Healthcare Professionals: How Mindful Are You of Patients?

Do not continue tell patients how bad their injuries look because they already know that they are not in good shape. This is the best time to let them know that they are in good hands. Who wants to look at their own catastrophic injuries? It's even worse to continue hear about how terrible these injuries look. Where is the positivity? Whatever happened to someone telling patients that they look better than they did when they first came in? If you see a patient has catastrophic injuries, give solutions and tell them how these solutions will improve their overall physical well-being.

When nature calls, it's time to go to the bathroom . Many patients are unable to go to the bathroom by themselves. There is nothing worse than needing to go to the bathroom, but feeling too ashamed to call for help because you do not want to feel degraded or unwanted. Not having a bowel movement can cause bowel blockage and the collection of pollution in the body. Do not make patients feel ashamed of going to the bathroom, it's critical to their health.

Patients will heal in their own time-but, you feel time is limited and the patient is not making much progress. Rushing or coercing a patient into therapy is far from beneficial . In fact, you can expect some push back, especially if they are in a lot of pain. Not every patient is pro-active, so try selling the benefits of physical therapy by using their current progress, body mass, and your past successful experiences with physical therapy as examples or motivating factors. This may not get the patient to immediately agree to physical therapy, but this helps them to think about the possibilities which can come from them pushing themselves to use their body movements to promote healing.

Be ready to explain your daily job routine to patients and their loved ones. Nurses and other healthcare staff are not able to stay at their desk most of the time, and this does not go unnoticed. Guests are more understanding than you think they are-just let them know that you care and will not neglect them loved ones when they need you the most.

Educate patients and their loved ones on why you use certain medical supplies or products . This prevails patients and loved from using their own healthcare methods that are not recommended by the hospital or doctors.

Be mindful of your patients needs and feelings because it is crucial to the healing process.

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Concerns About The Growth Of Term Paper Mills And Essay Mills For Health And Nursing Students

The work I've been involved with on contract cheating over the past decade has looked at students who pay for work to be completed for them online. This is a concern behavior. Students who do not complete their own learning are not gaining the skills they need for employment and the workplace.

A worrying trend that has emerged in recent years are essay mills (also known as term paper mills) that are designed to cater for students from particular academic disciplines.

You can find essay mills aimed at law students, business students, computing students or any academic discipline that you can think of.

From the point of view of the company marketing essay writing services to students, this is a smart decision. Providing niche essay mills means that students are more likely to find your company online. They are also more likely to trust that you have the academic ability to help them with their particular subject or academic discipline.

Actually, the truth is far less clear-cut. Investigations that I've been involved with have shown that most of these companies are not as specialized as they make out. The same company is often providing services through several different trading names. Each of these uses the same pool of writers, regardless of which entry point was used to get the students involved with these services.

The growth of essay mills in subject specific areas is also of concern when fitness to practice is considered. Nursing is a particular example which has been identified. Here, students need to leave their academic course with practical and mathematical skills that they will use on a hospital ward or with patients.

When students see nursing essay mills online, this is an encouragement for them to cheat and to receive help that they are not entitled to. This can mean that they end up being in front of patients, but lacking the medical care skills needed to support them with their conditions. The issue becomes one of public safety.

There are all kinds of things that could go wrong when a nurse who is not properly qualified ends up working with patients. There have been instances identified in the media where patients have been dispensed the wrong prescription drugs, or provided with the incorrect amount of medication. Patient notes be recorded incorrectly, leading to problems down the line. Nurses who have taken short cuts during their educational journey may continue to do so when put in front of patients.

As a result, I strongly discourage prospective nurses who are tempted to use essay mills from doing so. Previous examples looking at the essays produced by these services have shown that they are often not very good. Nurses have been caught trying to cheat, removed from their courses and rarely never able to get a job in the caring profession.

It is much better for students to do their own work. Academic evaluations in nursing are set for a reason and do directly lead onto nursing placements and the day-to-day work that will be undertaken. Only by avoiding and eliminating the temptations to cheat can we be assured that all nurses are able to provide the standard of hospital care that we should expect.

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Going Global: The Life of a Traveling Nurse

The life of a traveling nurse is fun-filled, exciting, unpredictable, stressful, worrisome, exhausting and fast-paced all at the same time. I am a traveling nurse and it is one of the greatest things I have ever done. There is so much that encompasses the profession. To experience it, is an ultimate adventure.

What exactly is a traveling nurse? Basically, what is sounds like. A nurse that travels the country, or even the world, performing their nursing skills in a specific location for a short period of time. There are numerous specialties in the nursing field, and most of them have the opportunity for travel. As one embarks on this profession, they experience the world like no other. A person is not just exposed to the romantic side of a place, but just about everything the encompasses a specific area, including: the food, people, culture, activities, living conditions and so much more. Many people in this profession find their new homes while on assignment.

In addition to this, traveling nurse will meet all sorts of people, through both work and personal activities. We learn to adapt very quickly to an ever changing environment and are able to work with all sort of people. This can also bring headaches, frustration, fear, insecurity and loneliness. As traveling nurse, you are away from family and friends and constantly going into unknown territory. With each new adventure, you have to prove your worth. However, the learning curve increases exponentially, you get to experience the world and see things you never thought you would, you make a lot of new friends and basically travel for free. As a matter of fact, you get paid for it.

As I stated before, I am a traveling nurse, and the benefits completely outweigh the disadvantages. I have traveled the country side, seen and done amazing things and made a lot of new friends. Best of all, I met my wife while I was traveling nursing. I can speak and write all day about the profession, and someday, I probably will.

The travel nursing profession is an ultimate adventure. Anyone that loves to travel, gets excited about change, enjoys meeting new people, wants to explore the country and is already in the nursing or healthcare profession, should consider becoming a traveler. Yes, I did say healthcare profession, as not just nursing has travel opportunities. Is it scary, especially when you first start? Yes, but it is worth it in my opinion.

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Suture Needles

Suture needles are used for suturing wounds after an accident or surgery. They generally come as a single piece and have the suture material attached to the swaged base of the needle. When grasping a suture needle it should be done about 2/3 of the way back from the point using a needle holder. Gripping it any further back where the needle is curved causes it to become weak resulting in the needle bending.

There are a range of suture needles available, each one designed for a different purpose and procedure. There is however one main distinction that should be made between them and that is whether or not they are taper needles (other known as smooth) or cutting needles. A tapered needle does as the name suggests, it narrows from the center to the top and has a round shaft. This type of suturing needle is used on tissues that are easy to penetrate such as those found internally, for example the bowel or a blood vessel.

A cutting needle on the other hand is used for penetrating tissues that are tough, for example the skin. The needle has a triangular shaft and point which makes it easier to penetrate and cut through tougher surfaces. A taper needle is never used for suturing the skin as it is not sharp enough to do so. Using one for such treatments would cause excess trauma to the skin as more force would be needed and the skin would have to be grapped tightly with a pair of forceps.

As well as those mentioned above there is what is known as a reverse cutting needle. Similar to the cutting needle only the cutting edge faces downwards rather than upwards. These are generally used to prevent sutures from pulling through the tissue which can happen in some cases.

Suture needles have been used for a reasonable amount of time in the medical industry. Although they serve us well they are not yet perfect. They have advanced over the years and they continue to do so, in fact they are one of the only needles to show real improvement compared to advances made on other needles. As the medical industry grows and improves so will the needles and the materials used. At the moment suture materials consist of non-absorbable materials including silk, cotton, steel and nylon. Absorbable suture materials consist of Vicryl and Monocryl however they were originally made from processed collagen from animal's intestines.

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2015 – Patient Safety Goal Review

The goals listed below are the items identified by the Joint Commission for Health Care Accreditation for 2015. Each year the JC identifies the goals that it promises will help improve the levels of patient care and safety in health care organizations around the world.

These goals were developed by a panel of patient safety experts made up of nurses, doctors, risk managers, and others who have experience with patient safety issues.

To improve the accuracy of patient identification:

1. Two identifiers should be used to confirm a patient receiving treatment or medication. All specimens and blood samples should be labeled at the bedside in order to minimizeize confusion. Possible identifiers could include: name, medical record, birth date, telephone number, etc.

2. In an effort to prevent transfusion errors – two identifiers should be used to match blood products and a two person verification process is used. One person must be the person who will manage the blood product, and the other must be qualified to verify blood (per hospital policy). One person verification processes are possible whenever bar coding or other forms of automated identification technology exists.

To improve the effectiveness of communication among caregivers:

3. The Joint Commission recommends creating policies to define critical test results and timeframes for reporting these to the correct personnel.

Improving the safety of using medicines:

4. All medications and diluents in any syringe or container are to be labeled with the name of the substance, the strength, the volume and the relative expiration date.

5. Face-to-face anticoagulant therapy risks should be reduced through patient-provider education and face-to-face teaching including the precautions that need to take and the need for regular INR monitoring.

6. Comparing the medications a patient is taking with newly ordered medications to address duplications, omissions, and interactions should be regular practice.

To reduce the harm associated with clinical alarm systems:

7. Recognizing the point at which alerts contribute to noise pollution is cruel. Alarms of all types must be identified, prioritized, and responded to on time.

Reducing the risk of healthcare-associated infections:

8. Standard hand cleaning guidelines from the CDC and WHO are to be employed. Organizations should set goals and assess their compliance with the CDC and / or WHO guidelines and foster a culture of hand hygiene.

9. Hospitals should use guidelines such as hand hygiene, contact precautions, and cleaning and disinfecting patient care equipment to prevent the spread of such organizations as methicillin resistant staphylococcus aureus (MRSA), clostridium difficile (CDI), vancomycin-resistant enterococci (VRE) ), and multidrug-resistant gram-negative bacteria.

10. Evidence based guidelines to prevent bloodstream infections from short and long term central venous catheters and peripherally inserted central catheters is critical.

11. Prevent infection after surgery using best practices and monitor compliance.

12. Implement policies to prevent indwelling catheter-associated urinary tract infections (CAUTI). The usage and total amount of days needed for indwelling catheters should be kept to the absolute minimum.

Identify safety risks inherent in the patient population:

13. Examine psychiatric patients for suicide inclinations. Examine the surrounding environment for features that may or may not increase the risk of suicide. Provide suicide prevention information such as a crisis hotline upon discharge to patients.

Reducing the Amount of Mistakes in Surgery:

14. Pre-procedure verification processes should be conducted – make sure all relevant documents are available and have been reviewed. Ensure pradmission testing and assessment is completed and that missing information or discrepancies are addressed.

15. Mark the correct site on the patient's body where a procedure is to be done. This is especially important for situations in which there is more than one possible location.

16. Employ time-outs prior to surgery. A time-out is a final check that the correct patient, site, and procedure have been identified. Questions or concerns are to be resolved prior to the procedure taking place.

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A Look at Sepsis

What is Sepsis?

Sepsis is the leading cause of death in non-coronary intensive care units (ICUs). The mortality rate is estimated to be between 28 to 50%. Sepsis, however, does not refer to a specific bacteria, but rather to the body's immune response to an overwhelming infection. Infections, at any point on the body, can lead to sepsis. Within health care systems, the most common sites of infection are IV catheters, surgical sites, and pressure ulcers.


Within normal circumstances, the body's immune response seeks to increase blood flow and the capacities of macrophages to control an infection. But in sepsis, an exaggerated response is creates its own dangerous situation.

In response to the foreign antigen, the body releases pro-inflammatory mediators such as prostaglandins, tissue necrosis factor, cytokines, and platelet-activating factors. These factors proceed to damage the endothelial lining and lead to capillary leakage. They also activate neutrophils, releasing nitric oxide, a potent vasodilator, leading to edema. The platelet-activating factors circulate systemically, increasing coagulation. Combined, these factors create symptoms of hypotension, edema and microthrombi which proceed to impar the perfusion of tissues and lead to multi-organ failure.


Hypothermia, tachycardia, tachypnea, peripheral vasodilation / edema, unexplained shock, and unexplained mental status chages all can indicate sepsis. The CBC will indicate infection and clotting factors will be noted.

Sepsis Prevention

The most effective way to reduce the incidence rates of sepsis in an organization is to prevent infection. Strict adherence to policies IV site care and careful monitoring and treatment of surgical site infections are the best way to prevent health-associated infections leading to sepsis.

Surviving Sepsis

Sepsis Bundles refer to evidence based guidelines for the treatment of sepsis and septic shock within a healthcare organization. They were introduced by The Surviving Sepsis Campaign after research was done showing that following these specific protocols in patients with severe sepsis, outcomes were improved and mortality was reduced.

The term “bundle” refers to a series of evidence based protocols that are used together. When implemented together, these elements have greater results than any of the intervenions used alone. Hospitals are meant to use the bundles as a framework for creating sepsis protocol in their institutions.

What's in the Bundles?

Once a patient is triaged in the ED or identification is made of symptoms consistent with severe sepsis, the following steps are to be taken:

1) Labs: Lactate levels
2) Obtain blood cultures
3) Administer broad spectrum antibiotic after blood cultures are done
4) Give 30 ml / kg of crystalloid for hypotension or lactate = 4 mmol / L

5) Give vasopressors (for hypotension not responding to initial fluid resuscitation) to maintain a mean arterial pressure (MAP) = 65 mmHg
6) In the event of persistent hypotension after fluid resuscitation (MAP <65 mm Hg) or if initial lactate was = 4 mmol / L, re-assess volume status and tissue perfusion and document findings
7) Re-measure lactate if initial lactate was elevated.

• Repeat focused exam by independent licensed provider (vital signs, assessment of perfusion, fluid status)
• ScvO2
• Bedside cardiovascular ultrasound
• Assessment of fluid responsiveness using passive leg raise (does the patient show an increase in stroke volume?)

Successful sepsis bundles should seek to achieve the goal of a 25% reduction in mortality from sepsis called for by The Surviving Sepsis Campaign.

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Five Fascinating Registered Nurse Jobs

Although the idea of ​​becoming a medical professional may be exciting, many people do not find the grueling hours spent in a hospital to be especially enticing. A nursing career is most often associated with medical facilities, but that's not where most of these specialists work. The Bureau of Labor Statistics reports that less than 60 per cent of registered nurse jobs are within hospitals. A career in this field can open many unique and fascinating positions up to intelligent and helpful men and women.

In The Navy

For medical enthusiasts who have a penchant for military life, working as a Navy nurse may be ideal. The Navy employs more than 12,000 healthcare personnel. Medical professionals who work in the Navy have access to cutting-edge technology, and in many cases, their training is paid for by the military. Those who enjoy traveling will fit right in as Navy personnel, since they will regularly be stationed in different areas of the world.

Forensic Crime Fighters

Medical professionals who are motivated to fight crime can find registered nurse jobs on forensic teams. Forensic medical agents are the first line of defense for sexual assault victims and other special victims.

These scientifically incriminated crime fighters collect medical evidence from victims, test for sexually transmitted diseases, and compile information for building a case against those charged with crimes. Not only is this line of work rewarding, but it also has far more variety in day-to-day activities than hospital work.

Saving Lives By Car Or Plane

Aspiring nurses who love to move fast while saving lives can become part of a critical transport team. These small-yet-savvy teams are utilized when critically ill patients need to be transported between medical facilities.

Most critical care transport is done via ambulance, but some teams are specially trained to work aboard helicopters. Flight nurses must be highly skilled and quick to act, because they are a third of the critical transport team; the other two members are the pilot and paramedic.

In Prison

Prison inmates need medical attention as much as any other person does. All United States correctional facilities are required to provide medical aid and monitoring to each prisoner from their booking to the day of their release. Registered nursing jobs are available in abundance in facilities where inmate overcrowding is prevalent.

Nurses wear many hats in correctional facilities. They are the professionals who administrator physical exams during take, and they are the ones who monitor each prisoner through their sentence. All health issues are handled primarily by nursing staff, except for serious illnesses that warrant a visit from the prison doctor.

Editors In Chief

Nurses with sufficient field experience can hope to take a break from the front line if they enjoy editing medical journals. Nursing journals make up a sub niche in the medical literature, and these publications must be headed by none other than completed RN's.

The editors of such publications are tasked with deciding which articles are published and how each issue is laid out. They are also in charge of ensuring that the information in each article is accurate and up-to-date. Overseeing such details requires that each editor keep up with periodic retraining commitments.

There is currently an abundance of fascinating registered nurse jobs. They fill vital roles performing fulfilling work in a number of exciting industries.

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Career Search: Nursing Is a Rewarding Profession

Have you ever considered a career in nursing? For many nurses, they find their work brings them joy, fulfillment and a few surprises each day. Want to know more perks of being a nurse? Here are a few of the rewards:

Impact the lives of others

Nurses help patients on a daily basis, which is why most find the profession personally fulfilling. Do you love to work with young children? Or, do you have a special place in your heart for the elderly? With so many facets of healthcare, nurseries can choose their specialty, working in a field of care that best suits them.

Flexible schedules

Nurses are needed in hospitals, clinics, assisted living facilities, schools and more. With the varying industries comes the ability to choose a facility that offers the hours you'd like to work. Clinics typically offer nurses the opportunity to work 9-to-5 where hospitals and senior care facilities need around the clock care so shift work is often available.


Nursing is ideal for those that thrive in a fast-paced environment. No two days are like-just like no two patients are alike. Nursing promises lifelong learning. With advances in technology and changes in patient care, nurses are able to learn and hone new skills.

Job security

Nurses are a critical component within the healthcare system. As the population continues to age, the need for nurses will increase. Job security is strong. Registered nurses (RNs) top the Bureau of Labor Statistics list for highest employment growth despite home health aides come in a close second.

There are also opportunities for career advancement. Many nurses pursue management positions, complete continuing education to move into a different specialty or put their years of knowledge to good use as they teach up-and-coming nurses.

Respectable pay

In addition to being a satisfying and gratifying care, nurses find the career provides excellent benefits and benefits. The Bureau of Labor Statistics reports the median salary for a RN was just over $ 65,000 in 2013. The best-paid 10 percent of RNs made more than $ 96,000. And, just as other full-time jobs, nurses generally receive medical, dental, vacation and other benefits from the employer.

Endless opportunities

Nurses are needed everywhere-across the country and through the world. The skills and experienced gained as a nurse can be applied in countless situations. But, the most successful nurses are the women and men that treat patients with care and compassion-qualities that lead them to the rewarding career in the first place.

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The Key to Hospice Success

It is more critical than any time before for agencies to hire, train and retained qualified hospice nurses. This has never been as challenging as it is today. Today's hospice is seeing more medically complex patients. This requires nurses to stay current with critical assessment skills. Increasing and changing regulations make documentation more important than ever before to ensure payment and long-term liability for agencies while the change to electronic medical records present a new challenge for some seasoned hospice nurses. Growth of the agency is critical to success yet the increasing number of hospitice providers and mandatory reporting of quality measures makes this more challenging.

As a hospice leader, I have asked, “how can this possibly be accomplished?” The answer is surprisingly simple and based upon two philosophies. Hire, teach and treat your employees well. And make sure each patient and family is treated as you would like your own to be treated. Adequate staffing is the single most critical factor affecting both of these standards. It is required but so often appears counterintuitive to owners and CFO's. It is an investment, one worth double the value of building a solid agency foundation.

Mentoring new hospice nurses, I explain the paradigm shift from acute care into the specialty field of hospital nursing. Within hospice it is important to care for the patient, but care and support of loved ones are critically important as well. The thought behind this is caregivers need care as well. Hospice nurses care for so many in their professional and personal lives. Just acknowledging this and recognizing their sacrifice can engage employees and increase loyalty and commitment to the agency. Hospice is complex and demanding work. Staff has to be available 24hrs per day 7 days per week. Hospice nurses have to be ready to provide not only professional nursing skills but compassion and empathy as well. It is not enough to have any nurse filling a role. Inadequate staffing is the most common yet number one cause of failure for hospitality agencies. It is my goal to implement these philosophies in hospice care and to see the initial investment in resources creates a strong and growing hospitality.

Hospice nurses provide holistic care for patients and their loved ones facing life limiting illnesses. I have been asked countless times over the years, “How can you do this work?” I have always felt the families and patients I have cared for have taught me and brought meaning to my life and given so much more than I could ever give in return. I have heard life stories and lessons, have laughed and beaten. I now answer that question with a question, “How could I NOT?”

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Looking Into Infiltration and Extravasation

Infiltration and Extravasation are two IV complications that can be difficult to immediately detect and can lead to adverse patient outcomes. Extravasation is best defined as the administrative administration of a vesicant fluid or solution into the surrounding tissue. Infiltration is defined as the administrative administration of a non-vesicant fluid or medication into the surrounding tissues.

In both situations, the amount of tissue damage depends on the type of drug or fluid being inferred and the amount of time that it remains in the tissue area before being discovered. Tissue damage can range in severity from mild instances to tissue necrosis requiring surgical intervention.

There are a variety of reasons why infiltration or extravasation may happen in some patients. These include:

• Selecting an Improper Site (Inserting into an area of ​​flexion)

• Traumatic insertions that have caused damage to the internal lining of the vessel.

• Inadequate assurance of the IV device (catheter tip penetrates the catheter wall or the catheter slips out of the vessel)

• Improper device utilization for a specific treatment

• Obstructions to blood flow around or through the catheter

Patients with small sclerosed veins (diabetes or atherosclerosis) are at an increased risk of infiltration or extravasation. Additionally, children and the elderly and patients who are unable to communicate effectively with staff are at an increased risk. Without a doubt, prevention is the ideal strategy in regards to infiltration and extravasation. Several prevention oriented strategies are:

• Accept that these complications can occur and educate staff, patients and family on the early identification of signs and symptoms.

• Respond quickly when patients complain of pain at the insertion site.

• Monitor patients with IVs regularly – employ a standardized method for visually inspecting an insertion.

• Work to prevent the infusion site from extraneous movements.

• Avoid inserting IVs in areas of flexion.

• Have a policy and process in place for handling different types of infiltrations or extravasations.

Since our best efforts, infiltration and extravasation can still occur. As active health care providers it is our goal to be prepared for these situations by being knowledgeable of the most recent evidence based guidelines for handling these types of situations. Facilities should actively encourage learning opportunities for providers and hands on learning programs. However, this should not limit nursing professionals. There is a huge variety of nursing CEU programs online that focus on intravenous insertions and complications – although those are by no means substitutes for hands on learning, they are options for nurses seeking to learn more about the subject.

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What Is the Best Nursing Home for Me?

When debating changing your residency and moving into a resident care facility, what makes one better than the other? How do you know what is going to best fit your needs? It is important to take precautionary steps when making such a big decision.

When first contemplating what nursing home may be best for you, you should visit several of them with your family. Having the family support and their opinions can assist you selecting the correct one. Upon visiting each nursing home, talk to an admission coordinator in order to answer any questions or concerns that you may have, and discuss what you like and do not like about each facility by keeping a journal with all your notes written.

Is the nursing home something you want to be conveniently located to your family? I have always grown up surrounded by my family, so this is something I would look for in order for them to be able to visit me repeatedly.

It is also crucial to look out for the appearance of the nursing home. I would not want to be living in a place that is dirty and unsafe, and be paying for it. Some things to look out for when looking at the appearance are: smoke detectors, sprinklers, handrails, the floor should be clean, and the hallways should be free of clutter.

You would not want to be in a chaotic house, let alone in a chaotic bedroom. It is important to ask questions such as if you will be sharing the room with another resident, and the space that you will have. Upon these answers, you will then be able to ask questions about furnishings, televisions and telephones in each room and the bathroom facilities, which will help you in making your new home as comfortable as possible.

My favorite part of the search comes when you discuss the diet program of each facility. How do these meals look? Are they appetizing? Are they served at a decent time? Food is one of my simple pleasures, I would hate to be in a beautiful place with a terrible diet. What happens if you become unable to feed yourself? You must ask the diet department if the staff will be available to assist you.

Lastly, you should inquire about the medical program offered in each facility. Will your doctor be able to care for you, or will there be a medical director to oversee your care?

Once all the decisions have been made on what you want for your nursing home, it is crucial to discuss the cost and payment options.

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The Growth of Alternative IV Therapies

Within the last 4 years the growth of “party IVs”, Vitamin IVs, and other forms of alternative IV therapies has been tremendous. Through the United States, swanky clinics have opened up in California, Nevada, Arizona, and Florida. Many practitioners in other states have simply added Vitamin IVs to their menu of available products.

Although the main stream Vitamin IV phenomenon in the US and Canada are relatively new, Vitamin IV drips have been offered throughout Europe and Asia for years now. Even within the United States, the movement can be traced back to the mid-60s and 70s and the work of the late Dr. Myers.

Dr. Myers designed and administered a solution of different vitamins and minerals that later became known as the Myers' Cocktail. Dr. Myers administrated the solution to patients with a wide variety of chronic issues such as fatigue, depression, chest pain, etc. and had a loyal following of patients who regularly received the solution.

Although there are few clinical trials supporting the efficacy of the Myers' cocktail, the number of anecdotal testimonials is tremendous, then there is a significant amount of patient interest. Entrepreneurial clinicians have begon satisficing these needs across the nation.

In recent years, clinicians have built up the support of the Myers' cocktail and the interest in Vitamin C Infusions to begin to market vitamin IV solutions as a sort of “health living solution”. Thus, clinic owners have begun to appeal to athletes, mothers, the elderly, etc. as potential clients. The clinics themselves are now built to resemble luxury spas and high end retreats, and the costs of the infusions have increased tremendously. In some cities (Miami and Las Vegas), there are even practitioners who offer vitamin IV therapies to hotel rooms, to homes, or even on a scheduled bus. In these cities, where there is a tradition of partying and heavy drinking, practitioners are capitalizing on both the healthy living and the hangover cure aspects of Vitamin infusions.

Celebrities and athletes are now frequent patients and public interest seems to be continuously increasing. As such, health care providers have begun to receive more and more inquiries into the safety of said infusions. Sadly, the amount of available online continuing education courses for nurses is minimal and there is a great deal of confusing messages in the space. Moving forward, both nurses and physicians will need to be able to communicate the benefits and potential complications of vitamin IV therapy to their interested patient populations.

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A Crucial Skill – Infusion Nursing

Gaining access to a vein, venous access, is a critical skill necessary for basic patient care in both the hospital and ambulatory patient settings. There are several different forms of Venous Access Devices and today we will briefly examine each of the different devices and their uses or contraindications.

Peripheral IV – These devices are ideal for short-term access (no more than 72 hours in the same site). The majority of short term situational needs can be meet with a conventional PIV line. Veins can be accessed on the hand, arm, or even foot.

Peripherally Inserted Central Catheters – PICC's are commonly inserted in either the basilic, brachial, or cephalic veins and many facilities utilize skilled nursing teams to insert them. These insertions should only be used when absolutely needed – common uses include parenteral delivery of nutrition, antibiotics, analgesics, chemotherapy, or repeated blood transfusions.

Centrally Inserted Catheters – There are three main types of centrally inserted catheters:

Non-Tunneled Catheters – used for short term time frames in an emergency department, operating room, or intensive care unit.

Skin-Tunneled Catheters – Traditionally used for longer residency, these are commonly used in patients requiring frequent and long-term venous access, particularly for infusion of blood products.

Implantable ports – Consists of a catheter attached to a reservoir that is implanted into a surgically created pocket on the chest wall. These devices are expensive, difficult to insert, and time consuming to remove.

It is important to note that there are no “infection or compliance proof” venous access devices. Each process runs the risk of complications and it is absolutely crucial that nursing teams are familiar with the different forms of complications and that they are able to educate the patient and family as well. Patient education can help nursing teams identify complications earlier as patients will be able to notice developing issues.

IV insertions and infusions are among the most common hospital procedures performed in health care facilities around the world. Despite their regularity of use, it is essential for health care providers to consistently seek out the most current evidence based IV therapy information in order to provide consistently high levels of patient care.

Although there are a wide range of online IV therapy continuing education providers, nothing can replace practical at the bedside training by an infusion nurse who is familiar with the evidence based methods for Intravenous insertions. Regular training consistence of evidence based material reviews and practical hands-on learning are essential to maintaining an evidence based nursing culture.

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Nurses – Be Prepared for On The Job Challenges

Nurses that work like saviors, put in their heart and emotions to await their jobs and responsibilities to save lives and cure the infected without compromises or disinterest. Their patient-centric attitude and commitment to serve relentlessly often put them into situations and environment that are tiring, have risk of infections, exposure to hazards and testing their limits.

The key challenges that are frequently faced by healthcare workers and medical attendants are shared below. Moreover, there are ways to tackle and crossover the hurdles in such circumstances, if followed by the books can save you from the outcry.

Working Hours – Longer it gets, tiring it becomes.

  • Nurses work in extended shifts that keeps on rotating and scheduling as per the demand. Working in back-to-back shifts in day and night cause extreme fatigue and tiredness. The job is exhausting and calls for physical endurance, emotional stability along with empathetic attitude towards patients.
  • Being a nurse, you need to take charge of many things from assessing patient to administering medications, from keeping patient record to medical paperwork and much more, this becomes psychologically draining too.
  • However, healthcare organizations and hospitals ensure convenient and flexible working conditions for nurses, until there is a critical demand or manpower crisis.

Exposure to Hazards – Medicines, Drugs or Test Samples can be Fatal.

  • Harmful chemicals, body fluids, medicines and drugs, radiations, equipment sterilizing chemicals and strong cleaning agents are things that come across every day in a nurse's work profile. This constant exposure is detrimental for the health of nursing professionals.
  • To safeguard and protect themselves, nurses should wear a face mask and gloves whenever they get in such situation or come in contact of harmful substances. To ensure good health of nurses and other medical staff, hospitals and medical centers provide sufficient number of protection gears and ensure the safest way for the disposal of used materials.

Risk of Infections & Diseases – They are Plenty

  • Nurses and other medical staff involved in providing patient care, surgeries and medications make them vulnerable to various infections and diseases. Since, they regularly come in contact with patients, there are chances for even the fittest of them to get affected.
  • To overcome this, it is imperative that nurses must take adequate vitamins to keep their immunity strong and keep themselves protected with necessary vaccinations. It is quite essential that nurses should adopt better health and safety practices in their day-to-day lives.

Unbalanced Nurse-to-Patient Ratio-That is the Testing Times.

  • With the increasing cost in retaining medical staff and the short of registered trained nurses, health facilities are facing a tough time. It has been observed that hospitals are spending more for keeping pace with the advanced technology rather than recruiting necessary nursing staff and this is resolved in an unbalanced nurse-to-patient-ratio.
  • To address this challenge, there are initiatives and policies with exclusive privileges and benefits to increase the supply of nursing professionals.

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Alphabet Soup – CE, CEU, and CNE

One of the most common questions about online education for nurses is about the difference between CE, CEU, and CNE. This is a source of confusion for both new nurses and experienced professionals and the goal here is to clear this up once and for all.

Many people attempted to use the terms interchangeably. Although each of these three terms do refer to continuing education, they each mean slightly different things. The definitions are listed below:

CE – This is an abbreviation for continuing education and is a general term. It is not referring to any units of time or measurement, rather it is simply classifying the type of material concerned.

CEU – This is the abbreviation for continuing education unit and is perhaps the most misunderstood item in online education. Traditionally, this reflects to 10 hours of material. However, it is common to see course descriptions such as, “This course is worth 2 CEUs”. Although this would literally mean that the course is worth 20 hours, it is often used to describe only 2 hours. Most state nursing boards are now pushing for the elimination of the term CEU due to the amount of confusion that it has caused. Whenever you are looking for continuing education be sure that the provider has clarified the exact amount of hours (preferably they should use the term Contact Hours).

A quick note on the term “contact hours” – contact hours can be defined as 60 minutes (in some states they can be defined as 50 minutes – but that is a different discussion altogether) of learning material. Normally, when referring to the length of a continuing education course the amount of hours are referred to as contact hours. For example: “This course is worth 1.5 contact hours”.

CNE – This is an abbreviation for Continuing Nursing Education and refer to materials that are specific for nurses. It is a general term and is not referring to a specific amount of hours or some other form of measurement. Whenever possible, providers should clearly identify their courses as CNE when they are nursing specific forms of continuing education. This can help avoid confusion between other medical professionals.

In the end, each of these terms have their own distinct definitions and uses. The online environment has created a wide range of available online continuing education options for health care providers and a working knowledge of these different abbreviations that can help an individual better search through the multitude of options.

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