04 August 2007

Mnemonic No. 3: Hypernatremia

"You Are Fried"

F - Fever (low), flushed skin

R - Restless (irritable)

I - Increased fluid retention & increased BP

E - Edema (peripheral and pitting)

D - Decreased urinary output, dry mouth

Can also use this one:

"SALT "

S = Skin flushed

A = Agitation

L = Low-grade fever

T = Thirst

02 August 2007

Mnemonic No.2: Eye Medication

MIOTIC (little word-little pupil) constriction
MYDRIATIC (big WORD-big pupil)
dilation

01 August 2007

Mnemonic No.1: Gluten Free Diet(restricted food)

B arley R ye O ats W heat

12 July 2007

August 23,2007: NCLEX in Manila at last!

http://www.ncsbn.org/ CHICAGO - The National Council of State Boards of Nursing, Inc. (NCSBN) will begin NCLEX testing in Manila, the capital city of the Philippines, at the international Pearson Professional Center on Aug. 23, 2007. Scheduling for examination appointments will begin on July 13, 2007. The Manila site was chosen in February by the NCSBN Board of Directors because of the deep commitment shown by the Philippine government to ensuring a secure test center. The placement of a test site in the Philippines will allow for greater customer service to nurses without compromising the goal of safeguarding the public health, safety and welfare of patients in the U.S. Intended for the purposes of domestic nurse licensure in U.S. states and territories, all security policies and procedures currently used to administer the NCLEX examination domestically will be fully implemented at this new site. Administration of the NCLEX examination abroad does not contradict or circumvent any current board of nursing process or requirement. All international candidates are required to apply to the board of nursing in the state or territory where they wish to be licensed before registering for the NCLEX examination. The NCLEX examination fee for all candidates is $200. Candidates who elect to take the NCLEX at an international site pay an additional $150 when they schedule their examination. State and territorial NCLEX examination fees remain at their current levels and are not being used to subsidize the international testing initiative. Offered abroad since January 2005, the current international sites for NCLEX examinations are in London, England; Hong Kong; Sydney, Australia; Toronto, Montreal, and Vancouver, Canada; Frankfurt, Germany; Mumbai, New Delhi, Hyderabad, Bangalore, and Chennai, India; Mexico City, Mexico; Taipei, Taiwan; and Chiyoda-ku and Yokohama, Japan. The National Council of State Boards of Nursing, Inc. (NCSBN) is a not-for-profit organization whose membership comprises the boards of nursing in the 50 states, the District of Columbia and four U.S. territories.

10 July 2007

يتكلم العربية فقط... (Speaks Arabic Only)

متى ستظل الأمور على ما يرام بالنسبة لي. انا الآن نبحث عن وسائل أخرى لكسب انتظار بلادي الولايات المتحدة تطبيقها. الولايات المتحدة اذا اعتقد حقا بالنسبة لي فانه سيأتي في الوقت المناسب ، في ارادة الله. كنت مرة في المملكه العربية السعودية واتني الناطقه باللغه العربية. لا استطيع ان افهم الكتابة والكتابة لكن بوسعي ان اتكلم قليلا يكفي لفهم بلدي المرضى. وهذه الوظيفة لمجرد اللهو...
Peace be with you! Retrogression is back and I don't know when will things turn out right for me. I am now looking for other means to earn while waiting for my USA application. I guess if USA is really for me then it will come in time, in God's will. I was once in Saudi Arabia and I missed speaking in Arabic. I cannot write and understand the writing but I can speak a little enough for my patients to understand. This post is just for fun...

27 June 2007

Non-cgfns states

Hey, good news!!! MICHIGAN now does not require CGFNS exam! Here is a list of states who does not require CGFNS: (republished) 1. CALIFORNIA 2. ARIZONA 3. OHIO 4. NEW YORK 5. MARYLAND 6. GEORGIA 7. FLORIDA 8. ILLINOIS 9. SOUTH CAROLINA 10. HAWAII 11. NEW MEXICO 12. VERMONT 13. OREGON 14. NEVADA 15. COLORADO 16. KANSAS 17. TEXAS 18. MINNESOTA 19. ARKANSAS 20. NEW JERSEY 21. KENTUCKY and 22. MICHIGAN hope this can help you

23 June 2007

Alli: The First FDA approved OTC diet pills in USA

GlaxoSmithKline the manufacturer of Orlistat recently released a fat-blocking pill called alli (pronounced as al-eye) to the US market. Alli is a lower dosage form of Orlistat or better known with its brand name as Xenical. It is the first FDA approved diet pills in the USA. USA is one of the countries that has an increasing overweight population. Before, diet pills are needed to be purchased with a prescription, but GlaxoSmithKline seen the weight problem of most americans and the arising complications it may bring like hypertension, diabetes mellitus, etc. So they gave the public the power to keep fit and healthy by producing OTC diet drug. Alli is indicated for person over 18 years old. Proper diet and exercise can contribute a lot in getting the desired weight and figure we want, so it is not necessary to depend everything on taking the pill alone. In the Philippines, the BFAD approved lower dosed Xenical is the counterpart of alli. We had it since last year and it sells like hotcake until now, while USA just had alli available recently. We cannot deny that most of us (including myself) considered losing weight as a major task to do with less positive result. There are a lot of ways to lose weight and proven to be working. We know ourselves better than others so choose a diet plan or weight-loss programs that suits you and try working hard to stick to it. Taking diet pill is a great help to lose weight, but having the determination to make it happen is more than the good effect that a diet pills can give us.

18 June 2007

Get your Continuing Education at your Own Home

Here in the Philippines, Nurse Continuing Education Units are no longer required in renewing our local licenses. But in order for a nurse to become fully equipped, one should update themselves. Nowadays, some of us are so busy and does not have enough time to attend seminars. For those of you who wanted to still get the course and have the certificate, there is a website that is right for us. It's RN.COM. This site is an ANCC- accredited (American Nurses Credentialing Center’s {ANCC} Commission on Accreditation). Some of the Boards of Nursing in USA requires their Nurses to take continuing education courses in order to renew their licenses. RN.COM is one of the site that offers the needed courses the nurse should take to maintain their license. And this is also an easy way for foreign nurses to comply the requirement at the comfort of their house. Some of the states that recognizes RN.COM are CALIFORNIA, FLORIDA, WEST VIRGINIA, KENTUCKY, MICHIGAN, NEW YORK, TEXAS and many more.
All you have to do is to create an account and choose the course you want to take. Each course has contact hours indicated and cost ranges from 5 usd to 40 usd . But if you want to have more and pay less, join their "Unlimited Education Club" and you will only pay 31.95 usd per year which you can have an unlimited access to all the courses offered.
Each course will have an examination after you have read the topics. You must get 75% in order to get your certificate. Actually, you can take the exam while opening your notes. No time limit for the exam.
And the best thing is that they are giving FREE course each month and anyone can take it even if you did not purchase anything from them.
Click the link below to see my latest certificate from them.
"Tuberculosis: Cleaning the Air" is this month's free course.
Take the course and get your certificate now!

15 June 2007

Retrogression Lifted Temporarily!

June 14, 2007 Retrogression Solved...temporarily The Department of State (DOS) has released its July Visa Bulletin, making all categories current in the employment based system. The visa bulletin takes effect on July 1st. What does this mean?
For applicants waiting for interviews at the consulate: the foreign national may proceed with the consulate interview after the National Visa Center or the consulate schedules an interview. It is expected that it will take the NVC some time to begin issuing appointment dates, as there are thousands of cases that have stacked up during the period of retrogression.
For applicants with labor certification approvals: the foreign national may proceed with concurrent filing of the I-140 and I-485 applications.
For applicants with approved I-140 petitions: the foreign national may proceed with the I-485 Adjustment of Status or consular interview, depending upon which option the foreign national is choosing. For applicants in the U.S. on temporary status who are eligible to bypass labor certification (e.g. registered nurses, physical therapists, National Interest Waivers, Exceptional Ability Aliens, etc.): the foreign national may proceed with concurrent filing of the I-140 and I-485 applications.
Hammond Law Group clients who are proceeding with I-485 Adjustment of Status should click here: http://www.hammondlawfirm.com/485step_by_step.htm and begin working through the four step process to gather the documents that we need to prepare the I-485 application. Once you have gathered the items listed at Step One and have completed the G-325A at Step Two, please mail all of the items to your HLG attorney and they will immediately begin working on the I-485. You should also indicate if you would like to have Employment Authorization Documents (EADs) and Advance Paroles (APs) filed on your behalf and your families’ behalf. You may want to schedule a time to speak with your HLG attorney to discuss these issues. However, please send the documents immediately. These dates will remain current until at least August 1, 2007. However, USCIS fee increases go into effect on July 30 2007. Therefore, your Hammond Law Group attorney will be working expeditiously to get the cases filed before the fee increases go into effect, subject to cooperation from the foreign national in sending the documents to us timely.
Hammond Law Group

07 June 2007

Nurse AOI: A Japanese TV series

I love watching tv series especially those with medical themes like Nip/Tuck, Scrubs, Grey's Anatomy. I am amazed by some television productions that can convey "almost" true setting with performance of "realistic " medical procedures. Well, the drama of the story came from the patients and the staff around the hospital. In reality, there is always a drama each day in the hospital. I remember before when I was in KSH, I always finished my duty with a great story to tell. Yes, hospital life is an exciting world, full of emotions that surrounds each story that the patients are bringing with them. Each injury has its history, each disease has its battle, each procedure has its struggle. One of the reasons why I love watching these kinds of shows it's because It reminds me of my duty as a nurse...not only to take care of my patient's illness' but to be their advocate, adviser, teacher and most importantly, a friend who can understand their emotions and situations. Here is one great Japanese mini tv series based on the same titled manga. I highly recommend (don't worry, the caption is in good English) "NURSE AOI" (From the character's surname MISORA AOI). I could not understand why they choose this English released title! They could have made it as "NURSE MISORI. It seems weird but the weirdest part is that its title in Japanese version is "Ns' AOI". Anyways... I will introduce to you the main characters of the film: MISORA- the nurse who treated her patient as a family member, very compassionate, emphatic, hardworking, very nice yet, will fight for what she thinks is right, but willingly admits mistakes in case she did one. She was transferred to this worst hospital in their place for some "bad" reason. IZUMIDA- the respectable chief nurse who makes sure that Misora will never do any mistake again. KOMINE- a senior nurse, Misora's preceptor who is responsible for Misora's actions. She is strict, feared by most patients, very unhappy, silent but dedicated to her work. She became Misora's "angel" TAKASUGI- a happy-go-lucky, middle-aged, and one of the few skilled doctors who gave up his life because of his profession. He spends most of his time in the hospital and never talks about his own life. He was the first person who saw Misora's abilities. TADOKORO- the most arrogant, cold blooded senior doctor who thinks first about the hospital's profit rather than his patient's condition. He portrays being nice in front of the patients and their relatives but deep inside he is ruthless and only aims to gain power.
ETO- an intern who lacks of self confidence because he has to live by his father's high reputation as a doctor. Because of his weakness, he was used by Dr. Tadokoro to accomplish his evil plans. But deep inside, Eto has a good heart and righteous but was just unlucky to be in his present position. KITAZAWA- musician, a part time nursing aid who became the only Misora's closest friend. And other very important characters that makes the whole story remarkable. In the story lies the importance of a nurse in every situation, in every doctors' work, in every patients' lives. It shows that sometimes "nurse's way is the best way..." We are the star of this series. Trust me you'll love it!

05 June 2007

Increase in USCIS fees

Effective this July 30, 2007, U.S. Citizenship and Immigration Services (USCIS)will in crease its FILING FEE by an average of 66%. Application for Citizenship (Naturalization) will increase from $400 to $675; I-140 Immigrant Visa Petition from $195 to $ $475; I-130 Petition for Relative $190 to $355; H Visa Application from $190 to $320, among others. So advise your friends or relatives to avail of the current fees now.

01 June 2007

Burn Injury: Management on slides

I transfered some of my review materials on flash. Here is one. And with cool music! Check this out: just click pause if you want to read it further.

26 May 2007

Gluten-free diet for life

Celiac disease is an autoimmune disorder of the small bowel. Some People who are affected by this disorder does not manifest any symptoms at all. Some have the signs and symptoms since childhood, others started to have the manifestations by adulthood. In other words, its effect to people varies a lot. Recognizing celiac disease can be difficult because some of its symptoms are similar to those of other diseases. In fact, sometimes celiac disease is confused with irritable bowel syndrome, iron-deficiency anemia caused by menstrual blood loss, Crohn's disease, diverticulitis, intestinal infections, and chronic fatigue syndrome. As a result, celiac disease is commonly underdiagnosed or misdiagnosed. Although this disease is for life, Diet plays a major part in maintaining a normal life. A gluten-free diet which excludes Barley, Rye, Oat, and Wheat (BROW) can prevent in developing its complication. To know and understand more of this disorder watch this interview with Dr. Peter Green, the director of Celiac Disease Center in Columbia University. This video also shows what food in our daily diet does contains gluten that we even never knew.

21 May 2007

Grab your application forms now!

Vermont, New Mexico, California and New York are just few of the states that foreign nurses like Filipinos mostly apply for NCLEX-RN. I have here the sites where you can download the application forms for these states:
Vermont Board of Nursing read it carefully before you download it. Goodluck! for more of this visit RN STUFF!

How to Apply NCLEX-RN? Click HERE

19 May 2007

Retrogression update from INTERNATIONAL HERALD TRIBUNE

U.S. Senators in bipartisan deal on immigration bill

Senator Edward Kennedy, center, at a news conference in Washington Thursday with, from left, Senators Dianne Feinstein, Mel Martinez, Saxby Chambliss and Johnny Isakson. (Jamie Rose for The New York Times)

WASHINGTON: Senate negotiators from both parties announced Thursday that they had reached agreement on a comprehensive immigration bill that would offer legal status to most of the nation's 12 million illegal immigrants while also toughening border security. If the bill becomes law, it would result in the biggest changes in immigration law and policy in more than 20 years. That would provide President George W. Bush with a political lift and a tangible accomplishment for his second term. It would also be a legislative achievement for the new Democratic leaders in Congress, though they said they would seek changes in the measure. At the heart of the bill is a significant political trade-off. Democrats got a legalization program, which they have sought for many years. Republicans got a new "merit-based system of immigration," intended to make the United States more competitive in a global economy. But the politics of the deal are precarious. Democrats are already trying to tamp down concerns of Hispanic groups, who fear that the bill would make it more difficult for immigrants to bring relatives from abroad. At the same time, Republican negotiators face blistering criticism from some conservatives, who say the bill would grant a virtual amnesty to people who had broken the law. Bush praised the Senate measure, which incorporates many of his ideas, saying, "I really am anxious to sign a comprehensive immigration bill as soon as I possibly can." The bill goes next week to the Senate floor, where negotiators predicted that it would receive overwhelming support. One reason for that optimism was the partnership in evidence at the news conference where the package was announced by 10 senators, including Edward M. Kennedy of Massachusetts, a liberal Democrat, and Jon Kyl of Arizona, a conservative who is chairman of the Senate Republican Conference. Senator John McCain, Republican of Arizona, came off the presidential campaign trail to embrace the compromise, a potentially risky step because the proposal is unpopular with many conservatives, who are expected to play a large role in choosing the party's presidential candidate. The measure's prospects are less clear in the House, which plans to take up immigration in July. Representative Rahm Emanuel of Illinois, chairman of the House Democratic Caucus, said, "Unless the White House produces 60 or 70 Republican votes in the House, it will be difficult to pass an immigration bill similar to the Senate proposal." Representative Xavier Becerra, Democrat of California and a former chairman of the Congressional Hispanic Caucus, said he had grave concerns about the Senate bill. "It's a pretty radical shift to go to an employment-based visa system as opposed to a family system," Becerra said in an interview. "You will continue to have close family members separated from their loved ones because of this policy." The bill includes a temporary-worker program, under which 400,000 to 600,000 foreign workers could be admitted to the country each year. Becerra said the proposal would create "a permanent underclass of imported workers to fill American jobs." The Senate majority leader, Harry Reid of Nevada, offered cautionary words as well, saying: "I have serious concerns about some aspects of this proposal, including the structure of its temporary-worker program and undue limitations on family immigration. We need to improve the bill as it moves through the legislative process." Kennedy has acknowledged that the agreement is not the immigration bill he would have written in another political environment. But on Thursday he said, "The agreement is the best possible chance we will have in years to secure our borders and bring millions of people out of the shadows and into the sunshine of America." Besides creating a path toward legalization for illegal immigrants, the bill would strengthen the border through the addition of more fencing and other security measures and an increase in the number of Border Patrol agents. The deal sets the stage for a rare victory for Bush, who set a goal of establishing a new immigration system at the start of his presidency but saw it stymied by his own party. As the governor of Texas, Bush had seen firsthand the challenges of border security and the lengths to which impoverished Mexicans were willing to go to enter this country illegally. What he depicted as "a rational immigration system" — one that would offer a temporary-worker program and a way for those who have set up working lives here illegally to become citizens — was a major part of his "compassionate conservative" agenda. But the Sept. 11 attacks derailed his plan, and by the time he set out to enact it in his second term conservatives were livid over what they called deplorably inadequate efforts to secure the border. That anger, repeated nightly on talk radio and by the CNN host Lou Dobbs, remains, and is seen within the Republican Party as a motivating force for conservative voters in the next presidential election. soon as the agreement was announced, players on both sides of the immigration issue rolled out their defense and their offense. Tony Snow, the White House press secretary, defended the proposal in a television appearance on "Lou Dobbs Tonight," whose host has become one of the most vocal critics of Bush's immigration policy. Dobbs opened the program by calling the deal an apparent victory for "the pro-illegal-alien lobby." The administration was "hellbent on creating a North American union without the consent of the American people," he said, and the plan could "threaten national sovereignty and security as well." John Sweeney, president of the AFL-CIO, denounced the bill from a different angle, saying it would create "a massive guest worker program." "All workers will suffer because employers will have available a ready pool of labor they can exploit to drive down wages, benefits, health and safety protections and other workplace standards," Sweeney said. Senator Byron Dorgan, Democrat of North Dakota, said he would offer an amendment to eliminate the guest worker program from the bill. Under the merit-based system envisioned in the bill, the government would adopt a point system to evaluate the qualifications of many people seeking permission to immigrate. Points would be awarded for job skills, education and English language proficiency. Negotiators emphasized that foreign-born spouses and minor children of American citizens would continue to receive preference in the allocation of visas. Moreover, they said, family ties would be an advantage in the proposed point system. If two applicants had the same skills and the same educational credentials, but one also had relatives in the United States, that person would receive the visa. The negotiators insisted that the legalization program was different from amnesty because illegal immigrants would have to pay fines and go through background checks. They could work in the United States under probationary status and could receive renewable four-year "Z visas." Heads of households would have to return to their home countries to apply for green cards if they wanted to become lawful permanent residents and then citizens. Many of the presidential candidates reacted cautiously to the agreement. Senator Barack Obama, Democrat of Illinois, said he "did not want to prejudge the deal" before he had an opportunity to study the legislation. Obama said that he favored strengthening border security and creating a pathway to citizenship, but that he was troubled by the temporary-worker system and the proposed point system. "Those two things represent significant changes," Obama said. "Whether they work to stabilize the immigration system and whether they are just and human is something that I'm still concerned about." Senator Hillary Rodham Clinton, Democrat of New York, said she had not had an opportunity to review the proposal. Clinton said she would examine the proposal "to see if it honors our nation's principles and proud immigrant heritage while also respecting the rule of law." John Edwards, another Democratic candidate, said he had concerns about parts of the proposal, including a "poorly conceived guest worker program." Among the major Republican contenders, immigration has been a potentially troubling issue for McCain and Rudolph Giuliani because of their previous stances. Another Republican candidate, Mitt Romney, the former Massachusetts governor, issued a blistering denunciation of the proposal, saying it was "unfair to the millions of people who have applied to legally immigrate to the U.S." Reporting was contributed by Michael Cooper, Michael Luo and Marc Santora from New York, and Jeff Zeleny from Washington.
 
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