurse or to a doctor and receive instructions from these individuals on their daily duties.

After completing the CNA classes, the student will usually need to take and pass the certification exam in order to become a certified nursing assistant and be included on the state registry of nursing assistants also known as nurses assistant or nursing or nurses aide. The certification exam varies from state to state which is something that you need to consider when deciding which state to become certified in. While the certification exam may vary across states, the fundamentals tested remain the same.

From the CNA classes, you will discover that the certification exam enterprises of the written exam and the clinical skills test which a lot of students dread because they will have to perform a set of skills for a state evaluator. Both sections of the exam must be passed in order to become a certified nursing assistant. Although the minimum passing score may vary from state to state, you can expect to be required to earn at least 70% on the written portion as well as 70% on the clinical portion. Do remember that for the clinical portion, each critical step must be 100% accurate.

Tips To Pass The Exam After Completing CNA Classes

A. For the written exam, some exam passing tips include:

a. Having an early night the night before the exam and try not to do any work the night before

b. Limit your caffeine and alcohol take before the exam. You want to have a clear head.

c. You need energy before the exam so make sure that you eat a healthy but light breakfast. You do not want anything heavy.

d. While considering the allotted time for the exam, be sure that you take enough time with each question. Decide how much time based on the total time you should allot to each question and work proficiently towards the goal.

e. Pay attention to each question and read each question thoroughly and ask yourself what is required of the question and then pick the best answer.

f. Do not panic if you encounter a question that you have no clue how to respond to. In such cases, simply make your best guess and do not leave the answer blank. When in doubt, remember that patient or your safety is paramount so use this knowledge to make an educated guess in the few instances that you are at a loss.

g. Last but not least, be confident in yourself and your abilities since confidence goes a long way to ensure that you accomplish your goals which in this case is to pass the written exam. The textbook work and class notes from the CNA classes will be very helpful to pass this portion of the exam

B. For the critical skills test portion, which can be quite nerve wracking, the following tips will be helpful to pass this portion:

a. Practice and then practice again and again the skills that you learned during the CNA classes. Remember and practice what you learned during the practice sessions and clinicals from the CNA classes that you took.

b. Practice the procedure or skill that you learned in the CNA classes EXACTLY as you learned.

c. Safety for both the patient as well as the CNA is very important as you will learn during the CNA classes, so ensure that all safety standards are followed during this test portion.

d. Be confident in your demonstrations which you will only get if you follow point a. above.

e. Be aware of the time constraints so that you are timely in your demonstrations.

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