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Diet. Exercise. Nursing care. The new recipe for long life

According to numerous studies, the recipe for long life should include adequate nursing care. The Center to Champion Nursing

(http://championnursing.org/) reports that:
• More RNs on staff means fewer hospital-related mortality and failure to rescue, as well as shorter stays.
• Hospitals with a higher RN to patient ratio and more nursing hours available reported as high as 25% fewer adverse

outcomes in patients, including less pneumonia, shock, GI bleeding, urinary tract infections and extended hospital stays.
• Patients who receive a greater number of hours of nursing care have far better outcomes and fewer hospital acquired

illnesses. In fact, surgical patients have a substantially higher survival advantage. From a broader view, every ten percent

increase in BSN nurses on staff in hospitals equates to a four percent decrease in the risk of death.
These outcomes also have significant economic benefit.  Hospital acquired illnesses add billions of dollars to the cost of health

care every year.

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Mandatory Flu Shots: Where Do You Stand?

As we near the flu season, the inevitable rush on flu shots is in full swing. More so this year with the addition of H1N1 vaccines. Being a nurse, you know that this is happening – and maybe are even employed at a vaccination clinic. But what about you? Will you be getting vaccinated? Do you even want to be vaccinated? Does your employer mandate that you get the flu shot? What about your state?

Over at the Wall Street Journal, there’s a healthy debate going on about this very issue. In New York state, there is already a mandate in place that requires nurses and other healthcare workers must receive both the seasonal and swine flu vaccines. The state of Washington is considering a similar mandate. But associations and individuals are up in arms about being forced into the vaccine.

About half of health care workers usually go without a flu shot. That increases the risk that they’ll get the flu, and pass the disease on to patients.

Many of those that have commented on the WSJ post are vehemently against government mandates and the possible encroachment on their individual rights – even to the point of accepting the fact that they could lose their jobs. Others remain more accepting based on the fact that the mandates are intended to protect both healthcare workers and patients alike.

Where do you stand? Do you agree with mandatory flu shots or do you wish to make that decision on your own? Leave me a comment and let me know!

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H1N1 - Swine Flu

Is It the Flu or H1N1? Be Prepared for a Confusing Flu Season

H1N1 - Swine FluThe news media has had a field day with H1N1, otherwise known as swine flu.  It’s been nearly impossible to escape the daily reports of outbreaks, constant warnings and even conflicting reports.  According to a recent article from U.S. News and Yahoo!, concerns are growing that patients will have difficulty separating typical flu symptoms from those of H1N1.  Even doctors and health professionals have misgivings. The similarity in symptoms could result in an increase of potentially unnecessary doctor and ER visits this flu season.

“That’s a great question,” says Richard Wenzel, a swine flu expert and former president of the Infectious Diseases Society of America. “You really have no way of knowing if it’s the flu or just a cold.”

To help combat the confusion, nurses and medical professionals need to keep themselves educated on the symptoms specific to H1N1.  Symptoms might include:

  • Fever above 100.4 °F
  • Cough
  • Sore throat
  • Headache
  • Chills
  • Muscle aches
  • Diarrhea
  • Vomiting

When should nurses and parents alike be seriously concerned? To name a few – Fast breathing, difficulty breathing, blue or gray skin, persistent vomiting and even typical flu-like symptoms that cease, but return again with fever and a worse cough.

The CDC says warning signs in children that warrant immediate medical attention include fast breathing or trouble breathing; bluish or gray skin color; not drinking enough fluids; severe or persistent vomiting; not waking up or interacting; a child so irritable that he does not want to be held; and flulike symptoms that improve but then return with fever and a worse cough.

What’s on the horizon for H1N1? First up is the H1N1 vaccine should be ready in early October – with kids being among the first to get the vaccine. The CDC has said that parents can choose to pass up the immunization for their children if they’ve recently had a potential swine flu respiratory infection. But due to the wide spread confusion, many of these children be given the vaccine regardless.  Additionally, the CDC recommends that children over 6 months old and pregnant women should get the vaccine.

Yes, the CDC will still stick with its recommendation to get any children over the age of 6 months vaccinated–and pregnant women too–unless a previous infection was confirmed via a lab test.

And it should go without saying, but all nurses, doctors and health professionals need to remember basic prevention tactics.  Wash your hands. Avoid touching eyes, nose and mouth. Be responsible and remind patients to do the same. With flu season just around the corner, and the threat of a heavier than normal influx of patients, it’s more important than ever to remain safe.

Photo courtesy of Froge at Flickr.

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