Sunday, February 19, 2012
As of this week I have accepted a position in telemetry at Long Island Jewish Medical Center. It’s been a long time coming, I’ve been looking for a job since September - but it was worth the wait! The North Shore-LIJ healthcare system has a national reputation for their patient outcomes and satisfaction. 
I have to relocate for this job and my start date is in one week, so my life has gone from the slow pace of unemployment to super busy and complicated. I have decided to take a hiatus from this blog for a few weeks until things settle down. 
I wanted to thank all of my followers for their positive feedback - I have loved learning with you and when I come back I’ll have tons of fresh material and a different perspective to share. 
PS - If anyone works at LIJ or lives in the area, let me know! I could use some friends in my new town :)

As of this week I have accepted a position in telemetry at Long Island Jewish Medical Center. It’s been a long time coming, I’ve been looking for a job since September - but it was worth the wait! The North Shore-LIJ healthcare system has a national reputation for their patient outcomes and satisfaction. 

I have to relocate for this job and my start date is in one week, so my life has gone from the slow pace of unemployment to super busy and complicated. I have decided to take a hiatus from this blog for a few weeks until things settle down. 

I wanted to thank all of my followers for their positive feedback - I have loved learning with you and when I come back I’ll have tons of fresh material and a different perspective to share. 

PS - If anyone works at LIJ or lives in the area, let me know! I could use some friends in my new town :)

Saturday, February 18, 2012
YOUR WEEKEND NCLEX TIP
After hip replacement surgery, the patient should avoid these three positions until fully recovered:
Bending more than 90 degrees at the waist (for example, bending over to pick something up)
Internally rotating the leg
Adducting the legs (including crossing one’s legs)
The device seen above helps to prevent the latter two positions from occurring during sleep

YOUR WEEKEND NCLEX TIP

After hip replacement surgery, the patient should avoid these three positions until fully recovered:

  • Bending more than 90 degrees at the waist (for example, bending over to pick something up)
  • Internally rotating the leg
  • Adducting the legs (including crossing one’s legs)

The device seen above helps to prevent the latter two positions from occurring during sleep

Friday, February 17, 2012
FACTOID FRIDAY
Diabetes is the leading cause of blindness in the United States. 
The above image depicts how diabetic retinopathy first manifests. 

FACTOID FRIDAY

Diabetes is the leading cause of blindness in the United States. 

The above image depicts how diabetic retinopathy first manifests. 

Thursday, February 16, 2012
TRICKY THURSDAY
The ABCD side effects of Barbituates
A - Ataxia
B - Behavioral disturbances
C - decrease in Concentration, Coma
D - Depression, Drowsiness, Diplopia

TRICKY THURSDAY

The ABCD side effects of Barbituates

  • A - Ataxia
  • B - Behavioral disturbances
  • C - decrease in Concentration, Coma
  • D - Depression, Drowsiness, Diplopia
Wednesday, February 15, 2012
WOMEN’S HEALTH WEDNESDAY
Uterine Fibroids. What the heck are those, right?
They are benign tumors that grow in and around the uterine walls. In extremely rare cases (less than .1%) they lead to cancer. They come in all sizes (from the size of a pea to the size of an orange) and grow in all areas of the uterus - so their symptoms and treatments are dependent on size/location. 
Smaller fibroids are usually asymptomatic. They may never have to be treated. In other cases, the fibroid may place pressure on the bladder/bowel causing urinary retention/frequency or painful defecation and constipation. They may cause other symptoms such as back pain or painful/heavy menstruation. Rarely, they can interfere with ovulation which can lead to infertility. 
Fibroids are fairly common, especially in the African-American population and women in their later reproductive years. There is a correlation between patients with fibroids and patients with hypertension. They can be diagnosed by use of ultrasound or MRI and may even be palpated during a gynecological exam. Like with reproductive cancers, there’s no surefire prevention. 
As stated before, treatment varies on severity. Tumor-shrinking medications may be prescribed. One method of treatment is cutting off the blood circulation to the fibroids. Radiation can be used. Unfortunately, hysterectomies are typically the go-to treatment and may even be suggested for patients with asymptomatic fibroids - although I hope that in coming years this trend dies down and alternative, less invasive treatments take over. 

WOMEN’S HEALTH WEDNESDAY

Uterine Fibroids. What the heck are those, right?

They are benign tumors that grow in and around the uterine walls. In extremely rare cases (less than .1%) they lead to cancer. They come in all sizes (from the size of a pea to the size of an orange) and grow in all areas of the uterus - so their symptoms and treatments are dependent on size/location

Smaller fibroids are usually asymptomatic. They may never have to be treated. In other cases, the fibroid may place pressure on the bladder/bowel causing urinary retention/frequency or painful defecation and constipation. They may cause other symptoms such as back pain or painful/heavy menstruation. Rarely, they can interfere with ovulation which can lead to infertility. 

Fibroids are fairly common, especially in the African-American population and women in their later reproductive years. There is a correlation between patients with fibroids and patients with hypertension. They can be diagnosed by use of ultrasound or MRI and may even be palpated during a gynecological exam. Like with reproductive cancers, there’s no surefire prevention. 

As stated before, treatment varies on severity. Tumor-shrinking medications may be prescribed. One method of treatment is cutting off the blood circulation to the fibroids. Radiation can be used. Unfortunately, hysterectomies are typically the go-to treatment and may even be suggested for patients with asymptomatic fibroids - although I hope that in coming years this trend dies down and alternative, less invasive treatments take over. 

Tuesday, February 14, 2012

TUTORIAL TUESDAY

How to insert eyedrops

Monday, February 13, 2012
MED REVIEW MONDAY
Naloxone aka Narcan is an opioid antagonist, it works by blocking the opioid receptor and therefore can counteract the depression of the CNS and respiratory system caused by opioids. This is the drug you push when you suspect a morphine overdose (I believe the guideline is less than 8 respirations per minute). It is often made available by public health agencies to heroin users in case of accidental overdose. The drug also blocks pain-lowering endorphins which register in the same receptor as opioids. Narcan is used in a combination pill that aids in the detox of opioid users. 

MED REVIEW MONDAY

Naloxone aka Narcan is an opioid antagonist, it works by blocking the opioid receptor and therefore can counteract the depression of the CNS and respiratory system caused by opioids. This is the drug you push when you suspect a morphine overdose (I believe the guideline is less than 8 respirations per minute). It is often made available by public health agencies to heroin users in case of accidental overdose. The drug also blocks pain-lowering endorphins which register in the same receptor as opioids. Narcan is used in a combination pill that aids in the detox of opioid users. 

Sunday, February 12, 2012
Raritan Bay Medical Center in New Jersey has invented a new role for the registered nurse. Named the Nurse Navigator, these nurses act as a liaison between the patient and the entire medical center. They help the patient and their family “navigate” through multidisciplinary healthcare from diagnosis to follow-up by scheduling appointments, providing advice and patient education ranging from pre-operative teaching, prevention methods and explanation of the disease process. RBMC, a Magnet Hospital-recognized facility, has seen improvements in patient outcomes and satisfaction since the implementation of this coordinating role.
(Seen above: the Magnet model graph)
Source Article

Raritan Bay Medical Center in New Jersey has invented a new role for the registered nurse. Named the Nurse Navigator, these nurses act as a liaison between the patient and the entire medical center. They help the patient and their family “navigate” through multidisciplinary healthcare from diagnosis to follow-up by scheduling appointments, providing advice and patient education ranging from pre-operative teaching, prevention methods and explanation of the disease process. RBMC, a Magnet Hospital-recognized facility, has seen improvements in patient outcomes and satisfaction since the implementation of this coordinating role.

(Seen above: the Magnet model graph)

Source Article

Saturday, February 11, 2012
YOUR WEEKEND NCLEX TIP 
RNs can delegate tasks to other RNs and LPNs - CNAs are assigned tasks to do. The language is very subtle yet important here. In addition, tasks that you cannot delegate include: assessments, judgements and patient education. 

YOUR WEEKEND NCLEX TIP 

RNs can delegate tasks to other RNs and LPNs - CNAs are assigned tasks to do. The language is very subtle yet important here. In addition, tasks that you cannot delegate include: assessments, judgements and patient education. 

Friday, February 10, 2012
FACTOID FRIDAY
There is a disease that is thought to have been the origin of vampire or werewolf myths. Symptoms of porphyria include anxiety/paranoia, hallucinations, seizures, red urine, jaundice, an increase in hair growth (especially on the forehead) and instead of “sparkling in the sunlight” - skin will erupt in boils, blisters and even become necrotic when exposed to the sun. 

FACTOID FRIDAY

There is a disease that is thought to have been the origin of vampire or werewolf myths. Symptoms of porphyria include anxiety/paranoia, hallucinations, seizures, red urine, jaundice, an increase in hair growth (especially on the forehead) and instead of “sparkling in the sunlight” - skin will erupt in boils, blisters and even become necrotic when exposed to the sun.