Nursing

Given the current state of the economy, many businesses are looking for ways to reduce costs without adversely affecting their service capabilities or their operational effectiveness. When faced with such a task, companies often look to the inherent benefits afforded to them from video conferencing. Whether it’s the multinational corporation with offices around the world and with employees in different time zones, or the company that wants to reduce travel costs but still remain within reach of their customers, there are a number of inherent benefits from video conferencing that allow businesses to do both and more. Video conferencing not only saves on travel costs, but also helps companies become more efficient by being able to work on time critical projects and effect immediate changes. Business success today is measured by speed. Being able to reduce a company’s day to day operating costs while improving efficiency and eliminating redundant work process, is possible. With video conferencing it’s quickly becoming a reality. It amounts to speeding up the time it takes to make decisions. In order to better explain its benefits, here are some additional points to consider.

Every company wants to reduce travel expenses but still benefit from face time with customers. Well, it’s a possibility with video conferencing. In fact, video conferencing not only reduces travel costs, but drastically reduces the incidence of customer being unable to meet because of emergencies. Being out of the office is a direct cost to the company. The hope is that these visits will provide solid returns in additional sales. However, when sales executives travel to visit customers and are unable to meet because of issues beyond the customer’s control, it’s quickly classified as a complete loss. It’s a loss measured by the cost of the plane ticket, the hotel and the time away from the office.

The benefit of video conferencing is that it allows everyone to become active participants in corporate presentations and meetings. Being able to view the changes as they occur is a direct savings in time and in operational effectiveness. Whether it’s conversing with customers, or going over corporate budgets and strategic planning initiatives, video conferencing allows everyone to become actively involved.

Video conferencing is lending itself well to today’s constantly changing business environment. Shortening the time it takes to meet with customers and close deals is one benefit. Other benefits include shortening the time needed to make decisions and improving on a company’s ability to work internally.

This is an Oklahoma bill and I live in Texas.

Today Nurse Practitioners (NPs) in OK must be tied to a doctor by contract. This bill would eliminate that requirement. Thus, they could/would have standalone/independent practices.

I'm unable to find a balanced discussion of the advantages and disadvantages of this, but as I understand it NPs want this freedom and feel qualified to practice medicine independently. Naturally they would.

Doctors have much more medical training than NPs. I don't understand the extent a doctors exercises oversight/monitoring over an NP associated with him/her. To me, this is the critical issue. If doctors exercise a great deal of oversight I would think the current arrangement better for patients. If on the other hand, if doctors exercise little to no oversight over their NP. This would free NPs from a useless and expensive constraint.

If you are planning to go through such an intensive program of study, I would think you would want to become a nurse. Maybe I miss understood your question, and you would like to know what the nature of the work is in nursing. Read the following.

The following is written by and according to the U.S. Department of Labor and particular to the nature of work for nurses. Registered nurses (RNs), regardless of specialty or work setting, treat patients, educate patients and the public about various medical conditions, and provide advice and emotional support to patients' family members. RNs record patients' medical histories and symptoms, help perform diagnostic tests and analyze results, operate medical machinery, administer treatment and medications, and help with patient follow-up and rehabilitation. RNs teach patients and their families how to manage their illness or injury, explaining post-treatment home care needs; diet, nutrition, and exercise programs; and self-administration of medication and physical therapy. Some RNs work to promote general health by educating the public on warning signs and symptoms of disease. RNs also might run general health screening or immunization clinics, blood drives, and public seminars on various conditions. When caring for patients, RNs establish a plan of care or contribute to an existing plan. Plans may include numerous activities, such as administering medication, including careful checking of dosages and avoiding interactions; starting, maintaining, and discontinuing intravenous (IV) lines for fluid, medication, blood, and blood products; administering therapies and treatments; observing the patient and recording those observations; and consulting with physicians and other health care clinicians. Some RNs provide direction to licensed practical nurses and nursing aids regarding patient care. RNs with advanced educational preparation and training may perform diagnostic and therapeutic procedures and may have prescriptive authority. RNs can specialize in one or more areas of patient care. There generally are four ways to specialize. RNs can choose a particular work setting or type of treatment, such as perioperative nurses, who work in operating rooms and assist surgeons. RNs also may choose to specialize in specific health conditions, as do diabetes management nurses, who assist patients to manage diabetes. Other RNs specialize in working with one or more organs or body system types, such as dermatology nurses, who work with patients who have skin disorders. RNs also can choose to work with a well-defined population, such as geriatric nurses, who work with the elderly. Some RNs may combine specialties. For example, pediatric oncology nurses deal with children and adolescents who have cancer. There are many options for RNs who specialize in a work setting or type of treatment. Ambulatory care nurses provide preventive care and treat patients with a variety of illnesses and injuries in physicians' offices or in clinics. Some ambulatory care nurses are involved in telehealth, providing care and advice through electronic communications media such as videoconferencing, the Internet, or by telephone. Critical care nurses provide care to patients with serious, complex, and acute illnesses or injuries that require very close monitoring and extensive medication protocols and therapies. Critical care nurses often work in critical or intensive care hospital units. Emergency, or trauma, nurses work in hospital or stand-alone emergency departments, providing initial assessments and care for patients with life-threatening conditions. Some emergency nurses may become qualified to serve as transport nurses, who provide medical care to patients who are transported by helicopter or airplane to the nearest medical facility. Holistic nurses provide care such as acupuncture, massage and aroma therapy, and biofeedback, which are meant to treat patients' mental and spiritual health in addition to their physical health. Home health care nurses provide at-home nursing care for patients, often as follow-up care after discharge from a hospital or from a rehabilitation, long-term care, or skilled nursing facility. Hospice and palliative care nursesprovide care, most often in home or hospice settings, focused on maintaining quality of life for terminally ill patients. Infusion nurses administer medications, fluids, and blood to patients through injections into patients' veins. Long- term care nurses provide health care services on a recurring basis to patients with chronic physical or mental disorders, often in long-term care or skilled nursing facilities. Medical-surgical nurses provide health promotion and basic medical care to patients with various medical and surgical diagnoses. Occupational health nurses seek to prevent job-related injuries and illnesses, provide monitoring and emergency care services, and help employers implement health and safety standards. Perianesthesia nurses provide preoperative and postoperative care to patients undergoing anesthesia during surgery or other procedure. Perioperative nurses assist surgeons by selecting and handling instruments, controlling bleeding, and suturing incisions. Some of these nurses also can specialize in plastic and reconstructive surgery. Psychiatric-mental health nursestreat patients with personality and mood disorders. Radiology nurses provide care to patients undergoing diagnostic radiation procedures such as ultrasounds, magnetic resonance imaging, and radiation therapy for oncology diagnoses. Rehabilitation nurses care for patients with temporary and permanent disabilities. Transplant nurses care for both transplant recipients and living donors and monitor signs of organ rejection. RNs specializing in a particular disease, ailment, or health care condition are employed in virtually all work settings, including physicians' offices, outpatient treatment facilities, home health care agencies, and hospitals. Addictions nurses care for patients seeking help with alcohol, drug, tobacco, and other addictions. Intellectual and developmental disabilities nurses provide care for patients with physical, mental, or behavioral disabilities; care may include help with feeding, controlling bodily functions, sitting or standing independently, and speaking or other communication. Diabetes management nurses help diabetics to manage their disease by teaching them proper nutrition and showing them how to test blood sugar levels and administer insulin injections. Genetics nurses provide early detection screenings, counseling, and treatment of patients with genetic disorders, including cystic fibrosis and Huntington's disease. HIV/AIDS nurses care for patients diagnosed with HIV and AIDS. Oncology nurses care for patients with various types of cancer and may assist in the administration of radiation and chemotherapies and follow-up monitoring. Wound, ostomy, and continence nurses treat patients with wounds caused by traumatic injury, ulcers, or arterial disease; provide postoperative care for patients with openings that allow for alternative methods of bodily waste elimination; and treat patients with urinary and fecal incontinence. RNs specializing in treatment of a particular organ or body system usually are employed in hospital specialty or critical care units, specialty clinics, and outpatient care facilities. Cardiovascular nurses treat patients with coronary heart disease and those who have had heart surgery, providing services such as postoperative rehabilitation. Dermatology nurses treat patients with disorders of the skin, such as skin cancer and psoriasis. Gastroenterology nurses treat patients with digestive and intestinal disorders, including ulcers, acid reflux disease, and abdominal bleeding. Some nurses in this field also assist in specialized procedures such as endoscopies, which look inside the gastrointestinal tract using a tube equipped with a light and a camera that can capture images of diseased tissue. Gynecology nurses provide care to women with disorders of the reproductive system, including endometriosis, cancer, and sexually transmitted diseases. Nephrology nursescare for patients with kidney disease caused by diabetes, hypertension, or substance abuse. Neuroscience nurses care for patients with dysfunctions of the nervous system, including brain and spinal cord injuries and seizures. Ophthalmic nurses provide care to patients with disorders of the eyes, including blindness and glaucoma, and to patients undergoing eye surgery. Orthopedic nurses care for patients with muscular and skeletal problems, including arthritis, bone fractures, and muscular dystrophy. Otorhinolaryngology nurses care for patients with ear, nose, and throat disorders, such as cleft palates, allergies, and sinus disorders. Respiratory nursesprovide care to patients with respiratory disorders such as asthma, tuberculosis, and cystic fibrosis. Urology nurses care for patients with disorders of the kidneys, urinary tract, and male reproductive organs, including infections, kidney and bladder stones, and cancers. RNs who specialize by population provide preventive and acute care in all health care settings to the segment of the population in which they specialize, including newborns (neonatology), children and adolescents (pediatrics), adults, and the elderly (gerontology or geriatrics). RNs also may provide basic health care to patients outside of health care settings in such venues as including correctional facilities, schools, summer camps, and the military. Some RNs travel around the United States and abroad providing care to patients in areas with shortages of health care workers. Most RNs work as staff nurses as members of a team providing critical health care . However, some RNs choose to become advanced practice nurses, who work independently or in collaboration with physicians, and may focus on the provision of primary care services. Clinical nurse specialists provide direct patient care and expert consultations in one of many nursing specialties, such as psychiatric-mental health. Nurse anesthetists provide anesthesia and related care before and after surgical, therapeutic, diagnostic and obstetrical procedures. They also provide pain management and emergency services, such as airway management. Nurse-midwives provide primary care to women, including gynecological exams, family planning advice, prenatal care, assistance in labor and delivery, and neonatal care. Nurse practitioners serve as primary and specialty care providers, providing a blend of nursing and health care services to patients and families. The most common specialty areas for nurse practitioners are family practice, adult practice, women's health, pediatrics, acute care, and geriatrics. However, there are a variety of other specialties that nurse practitioners can choose, including neonatology and mental health. Advanced practice nurses can prescribe medications in all States and in the District of Columbia. Some nurses have jobs that require little or no direct patient care, but still require an active RN license. Case managers ensure that all of the medical needs of patients with severe injuries and severe or chronic illnesses are met. Forensics nurses participate in the scientific investigation and treatment of abuse victims, violence, criminal activity, and traumatic accident. Infection control nurses identify, track, and control infectious outbreaks in health care facilities and develop programs for outbreak prevention and response to biological terrorism. Legal nurse consultants assist lawyers in medical cases by interviewing patients and witnesses, organizing medical records, determining damages and costs, locating evidence, and educating lawyers about medical issues. Nurse administrators supervise nursing staff, establish work schedules and budgets, maintain medical supply inventories, and manage resources to ensure high-quality care. Nurse educators plan, develop, implement, and evaluate educational programs and curricula for the professional development of student nurses and RNs. Nurse informaticists manage and communicate nursing data and information to improve decision making by consumers, patients, nurses, and other health care providers. RNs also may work as health care consultants, public policy advisors, pharmaceutical and medical supply researchers and salespersons, and medical writers and editors. Work environment. Most RNs work in well-lighted, comfortable health care facilities. Home health and public health nurses travel to patients' homes, schools, community centers, and other sites. RNs may spend considerable time walking, bending, stretching, and standing. Patients in hospitals and nursing care facilities require 24-hour care; consequently, nurses in these institutions may work nights, weekends, and holidays. RNs also may be on call-available to work on short notice. Nurses who work in offices, schools, and other settings that do not provide 24-hour care are more likely to work regular business hours. About 21 percent of RNs worked part time in 2006, and 7 percent held more than one job. Nursing has its hazards, especially in hospitals, nursing care facilities, and clinics, where nurses may be in close contact with individuals who have infectious diseases and with toxic, harmful, or potentially hazardous compounds, solutions, and medications. RNs must observe rigid, standardized guidelines to guard against disease and other dangers, such as those posed by radiation, accidental needle sticks, chemicals used to sterilize instruments, and anesthetics. In addition, they are vulnerable to back injury when moving patients, shocks from electrical equipment, and hazards posed by compressed gases. RNs also may suffer emotional strain from caring for patients suffering unrelieved intense pain, close personal contact with patients' families, the need to make critical decisions, and ethical dilemmas and concerns. For the source and more detailed information concerning your request, click on the related links section (U.S. Department of Labor) indicated at the bottom of this answer box.

No it does not. The campus in Alexandria does offer a registered nurse associate and bachelor degree.

For the source and more detailed information concerning your request, click on the related links section (College Board) indicated directly below this answer section.

The nurse would use the charting protocol preferred by her/his employer. The following should be assessed and charted:

• location of pain
• quality of pain in patient's words - ex. "pounding", "throbbing", "aching"
• pain rating on scale of 1 to 10
• assessment/appearance of toe
• skin temp abnormalities
• heat, redness, swelling, etc.
• assessment of toe nail
• ROM of joint - normal or how is it abnormal, ex. "Patient states he cannot bend the joint."
• appearance of foot and ankle
• nursing actions - ex. gave medication as ordered by physician- what, how much, when.
• nursing action - called physician

The following is written by and according to the U.S. Department of Labor and particular nursing specialties.

Some specialties in nursing are as follows.

Ambulatory care nurses

Critical care nurses

Emergency, or trauma, nurses

Transport nurses

Holistic nurses

Hospice and palliative care nurses

Infusion nurses

Long- term care nurses

Medical-surgical nurses

Occupational health nurses

Perianesthesia nurses

Perioperative nurses

Psychiatric-mental health nurses

Radiology nurses

Transplant nurses

Intellectual and developmental disabilities nurses

Diabetes management nurses

HIV/AIDS nurses

Oncology nurses

Wound, ostomy, and continence nurses

Cardiovascular nurses

Dermatology nurses

Gastroenterology nurses

Gynecology nurses

Nephrology nurses

Neuroscience nurses

Ophthalmic nurses

Orthopedic nurses

Otorhinolaryngology nurses

Respiratory nurses

Urology nurses

neonatal nurses

Nurse practitioners (minimum requirement of a master's degree)

Forensics nurses

Infection control nurses

Nurse administrators

Legal nurse

Nurse informaticists

Registered nurses (RNs), regardless of specialty or work setting, treat patients, educate patients and the public about various medical conditions, and provide advice and emotional support to patients' family members. RNs record patients' medical histories and symptoms, help perform diagnostic tests and analyze results, operate medical machinery, administer treatment and medications, and help with patient follow-up and rehabilitation.

For the source and more detailed information concerning your request, click on the related links section (U.S. Department of Labor) indicated at the bottom of this answer box.