Sunday, 9 December 2018

Nursing Event Australia

A reader who has been a #nurse since 2007 wrote about her termination from a previous job due to a HIPAA violation.

The violation was reported to the state board of nursing. She was disciplined and required to pay a fine and take several classes. She successfully did both.

Nursing Conferences 2019 Brisbane, Australia-June 21-22, 2019  
The #nurse applied to an RN-to-BSN program but said she was not accepted because of her discipline by the state board of #nursing. She wondered if she could continue her education and if all #nursing education programs hesitate to accept RNs who have been disciplined.

She did not specify whether the RN-to-BSN program was in a private or public academic institution or if she had read the school student handbook and its admission policy. Both are important.

If the #nursing program was a private education program, the parameters of how it treats applicants is established by the program or the school and is reflected in its admission policy and other school publications.

These school publications can be seen by the law as forming an “express” or “implied” contract with the student, and if they’re not adhered to by the program or school, the rejected applicant can file a lawsuit alleging a breach of contract.

In addition, the private program must conform with any conditions prohibiting discrimination or bias when receiving funds from the state or federal government.

It also must comply with state and federal law prohibiting discrimination, including Title III of the Americans With Disabilities Act, which applies to places of “public accommodation” (e.g., a nursing educational program) that are privately owned.

If, in contrast, the academic program was a public one, the program must comply with state and federal constitutional mandates, and cannot discriminate against applicants on the basis of race, gender or religion.

Under the Americans With Disabilities Act, a person who has a disability and is otherwise qualified cannot be discriminated against either.

Public academic programs also are required to conform with conditions prohibiting discrimination or bias when state and federal funds are granted to the program.

I could not find an online site that listed which RN-to-BSN #nursing_education programs would not admit a licensed RN to their programs because of a board of nursing discipline. More likely than not, the rejection this RN experienced is unique to the particular program to which she applied.

The RN also did not include any reason for not being accepted into the program other than the disciplinary action by her state board of nursing. Certainly, any discipline may have a collateral effect such as this one.

Although a HIPAA violation is not to be taken lightly and the board of nursing’s authority to discipline the RN was made within the parameters of the state’s #nurse_practice act and rules, I wonder if there was another reason she was not accepted.

Did she have a disability? Was the decision based on her religious beliefs not being compatible with the program being based on a particular religion?

What was her grade point average? Was the decision not to admit her by the #nursing_program based on its established admission policy?

Without knowing more, we will never have the answers to these and other questions about the RN’s rejection. Even so, her experience provides guidance to you when you apply for acceptance into a #nursing_education_program.

Some of those guidelines include:
  • Be certain to obtain and read all of the #nursing_program and school’s published materials, including the student handbook and admission policy, whether through a hard copy or online.
  • Be honest when asked about any #state_board_of_nursing disciplines or other adverse actions taken by any professional associations or employers in your application.
  • Learn about what rights you have as a student when in a public or private #nursing_education program through research online, a CE course or consultation with a #nurse attorney or attorney who practices education law and works with students or potential students.
  • If applying to a private #nursing_education_program, determine if the program has a “disclaimer” on any of its publications that denies the formation of a contract with students.
  • Seek advice from a #nurse attorney or an attorney who practices education law and represents applicants or students if you are not admitted to a program and feel the denial may be based on a discriminatory or other legally protected status.
  • Frequently review your #nurse_practice act and rules and the #board_of_nursing’s authority to discipline you as a licensed RN.
  • Be certain to only apply to accredited #nursing_education_programs and ones your state board of #nursing approves.

Wednesday, 5 December 2018

Advanced Practice Nursing- 53rd Congress on Nursing and health Care

What can I expect from a nursing career?

#Nurses are one of the most trusted groups of professionals in the United States, according to results of an annual survey published by the American Nurses Association.

They represent almost 3 million of the workforce, while there are also more than 700 thousand licensed #practical_nurses (LPN's) in addition to this.

After receiving the required education, #nurses must become licensed in their practicing state and are required to complete continuing education courses to maintain their licensure, depending on their state's regulations.

  • Here are some key points about #nursing. More detail is in the main article.
  • #Nursing is one of the most trusted professions in the U.S., polls show.
  • #Nurses can choose from a wide range of specialties.
  • Qualifications range from a 1-year certificate to a PhD, depending on the role. Most #nurses begin with a science degree.
  • Training can take from 1 to 4 years, depending on the desired entry level.
  • There is an ongoing need for #nurses, resulting in good job security, a competitive salary, and a range of professional opportunities.
What do #nurses do?

#Nurses work in a variety of settings and specialties. They may choose to practice in hospitals, #nursing homes, medical offices, ambulatory care, occupational health, and community health centers, schools, clinics, camps, and shelters.


#Nurses perform many professional tasks which may differ based on where they work or what area they specialize in. The American Nurses Association (ANA) lists #nursing responsibilities to include tasks such as:
  • performing physical exams
  • obtaining medical/health histories
  • providing patients with health promotion, counseling and education
  • administering medications, wound care, and other health interventions
  • coordinating patient care collectively with other members of the healthcare team
  • supervising staff such as LPN's and nursing assistants
  • taking part in critical decision making
  • research responsibilities
The degree they hold may also dictate which are of specialty they are competent in practicing in. There are over 100 nursing specialties, including:
  • Ambulatory
  • Burn care
  • Camp or school
  • Diabetes care
  • Emergency #nursing
  • Flight/transport
  • Forensic nursing
  • Geriatrics
  • Home health
  • Hospice
  • Labor and delivery
  • Medical surgical care
  • Neonatal intensive care unit (NICU)
  • Nephrology
  • Neuroscience
  • Obstetrics and gynecology
  • Pediatrics
  • Psychiatric care
  • Radiology
  • Rheumatology
  • Telemetry
  • Transplant
  • Trauma
  • Wound, ostomy and continence care
Some specialties and practice settings require certain educational criteria such as an Associate's Degree in Nursing (ADN or ASN), Bachelors of Science in Nursing (BSN), Masters of Science in Nursing (MSN), ), Doctor of Nursing Practice (DNP,), Doctorate of Philosophy (PhD), or for legal nursing specialties, a Juris Doctor (JD) may be required. A registered nurse can also earn a specialty certification.

Some #nurses may choose to extend their career by earning a graduate degree to advance their clinical training by going on to receive a master's or doctorate. These #nurses are called Advanced Practice Registered Nurses (APRN's). Some APRN specialties include:

Nurse practitioner (NP): These advanced practitioners work in a variety of specialties and provide comprehensive care to patients. Depending on their state licensing boards, they are able to provide primary and preventative care, diagnose and treat certain conditions, and prescribe certain medications.

#Nurse_practitioner specialties may include acute care, adult health, family health, gerontology, neonatal health, oncology, pediatric or child health, psychiatric or mental health, and women's health. #Nurse_practitioners provide care to patients in settings like hospitals, #nursing_homes, clinics,and private practices.

Certified nurse-midwife (CNM): These advanced practice #nurses are able to provide healthy and non-high risk women with obstetric and gynecologic care. They may practice in settings such as hospitals, birthing centers and patient homes.

Certified registered nurse anesthetists (CRNA): These #advanced_practice_nurses provide anesthesia to patients for surgery or certain procedures.

Clinical nurse specialist (CNS): Experts in an area of #nursing_practice, a CNS may be found working in many settings like hospitals, clinics, nursing home, offices, and within the community.

Becoming a nurse
There are 2 types of nurses, a licensed practical nursing (LPN) or in some states referred to as licensed vocational nursing (LVN) and a registered nurse (RN). Educational requirements vary for each and depend on the degree in which a nurse plans on accelerating their career.

The education that an LPN/LVN or an RN receive differ, as does their scope of practice.

An LPN/LVN receives a 1-year certificate or degree from a vocational or hospital or trade school. They can perform certain #nursing duties, but they are not able to provide the same level of care to patients as an RN. To obtain a license as an LPN, they must take and pass the National Council Licensure Examination or NCLEX-PN.

An LPN/LVN may continue their education and pursue either an Associate's Degree in Nursing (ADN) or a Bachelor of Science in Nursing (BSN) through bridge programs. These can take anywhere from 2 to 4 years, depending on the chosen degree.

Some RNs choose to obtain an Associate's Degree in Nursing (ADN), a 2-year technical skill focused program.

There are many ways to enter into a #nursing_career and become an RN, but the preferred degree to obtain is a Bachelor of Science in Nursing (BSN).

This is a 4-year college program. It includes a curriculum based on coursework, lab time, and clinical skill development through a hospital or other medical experience-based program.

In order to practice as a registered nurse, the National Council Licensure Examination or NCLEX-RN must be taken and passed.

How long does it take to become a nurse?
Becoming a nurse can take anywhere from 1 to 4 years, depending on the level of nursing education planned.

LPN/LVN: 1 year
Associates degree RN: 2 years
Bachelor's degree RN: 4 years
#Nurses seeking an advanced degree will require additional education beyond their basic #nursing_education, which can range from two to five years depending on the degree being obtained.

Benefits of a nursing career

In the U.S., there is a growing shortage of nurses. It is anticipated that over a million nursing jobs will be available from 2014 through 2022, with a 16 percent increase in job growth. The #nursing shortage is expected to continue through 2025.

For nurses, this shortage will offer potential job security, an option to advance or change career paths within the scope of #nursing_practice, and advanced education opportunities.

In addition, #nursing currently offers a chance to work in non-traditional work environments, such as schools, government agencies, parks, and offices.

The wide range of specialties means that nursing can appeal to people with varied interests. They can use their #nursing skills in a multitude of practice areas.

The median #registered_nursing salary is expected to be $66,640, in 2016 to 2017, but there are additional ways to increase earnings as a nurse.

For example:
  • working overtime or on-call shifts
  • working in higher paying specialties by gaining certifications and advanced degrees
  • traveling to other higher paying states
  • becoming a nurse educator
#Nursing is a responsible and rewarding career, but it is not always easy. Developing skills such as stress management, listening skills, compassion, and inner strength can help #nurses face the daily challenges of their chosen career path.

For more information on becoming a nurse, visit the American Nursing Association.

Tuesday, 4 December 2018

Nursing Congress Australia 2019

All About Becoming a Registered Nurse in Australia

Registered Nurses may be the most sought-after healthcare position not only in Australia but also worldwide, as the demand for skilled and experienced Registered Nurses (RNs) far outweighs the supply. This increasing demand for #Registered_Nurses (RNs) is fuelled by multiple factors – among them is a sharp increase in the numbers of the ageing population and a far greater need for chronic care and acute care management. If you are interested in a career as a #Registered_Nurse (RN) in Australia, then this is certainly the best time to step into this field.
Nursing Conferences Australia 2019
Over the past decade, Australia’s health industry has achieved a reputation for world-class technology, medical innovation, high-quality professional competence and a robust research and development system. Registered nursing in Australia has become one of the most dynamic and evolving areas of nursing, and RNs are listed as one of 15 recognised healthcare professions (AHPRA 2018).

What does it mean to be an RN?

#Registered_Nurses (RNs) work as part of a multidisciplinary team alongside other skilled professionals including doctors, surgeons, physiotherapists, specialty #nurses, therapists and others to provide ongoing patient care. They play a versatile role and may be responsible for coordinating activities that promote patient wellness. Some of your duties would include observing and recording patient behaviour, performing diagnostic tests, administering medication and establishing treatment plans. You will also be required to prep patients for examinations, assist in operations and post-operative care, update and maintain medical records and help in the treatment of medical emergencies.
As a #Registered_Nurse (RN), you can choose to study further in a specialty that interests you such as:
  • Rural and Remote
  • Rehabilitation
  • Intensive Care
  • Paediatrics
  • Aged Care
  • Community Health
  • Surgical Nursing
  • Aboriginal Health
  • Oncology
  • Mental Health
  • Medical Nursing
#Registered_Nurses could also choose to specialise in health administration, education and the research field.

How to become a Registered Nurse in Australia?

To become a #Registered_Nurse in Australia you need to complete a 3-year Bachelor of Nursing, which is available at most Australian universities. In order to apply, you have to be over 17 years of age or should have completed your HSC with an appropriate Universities Admission Index (UAI).

There are many universities that offer 3-years, full-time Bachelor of Nursing courses or the equivalent part-time #Registered_Nurse courses, and the specific curriculums can vary slightly between universities. All of these #Registered_Nurse courses will provide a blend of theory and #nursing clinical experience in various settings, and give you experience working in medical and surgical wards, operating theatres, emergency departments, community care, intensive care units, mental health units, and aged care facilities, among others.

During the course of your studies, you can practice your clinical skills in simulation laboratories on specially constructed mannequins, under the guidance of experienced university educators. #Registered_Nurse (RN) students are exposed to a broad range of clinical areas and settings— so that you can get a better chance to discover what area of #nursing you like the best and can explore this field further.

After you complete your #Registered_Nurse course, you have to apply to the AHPRA (Australian Health Practitioner Regulation Agency)  to practice as a #Registered_Nurse.

For further details please check the #Australia_Nursing_conferences_2019:

Monday, 3 December 2018

53rd World Congress on Nursing & Health Care

Nursing Conferences Australia

In the United States, it is now unavoidable to see or hear news about the #opioid crisis. Pain is a common occurrence with patients, whether it is acute or chronic. It is estimated that approximately 25 million adults in the United State suffer from chronic pain on a daily basis, and about 126 million adults experience recurrence of pain. Today there are an estimated two million adults who have an #opioid use or misuse disorder, which may or may not be a result of prescriptions for pain management (St. Marie, Arnstein, & Zimmer, 2018). Illicit use of opioids is also a factor with opioid abuse, including non medical use and diversion. Statistics of dependence and drug overdose deaths have been on an upward trend, and it is truly alarming (American Nurses Association [ANA], 2018).

Nursing Conferences 2019 at Brisbane, Australia
#Nurses are at the forefront of patient care, and have the unique ability to assist during this time of national urgency. Nursing practice, including advanced practice, can contribute to improving patient outcomes. Pain management is essential, and nurses should be educated on all aspects of this important issue.

Pain assessment includes much more than just asking about a number; it should include history, physical, and biopsychosocial assessment strategies. Interventions for #pain_management should include multiple modalities, such as pharmacological and non-pharmacological strategies. Multidisciplinary teams must be involved in #pain_management, with inclusion of the patient and family as part of the team. Patient and family education includes information about setting appropriate goals for #pain_management, available treatments and resources, and risks of opioid use.

Prescription monitoring is important for identifying opioid misuse. #Nurses and advanced nurses can assist in prevention and early recognition of opioid abuse. Appropriate interventions can assist with recovery for individuals suffering from this issue. #Nurses must also be aware that there is a risk of undertreating pain, and must advocate for appropriate management strategies (ANA, 2018; St. Marie, Arnstein, & Zimmer, 2018). For more information on #pain_management, refer to courses available through

Sunday, 2 December 2018


The Nursing and Midwifery Council is also exploring the idea of increasing the length of the midwifery degree, which is currently three years.

The changes are being considered as part of the NMC’s latest overhaul of its standards of proficiency for #midwives and for pre-registration #midwifery education courses.

Australia Nursing Congress 2019

A “recurring theme” that occurred during the wide-ranging engagement on the proposals was whether the current length of the #midwifery course and the approach to preceptorship were sufficient to properly prepare students for the modern challenges of the job.

Dr Geraldine Walters, director of education standards at the NMC, told #Nursing Times that some people believed newly qualified #midwives were entering the world of work with “competence but not confidence” and they needed extra support.

The regulator has now commissioned audit firm KPMG to gather evidence to help inform its decision.

Members of the public will also be asked for their views as part of the upcoming consultation of the new “future midwife” education and proficiency standards.

The NMC made clear that it may not make any changes to the length of the course or preceptorship if the evidence did not support it.

Dr Walters said: “There’s a question here that we are bound to look into, but we don’t know what the answer is. So we have to try and get a consensus through consultation and we want to do some work to try and inform that better first.”

Mandating preceptorship would require new legislation, Dr Walters said.

She added that some may believe this option to be too “bureaucratic” and employers could implement good preceptorship programmes without being forced to by law.

Currently, organisations are advised to offer newly qualified #practitioners a period of extra support to help them make the transition from student to professional and embed their practical skills.

NHS Employers claims preceptorship can help enhance patient care and experience, improve recruitment and retention, reduce sickness absence and boost confidence and morale among staff.

However, the quality of programmes varies across the country and some organisations will not offer any preceptorship at all.

Dr Walters said: “Most organisations… say there should be a period of preceptorship, but some organisations will do it much better than others, some organisations won’t do it at all.

“There’s lots of evidence that says if you do do it, you will have less turnover,” she said. “So, what some people think is that we need to put it in our legislation to make sure it happens, where others are saying no.”

She added: “It’s really about is this our role or not, and we are hoping that the exploratory work and the consultation will throw a bit of light on that.”

If it is decided that preceptorship should be mandated for midwives, the NMC would also have to consider making it compulsory for #nurses.

Dr Walters told Nursing Times: “I think if it came to light that it was thought to be necessary for midwives then we would have to open the box and say do you think it’s necessary for #nurses as well.”

Carmel Lloyd, head of education and learning at the Royal College of Midwives, said the preferred option for the RCM would be for the course to be extended, but for the fourth year to be used for “clinical training”.

Ms Lloyd said more information was needed on how compulsory preceptorship would be enforced.

She added: “A period of preceptorship is currently recommended by the DH, NMC, NHS Employers, professional bodies/trade unions etc – all have statements/guidelines in relation to preceptorship, yet it doesn’t happen in practice and there is considerable variability in terms of what this looks like (length and content) as well as quality.

“We need greater clarity than we have the moment with regard to what this option might look like in reality and in particular whose responsibility it would be to ensure it is mandatory,” Ms Lloyd said.

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Thursday, 29 November 2018

Australia Nursing and Health Care Conferences 2019

 New blood test can detect ovarian cancer in its early stages

Relatively few cases of ovarian cancer are diagnosed in their early stages, so many people lose the opportunity for effective treatment. A newly developed blood test, however, could change this situation. 

The American Cancer Society (ACS) state that "only about 20 percent of #ovarian_cancers are found at an early stage."

Australia Nursing and Health Care Conferences

However, when a doctor can diagnose the cancer early on, about 94 percent of people have a good prognosis following treatment.

Beyond a full pelvic exam, a doctor has two diagnostic tests at their disposal: the transvaginal ultrasound and the cancer antigen 125 (CA-125) blood test.

Both tests have significant limitations. The ultrasound test allows a doctor to look for tumors in the uterus, fallopian tubes, and #ovaries, but it cannot indicate whether a growth is cancerous.

The CA-125 test assesses the levels of an #ovarian_cancer marker in the blood. The problem is that high levels of this antigen are also present in people with unrelated conditions.

The authors of the new study, which appears in the journal Biochemical and Biophysical Research Communications, note that "CA-125 serum levels may also be elevated in nonmalignant conditions, such as #endometriosis, #pregnancy, #ovarian_cysts, pelvic inflammatory disease, #hepatitis, #cirrhosis, and in the follicular phase of the menstrual cycle."

For this reason, the researchers sought to develop a new, more accurate blood test to detect #ovarian_cancer. 

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Wednesday, 28 November 2018

Australia Nursing Conferences; World Nursing Conferences Australia

53rd World Congress on Nursing & Health Care

#Australia_nursing_congress_2019 #Australia_Conferences_2019 #Nursing_Australia #Nursing_Conferences_2019

Study shows #nurses’ scrubs become contaminated with bacteria in hospitals

Clothing worn by healthcare providers can become contaminated with bacteria, however having #nurses wear scrubs with antimicrobial properties did not prevent this bacterial contamination from occurring, according to a study published online in Infection Control & Hospital Epidemiology, the journal of the Society for Healthcare Epidemiology of America.

As part of the Antimicrobial Scrub Contamination and Transmission (ASCOT) Trial, researchers from Duke University Hospital, followed 40 #nurses who wore three different types of scrubs over three consecutive 12-hour shifts, taking a series of cultures from each #nurses’ clothing, patients, and the environment before and after each shift.

Nursing Conferences Australia 2019

“Healthcare providers must understand that they can become contaminated by their patients and the environment near patients,” said Deverick J. Anderson, MD, MPH, Director of the Center for Antimicrobial Stewardship and Infection Prevention at Duke University Medical Center and lead author of the study. “Although not effective, we looked to eliminate this risk for contamination by changing the material of #nurses’ scrubs.”

In a random rotation, each #nurse wore traditional cotton-polyester scrubs, scrubs that contained silver-alloy embedded in its fibers, or another type of scrub treated with a combination of antibacterial materials. The #nurses did not know which scrubs they were wearing.

The researchers analyzed 2,919 cultures from bed rails, beds, and supply carts in each room and 2,185 cultures from the sleeve, abdomen and pocket of #nurses’ scrubs. No differences in contamination were found based on the type of scrubs worn.

Researchers identified new contamination during 33 percent, or 39 of 120 shifts. Scrubs became newly contaminated with bacteria during 16 percent, or 19 out of 120, shifts studied, including three cases of contamination of #nurses’ scrubs while caring for patients on contact precautions where patients were known to be infected with drug-resistant bacteria and personnel entering the room were required to put on gloves and gowns. The mostly commonly transmitted pathogen was Staphylococcus aureus including MRSA and methicillin susceptible S. aureus. The #nurses in the study worked in medical and surgical intensive care units, caring for one to two patients per shift.

“There is no such thing as a sterile environment,” said Anderson. “Bacteria and pathogens will always be in the environment. Hospitals need to create and use protocols for improved cleaning of the #healthcare environment, and patients and family members should feel empowered to ask #healthcare providers if they are doing everything they can to keep their loved one from being exposed to bacteria in the environment.”

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