• AHA ACLS,  All Services

    Chain of Command = The Line of Authority

    I can almost guarantee that someone will give you a conflict resolution question at your interview and ask you how you would resolve this conflict. It is not the situation that is important.  It is your answer to any conflict – which it goes through the “Chain of Command.”  Know this chain of command for your interview. Every hospital, indeed, nearly every organization, has a chain of command. In most cases, this chain of command is delineated with a chart, often referred to as an organizational chart. The chain of command in its simplest definition is the line of authority and responsibility along which orders are passed within the nursing…

  • Nursing and critical thinking
    AHA ACLS,  AHA PALS,  All Services

    Critical Thinking for Your Nursing Career

    I remember in the beginning of my professional career.  As a student nurse I was evaluated on tasks that needed to be done and done in a timely manner.  At the end of my shift as a young student nurse I obediently sharpened the used needles, placed them in a glass container, stuffed some cotton at the end and sterilized the needles.  I had all of the thermometers soaking in “green soap” to be rinsed and ready for the next shift.  I had my charting done and ready for shift report.  I gave compassionate nursing care.  I was task-orientated.  I believed I was a valued RN. Task-orientated nursing refers to…

  • All Services

    Training for New Grad Nurses and the Impact of the Affordable Care Act

    The Impact of the Affordable Care Act The effect of hospitals responding the Affordable Care Act has impacted hospital reimbursement, professional practice standard and hospital employment.  Since 2010 hospitals have seen payment reduction upwards of $117 billion and more than $58 billion in Medicare sequestration cuts.  Hospitals are scaling back!! Blah! 4800 jobs nationwide were lost in December 2030 3600 jobs nationwide were lost in January 2014 1200 jobs nationwide were lost in February 2014 For the new grad or reentry nurse this means he or she will now be responsible for his or her own education. The reimbursement from the hospital for educational hours is no longer affordable and…

  • All Services

    Renew BLS, ACLS, and PALS in One Day

    To complete ACLS, PALS, and BLS in one day, the AHA offers Heartcode courses online. After completing the Heartcode online course, you can complete your skills for all three classes in one day. Before you sign up for a Heartcode clas, read the Pros and Cons of Heartcode classes. Pros: The online exam offers convenience to take it from home, or during breaks at work. The skill sessions are abotu 2 hours long for each class. Cons: The online exam costs $135, and the skills are an additional $100 per class. The cost per class is approximately $235. That’s a lot more expensive than paying $155-$165 for a classroom based…

  • All Services

    7th Edition NRP Guidelines

    The NEW 7th Edition NRP Guidelines were published in May 2016. Jane and Helen have the AAP’s 7th edition NRP ready to launch. There are significant changes. You can schedule an Assisted NRP 7th Edition to learn these new changes, and pass the new exam. As before, you then will need to go to the AAP’s webpage and take the online test. The test includes multiple-choice answers plus E-Sim scenarios. The E-Sim scenarios are a bit tricky to navigate. Many of you may find that you need assistance with the E Sim portion. Helen and I are available to assist you. You may accomplish your NRP certification/recertification in 3 ways. 1.…

  • All Services

    The Clinical Practice Council (CPC)

    The Clinical Practice Council (CPC) develops, reviews, and disseminates clinical nursing policies, guidelines, and practice alerts. Staff nurse representatives from each unit in the maternal child cluster represent the needs of their specific unit. These nurses contribute toward shaping nursing practices at their unit level. The CPC ensures that nursing practice documents are based on the latest research and other levels of evidence. Moreover, the CPC representatives collaborate with unit leadership to educate the staff nurses about nursing practice changes. This unique council:   Provides a forum for clinical practice issues and solutions. Is represented by Clinical Nurse Specialists, Educators, and Unit Directors. Promotes active, exciting, and innovative sharing of ideas. Meets Magnet…

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    Postpartum Depression

    Postpartum Depression usually occurs within the first 3 months after delivery. The exact causes of postpartum depression are unknown.  Changes in hormone levels during and after pregnancy may affect a woman’s mood.  Many non-hormonal factors may also affect mood during pregnancy. Changes in work and social relationships: Having less time and freedom Lack of sleep Worries about your ability to be a good mother The chances of postpartum depression increase if the woman: Is under age 20 Currently abuses alcohol, illegal substances or smokes Did not plan the pregnancy or had mixed feeling about the pregnancy Had a stressful event during the pregnancy or delivery Has a close family member…

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    Water Birth

    Water Birth Delivering in the water has recently become popular.  More hospitals now offer water births. However, water birth is still considered an alternative birthing method, and not every doctor is convinced that it’s safe and not every hospital provides water birth options. Just like it sounds, a water birth is giving birth in water.  You may choose to deliver in a bathtub, hot tub or other pool of water. You can a have a water delivery at home, in a birthing center or in some hospitals. You can labor and deliver in the water or move out of the water for the actual delivery.  If you deliver in the…