Posts Tagged ‘Forensic Nursing Online Tutor’

Forensic Nursing & HESI Exam Online Tutoring

June 30, 2014

Many students ask “how can I become a forensic nurse?” Integrate the HESI exams in your pre-nursing and nursing schooling. If a nursing school does not offer it, ask for the HESI exams. Once you enroll in nursing school, pay attention to the forensic nursing aspects. Forensic nursing can be seen in all of the nursing subjects.

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Musculoskeletal System

March 21, 2013

I have found that the most consistent complaint, and yet the most difficult to evaluate, is chronic low back pain. Although most complaints are valid, I have had experiences where they were not. In one situation, a 56-year-old man presented for evaluation for long term disability- I was seeing him as a follow up. All appropriate scans had been ordered and were negative. He had several office exams that were inconsistent. When I examined him, he complained loudly with LE range of motion, but had no complaints when I did a leg raise. After speaking with the physician, we went with our instincts and refused to fill out his disability paperwork. He was very angry and sought a second opinion. He never returned to our office. Imagine my surprise when I was playing in a local golf tournament for charity and there was our patient who had absolutely no difficulty swinging his golf clubs! He saw me at the dinner following and refused to make eye contact. I told the physician I was working with and we both felt good about following our instincts.

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Managing the Incidence of Syphilis

March 12, 2013

The U.S. syphilis rate increased for the seventh consecutive year in 2007 according to the CDC. This is a concerning finding given the potentially serious consequences of the disease if it goes untreated. Effective screening is essential and is a big focus for the CDC as well as many advocacy groups for at risk individuals. The disease is mostly spread through sexual contact, but can also be passed from the mother to child in utero. This can have devastating effects including stillbirth, death shortly after birth or death after a period of illness in infancy. In the adult, the disease can go undetected for many years if the lesions in the primary and secondary stages go unrecognized. They can then be in a latent stage for many years before progressing to the late stage where the disease can cause serious and extensive damage to the body. Syphilis has also been called “the great imitator” since it’s symptoms often resemble those of other diseases. Since the disease is highly treatable in the early stages, screening efforts have the potential for significantly decreasing these divesting occurrences. By treating the infected individual you have high probability of cure thus reducing the effects in the individual as well as preventing spread of the disease to others. Widening screening efforts can facilitate earlier identification of the disease. This is important since the secondary stage of the disease is the most contagious when the infectious lesions are more numerous on the body. The CDC put together a report in 2003 with recommendations for surveillance of the disease in an effort to advance a national plan to eliminate syphilis from the United States. In this report is a list of “priority populations” for routine screening efforts. This list includes arrestees, pregnant women, STD clinic patients and patients diagnosed with STDs in other settings, clients at drug treatment facilities, HIV counseling and testing clients, clients in certain specialty clinics (i.e., HIV, family planning, community based), homeless populations and emergency room patients. The next step in facilitating effective control measures is reporting. With adequate reporting epidemic patterns can be assessed and adequate treatment can be assumed to prevent sequelae of infection. It can also be used to identify cases in a timely fashion in order to interrupt the chain of infection by management of sexual contacts and behavioral risk reduction counseling.

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Healthcare Informatics Employment, comment

March 26, 2012

RE: Healthcare Informatics Employment, comment

Thank you for pointing out the variations in employment search terms. My search results are listed below.

forensic nursing help wanted
279,000

forensic nursing jobs
678,000

forensic nursing openings
736,000

forensic nursing opportunities
788,000

forensic nursing employment
1,400,000

forensic nursing occupations
7,480,000

My brain is very surprised at the results. For many years “Help Wanted” signs could be seen on doors and windows of businesses. Perhaps there are differences between Internet, newspaper, and physical sign terms. “Occupations” appear to be a general term about open positions and general descriptions. “Employment” should lead toward the specifics of open positions.

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Toxic Workplace, comment

December 18, 2011

Hi There Forensicnursingcourses,
This comment may be a little off-topic.

It was so painful for me as my wife Lil and I watched the events of September 11, 2001 on television. Seeing a plane hit the World Trade Center (WTC) North Tower at 8:46, then a second plane hit the South Tower at 9:02. Shortly, we saw the firefighters and other first responders courageously going into the buildings hoping to extinguish the fires, but it was impossible to foresee what followed.

Then we watched in shock as nearly a dozen people were jumping from the upper floors to their deaths.

We felt profound horror at 9:59 as the South Tower cascaded in freefall into its own footprint, and then 29 minutes later when the North Tower came down in the same impossible freefall way.

The new forensic evidence which is being released today by Architects and Engineers for 9/11 Truth demonstrates the presence of controlled demolition materiel in the World Trade Center buildings One and Two.

Just one week after September 11, Environmental Protection Agency (EPA) Administrator Christine Todd Whitman declared “I am glad to reassure the people of New York and Washington DC that their air is safe to breathe and their water is safe to drink” and that we “. . . need not be concerned about environmental issues as [we return to [our] homes and workplaces”.

Yet to this day, at least 900 first responders have since died as a result of the effects of toxic “dust” from the buildings and the some 3,000 human remains that enveloped lower Manhattan and which Mayor Rudolph Giuliani declared “We must clear the rubble”. This “rubble” in fact constituted evidence from a massive crime scene, but was hauled away, first to Long Island, and then was eventually placed on barges and shipped to China.

One thing I know is that the official government story of those events, as well as what took place that day at the Pentagon, is just that, a story. This story is not the truth, but far from it.

I was born on October 12, 1932. I am announcing today that I will be consuming only liquids beginning Sunday until my eightieth birthday in 2012 and until the real truth of what truly happened on that day emerges and is publicly known.
Thanks
erica678@hotmail.com

Original Posts
Toxic Workplace; December 14, 2011
Controlled Demolition Material

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Toxic Workplace

December 14, 2011

In an article by Dr. Holly Lucille, N.D., environmental toxins are brought up as a common health issue. Every day, workers all over the world are exposed to health threatening substances in plastics, pesticides, car exhaust, soaps, emulsifiers, health and beauty aids, household cleaning products and foods.

Your workplace exposure could increase the level of toxic substances, especially in older buildings which have not been properly maintained. Newer building built with toxic chemicals and that are constructed so tightly that insufficient fresh air is introduced into the building with poor ventilation, leaving allergens and irritants trapped inside. New installations, carpet, wall coverings, paint or construction can all heighten problems with VOCs. Toxic mold thriving in cool, damp, dark places behind walls and under carpeting. Construction products such as finishes, heavy duty cleaners, paints, thinners, dry cleaning fluids, some copiers and printers, some glues and adhesives, markers, and photo solutions are among some of the common office products that emit harmful volatile organic compounds (VOC).

This can be further amplified in atrium style buildings or buildings with interior water features, if inadequate care results in mold issues. Dander, molds, and dust mites are carried by animals and people into and throughout buildings. Occupational allergies are common. Many articles are written on “Sick Building Syndrome” and “Occupational Asthma.” where people have symptoms including watery eyes, runny nose, headaches, dizziness, nausea and tightening sensation in the chest. Most of these symptoms are that they have a distinct pattern of getting worse at work and improving on vacations or weekends.

Malfunctioning, inappropriate, or inefficient use of heating devices can produce irritating pollutants such as carbon monoxide, nitrogen dioxide and sulfur dioxide at harmful levels. Formaldehyde exposure is widespread and found in resins in finishes, plywood, paneling, fiberboard and particleboard, and in some backings and adhesives for carpets. Common sources, such as malfunctioning, inappropriate, or inefficient use of heating devices, can produce irritating pollutants such as carbon monoxide, nitrogen dioxide and sulfur dioxide at harmful levels. Formaldehyde exposure is widespread and found in resins in finishes, plywood, paneling, fiberboard and particleboard, and in some backings and adhesives for carpets.

Biological air pollutants like dander, molds, and dust mites are carried by animals and people into and throughout buildings. Scents and hairsprays, construction products such as finishes, heavy duty cleaners, paints, thinners, dry cleaning fluids, some copiers and printers, some glues and adhesives, markers, and photo solutions are among some of the common office products that emit harmful volatile organic compounds (VOC). New installations, carpet, wall coverings, paint or construction can all heighten problems with VOCs.

Bring a hepa or ionic style air purifier to work, keep area free of dust and clutter, increase your intake of pure water and increase your intake of antioxidants can aid your body in its ability to fight the toxins. In addition, speak with your company OSHA representative if the problem is too bad.

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Walmart Holiday Specials Forensic Nursing Textbooks

December 6, 2011

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Death and birth control

December 4, 2011

Forensic nurses are regularly involved with examining the dead and helping to determine the cause of death. It can be important in the case of a deceased female to have a record of contraceptive use and past abortions. These birth control measures can affect the body system by causing hypertension, thromboembolic disorders, glucose intolerance, or hormone changes. In abuse cases it is helpful to know if the woman was on her menstrual period to help identify bleeding as natural or a result of trauma.

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SANE program

November 21, 2011

I just wanted to share that I’m excited to be a part of an evolving area of nursing at the facility I work at. We are researching the start of a sexual assault nurse examiner (SANE) program. The way we process sexual assaults presently is so detrimental to the victim and the evidence. None of nurses have been trained in forensic nursing so we always have to take the kit, and directions into the room with us and read and work as we go. It’s a one on one situation which takes a nurse out of commission making her feel rushed to get the process over with, which is not fair to the victim. The SANE nurse is trained in the collection of forensic evidence, the exam and needed follow up referrals; they’re also trained in the process of judiciary proceedings. It will be a great asset to have a nurse on call to spend the needed time with the patient as well. This training will also help in the collection of data for possible domestic abuse cases.

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Poor Care Delivery

November 2, 2011

Medicare is certainly sending healthcare providers a message. They will not pay for poor care delivery. An example of this is that they will no longer pay if a patient falls or develops a bed sore. I applaud this. We should not add to our patient’s demise by adding additional disease processes to the one the came in with. While it may be true that someone with low immunity could develop a nosocomial infection, it can not be tolerated that we leave them unsafe with the ability to fall and break a hip. My hospital has developed techs that sit “one on one” with demented or confused patients. This has drastically reduced the falls.

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