2013년 11월 26일 화요일

About 'lpn schools'|... fame or glory for his or her country, school, etc.: he was an honour...thief, rent boy, rusticated LPN, and evangelical Christian." My issue with Whatcott...







About 'lpn schools'|... fame or glory for his or her country, school, etc.: he was an honour...thief, rent boy, rusticated LPN, and evangelical Christian." My issue with Whatcott...








This               article               is               the               first               of               a               series               on               the               issue               of               various               aspects               of               medical               care               today.

The               majority               of               this               series               will               focus               on               your               safety               in               hospital               care.

It               will               also               offer               tips               on               keeping               yourself               and               loved               ones               safe               while               hospitalized.

This               first               article               regards               the               nursing               shortage,               causes,               expectations               and               effects.
               Some               time               back,               the               nursing               shortage               was               at               the               top               of               the               news.

Suddenly,               the               subject               basically               disappeared,               leaving               many               to               believe               the               shortage               had               ended.

While               the               shortage               has               become               less               critical,               the               shortage               does               continue               to               exist.
               There               are               many               aspects               to               the               nursing               shortage,               many               of               which               have               not               been               reported               in               the               news               media.

Part               of               this               is               because               the               issue               is               a               complex               one.

Another               reason               is               because               of               misrepresentation               by               hospitals               and               other               medical               facilities               on               the               subject.
               One               reason               the               subject               has               stopped               gaining               as               much               attention               is               the               fact               that               the               media               itself               portrayed               nursing               as               an               extreme               growth               field               for               some               time,               which               led               to               a               sudden               boom               in               admissions               to               nursing               schools.

Coupled               with               delusions               formed               by               watching               too               many               TV               dramas,               this               has               led               to               some               problems               currently               being               faced               by               the               medical               field.
               Many               new               nurses               in               the               field               today               entered               school,               even               graduated               nursing               school               with               visions               of               sudden               wealth               and               white               collar               jobs               in               their               minds.

The               truth               dawns               too               late               on               many               of               these               new               nurses               as               they               become               employed               and               find               that,               while               nursing               pays               well,               one               must               gain               experience               to               reach               the               pay               levels               these               new               nurses               dream               of               making               immediately               out               of               school.

They               also               find               that               nursing               is               by               no               means               white               collar               position               until               one               spends               many               years               in               the               profession               and               attains               some               administrative               situation.

Only               a               low               percentage               of               nurses               ever               attain               that               situation.
               No,               not               many               cute               doctors               are               dating               nurses               they               work               with.

Even               if               they               wanted               to,               most               facilities               have               protocols               against               this.
               Estimates               differ               on               how               many               nurses               are               expected               to               retire               or               leave               nursing               in               the               next               few               years.

Some               estimates               go               as               high               as               83%               of               nurses               wishing               to               retire               within               the               next               ten               years.

While               the               average               age               of               nurses               increases               year               by               year,               younger               nurses               are               leaving               the               medical               field               sooner               than               previous               generations               of               nurses.

This               causes               a               cross               between               older               nurses               retiring               and               younger               nurses               choosing               to               change               career               paths.

One               study               has               suggested               as               many               as               1               in               3               nurses               under               the               age               of               30               intend               to               leave               nursing               as               a               career               within               one               year               from               the               study               date.

Other               studies               have               found               over               70%               of               nurses               dissatisfied               with               their               current               jobs               and               over               90%               experience               stress               due               to               inadequate/unsafe               staffing               levels.
               It               really               becomes               as               simple               as               taking               to               the               average               nurse               and               finding               that               nearly               every               nurse               you               speak               to               plans               to               no               longer               be               actively               in               nursing               within               ten               years.
               One               issue               rarely,               if               ever,               addressed               is               probably               the               most               important               factor               in               the               dissatisfaction               of               nurses.

If               a               person               enters               nursing               to               help               people,               it               generally               means               having               contact               with               the               people               they               are               helping.

For               many               years,               I               have               had               the               saying               that               nursing               is               one               third               nursing               and               two               thirds               paperwork.

A               nurse               may               spend               an               average               of               45               minutes               of               each               shift               charting               on               each               patient.

More               patients               equals               more               time               charting.

If               a               nurse               has               10               patients,               just               this               basic               level               of               charting               may               require               as               much               as               7.5               hours               of               the               shift.

More               time               than               this               is               required               if               the               same               nurse               acquires               new               patients               to               be               admitted.

Add               in               one               30               minute               lunch               and               already               the               nurse               has               used               8               hours               of               a               12               hour               shift.

With               10               patients,               this               would               leave               24               minutes               of               12               hours               to               spend               with               each               patient.

Fine               if               you               like               paperwork.

Not               good               if               you               want               to               help               people.

Studies               have               also               shown               that               charting               becomes               less               accurate               as               a               nurse               must               care               for               more               patients.
               One               issue               clouding               the               water               is               stop-gap               measures               by               medical               facilities               and               systems               to               reduce               the               need               for               as               many               nurses.

Hospitals               have               attempted               to               consolidate               services,               closing               units               or               entire               hospitals               in               recent               years.

There               are               currently               fewer               hospital               beds               and               facilities               today               than               there               were               ten               years               ago.

Nearly               every               city               in               the               country               has               seen               a               decrease               in               the               number               of               hospital               beds               available.
               While               having               fewer               beds               available               does               make               it               easier               to               maintain               enough               nursing               staff               to               care               for               the               patients               in               those               beds,               the               remaining               facilities               have               still               struggled               to               maintain               safe               staffing               levels.

Many               hospitals               continue               to               operate               at               dangerously               low               levels               of               staffing.

Multiple               studies               have               shown               the               correlation               between               lower               staffing               levels               and               increased               risk               of               serious               medical               error               or               hospital               acquired               infections.

This               is               at               the               same               time               that               the               danger               of               acquiring               such               infections               becomes               serious,               even               deadly.

These               risks               caused               California               to               enact               legislation               which               mandates               particular               staffing               levels,               ensuring               that               hospitals               must               meet               for               patient               safety.

Thus               far,               California               has               been               the               only               state               to               pass               such               legislation,               though               several               other               states               have               investigated               enacting               similar               legislation.
               Another               factor               causing               the               issue               to               be               less               clear               is               a               numbers               game               played               by               many               hospitals.

For               fear               of               appearing               to               staff               at               unsafe               levels,               many               hospitals               inflate               the               numbers               reported               regarding               nurse/patient               ratios.

While               a               hospital               may               have               1               nurse               for               every               2               patients               in               their               Intensive               Care               Unit               (ICU),               they               may               have               only               1               nurse               for               8               patients               on               the               surgical               unit.

This               averages               to               1               nurse               for               every               5               patients,               which               is               what               they               will               advertise               and               report.

Another               tactic               used               is               for               a               hospital               to               staff               1               nurse               for               every               4               patients               during               the               day               but               1               nurse               for               every               8-10               patients               at               night.
               While               enrollment               in               nursing               programs               has               increased,               it               has               not               kept               pace               with               the               increased               need               for               new               nurses.

Many               people               interested               in               pursuing               nursing               as               a               career               choice               have               changed               directions               due               to               long               waiting               lists               to               enter               nursing               schools.

Some               waiting               lists               are               as               long               as               two               years.

A               potential               student               cannot               place               their               name               on               the               waiting               list               until               they               have               met               all               prerequisites               necessary.

Many               nursing               schools               are               turning               away               qualified               applicants               due               to               shortages               in               staff,               facilities,               equipment               and               funding.
               While               the               health               of               baby               boomers               is               generally               better               than               their               elders,               the               fact               remains               that               the               general               age               of               the               population               is               increasing.

At               the               same               time,               the               epidemic               of               obesity               means               more               people               are               requiring               extensive               medical               care               at               a               younger               age.

While               the               age               issue               has               been               addressed               in               multiple               projections               regarding               the               need               for               more               nurses               in               the               future,               no               major               studies               have               addressed               the               effect               of               the               obesity               rate               on               nursing               as               yet.
               For               your               own               safety,               here               are               some               things               to               consider:
               If               planning               to               enter               the               hospital               for               elective               or               planned               surgery,               find               out               what               unit               you               are               expected               to               remain               for               most               of               your               stay.

Call               or               visit               the               unit               and               ask               questions               of               the               charge               nurse               or               nurse               manager.

Ask               what               the               nurse               to               patient               ratio               is               for               that               unit.

Then,               be               sure               to               ask               if               the               same               ratio               is               maintained               both               day               and               night.

Also,               ask               if               they               normally               have               enough               staff               to               meet               that               ratio.

A               ratio               means               nothing               if               it               is               only               on               paper.
               Another               question               to               ask               is               the               percentage               of               patients               on               that               unit               acquire               infections               while               hospitalized.
               One               more               question               to               ask               is               what               the               median               experience               level               is               of               the               nurses               on               that               unit.

Do               not               settle               for               how               many               RN's               they               have               employed               or               any               other               answers               offered.

Be               sure               to               ask               about               nurses,               not               just               RN's.

Remember               that               LVN's/LPN's               are               nurses               and               many               have               more               experience               than               RN               counterparts.

This               issue               will               be               addressed               in               the               next               article               in               this               series.
               If               you               have               no               immediate               plans               to               enter               the               hospital,               these               questions               can               still               be               asked.

If               the               hospitals               within               your               insurance               plan               all               have               low               staffing               levels,               you               may               wish               to               switch               plans,               if               possible.

If               that's               not               possible,               do               several               things.

One               is               complain               to               your               insurance               company.

While               one               complaint               may               fall               on               deaf               ears,               you               have               no               idea               how               many               other               complaints               they               may               receive               on               the               subject.
               If               you               find               you               live               in               an               area               where               most               of               the               hospitals               have               low               staffing               levels,               contact               your               state               representatives.

Suggest               legislation               requiring               safe               levels               of               staffing               in               all               the               hospitals               in               your               state.

Encourage               your               friends               and               associates               to               do               the               same.

Write               to               the               local               media               and               suggest               an               investigative               report               on               the               matter.
               Don't               wait               until               you               or               a               loved               one               suffers               because               of               poor               medical               care.

Do               something               about               it               now.
               Suggested               references:
               http://www.aacn.nche.edu/Media/FactSheets/NursingShortage.htm
               http://www.medicalnewstoday.com/articles/28800.php
               http://content.healthaffairs.org/cgi/content/full/22/6/40
               http://www.nurseweek.com/features/97-10/jobsatis.html
               http://www.nursingworld.org/






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      Lately in the lpn schools in connecticut and many more high level Connecticut...Samuel Colt memorabilia. As if being the lpn schools in connecticut a cardboard box. Why is...
    2. www.myspace.com/they_call_me_len/blog   09/18/2008
      ...off til Saturday, unless they call me in again. The only thing that puts my LPN school in jeopardy is myself. I've been nominated for the opening...
    3. smallnotesblogger.blogspot.com/   06/06/2011
      ...art & craft after his haircut at Junior League and so I brought him to the LPN Art School at Suntec Level 3. Suddenly remembering that our family will be out of town during...
    4. southernindianagal.blogspot.com/   10/02/2006
      ...I am checking into nursing schools in Cincinnati that are part of some of...to work towards becoming an LPN. I have been thinking about...
    5. redtoryglory.blogspot.com/   07/15/2008
      ... fame or glory for his or her country, school, etc.: he was an honour...thief, rent boy, rusticated LPN, and evangelical Christian." My issue with Whatcott...
    6. brlukebsg.blogspot.com/   06/27/2005
      ...a member since 1987. I did teach sunday school, but presently, I lead a Bible Study every Sunday...over the last few years. I was a LPN from 1969-1980 and worked various ...
    7. medicalassistantnet.blogspot.com/   05/08/2009
      ...and back office/front office management. I had a pathetic salary. I went to LPN school...I also have prerequisites towards RN. I've done both. LPN's know...
    8. lilacrn.blogspot.com/   09/16/2008
      ...and false advertisement of LPN programs in PI. The people behind these LPN schools or programs will guarantee that you can work in the US or abroad after completion...
    9. northwestharveys.blogspot.com/   03/27/2009
      Monday was my pinning ceremony for LPN school. It is hard to believe that this chapter in my life is finished...
    10. tekgnosis.typepad.com/   10/15/2008
      ...to. I looked on the net and found a site where you can look for lpn schools . I gave the link to my friend and he said they are ...
    11. Lpn Schools - Blog Homepage Results

      Just what it says--my adventures! (by teenie)
      With the continuing rise in crime rates, forensic nursing is quickly becoming a popular part of the American judicial system.



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