Archive for December, 2007

New Year’s Resolutions

December 31, 2007

I own a private Forensic Nursing consulting firm. We will try something new in 2008. We will expand our services to include digital age progression. Several of our Forensic Nurses will take the course in Digital Age Progressions Photography, which is a part of the Online Forensic Anthropology course.

I have a goal for 2008. It is to get a research job. The job I want involves a lot of nursing physiology. I will take an online Nursing Physiology class. I see that you call it Advanced Physiological Nursing. Once I finish this class, the hospital said I will be the ideal candidate for the job. This will allow me to make a difference in the world with research to help people avoid diseases and to help in finding cures. One of the side benefits will be a large increase in my salary. I will be better able to help my children in college. I will not have to work as many hours as I do now. My husband, my children and I can spend more time together. I better stop here (smile). But these are some of my goals for 2008.

I want to finish my BSN (Bachelor of Science in Nursing Degree). I realize that it will take me more than one year to do so. Floor duty keeps me busy more than 40 hours each week. I will take it one step at a time. I already have my ASN (Associate of Science in Nursing Degree). My goal in 2008 is to start with one class and do well in it.

My New Year’s resolution is to finish my Forensic Nursing education and then start my MSN (Master of Science in Nursing).

Our police department will win the 2008 award for outstanding achievement. One way we intend to do this is by utilizing Forensic Nurses, utilizing your Forensic Anthropology course (especially your lessons and services in Digital Age Progression Photography), and utilizing your Human Osteology course. Thank you for allowing others to make suggestions and ask questions. And thank you for your suggestions.

My New Year’s resolution is to become a better Forensic Nurse in using my Nursing Health Assessment skills. I am rusty with these skills since I graduated from nursing school years ago. With my new career in Forensic Nursing, I will do better.

For 2008, my resolution is have all of my Forensic Nurses to become Professional Speakers. We do private Forensic Nursing consultations across the USA. I can achieve my resolution by having my Forensic Nurses enroll in your Professional Speaking class.

I am going to find a way for our Forensic Nursing team to reduce our paper work. I am thinking if I took one or more modules in your Health Care Informatics program, this will give me the foundation set up a computer-electronic Forensic Nursing department.

We want to reduce the drug abuse problem in our state. We will do this by having key nursing personnel enroll in your Nursing Pharmacology course and Forensic Nursing program. We may also consider your Health Promotion and Disease Prevention course.

My goal for 2008 is to obtain a triple certificate (Health Care Informatics and Public Health Nursing and Forensic Nursing).

We all at the _____ Children’s Hospital want to do a better job in providing care for our pediatric clients. We will require many of our nurses to take a continuing education course in Pediatric Nursing. We like the fact that you work with employers and students. We also like your flexible schedule in offering your course during every month during 2008.

The New Year’s resolution for 2008 is to stop many preventable crimes in _____, _____ (city, state). Please help us achieve this with your Patient Education and Counseling course, your Health Promotion and Disease Prevention course, and your Forensic Nursing program.

In 2008, I want to pass the NCLEX, and then become a Forensic Nurse. I will achieve this by taking your Online Instructor-Led NCLEX-RN(r) Review Course.

Original Post:
Saturday, December 29, 2007
My New Year’s Resolution is to take your Forensic Nursing program, get an “A,” and become a Forensic Nurse. I will finish your 14-month program in 12 months.

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Nursing Assessment Liability

December 31, 2007

The legal issues are enormous surrounding health care provider all the time. It is necessary to avoid being sued for liability issues. The health care organization such as the hospitals should teach the health care professionals such as nurses who provide the nursing assessment some basics about law and why they have to become responsible for such situations and their actions. However, there must also be some legal protection for nurses as is for the patients. There should be similar education for the public, that they go to health care providers to be taken care of not to sue them, which is encouraged by advertisement on TV and radio about suing your health care provider. The public should also be aware that their action as a patient may have legal consequences. For example a DT person who become violent towards the nursing staff, when they come to the hospital for treatment should be treated as a nurse doing something wrong to the patient.

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New Year’s Resolution

December 29, 2007

My New Year’s Resolution is to take your Forensic Nursing program, get an “A,” and become a Forensic Nurse. I will finish your 14-month program in 12 months.

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Forensic Nursing and Pediatric Nursing

December 27, 2007

Yes, you may take Pediatric Nursing with Forensic Nursing. This is an excellent idea. You can take Pediatric Nursing as a class, continuing education course, review course, or refresher class.

Original Post:
Wednesday, December 19, 2007

Forensic Nursing and Pediatric Nursing
I want to improve my pediatric nursing skills. I am a forensic nurse and do very well with adults. Children are most difficult for me especially since I do not have any sons or daughters. Can I take a pediatric nursing continuing education course with you? Thank you for listening and for your response.

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Forensic Nursing and Pediatric Nursing

December 19, 2007

I want to improve my pediatric nursing skills. I am a forensic nurse and do very well with adults. Children are most difficult for me especially since I do not have any sons or daughters. Can I take a pediatric nursing continuing education course with you? Thank you for listening and for your response.

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Forensic Nursing and Health Assessment, comment

December 19, 2007

Yes, we can teach your 20 students graduate-level Health Assessment (Nursing Assessment) in January 2008. We can easily handle 100 or more students at the same time. Since our program is online and independent, the class size is not a limiting factor as it is with a brick and mortar school.

One of our online instructors can go on vacation and leave his/her assignments and exams available for the students. These assignments and exams can be set to “autopilot.” When the instructor returns, he/she can pick up where the student are versus picking up where the instructor left off.

Another option is for the instructor to find someone to fill in while he or she is on vacation. The temporary instructor does not necessarily need to leave her or his location.

There are other options besides the two listed above.

Original Post:
Monday, December 17, 2007
This is an Urgent Request for Help!

We have a brick and mortar school. We modeled our Forensic Nursing Program similar to your program by having a Health Assessment component. Our main instructor for Health Assessment will be leaving the country due to death in her family. She is due to return in one or two months. This leaves 20 students without a Health Assessment instructor.

Can you teach our students their Health Assessment component? Is 20 students too many to handle in January of 2008? How do you manage to keep your teaching flowing efficiently?

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Trauma quality management process improvement

December 18, 2007

This discussion relates to trauma quality management process improvement through the incorporation of forensic nurses. For this discussion forensics will include living as well as deceased patients and events. The discussion will emphasize the value of evidence collection, documentation, mechanism of injury and complications after the primary event by all members of the health care team. Forensic trained nurses enhance the quality management process in trauma center. Forensic nurse specialist training combine’s clinical expertise, which blends nursing knowledge with the legal system. Physical, behavioral, and cognition aspects are all included during the patient assessment as they are each indicators of health. The benefits of the forensic nurse role can be seen in proper evidence collection, documentation through the chain of custody, proper terminology use, interfacing with law enforcement, and identification of unsuspected injury through application of the nursing assessment. In the trauma environment a problem-based assessment involving the history and examination is limited in scope to the specific problem that brought the patient to the emergent care setting initially. If a nurse performing this assessment identifies physical signs of past trauma or identifies subtle signs of abuse in the initial assessment she would be lead to a comprehensive assessment and involvement with other members in the trauma team. The comprehensive assessment will encompass current health problems, health promotion, disease prevention and assessment for problems associated with known risk factors. The knowledge base of a trained forensic nurse specialist allows correct terminology use during the documentation process, which allows for a smoother interface with the law enforcement. A forensically educated nurse will identify exigent evidence and work to preserve it through collection and photography so it can be utilized for future law enforcement needs. The documentation completed serves as a legal document of the evaluation and provides a baseline for subsequent evaluations. The accurate nonbiased health assessment can be used for future encounters and trend identification for recurrent injuries. Collaboration with a team promotes accurate management of trauma patients. Raising the index of suspicion and recognizing the patient’s problem is critical to opening the issues of abuse or other crimes against patients who present to trauma centers for care. The forensic nursing assessment of the patient and situation may lead to closing a circle of violence. Management of clinical forensics is important in the trauma care centers. The forensic nurse specialist has an important role in drafting policies and guidelines for the areas of: evidence identification, collection and documentation. The forensic nurse specialist provides an emergent role in developing ongoing Trauma Quality Management.

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New Contact Us Link Added

December 17, 2007

We have added a bold green “Contact Us” link within the top portion of our blog.

Forensic Nursing and Health Assessment

December 17, 2007

This is an Urgent Request for Help!

We have a brick and mortar school. We modeled our Forensic Nursing Program similar to your program by having a Health Assessment component. Our main instructor for Health Assessment will be leaving the country due to death in her family. She is due to return in one or two months. This leaves 20 students without a Health Assessment instructor.

Can you teach our students their Health Assessment component? Is 20 students too many to handle in January of 2008? How do you manage to keep your teaching flowing efficiently?

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Medication Errors, comment

December 13, 2007

The original post was May 23, 2007

I also use the BCMA (bar code medication administration) It is marvelous when it works. When the system does not work, the nurse has to make it work so the patients can get medications. One of the problems is when the electronic wand that scans the barcode cannot and does not work. The barcode neither on the armband nor on the medication can be read. The RN can enter the entire social security number in the computer and get into the patients medication list. The nurse then can obtain an EIN number and enter it. The EIN number is the number that correlates to the medication. So even with this entire computer high tech the system can be overridden.

I am not aware if we even have a MAR (this is the system we use to do) to go back to it if we had a disaster. I have had to make out physician orders on the old carbon copy paper system when the computers were down. The papers were faxed to the pharmacy and the pharmacy would bring the medications to the ICU.

The nurse must use the MAR of some type to state that he or she gave the medication. This can be entered later into the computer so a history of the drug administration would be consistent. The BCMA does help with the history of all of the medications the patient had received for this visit.

I can see that medication errors can still be made when the system is down. The system helps when it is working. If a medication is the wrong medication or if it is too early the BCMA will indicate, “Do not give this medication.”

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