Medical errors are one of the nation's leading causes of death and injury. A report by the Institute of Medicine estimates that as many as 98,000 people die in U.S. hospitals each year as the result of medical errors.
Government agencies, purchasers of group health care, physicians and other health care providers are working together to make the U.S. health care system safer.
How can I help protect myself against medical errors?
The single most important way you can help to prevent errors is to be an active member of your health care team. That means taking part in every decision about your health care. Research shows that patients who are more involved with their care tend to get better results.
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Keep your health care team informed.
Make sure that all of your doctors know about everything you are taking. This includes prescription and over-the-counter medicines, and dietary supplements such as vitamins and herbs. At least once a year, bring all of your medicines and supplements with you to your doctor.
Make sure your doctor knows about any allergies and adverse reactions you have had to medicines. This can help you avoid getting a medicine that can harm you.
Make sure that all health professionals involved in your care have important health information about you. Do not assume that everyone knows everything they need to.
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Ask to get information about your medicines in terms you can understand.
Ask for this information both when your medicines are prescribed and when you receive them. See the box below for a list of questions you should ask about your prescription.
Ask for written information about the side effects your medicine could cause. If you know what might happen, you will be better prepared. That way, you can report the problem right away, especially if something unexpected happens, and you can get help before it gets worse.
When your doctor writes you a prescription, make sure you can read it. If you can't read your doctor's handwriting, your pharmacist might not be able to either.
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Questions to ask about your medicines
What is the medicine for?
How am I supposed to take it, and for how long?
What side effects are likely? What do I do if they occur?
Is this medicine safe to take with other medicines (both prescription and over-the-counter) or dietary supplements I am taking?
What food, drink or activities should I avoid while taking this medicine?
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Talk to your pharmacist.
When you pick up your medicine from the pharmacy, ask whether it is the medicine that your doctor prescribed. A study by the Massachusetts College of Pharmacy and Allied Health Sciences found that 88 percent of medicine errors involved the wrong drug or the wrong dose.
If you have any questions about the directions on your medicine labels, ask. Medicine labels can be hard to understand. For example, ask if "four doses daily" means taking a dose every 6 hours around the clock or just during regular waking hours.
Ask your pharmacist for the best device to measure your liquid medicine. Also, ask questions if you're not sure how to use it. Research shows that many people do not understand the right way to measure liquid medicines. For example, many use household teaspoons, which often do not hold a true teaspoon of liquid.
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In the hospital
If you have a choice, choose a hospital at which many patients have the procedure or surgery you need. Research shows that patients tend to have better results when they are treated in hospitals that have a great deal of experience with their condition.
If you are in a hospital, consider asking all health care workers who have direct contact with you whether they have washed their hands. Handwashing is an important way to prevent the spread of infections in hospitals.
When you are being discharged from the hospital, ask your doctor to explain the treatment plan you will use at home. This includes learning about your medicines and finding out when you can get back to your regular activities. Research shows that at discharge time, doctors think their patients understand more than they really do about what they should or should not do when they return home.
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Before surgery
If you are having surgery, make sure that you, your doctor and your surgeon all agree and are clear on exactly what will be done. Doing surgery at the wrong site (for example, operating on the left knee instead of the right) is rare. But even once is too often. The good news is that wrong-site surgery is 100 percent preventable. The American Academy of Orthopaedic Surgeons urges surgeons to sign their initials directly on the site to be operated on before the surgery.
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Take responsibility for your health care.
Speak up if you have questions or concerns. You have a right to question anyone who is involved with your care.
Make sure that someone, such as your personal doctor, is in charge of your care. This is especially important if you have many health problems or are in a hospital.
Ask a family member or friend to be there with you and to be your advocate (someone who can help get things done and speak up for you if you can't). Even if you think you don't need help now, you might need it later.
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Learn more about your condition and the tests and treatments recommended by your doctor.
Know that "more" is not always better. It is a good idea to find out why a test or treatment is needed and how it can help you. You could be better off without it.
If you have a test, don't assume that no news is good news. Ask about the results.
Ask your doctor and nurse and use other reliable sources to get more information about your condition and treatments. For example, treatment recommendations based on the latest scientific evidence are available from the National Guidelines Clearinghouse. Ask your doctor if your treatment is based on the latest evidence.
Tuesday, July 5, 2011
Saturday, March 5, 2011
Saturday, February 19, 2011
TOP 10 NURSE EXAMINEES ( DECEMBER 2010 )
Following are the top 10 nursing board examinees:
1. Weanne Myrrh Razon Estrada, Adventist University Of The Philippines: 88.40%
2. Mary Grace Bermudez Rallo, Central Luzon Doctor's Hospital Educational Institution: 86.80%
3. Maria Kristina Pamintuan Bicas, Saint Louis University: 86.60%
4. Vanessa Garma Elumbaring, Saint Mary's College-Tagum: 86.40%
Kimberly Medina Malubago Southern Luzon State University-Lucban (SLPC): 86.40%
5. Jessa Lorraine Dejan Andalan, Xavier University: 86.20%
6. Yugie Caroline Murillo Demegillo, Iloilo Doctors' College: 86.00%
7. Hanako Sasaki Aranilla, First Asia Institute Of Technology & Humanities: 85.80%
Teena Marie Junio Pascua Saint Mary's University: 85.80%
Nonah Vee Cornelio Sareno Davao Doctors College, Inc.: 85.80%
Elnathan Samson Subardiaga Universidad De Zamboanga (For.Zaec) 85.80%
Karl Marie Sta Ana Tuvilla University Of Negros Occidental-Recoletos 85.80%
8. Karl Gabriel Alferi Bonifacio, Colegio De San Agustin-Bacolod City: 85.60%
Dennis Gonzales Duran Pamantasan Ng Lungsod Ng Maynila: 85.60%
Bernadette Lumibao Guevarra Cotabato Medical Foundation College: 85.60%
Criselle Lyn Guerrero Li Father Saturnino Urios University (Urios Coll): 85.60%
Vincent Jubelag Sumergido West Visayas State University-La Paz: 85.60%
9. Jacquiline Jane Banzuela De Jesus, Arellano University-Pasig: 85.40%
Rizyl Jem Franco Japitana, Colegio De San Agustin-Bacolod City: 85.40%
Christine Jannie Paez Rivera, Pamantasan Ng Lungsod Ng Maynila: 85.40%
Nicole Anne Albaladejo Sales Diaz, Colegio De San Agustin-Bacolod City: 85.40%
10. Jaime Dela Roca Bonifacio Jr., Adventist University Of The Philippines: 85.20%
Micaela Orevillo De Guzman, Xavier University: 85.20%
Rose Angela Reyes Mahipus, Davao Medical School Foundation: 85.20%
Irene Kate Faustino Nicolas, Pamantasan Ng Lungsod Ng Marikina: 85.20%
Cesar Ryan Espera Ortiz, Aquinas University: 85.20%
Roby Ann Gutierrez Prado, Colegio De Dagupan (For.Computronix Coll): 85.20%
2. Mary Grace Bermudez Rallo, Central Luzon Doctor's Hospital Educational Institution: 86.80%
3. Maria Kristina Pamintuan Bicas, Saint Louis University: 86.60%
4. Vanessa Garma Elumbaring, Saint Mary's College-Tagum: 86.40%
Kimberly Medina Malubago Southern Luzon State University-Lucban (SLPC): 86.40%
5. Jessa Lorraine Dejan Andalan, Xavier University: 86.20%
6. Yugie Caroline Murillo Demegillo, Iloilo Doctors' College: 86.00%
7. Hanako Sasaki Aranilla, First Asia Institute Of Technology & Humanities: 85.80%
Teena Marie Junio Pascua Saint Mary's University: 85.80%
Nonah Vee Cornelio Sareno Davao Doctors College, Inc.: 85.80%
Elnathan Samson Subardiaga Universidad De Zamboanga (For.Zaec) 85.80%
Karl Marie Sta Ana Tuvilla University Of Negros Occidental-Recoletos 85.80%
8. Karl Gabriel Alferi Bonifacio, Colegio De San Agustin-Bacolod City: 85.60%
Dennis Gonzales Duran Pamantasan Ng Lungsod Ng Maynila: 85.60%
Bernadette Lumibao Guevarra Cotabato Medical Foundation College: 85.60%
Criselle Lyn Guerrero Li Father Saturnino Urios University (Urios Coll): 85.60%
Vincent Jubelag Sumergido West Visayas State University-La Paz: 85.60%
9. Jacquiline Jane Banzuela De Jesus, Arellano University-Pasig: 85.40%
Rizyl Jem Franco Japitana, Colegio De San Agustin-Bacolod City: 85.40%
Christine Jannie Paez Rivera, Pamantasan Ng Lungsod Ng Maynila: 85.40%
Nicole Anne Albaladejo Sales Diaz, Colegio De San Agustin-Bacolod City: 85.40%
10. Jaime Dela Roca Bonifacio Jr., Adventist University Of The Philippines: 85.20%
Micaela Orevillo De Guzman, Xavier University: 85.20%
Rose Angela Reyes Mahipus, Davao Medical School Foundation: 85.20%
Irene Kate Faustino Nicolas, Pamantasan Ng Lungsod Ng Marikina: 85.20%
Cesar Ryan Espera Ortiz, Aquinas University: 85.20%
Roby Ann Gutierrez Prado, Colegio De Dagupan (For.Computronix Coll): 85.20%
The Nurses Licensure Examination NLE results December 2010
The Nurses Licensure Examination NLE results December 2010
or Nursing Board Exam result December 2010 lists of passers,
topnotchers, top performing schools and performance of schools
in alphabetical order have been officially released by the
Professional Regulation Commission (PRC).
Friday, February 18, 2011
"NLE result" 20th of February is a reasonable target date of release
About 85, 000 nursing students took the examination last December. Thus, everyone awaiting to the result must be faithful to their "calling" but be open to God's will.
Monday, February 7, 2011
Advisory to Awaiting December 2010 NLE Examinees
As per Board of Nursing (BON) advisory, results of the anticipated December 2010 NLE will be released WITHIN FEBRUARY but within reasonable human capacities and capabilities. Speculations about the February 4 release is not true. Thus, all are advised to learn to manage health even one's own, so as not to succumb to useless anxieties. Unless officially published to general and wide circulation, then there is no result yet.
Meanwhile, oathtaking ceremonies of successful December 2010 NLE examinees will commence on March 14 - 15, 2010. Regional oathtaking ceremonies will be scheduled after the Manila Oathtaking Rites.
Posted by JERX
Friday, January 7, 2011
Globe Tattoo Hack|FREE Globe Tattoo Browsing
How To Hack Globe Tattoo:
- Insert you Globe Tattoo to your PC / Laptop and let the Globe Tattoo Interface initiate. Once initiated, make sure that your Globe Tattoo is not connected yet, and then go to Tools then choose Options.
- On the Options window, choose Profile Management and choose “New”.
- Under the Profile Name, you can choose any kind of name you want for that connection.
- Under the APN box, choose the Static Option and enter http.globe.com.ph on the APN Field
- Under the Authentication Box put *99***1# on the access number box. No need to type anything on the username and password fields.
- Click the advanced button and change the DNS Settings to “static” type your preferred DNS in the fields.
- Click Ok and then click Save on the right panel. Also don’t forget to set it as default. Once you go back to the Globe Tattoo interface, the new Globe Tattoo Network Profile would now be available on the dropdown menu.
- Choose the profile name you created everytime you connect your Globe Tattoo to the internet to avail free globe tattoo browsing.
I hope this works (and at the same time, I hope it doesn't). LOL. Really, it is better to pay for what you use rather than use it free without permission, no? Globe Tattoo can be loaded through your regular loading stations, and it's only 20/hour, so why hack Globe Tattoo? If you don't want to spend money, why not read a book, or watch TV, they are relatively free.
Wednesday, September 15, 2010
Health Care Expected To Help Fuel Job Growth Yet New Nurses Having Difficulties Finding Jobs
Still, Nurse.com offers a different perspective on immediate job prospects for nursing students: "Despite a widely held belief that nursing was a 'recession-proof' profession, new graduates in many areas of the country report difficulty finding jobs. Surveys by the National Student Nurses Association of 2009 and 2010 new graduates show more than 40% of respondents had not found a nursing job by midsummer. The American Hospital Association reports an RN vacancy rate of 4% in March, down from 11.4% in 2006. Some nursing school deans say their students are having a much more difficult time finding jobs than in the past. ... Analysts say most of the hiring slowdown is because of the economy, with older RNs deciding to stay in the workforce because their retirement funds have not recovered from a stock-market drop in 2008, or a spouse was laid off, or they are just nervous about the economy" (Domrose, 9/12). Kaiser Health News: "One of the groups most affected by the changes in the new health law are medical school students. When they graduate - and complete the hospital residencies that follow - they will begin practice under a system that will be significantly different than when they began college. With millions more people expected to have health insurance, demand for primary care physicians is expected to go way up. Allison Fero, of Kaiser Health News, recently sat down individually with four medical students to discuss their career expectations, their concerns about the changing environment for doctors and their assessments of how the new law will affect the practice of medicine" (Fero, 9/13).
The Wall Street Journal: "Thirteen of Lenox Hill Hospital's doctors-in-training gather for one more class at the end of another long day of lectures and rounds: How to peel onions and chop garlic. It's a cooking class, and the organizers hope that it helps teach young doctors how to plan and cook nutritious meals so they can better advise patients on healthy eating. ... The program - which organizers say is the first of its kind in the city - includes six seminars on everything from nutrition, to weight management to exercise and a cooking class at the Institute of Culinary Education in Manhattan. It is based loosely on a joint project of the Culinary Institute of America and Harvard Medical School called Healthy Kitchens, Healthy Lives" (West, 9/11).
The Wall Street Journal, in a separate story: "There's a lot more to health care than doctors, lab results and complex reform bills. ... Dynamic and rapidly growing, the health care field offers young professionals the opportunity to explore emerging technologies while getting hands-on scientific and medical experience" (Cheney, 9/12).
The Boston Globe: "A new master's degree program at Dartmouth College is intended to bring more of the business of safety, cost-effectiveness, and efficiency into medicine. The program - launched by the college's new president, Dr. Jim Yong Kim, a longtime activist for better, less expensive medical care worldwide - is a response to the health care crisis. By training doctors and hospital administrators to think more strategically about the success rate of a particular type of surgery, for example, or ways to reduce waiting times in emergency rooms, medical care will get safer and more affordable, school officials say. The interdisciplinary master of health care delivery science program, which will be launched next summer, is a collaborative effort between the Tuck School of Business at Dartmouth and the Dartmouth Institute for Health Policy and Clinical Practice, the group that produces the Dartmouth Atlas of Health Care, which documents regional and hospital-by-hospital differences in how US medical resources are distributed and used" (Weintraub, 9/13).
Wednesday, September 1, 2010
Study Shows Local Standards Of Care Affect The Benefits Of Switching To New Treatement Alternatives
The RELY study compared standard warfarin treatment with 110mg and 150mg twice daily doses of dabigatran. For warfarin treatment to be both safe and effective, blood tests are used to monitor its effects, which need to be kept within a very narrow window. This requires close monitoring and dose changes. As shown in the study there are large variations in standards of warfarin care between different centres and different countries. The standards of care can be estimated by averaging the time in the therapeutic range (TTR) for all warfarin treated patients in a centre (cTTR).This new analysis looked at whether or not the benefits shown by dabigatran in RELY were consistent even in centres that had poor INR quality control as estimated by cTTR.
The researchers showed there were fewer ischaemic strokes but not fewer occurrences of intracranial bleeding with increasing cTTR in the warfarin group. The value of cTTR had no effect influence on the the effect of dabigatran versus warfarin for preventing stroke. However, concerning cardiovascular mortality, bleeding and all cardiovascular events there risks were higher at centres with lower cTTR. Therefore concerning these events advantages of dabigatran versus warfarin were considerably larger at sites with poor standards of care.
The authors say: "Thus, these findings support the superiority of 150mg dabigatran twice daily and the non-inferiority of 110mg dabigatran twice daily versus warfarin for protection against stroke in atrial fibrillation irrespective of the quality of INR control that a centre can achieve."
But they add: "For secondary outcomes, such as non-haemorrhagic events and mortaility, advantages of dabigatran were reported for sites with poorer INR control, whereas results were comparable in sites with better INR control. Overall, these results show that local standards of care affect the benefits of switching to new treatment alternatives."
In a linked Comment, Dr Deirdre A Lane and Professor Gregory Y H Lip, University of Birmingham Centre for Cardiovascular Sciences, City Hospital, Birmingham, UK, says the findings mean oral anticoagulants would probably be advocated for an even greater proportion of patients with atrial fibrillation, in view of the future availability of the new oral anticoagulants, such as dabigatran, that overcome the disadvantages of warfarin.
They conclude: "Until the new oral anticoagulants become widely available (a positive advance), we should advocate tight INR control at conventional levels, for which there is a wealth of evidence for benefit, and promote strategies to improve the management of therapy with vitamin K antagonists [such as warfarin]."
Researchers Exploring 'Fusion Strategy' Against E-coli
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The SDSU researchers altered the toxins produced by a form of E. coli and genetically fused the non-poisonous "toxoid" to a protein known to cause an immune reaction. The resulting "fusion protein" could be used to develop a vaccine.
Assistant professor Weiping Zhang in SDSU's Veterinary and Biomedical Sciences Department studies a group of E. coli called enterotoxigenic Escherichia coli, or ETEC. Besides causing diarrheal illness in farm animals such as pigs, ETEC strains are the main source of bacterial-caused diarrhea in human populations in the developing world, and the chief cause of traveler's diarrhea. The World Health Organization estimates that ETEC causes approximately 210 million cases of illness in humans and 380,000 deaths, mostly in children in developing countries.
Enterotoxigenic E. coli produce enterotoxins that affect the tissues lining the intestine and cause the vomiting and diarrhea associated with ETEC.
The research is one of the ongoing projects in SDSU's Center for Infectious Disease Research and Vaccinology, which looks for new ways to diagnose and treat infectious disease in humans and domestic animals.
The ETEC project is innovative in that it uses as vaccine components, the toxins that scientists call "heat-stable enterotoxins," or STs, that are generally harmful to animals and humans and remain active even in a temperature of boiling water.
Zhang said heat-stable enterotoxins can't be used directly as a vaccine component because of their toxicity and because they are poor at causing an immune response unless coupled to a carrier protein. For that reason, many vaccine researchers working with ETEC focus their research on other disease-causing elements - the so-called heat-labile enterotoxins that are destroyed at high temperatures and the fimbriae, or appendages that help the bacteria hold on to the host and cause disease.
However, Zhang said not including STs as a vaccine component poses a problem because more than two-thirds of human ETEC diarrhea cases and more than one-fourth of ETEC diarrhea cases in pigs are caused by ETEC strains that produce a heat-stabile enterotoxin called STa.
"STa antigens must be included for developing broadly effective vaccines against ETEC infection," Zhang said.
The SDSU research explored an approach for using heat-stable enterotoxins.
"Since they are toxic, we cannot use them directly. So we mutated a gene. We only changed one amino acid for each toxin. And that change shifted them from toxic to non-toxic," Zhang said.
In the same way researchers mutated the gene that produces the heat-labile enterotoxin, which is known to produce an immune response. They then fused the two toxoids to produce a fusion protein.
mportantly, by tweaking only a few amino acids, the researchers left the protein structure of the bacterium largely intact. That is important, Zhang said, because just as the toxin has to bind to a receptor in the small intestine in order to cause the disease, the vaccine component must bind to that same receptor in order to cause an immune response.
Zhang and his colleagues published the study of their "fusion strategy" in January 2010 in the journal Infection and Immunity. Zhang's co-authors were Chengxian Zhang, David H. Francis, Ying Fang, and David Knudsen, all of SDSU; James Nataro of the University of Maryland School of Medicine; and Donald C. Robertson of Kansas State University.
In summer 2010 researchers began studying five possible vaccine components using a pig model. Once they select the best vaccine component, they'll move on to larger lab trials and field trials. The possibility of an improved swine vaccine is important because some estimates say swine producers lose $80 million a year because of illness in pigs in North America alone, Zhang said.
Meanwhile, since the toxins produced by ETEC in pigs and humans are nearly identical, Zhang and his colleagues are using the same system they've developed at SDSU for exploring a swine vaccine to explore a possible human vaccine.
Zhang has received $368,000 in grant funds for vaccine research against enterotoxigenic Escherichia coli-associated diarrhea in humans using a pig model that he and SDSU professor David Francis have developed. The research is sponsored by the U.S. Department of Health and Human Services' National Institutes of Health through its National Institute of Allergy and Infectious Diseases.
Zhang and his colleagues at three other institutions also have received about $1 million in support from the Bill & Melinda Gates Foundation for research into strategies for optimizing the vaccine for humans. Right now they have mutated only a single amino acid. The Gates Foundation wants to know if the vaccine components would be even more effective if researchers mutate other amino acids.
If the research leads to an improved vaccine either for pigs or humans, that entire process of developing the vaccine will take about 10 to 15 years, Zhang said.
Source:
South Dakota State University
Thursday, August 26, 2010
July 2010 NLE result
TOP 10
- Rayan Abogado Oliva Ateneo de Naga 86.80%
- Aileen Ancanan Austria De Los Santos-STI College, Inc.-(Delos Santos S.N.) 86.40%
- Allyce Joana Toledo De Leon UST 86.00%
Anna Vanessa Ang Gan UST 86.00% - Alyssa Leonila Dela Silva Guiam CEU-Manila 85.80%
- Charmaine Camacho Gauiran Remedios Trinidad Romualdez Memorial School 85.60%
Vida Theresa Sibayan Gumangan Saint Louis University
Abigail Diaz Icasiano Arellano University-Manila
Weena Marie Bordeos Lim UST
John Joseph Mayo Montalbo FEU-Manila
Jan Michael Gabionza Ong Our Lady of Fatima University-Valenzuela
Joan Dioquino Tejada Remedios Trinidad Romualdez Memorial School - Zyrus Ronn Samson Bernasor Our Lady of Fatima University-Valenzuela 85.40%
Rouchel Anne Mañez Briones UP-Manila 85.40% - Peter James Bongolan Abad UP-Manila 85.20%
Merjorie May Malicay Adolfo Cebu Normal University
(Cebu State College)
Clarence Joy Lozada Custodio Saint Joseph College-Cavite City
Nico Paulo Maniago Dimal Angeles University Foundation
Kris Ray Arcelo Dumaguin Velez College
Stela Joy Ramirez Engada West Visayas State University-La Paz
Jan Christian Gomez Feliciano UST
Jose Paolo Julian Galeon Tarlac State University
(Tarlac College of Tech.)
Paulo Kristoffer Lumba Macasinag De La Salle University-Health Sciences Institute
Joy Ann Acierto Tan Notre Dame of Dadiangas College
Emer Joy Tapic Vale University of Bohol - Hana Kirstie San Miguel Abello UP-Manila 85.00%
Kea Tena Capio UST
Ana Francesca Caballero Centeno UST
Grace Cecile We Co UP-Manila
Michael Prince Notorio Del Rosario Lorma College
Rouella Christina Martin Fajardo UST
Joe Mari Abella Flores Cebu Normal University
(Cebu State College)
Donna May Sison Fronda Saint Joseph College-Cavite City
Renan James Sace Lim UST
Romina Tan Manaloto Our Lady of Fatima University-QC
Marian Sheryl Flores Milo Saint Louis University
Maria Kriselda Perez Rosales Lyceum of the Philippines University-Batangas,Inc
Cristina Gan Satiada Chinese General Hospital Colleg of Nursing&Liberal Arts
Laurence Lester Gamboa Tan UST
Elise Cara Kaw Teng Trinity University of Asia (Trinity-QC)
Marie Kathrina Torralba Tojong University of the Visayas-Mandaue City
Jaylyn Gabrillo Villafania Saint Louis University - Jamela Montoya Arcilla FEU-Manila 84.80%
Czarina Myrnelli Mamore Buenafe Northwestern University
Arcel Tiatco Cabigting Angeles University Foundation
Elaine Katrina Sigalat Cala UST
Julie Ann Del Rosario Clarin UST
Ancel Rivera De Guzman Holy Angel University
Eleanor Deloeg Dela Paz Saint Louis University
Ria Leah Oropesa Esporlas University of Perpetual Help System Dalta-Las Piñas
Elaine Medina Lapaan Saint Louis University
A Nico Nahar Idris Pajes Ateneo de Zamboanga
Ana Jeska Sana Peñaranda West Visayas State University-La Pas
Jan Roland Casinto Pomuceno Notre Dame of Dadiangas College
Angeline Villarey Rempillo Our Lady of Guadalupe Colleges
Nicael Dela Cruz Salazar Pamantasan ng Lungsod ng Pasig
Ferie Angelica Yvan Soriano Silvino FEU-Manila
Ivy Barrete Susvilla Cebu Normal University
(Cebu State College)
Kara Deneice Santos Tueres Our Lady of Fatima University-Valenzuela
Ace Brian Samaniego Verallo Our Lady of Fatima University-Valenzuela - Abegael Panciles Bacol Manila Doctors College 84.60%
Ramon Carlo Arpon Baring CEU-Manila
Robert Iben Barit Medical College of Northern Philippines
Livia Dedoroy Barrieses Riverside College
Maria Virginia Cinco Cuayzon Our Lady of Fatima University-Valenzuela
Kathleen Anne Palanca De Leon Chinese General Hospital College of Nursing&Liberal Arts
Mark Anthony Santos De Luna Our Lady of Fatima University-Valenzuela
Edwin Suarez Del Rosario II UST
Eunice Pablico Empeño UST
Greg Ely Cambaya Flores Our Lady of Fatima University-QC
Marcius Antonius Balcita Gacayan Union Christian College
April Joy Diane Garing Galicia Wesleyan University-Philippines-Cabanatuan City
Mary Joy Sarrosa Garbanzos University of Saint La Salle
Angeli Palisoc Garcia Trinity University of Asia (Trinity-QC)
Sara Jane Jaide Labbay Ateneo De Zamboanga
Micca Flores Lagleva UST
Razel Mae Nacua Libot Cebu Normal University
(Cebu State College)
Alexandra Basañez Macalintal Ateneo De Zamboanga
Kristine De La Cruz Macasero Cebu Normal University
(Cebu State College)
Celeste Imperial Madueño Manila Doctors College
Sallie Ria Delos Santos Malayan Lyceum of the Philippines University-Manila
Jan Paula Espiritu Martinez Universidad De Manila (City Coll. of Manila)
Kimberly Chan Mendoza Saint Louis University
Marie Paz Lacanlalay Nolasco Medical College of Northern Philippines
Robelou Lizano Ong FEU-Manila
Jodellene Fernandez Perocho CEU-Manila
Clinton Rosita Rabadon Bicol University-Polangui
Erika Genina David Ronquillo Holy Angel University
Dioliza Montenegro Sacil Universidad De Santa Isabel (Col De Sta Isabel)
Katherine Mejia Viacrusis Trinity University of Asia (Trinity-QC)
Top Performing Schools with 30-99 and more Examinees
Top-Performing-Schools-with-30-99-Examinees -
NURS0710se225.
Top Performing Schools
Tuesday, August 24, 2010
GSDMSFI 4th year student Nursing Research
Dear Sir/Madam:
We, a group of 4th year nursing students of GSDMSFI is presently conducting a study entitled “FACTORS AFFECTING THE NLE PERFORMANCES OF THE NURSING GRADUATES OF GENERAL SANTOS DOCTOR’S MEDICAL SCHOOL FOUNDATION INC.,”
In line with this, we humbly ask your permission to participate for this study. Data gathered will be considered confidential and will be respected.
Your cooperation and support will be deeply appreciated
We, a group of 4th year nursing students of GSDMSFI is presently conducting a study entitled “FACTORS AFFECTING THE NLE PERFORMANCES OF THE NURSING GRADUATES OF GENERAL SANTOS DOCTOR’S MEDICAL SCHOOL FOUNDATION INC.,”
In line with this, we humbly ask your permission to participate for this study. Data gathered will be considered confidential and will be respected.
Your cooperation and support will be deeply appreciated
NCLEX-RN Information: CHOOSING THE RIGHT STATE
Most of the people I met and honestly I also had my share of this "phase" which is having a problem of determining which state to apply to. But this is one of the most crucial part in terms of moving forward to your NCLEX-RN application process.IELTS: Tips and Information
BRITISH COUNCIL
IELTS Administrator
10/F Taipan Place
Emerald Avenue
Ortigas Centre, Pasig City 1605
Tel: 632 9141011-14
Fax: 632 9141020
Email: ielts@britishcouncil.org.ph
Web: http://www.britishcouncil.org.ph
IDP AUSTRALIA
ELTS Administrator
2nd Floor Pioneer House Makati
108 Paseo de Roxas, Legaspi Village
Makati City, Metro Manila 1229(located accross Starbucks in the Old Greenbelt)
Tel: 632 816 0755
Fax: 632 815 9875
Office Hours: 9:30am to 4pm (Monday to Friday)
Saturdays: Half Day
Email: info@manila.idp.com
Test Fee: Php 8640.00M
More information with regards to IDP Australia
When you try to give them a call do not expect to be able to talk to an operator. All you can get is automated informations but most of the questions you have in mind would be found in one of the prompted message.
IDP Australia only accepts cash and manager's check as payments. If you are to make a manager's check please make it payable to IDP EDUCATION AUSTRALIA. Please be reminded to check their site or give them a call since prices may change without any prior notice.
It would also save you a lot of time if you download the application form from the website and accomplish it before proceeding to their office for submission.
Please bring additional pictures just in case though in your application you would already be submitting 2 passport size pictures.
DO NOT forget to bring your valid ID usually people bring their passport or their PRC License.
Upon submission and paying please wait for a few days to a week to receive a letter coming from them regarding the details of your exam such as the venue, time, date and even the location map of your exam venue.
Usually 2 weeks before the test date that you wish to schedule is sufficient to be rostered for that exam. This would still depend on the number of examinees applying for a certain date.
On the day of the exam, one thing that you should never forget is your IDENTIFICATION CARD you used when applying since this would be the only one that would be accepted as your reference and entry for the exam. Try not to bring many valuables on the day of the exam since all of your things would be deposited in one area without any numbers so anything can happen but so far no incidents but just for your own safety. Only cellphones are the ones wherein they give numbers when deposited but as for bags they just place it in one area.
California Board of Nursing Application Tips
HOW TO OBTAIN THE APPLICATION FORM
First get a copy of the California Board of Registered Nursing Application Form. You will need ADOBE READER to view the file. The file is around 27 pages long including explanations and the actual forms needed.
APPLICATION FOR LICENSURE BY EXAMINATION
This is one of the first forms that you will need to accomplish basically it includes your personal information. Fill in the necessary information and here are some tips and frequently asked questions I encountered when filling up this form.
ADDRESS: If you have a relative or family member residing abroad whom you can trust and at the same time ask for little favors then if possible try using a US Address they say that it makes communication faster between you and the Board of Nursing just in case they need something from you. Also it is obvious that mailing time would be faster since letters are only transmitted to the same country as compared to having it mailed in another country. I also say ask for little favors because technically speaking when you mail your forms it would have to come from that US address too so what will happen is that if you are here in the Philippines you will mail the personal forms to your relatives address and they will be the one to mail it to the Board of Registered Nursing... sounds complicated but I hope you get what I mean. If you do not know anyone abroad then just use your address here in the Philippines.
Social Security Number: Most of us do not have this not unless you can legally work in the US so in most cases you just leave it blank.
Place your 2x2 picture on the second page beside the date on the lower part of the page using tape NOT glue.
The rest of the application are pretty much slef explanatory so this form has 2 pages. There is a part about an INTERIM PERMIT which basically says that they give you like a temporary permit to work while while waiting for the exam results which is valid for 6 months or until your results have been released. Personally, I did not avail of it since I won't be able to use it since I do not have papers to work in the US and most often than not they prioritize US nursing graduates for positions in hospitals. So I would rather keep the $35.
REQUEST FOR TRANSCRIPT
One of the forms for the California BON is the forms to be given to your school registrar and then they would be the one to submit it thru mail to the California BON. As for my tip just try to clarify everything with your school registrar so that less errors would be made in terms of processing.
BREAKDOWN OF EDUCATIONAL PROGRAM FOR INTERNATIONAL NURSING PROGRAMS and NURSING PROGRAM VERIFICATION
Just fill out the parts where it asks you to fill which is basically the personal information and the rest will be filled out by your nursing program. Usually they mail it together with your TOR which was filled by the school registrar.
LETTER OF EXPLANATION or COPY OF LOCAL LICENSE
If you do not have your local license yet just email them your board certification that you passed which you can request in PRC once you know you passed the exam. And well if you have your license already then just scan it and print it and attach it together with the other documents you will submit.
FINGERPRINT CARD
You would have to request for this separately you can request by going to this link:
So to summarize everything here are the forms that you will mail to the California BON: Fingerprint Request. Read thru the instuctions there and wait for it to arrive in your mail. Then you can accomplish the fingerprint in the NBI in Carriedo. I am not sure if it can be done in other NBI branches.
Once accomplished, mail it together with your other forms and DO NOT BEND the fingerprint card so if you can place it in a hard envelope the better. What I did was I improvised an envelope using a folder. They just need one copy but just in case the print is rejected provide them another copy so you would not have to mail it separately when they ask for another one.
Here are the things that YOU will mail to California BON:
Application for Licensure by Examination (2)
Letter of Explanation/ Copy of PRC License
Request for Disabilities Form (if applicable)
Fingerprint Card (2)
Things that the SCHOOL will mail to Cali BON:
Request for Transcript form + TOR and RLE Records
Breakdown of Educational Program for International Nursing Programs Form
Nursing Program Verification Form
As much as i am giving here tips and guidelines please refer and read the instructions that comes with the forms. There might have been changes in terms of fees and other instructions so it is important to refer to them still.
The processing of my application took about 2 months but then they requested for subject description so it took me another month to accomplish that. But I think the subject description is a case to case basis.
Last tip, oif you are to use Fed Ex or Special Couriers in mailing remember that they will not accept PO Box address that comes with the form so you can use this address instead:
Board of Registered Nursing
1625 North Market Blvd,
Suite N217 Sacramento, CA 95834-1924
Mastering ANTIEMETICS : A story towards mastery
This story will let you master all anti emetic drugs that are usually prescribed to the patients with nausea and vomiting.
I created this story because of frustration on how to retain those anti-emetics that are very very frequently asked in the local board exams and in NCLEX / CG Books. Also take note that TAGAMET and PEPCID are antacids used for heartburn that are also used to prevent nausea and vomiting. MAALOX has many many uses, but it is mainly an Antacid. The rest, are intended for nausea and vomiting. I did not include BENADRYL because it has variety of purpose, one is to prevent nausea, vomiting and dizziness specially for patients with Endolymphatic Hydrops [ Menieres Disease ]
Si Marinol At Penny
Inap na Inap [INAPRINE] na si marinol [MARINOL] sa kakaantay sa kanyang maal [MAALOX] na si penny. [PHENERGAN]
Dumating na si penny, [PHENERGAN] na Tagamet-ro [TAGAMET] manila pa.
Zofra ka na! [ZOFRAN] Sabay Compaz [COMPAZINE] ng kamay si marinol [MARINOL] para manampal.
Naubos ko na ang pepsi [PEPCID] dito sa tindahan, Ni regla [REGLAN] na ako kaantay bakit ngayon ka lang?
Honey, and drama drama [DRAMAMINE] mo naman.
Communicable Disease Nursing Study Bullets
Communicable Disease Nursing
DRUG OF CHOICE
Tetanus: PEN G Na; DIAZEPAM (Valium)
Meningitis: MANNITOL (osmotic diuretic); DEXAMETHASONE (anti-inflammatory); DILANTIN/PHENYTOIN (anti-convulsive); PYRETINOL/ENCEPHABO L (CNS stimulant)
Rabies Vaccines: LYSSAVAC, VERORAB
Immunoglobulins: ERIG or HRIg
DIAGNOSTIC TESTS
Tetanus: WOUND CULTUREMeningitis: LUMBAR PUNCTUREEncephalitis: EEGPolio: EMG; Muscle testing
Rabies: Brain biopsy (Negri bodies) Fluorescent rabies antibody test
Dengue: TOURNIQUET test (Rumpel lead)
Malaria: Malarial smear; QBC (Quantitative Buffy Coat)
Scarlet: DICK'S TEST; SCHULTZ-CHARLTON TESTDiphtheria: SCHICK'S TEST; Moloney's TestPertussis: Nasal swab; agar plateTuberculosis: MANTOUX testLeprosy: SLIT SKIN SMEAR
Pinworm: SCOTCH TAPE SWAB
Typhoid: WIDAL'S test
HIV/AIDS: ELISA; WESTERN BLOT; PCT: Polymerase Chain Reaction Test
CAUSATIVE AGENTS
Tetanus: CLOSTRIDIUM TETANIMeningococcemia: NEISSERIA MENINGITIDIS
Rabies: RHABDOVIRUS
Poliomyelitis: LEGIO DEBILITANS (Type I Brunhilde); (Type II Lansing); (Type III Leon)
Dengue Fever: ARBOVIRUSES (Chikunggunya); (Onyong-nyong); (West Nile); (Flaviviruses) (Common in the Phil.)Malaria: PLASMODIUM (protozoa) P. Falciparum (most fatal); P. Vivax P. Malariae; P. OvaleFilariasis: WUCHERERIA BANCROFTI; BRUGIA MALAYI
Leprosy: MYCOBACTERIUM LEPRAE
Measles: PARAMYXO VIRUSGerman measles: TOGA VIRUS
Chicken pox: VARICELLA ZOSTER VIRUSHerpes zoster: HERPES ZOSTER VIRUS
Scarlet fever: Group A HEMOLYTIC STREPTOCOCCUS
Scabies: SARCOPTES SCABIEI (itch mite)Bubonic plague: YERSINIA PESTIS
Diphtheria: KLEBS LOEFFLERPertussis: BORDETELLA PERTUSSIS
Tuberculosis: MYCOBACTERIUM TUBERCULOSISTyphoid: SALMONELLA TYPHICholera: VIBRIO CHOLERA
Amoebiasis: ENTAMOEBA HYSTOLITICA
Leptospirosis: LEPTOSPIRA Spirochete
Schistosomiasis: Schistosoma japonicum
Gonorrhea: N. GONORRHEAESyphilis: TREPONEMA PALLIDUMChlamydia: C. trachomatis, T. vaginalisGenital herpes: HERPES SIMPLEX 2
CD PHARMACOLOGY
Malaria: CHLOROQUINE
Schistosomiasis: PRAZIQUANTEL
Scabies: EURAX/ CROTAMITON
Chicken pox: ACYCLOVIR/ZOVIRAX
Tuberculosis: R.I.P.E.S.
Pneumonia: COTRIMOXAZOLE; Procaine PenicillinHelminths: MEBENDAZOLE; PYRANTEL PAMOATE
Anti Depressants : A Story Towards Mastery
It is really hard to memorize these all. Remember the story of Marinol and Penny? How about Tranxene? This is our third story and hopefully, I can come out with the fourth one. I dont know if these things help you, but These are the things I used to memorize drugs that are impossible to memorize using traditional methods.
This is original and not copied from anywhere else. Post away and tell me if this help so I can know If the application of this strategy is universal, or only works with students who appreciate stories.
This is a very nice strategy for instructors who want to divert students' attention, fooling them that you are telling a story but in the real essence, you are teaching drugs and their classifications in a really unexpected way.
Si Nora, Ana at Ela.
By : Budek
Depressed ang magbarkadang si NORA, [ Norpramine ] ELA [ Elavil ] at ANA [ Anafranil ] At nagpunta ang tatlo sa AVENIDA [ Aventyl ] Para makilahok sa welga. Sila ay mga TOFnotchers [ Tofranil ] ng kanilang mga unibersidad at mga ASCENDERA [ Ascendin ] ng kanikanilang mga angkan.
" IMPRISON [ Imprin ] Dionisio and Madeja! Sunugin SINA KUAN! [ Sinequan ] VIVA [ Vivactyl ] Nursing Students! " Ang sinisigaw ng mga magkakabarkada at nakasulat sa kanilang rally banner.
Dumating SI LEX [ Celexa ] Ang pinaka FAVERITE [ Faverine ] na newscaster sa pinas.
Nora, Ana, Ela : " Mga PRO [ Prozac ] Retake kami! Di namin LUV [ Luvox ] ang mga PAXIL [ Paxil ] na Board examiners na yan! Mabuti pang mag ZOLO [ Zoloft ] Nalang kami at pupunta sa PANAMA[ Parnate, Nardil, Marplan ] at doon nalang kami mag nurse! Ang sagot ng mga magkakabarkada.
NOTE :
From NORPRAMINE up to VIVACTYL = TCAs
From CELEXA up to ZOLOFT = SSRI
Parnate, Nardil and Marplan are MAOI
Post away your comments and suggestions.
ABOUT BREAST FEEDING
I. Physiology of Breast milk production
As soon as delivery of the placenta is over there will be an abrupt decrease on both Estrogen and Progesterone -----> this will stimulate the APG to secrete PROLACTIN.
note: Be aware that sucking also stimulates Prolactin secretion as this will stimuate the nerves and impulse will travel from the nipple to the Hypothalamus
PROLACTIN will act on the acini cells (alveolar cells) of the breast to produce milk. This milk is called FOREMILK and is stored in the lactiferous sinus. FOREMILK is contiously being produced.
What happens next?
When the baby sucks on the breast of the mother OXYTOCIN is stimulated and oxytocin will act on 2 organs.
1. Breast (Let down reflex)
2. Uterus (promotes Involutions)
OXYTOCIN will cause the mammary galnds to contract and push the milk forward making it available for the baby.
What will stimulate the Let Down reflex?
1. Sucking of the baby
2. Sound of the baby's cry
note: After the Let Down Reflex a new milk will be formed and this is called HINDMILK and this contains more FATS that is needed for the growing newborn
.STAGES OF BREASTMILK:
1. Colostrum - 2-4 days present
-content: decrease fats, increase IgA, dec CHO, dec CHON, inc minerals, -inc fat soluble minerals
2. Transitional milk- 4 – 14 days
-content: inc lactose, inc water soluble vit., inc minerals
3. Mature milk- 14 & up
-content: inc fats (linoleic acid) – resp for devt of brain & integrity of skin
-inc CHO- lactose – easily digested, baby not constipated.- esp of sour milk smelling odor of stool.
-Lactose intolerance- deficiency of enzyme LACTASE that digest LACTOSE
-Decrease CHON- lactalbumin
Difference with cow's milk
Cows milk
–inc fats -Dec CHO
-Inc CHON – casing- has curd that’s hard to digest.
-Inc minerals–traumatic effect on kidneys of babies. Can trigger stone formation.
-Inc phosphorusnote:
Note Baby who are breastfed are least likely to develop tetany. It is seen that botlle fed infants have more difficulty in regulating calcium and phosporus. Because cow's milk have more fat contents, this fatty acids may bind with calcium in the GIT causing more decrease in calcium.
Note: Breast feeding can be iniated
if had Cesarian Section- after 4 hours
if NSD, ASAP
Advantages of Breast feeding
1. Economical
2. Always available
3. Breastfed babies have higher IQ than bottle fed babies.
4. It facilitates rapid involution
5. Decrease incidence of breast cancer.
6. Has antibodiesI(gA), lactoferrin, lyzozymes and interferon (inhibit and/or destroy pathogenic bacteria and viruses)
7. Has lactobacillius bifidus- interferes with attack of pathogenic bacteria in GIT
8. Has macrophages
Store milk- plastic storage container
Store milk – good for 6 months from freezer- put rm temp. don’t heat
Disadvantages:
1. Possibility of transfer HEP B, HIV, cytomegalo virus.
2. No iron
3. Father can’t feed & bond as well
Proper breast feeding technique
1. Be in a comfortable position
(Most appropriate is Upright sitiing for this position avoids tension)
2. Entire body of teh baby should be turned towards the mother's breast.
3. Initiate feeding by stimulating the Rooting reflex- by touching the side of lips/cheeks then baby will turn to stimulus. Disappear by 6 weeks- by 6 weeks baby can focus. Reflex will be gone-
Purpose rooting- to look for food.
Sucking Mechanism (breast)
a. Lips of the infant should clamp a C-shape
b. The tounge thrusts forward to grasp nipple and areola
c. The nipple is brought against the ahrd palate as the tounge pulls the areola into the mouth
d. the gums compresses the areola, squezing milk at the back of the throat
Sucking mechanism (bottle)
The large rubber nipple strikes the soft palate and interferes with the action of the tounge. The tounge moves forwards against the gum to control overflow of milk in the espphagous (same reason why dental malocllusion is prone to bottle fed babies, because they thrust their tounge FORWARD causing problem in the formation od the dental arch)
4. Burp or Bubble the babyduring and after feeding to allow escape of air (preventing colic). Sit infant on lap, flexed forward, then rub or pat the back (note: avoid jarring the infant)
Criteria of Effective Sucking
a.) Baby’s mouth is hiked up to areola
b.) Mom experiences after pain.
c.) Other nipple is also flowing with milk.
NOTE: Make sure that the mother feeds the baby at the same breast she last feed her baby. THis is to facilitated complete emptying of the breast and thereby promote complete filling of milk.
Contra Indications in Breast Feeding:
a. Maternal Conditions:
1. HIV, CMV, Hepa B
2. Recieving Coumadin, Lithium or Methotrexate
3. has breast cancer
4. has herpes lesion on breast
b.Newborn Condition - Inborn errors of metabolism usch asErythrobastosis Fetalis – Rh incompatibility, Hydrops Fetalis, Phenylketonuria, Galactosemia, Tay Sachs disease
Problems experienced in Breastfeeding :
3RD day changes in breast post partuma.1
1)Engorged breast- feeling of fullness & tension in breast. - sometimes accompanied by fever known as MILK FEVER.
Mgt:Warm compress- for breastfeeding momCold compress
– for bottle feeding & wear supportive bra.
When is involution of breast- 4 weeks
b.) Sore nipple – cracked with painful nipple
Mgt: 1.) exposure to air – remove bra & wear dress, if not, expose to 20 Watt bulbavoid wearing plastic liner bra-will create moisture, cotton only
c.) Mastitis- inflammation of breast : staphylococcus aureus
Factors:
1. Improper breast emptying
2. Unhealthy sexual practices
- manually express inflamed breastfeed on unaffected breast- give antibiotics
– can still feed on unaffected breast
Type of stools with different milk products:
1. Transitional stool - - green loose & shiny, like diarrhea to the untrained eye
2. Breastfed stool
- golden yellow, soft, mushy with sour milk smell, frequently passed
- recur every feeding
3.. Bottlefed stool –
- pale yellow, formed hard with typical offensive odor, seldom passed, 2–3 x/day
- with food added -brown; odorous
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