Latest Blog

Advertisement

Blog Tags

Home arrow Community arrow Blogs

Nurse Blogs

For Nurses By Nurses


Medpolitics.com

Posted by: NurseKeith in Untagged  on

NurseKeith

A new blogging network for doctors concerned about the politics of healthcare has been launched. Medpolitics.com is "a blogging platform and a social network maintained for and by US physicians. Our primary focus is on the politics of healthcare. If you are an American doctor who feels strongly about the challenges our profession is facing, consider joining our community." 

I will be interested in following the course of Medpolitics' politics as we near November 4th. The medical profession has a great deal at stake in the upcoming presidential election, and I know for a fact that doctors populate every possible stripe of political conviction and affiliation. 

It should be an interesting few months, and whether we as a country truly benefit in the end is entirely a subjective determination.

-----

NurseKeith is a writer, blogger, consultant and nurse. Feel free to visit his blog, Digital Doorway .  


A Big and Generous Heart

Posted by: dmazment in Untagged  on

dmazment

I have a good friend, I'll call Jack, who has more certifications behind his name, than you can possibly imagine.  Jack has been an RN for over 30 years, a flight nurse, at a level 1 trauma center,who has for the past three years, voluntarily donated his time, money ( a great deal of money) and services to a youth football.  You will note I've said volunteered, Jack is not getting paid or reimbursed for the money he has spent or the services he has supplied. He also had no children on this team, his are all grown up and gone.

Jack has triaged concussions, fractures, illnesses etc, without any problems, applauded and thanked by countless parents, until the other night when a woman, who did not have any children or relatives on the team over hear a conversation between the head coaches wife and himself.  She immediately demanded he show her his NR/EMT license, stating you are the team paramedic.  It was explained to her, several times, he is not the team paramedic but a volunteer. 

Jack said, if they want to pay me for this, then anyone can ask to see my license but I am not getting paid.

She then said, if I asked a cop on the street for his id, he would give it!  Maybe he/she would after they hauled her butt down to the police station. 

"I can wear a t shirt that says EMT on it".  Yes you can, but you have to produce your license number (star of life and EMT class embroidered patch) in order to get the patch to go along with it.  Her final shot was you don't show me your identification, you are not touching any of my kids......she had no children on the team and no one could figure out why she was there.

He had just finished checking a kid out, with an ear infection and his helmet was putting pressure on his ear.  So he told the kid, to keep the helmet off, get some water to cool down and do what he could without the helmet.  She steps in, touches the kid's forehead says "You're burning up"...sure he was burning up, he had a helmet on and it was 85 degrees outside and very humid.  SHE sent the kid home, where she had absolutely no authority to do so.  So does this mean she was practicing nursing or medicine without a license?  Yeah it does, at least to my mind.

 So, Jack and two other of my nursing friends left after the game and are not going back.  Because of this woman, who over stepped herself, made a big stink, these kids no longer have three very competent, highly qualified professionals who volunteered, to help protect them. 


Growth!

Posted by: Administrator in Untagged  on

Administrator

Nurse LinkUp is growing by the day and we could not be more pleased! With some members now blogging away and articles being posted daily, we have no doubt that we will continue to grow and develop, buoyed by your suggestions, enthusiasm and participation.

Thanks for tuning in, for visiting, for taking part, and for spreading the word about Nurse LinkUp! 


The Dark Knight is rated PG 13 for a reason

Posted by: dmazment in Untagged  on

dmazment

While this has nothing directly to do with nursing, it is imperative parents know how "dark" the newest Batman film truly is.  This film is not for young children or any child who has a tendency towards nightmares.  I'm truly not sure my greatnephew who is just 12 should have seen it.  His mother thinks it was ok for him, but we'll see tonight if he sleeps or not. 

Heath Ledger is absolutely outstanding as the "Joker".  I judge  actors by whether or not I forget who's playing a particular role or do I see them behind the character.   After 30 seconds of the Joker's appearance, I completely forgot it was the late Ledger behind the psychotic madman and just settled in to become totally enthralled with the entire film.  In certain places, the film is extremely frightening, with such evil intent manifested in the many layers of the plot.  I came away disturbed, but loved the movie. 

Batman started out dark, became a light hearted idiotic comic book post WW2 and now it's back to the original intent of good over evil starting with the earlier film Batman Begins.   Yep, I love comic books and graphic novels, odd for a 57 year old woman, but there it is. 


Thanks to Kim at Emergiblog!

Posted by: NurseKeith in blogs on

NurseKeith
Many thanks for Kim over at Emergiblog for the following post:

"Congratulations are in order for nurse blogger colleague Keith of Digital Doorway! Keith has won the ValueCare, ValueNurses Nurse Blogger Scholarship! I’ll let Keith describe what he’ll be doing with his new award:

Basically, I was chosen as the one nurse blogger in the United States who will receive a generous stipend to blog several times each month on issues salient to healthcare reform and the current crisis in healthcare as we prepare for the presidential election. It is a very big task and I’m still preparing mentally for the challenge. I would appreciate any guidance or advice, as well as links to articles or websites that might be fodder for my writing process.

"I’ve been a fan of Keith and his writing for a long time, and if anyone can make sense of our health care issues as we go into this election, he’s da man! And trust me, there is lots of fodder out here , so be sure to send Keith any information you think he can use!

"As if this weren’t enough, Keith is working with a new nursing community entitled “NurseLinkUp”. I just checked it out, head on over and say hi!"


Salmonella Probe Hindered

Posted by: Benny in Untagged  on

Benny

Salmonella Probe Hindered by Inadequate Food Safety System

If we had better health safety systems in place, nurses would not be so overworked (and underpaid).

For example, an unwieldy food safety system one expert recently termed a “mess” has kept federal officials from finding the source of a Salmonella outbreak that has sickened over 1000 people in the U.S. and Canada.  The poor performance of the Food & Drug Administration (FDA) and other health agencies in this latest Salmonella outbreak has led to calls for improvements, especially a more efficient and accurate way to trace produce back from the store to the field.

Since April, 1,256 people have been infected with Salmonella Saintpaul.  In June, the FDA blamed certain kinds of tomatoes for the outbreak, and issued a warning to consumers to avoid them.  But long after growers in affected areas stopped shipping tomatoes, and the produce was removed from stores and shelves, people kept getting sick.  What’s more, not a single tomato sample  tested by the FDA came up positive for Salmonella Saintpaul.

It wasn’t until earlier this week that the FDA finally announced that it had found the Salmonella strain  on a single jalapeno pepper at a Texas warehouse.  Now the agency is telling consumers to stay away from fresh jalapenos.

Critics of the FDA say that it and the Centers for Disease Control (CDC) were hampered by their own tunnel vision concerning tomatoes.   Health officials at the CDC and in New Mexico - which had the second highest number of illnesses - identified tomatoes as the culprit behind the outbreak in June, and no one ever looked back.  History also played a part, as tomatoes had caused at least a dozen Salmonella outbreaks in the past several years.

Jalapenos, on the other hand, had never been involved in an outbreak.   The hot peppers were not even listed on the questionnaire health officials used to interview patients early in the outbreak.

The FDA also was deterred in its hunt for tainted tomatoes because of poor record-keeping and the common practice of mixing and processing tomatoes from many different farms together.  Even if the FDA had found a contaminated tomato, figuring out what packing plant, processing facility, and farm field it came from would have been difficult, if not impossible.

Both the FDA and some prominent lawmakers want to enact regulations that would enhance the FDA’s ability to trace the source of contaminated food.  Traditionally, the agricultural industry has resisted such efforts, fearing liability.  But that may be changing, especially now that tomato growers have suffered millions in losses, in part because of the FDA’s inability to trace this Salmonella outbreak.   In fact, the Produce Marketing Association, an industry trade group, is now working on its own plan to set up a global, electronic tracking system for produce.

In the meantime, the FDA has lifted its tomato warning, but says that they could have still played a role in the outbreak.   And while jalapenos seem to be a culprit, the FDA has not ruled out other foods, including cilantro or Serrano peppers, as possible suspects.


American Red Cross Failing to Keep Blood Safe

Posted by: Steve in Untagged  on

Steve
The American Red Cross has been under a court order for the past 15 years to improve the way it handles the nation’s blood supply.   Since 2003, the Red  Cross has been fined more than $21 million for failing to do so.  Yet critics of the organization claim the Red Cross is still not doing enough to make sure donated blood is safe.  Now, frustrated at the Red Cross’ apparent unwillingness or inability to do its job, federal regulators are said to be considering filing criminal charges against the organization’s  board members.

The list of fines assessed against the American Red Cross over the past several years is long.  Just this past June, the Food & Drug Administration (FDA) fined the organization $1.7 million after the agency found that the Red Cross had washed six units of red blood cells with hypertonic saline solution.  Sterile normal saline solution should always be used for this purpose. The defective red blood cells were transfused to three patients in 2006 and 2007 at three Red Cross chapters in the Northeast and Southeast.   

The June fine followed another in February, when the FDA ordered the Red Cross to pay $4.6 million after the agency discovered 113 incidents in which the organization collected blood from an ineligible donor, failed to undertake proper testing, or shipped the collected blood at wrong temperatures.

In September 2006, the Red Cross was penalized $4.2 million for non-compliance with federal and FDA regulations concerning the collection of blood products.  In that incident, the fine was levied for the American Red Cross’s “failure to comply with requirements under Federal laws and FDA regulations relating to the collection of blood products.”  The FDA said that the fines were “assessed under an amended 2003 consent decree that called for significant financial penalties when” the American Red Cross “fails to comply with FDA regulations and consent decree provisions designed to ensure the safety of the nation’s blood supply.”

The 2003 consent decree required the American Red Cross to “establish clear lines of managerial control over a newly established comprehensive quality assurance system in all regions; enhance training programs; and improve computer systems, records management, and policies for investigating and reporting problems, including adverse reactions.”  Between the conception of the consent decree and the September 2006 fine, the FDA levied another $5.7 million in fines against the American Red Cross.

Despite the consent decree and subsequent fines, apparently not much has improved at the American Red Cross.  According to The New York Times, the FDA has become so frustrated over the situation that in January, agency commissioner Andrew von Eschenbach attended a meeting of the Red Cross board of directors.  The commissioner warned meeting attendees that they could face criminal charges for their continued failure to bring about compliance.

The Red Cross controls 43 percent of the country’s blood supply.  According to FDA records, some of the safety lapses at the Red Cross that resulted in fines put patients in danger, and exposed them to diseases like hepatitis, malaria and syphilis.  Despite repeated incidents, the FDA says the Red Cross has failed to investigate the results of its mistakes, so no one knows for sure if any of the incidents resulted in patient injuries.


Dearth of Pediatric Medical Devices Puts Children at Risk

Posted by: Steve in Untagged  on

Steve

Dearth of Pediatric Medical Devices Puts Children at Risk

 Monday, July 21st, 2008 
 
According to Ziyad Hijazi, chief of pediatric cardiology at Rush University Medical Center, and other doctors, children receive worse treatment in the United States, and have even died, because pediatric medical devices are not approved.  Hijazi travels annually with two or three children ad their families to Jordon for heart operations where medical devices not approved for use in the United States are available.

Hijazi implanted an amplatzer muscular VSD to close a hole between the lower chambers of the heart in a child from Massachusetts.  The device was manufactured by Minneapolis-based AGA Medical and was available for nine years in Jordan before finally being approved in the US in 2007.  Hijazi said over 90 percent of the medical devices he uses on children are “off-label”–approved by the U.S. Food and Drug Administration (FDA) for other uses, such as adult use.  “We take responsibility as physicians for using unapproved devices on kids,” he said.

In the years 1989-2000, only one stent—a device that props open heart vessel walls—was appropriate for pediatric use, said Thomas Forbes, director of cardiac catheterization at Children’s Hospital of Michigan in Detroit.  “In the ’90s, we lost lives in the cath lab.  Patients have died on the table because we were using stents that were made for adults and weren’t flexible enough,” Forbes said.  Having to use adult-sized devices on children can be the difference between “potentially dangerous care and very good care,” he said.  Three stents can be modified for pediatric use; none are approved for such use in the US, Forbes said.  Other pediatric specialists voice similar complaints, saying they either use devices approved for adults or hand-make their own.

Companies often focus on adult-sized devices because the market is bigger.  Also, heart diseases in children, are likelier to be congenital and rare; in adults they are more likely to be progressive, and common.

Meanwhile, a law signed late last year provides financial incentives to companies for making devices for children; however, those companies must also track patients at their own expense.  “It’s a paperwork nightmare. They have to commit resources and follow these patients forever,” Forbes said.  There are other issues and some solutions, for instance a significant tax credit for research and development in this area, but that is not being discussed, Federici said.  Richard Ringel, a pediatric cardiologist at Johns Hopkins Hospital, said he is awaiting the next innovation in cardiovascular medicine:  Stents that dissolve inside the body   “… do you think Johnson & Johnson is going to be interested in doing this for babies?  No, they want to do it for (adult) coronary patients because the numbers are so much larger,” Ringel said.

“Development (of pediatric devices) is time-consuming, there are regulatory hurdles, and how do you recoup your investment?  The math generally does not work,” said Edwards Chairman and Chief Executive Michael Mussallem, who is president of AdvaMed, who added that it comes down to economics and physicians are just used to getting by with what they have.


Just because my eyes are open

Posted by: dmazment in Untagged  on

dmazment

I can't quite figure out why people/family think because my eyes are open, my neurons are synapsing in sequence and I'm fully cognizant.  Maybe because I used to have to be when I worked the OR and was on call all the time.  Some of you know the drill, the phone rings at 1am, your feet are on the floor and you're heading for the bathroom where you left your clothes as you're reaching for the phone.  Then you're running out the door, shrugging into your coat if it's winter or buttoning up an article of clothing or both at the same time.  Then you're in the car, dry brushing your teeth, because you keep a toothbrush and toothpaste in your car console and you spit out the window, (hopefully the wind is not blowing into the car and you remember to roll down the window) driving hell bent for leather to get to the hospital to set up an "emergency" case.  Maybe you'll even remember to run a brush through your hair, but often why bother, you put a bonnet on anyway.  However, this was me on call, this was and is not me off call.  It is no longer my life and I choose not to wake up quickly unless the house is burning down or some other crisis is looming.  I sleep like the dead.  I admit this.  There is something satisfying about waking up slowly and in my own time frame.

Anyway back to just because my eyes are open does not mean I'm cognizant.  Don't ask me important questions and expect me to give an intelligent answer or to remember what you've asked me.  I am not responsible and now refuse to take responsibility for anything until I'm actually awake.  I tell my great nephew this all the time, but being 12, he "disremembers" and takes advantage.  He came into my bedroom and asked me for a raise in his allowance to $20/wk a week ago (somewhere around 730am) and apparently I said sure.  Well Friday rolled around and he was disappointed when I handed him his weekly pay of $10. After 5 minutes of tears, ranting and more tears, (pre-pubescent hormonal angst) he did not get his raise.   I didn't remember nor was I going to honor it. 

I fixed his cute little tush yesterday morning.  He was still soundly asleep, I poked him, he rolled over and blankly stared at me and I said........ remember to, unload the dishwasher, clean the litter boxes,  pick up your room, brush your teeth and hair, before you fire up the xBox or no allowance this friday.  Did he remember?  Not a chance.  Then again, he doesn't remember 5 seconds after you tell him something when he's awake.  So when I confronted him he said, That's not fair!  I wasn't awake.  I just stared at him and  then the proverbial light bulb turned on over his mass of dark brown, curly, long unbrushed hair covering his head.  It was so bright, I'm surprized his mass of tangled curls didn't catch fire.  I, however, made my point.

So the entire point to this rant is this...........just because someone's eyes are open, doesn't mean they're awake.


Consumers Who Buy Health Insurance Are Vulnerable

Posted by: Benny in Untagged  on

Benny
  Americans who buy their own health insurance have very little protection if companies want to deny coverage or raise their premiums when they get sick. A new report published by the consumer advocacy group Families USA says states should do more to protect consumers from insurance companies that will stop at nothing to avoid paying claims.

About 14.5 million Americans bought their own insurance on the individual market in 2006.  The Families USA survey of insurance commissioners across the country showed that all but five states allow insurance companies to deny coverage to sick or older patients. All but 15 states have no limits on how much companies can raise premiums if individual policy holders.

For those states that do offer some safeguards against insurance company abuses, the kinds of protections varied greatly.  Some states - such as Maryland, Illinois, and Idaho - let patients appeal when their individual coverage is revoked; other states - such as Ohio, Kansas, and Arizona - don't allow appeals. Most states guarantee that customers can review when companies deny individual claims. But in only a handful of states are those reviews free and conducted by an independent third party, the report says.

Overall, New York, Connecticut, New Hampshire, and California had among the most protections. States including Alaska, Arkansas, and Wisconsin had relatively few, according to the report.

Recently, some states have taken aggressive action against health insurance companies that abandoned policyholders when they became critically ill.  In April, the Los Angeles City Attorney sued Anthem Blue Cross for illegally dropping patients when they became sick.  The lawsuit claims Anthem maintained secret units in the company that looked for ways to drop the policies of sick patients.

Prior to the Anthem Blue Cross lawsuit, the Los Angeles City Attorney sued Health Net for the same type of abuse. That complaint alleges that the company illegally paid bonuses to employees for meeting policy cancellation targets. The incentive program led to the illegal cancellations.  For its part, Health Net has admitted that such a bonus policy was in effect at the company in 2002.

It may be more important than ever that states take greater steps to protect consumers from such abuse, as more and more people are forced to buy private health insurance.  In fact, the number of people buying their own individual policies could explode if Sen. John McCain (R-Arizona) is elected to the White House.  Health insurance reform touted by the Senator would replace existing tax breaks for employer-sponsored coverage with tax credits individuals could use to buy coverage on the individual market. The change would likely shift millions of workers onto individual coverage, where they would be vulnerable to insurance companies' cost-saving tactics.


<< Start < Prev 1 2 3 4 5 6 Next > End >>

Online LinkUp - Where a world of you awaits!
What is LinkUp? Privacy Policy Terms of Use About Us Contact Us