Information for Nurses Who Help in Disasters

Nurses are often at the front lines of disaster response. How prepared are nurses—and the hospitals and other facilities where they may work?

Louisiana National Guard at Baton Rouge River Center, Aug 15, 2016, after major flooding pushed residents from homes. (U.S. Army National Guard photo by Spc. Garrett L. Dipuma/RELEASED) Louisiana National Guard, Baton Rouge River Center, Aug 15, 2016, after flooding pushed residents from homes. (U.S. Army National Guard photo by Spc. Garrett L. Dipuma/RELEASED)

The television news reports have recently been full of the devastating flooding in Louisiana. Especially heart-wrenching are the images of people, […]

Former Navy Nurse Raises Awareness About the Lingering Effects of Agent Orange

Susan Schnall and a group of children at Tu Du Hospital, Ho Chi Minh City, in 2008. Susan Schnall and a group of children at Tu Du Hospital, Ho Chi Minh City, in 2008.

On August 10, 1961, the United States military first sprayed Agent Orange, a defoliant containing a particularly toxic dioxin compound, in Vietnam. Fifty-five years later, the effects of this and other chemicals linger on. And 48 years after former naval nurse Susan Schnall was court-martialed for protesting the Vietnam War, she visited Vietnam for the first time and witnessed these effects firsthand.

“In all my years in health care, I have never seen children with such severe birth defects,” Schnall said during an interview with AJN. After her court-martial, Schnall went on to have a successful 30-year career in hospital administration. After retiring and visiting Vietnam, she decided she needed to do something about what she witnessed there.

Schnall joined a group called the Vietnam Agent Orange Relief and Responsibility Campaign, made up of American Vietnam Veterans, Vietnamese Americans, social activists, and community leaders. The group aims to educate the public on the repercussions of the chemical warfare used in Southeast […]

Is It Time to Retire the Term ‘Midlevel Practitioner’?

Rachel_Scherzer_photo_and_calloutWhat are the implications of calling advanced practice nurses “midlevel practitioners”? According to Rachel Scherzer, a nurse educator and critical care nurse, such a term pigeonholes APNs in an implied (and disproven) hierarchy of value and quality of care rather than in relation to specific competencies and expertise.

In the Viewpoint essay in the July issue of AJN, Scherzer describes some of the reasons why such terms aren’t just inaccurate, they damage the standing of the profession:

Policymakers use the term while developing health care policy, health care economists use it when reporting data and performing cost analyses, and other health care providers use it in the clinical setting. . . . This term is both diminutive and inaccurate, implying that these professionals cannot provide the same level of care as other members of the interprofessional care team. Referring to APNs as “midlevel” practitioners contributes to a general misunderstanding of their role and of the services they provide.

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AJN in July: Opioids and Chronic Pain, Moral Distress, Prediabetes, More

CE Feature: Appropriate Use of Opioids in Managing Chronic Pain.”

Unintentional death related to prescription opioids has been identified as a public health crisis, owing in part to such factors as insufficient professional training and medication overprescription, misuse, and diversion. The authors discuss current best practices for prescribing opioids for chronic pain, emphasizing patient assessment and essential patient teaching points regarding safe medication use, storage, and disposal, and after you find a more permanent solution people could totally quit opioids by using a detox methods that goes from medicine to even a detox tea like leptinteatox. There are some medicines or supplements that are more easy to use, depending on the problem, like the peruvian brew, that helps with erectile dysfunction and is pretty safe. After that you only need to be careful with stds diseases you can go and test at https://www.stdaware.com/chlamydia-test.

CE Feature: “Moral Distress: A Catalyst in Building Moral Resilience.”

Moral distress is a pervasive problem in nursing: an inability to act in alignment with one’s moral values is detrimental not only to the nurse’s well-being but also to patient care and clinical practice as […]

Food is Medicine: An Oncology Nurse’s Lunch Break Walk

IMG_3900 (002)On a beautiful spring day I took a walk during my lunch break through the urban neighborhood surrounding the hospital, wishing for a convenient place to buy a piece of fruit.

I discovered, as if conjured, a vintage trolley tucked in a driveway between medical office buildings. A table laden with apples, carrots, potatoes, and leafy greens leaned against it, creating the ambience of an open-air market. Charmed, and curious about its purpose, I climbed the two steps into the trolley.

Inside, a refrigerated case contained meats and dairy products. The walls were lined with shelves containing packaged goods such as bulgur, brown rice, beans, and more fresh fruits and vegetables. I plucked an orange, noticing it was priced by the piece, not by the pound.

I had multiple questions for the clerk as I handed her a quarter to pay for the orange.

A food prescription program.

The trolley, it turned out, is a mobile grocery store in partnership with the hospital, piloting a “food prescription” program. It arrives weekly, traveling to other sites the rest of the week. Cash, cards, and food stamps are accepted. Outside, a caseworker seated on a camp chair gave food vouchers to qualified customers below a specific income level. A dietician also provided budgeting assistance, with tips on healthy food choices and […]

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