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Showing newest 31 of 61 posts from July 2009. Show older posts
Showing newest 31 of 61 posts from July 2009. Show older posts

Friday, July 31, 2009

Filipino nurses eye UK, Middle East markets

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Filipino nurses are reportedly choosing other countries over the United States for employment.

“The deepening recession in America has clearly diminished the desire of some Filipino nurses to seek employment there," said former senator Ernesto Herrera, secretary general of the Trade Union Congress of the Philippines (TUCP).

Herrera said that a total of 8,272 Filipino nurses sought to practice their profession in the US by taking the National Council Licensure Examination or NCLEX for the first time from January to June.

The figure, according to Herrera, was 1,565 fewer compared to the 9,837 who took the exam in the same six-month period in 2008.

Pinoy nurses are reportedly trying out other foreign labor markets particularly the United Kingdom and the Middle East.

"Actually, fewer nurses from India, Korea, Canada and Cuba are seeking US jobs as well," Herrera said.

Nurses from India who took the NCLEX for the first time in the first semester were down 56 percent (to 750 from 1,715). Those from South Korea were down 35 percent (to 613 from 934); from Canada down 36 percent (to 314 from 494); and from Cuba down 38 percent (to 192 from 309).

The TUCP said that the four countries are the other top suppliers of foreign nurses to America.

In the whole of 2008, there were a total of 20,746 Filipino nurses who took the NCLEX for the first time or down 3.5 percent compared to the 21,299 Pinoy nurses that took the test for the first time in 2007.

Filipino accounted for 37 percent of the 22,500 foreign-educated nurses who took the NCLEX for the first time in the first semester, according to Herrera.

The Philippines now has some 600,000 nurses actively looking for jobs here and abroad, or forced to perform work outside their profession. They include the 99,837 who passed the local nursing licensure examinations from July 2008 to July 2009.

The government tapped 10,000 of the Filipino nurses and deployed them under the Nurses Assigned in Rural Service (NARS). It allows nurses to serve in the country’s depressed municipalities for six months in return for a monthly allowance of P8,000.

SOURCE: http://www.abs-cbnnews.com/pinoy-migration/07/31/09/filipino-nurses-eye-uk-middle-east-markets





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Wednesday, July 29, 2009

Spain needs more nurses, DFA reports

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By Llanesca T. Panti, Reporter

Spain, despite suffering from the global economic crisis, was still in need of foreign nurses including Filipinos, the Department of Foreign Affairs announced Wednesday.

The Foreign Affairs department made the announcement shortly after the arrival of 27 Filipino nurses in Bilbao who will be deployed in northern Spain. Their deployment is the result of the Memorandum of Understanding on Migration Flows that the Philippines and Spain signed in June 2006.

Under the memorandum, nurses and other highly skilled Filipino workers are to be allowed into Spain and afforded the same protection enjoyed by Spanish workers.

“Notwithstanding the economic crisis [at present] in Spain, the demand for foreign nurses [there] remains high,” the Foreign Affairs department said.

“In fact, the Philippine Embassy is already talking with prospective Spanish employers on the employment of more Filipinos in the health sector,” it added. According to the department, there are about 190 Filipino nurses working in the Madrid area.

The 27 Filipino nurses, the first batch to be employed through the memorandum, will initially work as nursing assistants and caregivers in four Basque homes for the elderly (Residencias de Mayores) operated by Urgatzi, Igurco, Residencial Aulaga and Olimpia Bass. They will have a one-year renewable contract.

The Spanish Ministry of Education will then evaluate, for accreditation purposes, the nursing degrees within six to nine months. After getting the official accreditation, the Filipino nurses will be able to practice their profession and earn the same salary as regular Spanish nurses.

Embassy briefing

Earlier, the embassy held a briefing for the 27 newly employed Filipino nurses and extended consular services to Filipino residents in the Getxo-Bilbao area in Basque Country.

During the briefing, an embassy delegation led by ChargĂ© d’Affaires Celia Anna Feria discussed the salient aspects of Basque culture and society, as well as Spanish labor laws and conditions. With her were Consul Marciano de Borja, Labor AttachĂ© Ramon Tionloc and Welfare Officer Ma. Consolacion Marquez.

SOURCE: http://www.manilatimes.net/national/2009/july/23/yehey/top_stories/20090723top7.html




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Tuesday, July 28, 2009

America's Best Hospitals: The 2009-10 Honor Roll

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Johns Hopkins Hospital, Baltimore


Mayo Clinic, Rochester, Minn.


Ronald Reagan UCLA Medical Center, Los Angeles


Cleveland Clinic


Massachusetts General Hospital, Boston


New York-Presbyterian University Hospital of Columbia and Cornell


University of California, San Francisco Medical Center


Hospital of the University of Pennsylvania, Philadelphia


Barnes-Jewish Hospital/Washington University, St. Louis


Brigham and Women's Hospital, Boston


Duke University Medical Center, Durham, N.C.


University of Washington Medical Center, Seattle


UPMC-University of Pittsburgh Medical Center


University of Michigan Hospitals and Health Centers, Ann Arbor


Stanford Hospital and Clinics, Stanford, Calif.


Vanderbilt University Medical Center, Nashville


NYU Medical Center, New York


Yale-New Haven Hospital, New Haven, Conn.


Mount Sinai Medical Center, New York


Methodist Hospital, Houston


Ohio State University Hospital, Columbus







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Sunday, July 26, 2009

List of successful examinees whose REGISTRATION shall be DEFERRED pending compliance with some registration requirements:

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1 BOLONG, BRYLE BRYAN LABORDE
2 CAYANAN, RAMON JR CASTRO
3 PABLO, ANGELA REBECCA CENTILLES
4 PALMARES, FRANCIS SOLIS
5 VITRIOLO, VINA MAE DEREQUITO






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32,617 Out Of 77,901 Pass June 2009 Nursing Board Exam

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The Professional Regulation Commission - Board of Nursing announces that 32,617 out of 77,901 examinees successfully hurdled the June 2009 Nurse Licensure Examination.

Topping this years licensure examination for nurses is Golda Manto Yap, a graduate of the Felipe R. Verallo Memorial Foundation with a rating of 86.80 percent.

Click here for the complete list of June 2009 NLE passers.







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List of Passers for June 2009 NLE

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June 2009 NLE Result



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Saturday, July 25, 2009

Deadline for Filing of Application for the November 2009 Nursing Board Exam

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The PROFESSIONAL REGULATION COMMISSION (PRC) announces that the filing of applications for the November 29-30, 2009 (Sunday-Monday) Nursing Board Exam is now on-going in the Central Office and in the Regional Offices of PRC.

The following are the NEW deadlines of filing of applications:

1. NEW / FIRST TIMERS - OCTOBER 16, 2009
2. REPEATERS - SEPTEMBER 16, 2009

Applications shall no longer be accepted after these deadlines.

SOURCE: prc.gov.ph



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ADVISORY TO ALL JUNE 2009 NURSE LICENSURE EXAMINATION PASSERS AFTER THE RELEASE OF RESULTS OF THE JUNE 2009 NLE

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ADVISORY TO ALL JUNE 2009 NURSE LICENSURE EXAMINATION PASSERS AFTER THE RELEASE OF RESULTS OF THE JUNE 2009 NLE

FOR NEWSPAPER/RADIO/TV/BONWEBSITE ANNOUNCEMENTS

1. The MANILA oathtaking ceremony for the successful examinees in the JUNE 2009 Nurse Licensure Examination as well as the previous ones who have not taken their Oaths of Professional, in accordance with Republic Act 9891 and Republic Act 9173 will be held before the Board of Nursing on Tuesday and Wednesday, August 18 and 19, 2009 respectively with morning (8:00 AM) and afternoon (1:00 PM) sessions at the SMX Convention Center, SM Mall of Asia, Pasay City.

2. Oathtaking tickets are available at the Philippine Nurses’ Association (PNA) at 1663 F.T. Benitez Street, Malate, Manila starting July 29, 2009 - Wednesday.

3. All oathtaking candidates must come in their white gala uniform, nurse’s cap, white duty shoes, without earrings, hair not touching the collar and without corsage.

4. The Board of Nursing (BON) wishes to reiterate that the assignment for oathtaking will be according to pre-determined “schedule of school assignments” which will serve as basis for the schedule of tickets to be issued only by the Philippine Nurses Association (PNA) ON WEEKDAYS!

5. For schools without schedule, inductees may buy tickets on a first come first serve basis.

6. Here are the deadlines for buying tickets:

6.1 ONLY VALID TICKETS SHALL BE ALLOWED ENTRY TO SMX (RECEIPTS WILL NOT BE ENTERTAINED)

7. For orderly conduct THERE SHALL ABSOLUTELY BE NO SELLING OF TICKETS WITHIN THE SMX COMPOUND. Admission tickets are only available at PNA on set schedules.

8. On the day of the oathtaking:
 SMX OPENING TIME shall be at 6:30A.M. FOR the MORNING SESSION
12:30P.M. FOR AFTERNOON SESSION
 SMX ENTRANCE - there shall be 7 ENTRANCES to SMX -
 TOPNOTCHERS AND THEIR PARENTS - USE FRONT/MAIN ENTRANCES
 CHILDREN BELOW 7 YEARS are NOT ALLOWED
 GUESTS ARE ADVISED TO TAKE THE BASEMENT PARKING ENTRANCE
Adequate parking is available right in front of SMX
No reserved seats. First come First serve basis.
Food stalls available at the lobby. Eating not allowed inside the convention hall

9. Regional oathtaking schedules are proresively posted in the BON website: www.bonphilippines.org and regional oathtaking candidates are advised to coordinate with their respective alma mater or the Philippine Nurses Association Chapter in their region for details.

Source: www.bonphilippines.org



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Friday, July 24, 2009

H-1B Cap Thoughts

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On May 15 the USCIS announced that it has received 45,500 H-1B petitions counting toward the Congressionally-mandated 65,000 cap; this is only 500 more than the April 27 figure. This implies that H-1B petitions continue to slow. It also implies that the idea that the H-1B is used to lower wages and replace US workers is wildly overblown. As I’ve previously said, if that was the case there shouldn’t be any material drop in H-1B usage.

The Masters cap has received the full subscription of 20,000 petitions. USCIS continues to accept Masters cases since their experience is that not all accepted cases will be approvable. As students graduate from university in late May and June, it is expected that there will be an uptick in H-1B usage. The degree of the uptick is unknown at this point. If the uptick is smaller than expected, there is a chance that the H-1B cap could remain open all summer and maybe even into the fall. On the other hand, the economy does show some flares of stability and so H-1B usage by May/June graduates could be notable.

For the healthcare industry, the H-1B remains an option to fill employment gaps in occupational shortages. As a general rule if the position requires a Bachelors degree for licensure, then the position is appropriate for an H-1B visa. Of course, the proposed worker must hold the requisite degree.

Physical Therapists and Occupational Therapists remain viable for H-1B visas. Cases filed at the Vermont Service Center are being approved as they should be. However inconsistent results out of the California Service Center continue to frustrate employers.

USCIS Chief of Service Center Operations has recently confirmed that “USCIS does not currently have a policy that employers filing H-1b petitions for physical and occupational therapists must require the minimum of a Masters Degree for such positions to qualify as specialty occupations.” This pronouncement was made in early May, and so it remains to be seen whether or not the California Service Center will adhere to the statement from their superiors in Washington D.C.

Some registered nursing positions are appropriate for H-1B visas as well. In broad strokes, the H-1B is appropriate for RN positions if either:

1. The hospital is offering the nurse a position as a Clinical nurse specialist (CNS), Certified registered nurse anesthetist (CRNA), Certified nurse-midwife (CNM), or a Certified nurse practitioner (APRN-certified) Critical care and she holds the certification;

2. The nurse will be working in an Administrative position ordinarily associated with a Bachelors degree, such as Charge Nurse or Nurse Manager;

3. The nurse will be working in one of these specialties: peri-operative, school health, occupational health, rehabilitation nursing, emergency room nursing, critical care, operating room, oncology and pediatrics.

The hospital must attest that these roles are only offered to those with Bachelors degrees.

SOURCE: http://hammondlawgroup.blogspot.com/2009/05/h-1b-cap-thoughts.html


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Thursday, July 23, 2009

Two USCIS memos regarding H1B for nurses

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Additional information regarding H1B visas for nurses

  1. Memo 1
  2. Memo 2




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Two West Texas Nurses Complaint On Doctor's Practices

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Two West Texas nurses have been indicted after filing an anonymous complaint about a doctor's practices with the Texas Medical Board, but the state agency says the women did nothing wrong.

The nurses are charged with misuse of official information. Each one-page indictment filed against them alleges they improperly accessed information that was not public "with intent to harm" the doctor for "a nongovernmental purpose."

Among the nurses' complaints were that the doctor improperly encouraged patients to buy herbal medicines from him and had wanted to use hospital supplies to perform a procedure at a patient's home.

The Texas Medical Board defended the nurses' actions Friday and said it's the board's state-mandated duty to look into such complaints.

"I don't know that I've ever seen a criminal prosecution like this," said Mari Robinson, executive director of the Texas Medical Board. "I don't know that I've ever seen a criminal prosecution for providing information to the medical board. Ever."

The American Nurses Association and its Texas affiliate said they are concerned about a "chilling effect" on other nurses.

"It's outrageous to file criminal felony charges against these nurses based on allegations that they raised concerns over a physician's action," the national group's president, Rebecca Patton, said in a statement. "Nurses have a duty to advocate for the health and safety of their patients, and that is what these nurses were doing."

The nurses, Anne Mitchell and Vicki Galle, filed their complaint letter April 7. In it, they said Dr. Rolando Arafiles encouraged patients he saw at the Winkler County Memorial Hospital emergency room and the county's rural health clinic to buy the herbal medicines. The letter also said that the hospital's chief of staff stopped him from taking supplies to perform a procedure at a patient's home, instead of at the hospital.

Arafiles declined to comment on those allegations Friday.

"That case is between Ms. Mitchell and the state, and I'm out of it," he said. "I'm a victim of what's going on. I don't want to make any other comments."

Brian Carney, the nurses' attorney, released the letter to The Associated Press and called their indictments "absolutely the worst set of circumstances for any nurse trying to do their job and protect their patients."

The nurses each face up to 10 years in prison if convicted.

Law enforcement stepped into the case when Arafiles — having been notified by the board that he was under investigation for mistreatment and poor quality of care — filed a harassment complaint with the Winkler County Sheriff's Department. The sheriff's office figured out who had filed the complaint, and the local prosecutor filed charges last month.

The indictments do not provide additional details. Winkler County District Attorney Mike Fostel was out of town and unavailable for comment Friday. Through his receptionist, Winkler County Attorney Scott Tidwell declined to comment.

Robinson has sent a letter to Fostel and Tidwell defending the nurses' actions.

"The willingness of persons to come forward and file complaints with the Board is critical to the Board's success in regulating the practice of medicine as required by Texas law," she wrote.

SOURCE:




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H-1B Cap Number Update!

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H-1B Visas are still available!

Today, the USCIS released on its website an H-1B visa cap count update. With regards to H-1b visas, the report states the following:

As of July 10, 2009, approximately 44,900 H-1B cap-subject petitions and approximately 20,000 petitions qualifying for the advanced degree cap exemption had been filed. USCIS will continue to accept both cap-subject petitions and advanced degree petitions until a sufficient number of H-1B petitions have been received to reach the statutory limits, taking into account the fact that some of these petitions may be denied, revoked, or withdrawn.

For more information, please contact the Hammond Law Group, or visit http://www.uscis.gov/portal/site/uscis/menuitem.5af9bb95919f35e66f614176543f6d1a/?vgnextoid=138b6138f898d010VgnVCM10000048f3d6a1RCRD&vgnextchannel=91919c7755cb9010VgnVCM10000045f3d6a1RCRD



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Wednesday, July 22, 2009

Nurses Join President Obama on Health Care Reform

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This afternoon the President was joined by members of the American Nurses Association in the Rose Garden, where he spoke strongly on the urgent need for health care reform. He explained that the status quo is not an option, and that deferring reform is akin to defending that status quo.
The President praised nurses as an essential component to our health care system, saying without them, many in underserved areas would not receive health care at all. Because they work so closely with patients, nurses know as well as anybody why reform is desperately needed:
And that's why it's safe to say that few understand why we have to pass reform as intimately as our nation's nurses. They see firsthand the heartbreaking costs of our health care crisis. They hear the same stories that I've heard across this country -- of treatment deferred or coverage denied by insurance companies; of insurance premiums and prescriptions that are so expensive they consume a family's entire budget; of Americans forced to use the emergency room for something as simple as a sore throat just because they can't afford to see a doctor.
And they understand that this is a problem that we can no longer defer. We can't kick the can down the road any longer. Deferring reform is nothing more than defending the status quo -- and those who would oppose our efforts should take a hard look at just what it is that they're defending. Over the last decade, health insurance premiums have risen three times faster than wages. Deductibles and out-of-pocket costs are skyrocketing. And every single day we wait to act, thousands of Americans lose their insurance, some turning to nurses in emergency rooms as their only recourse.
Rising costs are unsustainable, which is why reform benefits all Americans, whether they are insured or not. The President assured that those who like their health care can keep it, and reform will save you money by bringing down costs, providing more choices, and keeping insurance companies honest. Inaction is not an option, but real progress is being made. The President commended the hard work being done in Congress as key committees in the House and Senate have put forth their plans:
Yesterday, the House introduced its health reform proposal. Today, thanks to the unyielding passion and inspiration of our friend Ted Kennedy, and to the bold leadership of Senator Chris Dodd, the Senate HELP Committee reached a major milestone by passing a similarly strong proposal for health reform. It's a plan that was debated for more than 50 hours and that, by the way, includes 160 Republican amendments -- a hopeful sign of bipartisan support for the final product, if people are serious about bipartisanship.

Both proposals will take what's best about our system today and make it the basis for our system tomorrow -- reducing costs, raising quality, and ensuring fair treatment of consumers by the insurance industry. Both include a health insurance exchange, a marketplace that will allow families and small businesses to compare prices, services, and the quality, so they can choose the plan that best suits their needs. And among the choices available would be a public health insurance option that would make health care more affordable by increasing competition, providing more choices, and keeping insurance companies honest. Both proposals will offer stability and security to Americans who have coverage today, and affordable options to those who don't.
The President emphasized that we will get health care reform done, because Americans need reform to succeed: for the patients, families, businesses, hospitals, doctors and nurses:

America's nurses need us to succeed, not just on behalf of the patients that they sometimes speak for. If we invest in prevention, nurses won't have to treat diseases or complications that could have been avoided. If we modernize health records, we'll streamline the paperwork that can take up more than one-third of the average nurse's day, freeing them to spend more time with their patients. If we make their jobs a little bit easier, we can attract and train the young nurses we need to make up a nursing shortage that's only getting worse. Nurses do their part every time they check another healthy patient out of the hospital. It's now time for us to do our part.



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VISA BULLETIN FOR JULY 2009

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The July Visa Bulletin has been released with little change from the June bulletin. As was the case with the June Visa Bulletin, the EB3 category remains Unavailable. It is expected that the EB3 category will remain Unavailable until FY2010, which should be released in September 2009.



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ASA Supports H.R. 2536: Emergency Nurse Supply Relief Act (H.R. 2536)

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The American Staffing Association is urging support for the Emergency Nurse Supply Relief Act (H.R. 2536) introduced by Rep. Robert Wexler (D-FL) and Rep. Jim Sensenbrenner (R-WI. The ASA says, "This is not just about nurse staffing, it is about quality health care." The ASA cites statistics from federal health authorities: 56% of the U.S. nurse work force is 45 years of age or older and three million new and replacement nurses will be needed by 2020 to address the shortage.

The legislation would provide up to 20,000 visas per year over a three year period for nurses and physical therapists. The legislation includes a $1,500 filing fee per visa, which would be used to fund U.S. nursing schools.

The ASA joins us in asking that you contact your local member of the House of Representatives.

SOURCE: http://hammondlawgroup.blogspot.com/2009/06/asa-supports-hr-2536.html



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Unsung heroes work hard to cut hospital-acquired infections

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(CNN) -- For years, Alfonso Torress-Cook followed the rules in his quest to eliminate hospital-acquired infections. Patients at his hospital received large doses of antibiotics and were scrubbed down with alcohol-based soaps, as he and his colleagues aimed to kill every bacterium possible. Search and destroy was the mantra.
By upending conventional wisdom, Alfonso Torress-Cook was able to slash hospital-acquired infection rates.

By upending conventional wisdom, Alfonso Torress-Cook was able to slash hospital-acquired infection rates.

Still, patients became sick with bacterial infections after checking in. Some died.

"I never saw anything change. I saw things getting worse," Torress-Cook said.

Torress-Cook eventually joined Pacific Hospital of Long Beach, in California, where as director of epidemiology and patient safety, he changed the rules and slashed the number of patients who become infected.

Torress-Cook is part of a growing movement in medicine that no longer accepts hospital-acquired infections as inevitable complications. Every year, such infections sicken 1.7 million and kill 99,000 people in the United States.

At Pacific Hospital, Torress-Cook doesn't go after all bacteria, just the dangerous ones.

The staff members at the 184-bed hospital use antibiotics sparingly, feed patients yogurt to replenish healthy bacteria in the gut and bathe patients daily, using a soap that maintains the natural pH of the patient's skin, killing only bacteria that don't belong there. Meet some of the people fighting hospital-acquired infections »

Torress-Cook is also obsessive about hygiene: Nurses clean under patients' fingernails and brush their teeth daily. He also enlisted the hospital's cleaning crew as part of the infection-fighting team. Rooms receive a thorough cleaning every day -- more than simply emptying the trash and mopping the floor, he says.

Under Torress-Cook, Pacific Hospital's infection rate for the so-called superbug MRSA is down to 0.01 per 1,000 discharges, 430 times better than the national average.

Approximately one out of every 22 patients who checks into a U.S. hospital acquires a bacterial infection, adding more than $28 billion to health care costs, according to a 2009 report from the Centers for Disease Control and Prevention.

But there are signs of improvement. Pennsylvania, which requires the most extensive reporting of hospital-acquired infections, saw the annual rate for all infections drop 8 percent, according to the most recent figures available from the Pennsylvania Health Care Cost Containment Council.

And there are other signs of progress. The development and use of a simple checklist for a common procedure that threads a so-called central line to supply medicine directly to the bloodstream has been extraordinarily effective.

The checklist made central line infections almost nonexistent at the 108 intensive care units in Michigan that adopted it. More than 1,700 lives -- and $246 million -- were saved in the first three years the checklist was adopted, according to the state hospital association.

The checklist is now being adopted in all 50 states and three countries: the United Kingdom, Spain and Peru, says checklist designer Dr. Peter Pronovost, from Johns Hopkins University and Hospitals.

At hospitals large and small, raising the head of the bed for patients on ventilators, brushing patients' teeth and taking other precautions have dramatically reduced ventilator-associated pneumonia, another common and costly infection.

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Problem nurses stay on the job as patients suffer

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Nurse Owen Jay Murphy Jr. twisted the jaw of one patient until he screamed.

He picked up another one -- an elderly, frail man -- by the shoulders, slammed him against a mattress and barked, "I said, 'Stay in bed.' "

FOR THE RECORD:
Nurses: A graphic accompanying a front-page article Sunday about the California nursing board, as well as a related story on Tuesday's front page, referred to former Board of Registered Nursing Vice President Elizabeth O. Dietz as a professor of nursing at San Jose State University. Although the board's website listed that as her current affiliation, the university said she retired in July 2008. —

Murphy's fellow nurses at Kaiser Permanente Riverside Medical Center finally pleaded with their bosses for help. "They were afraid of him," a hospital spokesman said.

Under pressure, Murphy resigned in May 2005. Within days, Kaiser alerted California’s Board of Registered Nursing: This nurse is dangerous.

But the board didn't stop Murphy from working elsewhere, nor did it take steps over the next two years to warn potential employers of the complaints against him. In the meantime, Murphy was accused of assaulting patients at two nearby hospitals, leading to convictions for battery and inflicting pain, board and court records show.

Even Murphy, who has since taken classes to curb his anger, was surprised the board didn't step in earlier.

"The nursing board is there to protect the public from me," he said in an interview.

The board charged with overseeing California's 350,000 registered nurses often takes years to act on complaints of egregious misconduct, leaving nurses accused of wrongdoing free to practice without restrictions, an investigation by The Times and the nonprofit news organization ProPublica found.

It's a high-stakes gamble that no one will be hurt as nurses with histories of drug abuse, negligence, violence and incompetence continue to provide care across the state. While the inquiries drag on, many nurses maintain spotless records. New employers and patients have no way of knowing the risks.

Reporters examined the case of every nurse who faced disciplinary action from 2002 to 2008 -- more than 2,000 cases in all -- as well as hundreds of pages of court, personnel and regulatory reports. They interviewed scores of nurses, patients, families, hospital officials, regulators and experts.

Among the findings:

* The board took more than three years, on average, to investigate and discipline errant nurses, according to its own statistics. In at least six other large states, the process typically takes a year or less.

"It's really discouraging that when you do report people . . . they don't take action," said Joan Jessop, a retired chief nursing officer in Los Angeles who filed multiple complaints with the board during her 43-year career. "What is so frightening to me is that these people will go on and do it to somebody else."

* The board failed to act against nurses whose misconduct already had been thoroughly documented and sanctioned by others. Reporters identified more than 120 nurses who were suspended or fired by employers, disciplined by another California licensing board or restricted from practice by other states -- yet have blemish-free records with the nursing board.

* The board gave probation to hundreds of nurses -- ordering monitoring and work restrictions -- then failed to crack down as many landed in trouble again and again. One nurse given probation in 2005 missed 38 drug screens, tested positive for alcohol five times and was fired from a job before the board revoked his probation three years later.

* The board failed to use its authority to immediately stop potentially dangerous nurses from practicing. It obtained emergency suspensions of nurses' licenses just 29 times from 2002 to 2007. In contrast, Florida's nursing regulators, who oversee 40% fewer nurses, take such action more than 70 times each year.

In interviews last week, the board's leaders and other state officials defended its record. "We take what we do -- protecting the public -- very, very seriously," said Executive Officer Ruth Ann Terry.

SOURCE



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Tuesday, July 21, 2009

Primary-Care Needs Spill Over Into ERs

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By Yamiche Alcindor
Washington Post Staff Writer
Monday, July 13, 2009

Hospital emergency departments across the region are overflowing with patients who have been battered by the recession and are increasingly using hospitals as their primary source of health care, according to local and national health officials.

At the District's Providence Hospital, emergency room visits increased by 13 percent in the past year. In Montgomery County, the number of patients seeking free care at community clinics designed to divert people from emergency rooms rose by 43 percent, many of them referred by hospitals.

The Virginia Hospital and Healthcare Association, which represents 106 community and specialty hospitals, said many of its members are at the breaking point. "Emergency rooms are being stretched to their limits," said Chris Bailey, the group's senior vice president.

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Monday, July 20, 2009

Why We Must Ration Health Care

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You have advanced kidney cancer. It will kill you, probably in the next year or two. A drug called Sutent slows the spread of the cancer and may give you an extra six months, but at a cost of $54,000. Is a few more months worth that much?
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If you can afford it, you probably would pay that much, or more, to live longer, even if your quality of life wasn’t going to be good. But suppose it’s not you with the cancer but a stranger covered by your health-insurance fund. If the insurer provides this man — and everyone else like him — with Sutent, your premiums will increase. Do you still think the drug is a good value? Suppose the treatment cost a million dollars. Would it be worth it then? Ten million? Is there any limit to how much you would want your insurer to pay for a drug that adds six months to someone’s life? If there is any point at which you say, “No, an extra six months isn’t worth that much,” then you think that health care should be rationed.

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Sunday, July 19, 2009

Hospital-Acquired Infections Tied To Nurse Staffing Ratios

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The public was well-served today with the release of a report by the New York State Department of Health (DOH) about hospital-acquired infection rates at specific facilities in New York State.

But more information is needed about how to correct these problems, such the high rate of central line-associated bloodstream infections identified in the report. These types of infections are directly related to the number of patients assigned to each registered nurse.

When researchers from the Centers for Disease Control and Prevention investigated an outbreak of central venous catheter-associated bloodstream infections (CVC-BSI) at a Veterans Administration Hospital, they found that the high rate of infection corresponded to an increase in the number of patients per nurse. Their study, published in Infection Control and Hospital Epidemiology, said that "a high patient-to-nurse ratio [is] and independent risk factor for CVC-BSI occurring in the ICU."

The DOH infection report tells us what is happening. Reporting patient-to-nurse ratios would tell us why it's happening. This vital information is needed if the state is to help facilities reduce their infection rates.

The New York State Nurses Association is promoting legislation that would require hospitals to report the number of nursing staff they have available to patients every day during every shift. The bill overwhelming passed the Assembly this year and last year. For text of the bill, see here.

New Yorkers deserve to know patient-to-nurse ratios in their local hospitals.

Source
The New York State Nurses Association



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Saturday, July 18, 2009

PNA Nursing Seminars on Continuing Education - CEU 2009

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January 16 ( RESCHEDULED )
Asthma Today: Definition,
Diagnosis and Causes
8:00 am - 12:00 nn
ON-SITE REGISTRATION
Registration Fee: Php 300.00 Member
Php 350.00 Non-Member


January 23 ( RESCHEDULED )
Dementia: Tips of the Trade in the
Management of Behavioral Issue
8:00 am - 12:00 nn
ON-SITE REGISTRATION
Registration Fee: Php 300.00 Member
Php 350.00 Non-Member


January30-31 ( RESCHEDULED )
Nursing Skills Fair
8:00 am - 5:00 pm
PRE-REGISTRATION
Registration Fee: Php 1,500.00 Member
Php 1,700.00 Non-Member


February 6 Acute Stroke
8:00 am - 12:00 nn
ON-SITE REGISTRATION
Registration Fee: Php 300.00 Member
Php 350.00 Non-Member
February 13 Blood Borne Pathogens
8:00 am - 12:00 nn
ON-SITE REGISTRATION
Registration Fee: Php 300.00 Member
Php 350.00 Non-Member


February 20 Coronary Artery Disease (CAD)
8:00 am - 12:00 nn
ON-SITE REGISTRATION
Registration Fee: Php 300.00 Member
Php 350.00 Non-Member


February 27 Basic Infection Control
8:00 am - 5:00 pm
ON-SITE REGISTRATION
Registration Fee: Php 600.00 Member
Php 650.00 Non-Member


March 6 Aspiration: Preventing a Deadly Complication
in Vulnerable Populations
8:00 am - 12:00 nn
ON-SITE REGISTRATION
Registration Fee: Php 300.00 Member<