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dianah ADN

Cath Lab/Radiology
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dianah has 46 years experience as a ADN and specializes in Cath Lab/Radiology.

CA girl, born in Hawaii, raised in Northern CA, live in So. Cal last 35 yr

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dianah's Latest Activity

  1. dianah

    Pulmonary Nursing

    Overview Pulmonary (or Respiratory Nurses) specialize in caring for patients, from pediatrics to geriatrics, who have acute and/or chronic lung issues. These include (not all-inclusive): ARDS Pneumonia COPD Cystic fibrosis Asthma Pulmonary fibrosis Tuberculosis Lung cancer These conditions may be caused by smoking, genetics, or infections and are some of the most common patient ailments. Pulmonary nurses, while caring for patients with other co-morbidities, have special knowledge and skills for the particular needs of patients with pulmonary conditions. Pulmonary nurses are specially trained to manage and help treat the various effects of these diseases on the lungs. Skills Astute patient assessment Knowledge of respiratory procedures and treatment options Ability to interpret pulmonary diagnostic tests (example, ABGs) Effective patient-teaching methods Practice Settings Acute care settings (ICU, medical-surgical or step-down units) Physician office/clinic Free-standing clinic Research areas Home health or rehabilitation facilities Medical equipment or the pharmaceutical industry Pulmonary Nurses have the option to advance and organize/oversee outpatient Cardiac and Pulmonary Rehabilitation programs. These may include preparing educational programs for inpatients and outpatients as well as guiding patients in progressive exercise programs for post-MI and long-term COPD. Others may lend their expertise to the specialty of Case Management for a pulmonary unit or become a Unit Educator. Education Graduate from an accredited Registered Nurse (RN) nursing program with an Associate Degree in Nursing (ADN), Bachelor of Science in Nursing (BSN), or higher Successfully pass the NCLEX-RN (Registered Nurse) Possess a current, unencumbered RN license in the state of practice In addition, Pulmonary Nurses may attain additional certifications in trach care or working with ventilators. RNs pursuing an advanced practice degree may obtain further education and training with a focus on pulmonary diseases, then become case managers or oversee COPD rehabilitation programs, organizing patient or unit education programs. Associations and Resources The American Thoracic Society (ATS) strives to "improve health worldwide by advancing research, clinical care, and public health in respiratory disease, critical illness, and sleep disorders". The Respiratory Nursing Society and Interprofessional Collaborative (RNSIC) is the "professional association for healthcare providers interested in respiratory health and quality care for those with respiratory disorders". The Association of Respiratory Nurse Specialists (ARNS) was established in 1997 as a nursing forum for the respiratory nursing community. They strive to ensure excellence in practice, influence respiratory health policy and elevate the practice of respiratory nursing care. The American Association of Cardiovascular and Pulmonary Rehabilitation (AACVPR) is a professional association whose members include physicians and nurses, as well as other healthcare colleagues. Their mission: "reduce morbidity, mortality and disability from cardiovascular and pulmonary disease through education, prevention, rehabilitation, research, and disease management. Central to the core mission is improvement in quality of life for patients and their families." This association provides a comprehensive directory of pulmonary rehabilitation resources for pulmonary healthcare colleagues as well as for patients. Certification The AACVPR Certification Commission awards a comprehensive professional certification in cardiac rehabilitation: Certified Cardiac Rehabilitation Professional (CCRP). Eligibility (not all-inclusive) 1,200 clinical hours in Cardiac Rehab (CR)/secondary prevention in Cardiac Rehabilitation Minimum of a Bachelor’s degree or higher in a health-related field from an accredited college or university OR Current, unencumbered Registered Nurse (RN) license in the state of practice The CCRP credential has met the criteria for inclusion by the American Nurses Credentialing Center (ANCC) on their list of certifications included in the Magnet Recognition Program® Demographic Data Collection Tool™ (DDCT). Salary (2020) According to ZipRecruiter, the average annual pay for a Pulmonary Care Registered Nurse in the U.S. is $84,491. According to salary.com, the average salary for the Pulmonary Nurse Practitioner (NP) in the U.S. is $95,361 and ranges between $87,860 and $102,474. As pulmonary conditions are some of the most common patient presentations, the need for skilled and knowledgeable nurses in the area of Pulmonary nursing is expected to remain strong. Choosing a Specialty but not sure which one is best for you? Download Nursing Specialties Guide!
  2. Gastroenterology (GI) Nurses specialize in gastrointestinal issues and diseases of the stomach, esophagus, and bowel. The GI Nurse must possess excellent communication skills, the ability to perform rapid patient assessments, and have good hand-eye coordination skills. Depending on the practice, patients of all ages may be seen and treated for a variety of GI issues. GI Disorders (not all-inclusive) Irritable Bowel Syndrome Cancer Gastroesophageal Reflux Disease (GERD) Diverticulosis Constipation Chron's Disease GI conditions related to stress and depression Food Allergies Rectal bleeding Practice Settings Hospital GI lab Out-patient clinic Research areas/facilities Industry vendors Equipment company Pharmacological company Private office Free-standing clinic Duties Assist during endoscopic procedures Provide pre- and post-op care Administer conscious sedation Monitor and recover patients Patient follow-up; track procedures to include patient satisfaction and outcome Patient and family education regarding treatment and management options Becoming familiar with equipment and techniques used in the GI Lab, as well as cleaning, maintaining, and disinfecting of the equipment, is part of essential duties and responsibilities. Procedures Endoscopies, including treatments for gastric ulcers and duodenal ulcers Colonoscopies Foreign body removal ERCP (endoscopic retrograde cholangio-pancreatography) Gastrostomy tube placement Various treatments for cirrhosis and portal hypertension Sclerotherapy Banding Glue injections Esophageal or duodenal stricture dilation Endoscopic polypectomies Esophageal stenting Advanced Practice Nurses (APRN) such as Clinical Nurse Specialists (CNS) and Nurse Practitioners (NP) may work in the area of Gastroenterology, specializing in research and the management of patients with GI and/or liver diseases. Some NP's have received rigorous education and training in order to perform colonoscopies. Education Graduate from an accredited school of nursing Successfully pass the NCLEX-RN Possess a current, unencumbered Registered Nurse (RN) license in the U.S. state of practice RNs may be hired as Gastroenterology Nurses after a year or two of experience as a Medical/Surgical, ED or ICU nurse. Some departments may hire new graduates although most prefer prior nursing experience. Professional Organizations and Resources American Board of Certification for Gastroenterology Nurses (ABCGN) - "Its purpose is to maintain and improve the knowledge, understanding and skill of nurses in the fields of gastroenterology and gastroenterology endoscopy by developing and administering a certification program". American Gastroenterological Association (AGA) - "Advancing the Science and Practice of Gastroenterology" The Society of Gastroenterology Nurses and Associates (SGNA) is, "a professional organization of nurses and associates dedicated to the safe and effective practice of gastroenterology and endoscopy nursing". Gastroenterology Nursing is the official journal of the SGNA. The American Society for Gastrointestinal Endoscopy (ASGE) provides comprehensive material for Physicians as well as patient-centered resources. Certifications American Board of Certification for Gastroenterology Nurses (ABCGN) The ABCGN offers the Certified Gastroenterology Registered Nurse (CGRN) certification and re-certification examinations. This credential is accredited by the Accreditation Board for Specialty Nursing Certification (ABSNC). Eligibility (not all-inclusive) Employment in clinical, supervisory, administrative, teaching/education or research capacities; minimum 2 years full-time or its part-time equivalent of 4000 hours, within the past 5 years in GI/endoscopy Work experience must be as an RN (I.e., an LPN who has become an RN must have two years experience as an RN prior to sitting for the CGRN designation regardless of the number of years of GI experience as an LPN.) Full-time industry nurses whose focus is at least 40% clinical practice, education, or research are eligible; focus in sales is not accepted Current/unencumbered RN license in the U.S. Advanced Cardiac Life Support (ACLS) is usually required if the GI Nurse is administering conscious sedation. The American Heart Association (AHA) offers ACLS courses for healthcare professionals managing cardiovascular emergencies during specialty procedures. Salary (2020) According to ZipRecruiter, the average annual pay for a Gastroenterology Nurse in the U.S. is $106,624 per year with salaries currently ranging between $80,000 to $120,000 across the U.S. ZipRecruiter also lists the average Gastroenterology NP salary by each U.S. state. As the field of Gastroenterology develops new procedures and techniques, married to technology advances, the need for experienced RN's is expected to increase, making for a favorable job market. The highest areas of growth are projected to be private physician's offices and clinics. Choosing a Specialty but not sure which one is best for you? Download Nursing Specialties Guide!
  3. dianah

    Nurse Massage Therapists

    Overview The worldwide web is brimming with articles about nurses who have combined the two disciplines of nursing and massage therapy into a viable and complementary client-centered practice. Nurse Massage Therapy is a sub-set of Holistic Nursing. It seems to be a perfect marriage for those who are drawn into nursing initially by the desire to help decrease suffering and effect positive changes in patient health and comfort. Nurses can utilize skills of patient assessment in obtaining a history of the client's problem and in formulating a plan of care. Massage therapy involves therapeutic touch and manipulation of muscles and soft tissues of the body. Studies have shown therapeutic massage will positively affect physiologic and chemical changes in the body that can lessen pain (acute or chronic), lower blood pressure, decrease anxiety and help manage stress. It is a physically demanding occupation, and repetitive stress injuries may occur. As massage therapists work by appointment, they may experience a greater sense of control over their lives by being able to schedule their own work hours. Reports indicate a high rate of job satisfaction, using skills that produce positive outcomes. Nurse massage therapists must possess strong interpersonal communication skills, good decision-making in interviewing clients and then choosing techniques for each one's needs and tolerance, good business acumen, physical stamina and strength as well as dexterity. Some may choose to expand their area of influence and undertake teaching in schools of massage therapy. Massage therapists may start their career working part-time, until networking and exposure help them build a steady, word-of-mouth client base. Membership in professional organizations may increase the Nurse's potential for contacts thus increasing the likelihood for steady work. Practice Settings The majority of massage therapists are self-employed. This is a different work environment and focus than most nurses' work environment, that of being employed by a facility (whether hospital, LTC center, outpatient clinic or office). Often, preconceived ideas and deeply-ingrained reluctance to market one's self and skills must be overcome in order to establish a clientele. The following are not all-inclusive work settings. spas fitness centers and health clubs hospitals and nursing homes mobile massage shopping malls client's homes cruise ships independent nurse entrepreneur pain management clinics A Few Specialty Areas aromatherapy pain management nurse coach sports massage stress management therapeutic touch Ensuring Massage Therapy Standards Nurses who practice massage therapy must stay abreast of changes and rules/regulations regarding their practice in order to stay current on legal issues. Nurses have the obligation to review their individual State Boards' Nurse Practice Acts (NPA) to determine if the practice of Nurse Massage Therapy and/or Holistic Nursing is legally approved. If your practice does not fit within the definition and scope of practice for an RN in your state, you may be in violation of the NPA. Example: Texas BON: 15.23 The Use of Complementary Modalities by the LVN or RN The Federation of State Massage Therapy Boards (FSMTB) Ensures that the practice of massage therapy is provided to the public in a safe and effective manner. This entity strives to improve massage therapy education and licensure. The American Holistic Nurses Association (AHNA): Nurse Practice Act (NPA) Analysis Summary December 2019 In 2019, this association conducted a state-by-state analysis of Nurse Practice Acts in U.S. Boards of Nursing (BON) in all 50 states and six jurisdictions, including Washington, DC., that referenced or addressed holistic nursing, holism, and/or complementary alternative modalities or integrative therapies within the scope of practice of licensed Registered Nurses. Education The Licensed Practical/Vocational Nurse and Registered Nurse can legally practice Nurse Massage Therapy as defined by their NPA. Graduate from accredited RN or LPN/LVN nursing program Successfully pass respective NCLEX examinations Current, unencumbered RN or LPN/LVN license in U.S. state of practice NOTE: Standards and requirements vary by state and locality. Exams, Certificate Programs, Certifications (not all-inclusive) Nurse Massage Therapists may be either licensed or board-certified. Local ordinances may require a business license as well as massage therapy license or certification. Passing a state exam may be required for licensure or one may apply to take nationally recognized tests. Massage and Bodywork Licensing Exam (MBLEx) from the Federation of State Massage Therapy Boards (FSMTB) American Massage Therapy Association (AMTA) Sports Massage Specialty Certificate Program Certification Exam for Therapeutic Massage and Bodywork, through the National Certification Board for Therapeutic Massage and Bodywork (NCBTMB) The American Holistic Nurses Credentialing Corporation (AHNCC) offers the Holistic Nurse and Nurse Coach certification. Salary (2019-2020) According to the U.S. Bureau of Labor Statistics (BLS), the median annual wage for massage therapists is $42,820. According to PayScale, the hourly rate for a board-certified holistic RN is $37.65. Job Outlook According to the U.S. Bureau of Labor Statistics (BLS), the need for massage therapists is projected to increase by 21% through 2019-2029. Choosing a Specialty but not sure which one is best for you? Download Nursing Specialties Guide!
  4. Brings me back to over 40 years ago. Working evening shift on Christmas in a small hospital, received a new admit from ER: post-CVA. Patient was an elderly woman, non-responsive, with stertorous breathing. Maintenance IV. No meds. Clearly sent to us as end-stage. No family. Had no idea what language she spoke. All I could do was monitor her VS as ordered, and watch as her life's flame slowly dimmed. As often as I could, I sat beside the bed, touched her arm, and murmured "Mama." Figured those would be the only things she might sense. I left at the end of my shift, and when I returned the next day she was no longer there. Thank you for your writing and your influence, spotangel.
  5. dianah

    Travel Wish List

    Wonderful list, Karen!!
  6. dianah

    Travel Wish List

    I have many wishes, but probably the most un-attainable is a cruise round the world. How exciting to put in at various ports! Gosh, I would never have the time or money for this, but it sure would be fun! I would love to see London and countryside of England, Scotland, Wales, and/or Ireland. Edinburgh. Greece. Italy. Belgium. I'm sure I could locate a few more, given time. What is on your travel wish list?
  7. dianah

    Can someone PLEASE help with my son?

    What a huge, daunting challenge! Involves many adjustments and changes for you AND for him. I have no direct experience to help, but found a few sites online that hopefully will start the ball rolling (a couple are focused on methods and resources in Korea): https://www.caregiver.org/traumatic-brain-injury https://korea.stripes.com/tags/tbi https://mediglobus.com/clinics/country-korea/diseases-rehabilitation-after-traumatic-brain-injury/ https://msktc.org/tbi/factsheets/Understanding-TBI/The-Recovery-Process-For-Traumatic-Brain-Injury Have no idea what resources are available in Korea, or if your son was in the military and the TBI was related to military duties (if so, he should be eligible for assist through the military medical network?). I wish you both the best.
  8. dianah

    Nurses with Unusual Diets

    Moved to Breakroom area
  9. dianah

    Midwestern State University Spring 2021

    There are two approved ways of creating a special area for your cohort on this site. One: create a facebook page. This link may be posted. Two: create a "club" for your cohort by clicking on the Breakroom link in the yellow bar to the left of this page. Then click on “Create A New Club” in the green bar at the top of the page, and follow instructions. References to other than these two avenues will be moved from view, to comply with the Terms of Service. Thank you.
  10. dianah

    MS assessment

    Moved to Nursing Student Assistance area.
  11. dianah

    Italian nursing degree

    This is just a reminder, per the Terms of Service : please post in English only. Thank you!
  12. dianah

    Merry Christmas from allnurses

    I thought your name was GrumpyRN? Hello Bonnie! 😄 😄 I would love to visit Scotland some day...
  13. dianah

    Thanks for the invite!

    Tea for me! Black tea, with stevia, creamer, cinnamon, ginger, allspice, cloves, and vanilla! LOL! Yes, I can drink plain black tea too (but I choose not to)! 😄
  14. Please comment to the subject of the thread only, and refrain from off-topic jibes and conversation. Several posts have been removed or edited to comply with the Terms of Service. If you feel a post violates the TOS, please report that post rather than engaging the member. Thank you.
  15. dianah

    ATI Comprehensive RN 2019

    Posts edited to comply with the Terms of Service.
  16. dianah

    HCC Coleman Spring 2021

    Hello! There are two approved ways of creating a special area for your cohort on this site. One: create a facebook page. This link may be posted. Two: create a "club" for your cohort by clicking on the Breakroom link in the yellow bar to the left of this page. Then click on “Create A New Club” in the green bar at the top of the page, and follow instructions. References to other than these two avenues will be moved from view, to comply with the Terms of Service. Thank you.