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The FDA announced the nationwide recall of SangCya, a generic version of cyclosporine available in liquid form. Neoral (brand name version) and capsules of cyclosporine are not part of the recall. It appears as though taking SangCya with apple juice affects the absorption of the drug (by 20-30% according to research studies). The FDA has said that patients taking SangCya should continue their usual dose until they have consulted their physician. Since cyclosporine drug levels are routinely monitored, it is unlikely sub-therapeutic levels are occurring in these patients without the physician already being aware of the problem.
National
Practitioner Data Bank (NPDB) These are fairly new data bases that health care practitioners should be aware of, they are part of federal law and require that adverse actions against a practitioners license be reported to NPDM & HIPDB. Their purpose is really two fold:
While the information in the data base is not accessible to individual consumers, it is available to state boards and other health care entities, and you can do a self query ($10.00 fee). For more information, visit http://www.npdb-hipdb.com
IV IBUPROFEN FOR PREMIES The New England Journal of Medicine released this report nearly two months early because of its potential value in treating patent ductus arteriosus. The study conducted by physicians in five Belgian ICNs compared treatment of ibuprofen to indomethacin in treatment of this common problem in premature infants. One-hundred and forty-eight patients were treated and were divided equally between each drug. While neither drug was clearly better at closing the duct that lets blood bypass the lungs (ibuprofen 52 (70%), indomethacin 49 (66%), ibuprofen does appear to cause less kidney dysfunction (5 babies) then that seen with indomethacin (14 babies). Patent ductus arteriosus in normal in unborn babies and usually closes within one to two days after birth. However, this is often not the case with premature infants particularly those weighing in at two pounds or less.
MEDICARE
RECIPIENTS MAY FINALLY GET Senator Roth (R-DE) chairman of the Senate Finance Committee proposed a government-administered program to offer drug benefits to all Medicare recipients. Sen. Roth made his proposal at a closed meeting of the Senate Finance Committee last week. The move is unusual as this has always been a stalemate between the republicans and the democrats. Sen. Roth becomes a powerful ally for the democrats in bringing about this legislation.
FDA
ADVISORY
PANEL KEEPS CHOLESTEROL DRUGS Twice this week an FDA panel voted to keep drugs that treat hypercholesterolemia from being sold over the counter. Pravachol (pravastatin), made by Bristol-Myers Squibb and, Mevacor (lovastatin), made by Merck & Co. will both still require a physicians order. The decision was based on the fact that patients with heart disease and diabetes cannot take these medications. The FDA is not bound by the panels decisions but it is unusual for them to not follow their recommendations.
INTERSTATE NURSE LICENSURE COMPACT Basically the Interstate Nurse Licensure Compact allows nurses with a license in one member state to practice nursing in another member state. It also allows for provisions of reporting information between member states in the areas of nurse regulation, investigation and adverse actions. It also intends to promote compliance with the laws governing the practice of nursing in each state. Arkansas, Delaware, Iowa, Maryland, North Carolina, Texas, Utah and Wisconsin have already put the compact into effect. Mississippi, Nebraska, and South Dekota have passed legislation which will take effect in 2001. In Maine, we are waiting for the SBON to make rules. In Idaho it has passed in the house of delegates and is in committee.
NEW YORK PASSES WHISTLEBLOWER PROTECTION The New York State legislature passed a Healthcare Whistleblower Protection Act, which was introduced at the request of the New York State Nurses Association (NYSNA). The legislation is now waiting for the governor's signature. The new law will protect nurses and other healthcare workers from retaliation by employers. It should be considered every employees responsibility to report dangerous situations to appropriate regulatory agencies.
DRUGS
& ADHD One of the greatest hypocrisies is our government's "Just Say No To Drugs" campaign while at the same time parents, educators and health care professionals are prescribing and administering record numbers of medications to "control" children with Attention Deficit Hyperactivity Disorder. A group of schools nurses are fighting back. There are methods other than medications to help school aged children with ADHD and their web site Save One Starfish is an outstanding informational resource. They don't see ADHD as a disorder, but rather as a goal: "Achieving Dreams and Happiness without Drugs". This multi-award winning site believes "the current medical fad seems to be the "pathologizing" of childhood. Educators and parents are becoming increasingly disturbed by symptoms commonly referred to as hyperactivity and inattention in the classroom. At the request of parents and teachers, doctors are diagnosing millions of children and labeling them disordered simply because they do not sit still in class and seem unable to attend to their lessons. Should we believe that millions of American children have brain disorders? Or should we look more closely at ourselves and to where our lifestyles have led us?" (from Save One Starfish site) This is a non-commercial site devoted to treating children as the holistic human beings they are. While editorialized, this nurse writer thinks Save One Starfish is one of the best works of the nursing profession on the net to date. I applaud Mable, JB and BK for their excellent presentation of our profession to the Internet community and for their admirable work.
Want us to feature your nursing news, send to: info@nurse-recruiter.com
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The Headline
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FREE DECAL OFFER Thanks to all of you who requested your free decal. Unfortunately we had to return the stickers to the printer, there was an error. We will send them to you the same day we get them back via first class mail.
RESUME DATABASE UPDATE I know, I know, I've been saying here it comes, but the kinks we found were difficult. They are all worked out now an it's finally being installed on-line as we write. It should be up is just a few days or so. That's not to say we won't make changes as they become evident, but we'll go with this and see how it works for everyone. I will send you an e-mail when it's on-line, if you've submitted a resume in the past, I would highly recommend that you get your resume posted to our data base. Of course it's free, I wouldn't think of charging my fellow nurses a fee, so drop by when you get your note and get your resume on-line. Before you submit your resume on-line, let me recommend that you open a separate e-mail address, you can get a "yourname@nurses.everyone.et" e-mail account by clicking here. Keep your private e-mail private.
TELL US WHAT YOU THINK As I mentioned earlier, we want to make Nurses~4~Nurses your favorite on-line nurs-e-zine. Please take a few minutes to complete our survey by going to: There are no graphics so the survey form will pop up quickly and the whole deal will only take you a few minutes. We'll publish the results in next months issue, not to mention implementing your suggestions.
SUBMIT YOUR SITE Do you have a nursing web site? Would you like it to be listed on our site? We'd like to have you, so visit our "Nursing Today" page, at the bottom of the "Nursing Directory" click on the "Submit Your Site" link. We will also list you at Suite101.com. If you join the Nursing Community at Suite101.com, we'll give your link request priority handling. No this isn't a requirement, but it does help us and in order to post your link, we must rate and review your site. So if we take the time to visit your site, we'd appreciate you taking the time to join now. Plus you'll be entered in the daily cash drawing and the grand prize drawing. No, we will not add you to another mailing list. The membership form is used to aggregate user information only. E-mail your name and e-mail address you used to sign-up for verification purposes and, we'll know to expedite your request.
NURSING & HEALTHCARE WEBMASTERS Have you visited Webmasters Pages? When we started Nurse-Recruiter.com last year, we didn't find much help with marketing and web building, at least not from our professional colleagues. Well, we wanted to make a difference for nurse who wanted to have a web presence and this is our answer. Almost everything is free, though there are a few things of real value that cost, but that decision is yours. You find pages with information on:
We update the pages on a regular basis and we encourage your suggestions for new items to include. Please take advantage of this resource, just one more item for nurses by nurses that makes Nurse-Recruiter.com a different kind of web business.
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The
Nurse-Recruiter News is sponsored in part by: Earn CEs in the comfort of your home. New courses monthly. Access 24/7 to your own database record. Print certificates anytime, anywhere. Tech support 24 hours per day. Accredited nationwide. Visit ceu4u today. For more info e-mail info@ceu4u.com.
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by Dr. Gloria "Jo" Floyd Great nurses are all around us. They do phenomenal things. They make powerful differences. Are you a great nurse who had an even greater father or grandfather or other male in your life who "great" fathered you? Did you or do you have a father who was like mine -- a father who challenged you to go beyond what the world expected of you? Who made statements like "I don't care what kind of job you end up in .. it could be digging ditches ... As long as they are straight ditches and the best ditches"! My father said that. He, also, made other statements to me that shaped my life and gave fodder to my own level -- such as it is for nurse greatness. I believe that great nurses demonstrate this in a multiplicity of ways. They stand out in whatever they do. The dig great ditches of caring, sharing, counseling, supporting, encouraging and helping consistently. They understand what my fourth grade educated/graduated dad meant when he encouraged me and my six brothers and sisters to dig great ditches and to "get an education." What great philosophy did your "dad" expound on about "greatness"? Did he remind you, like me, if you want to get ahead and make something out of yourself and get others to listen to you to get an education. Education can make, break, or promote a nurse. Are you honoring your "father figure" by using all you have learned or by continuing your quest for the right type of learning to boost you onward. Remember, we can get great learning anywhere -- from patients, clients, customers, friends, other nurses, peers, supervisors, doctors, housekeepers, janitors -- as well as, by sitting in a chair in inservice or at the local university. I would like to have you and me use the education we have gleaned from so many places to honor our "father" and/or "father figure". To read the rest of Jo's article, click here.
Written
for and used with permission:
Nursing
Intervention: How many times have you, personally, been told by a female patient, Oh, Im so clumsy! I ran into a door. or I slipped and fell. Thats how I broke my nose, teeth, etc.? Did you believe her? Perhaps you thought that it seemed to be an inappropriate response, given the injuries sustained, but you thought it wasnt your business. As nurses, both male and female, this IS our business. Id like to share something with you that is my personal experience, not as a nurse, but as a battered woman. If youve never been battered, it is a little difficult to understand why she just doesnt leave him. If you have, then this is your story, too. I lived on the south side of Chicago with a man named Robert. Robert was my last abuser out of many in a 13 year span of time. He turned out to be addicted, not to alcohol as Id feared, but to diet pills (Didrex) and Tylenol #3. To read the rest of Michele's story, visit her site by clicking here.
Chicken Soup for the Nurse's Soul We are so excited to announce that a new book in the "Chicken Soup for the Soul" series is in the making. "Chicken Soup for the Nurse's Soul" is being co-authored by LeAnnThieman, RN. If you're not familiar with the "Chicken Soup" series, we highly recommend them. Basically, they are a series of books, each with 101 stories, to inspire and uplift you. Now, there's soon to be one dedicated to us. LeAnn has asked that we help her in attracting stories for the new publication. Here's a letter from LeAnn telling your more about the book and how to submit your your stories. If published you'll earn a $300.00 "permission" fee and a 50 word bio, about the author, will also be included in the book. Share Your Favorite Story Nurses touch all our lives; now you can join us in touching theirs. We invite you to contribute a true story, article, or anecdote that will uplift, inspire, and pay tribute to all nursing personnel. Chicken Soup for the Nurse's Soul, 101 Inspirational Stories to Touch the Hearts and Rekindle the Spirits of Nurses will support, motivate, and honor these dedicated care-givers. Topics will include:
We're looking for inspirational, true stories, 1200 words or less, that will make readers laugh, cry, or sigh. Stories should be positive, universal, and non-controversial. The "point" or "message" should be evident without preaching. No essays, commentaries, tributes, philosophical or biographical pieces will be accepted. Please refer you to other Chicken Soup books to better understanding our style. You may submit more than one story, whether original or a favorite from magazines, newspapers, or other sources. For each story selected in the book, a 50-word biography will be included about the author and a permission fee of $300 will be paid. The submission deadline is September 1, 2000. Send submissions:
c/o
Chicken Soup for the Nurse's Soul or email: ChickenSoup@LeAnnThieman.com or fax: 970-377-3772. (Please keep copies as we are unable to return materials) You can phone:
LeAnn
at 970-223-1574, or Detailed information is also on the Internet at www.LeAnnThieman.com. Thank you for joining us in touching the hearts and rekindling the spirits of millions of nurses everywhere. We look forward to getting your stories soon.
PATIENT RESEARCH GUIDES Medifocus.com offers over 220 in-depth patient guides with the most up-to-date medical information available. These high quality patient guides are all physician reviewed. The guides help patients by giving them knowledge on treatment options, hospitals and physicians specializing is specific areas, who's on the cutting edge of research, alternative treatment options and more.
They offer free sample guides on
a half dozen or so different diseases and disorders. Most guides are
priced at $9.95. You can find the complete list of guides at www.medifocus.com ``Most of the health sites on the web can be described as a mile wide and an inch deep. Medifocus is different... we are a mile deep and an inch wide for each of our 220 illnesses,'' says Dr. Elliot Jacob, Senior VP of Product Research. ``But patients facing a life-threatening illness don't have an option... they MUST have in-depth, professional quality information about their specific problem. The medical journals are the best, most unbiased source of medical information but most patients just aren't able to find what they need. Our Library makes it much easier for them to quickly get answers.''
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The Featured
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CAREER
OPPORTUNITIES We are pleased to announce the addition of a new permanent placement recruiter Northern Medical Recruiters. Much is being made of sites that are recruiter free, but let me give you this spin...when you use a recruiter, they do all the work for you. They find the jobs you're looking for and present them to you. Your under no obligation and there service is FREE to you, they charge the employer for finding you. Look for Northern Medical Recruiters Ads on our site this month.
Go
to Nurse-Recruiter.com,
Click
on Job Type, Click on State
Didn't find something of interest at our site, we recommend the following career sites:
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The Help Wanted
Ads are sponsored in part by: RN.COM is an online nursing community dedicated to providing education, information, and resources nurses need to stay current in their field, and complete their ongoing continuing education. RN.COM provides our subscribers with two free, one year, unlimited CE subscriptions.
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Net
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Okay, I've been a nurse for more than 20 years (won't admit to any more then that). If there's anything I know, we have very strong opinions. Tell us what's on your mind and find out how hundreds of others feel about it. You can be as controversial as you like, but it must be about nursing. It's simple, just write us at info@nurse-recruiter.com.
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The Editorials are
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While you're there, please take the time to join our community of more than 1000 experts. Each writing featured articles, rating, and reviewing websites so you know where you're going, before you get there. If you join you'll be entered in our daily drawing for $100.00 cash to you plus $100.00 cash to the charity you choose. Now that's a way to make you feel good several times over. Simply scroll down the Nursing at Suite101.com page and look for the "Join Us" graphic and the monthly articles.
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With hundreds of nursing web sites listed, the Top 10 Nursing Sites is the Internet's largest top list for nurses. Click here to visit.
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Table of Contents Nursing News Nurse-Recruiter News Featured Articles Help Wanted Freebies Editorial Suite101 NurseToon Nursing Excellence Award CE Winners Subscriber Info Advertise |
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The Nursing Excellence Award is the only internationally rated web award for nursing web sites. The criteria is very difficult and when we award a site it is one of the best nursing sites in the world. Beginning this month, we'll include a brief review of each winners site. So what are you waiting for, here are some of the best nursing web sites on the 'net:
FEATURED
WINNERS
The "Nursing Excellence Award" is owned by Nurse-Recruiter.com and also hosted at ICUs and Nursing Web Journal. To see a complete list of winners or to apply for the award, you can simply click on the "Nursing Excellence Award" link at either site.
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Table of Contents Nursing News Nurse-Recruiter News Featured Articles Help Wanted Freebies Editorial Suite101 NurseToon Nursing Excellence Award CE Winners Subscriber Info Advertise
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