Skills & Perspectives Millennial Nurses Bring to the Job

Here’s an article from American Mobile Travel Nursing that looks at the generational differences between baby boomer nurses and the Millennial nurses in a new light.  Here, instead of looking at the difficulties these differences may cause, this article chooses to look at the positive aspects, showing what they bring with them to the profession.

Having worked as a nurse for the last 22 years, I can say unequivocally that there is a lot of friction between older nurses and the younger, new nurses.  I don’t understand it, but I have to acknowledge that the problem exists.

For older nurses, embracing change is difficult at best but when you are being bombarded with significant changes daily, they may dig in and refuse to make those changes.  New nurses, because they are new, are unaware of how things have been done for the last few years and see no problem with doing things in a new way.  This schism is a recipe for disaster at best.

Please read this article and see if you don’t come away with a better understanding of where the new nurses are coming from.  Change is hard, but not all change is bad.


Skills & Perspectives Millennial Nurses Bring to the Job

FIVE UNIQUE THINGS YOUNG NURSES BRING TO THE PROFESSION

By Suzanne Delzio, contributor

Millennials have grown up with the advantages of having instant, specific information and communication at their fingertips. Raised by the socially conscious Baby Boomers, they’ve also prioritized economic equality, sustainability and simplicity over materialism and personal success. Their unique traits have both frustrated and impressed older generations at times.

America’s Millennial Generation is defined as the individuals born between 1981 and 1997, according to Pew Research Center, and new population estimates show that Millennials now outnumber Baby Boomers as the largest living generation.

While articles often talk about the differences between nursing generations, here we take a look at the unique skills and perspectives Millennials bring to the nursing profession.

1.    Preference for social, fun environments

More focused on socialization than individual success, Millennials were trained on more collaborative, team-oriented school projects than their Baby Boomer parents, which prioritized independent work. Because of this, Millennial nurses are comfortable sharing their thoughts with one another, and working together. They also yearn for a fun, social work atmosphere, and there is less of a barrier separating their private lives from their work lives.

Nurses with a fun, social attitude can be great for morale and for boosting the disposition of their patients. Yet, the more “old school” nurses don’t always appreciate putting every detail of their private lives front and center in the workplace, and older patients could be offended by the more collegial approach to their relationship, so young nurses need to exercise some sensitivity.

2.    Need for constant stimulation

Blame it on those short-lived Snapchat posts or the constantly evolving updates on their Instagram apps, but Millennials enjoy rapid change (which makes them greattravel nurses, adaptable in new locations!). Though some see this need for constant stimulation as a negative, it can be a good attribute for nurses in the high-pressured, frenetic hospital environment. Millennials thrive in challenging, multi-tasking situations, and are easily adaptable to new circumstances.

Bu nursing isn’t always fast-paced and exciting; veteran nurses know that the less glorious tasks such as patient hygiene and documentation are important, as well. Nursing is all-encompassing care, so young nurses must learn to accept the thrilling moments as well as the drudgery.

3.    Technical savvy

As electronic medical records (EMRs) have become the new normal in health care, young nurses who grew up on computers and gadgets tend to have an advantage over their older colleagues in their ability to learn new systems and adapt to…(read more here)

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Delirium: Identification, Prevention and Treatment

This article from RN.com is quite informative and addresses a real issue for nurses on the floor.  Delirium in psychiatric patients is very difficult to diagnose.  The nurse must be familiar with the patient’s normal behaviors are and sometimes that is quite difficult to discern.  Numerous elderly patients on acute mental health units could present as being floridly psychotic when in reality they are simply delirious and need immediate care.

When a patient presents with delirium, it calls for quick and decisive action because this can be a life-threatening experience for this patient.  After reading this article, I would hope that nurses everywhere would begin to assess their patients for the possibility of delirium.

Please read the entire article.  It is very informative.

 


Delirium: Identification, Prevention and Treatment

By Kim Maryniak, PhDc, MSN, RNC-NIC, contributor

Delirium is an acute, transient condition that can be very serious (Alagiakrishnan, 2015). Though delirium is preventable and is usually treatable, it is very common among hospitalized patients, occurring in up to 25% of inpatients (American Nurses Association [ANA] 2016a & 2016b). Delirium is also prevalent in 50% of surgical patients, 75% of patients in the ICU, 77% of burn patients, and 20% of patients in nursing homes (ANA, 2016b). Furthermore, up to 50% of elderly patients experience delirium postoperatively, and an astounding 90% of patients with cancer experience delirium in their last days or hours of life (ANA, 2016a).

Delirium develops rapidly over a short period of time–within hours or a few days, and symptoms can vary over the course of the day (Alagiakrishnan, 2015, ANA 2016a). Signs and symptoms of delirium include a decrease in attention span, intermittent confusion, disorientation, cognitive changes, hallucinations, altered level of consciousness, delusions, dysphasia, tremors, dysarthria, and a decrease in short-term memory.

Delirium is divided into three subtypes: hypoactive, hyperactive, and mixed. Of these subtypes, the least recognized is hypoactive delirium which includes apathy, sedation, and hand lethargy. Conversely, the most recognized subtype is hyperactive delirium which includes restlessness, agitation, and combative behavior. Mixed delirium comprises of a fluctuation of symptoms between hypoactive and hyperactive (ANA, 2016a).

Medications are the most common cause of reversible delirium, including, but not limited to: narcotics, anticholinergics, sedative hypnotics, histamine-2 (H2) blockers, corticosteroids, antihypertensives, and anti-Parkinson medications (Alagiakrishnan, 2015). However, other common causes of delirium include hypoglycemia, hypoxia, hyperthermia, substance intoxication or withdrawal, medications, infections, fluid or metabolic imbalances, lack of sleep, sensory deprivation, brain lesions, closed head injury, cerebrovascular accident, cerebral or subarachnoid hemorrhage, hypoperfusion, urinary retention, fecal impaction, and environmental changes (Alagiakrishnan, 2015, ANA 2016a).

Nurses are integral to preventing and identifying delirium. Assessment of risk factors should be performed upon admission, and throughout the hospital stay. Risk factors can change during hospitalization as a result of treatments and therapies, such as medications and surgery. Risk factors associated...(read more here)

 

 

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U.S. maternal death rate rising, research statistics say

As nurses, we try to help patients survive life threatening situations.  Who knew that having a baby could be so dangerous and that pregnant women could be so at-risk?  With the U.S. maternal death rate rising, that seems to be the case.

If you read this article, you will see that the US ranks 30 out of 31, beating out only Mexico.  Those are not statistics I enjoy seeing or reading about.  With all the advantages we in health care have to offer, why are we losing our new mothers so often?

Please read this article at the source.  Maybe you will be moved to do further research and change current practices.  Maybe you will simply learn how to best help your pregnant and just delivered patients.

 


U.S. maternal death rate rising, research statistics say

By Amy Norton, HealthDay News   |   Aug. 8, 2016 at 7:43 PM

MONDAY, Aug. 8, 2016 — The number of U.S. women who die during or soon after pregnancy may be higher than previously thought — and it’s on the rise, according to a new study.Between 2000 and 2014, the nation’s maternal death rate rose by almost 27 percent, researchers found. However, over that time, reporting methods changed, the study authors noted.

For every 100,000 live births, nearly 24 women died during, or within 42 days after pregnancy in 2014. That was up from nearly 19 per 100,000 in 2000.

The numbers, published online Aug. 8 in Obstetrics & Gynecology, are worse than previous estimates. Federal health officials have already reported a spike in the nation’s maternal mortality figures, but they estimated a rate of 16 per 100,000 as recently as 2010.

The new findings give a clearer picture of where the United States really stands, according to lead researcher Marian MacDorman, of the University of Maryland.

And it’s not a good place, her team said: With the 2014 numbers, the United States would rank 30th on a list of 31 countries reporting data to the Organization for Economic Cooperation and Development — beating out only Mexico.

A large share of the national increase does have to do with better reporting, MacDorman said. Since 2003, U.S. states have been slowly adopting a revised standard death certificate that includes several pregnancy “check boxes.”

But, she said, about 20 percent of the increase reflected a “real” rise in women’s deaths.

“Certainly, maternal death is still a rare event,” MacDorman stressed. “But it’s of great concern that the rate is not improving — it’s increasing.”

The big question is, why?

“Our study couldn’t get into the causes of death,” MacDorman said. “We were just trying to get at the numbers.”

But Dr. Nancy Chescheir, editor-in-chief of Obstetrics & Gynecology, speculated on some factors that could be driving the increase.

For one, she said, women in the United States are having babies at older ages, and they are also increasingly likely to be obese and have medical conditions such as diabetes and high blood pressure. So women are now going into pregnancy at greater risk of complications compared to years past…(read the entire article here)

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Women with common ovary problem may not get recommended tests

This article from Reuters Health is informative but frightening.  We expect our family physicians to be looking out for our overall health.  Women go to their OB/GYN because they trust them to help with common ovary problems.  Here we read that a large number of doctors are not following following recommended guidelines from ACOG (the American Congress of Obstetricians and Gynecologists.

With the prevalence of patients with PCOS or fertility problems, it would seem that these tests would be routinely performed.  It is understandable that patients do not want to sit around for 2 hours to complete a test, but if the doctor or nurse educated them on the reason to use this test, I believe they would comply.

Please read this article in full.  You may need to help your patients that have these issues receive the best care possible.  You may even save someones life.


Women with common ovary problem may not get recommended tests

By Madeline Kennedy

(Reuters Health) – Women with a common ovary problem should be screened for blood sugar and cholesterol problems, but a new survey of obstetricians and gynecologists found few were ordering those tests.

In the U.S., up to 12 percent of women have polycystic ovarian syndrome (PCOS), a hormone disorder that causes irregular periods, acne, weight gain, and difficulty getting pregnant. Most women with PCOS have multiple cysts on their ovaries.

They’re also at increased risk for cholesterol and blood sugar problems, the researchers write in the American Journal of Obstetrics and Gynecology.

“Recognition of these abnormalities can allow the provider and the patient to work together to determine the next steps in health care improvement including nutritional changes and exercise, weight loss, starting a medication, and/or referral to a specialist,” said lead author Dr. Amy Dhesi of Kaiser Permanente Los Angeles Medical Center.

The American Congress of Obstetricians and Gynecologists (ACOG) recommends that all women with PCOS get screened every two to five years for high blood sugar and every two years for high cholesterol.

The tests recommended are a 2-hour glucose tolerance test and a fasting lipid profile, but many doctors use less sensitive blood sugar tests that may not pick up on early issues.

In an online survey, Dhesi and her team asked gynecologists what tests, if any, they would order for PCOS patients at a first visit, and what follow-up tests they would conduct.

The research team got complete responses from 157 physicians. About half said at least 10 percent of their patients have PCOS. About 22 percent said they would not order any screening test at the first visit for at least half of their PCOS patients.

The most common tests doctors used to screen for blood sugar issues in PCOS patients were the less sensitive hemoglobin A1C, which shows the average blood sugar level over the past few months, and fasting glucose tests.

Only 7 percent said they would order a 2-hour glucose test for at least the majority of their PCOS patients at the first visit.

The doctors were more compliant with cholesterol testing recommendations; 54 percent said they would order a fasting lipid profile in at least half of their PCOS patients.

Only nine of the doctors said they typically order both a lipid profile and a 2-hour oral glucose tolerance test at the initial visit for most patients with PCOS.

The main reason doctors gave for not ordering 2-hour oral glucose tolerance tests was that it’s inconvenient for patients. Also, more than one in five doctors said glucose test results would not affect how they treat the patient.

++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++SOURCE: bit.ly/2atNfZO American Journal of Obstetrics and Gynecology, online July 22, 2016.

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Maine has sliced the ranks of nurses who prevent outbreaks, help drug-affected babies

This article is troubling.  At a time when community health and public heath are at the forefront in the news due to illness, viruses,  antibiotic resistant bacteria, as well as the threat of biological terrorism, why would a state slash the ranks of nurses who are the boots on the ground to identify a problem before it becomes epidemic, who treat  these issues, and who are trained specifically to deal with these issues?

At a time when drug use is common-place and babies are daily born addicted to the drugs used during time inutero, do we really need to cut the number of nurses available to help these very fragile patients?

At a time when the nursing profession itself is experiencing a staggering shortage of nurses due to retirement, illness, and burnout, why would you remove trained nurses from jobs they enjoy and are excellent at doing?

Please read this article in its entirety.  Maybe if you live in Maine, you will want to contact your state’s legislators to find out why this is happening.


Maine has sliced the ranks of nurses who prevent outbreaks, help drug-affected babies

Posted Aug. 09, 2016, at 6:28 a.m.

When a novel strain of influenza swept across the U.S. in 2009 and made its way to Maine, infecting thousands and causing outbreaks at 40 summer camps and 200 schools, 50 nurses employed by the state got to work.

Maine’s public health nurses helped to set up and staff 238 vaccination clinics across the state. They helped school nurses vaccinate students, and ensured vaccines were effectively distributed and safely stored. They educated others charged with vaccinating at-risk populations. With public health nurses’ help, Maine managed to vaccinate children and seniors — the populations deemed at greatest risk — at some of the highest rates in the nation.

“We were people with boots on the ground,” said Janet Morrissette, who served as the state’s public health nursing director at the time.

Since then, the number of public health nurses has been cut in half.

The remaining 25 nurses working in the field face a long list of public health duties: visiting expectant and new mothers in their homes, especially mothers with drug-affected babies; training local health-care providers on tuberculosis detection and vaccine storage; carrying out immunization clinics as needed; monitoring treatment for those infected with tuberculosis or latent TB; and contributing to emergency preparedness in Maine’s nine public health districts. Two other nurses work in administrative roles, handling referrals to nurses working in the field.

“I’m really worried, should something like [the H1N1 outbreak] happen now, where’s the public health workforce that’s going to be able to mount that response?” said Morrissette, who served as public health nursing program director from 2005 to 2011.

Maine’s public health nurses have been around since the 1920s, when their primary mission was to improve prenatal health among expectant mothers and prevent infant deaths. They were some of the first employees of the state’s Division of Public Health, which evolved into today’s Center for Disease Control and Prevention. Unlike most classes of state employees, their responsibilities are defined in state law.

But the number of public health nurses has steadily declined over the course of Gov. Paul LePage’s administration, even as legislators have provided funding for the positions in the state budget. The state has filled few of the more than 20 vacancies that have come up in recent years, leaving key population centers and rural areas with scant coverage.

Plus, at a time when Maine’s infant mortality rate has risen to 13th highest in the nation and more babies are born exposed to substances, the Maine CDC has shifted many of the nurses’ duties away from promoting maternal and child health and promoting the public’s health in general.

Documents obtained by the BDN, interviews with former employees, and CDC staffing charts from various points in time over the past 12 years paint a picture of a key public health program whose operations the LePage administration has largely hobbled…(read the rest of this article here)

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Five Most Common Questions Liver Transplant Patients Ask

Since my daughter is waiting for a liver/kidney transplant, I find that people simply don’t understand what having a dead liver and kidneys is like.  Even the nurses who take care of her during her many ER and hospitalizations do not understand–only when she lands on the transplant floor does she get knowledgeable nurses.

I don’t think that is correct and I know it is not good for these patients.   So this post is a video that helps explain the types of questions your patients might have.  As nurses, we are expected to be knowledgeable and able to provide nursing education related to our patient’s diagnosis.

This is just a video; just a start toward educating nurses about liver disease and transplant.  Please check out other sources to complete your education on how to  best treat these patients.

 


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4 Things You Should Understand About Living with Kidney Disease

As a nurse, I already know some of this about kidney disease.  As a mother of a daughter with ESRD, knowing this is not the same as understanding this.  If you or anyone you love is in kidney failure, please read this article.  It may help you understand what your loved one goes through even though they look like they are okay.

My daughter  goes to dialysis 3 times a week.  Sometimes she come home tired, some times she comes home crying from pain, sometimes she feel worse the next day.   Since she is relatively young to have kidney disease, it is very hard for her to make her friends and coworkers understand when she has to cancel social plans with them.

Some of her friends have simply stopped calling or coming by because they don’t understand that this is a life-long chronic illness that, for her, will only be fixed by getting a transplant.

This article is good because this information came directly from kidney disease patients.  This is what they wish everyone would know about their disease.  Please read it and then maybe click over to the American Kidney Foundation to learn more so you can help your loved one manage their illness.

The number of people waiting for a kidney transplant is astronomical.  Many of those people will die before they can get a transplant; so at the least, we should be able to make life a little easier by understanding.


4 Things You Should Understand About Living with Kidney Disease

AKF Staff  |  Posted

A simple question—“What do you wish others understood about living with kidney disease?”—unleashed a torrent of comments on our Facebook page recently. Kidney disease itself is often invisible until the late stages; once it progresses to kidney failure, patients need dialysis or a transplant to live. People living with kidney disease and kidney failure tell us they often feel that others do not understand what they are going through, both physically and emotionally.

Several common themes emerged. Here are the four things kidney patients most wish others would understand.

1. It’s exhausting

There’s a special kind of tired that often accompanies kidney disease, and it’s not always predictable.  “I have my good days and my bad,” notes Emily. “Some days I want to sleep and most I’m ready to go.” For many, the fatigue is pervasive. “I’m not lazy,” says Linda. “My energy level is like someone at the end of a full day of work when I wake up.”  Valerie writes, “I’m always tired! And I think my family and friends get tired of hearing that.”  Some patients compare it to the flu: “It’s like feeling flulike tired all the time and not thinking clearly because you’re so tired,” says Lori. Emily sums up what patients want: “Most of all, all we want is understanding, patience and acceptance.”

2. Looks can be deceiving

Kidney disease does not have outward physical symptoms, so friends, coworkers and even family members may have a hard time understanding just how poorly patients often feel. “Just because I look OK doesn’t mean I feel OK,” writes Natalie. “Every day I have to get up and try to be normal, try to be a good mom, try to be a good friend, try to be a good employee, try to be a good wife.” Mary Ann concurs: “Just because we may look the same, we don’t feel the same and cannot function the same the way.” Many patients make keeping up with their appearance a priority: “I always try to put on a ‘normal’ and ‘healthy’ appearance when I leave the house,” writes Jill. “I hope they understand the strength it takes to do that.”

3. The pain is real

The pain that often accompanies kidney disease and dialysis treatments can make it difficult to do many things healthy people take for granted. “The pain never stops,” writes Heather Marie. “Even picking my kids up to hold them hurts and no one could understand that type of pain.”  Notes Delores: “Even the smallest simplest things are hard to do, not to mention the pain and fatigue, especially the day after dialysis. And dialysis is painful. You are not just sitting there for 3-4 hours enjoying yourself with two big needles stuck in your arm.” Michelle offers this advice: “Be supportive and know we deal with some type of pain daily, sometimes extreme.”

4. There is no cure

Once the kidneys have failed, the only treatments are dialysis or transplant. “Dialysis is not a cure,” writes Kevin. “It is, for all intents and purposes, a life sustaining treatment.  And that is all.” JeJe says, “Not even a transplant will make you healthy. Your life is just sustained with drugs and drastic treatments.”

Despite these obstacles, many patients tell us they work hard to maintain a positive outlook and live their lives to the fullest. And they want others to avoid experiencing what they are: “A LOT of people with kidney disease don’t even know they have it,” writes Roselie. “Get tested!”

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A Day in the Life of a Wound, Ostomy, Continence and Foot Care Nurse

In my years of practice, even though I was a psychiatric nurse, I have taken care of numerous wounds, ostomies and feet.  My typical patient usually had received little to no medical care or was unable to follow instructions for care following medical care.  My patients feet usually looked like scuffed up shoes with hard callouses, long discolored nails, and skin like leather from going without shoes.

Reading this article gives you a glimpse into the life of a nurse who focuses solely on these areas of care.  I applaud nurses who are able to give this care with intention.  I know that many patients never have a nurse touch their feet during a hospital stay except to check their pedal pulses.

 


A Day in the Life of a Wound, Ostomy, Continence and Foot Care Nurse

An average day includes suggesting treatment for wounds and how to care for an ostomy.

Wounds are generally classified as acute or chronic. An acute wound is a new wound, such as a surgical wound or a wound caused by trauma. As a wound care nurse, I recommend and initiate a treatment to promote timely wound healing. Chronic wounds are wounds that do not follow the normal wound-healing pattern. These wounds may be present a few weeks or even years. It is my role to assist in determining why the wound is not healing and to recommend a treatment to facilitate wound healing.

An ostomy refers to a surgically created opening in the body for the discharge of body wastes (stool or urine). A stoma (which is the Greek word for opening) is the actual end of the ureter or small or large bowel that can be seen protruding through the abdominal wall. The stoma varies in size but is easily concealed under clothing. A pouching system is placed over the stoma to contain the stool or urine. As an ostomy nurse, I educate patients on how to manage the pouching system and to adjust to the change in their bodies. I also help patients understand they can live a normal life with an ostomy. If there are problems later on with the pouching system, or any other concerns about the ostomy, I will help the patient find a solution.

A Day in the Life of a Wound, Ostomy, Continence and Foot Care Nurse
Continence nursing involves evaluating why someone is having problems with incontinence. Continence nurses may assist the patient with bowel and bladder training and other nonsurgical, nonpharmacological interventions to reduce or eliminate incontinent episodes. It also involves management of skin issues that may result from incontinence. Continence nurses also help patients with constipation. When needed, the individual with bowel and bladder problems may be referred to a physician or advance practice continence nurse for further testing and medication.

The goal of foot care nursing is prevention of ulcers and amputations of the lower extremities. Individuals are evaluated for sensory changes, foot deformities, circulation, gait (how they walk), skin condition and footwear, as well as receiving toenail care if needed. As a foot care nurse, I teach patients how to care for their feet, check their feet and what problems to report to their doctor, podiatrist or foot care provider. Regular foot checks are important to the prevention of foot ulcers and amputation.

A Day in the Life

My day begins in a 267 bed acute care hospital at a computer, where I review the list of patients referred for wound, ostomy, continence and/or foot care consult and treatment. Each patient is unique, and by reviewing the chart, I gather information that will assist in making better decisions and recommendations about patient care. When I see the patient, I perform a detailed assessment of the patient,…(read the rest of this article here)

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Should Nurse Licenses Hold Across States?

As a previous travel nurse, I can speak to this issue as I currently have 3 nursing licenses that I have to renew every two years for a large sum of money.  They were so difficult and time-consuming to get that I hate to have them lapse in case I ever wanted to do travel nursing again.  Now that I am retired, I am faced with the decision to make my licenses inactive, or to keep them active in case I have to return to nursing due to money issues.

I originally started with an Oklahoma license (not a compact state), then went to work in California (also not a compact state).  Upon the end of my last assignment, I moved to Texas, so had to acquire a Texas license (a compact state).  I was so happy to get that compact license because it meant I could work in many other states without having to get another license.

My choice in this issue is that a nursing license is a nursing license and should be usable wherever you find yourself.  Just because I have 3 licenses doesn’t mean that I am any more or less qualified than any other nurse.  Nursing is nursing, no matter where you do it.

Please read this article and make your own decision about this issue.

 


Should Nurse Licenses Hold Across States?

Advocates say such a new approach to licensure is critical in an evolving health care world, but nurse unions disagree.

July 13, 2016

Motorists can cross state borders from California to Connecticut and the drivers’ licenses they got back home remain valid. But in most cases, a nurse can’t practice her profession in different states without multiple licenses.

A group of advocates wants that to change. Arizona just signed legislation to enter the Nurse Licensure Compact, joining Florida, Idaho, Oklahoma, South Dakota, Tennessee, Virginia and Wyoming. A nurse in Arizona can travel to any state that’s part of the arrangement to practice medicine, without obtaining further licenses.

With the growing importance of telemedicine, as well as the need for nurses in underserved areas, momentum for a license that transcends borders seems to be building, says Jim Puente, director of the compact with the National Council of State Boards of Nursing. “If you’re a nurse who is practicing telephonically with patients in the western part of the U.S. and that is your client base, you need to hold a license in every one of those states. That’s an onerous task, not to mention expensive,” Puente says. “We believe a nurse is a nurse from state to state, and that a multistate license will eliminate the redundancy.”

A simpler compact was first implemented in 2000, eventually swelling to 25 states. However, growth stagnated in 2010, Puente says, because the original excluded background checks. With their inclusion this time around, Puente hopes to quickly reach, and surpass, the original 25. The old compact will stay in effect, meanwhile, until either the end of 2018, or when the new one reaches 26 states.

Some have expressed concern about the move toward multistate licensure. Local governments are hesitant to lose revenue from licensing fees, while nurse unions worry about inconsistent state licensure regulations. They’re also afraid that if they go on strike in one state, nurses from another state could be brought in to replace them.

But other nurse groups support breaking down state boundaries. The American Organization of Nursing Executives first voiced its approval for the idea in 2002, and continues to support it, says Jo Ann Webb, vice president for federal relations and policy. Professions such as physicians, psychologists and dietitians are taking notice, and considering similar compacts.

“There is a nursing shortage, and you complicate that with the fact that somebody wants to go to work, and yet they have to go through all this rigmarole,” Webb says. “Figuring there are a lot of jobs available, they might take something in retail, as opposed to nursing, if it’s too complicated and expensive.”

Leaders in states with pending legislation are eager to join, too. Governors in Missouri and New Hampshire were poised to sign newly passed legislation in June, making those the ninth and 10th states to join the compact. Minnesota is also contemplating…(read more here)

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What’s behind a big jump in trampoline injuries?

I think jumping on trampolines is lots of fun, but I don’t do it because I don’t want to be hurt.  When I lived in Austin, TX, my neighbors behind me used their trampoline as a sort of babysitter.  Whenever the children were not being home schooled, they were out in the back yard on that trampoline.  Usually, though, their parents were on the trampoline with them and the activity was being monitored.  I can’t remember any injuries resulting from their playtime on their trampoline; probably because of their parent’s involvement.

Here is an article that discusses the potential for injury to children who use trampolines unsupervised.  They really are dangerous for kids.  Please read this article and then review your practice to see if you have been involved in this growing issue.  As nurses, it is our duty to educate the public about potential and avoidable injuries out in our communities.

Please read this article at the source.


What’s behind a big jump in trampoline injuries?

By ASHLEY WELCH CBS NEWS August 1, 2016, 6:00 AM

Trampoline parks have increased in number and popularity in recent years, and unfortunately, so have trampoline-related injuries, according to new research.

A study published today in Pediatrics found that emergency room visits in the U.S. for trampoline park-related injuries jumped more than ten-fold from 2010 to 2014.

Lead study author Dr. Kathryn Kasmire, an emergency physician at Connecticut Children’s Medical Center, said that as new trampoline parks opened in the hospital’s local area over the past few years, she noticed more children with trampoline-related injuries coming to the ER.

“What really made us want to study this is that we were surprised that some of the injuries we were seeing were pretty serious,” she told CBS News.

For the study, Kasmire and her colleagues analyzed emergency room reports from a national database to estimate the total number of trampoline-related injuries both from parks and trampolines at home.

They found that although injuries from home trampolines remained steady over the study period, emergency visits from trampoline parks skyrocketed. There were nearly 7,000 trampoline park-related injuries in 2014, compared to about 580 in 2010.

Patients injured at trampoline parks were more likely to be males, with an average age of 13.

Most of the injuries were leg injuries, including strains and fractures. Kids injured at trampoline parks were less likely to have head injuries than those injured on trampolines at home, but the severity of park-related injuries was concerning, the authors said.

“Our marker for this was the hospital admission rates,” Kasmire said. “We found that about 1 out of every 11 kids that ended up in the ER for their trampoline park injuries ended up being admitted.”  (read the rest of this article here)

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