How many times do hospital nurses have to wash their hands and/or replace their gloves

It depends on how many patients they care for. They should be washing their hands with each patient contact and before they glove and after they glove also they need to wash them well after they use the BR. themselves. If the person has infectious stool or drainage you also would not want to move the organisms from one part of their body to the other. You never really know if there are breaks in the integrity of the gloves. So you would use one pair for wiping their peri area, then wash and re-glove to suction them. Some procedures only require that one uses clean gloves and others require sterile gloving. There are some procedures that do not require gloves at all, but proper hand washing technique is still the most important step in keeping well.

 

  Refer: Carmel Maalouf

Larix International Conference on Nursing

Larix International Nursing Conferences

Larix International is a group of ranking publishers and organizer’s for scientific conferences around the globe nesting well-known Doctors, Engineers, Scientists, and Industrialists. Larix is a self-functioning, independent organization wholly focused on arranging conferences in multi-disciplines of research on various science fields. The conferences are administered by global influential scientists and scientific excellence. We are even open for the upcoming scientists and scholars, who are in need of a platform to give their voice a much needed larger volume.

World Summit on Nursing and Women Health (Nursing 2019) is going to be organized in the beautiful city of Kuala Lumpur, Malaysia on November 23-24, 2019 at Holiday Inn Express, primarily focusing on the theme “Advanced Nursing for Trusted Care”.

THE NURSING

Nurses play an essential role in the health care industry because they are primarily focused on patient care. They work in a variety of specialties to help people improve their health and to prevent and heal illnesses and injuries. Nursing encompasses autonomous and collaborative care of individuals of all ages, families, groups, and communities, sick or well and in all settings. It includes the promotion of health, the prevention of illness, and the care of ill, disabled and dying people.

ALL ABOUT IT

Nurses and midwives account for nearly 50% of the global health workforce. There is a global shortage of health workers, in particular nurses and midwives, who represent more than 50% of the current shortage in health workers. The largest needs-based shortages of nurses and midwives are in South East Asia and Africa. For all countries to reach Sustainable Development Goal 3 on health and well-being, WHO estimates that the world will need an additional 9 million nurses and midwives by the year 2030. Nurses play a critical role in health promotion, disease prevention and delivering primary and community care. They provide care in emergency settings and will be key to the achievement of universal health coverage. Investing in nurses and midwives is a good value for money. The report of the UN High-Level Commission on Health Employment and Economic Growth concluded that investments in education and job creation in the health and social sectors result in a triple return of improved health outcomes, global health security, and inclusive economic growth. Globally, 70% of the health and social workforce are women compared to 41% in all employment sectors. Nursing and midwifery occupations represent a significant share of the female workforce.

DISCUSSIONS

Nursing Education & Nursing Management; Clinical Nursing; Surgical Nursing; Emergency Nursing Practice; Midwifery & Women health Nursing; Advanced Nursing Practice; Pediatric Nursing Disaster Nursing & Travel Nursing; Oncology Nursing; Nursing Primary Care; Cardiovascular Nursing Psychiatric and Mental Health Nursing; Nursing Informatics; Dental Nursing; Public Health & Community Health Nursing; Wound Care Nursing; Operating Room Nurse; Gerontology Nurse; Nursing Rehabilitation & Management; Nurse as Caregiver.

ATTENDEES AND AUDIENCE

Leading world Doctors, Registered Nurses, Professors, Research fellows and many more from leading universities, companies, and medical research institutions, hospitals sharing their novel researches in the arena of Nursing, Health care & Medicine.

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Why don't dental nurses ever speak to patients

It may be the strategy of the individual dentist. Staff in my practice converse w/ patients to put them at ease and because the assistant needs patient cooperation for some procedures the staff does. The more the staff can do the easier it is on the dentist. At the same time this can be risky because contradictions happen; patients can like the dentist but complain about staff and leave the practice and worse go on social media and vent their complaint. Some dentists have very successful practices built by making sure their staff stays focused and limits undesirable consequences of a talkative staff. The relationship there is clearly between the dentist and the patient. To conclude: it varies on the management style of the dentist and I left out the status/persona of patient clientele.

Refer: Michael Starkey

What are some current trends in pediatric nursing

Oh, thanks for asking me to answer but what seems like a few years ago has actually been 30 years since I worked as an RN in a neonatal and then pediatric ICU, while finishing school for a year. I can tell you the trends then but that wouldn’t help so maybe this referral will. It was a great, wonderful experience and all the people I worked with are 30 years older for real but have not changed in my mind. It goes so fast. If you don’t have your own children they say it’s easier on you emotionally. I suppose that must be right.

This is great:  It’s not paraphrased because how can you paraphrase it? But the site asked why, and I don’t take any credit for the great work.  Please go to the website and see the people that wrote this. They ask a couple questions first before you can access the material but it’s freely given out. Again, I  don’t claim copyright.

Trends IN PEDIATRIC NURSING PRACTICE

■ Increased numbers of children requiring mental health

services

■ Increased numbers of children becoming ill as a result of

antibiotic- resistant organisms

■ Increased usage of blood conservation techniques for

hospitalized children

■ Increased emphasis on provision of safety education

(e.g., Internet safety, dealing with bullying)

■ Increased admissions based on environmental risk factors,

such as dangerous living environments, unstable households,

and risky behaviors

■ Increased admissions based on deficient knowledge base

of caregivers, such as not following or understanding the

treatment regimen

■ Increased admissions based on lack of primary care

access

■ Earlier onset of puberty and its ramifications for

adolescent sexual health

■ Shift in the focus of medical/nursing care from

disease treatment to health promotion and disease

prevention

■ Provision of health education in the school system

■ Increased incorporation of families in the overall care of

children

■ Increased numbers of children requiring home-care

provision

■ Increased prevalence of autism spectrum disorders and

childhood depression, requiring more education and

research in these areas

■ Increased childhood incidence of the following

conditions:

■ Obesity

■ Hypertension

■ Diabetes

■ Asthma

 Refer: Robert House

Do mental health nurses ever give needles to patients

We don’t call them “needles.” We call them syringes. In 25+ years of psych nursing, I would estimate that I’ve given approximately 10,000 IM injections.

The number is so large not because I’m a crazy Nurse Ratched as so many would like to believe, but because psych patients get sick, just as non-psych patients do. The large numbers add up with flu clinics, volunteering to give TB sub-Q injections at a free health care clinic for veterans for several years, and other medications which are ideally given IM for best, quickest results.

During flu clinics, we thoroughly but plainly explained the benefits of getting the immunization. We agreed that everyone found needles unpleasant. We had good relationships with most of our patients.

To make the process more painless, we assembled an assortment of dinosaurs which both patients and staff found entertaining to arrange while anticipating the injection. We also provided a small but tasty sweet treat (if medically OK) after it was done.

Probably we give more injections than any other type of nurse. My second-most unusual and outstanding skill is giving nearly painless IM’s, thanks to flu clinic practice. The other is parallel parking.

On many occasions we do give injections to agitated and out of control patients. We don’t do it lightly. It requires an order from an MD, specifically for that dose. We don’t like sticking needles into people already in great distress, but if they are so agitated they are in danger of hurting themselves or others, there are not that many options, and I’m including quiet time, calming rooms, seclusion rooms, de-escalation, etc.

Because my specialty was alcohol and drug addiction, many of the IM’s were given because of the way alcohol and drugs destroy the body. A person in the throes of DT’s needs ativan may need magnesium to lower the chance of seizures, etc. The agony that DT causes is so great IM’s are the best choice.

Many of our patients come to us in very ill health. IVDA’s often have STDs, which require an IM dose of antibiotics. Many have full-blown AIDS and very compromised immune systems. TB is also very frequent. I could fill pages with the illnesses rampant on a psych unit.

As far as insulin—depending on the unit and patient, some patients are allowed to administer their own, as the goal of the unit is to get patients functional and able to care for themselves properly on discharge.

What makes a great paediatrician

I have been a nurse for 9 years.

8 of those in pediatrics, with the most recent in pediatric critical care. I work with COUNTLESS resident physicians and we receive a new batch of them every June. To say I am biased would be fair.

I have my favorite doctors. I can honestly say it’s not fair to judge a physician in residency, but there are some signs that make for amazing pediatricians.

In my humble opinion:

1.   Humbleness. There is nothing worse than a doctor who thinks he knows it all. Does he know more than Jim Bob who works on a tractor and hasn’t gone to high school but has held his newborn baby for three weeks every night while he has seizures? Sure. From a book. From a previous patient. But Jim Bob knows his own baby more than this doctor ever will. Those who are humble enough to give the parents the right to feel like they know their own child will be fantastic physicians.

2.      Be human. Often times, especially with new doctors, there is such an obvious line drawn in the sand between “them” and everyone else (including nurses and staff and patients). It’s weird when I work next to you saving a life of a newborn but when I see you at the supermarket you act like you don’t know me. We all are on the same level of caring for people- your education is just different than mine. I could have gone to med school but decided to be a nurse instead. I know what I do, but don’t think I couldn’t do the same as you if I tried. That goes for your patients as well. When you treat others as humans and not those who are beneath you, you will be a fantastic physician.

3.      Perfect your bedside manner. Get on the child’s level. Learn about the new movies or what kids enjoy. Spend time talking to the parents for a moment about where they are from or how they feel today. This will take you far and they won’t forget it. They will ask for you.

4.      Be gentle with yourself. You’re not perfect. The work you do is terribly exhausting and mentally straining. It’s ok to say “I don’t know” or “I’m tired”. It’s ok to cry. The best doctors I have worked with have been gentle with themselves on their own limitations and feelings.

       Refer: Sara Craw

Can powder formula be given to babies under 2 months

Yes, most formulas are… formulated for infants from new-born to 12 months of age.

I would pay attention to its designation as an infant formula. You don’t want to give toddler formula to a new-born… although in a pinch it may still work… on occasion.

The formula market has become now so specialized that there are formulas designed for new-born and early infancy and other formulas designed for older infants. This is in order to mimic better breast milk, which changes naturally as the baby grows older. However any the formula is still a far cry from the breast milk, as the latter is alive, it provides immunity and it reacts to not just the age of the baby but to her illness and her growth spurts as well. That being said, there are illnesses, metabolic disorders and allergies that may benefit from specialized formulas instead of the breast milk, however, those are rare and should be diagnosed by a physician.

What kind of nurses take care of new born babies

What kind of nurses take care of newborn babies?

There are generally three types of nurses that care for a newborn in the hospital setting: 
Labour and Delivery Nurses typically assist with deliveries and care for the baby immediately following the birth (taking vital signs, cutting the cord, and assessing the APGAR score).
Maternity Nurses care for babies on the postpartum floor of hospitals (mother/baby unit)
NICU Nurses care for babies that is sick or premature

These nurses often will utilize their skills outside the hospital in a private setting. Through personal care, RN's (along with newborn Care Specialists and Postpartum Doulas) provide additional support to mothers and newborn to ease the transition home.

Refer: Haleigh Aliquots

Are there work from home opportunities for nurses?

Yes, there are two that come to mind.

One caveat, the pay is greatly reduced as compared to working in a hospital (I checked, but more for myself).

One type of job is an "Abstractor". This nurse is responsible for auditing charts for specific information. One example, I'm a perinatal quality review nurse. That means I have to report to CMS, Joint Comission etc, stats on certain metrics. A simple one is-was baby solely breastfed during the hospital stay? While this might sound easy to figure out, it's not. EHR are a nightmare of rabbit holes, compartments and fragments. The abstractor needs to be able to reliably determine answers to these questions. Then, part of my job is to re-abstract and verify the abstractors work (but just a sample). The company that we work with is called Q-centrix, or Quantros. I'm super ignorant about the machinations of them as a company other than I know the abstractors work from home. And they make about $20/hr here in California. 

Another job I'm aware of is an Advice Nurse. They generally work from home and typically follow a script. They typically need licenses in multiple states, as they generally work for insurance companies who have customers around the country. The company I checked into was paying about $25/hr. This was a while ago, and I don't remember it's name. But putting "Nurse jobs work at home" in as a search should be a good start.

Refer: Tasha Poslaniec

Which is the best home nursing service for the care of the elderly

 Imagine this situation. Hands always search for a hold, whatever eyes see is blurred and a little walk within the house, the knees are in pain! This is how elderly age feels.

At this tenacious and delicate phase of life, frequent visit to the hospitals is the most challenging and tiresome task for the elderly. Getting medical assistance at home is the best option seniors will have. And, nursing service is the best way to help such elderly who require support.

Nursing care at home help the elderly in receiving round the clock medical care such as medicines, vaccinations, injections and IV infusions, vital check and post-surgical care for senior patients by qualified and experienced nurses. Intravenous fluid management for seniors who require additional support by experts in elderly care, to keep the fluid balance in the body.

Insertion and removal of Urinary catheter for seniors by nursing professionals. In addition, we are experienced in providing bladder wash services for seniors. Tracheostomy for seniors at home to clear the airway passages and or for the elderly who are in need of prolonged respiratory and pulmonary care.

For seniors with limited mobility, nursing assistance would be a better option which includes personal care, grooming, bathing and feeding by empathetic nursing attendants.

Nursing assistance involves in services such as smooth and clean bed making for the seniors with solid linen, tight bottom sheets to make wrinkle-free closed medical beds for optimum comfort for the elderly. Complete dressing and wound care that caused by bed-sores care for seniors at home by nursing attendants who are well qualified in senior care. Nebulization, oxygen management and other thoracic care for the seniors round the clock based on the senior patient’s needs and requirements.

Nursing assistance is a better option for the elderly in every way. It helps them to engage actively in life which is important during the most difficult phase of life.

You can search for a better option for your loved one’s Elderly Care Services In USA. It has listings all around the USA which has covered California Washington Florida and Utah other states listings coming soon!

Refer: Thilak Gene

As a nurse, have you ever gone against a doctor’s diagnosis and been right

Yes I have. This happened in an Army Medical Center when I was an Army nurse. They had resident physicians there that had graduated from med school and who were making their rotations through different patient care areas of the hospital.

I had a patient who was having cardiac arrhythmias due to the fact his serum potassium level was low. The doctor gave me a verbal order to place some liquid potassium in a syringe and to inject it directly into his IV line through the injection port. I told the doctor I refused to do that because it was not a safe thing to do. Potassium is never injected with a syringe into an IV line. It would kill the patient causing cardiac issues. The doctor should have known this. Well the doctor told me, “I am the doctor and I decide what is necessary for this patient.” I told the doctor, “well I am the nurse and I am telling you I refuse to comply with that order because it is not medically safe to give the patient potassium in that manner”. I never gave the patient the potassium as the doctor had ordered.

In a short while, that doctor came back and told me he had to apologize to me and he admitted I was right to refuse his order. He obviously went to his overseeing doctor and discussed the matter and was probably told he needed to come apologize to me because I was right.

I will say as a nurse, I have definite medical and legal standards I have to be aware of and know for the patient’s well being and to protect myself and my nursing license from standard of practice violations. This case is a classic example of that. Had I complied with the doctors order and given that patient the potassium IV push, I would have been as wrong and in hot water as well as the doctor.

An order was written for an IV drip bag of potassium chloride to be slowly administered to the patient to bring his serum potassium level back into normal standards and that was attained in the proper manner.

                                                 

How much do surgeons earn in India(specialty vs salary)

The average salary for a General Surgeon is Rs 1,166,240 per year. People in this job generally don't have more than 20 years' experience. Experience strongly influences pay for this job.

Pay by Experience for a General Surgeon has a positive trend. An entry-level General Surgeon with less than 5 years of experience can expect to earn an average total compensation of Rs 971,000 based on 104 salaries provided by anonymous users.

Average total compensation includes tips, bonus, and overtime pay. A General Surgeon with mid-career experience which includes employees with 5 to 10 years of experience can expect to earn an average total compensation of Rs 1,171,000 based on 27 salaries. An experienced General Surgeon which includes employees with 10 to 20 years of experience can expect to earn an average total compensation of Rs 2,463,000 based on 20 salaries.

A General Surgeon with late-career experience which includes employees with greater than 20 years of experience can expect to earn an average total compensation of Rs 3,300,000 based on 10 salaries.

A surgeon’s salary depends on what type of surgery he or she is involved with. Some even consider the state or location where they practice. CNN Money, CNN’s business website, ranked the general surgeon profession in the 75th position in the “100 Best Jobs in America”. Sounds exciting? Not probably since being in the 75th spot means the job is way too exhausting.

However, in another CNN Money feature, general surgeons ranked second place in the “20 Highest-Paying Jobs”. According to a surgeon from the John Hopkins Hospital, “Surgery is intensely rewarding. To be able to tell a patient that a family member has a chance at a new life or to rid someone or cure someone of a disability, it’s a very rewarding experience.” The median pay for general surgeons amounts to $260,000 while the top pay is at $412,000. “It’s a lot of training, but I think it’s worth it,” the surgeon adds.

So, how much do surgeons, who specialize in a specific surgery field, earn? Here is a list of the 10 types of surgeons and their salaries.

Pediatric Surgeon ($166,000)

Pediatric surgery has two sub-specialties such as neonatal surgery and fetal surgery. Pediatric surgeons practice at children’s hospitalsand perform surgery to fetuses, infants, children, adolescents and young adults. Some diseases that pediatric surgeons deal with are congenital malformations such as cleft lip and palate, abdominal wall defects, chest wall deformities, childhood tumors and separation of conjoined twins.

As a nurse, what is the most shocking statement you ever heard from a young child

I'm not a nurse but a doctor. Well, I remember the 12-year-old boy we had on the pediatric floor with a fractured shaft of the femur. I was told by my boss to give him one or another antibiotic by I/V push. When I entered his room, he looked me up and down and then said: “You, you’re that f*****g fat, they could feed the whole f*****g world off of you for three f******g years!!!” Now I take an American size 12, which is not exactly sylph-like but neither is it fat, by most standards.

My reaction to this was to leave his room at a dignified but speedy pace to head for the doctors’ lounge, where I could have a good belly laugh. I found it hysterically funny and it would not have been good for the boy to have seen me laughing. But at the same time, I was disgusted at this river of profanity that flowed unchecked from this child’s lips. And if his parents were there, they only egged him on to find new profanities with which to shock and upset the nursing and medical staff. For instance, I heard him shout “C’mere, you old bag of bones” to the head nurse. Most of his comments had to do with our weight or our figures for some reason.

When this little monster of a boy was discharged from hospital, we all breathed a sigh of relief. But later that year, I met him at the bus stop outside the hospital. he said “Hiya, fatty, I’m coming on your ward next week to have my metal taken out. I replied “it’s not my ward any longer K____, I’m on a new rotation. Guess what, the OR”. I made this statement as meaningful as I could, short of verbally threatening him.

I find it shocking that children are allowed to come out with such language as a matter of routine, Moreover, for its parents to encourage it to invent new insults with which to insult the staff who was there to care for their child is the utter end.

                                                 

As a nurse, have you ever cried over a patient

My wife's story: I worked in Infectious Disease in the ’80 s when AIDS was little understood beyond being a death sentence. My patients varied from a very young hemophiliac man to a mother of 3 infected by her husband, who promptly left her, to IV drug users, to the largest category, gay men. The disease was awful with diarrhea, vomiting, profound weakness and horrific lesions, and treatments (such as “Ampho-terrible") had brutal side effects. Some so-called health care providers avoided going into patient’s rooms, and when they did, dressed in space-suit-like protective gear that did not allow any skin to skin touch. At the time, life partners were not accorded any rights, and many gays had been abandoned by their families.

My patient was an extraordinary, physically beautiful black man who had achieved his life's dream as an airline steward. He had traveled extensively with a self-deprecating sense of humor and an eye for the quixotic which made him a spellbinding storyteller. When he was feeling good, he had a glorious smile and laugh, and I spent many happy moments with him. But overall he was desperately lonely. He obviously had lost his job and with it his co-workers. His friends abandoned him, as the herd leaves its injured members on the savanna. The black community tended to be anti-gay and his family had long ago abandoned him. Some of the hospital staff shunned him. He mourned his lost health, his lost good looks, his lost opportunities. He feared pain and his inevitable death. Most of all, he dreaded dying alone.

I was able to keep the only promise I was capable of making him. My tears dripped and my snotty nose ran as I removed my (ungloved) hand from his cooling one, and I kissed him on the cheek between lesions. So yes, I have cried over patients.

Are we finally going to have a vaccine for Alzheimer's

Dementia has skyrocketed to become the fifth biggest cause of death worldwide, Alzheimer’s constitutes about 70 per cent of these cases. Alzheimer's results in progressive loss of memory and cognitive function and is devastating both to those who have it and to their loved ones.

Researchers have now succeeded in neutralizing the two proteins believed to be the primary factor in Alzheimer's disease. If this drug is administered before 40, and taken for life, it could potentially prevent the disease in 50 to 80% of at-risk adults.

This vaccine could be a game-changer!

What’s a time when you had a serious problem but a doctor outright refused to help you

I was 48 years old and I got deathly ill at work one day. Couldn’t hold my head up or stay awake. Went home that afternoon and slept to the next morning. The next day I treated myself like I had a virus but by the evening I couldn’t stand it anymore and went to minor med. I insisted I had strep throat and the doctor prescribed antibiotics. Days into taking them I was still very ill and started falling. I fell in the shower and could barely stand up. I tried to dress, but the pain was unbearable and I was getting short of breath. I went to the ER where I insisted I needed a CAT scan of my chest. The doctors drew blood for

EVB virus and more things. The doctor treating me wanted do the CT because she could see that I was in distress. Her attending refused, and the doctor was almost crying when she said she had to discharge me. I could barely bend to get my pants on without being in a great deal of pain.

The next day, as I got sicker, I went to my primary care doctor who was enraged that they wouldn’t do the CT and he called radiology at the hospital and told them he was sending me right now and to do it. By the time I arrived at radiology to have the CT done, my breathing was so shallow and I was in such great pain that the test was useless. I started to develop chest pain and the radiologist insisted that I go to the ER. I refused because of what had happened the day before, but he begged me. Again I went to the ER to be completely ignored. I now am thinking they are ignoring me because I was taking several medications for depression. I think they thought I was just anxious. They did an EKG and drew labs but did none of the other protocol for someone having chest pain. I was again released.

Two days later I go to the ER again now because I can’t breathe or swallow. The ER doctor, who I find out is now the attending who had refused me care the first time, pulled open the curtain in an aggressive way. He yelled at me and said, “Miss, this is your third time to my ER in 4 days and I am going to get to the bottom of your issues.” Now I really know he thinks it is all a psych issue. He sent in a nurse to start an IV and give me a drug through it. I discover she has IV Ativan, which is for anxiety. I refused to take it. I told her I was not anxious, I was sick. She persisted and persisted until finally I told her that I was the patient and could refuse any medications that I wanted to. “I am sick.” I told her, “and you need to find out what is wrong with me.” The nasty ER doctor came back into the room and apologized saying that my lab work was off. He prescribed prednisone. He told me that I probably had lupus.

To make a long story short, I finally had a seizure and spent 3 days in the hospital. As I was about to be discharged, the diagnosis was made. Epstein Barr Virus with 7 broken ribs. So, yes, there are doctors who refuse to treat you because they have their own false prejudices.