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allnurses.com's Weekly Tips, News, and Rants Issue 427 : July 13, 2011

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allnurses Central

Discuss Political Crossfire

Online Degrees

Advance your career today! We have highly respected and accredited universities offering RN to BSN, LPN to RN, LPN to BSN, Forensic Nursing programs and much more. Financial aid available to those who qualify. .

Start searching for your next Nursing Degree now!

Relax. Let Jobs Come to You!

Create your personal Job Alert to notify you by email of new jobs posted that match your search preferences. It only takes a few moments to create one now and never miss a new opportunity!

Visit:  Setup Job Alert Now!

Spotlight

Nursing Activism & Healthcare Politics

Article Contest (Jul 1-Sept 30)

We are looking for Nursing Ghost Stories or Nursing-Cry-Your-Eyes-Out Stories.

Ghost stories and tearjerker stories are always popular with our members. So, why not share them and take a chance on winning cash prizes?


Jul 6 - Jul 12 Hottest New Topics

ANA's Online Continuing Education

ANA introduces our new continuing education site at ANANurseCE.org. Our improved online format was designed with input from nurses like you to provide a more flexible, trackable experience as you grow and advance in your career. ANA offers a wide range of issue-based and clinical topics — many that you won't find from any other online source. And ANA offers instant certificates as well as course tracking and transcripts. We also offer free courses for ANA members.

Visit ANANurseCE.org to learn more!

Nursing Jobs

Note: Job Search services and allnurses.com membership is not the same. Job Search services requires it's own log-in information..

Nursing Articles

North 14 - The room where the patient died.

When a patient commits suicide, sometimes, they just won't leave.....

Nursing Blogs

Authentic Assessment

As an educator, how do you know if your testing methods accurately capture your students' learning? To be valid, a method of assessment must accurately measure what it is designed to measure. For instance, a student should not lose points for grammar mistakes on a math competency exam. Neither should a student be penalized for a poor understanding of certain non-medical English words or idioms on a nursing multiple-choice exam.

Clinical News

High Risk of Rereport in Child Abuse Cases

A large percentage of children who remain in the home following an abuse report are at an increased risk of rereports and reabuse, according to a study published online July 4 in the Archives of Pediatrics & Adolescent Medicine.

General Nursing Topics

Noncompliant parents. Do I have any rights to protect my license?

We currently have a baby on the unit whose parents refuse to allow necessary medical interventions. They refuse to allow this patient to use mist with the trach collar because they think it's too loud, they leave the floor with the patient without resuscitation equipment or even informing nursing, they refuse suctioning even if the patient is bubbling over and desatting and they won't allow chest PT despite the patient plugging.

Fictional vital sign charting

Today, as part of my rapid response rounding, I spent an hour at the bedside of a patient who was having respiratory issues secondary to TB and exacerbated by CHF. The whole time I was there, the patient's O2 sat never exceeded 89% despite his being on Hi Flo NC at 100% FIO2 and 30L/min. I had a lovely argument via telephone with the brand new intern who claimed that putting patient on NRB would violate the patient's wife's wishes that he be a partial code and basically disallowed everything except for pressors in the event of a code. (The patient and his wife had no idea that they had apparently signed away their rights to an O2 mask!).

Student Nursing

Could I be the only reformed misfit in nursing school?

I was one of those kids with a terminally big heart, who endured a childhood in a broken home. Right when I was about to graduate high school, my parents finally split up, after years of physically and mentally abusing one another. This split threw me into the lurch more than it should have, as I was suffering from depression and bipolar disorder. Everything about my life to that point had been a failure...school, family, friendships. I gave up on myself, dropped out of high school, and ran away.

Regional Discussion - Ohio

20 % Pay Cut for Ohio Independent Providers

Any Ohio IP nurses out there? Just wondering what your thoughts are about our wages being cut by 20%. For homecare agencies their 1st hour is only being cut by 5%, while our 1st hour is being cut by 20% for doing the same work. Then for every hour after the 1st hour, agency will keep their full pay rate. Every hour after the 1st hour for independent providers will be cut by 20%, so agencies can continue to receive their full rate!

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