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Daily Diary of a Home Care Nurse

Written by kimmel52 on September 28, 2008 – 2:00 pm

Daily Diary of a Nurse

Today’s Entry, September 29th 2008;

Sorry that it has been a few days since I last made an entry.  Truth is I have been busy with teaching.  I love teaching.  My patient load has gone down some.  I really don’t know how home care nurses can see forty patients weekly.  I am not that organized.  Let’s see, well there was a patient that I saw who was a right sided CVA.  He admitted to drinking.  All he wanted was a power chair.  He stated that he couldn’t get out of his apartment and felt very isolated.  I knew that the social worker could help him.  His blood pressure was 160/90.  When I called the Dr. and asked him if he wanted him to have another BP pill or half of one he stated that there was no need.  You know, I couldn’t draw his blood.  I tried twice, and after that I told him I would send in the expert.  Gee, I feel bad having to stick people and not get blood.  I saw the vein, and yet I couldn’t get the flash.  He told me that his wife, who doesn’t live with him, came over and drank an entire bottle of Tequila.  I can see why he still drinks.  What a nice man.  He called me a vampire.  Yeah, some vampire, I can’t even get any blood.  On another note, I have to tell you this for my patient who is a Vietnam Veteran.  He actually asked me to write about him.  He wanted me to tell the world that he enlisted at 17 to go to Vietnam.  That he did a 18 month tour in the airborne.  He told me that none of the men knew about the riots and protests going on in the states.  He mentioned that his best friend was a white boy from Alaska.  My patient has much to tell me about his tour.  I noticed that he gets very emotional when he talks about Nam.  But, he stated that he is going to tell me everything as long as I write about what he says.  So I am keeping my promise, and will keep you posted.  I need to make out a math quiz for my student’s for tomorrow, so I will bid you all adiu, guten nicht, and good night.

Nancy Nurse

September 22th , 2008  0900 Welcome all student nurses!

New Entry;

Well everyone, I’m back.  Rembember the patient that went to the hospital for a respiratory problem.  She is the one on whom adult protective services were called.  I have to go back tomorrow to do a resumption of care or ROC.  The sad news is that while she was in the hospital, she developed leg ulcers.  I can’t imagine how bad they are.  She had scars on her bilateral lower extremities from previous diabetic ulcers.  I know that her sugar fluctuated, but you would think that the hospital would keep her under tight glycemic control.  I feel so bad for her. Here she is with a comprimised respiratory system and the windows are left open all night.  Now she has diabetic ulcers.  I feel so helpless sometime.  I realize that the disease process takes its toll, but no reason for others to rush it along.  I guess all I can to is to continue to do my best.  Did I tell you, that I have cut back on my patient load so that I could teach engineering and math?  Well, yes I did.  Why? Because I love to teach.  Oh, yes, and my patient who is the WWII veteran had dropped our services to go with Hospice.  I am so glad, I had the hardest time trying to get the home care physician to order Megace for appetite enhancement.  So, tomorrow begins another day of just seeing patients.  I will tell you about the patient’s cases that I opened recently, tomorrow hopefully.  Have a good night.

Kindest Regards,

Nancy Nurse

I believe that the worst thing that can happen to a home care nurse is when you have a paient die before seeing them that week.  That is exactly what happened to me.  I had opened a case of a man who had medical problems such as heart and hypertension in August.  Then, I walk into work and find out that his sister had just called to inform the home care agency that he died.  I was frozen in my tracks.  All I could think of was could I have saved him.  Every possible scenario was going through my head about how I might have done things differently.  What if I had seen him a day before, maybe I could have caught something or assessed something different about him that might have saved his life.  Honestly, I haven’t got over it.  I tell you what one of my nursing instructors told me during an evaluation.  She said my problem was that I care too much.  Do you believe that?  Persoonally speaking, in this field I don’t think that anyone can care too much.  I think there are not enough people who care.  Well, thanks for listening.

Still Shaken,

Nancy Nurse

Entry, Today September 16th , 2008
Well I’m back, and I hope that you are all still with me.  I went to my patients home to do an admission.  Remember that I am re-admitting her.  As it turns out she had her whole family there.  She is wheel chair bound due to her weight and dependent edema.  Her weight exceeds over 300lbs.  She has an incontinence problem and sits in her urine most of the time.  The red flag in my mind is raised because I know that if her family doesn’t take care of her she will have skin breakdown.  As it turned out, I had asked her if we could go into her room, where I could clean her up and inspect her skin.  However she declined and said to me, “next time, next time”.  I found it strange that with all of the family that were sitting around in ear shot of our conversation that no one got up to offer to clean her, or encouraged her to go with me.  What an akward moment.  When I arrived back at the office my supervisor told me that this admission was not complete unless the skin is inspected. She also stated that I could not write what I suspect; only what I actually see.  So back I went.  This time she was in bed and I was able to clean her up and inspect her skin.  Yes, she had decubitus ulcers as I suspected in stages I and II.  I asked her family if they had any antibiotic ointment, cornstarch, baby powder, anything at all.  Her granddaughter stated,”Look, I don’t clean her up.  My cousin does that, and I can’t help it if she isn’t around, I have enough to do around here taking care of my kids.”  I felt bad for my patient, because she said this right in front of her grandmother.  What could I do?  I felt so bad and so helpless.  This wasn’t my first episode with this family.  I made sure that social work, physical therapy and a home health aide were on the case. But what then, after the certification is up.  She lies in bed in her own urine for hours.  They leave window open and she gets cold. I cleaned her up and applied A & D ointment to her skin.  There were a lot of boggy areas and ecchymosis over most of the gluteal area.  I reported back to my nursing supervisor the situation.  She notified Adult Protective Services.  I feel bad.  That is her home.  Why, tell me, with so many family members can the matriarch of the family neglect her.  I mean, they have a nice home, good jobs and so forth.  So tell me why?
Next Patient.
Did I tell you that this is a wonderful job?   Yes, it is.  This next patient is another elderly client.  His home is not in a very good area, and no I am not afraid.  There is something about being a medical professional that transcends all of the bad that is out there, that you don’t get harassed or approached.  Or maybe it’s my neon green scrubs with yellow flowers.  So any way I pull up into their driveway.  I see women who appear to be in her mid fifties standing at the door.  She greets me with a smile.  Mmm, perhaps it is my patient’s daughter.  I walk up the steps and she holds the door for me.  Once inside I hear a frail voice call out, “who is in my house? Come in here so that’s I can see you with my own eyes.”  I stood in the living room looking around the home.  I was a simple home, old, lived in and clean. It was as if time stopped in 1975 by the velour furniture and velvet paintings.  As I gazed around further I saw a generation of pictures gracefully and lovingly displayed on the tables, walls, and T.V…  There was my patient, I said in my mind, as I looked at large photograph of a WWII soldier, proudly displayed in the center of the livening room wall for all to see.  I walked into the room where I heard the frail voice.  There in bed lie the WWII veteran and his wife.  The frail women looked up at me and said, “Who are you?”  Upon introducing my self as a registered nursed with the home care agency, she beckoned me to sit at the foot of the bed.  As I sat there she said, “Oh dear, what has happened to me?  I am in such bad shape.  Dear Lord help me.”  I asked  her what was wrong, and without saying a word she pulled her covers back to expose her tiny frail legs and pointed to her toes that were twisted tortuously from arthritis.  Before I could say anything her husband woke up next to her and said hello.  I could recognize him from the pictures on the wall.  I could see the soldier in him, proud, strong and brave.  Just then, the woman who had greeted me at the door walked into the room and went over to the wife’s bedside commode and proceeded to carry an entries night’s bladder and bowel contents to the bathroom.  As she walked by me in the tiny room, I asked if she was their daughter.  Before she could reply to me, the elderly wife said, “Oh no, she is my angel, our neighbor.  She takes care of us and makes us breakfast every morning.”   I turned to look at the women who was still holding the bathroom pot, and said,”Pleasure to meet you.”  She wryly looked at me with just a twinkle of mischief in her eye and said, “You may think differently if this pot spills on you, now could you please give me some room to get by?”  I stepped out of the way.  As I began to do my paper work at the foot of their bed, I realized just how comfortable I felt.  Here I was sitting on someone’s bed, while it was occupied and I felt like a kid in my parent’s room.  The next thing I knew, the neighbor came back into the room carrying a tray of breakfast which she lovingly placed on a bedside table next to the elderly women and her husband and as quickly as she came in she was gone.  I turned to my right and began to get my supplies out of my bag when I noticed a leg prosthesis in the corner of the room, then I heard the frail voice , “Dear Lord, We come before you this day, and give thanks for being able to see another day.  A day that we will never see again.  We thank you for all of your blessings, and I pray that you will take care of my husband in your special way Dear Lord, and please bless this nurse and take care of her, help her Lord to your work, and  bless this food that you may strengthen our bodies that we may yet see another day.  Amen.”
Tears began to fall from my eyes, as I bowed my head with them.
Entry August 26th, 2008
Good morning student nurses;

“I am driving on the road heading toward a patients home.  I have been trying to get in touch with her for over a week now without any success.  According to state guidelines you have only 48 hours from the time of receiving a case to open it.  I  am not sure how they are going to handle it back at the office but right now I’m  concerned with seeing her.  You see she just got out of the hospital a week ago. I sent her there, well not me, but her doctor,  after I  called him and informed him of her symptoms.  She could barely breath, I knew that I couldn’t leave her that day.  I had to do something.  So I called the doctor and he suggested that she go to the hospital.  So here I am now on the road going back to do a re-open.  I  have to tell you the money is not bad.  I get $45 for a revisit and $75 to open a case and $100 to do a recertification.  It is a lot of work and a lot of driving.   But you know, I like it better than being in one place for 8 hours, although I also work at the hospital on the weekends.  Well, here I am…I  will fill you in tomorrow.”


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American Nursing Today

Written by kimmel52 on September 22, 2008 – 5:16 pm

American Nursing Today

Culturally Competent Care

By

Nancy Lydia Kimmel

R.N. Ph.D. C.H.M.M.

Immigration to the United States has never ceased. It is a continual process that brings a variety of rich cultures and knowledge this great country. Health care workers experience the vastness of cultural diversity more so than any other profession. Therefore, more than any other profession, health care workers, nurses and physicians in particular must be culturally sensitive to the patients needs.

As the population of the United States continues to increase, hospitals are more likely to see more patients that have cultural needs. Meeting the cultural needs of a patient is essential in treating the whole person. Enhancing a client’s mental and physical wellness is the responsibility of the nurse. The nurse must attempt to use all of the resources at their disposal to see that the client receives the care that they need. Nurses are faced with a great challenge when treating clients of various ethnicities. Hospital rules are not always congruent with the requests of patient’s families. Hospitals with set visiting hours may pose a problem the nurse who recognizes that the patient needs family members around them at all hours. Hospitals do not always cater to the patient’s diet. Hospitals in Dearborn Michigan now carry Halal food for the patients who are of the Islamic faith. The city of Dearborn has one of the highest populations of Arabic speaking peoples in the nation. Hospitals had to recognize that to give quality care, they had to be sensitive to the client’s needs. Nurses may not be able to change hospital protocol, but they can make a significant difference in how the patient views his or her health care. Therefore the nurse must make every effort to ensure that the patient’s needs are met. It may be to allow family to visit on off hours, or to have a plate of food brought in from home. Many cultures have a theory about sickness. In this theory, there are cold foods and hot foods. Each of these foods is used to treat a particular sickness. Preventing families from taking a integral role in their loved ones care could possibly impede the healing process, by adding additional stress. Stress has been known to cause numerous illnesses. The nurse must attempt to balance the care that the family gives while in the hospital with the rules and regulations of hospital protocol. This can be a fine line. However, the patient comes first. To facilitate an atmosphere where the client feels most comfortable is the goal of the nurse as well as the other medical staff. Of course one would not encourage food from home if the client had leukopenia, or their immune system was compromised. A nurse must possess the skill and compassion to facilitate the healing process from the first meeting. When the client cannot speak English the nurse should do their best to enlist an interpreter. Using a family member is not a wise choice, due to the fact that the family member may not know how to translate medical terms or may be selective in translating so as not to worry their loved one. Interpreters are usually employed by hospitals to assist medical personnel. Some hospitals have what is known as the “Blue Phone”. The Blue Phone is a direct line to an interpreter of choice for a specific language. The nurse merely has to hand the phone to the patient after explaining to the interpreter what the patient needs to know. Being a culturally sensitive nurse can bring about positive change and improve the healing process. The client will want to return to that hospital if they find it necessary, and will recommend other family members as well.


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Student Nurse’s Quote For the Day

Written by kimmel52 on September 22, 2008 – 4:08 pm

When the stress levels get too much to handle, remember, all things are going to work out the way they are supposed to.  Relax, you’re supposed to be a nurse.


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Student Nurse’s Quote For the Day

Written by kimmel52 on September 20, 2008 – 11:00 pm

When you feel like giving up, stop to remember what you have accomplished and don’t look back.


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What Every Graduate Nurse Needs to Know About State Boards!

Written by kimmel52 on September 20, 2008 – 5:13 am

Nursing Education – Passing The Nursing State Boards

By Nancy Lydia Kimmel R.N., Ph.D., C.H.M.M.

The following information is from the Oklahoma Board of Nursing Task Force, that investigated the pass and fail rate of nursing students that have taken the NCLEX. The scores for the state of Oklahoma were lower than most of the states in the Union, prompting the formation of a task force and investigation of possible reasons for the low scores. What all perspective nursing students can gain from this report is how crucial it is to sit for the boards as soon as possible after graduation and to take advantage of all the help available in preparing for the NCLEX. The nurses efforts in putting this wealth of knowledge together has been a monumental task and all nursing schools across the country are grateful for the information that they have been able to provide after many long hours of research.

Summary of Information from Pass Rate Reports

In reports submitted by nursing education programs with NCLEX pass rates ten percentage points or more below the national average, the following commonalities were noted:

1. Some programs do not regularly use accessible sources of data to evaluate the correlation between admission scores, grade point average, NCLEX predictor examination scores, and NCLEX pass rate. This impacts the ability of the program to make informed decisions about changes likely to result in an improvement of their NCLEX pass rate.

2. Many programs have only recently begun the use of NCLEX predictor examinations as a requirement of the program. Data on the efficacy of these examinations and on appropriate follow-up plans is limited.

3. Grade inflation is a factor leading to a low NCLEX pass rate in some nursing education programs, particularly in programs that allow significant point credit in theory courses for attendance, participation, and completion of assignments.

4. Some programs do not identify minimum academic requirements for admission to the program. Instead, a point system may be used to select those who are deemed to be better qualified. While the use of point systems in admission decisions may be appropriate, point systems fail when applicant numbers drop. In cases in which there is a small applicant pool, identifying minimum academic requirements (such as minimum scores on standardized pre-entrance examinations) may be necessary to ensure that students admitted have a reasonable chance of success in the program and on the NCLEX examination.

5. Student characteristics identified by programs as leading to NCLEX failure include a high number of work hours, family commitments, English as a second language, and low admission points.

6. In some cases, problems within the program, such as resignation of the program director, faculty turnover, inexperienced faculty, lack of knowledge regarding the NCLEX examination and/or test development, and increased use of adjunct faculty were noted as having an impact on the NCLEX pass rate.

Nursing education programs tend to take similar actions to address NCLEX pass rate concerns. Actions commonly taken by programs include:

1. Initiating the use of an NCLEX predictor examination as a requirement in the program

2. Requiring students to complete NCLEX review, tutoring, or other actions if the predictor examination score is low

3. Increasing the minimum passing grade

4. Providing faculty education in the areas of the NCLEX examination and test development skills

5. Changing or increasing admission requirements

Results of Survey of Nursing Education Programs

In December 2002, a survey was sent to all state nursing education programs to identify the directors’ perceptions of factors impacting the NCLEX pass rate and the actions taken by programs to address pass rate. Based on the data obtained from 50 respondents (an 86.2% return rate), the task force noted the following:

1. The majority of programs have minimum academic requirements for admission; generally based on minimum scores on standardized assessment tests and/or a minimum required grade point average on high school or college courses.

2. The minimum grade average to earn a “C” in nursing courses tends to be higher than the parent institution’s requirement. The majority of respondents require at least a 75% average to pass nursing courses.

3. Most respondents allow students who fail a course to repeat the course one time, and almost half only allow students to repeat one course in the program. Respondents with a pass rate at or above the national average were slightly more likely to allow students to repeat a course only once and to repeat only one course in the program. A higher number of respondents with a pass rate below the national average had no limit on the number of courses that could be repeated.

4. Most respondents have established a written policy to identify students at risk for failure in the program or on the NCLEX. The indicators most commonly used are scores earned on nationally-normed examinations designed to predict NCLEX success, grades earned in nursing courses, and repeats of nursing courses. Once the student has been identified as at-risk, the majority of respondents will notify the student and require the student to meet with a faculty advisor at least once.

5. Nearly all respondents report using a standardized NCLEX predictor examination, but only 34.8% require students to earn a certain score on the exam as a requirement for course completion or graduation.

6. Student and graduate issues most often identified as negatively impacting pass rate are the number of hours of employment, a limited number of hours spent studying, more family responsibilities, being less academically qualified, and an inadequate amount of time spent preparing for the NCLEX. Respondents with a pass rate below the national average were more likely to note that students spend less time studying.

7. No single faculty/program issue was identified by the majority of programs as having a negative impact on the pass rate. Increased faculty turnover was selected most often as a negative factor. Respondents with an NCLEX pass rate below the national average were more likely to identify that administration has pressured the program to maintain capacity enrollment and that faculty spend inadequate time evaluating NCLEX result data and planning program changes based on the data.

8. The majority of respondents believe that their administrations have been supportive of maintaining high academic standards.

9. Most respondents report that faculty have received training on test development and instructional techniques.

Recommendations

Recommendations for the Oklahoma Board of Nursing

1. Clearly articulate and enforce regulations requiring programs to use a systematic program evaluation process to analyze student outcomes on the NCLEX examination and develop appropriate actions based on the analysis.

2. Continue to evaluate full-time faculty to student ratios in the classroom and clinical area to determine the relationship between such ratios and student outcomes.

3. Ensure that pass rate reports include a thorough analysis of student and program factors impacting success on the NCLEX exam.

4. Hold nursing education programs accountable for their NCLEX pass rates. Utilize focus survey visits, warnings and conditional approval status when there is evidence of continued low pass rate and failure to meet educational standards.

5. Develop a mechanism to communicate and encourage the use of best practices that promote NCLEX success.

6. Utilize the annual report for ongoing evaluation of factors influencing each program’s NCLEX results.

7. Provide opportunities for faculty development related to the NCLEX examination and curricular resource sharing.

8. Require that every program whose pass rate is below the standard provide a pass rate report to the Board, regardless of its size.

9. Institute regulations requiring the NCLEX candidate (excluding foreign-educated and other endorsement candidates required to take the exam) to pass the examination within one year of graduation from the program. If the candidate does not take the exam or pass within this time period, the candidate would be required to complete additional education prior to re-testing.

Recommendations for Nursing Education Programs

1. Identify requirements for English language proficiency and develop a plan for continued support of students for whom English is a second language.

2. Consider providing part-time program options to allow students to complete their nursing education at a slower pace.

3. Use the systematic program evaluation plan to track the correlation of such factors as admission/ACT scores, high school or college GPA, nursing course GPA, other selected student characteristics, repeats of coursework, scores on NCLEX predictor examinations, with results on NCLEX examination.

4. Perform a cross-analysis of the curriculum with the detailed NCLEX test plan, in order to ensure essential elements are covered adequately.

5. Utilize consultants, including Board staff consultants, as needed in program evaluation and curriculum development.

6. Provide continuing education for faculty members on test development and analysis skills.

7. Assess students for at-risk status upon admission or early in the program. Implement a plan to assist at-risk students with success in the program and on the NCLEX.

8. Develop and publicize scholarship programs in order to facilitate minimal employment during the time the student is in the nursing education program

Recommendations for Students and NCLEX Candidates

1. Accept responsibility for own success in the program and on the NCLEX examination and become an active participant in the learning process.

2. Participate in study and test-taking skill workshops early in the program to facilitate the development of such skills.

3. Seek out all available resources to ensure minimum work hours while attending the nursing education program.

4. Join a study group early in the program and ensure that the study group time is used effectively.

5. Use NCLEX review material and study questions throughout the program to increase own familiarity with the NCLEX examination.

6. After graduation, develop a study plan for NCLEX preparation. Use computerized NCLEX practice exams on a regular basis. Practice taking these exams in a campus computer lab to simulate NCLEX testing conditions.

7. Take the NCLEX examination as soon as possible after graduation, as studies show that early completion of the NCLEX increases chances of success.

Recommendations for Employers

1. Establish programs that foster success for employees attending nursing education programs.
Consider options such as providing full-time benefits for part-time status during the school year, full-time salary for reduced hours, and tuition reimbursement.

2. Encourage new graduates employed as nurse technicians/nursing assistants to adequately prepare for the NCLEX exam, through options such as allowing specified work hours for planned study sessions, reimbursement for review courses, and reimbursement for the examination.

3. Provide special recognition for employees who pass the NCLEX examination, such as restaurant and movie coupons, employee newsletter notice, or other options.


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Passing the Boards

Written by kimmel52 on September 20, 2008 – 4:00 am

So You Finally Passed The Nursing Boards

By Nancy Lydia Kimmel R.N., Ph.D., C.H.M.M.

Congratulations! So you finally passed your boards, and now you are a real Registered Nurse. How does it feel, to have passed the final test of all tests? Great? Absolutely! Now what? Well, to begin, you need to celebrate. There are many loved ones that are also looking forward to taking part in the celebration. After all, they were your support through those trying years in nursing school. They stood by you, through your highs and lows. Yes, there were those low points. But now, it’s over. Now begins a new chapter in your life. No longer are you a student nurse, or a graduate nurse, you are a REGISTERED NURSE. Yeah baby! Did you know, that now you can actually practice anywhere in the United States?

The horizon is endless and you are in the driver’s seat with an unlimited gas card. Before all of this wonder and responsibility actually sinks in, it is time to do something nice for yourself. Do something that you have always wanted to do. It doesn’t have to be extravagant, nor does it have to be something that is going to break the bank, although there may not be much in the bank at this moment. It is the small things that can mean the most. Here are a few suggestions, go out with those special people in your life to a restaurant that you have always wanted to go to, spend a couple of days at a local hotel that has a pool, spa, and amenities for kids and adults, treat yourself to a manicure, a pedicure, a makeover, get your hair done, buy yourself a new outfit, go to a car dealership and test drive the most expensive car on the lot, but be sure you stop at a drive through gourmet coffee stand so that everyone will see you in your ride, go out to a park and just spend the day there, paint a picture, go out to the theater, or simply stay home and spend quality time with the ones you love. You have many things to talk about. Now you can let your guard down and speak your mind about all of the challenges in nursing school and how you managed to actually get to this point in your life. You need to vent and whether or not you realize it; you have stuff to vent about. It is a relief to be done with school. It was not an easy road. You put in many clinical hours doing the work of a Registered Nurse without pay.

You faced many personal challenges and challenging personalities. The frustrations that you had to overcome must be vented, because you overcame them all. Not everyone can make the journey to Registered Nurse. Remember, you did, and that is really a life accomplishment. Yes, you really did pass the NCLEX.. Those forty eight hours of waiting for those two words to show up on the testing web site, PASS, or FAIL,was more than anyone could stand, but you waited, with fear, anticipation and excitement, but probably more fear than excitement. Then to finally find out that you PASSED. Wow, talk about a rollercoaster ride. It’s over in less than one minute. You read the words on the computer screen, ” PASSED”, and then you draw a blank, as you sit there staring at the screen. You feel like you’re going to cry, no, laugh, no, just sit there in utter amazement wondering how you did it. Then it sinks in, minute after the next, and you say to yourself, “hey, I am an R.N., a Registered Nurse, a real Registered Nurse.” But you’re still not sure, until you actually get your license from the state. Wow, talk about paranoid. Yes, we all are. Your licensure from your state will only take a few days to arrive.

When it arrives, you see the number, it’s your number, so yes now your are for sure now that you are an real REGISTERED NURSE. Take time to let it sink in, go over all of your hurdles, look at all of your books and remember how many hours you put in studying day after day. The journey to becoming a Registered Nurse was a grueling and arduous road. It took courage, perseverance, patience, self control, time management, self sacrifice, diligence, fortitude and above all the love of helping ones fellow man, and yes, you did it. You are now in the ranks of one of the most noble professions, one that challenges the mind, soul, body and spirit, and one that never stops giving strength when you can actually see your efforts bringing forth wellness, dignity, and health.

Your true learning will soon begin, and you will experience nursing in all of its facets. Life is of course a learning experience, and you still have so much to learn. With all of that said, take some time, look at yourself in the mirror and say, “I like me, and I am proud of myself and of my accomplishments!”, and so you should be. You stand in the ranks with

those who came before you and laid the foundation on which you now stand such as Florence Nightingale You will also make your mark in the history of the nursing profession. But right now, it is time to celebrate.

Be Well,


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Student Nurses Quote for the Day

Written by kimmel52 on September 19, 2008 – 5:24 am

Enjoy life one step at a time.

Enjoy life one step at a time.

“Let your heart and mind guide you and you will fulfill your dreams.  You will be a nurse!


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Nursing News

Written by kimmel52 on September 19, 2008 – 2:22 am

Congratulations to the following schools…….Keep up the good work.Tampa, FL (April 18, 2008) — Graduates of the USF College of Nursing achieved a 100-percent pass rate on the required exam to practice as a nurse. The college’s graduates have attained this benchmark several times, previously in Feb. 2007

IU Northwest nursing students post outstanding state board pass rates

Bachelors degree program ranks in top eight state-wide, while associates program places in top three


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Men in Nursing Today

Written by kimmel52 on September 18, 2008 – 3:39 am


Nursing Scholarship: Men In The Minority
By Nancy Lydia Kimmel R.N., Ph.D., C.H.M.M.

Where are the scholarships for men in going into the field of nursing? Far and few between in comparison to those that are offered for women and minorities. Wait a minute. Men are the new minority in nursing. Therefore men should take advantage of the minority scholarships that are available. Better yet if you are a man with an ethnic minority. So how does a man go about looking for a scholarship for nursing school and where do you begin. There is a most wonderful nursing scholarship just for men which is offered by the American Assembly for Men Foundation Scholarships. Their web address is; www.aamn.org/aamnfoundationscholarships. This would be the first place to begin. Next, would be to take advantage of all of the minority nursing school scholarships that are available. The web address for minority nurses can be found at the web address; www.minoritynurse.com

Let’s face it, as a man you are indeed a minority in the nursing field. Men represent only about 6% of those in the nursing field according to (www.menstuff.org). Actually, men in the nursing field is not new. Men have been nurses since the time prior to the Benedictine Monks in the fifth century. More and more literature is surfacing in regards to men in the nursing field. There is currently a magazine dedicated just for male nurses entitled Male Nurse Magazine. You can learn more from the site at: www.malenursemagazine.com

The first nursing school in the world was started in India in about 250 BC. Only men were considered “pure” enough to become nurses. The Charaka (Vol I, Section xv) states these men should be, “of good behavior, distinguished for purity, possessed of cleverness and skill, imbued with kindness, skilled in every service a patient may require, competent to cook food, skilled in bathing and washing the patient, rubbing and massaging the limbs, lifting and assisting him to walk about, well skilled in making and cleansing of beds, readying the patient and skillful in waiting upon one that is ailing and never unwilling to do anything that may be ordered.” Source Information

During the Byzantine Empire nursing was a separate occupation practiced primarily by men. In the New Testament, the good Samaritan paid the innkeeper to provide care for an injured man. No one thought it odd that a man should by paid to provide nursing care. Story of the Good Samaritan found at: Luke 10: 35-36 Source Information

Men first began to enter the nursing profession in the late 1950’s. Today, approximately 5.4% of the 2.2 million nurses are men. However, a 2000 survey found that almost 13% of the students enrolled in nursing school are men. Dwight Elliott is the only black male in his graduating class at East Carolina University. “It has been kind of tough being a black male in a predominantly white female profession.” Another black male nurse said that he had gotten questions like “Are you an orderly?” There are certain areas in hospitals (such as labor and delivery and nursing units) that are still closed to most male nurses. However, Ramon Lavandero, Director of the International Leadership Institute of Sigma Theta Tau International, had a very positive experience working in obstetrics. He was offered three positions in women’s health care after graduation. The American Assembly of Men in Nursing is a fairly new organization which is open to both men and women who share “our beliefs that nursing is a profession, not a gender-based profession,” said Gene Tranbarger, President-Elect of the organization. Source Information

The above excerpts should inspire confidence if anything to those men who are contemplating becoming nurses. At www.nurselookup.com is a good site to go for men to talk about nursing issues and nursing school. This is a type of chat room for the male nursing student and other medical personnel.


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Nursing School Education

Written by kimmel52 on September 17, 2008 – 5:42 am

During recent decades, in many parts of the developed world, the emphasis on education has replaced the more practically focused, but often ritualistic, training structure of conventional practitioner preparation. Educational pathways stress a broader awareness of other disciplines allied to medicine, often involving Inter-professional education, and the utilization of research when making clinical and managerial decisions. Orthodox training can be argued to have offered a more intense practical skills base, but emphasized the hand maiden relationship with the physician. This is now outmoded, and the impact of nurse education is to develop a confident, inquiring graduate practitioner who contributes to the care team as an equal. However, not all qualification courses yet have graduate status. It is possible to link recent developments in nurse education with feminism and the rising status of women in professional roles elsewhere.Traditionally, from the times prior to Florence Nightingale, nursing was seen as an apprenticeship, often undertaken in religious orders such as convents by young females, although there has always been a proportion of male nurses, especially in mental health services. In 1860 Nightingale set up the first nurse training school at St Thomas’ Hospital, London. Nightingale’s curriculum was largely base around nursing practice, with instruction focused upon the need for hygiene and task competence. Her methods are reflected in her “Notes on Nursing”, (1898).
Some other nurses at this time, notably Ethel Bedford-Fenwick, were in favor of formalized nursing registration and curriculum that were formally based in higher education and not within the confines of hospitals.

In contrast, nurse education in the United States has almost exclusively been conducted within university schools, although it is unclear who offered the first degree level program. So far as known Yale School of Nursing became the first autonomous school of nursing in the United States in 1923. In Europe the University of Edinburgh was the first European institution to offer a nursing degree in 1972.

Within the profession of nurse teaching, arguments continue about the ideal balance of practical preparation to do the job in a hands-on way with the need to educate the future practitioner to manage healthcare and to see “the bigger picture”. To meet these requirements, nurse education aims to develop and nurture a lifelong learner who can adapt effectively to changes in both the theory and practice of nursing.
Keep in mind that to begin the process of getting into nursing school you must first pass either the N.E.T, the HESI or the TEAS.  The best way to begin studying is to start practicing online preparation tests.  You can do this at the Nurses Learning Center, where you have unlimited access to testing software, where you can keep track of your scores and where you only have to pay one fee to access all the test for as long as you want.


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