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admin 28.04.2016

Adult health care is a complex and sophisticated area of specialization, but there's one kind of nurse who can meet it head on and come back the next day for more. In my opinion, the nursing profession is at a very critical juncture that mirrors challenges faced by doctors at the turn of the 20th century.
Be sure you don't give your child two over-the-counter medicines with the same active ingredients. Over the past several years, various schools of thought have struggled to define the profession of nursing. Learn how to safely give over-the-counter (OTC) medicines if needed to ease a fever, runny nose, sore throat, or other common cold symptoms.
Call if your child is younger than 12 months and you think he has the flu, or if he is not drinking or urinating enough. Several studies have shown that these OTC medicines don't actually help symptoms in children so young. So, it's OK to give one multi-symptom over-the-counter medicine -- as long as it fits your child's symptoms. For example, many cold medicines for kids contain acetaminophen -- which is the same as Tylenol.
If that means skipping a dose of over-the-counter medicine, don't worry -- you can give her the next dose when she wakes up, or wait until morning. If your child vomits up his medicine or spits some of it out, you may be tempted to give another dose. You'll just be guessing at the right dose, and some medicines are formulated differently for children. Though it was long thought of as a step toward a real specialty, today we rightly see medical-surgical nursing as a separate area of concentration, all by itself.
The time may be ripe for an in-depth, objective research project such as the Flexner Study, which gave rise to our modern day, standardized curriculum for medical schools and licensure for physicians. To avoid over-medicating your child, read and follow the directions, use the measuring device that is packaged with the medication, and don't choose products that treat symptoms your child doesn't have.
In the same way, a cough medication may also contain other ingredients to treat congestion. If your child has been taking an OTC medicine for more than three days, she should see her doctor.
If your child's over-the-counter medicine came with its own cup or spoon, be sure to use it. But you can't be sure how much of the OTC medicine your child actually swallowed, and giving another full dose risks giving too much. Use only products that are labeled for use in babies, infants, or children ("for pediatric use").
It is intended for general informational purposes only and does not address individual circumstances.
These nurses have their own professional organization, their own certification and their own identity.
The commissioning of such a study could be used to weave all the disparate ideas regarding the nursing profession into one approach used at all nursing schools nationwide. For kids 6 and older, hard candy or over-the-counter lozenges with anesthetic can help reduce pain. For instance, don't choose a multi-symptom cold medicine or cough medicine for only a sore throat. What if there is no measuring device with the medication and the label says to give a dose of 2 teaspoons?

It is not a substitute for professional medical advice, diagnosis or treatment and should not be relied on to make decisions about your health. It poses a risk of Reye's syndrome, a rare but serious illness that affects the liver and brain.
Call the doctor immediately or go to the emergency room if your infant has dry diapers, a dry mouth or tongue, or is not feeding well. But go to the emergency room if your child has trouble breathing, is acting very sick, refuses to eat or drink, has a rash, or you are concerned. Other home remedies to try: Inhaled steam from a hot shower or a cool mist vaporizer may help a stuffy nose. Compare ingredients in the 'Drug Facts' box so you don't risk giving your child an overdose. If your child hates the taste of the medicine, ask your pharmacist if you can mix it with a favorite food or drink. Never ignore professional medical advice in seeking treatment because of something you have read on the WebMD Site. Prior to 1910, anyone who wanted to be a doctor could accomplish their goal by applying to an obliging medical school and, in some cases, literally purchasing a diploma. For an older child, call the doctor if he appears dehydrated, is not urinating enough, is not drinking well, or is not acting normally.
For a while she taught in a baccalaureate program, but, as many point out, the money is not even close to what hospital nursing pays.
In the early 1900s, high school principal Abraham Flexner wrote a report on the status of higher education in the United States and was later chosen by the Carnegie Foundation to do a study on the status of medical schools.
His report is credited, for good and bad, with the state of modern-day physician education in this country.The Flexner report developed a comprehensive roadmap for curriculum, state licensure, public health, scientific research and public hospitals. Now her role, which includes education, consultation and administration, brings her back to the acute care bedside, which is where 82 percent of the AMSN membership practices.According to Singleton, you will find med-surg nurses anywhere adults seek care.
Though controversial in some corners, his work allows medical schools to produce a continuous stream of generally well-qualified physicians—a system that is often the envy of the world.What good might come of such a study in the field of nursing? They care for patients with acute conditions and chronic illness, often at the same time, in the same patient. There are those who would see both of these suggestions as a bit heretical since many feel that nursing education needs to be somehow tailored to fit each community or state’s specific core values.
And because they deal in episodic events and chronic conditions, they always forge new relationships with their patients.On any given day, a medical-surgical nurse must be in command of the top five or six interventions for up to 10 different conditions.
Such a nurse also represents the core of nurses who work in health and wellness spheres — parish, office and clinic nurses, for example.What makes these nurses special?
Most of them can care for patients across many age levels (centenarians are no longer rarities), with different degrees of acuity, and with a huge variety of disease categories. They often spend their days managing the care for five to seven patients; they also routinely add new patients and discharge recovered ones throughout the day. We must pay the commissioners for their work; this should not be a volunteer or loaned position.
My rationale for this is simple: if the commission was comprised solely of volunteers they would have to either self-fund all their work expenses or find someone to support them financially, such as their employer or organization. The first optiion would limit participation to a small handful of experts who are independently wealthy. Each graduate needs some sort of mentoring, preceptorship, residency or internship.Think about it, she said. Far too often, a student drops out and that seat remains vacant for the remainder of the semester or year.

A standardized educational curriculum also provides for an easier transfer of faculty from campus to campus, university to university.It is my hope that the commission would be charged with helping to develop a flexible nursing career ladder, and to designate which nursing degree preparation is appropriate for entry-level, intensive care, and advanced practice.
By developing a sound career ladder, I believe more nurses would pursue additional nursing educational degrees, thus expanding their knowledge and skills, which in turn would benefits patients. Telemetry, once seen only in critical care units, is now part of routine medical-surgical care.
In the past six years, 10,000 nurses have qualified for the designation CMSRN, granted by AMSN. When was the last time you met an enlisted person who was a private for his or her entire military career? Singleton notes that as more and more hospitals strive for Magnet certification, and as they try to quantify professional skill sets for public disclosure, the demand for certified nurses will surely increase.Certification as a medical-surgical nurse can come from several sources.
Clavreul RN, PhD, is a healthcare management consultant who has experience as a director of nursing and as a teacher of nursing management. It is granted after the nurse has documented two years of experience and 2,000 hours in medical-surgical nursing care. Another part of the certification process is the test, administered year-round via computer. On occasion, certification is possible without retaking the test if the nurse earned a different certification from another organization.The American Nurses Credentialing Center also provides validation through its program leading to an RN-BC. After all, it takes a while to add up those hours and to get the requisite two years' experience. Since graduation she has worked on a neurosurgical floor that has a large group of patients with recent laminectomies.
The staff also sees a considerable number of patients with cerebrovascular events.What she loves about this unit and this job is the tremendous variety and varying acuity of the patient mix. On any given day, Padilla may have two to three different attendants helping her with specific patients, but the primary responsibility is hers.
Education of the attendants and the patients is very important; often, too, it is the spontaneous, on-the-spot instruction that all nurses must master.
Or it can be a more formal type of teaching involving written protocols like discharge instructions.
Delegation and supervision of attendants is essential, even for a new graduate.Her orientation was fairly typical of new grads in medical-surgical nursing. She was assigned a preceptor and a small number of patients until she felt able to handle a normal patient load.
Today, her resources for advice and help with clinical problems are fellow staff nurses, the unit manager and the clinical supervisor.Does she have another kind of nursing in mind for the future? You’ll master skills that you will use throughout your nursing career, including leadership, organization, time management and, not least, all the nitty-gritty nursing procedures you could ever think to use. You will be able to take those skills to almost any facility at any time and get a good job.
And each day you go to work, you will know you have the chance to make someone feel better.

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