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Archive for February, 2009

Forensic Nursing Associations Serve as Catalysts for Forensic Nursing

Feb. 28th 2009

Nurses as we know, assist patients and doctors in the field of health care and care giving. As the world becomes more and more exposed to crimes, the role of the nurse evolved. A new branch of nursing has grown and this is a profession, which covers medical care and judicial or legal assistance at the same time. These new breed of professionals convene in what is called a forensic nursing association.

Forensic nurses practice this newest form of forensic science where they gather evidences related to a crime that may have been committed on a patient. The forensic information they gather can be used during trials, which may also call them as professional witnesses.

Forensic nursing is primarily geared towards helping victims of violence by producing the evidences that will help solve the crime. The traditional way to investigate on a patient is to have several people approach and ask questions. These are the social workers, doctors, police, FBI agent, etc. The victim, who may still be traumatized, will only feel worst since the recaps of the crime will have to be repeated over and over again. This can be addressed by having just one person do everything from beginning to end of the investigation. Beginning being, evidence gathering and end being, court trials and possible justice for the victim. The forensic nurse can be all these.

Forensic nurses take charge of cases of abuse and violent crimes and oftentimes, these nurses find their work truly enjoyable and very much rewarding. Owe it to the popularity of related TV programs on cable, or owe it to the increasing crime rate, more and more clinic nurses who feel they could qualify, are enrolling in certification programs.

The American Nurses Association recognizes this new field that is fast becoming popular. Nurses who just graduated as well as the really experienced Registered Nurses can consider this as their career path.

Many experts see the demand for the forensic nurses to grow and grow. This should be a cause for alarm since the growth of these special nurses mean there is increasing crime rate in the country but that’s practically why the field got conceptualized.

Organizations like the International Association of Forensic Nurses (IAFN) have been created to lead this budding group of forensics professionals. Associations like the IAFN provide services to help develop the field. They implement programs that promote the science, and disseminate necessary information about the new practice.

Members of these organizations are registered nurses that are into forensic nursing activities like:

  • Scientific investigation of a evidences gathered
  • Providing treatment to patients who are traumatized
  • Handling interpersonal violence cases like sexual assault, abuses of all kinds, and domestic violence
  • Investigation of death
  • Managing forensic psychiatric cases
  • Correctional nursing in prisons or rehabilitation centers

Most forensic nurses have major roles in the following venues: special hospital units, offices of the medical examiners or coroners, law enforcement agencies, social service units of the government, and other related institutions. This new field has indeed opened more doors for all nurses worldwide.

A forensic nursing association plays a big role in the development of this very significant aspect of forensics, judicial, and medical systems in the society. These groups could be the best media to assist in the fight against violence and crimes.

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The Nature Of Traveling Nurses

Feb. 19th 2009

Nursing is the most prominent occupation in the health care profession nowadays, especially in numbers or practitioners. It is because nursing is the most sought after career for its nurturing nature and personalized approach. In these times, where everything is almost computer assisted, having nurses around to provide that utmost care needed when you are at your lowest is best. What more if you are in a remote place in your locality? If there will be traveling nurses around to provide just what you need to make everything in your body all right, isn’t that the best sight as of the moment?

Good thing that there are really traveling nurses nowadays providing the same important functions for ailing people in remote areas. These nurses also tend for those that are not able to go to hospitals and institutions downtown. They provide just the same caring and trained functions as when you go hospitalized. Some of the health practices they provide are:

  • Help mommies bring their babies into the world they belong as well as nurture both the mother and baby by providing details on how to take care of themselves.
  • They provide medical help to the sick and injured fellows to help them become capable again, and keep them stay healthy and strong.
  • Physical examinations are also carried out by traveling nurses so as to ensure the patients’ proper health as well as not to worry about going to the nearest public or government hospital.
  • Implement by doctors approval the most suitable treatment or medication for ailing patients in remote areas.
  • Nurses also checks emotional, social, and spiritual conditions of each remote patient to ensure that they will be given just the right treatment.
  • Nurses teach and counsel patients, as well as family members, and explain what they can expect during the recovery process.
  • Nurses provide health care teaching and counseling in the community.
  • Nurses are tasked to make observation, assessment, evaluation, and records of the progress and condition of the patient, and they have to communicate the condition of the patient to doctors as well as other members of the health care team.
  • Nurses help patients and families determine the best mix of health and social services – hospice, home care, rehabilitation, physical therapy, and others.
  • Designing and completing activities in relation to quality assurance for ensured and appropriate care
  • Helping patients with terminal illness to have a dignified death, and they help members of the family to cope up with the situation.

With the help of traveling nurses, everyone becomes fit and good for their daily chores again even if they miss the scheduled hospital day designed exactly for the locals. And even if you can’t visit hospitals because you’re just too busy at work or your business, you won’t be missing a most needed medical check up again.

On the side of the traveling nurses, they are also well compensated and even provided with additional incentives and hazard pays by doing what they love most, and that is giving care to many ailing people all through out their lives. In times that they are not able to go home, they are also provided with in-between travels dormitories and apartments where they can stop and take a break. Check out online providers for this type of career.

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Confidentiality is a Must for Nursing Assistants

Feb. 12th 2009

Nursing Assistants are exposed to a wide variety of events taking place in the medical field. It is crucial that they are aware of the importance of maintaining confidentiality in all aspects of their job.

Nursing Assistants are well trained in the policies and procedures of the facility. While it is important to follow them, it is not recommended to discuss them outside of the facility. For example, you don’t want to provide others with confidential information regarding evacuation and other emergency procedures. Doing so many compromise the safety of the patients and staff during a natural disaster or violent attack.

Patients requiring care in a medical facility are to have their privacy protected. This means you do not discuss their care or other personal information with any other person except staff they have an interest in the care of that patient. Confidentiality becomes an issue when you know someone in the facility or someone asks you why someone else in there.

All patients have the right to their privacy being maintained. Compromising this information is a direct violation of every medical practice. Providing such information can result in termination of your job, and in some cases, the loss of your Nursing Assistant Certification.

Communicable diseases can surface in medical facilities. It is important that you follow the policies and procedures set in place by the particular facility your work with. However, do not release information regarding such diseases to anyone. This could result in a panic over the possibility of an epidemic, and lead to patients wanting to leave the facility against medical advice.

The proper medical staff will release information on communicable diseases to the proper agencies. Often this includes the area health department. They can then help the medical facility incorporate a plan of action to remedy the solution. The decision might be made to share the information with the area newspapers in an effort to allow them to protect themselves and to seek medical attention if they display the symptoms of a communicable disease that requires treatment.

Confidentiality also includes other medical staff. Nursing Assistants should not be disclosing any information they overhear among other staff in regards to a patient. Likewise, they should not disclose any information that they hear about the private interactions of staff. Often referred to as gossip, this violation of confidentiality can result in poor working relationships. The result is often a stressful work environment and patients not receiving the best care because lines of communication are not open.

To protect yourself, it is important that you clearly understand the basics of confidentiality and why it is so important in the Nursing Assistant profession. Make sure you are fully aware of the specific policies and procedures in place for the facility you work for prior to accepting employment. In addition, it is the responsibility of the Nursing Assistant to report any violations of the confidentiality policies and procedures to the proper person. Not doing so makes you as much a part of the violation as those who committed it.

While it is human nature to talk and discuss things in common, make sure the information you are sharing in regards to your work are being shared with those who need to know the information. It can be humiliating enough for individuals who need to be in a medical facility without worrying about who is going to find out about what took place while they were in care.

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Looking for Alternative Nursing Careers?

Feb. 11th 2009

For some nurses, the daily hospital life can be too demanding and stressful. You need to provide care to your patients eight hours a day, and this means you can get caught up dealing with other people’s problems. Also, at some point in time you can make a mistake that would take away someone’s life. That’s pretty painful, right? If you’re growing sick and tired of your traditional hospital job, you better start looking for alternative nursing careers.

There are lots of career routes out there that will pave your way out of the clinic or hospital. But it doesn’t mean you have to give up your hard-earned nursing expertise; you just have to use it in a different way.

Yes, there are numerous opportunities that require your nursing skills in alternative settings. So if you are an experienced nurse who’s not happy with your job anymore, you have no reason to fret. Remember: you are capable of more than you think. You got skills and talents so you are generally well-equipped for working out of the traditional clinical setting.

Here are some interesting career alternatives for nurses:

Clinical Research Associate

A CRA ensures that clinical trials are done properly and without compromising the patient’s wellbeing. She also ensures accuracy of the gathered data. So if you want to be a CRA, most of your time will be spent visiting clinicians who perform such trials. You can work on different companies such as biotechnology, academic medical centers, pharmaceuticals, government agencies, the list goes on.

Clinical trial is a research study of a medical device, a drug, or a biologic treatment in humans. Pharmaceutical products, for example, undergo clinical trials to find out if they are safe and effective before they will be approved. Clinical skills are so important in this job; that’s why nurses are the most ideal candidates for such.

Telecommuting Nursing Career

It is one of the most practical options for nurses who want t stay away from the traditional nursing jobs. You can work by telecommuting for Health Information Technology Companies, Clinical Research Centers, health organizations, medical transcription centers, and freelance sites looking for writers in the medical field.

Nurse Contractor

Unleash the entrepreneur in you by becoming an Independent Nurse Contractor or by setting up a Nursing Agency Business. This career will not only give you financial freedom but will also make you recognize your worth. You just need to know the ins and outs of such business and voila, you can be a successful nurse entrepreneur.

Legal Nurse Consultants

Why not use your nursing expertise and be a healthcare professional? You can take Certified Legal Nurse Consultant training and after that, you can start accepting consulters on medical-related cases. You can work for attorneys who aren’t really familiar with medical records and terminologies. Also, you can provide services to government agencies, private corporations, and even for insurance companies. Among the services you can give are researching and reviewing medical records, preparing reports on the area of illness and injury, classifying standards of care and many other services.

Travel Nurse

A travel nursing career will surely make a difference not just in your own but in your patient’s life as well. Aside from fulfilling your traveling desires, you can also serve your patient in a way that satisfies both of you. You can work at your own pace and in different places. You just have to be careful in choosing your placement agency. Pick the one that will help make your dream a reality. Go for the agency that offers a competitive hourly rate, free housing, complete insurance plans and medical coverage, retirement plans and enticing bonuses.

So what are you waiting for? It’s time to look outside your exhausting traditional role! Spread your wings for new career adventures. Alternative nursing careers are just there waiting for you.

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Online Forensic Nursing Program

Feb. 8th 2009

Forensic nursing just like traditional nursing has a lot of specialty areas. As a result, a forensic nurse may find work as a sexual assault nurse examiner, crime scene and death investigator, correctional nurse and psychiatric nurse.

Aside from courses offered in school, there are also online programs where you can enroll in. The best part about an online program is that you don’t have to be there when the class is in regular session since you watch the lecture some other time similar to what Tivo does as it records a show at a certain time so you can view this on your own convenience.

You will also be able to communicate with your instructor and classmates using email, instant messenger and in chat rooms.

Once you enroll in an online program, the school will provide you with special software so you can simulate your classroom and work on quizzes and projects.

The online program introduces students to the forensic aspects of health care and public service. Some of the other things which will be explored include acts of violence, human abuse, collecting and preserving evidence, documentation and follow up procedures as performed by a health care provider, mass casualty incidents, sexual assault and trauma.

If you want to go deeper and specialize in a certain field, some of the modules you can take may be clinical forensic nursing, correctional nursing, death investigation, forensic photography and forensic psychiatry.

One thing these models have in common is that it will explore victimology and how it relates to the changing trends of violence in society.

Most of those that will be doing the lectures are nationally recognized experts in their own field. With the number of people helping out, you will be able to build network and gain access to community resources for additional learning opportunities.

How much you know about the subject matter will be tested and graded. If you pass, the only thing you need to do now is pass the board exam so you can already find work.

Whichever medium you use, you should be able to;

  1. Identify and properly collect forensic evidence within the health care setting to ensure that it will withstand legal scrutiny.
  2. Communicate with the various members of the multi-disciplinary forensic team including victim advocates, law enforcement, and the judicial process in general.
  3. Determine treatment for triage and emergency intervention for patients who exhibit potential forensic implications.
  4. Identify basic policies and procedures required for conducting sexual assault examinations for child and adult women and men.
  5. Analyze the social and political implications of escalating violence as it relates to law enforcement, criminal justice and domestic living.

A forensic nursing program will be easy to shift to if you are already a registered nurse or a licensed medical professional. But this should stop those who just graduated out of college because everyone has to start somewhere in order to become successful in their career.

The only thing to do now is decide what kind of forensic nursing program you want to enroll in so do some research. Better yet, try to get in touch with students who are currently in the program so you will know what it is like which will help prepare you for the challenges ahead.

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E.R. Nurses in a Maze

Feb. 7th 2009

Millions of patients walk into emergency rooms every year to get medical attention. With the proliferating of medical series, everybody seems to be amazed with the 24 hour action hospital department with emergency nurses running and treating critically injured victims.

But how does emergency room really works?

According to Dr. Carl Bianco, writer of How Emergency Room Works, the first step in the emergency room process is the triage. A triage is an emergency nurse who categorizes and prioritizes the patient’s condition. The triage categorizes the patient’s situation into three categories:

1. immediately life threatening
2. urgent, but no immediately life threatening
3. less urgent

The triage is also responsible in recording the patient’s vital signs which are temperature, pulse, respiratory rate and blood pressure. The triage also gets the brief patient history, medications, allergies to determine the appropriate category.

Registrations will be the next step. With the registration, additional information is obtained from the patient. Mainly insurance information, creation of medical record for reference while in the hospital. But for life threatening situations like car crash of life threatening cases, registration can be completed later on.

The patient will go next to the examination room where an emergency room nurse will get more detailed information about the sickness. There are certain hospitals that have divided their emergency department into areas dedicated to pediatric ER, a chest-pain ER, a fast track (for minor injuries and illnesses), trauma center (usually for severely injured patients) and an observation unit (for patients who do not require hospital admission but needs prolonged treatment or diagnostic tests).

After the nurse has completed her duty, the emergency physician will get a complete review of the information obtained from the patient. He then formulates a possible cause or diagnosis based on the symptoms.

Diagnostic tests are required when the physician sees that the patient’s symptom and physical examination failed to get a likely diagnosis. After conducting the diagnostic tests and was able to identify the probable diagnosis, necessary action or steps are undertaken to treat the patient.

Normally, a scene from the ER can be chaotic and confusing for a victim of patient’s family. A long line of patients wanting to be examined could a dreadful sight. There are some people who tried to get medical attention to no avail. Donna Mason, an emergency nurse gave CNN five things to remember in an ER:

1. Inform your doctor is you will be going to the emergency room.

2. Use the ambulance specifically for threatening situations. There would be instances that whenever emergency personnel can see that the patient can actually walk and chose to arrive with the emergency room to get attention, they asked the patient to step down and wait.

3. If the triage is not being helpful in addressing the case, speak up and look for the person in charge.

4. It is important to control temper at all times. It is also important not to lie about your symptoms just to get attention ahead of the others.

5. If things are really getting bad and nobody from the emergency department is helping, look for a house phone and inform the issue to the hospital administrator or patient advocate who is available 24 hours.

Emergency room experience can be tough and rough. It is necessary for us to understand the how things work to understand why some emergency room or departments will take a while to address patient issues. Emergency rooms are a mazes filled with emergency room nurses who I wager will be more than happy to take care of the patients.

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