Therapeutic Soul: Thoughts About Nursing
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The Nurse Aide State of Being
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It’s About Trust, Not Free Speech
For the Xenia, Ohio School Board, It Should be a Matter of Trust, Not Free Speech RE: Two educators placed on administrative leave pending investigation. Public servants like doctors, nurses, police officers, teachers, and judges, only qualify as such if they can be trusted. What does that mean? It means they can be trusted
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The Misuse of Ativan in LTC
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Overcoming the Nursing Crisis
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Medication Administration and the Myth of Multitasking
I love my new Chevy Colorado pickup truck. But one day, as I put some items in the back jumper seats, and proceeded to my destination, upon parking and turning off the engine, a surprising alert message appeared on the dashboard along with a chime that said, “Rear Seat Reminder Look in Rear Seat.” What’s
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ABG Imbalances
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Chest Tube Chamber Bubbling
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Med Pass Principles
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A Nursing Old Wives’ Tale: Effective CPR Always Results In Extensive Rib Fractures
Written by Paul M. Dohse, LPN, ADN, CDP. In nurse training, there is a heavy emphasis on fact-based care or “best practice.” However, once nurses are working the floor, little additional research or study takes place, and seemingly, fact-based care, in many cases, is replaced with opinion, ideology, and in more recent times, politics. Nurses
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Death is NOT Ok
If you are struggling with the death of a loved one, human or pet, please be free. You are not in bondage to “accepting it” or moving on. You are free to never accept it. Don’t worry, the body and mind will adjust and you will adapt through a new homeostasis because part of you
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Solving ABG Imbalances
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Health Promotion Through Life Promotion and the Fallacy of Right to Choose
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Essence
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The Nurse Aide is Central to Holistic Health
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Positive and Negative Baselines in Long-Term Care
Long-term care in America is all but completely broken. This is a result of systemic failure on every level of care. This article is about one of the basics: understanding long-term care patients, usually called long-term care “residents.” Understanding long-term care residents entails the ability to put ourselves in their shoes, otherwise known as “empathy.”
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Senate Bill 131 and Ohio Medication Aides: Whatever Happened to “Safety First”?
The discipline of Ohio Medication Aide (MA-C [Medication Aide-Certified]) was initiated in 2009. Obviously, the creation of the discipline was a concession that nurses in long-term care spend too much time passing medications. If that was true in 2009, it is exceedingly true now; the long-term care nursing discipline is dominated by medication administration,
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Staffing Shortages, Medication Aides, and Maslow’s Hierarchy of Needs
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Nurse Aides: Ground Zero for Increasing Quality of Care and Reducing Healthcare Costs
Traditionally, state-tested nurse aides will perform 10% of what they are trained to do in the field. Again, we have an identity issue afoot. Like everything else in humanity, people will act according to how they perceive themselves. Nurse aides should see themselves as the healthcare foundation, particularly in long-term care. This isn’t a
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Overcoming Depression APA Paper
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How Do We Motivate Others?
How Do We Motivate Others? Motivation comes from within. The premise of motivation, or what drives it, is what we believe about life. Motivation begins with a life purpose driven by what we believe. Hence, in order to motivate others, they must be driven by a belief and purpose that motivates them and has
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Therapeutic Communication: 10 Essential Techniques
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The Pathophysiology of Congestive Heart Failure
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APGAR Presentation of Newborns
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The Nurse Aide Religion
Some decisions in life can be extremely difficult. It is very important that such difficult decisions are carefully thought out before the ultimate decision is made. In some situations, the outcome is never going to feel good. In some of these situations, there will always be regret, but we do not want to add guilt
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Letter to OBN on MA-C Reciprocity
To: Ohio Board of Nursing From: Paul M. Dohse, STNA, MA-C, LPN Subject: MA-C Reciprocity Greetings, I am writing to you regarding the proposal to add 4723-27-11 to the Ohio Administration Code. This letter will state my concerns for the following reasons: MA-C reciprocity will increase staff shortages, medication errors, and will exacerbate the
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Should Aides Split a Unit or Work Together?
Nurse aides in nursing facilities will typically work on long halls with 20-30 residents or in units with two smaller halls. This article is about skilled nursing units, behavioral units, or Dementia units. In most cases, assisted living units would not beg the question as to whether or not two aides should work together on
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Just The Science: N-95 Masks
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The Ohio Medication Aide Dilemma Solved by Asking, “Why?”
The medication aide discipline (MA-C) was initiated in Ohio circa 2009. It is a skilled certification provided by the Ohio Board of Nursing for administering medications in long-term care. However, the utilization of medication aides is only gaining traction of late. LTC facilities in Ohio have stubbornly resisted the use of medication aides. Recently, the