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Posts tagged "earrings"
A Little Piece Of Tokyo
The problem with Japanese fashion is that a) it's often hard to get (unless you travel frequently to Japan for some reason, lucky you), and b) it's expensive. To take a little piece of Tokyo home with you (you don't even need to take the trip), look to Votan Tokyo's sweet bow stud earrings. The…
Leonora Epstein
August 17, 2010
Summertime Studs
Do you like piña coladas? And getting caught in the rain? Well, then these tiny pineapples belong on your ears. The sterling silver studs will put you in that laid-back Friday afternoon mindset, because that's what tropical fruit do -- besides mixing nicely with rum, cream of coconut, and crushed ice.
Catherine Strawn
June 1, 2010
Wood Earrings For Your Inner Bohemian
Every woman, whether young or old, has a pair of metal hoop earrings in her jewelry box. The sizes might vary, though the material stays the same. But who wants to be like everyone else when it comes to accessorizing? Instead of sticking to gold and silver, add some wood to the mix. In any…
Annika Harris
May 21, 2010
The Apple Of Your … Ear
If you're a true Apple fan, you have already signed up with Cupidtino and placed your pre-order for the iPhone 4.0, so here's a new product to satisfy your Steve Jobs hunger. Nicola Harper from Geekware channeled her Mac addiction into a jewelry fetish and found a way to re-use old computer parts.
Bianca Posterli
May 12, 2010
Poll: What Do You Think Of Carla Gugino's Single Gigantic Earring?
[poll id=1262]…
Catherine Strawn
May 3, 2010
Itty Bitty Marc Jacobs Earrings, Equally Small Price
Oh, Piperlime. You're like that kid in high school who was really, really cool but nobody knew it. You may not have that uber-trendy edge, but if we dig, we're always finding cute little surprises. Take, for example, these teeny Marc by Marc Jacobs bow-shaped stud earrings that come in sexy black or virgi…
Leonora Epstein
April 20, 2010
Jennifer Lopez Wears Good Earrings In A Bad Movie
India Earrings, $68, Judith Bright Gold Paisley Earrings, $58, Judith Bright Sometimes trailers do the opposite of what they're supposed to do, which is get you to go to the movie. After seeing the preview for Jennifer Lopez's new movie, "The Back-up Plan," I definitely won't be plunking…
Catherine Strawn
April 19, 2010
Snake Ear Wrap: Creepy Or Chic?
I normally stick to simple hoops or tiny stud earrings, so it's a little odd that I'm so drawn to this elaborate snake earring. I just can't help loving how it winds around, going through a regular hole and wrapping itself up the ear. What would you pair with it in your other ear?
Catherine Strawn
March 25, 2010
Cute As A Button
We're looking for inexpensive ways to update our spring wardrobes, so we have these button earrings from Casa Di Culture on our shopping list. We're especially loving the Omi design, which means water, because it's simple enough to wear with jeans and a T-shirt, but will also make a spring dress feel even more special.
Annika Harris
March 16, 2010
Architecture For Your Ears
When the worlds of fashion and architecture meet, brilliant designs are formed. Bring back the era of Art Deco with these silver earrings, which are simple yet structured to fit in with this winter's trend of bold shoulders and exaggerations. Since the design matches the late '20s and '30s, fabricate a story about the history…
Bianca Posterli
February 12, 2010
What's Your Daily Fashion Pain Threshold?
Finally, a celebrity admits that lookin' good ain't easy. Beyonce complains, "I'm always in pain! My earrings are heavy, and my heels are hurting -- they hurt all the time. But you know you have to sacrifice for beauty. You just get kind of numb after a while." Are you always in pain due…
Leonora Epstein
February 11, 2010
Cherry Blossom Earrings Bring Spring To Winter
I have a problem, which is an ongoing desire for that which I cannot afford. Take, for example, these exquisite silver cherry blossom hoop earrings by my favorite jewelry designer Shaun Leane. I've got a thing for cherry blossoms; according to legend: "the dazzling white and crimson flowers were believed to be…
Susannah Breslin
December 10, 2009
Season's Savings! Teardrop Earrings from Avalee
Delicate and dangly, these sweet bubblegum crystal earrings are enchanting with just a hint of ethereal charm thanks to the vine-like silver details. These will be a great addition to our jewelry wardrobe because we're always looking for day-to-night pieces. [$17.95, Avalee] Avalee is offering Frisky readers FREE SHIPPING from today, Dec. 7,…
Lauren Panariello
December 7, 2009
Win This! $200 JCPenney Gift Card
This week, we're giving away a $200 JCPenney gift card to the best commenter on The Frisky. Whoever wins is going to have a tough time figuring out how to use it, so here's an idea. We're always oohing and ahhing at the jewels celebs wear on the red carpet, from ginormous jade…
The Frisky
December 4, 2009
Whisper Sweet Nothings Earrings
The perfect subliminal suggestion to get him telling you all his secrets, these earrings by Delfina Delettrez will get his motormouth running. That is, if you can afford them. The "Seven Sins" danglers are $1,400. [The Moment]…
Susannah Breslin
November 24, 2009
Where Have All The Earrings Gone?
Last night as I was getting ready for a date, I sifted through my jewelry box, looking for something to accessorize my outfit. "Hey," I thought. "Why do you never wear all these pretty earrings anymore?" I tried on a few dangly pairs, and promptly removed them—they really did change the whole vibe of…
Leonora Epstein
October 1, 2009
Sperm and Fallopian Tube Jewelry
At first look, these metallic earrings are rather cute. Not my style necessarily, but statement jewelry is in and there is nothing particularly off about them. At second look, I am permanently scarred and already have a call in to my therapist. I should actually be calling my gynecologist to see if these sperm and…
Ali Jawin
June 16, 2009
Chic Taxidermy? Squirrel Feet Earrings
I thought Luna Lovegood in Harry Potter had cornered the market on "random things to decorate your ears with" when she donned those radish earrings. Nope, not even close. Check out these freeze dried squirrel feet earrings and necklace. Taxidermy for your lobes -- hot! I am not sure which distur…
Ali Jawin
June 12, 2009
Crave: 1928 Jewelry
When you don't have the money to buy a whole new outfit, it's all about the accessories. For example, if you take a simple dress and add a jeweled brooch, you're suddenly as stylish as Michelle Obama! The gems at 1928 Jewelry look as though you inherited your grandmother's gorgeous baubles because they're based o…
Catherine Strawn
January 30, 2009
Crave: Secret Garden Charm Key And Locket Earrings
Lulu Frost is a super-cool jewelry company that incorporates old hotel room numbers, antique charms, and rhinestone belt buckles into new necklaces, earrings, and bracelets. The only thing is, it's a little too expensive for us, especially since the economy tanked. But now we can get budget-friendly pieces with the same family heirloom-feel…
Catherine Strawn
January 13, 2009
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Claire Hannum
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21 Love & Life Lessons From Mariah Carey In Honor Of…
Today is Mariah Carey's 45th birthday and it's got me feeling emotions, specifically gratitude for all the wisdom about life and love that she has imparted through her music over. So in honor of Mimi's big day, here are those bits of wisdom, accompanied by GIFs of Mariah at her most divalicious.
Amelia McDonell-Parry
March 27, 2015
#Problematic: Country Fans Don't Have A "Girl Crush,"…
It's been a tough week, kids. I'm imagining you sitting in front of an open refrigerator, the buzz of the light dulling your existential thoughts. That seven-minute video of Tom Hanks paying homage to his body of work is playing on your laptop from the other room, for no one in particular. You're…
Chloe Stillwell
March 27, 2015
Drea De Matteo Loses Apartment Of 22 Years In NYC…
Drea posted a photo to Instagram of the burning building, captioning it: "A hole where my N.Y.C. home of 22 years once stood. RIP 123 2nd Avenue."…
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March 27, 2015
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Tag: Sweet SuitesView All Tags
Snapshot / Hello Kitty Hotels / The Line Hotels / Los Angeles Hotels / Hello Kitty / Sweet Suites / Hotel News / → All Tags
O.M.G. A Legit Hello Kitty Hotel Suite is Now Open at The Line Hotel
We are kind of at a loss for words right now. We just went into the Hello Kitty Suite at The Line Hotel in Los Angeles and it is all kinds of super kawaii.
The suite was created by a team of designers and artists led by Line designer Sean Knibb in honor of Hello Kitty's 40th birthday, which is also being celebrated with the first official Hello Kitty Con at The Geffen Contemporary at MOCA in Downtown LA, starting tomorrow. (Knibb was the vision behind the t-shirts on the ceiling at check-in at The Line.)
But there's so much more.
Sweet Suites / St Petersburg Hotels / Belmond Hotels / Russia Hotels / Hotel Renovations / → All Tags
Russia's Latest Insanely Expensive Presidential Suite-ski Is In St Petersburg
The Presidential Suite: so fancy, we're only showing you the gilt bathroom
All eyes are on Moscow this week, for the on-schedule opening of the Four Seasons, which unlocks the front door tomorrow. Nothing could possibly take away our Russian focus from this, the redevelopment of the Stolichnaya label building. Edit: nothing could take our focus away unless it's the news that Russia's original five-star hotel, the Belmond Grand Hotel Europe in St Petersburg, has just unveiled six new suites, including (sorry FS) the largest presidential suite in town. Only in lux-mad Russia, etc etc.
Because in today's Russia, a standard room in a crazy-luxury hotel wouldn't even make the grade on Facebook, let alone Instagram, the hotel has converted 19 rooms into these six suites, and added 24-hour butler service for good measure.
OK have one of the bedrooms too
The 3770 sq.ft Presidential Suite is accessed through a domed, gold-leaf-encrusted lobby, has two bedrooms, two bathrooms, a fitness center, dining room, games room, living room (with bar), kitchen, music room (with antique grand piano), hammam and a study-cum-library-cum-secret-door-into-bedroom-one. The price? "Available on request".
Funky Friday / New England Hotels / Sweet Suites / Connecticut Hotels / → All Tags
Funky Friday: Inside The Helicopter Suite At Winvian
Welcome to Funky Friday, a new segment we're trying out which features one photo that we think singularly expresses a hotel's inner psyche. We look for, and often find, a lot of wacky, wild and wondrous designs that seem to have one thing in common: a Type A personality. So why not have a bit of fun as we all wrap up our week by taking a quick look at some hotels that quite frankly, want our attention.
Welcome to Funky Friday, a new segment we're trying out which features one photo that we think singularly expresses a hotel's inner psyche. We look for, and often find, a lot of wacky, wild and wondrous designs that seem to have one thing in common: a Type A personality. So why not have a bit of fun as we all wrap up our week by taking a quick look at some hotels that quite frankly, want our attention.
One of our hotel picks for leaf-peeping this season is the all-cottage, no-two-are-alike Winvian, located in northwestern Connecticut. One would never know from the idyllic setting what lies within these standout design cottages. We couldn't help but notice one in particular, The Helicopter Suite, and we just had to have it for Funky Friday.
Sweet Suites / Viva Vegas / Delano Hotels / MGM Resorts / Luxury Hotels / → All Tags
Inside a Penthouse Suite (or Two) at The Delano Las Vegas
The Delano Las Vegas, while strongly inspired by the original Delano in South Beach, is very much its own hotel.
We like to think of it as, "Delano Does the Desert", since much of the hotel's design and subsequent vibe, was inspired by the surrounding area. Like the towering boulders, sourced whole from the Nevada desert that now, split in half, grace the entrance to the hotel. And the long narrow carpet in the lobby that's meant to be a picture of the winding Colorado River. And just before you approach the reception desk, you're greeted by a a few hundred rocks hanging from the ceiling (an installation piece from Korean artist Jaehyo Lee.)
Up in the all-suite guest rooms, however, there's less Nevada and more New York with white leather furniture, gold accents and black and white photography. That cosmopolitan style carries up to hotel's 28 penthouse suites, which are found on floors 60-62. Each suite averages about 1,642 square feet but there are a couple of different layouts. Allow us to tell you about two of them.
Celebrity Scoop / Oprah Winfrey / Fairmont Hotels / Sweet Suites / Washington DC Hotels / → All Tags
Oprah Winfrey Wears Her Sunglasses in the Hotel Gym, So She Can, So She Can...
...keep track of the visions in her eyes?
It's been a while since we checked in on the hotel habits of Oprahy Winfrey but this sighting by the Washington Post is kind of amazing.
Spies told the paper that Oprah trooped down to the Balance Gym at the Fairmont Washington DC in Georgetown and hit the treadmill.
Sporting black athletic pants and a pink top, Winfrey was all smiles and friendly to fellow patrons, we're told. The only clue that this wasn't your typical convention attendee burning off last night's buffet dinner in between sessions: the Divine Ms. O wore fashionable dark sunglasses during her session, spies say.
From now on, we will be wearing sunglasses in the hotel gym. Fake it 'til you make it, ladies! At the very least, it will help us feel slightly less mortified about tripping over the equipment in front of everyone (this actually happened to us last week.)
Sweet Suites / Hotel Design / Boston Hotels / Hotel Suites / Rock and Roll Hotels / → All Tags
Boston's Legendary Dive Nightclub is Transformed into a New Suite at Hotel Commonwealth
The Rathskeller Suite at Hotel Commonwealth is chock full of memorabilia from the cellar of the grungy music club The Rat - minus the grunge
Hotel Commonwealth in Boston's historic Back Bay may seem like just one of many luxury accommodations to choose from (and it is) but it does have a rather uncommon legacy. The hotel was once the site of a legendary nightclub that rocked Boston from the mid-1970s to late 1990s before it was demolished in 2000. This was The Rathskeller, aka The Rat, and what better way to commemorate this famous musical haunt than by dedicating a hotel suite in its honor?
Sweet Suites / Dublin Hotels / Luxury Hotels / Hotel Renovations / → All Tags
The Merrion Dublin Has a New Penthouse
If your list of Dublin hotel room requirements includes things like duplex, roof terrace, and private cedar wood hot tub, the just refreshed Penthouse at The Merrion brings all of those things together. Sixteen years after it was first opened, the hotel has redone the two-floor space, which includes the above master bedroom. Between the furniture (desk chair, sofa), drapes, and colours, it strikes a rather feminine tone to us; more images of the rest of the suite below.
Sweet Suites / Ritz-Carlton Hotels / Kyoto Hotels / Japan Hotels / → All Tags
Inside a Tatami Suite at the Ritz-Carlton Kyoto
In space-constricted Japan (50% of the 127 million people live on 2% of the land), the size of a room isn't typically looked at by square meter or square foot, but by the number of Tatami mats that fit inside.
That looks something like the above, and no, we didn't ask The Ritz-Carlton Kyoto to take all the furniture out of the room for the photo: this is the bedroom of a traditional Tatami Suite at the hotel, which means every evening your equally traditional futon-style bed (two singles) will be made up for you. We had a chance to look inside the hotel during a recent visit to Kyoto, four months after the hotel opened on February 7 this year.
Hotel Suites / Photo Gallery / Four Seasons Hotels / Paris Hotels / France Hotels / Europe Hotels / Luxury Hotels / Sweet Suites / → All Tags
Inside Suite 335 at Four Seasons George V in Paris
Last week, we gave you ideas for things you can do at Four Seasons George V if you can't afford the pretty penny it costs to stay there, but still want a piece of that luxury pie. Now we're going deeper inside to give you a peek at one of the coveted suites at the hotel – Suite 335.
Suite 335 is a Four Seasons Suite, the lowest rung on the suites ladder at George V. After it comes the Deluxe, Premier, Duplex, and Empire Suites, and all the way up to the Penthouse Suite. The Four Seasons Suites are not to be scoffed at, however, as runts of the litter, for they range in size from 650-750 sq ft and have the old-world elegance found throughout George V plus all of the mod-cons you need to carry on with your daily life.
Plenty of pics below!
AKA Hotels / AKA Mobile Suite / Trina Turk / Sweet Suites / Beverly Hills Hotels / → All Tags
The AKA 'Mobile Suite' Brings Glam to West Coast Road Tripping
Are your vacation getaways guided by the criteria of "excellent Instagram potential"? Are you a Brooklyn-based fashion blogger seeking temporary solitude to crank out your "first novel on the liberating potential of wanderlust"? Are you into road trips, but not cramped cars that smell like Interstate lunches? AKA has something amazing for you.
Well, for all of us, really – if only to behold from afar. The luxury brand of long stay accommodations just announced its first ever AKA Mobile Suite, a spacious Airsteam that has been decked out to the upscale expectations of an AKA resident: think plush bedding, a flat-panel TV and iPod docks, Bulgari bath amenities, and splashes of colorful accouterment from fashion designer Trina Turk, who will also offer "VIP discounts" on a road trip-ready wardrobe purchased from her LA showroom. (Most important: A full bathroom with shower. No sneaking into boondock YMCAs to rinse off.)
Best Room to Book / Hollywood Hotels / Loews Hotels / Sweet Suites / → All Tags
The Best Room to Book at The Loews Hollywood Hotel
The Loews Hollywood, smack dab in the middle of all things well, Hollywood (like the Dolby Theater, the Hollywood Walk of Fame and the Hollywood Bowl), recently completed a $31 million renovation which has transformed nearly every inch of the property from a former Renaissance by Marriott hotel into a sleek, stylish and cosmopolitan Loews hotel.
While all the guest rooms are sporting the new, heavy-on-the-grays look, the best room to book is clearly this junior suite on the top floor. Room 2017 to be exact.
There isn't a separate sitting room but the suite does has 622-sq.ft of space to spread out in and a sleeper sofa to accommodate an extra guest (or two.) But what's really the star of the show here is the killer view of the Hollywood sign which is entirely unobstructed. You are actually looking out on the hillside where the iconic sign stands. (Our nighttime picture really doesn't do it justice.)
Insane Hotel Packages / Sweet Suites / Manhattan Hotels / Times Square Hotels / → All Tags
Row NYC Puts The Paparazzi In Your Room...On Purpose
Alec Baldwin should probably steer clear of this new hotel suite in Manhattan but Lindsay Lohan will absolutely love it.
Row Hotel in Times Square (formerly the Milford Plaza) has unveiled a new 1,000-sq.ft. two-bedroom, penthouse suite that's done up in contemporary decor (hello, gorgeous Missoni pillows!) and filled with extremely modern furnishings that seem to re-invent geometric shapes as we know them.
But the suite also has some throwbacks to old Hollywood with vintage photographs of actors and rock stars from Ron Galella on the walls. The suite even has a copy of one of those old Hollywood movie lights. And now, you can put yourself in the pictures.


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Young Media Critics - I'll Have a Medium, Please on a New Day and New Time!
in Education
Young Media Critics, "I Have a Medium, Please" will broadcast on a new day and new times.
You can listen to us now every Thursday, 3:00 p.m. (PST) and 6:00 p.m (EST).
Tune in on Thursday, November 20, 2014 and hear about the changes!
We will continue our examination and exploration of various forms of Medium- Plural MEDIA
Be sure to Listen in Thursday, November 20, 2014 3 p.m. (PST) and 6 p.m. (EST)
Facebook Social Media Etiquette
in Education
Has social media created and condoned actions that if donei in person would render someone to get fucked up, stomped out, slapped or clapped ? Join us as we explore the deep psychological effects of what instant social media is compelling some of us to evoke on a demented level.
Bucephalus Media is getting Ready to enter into a new Phase
in Self Help
Myth-Ra Raised l Bucephalus Pro - Shemariah Ent.:
Bucephalus Media 'Castling' Tower B:
Alexandria Bucephalus: https://www.facebook.com/groups/LordUrrosakaMythRARaised
nwo truth radio media
in Podcasting
nwo truth radio media late night show
Us Media Radio Where Relationships and Technology Collide
in Business
Candace Benson and Deborah Chaddock Brown discuss social media as a strategy for small business marketing.
2015 Jeep Renegade -- a media/press trip review of new off-road SUV
in Automotive
Noted automotive journalist ALAN GELL was part of a media group invited to a Press Preview trip to test-drive the new 2015 JEEP RENEGADE. This is his review of the vehicle and the trip.
This small SUV really is a JEEP, distinctive in design, quiet, sporty, aggressive, capable, with great mileage (30 mpg), and a low starting price. Call it "cute" if you want to do so, but this is a terrific small Sport Utility Vehicle that can go off-road, tow light trailers, carry people or cargo.
Nicodemus Live - Alternative Media Mind Control and the Luciferian Agenda
in News
Nicodemus expounds on the various techniques the alternative media lie is using to manipulate the resistance, the basis of which lies in theosophy. Covering everything from actors paid to call in on talk radio to the new hipster, 'fake' libertarians pushing communal living, pedophilia, a cashless society and kids owned by the state, Nicodemus hits this one hard right out of the slave encampment. The Empire wants a civil war and is mobilizing its talk radio, fake, poser heroes to foment hatred for government and sell you guns and body armor. He also spends some time trashing atheism for good measure, all in good humor of course. Ultimately, he makes it clear that the root of all current, and past events, lies in the master plan to depopulate the Earth and terminate Christianity to institute the new Luciferian religion that will worship Satan as God.
Why WE ARE THE NEW MEDIA!
Dan Rather, Brian Williams and many more are the reasons WE The People have abandon the News Media that you find on television! They ALL have become ratings driven and the news anchors are looking to be Gods! This is why people have turned to the internet for their news because We Are The New Media! So join @gskirocks, @airwavesamerica and our very own Sue from New Mexico for some very important updates tonight at 9pm Eastern!
Us Media Radio: Where Relationships and Technology Collide
in Business
Candace Benson and Deborah Chaddock Brown will discuss basic social media daily activities. When to tweet, how long an article should be, best days to send out a newsletter, etc. Join us with your questions.
ALL NEW NWO TRUTH RADIO MASS MEDIA! with Brandon Council and James Impending
in Education
Welcome to the all new NWO TRUTH RADIO MASS MEDIA. The newest branch of the New Media Giant NWO TRUTH RADIO!
Same great shows, same great message.
New Twist Show
The return of THE NEW TWIST SHOW!!! J-Chris and Miss West are BACK!!! Bringing all the intelligent ignorance that you enjoy! Join them exclusively on New Twist Radio. A couple of the issues we will take on this week will be.... Where does the transgender MMA fighter belong, why was it thought to be acceptable for a college baseball player to degrade a teenage girl on Twitter, and how much would you be willing to spend to discretely cheat on your significant other? That and plenty more coming at you on the RETURN on the NEW TWIST SHOW exclusively on NEW TWIST RADIO. Tuesday morning @10am. Tell a friend to tell a friend.
Do You Actually Need Social Media?
in Business
We start off the show by answering the question we get asked most by our potential clients (and basically everyone else), "Do I actually need social media?" The short answer: you may not but your media brand absolutely does.
Link to our deck we discuss on the show: http://bit.ly/jumpwiresocialmediapkgs2015
We discuss 8 examples of how media brands we work with are using social media today:
Industry credibility
Increasing ratings, views, referrals, subscribers, revenue, ARPU, downloads, etc.
Data collection & analysis
New business & lead generation
Reinforcing your brand online
Audience feedback & engagement
Marketing opportunities & trend analysis
Employee recruitment & retention
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Abstract available in
Claims available in
Description (OCR text may contain errors)
Sept. 2, 1952 K. v. cHRlGsTRM 2,608,972
GUIDE FOR HYPODERMIC SYRINGES Filed May 16. 1949 #wf/wwe Patented Sept. 2, 1952 empli non HYronEnMIc sYmNGEs n l Knut Villielm Chrigstrm, Hamniarbyhojden,
v :Sweden Appneatiqiucy 16, 1949, serial', No.; sie/,49e InSweden February 23,1948'r tei-ile injection solutionsare often distributed in bottles and other containers" closed by rubber plugs, which are to 'be punctured by means of the needle of the injection syringe, whereupon the solution is drawn into the syringe and the needle is retracted. The aperture made in the 1 Claim; (Cl. 12S- 272) plug is automatically closed owing to the elasticity of the rubber.
However, on piercing the relatively hard rubber plug the syringe needles, which are often very une, are easily bent or damaged, whereafter it may be risky to use the same.
The present invention has for its object the elimination of this drawback. More particularly the invention refers to a device comprising a cap adapted to be applied to the neck of a container and provided with a relatively thick hollow needle intended to entirely or partially pierce the plug, and to serve as a protective guide for the needle of the injection syringe.
The invention is illustrated in the accompanying drawing in which Fig. 1 is a sectional view of a first embodiment of the device as applied to a bottle neck; Fig. 2 is a plan view of the device shown in Fig. 1; Fig. 3 is a sectional View corresponding to that shown in Fig. 1 of a second embodiment of the device; Fig. 4 shows a modiiication of the device according to Fig. 3
as viewed from above; Fig. 5 is a side view oi the upper portion of the device according to Fig. 4.
ln the drawing reference numeral I designates the neck of a bottle containing the injection solution. At its upper end the neck is formed with a lateral iiange 2. A rubber plug 3 serves to close the bottle, said plug being provided with an annular flange Il extending downwardly into the neck. The rubber plug 3 may be permanently secured to the bottle neck by means of a metal sleeve member 5, the upper and lower edges of which are bent to engage the upper side of the rubber plug t and the underside of the flange 2, respectively.
The middle portion 6 of the rubber plug 3 is relatively thin and is intended to be punctured by a needle at the removal of injection liquid.
According to Figs. 1 and 2 a cap 'l is used which is applied to the bottle neck and which is provided with a central, relatively thick or coarse hollow needle 3. When applying the cap 'I to the bottle neck the needle 8 easily pierces the rubber plug 3 without being bent or otherwise damaged. Through this relatively thick piercing needle 8 the more easily damaged needle of the injection syringe may beintroduced into the bottle for removal of injection solution. During this operpierces the rubber plug 3 ation the piercing rieedleil` serves as a guide and as a straight and unobstructed I passage for" the ne needleof the' injection syringe andprevents the same from being bent or damaged.
A closure may be provided at the upper end of the piercing needle 8. This closure may be constructed in various ways. As an example Fig. 1 shows a lengthened, flat slide 9 provided with an aperture I0 and mounted between the upper surface of the cap i and the underside of an end piece Il, which is threaded on to the cap 1 and which has a central aperture I2. The ends of the slide 9v protrude through openings I3 and e4 in the cylindrical Side wan of the end piece Il and are preferably bent as shown at I5 and I6. directions so that they unmistakably indicate directions so that they unmistakeably indicate the position of the slide and make it possible to see at once, whether the channel in the piercing needle 8 is open or closed. In Fig. l the slide member is shown as displaced to a position in which it uncovers said channel. By pressing the downwardly extending end IG of the slide the latter is displaced to the right, the channel in the piercing needle 8 being thereby closed. By suitably tightening the end piece II the friction at the displacement of the slide maybe adjusted.
The outer surface I'I of the end piece H is preferably made slightly concave so that the same is easy to clean and to dry.
In the embodiment shown in Fig. 3 the cap 'I is provided with a central short needle 8 which only partially, thus leaving a rubber layer intended to be punctured by the needle of the syringe at the removal of injection solution from the bottle. Said rubber layer, however, is so thin that it cannot damage the iine syringe needle, which is guided by the thick piercing needle 8. rlhe cap 'I may also be provided with an end piece I8 with an aperture and a cylindrical ilange I9. According to the modification shown in Fig. 4 the piercing needle B may also be eccentrically provided within the cap l, the end piece I3 being turnably mounted on the cap and provided with a T-shaped slot 20 in its iiange I9 which slot is engaged by a pin 2l projecting from the cap 'I The end piece I8 is provided with an eccentrically located aperture 22 which in the position of the end piece shown in Figs. 4 and 5 registers with the channel oi the piercing needle 8. By turning the end piece I8 the channel in the needle 8 is closed. The flange I9 is preferably luted as shown in Fig. 5.
If the piercing needle 8 is eccentrically arranged one may, after having pierced the rubber plug 3 at one piace, remove the cap and, after a slight turning, apply the same again to the bottle, the needle 8 then making another aperture in the plug. Since in this case the needle 8 does not entirely pierce the rubber plug, the aperture in the lower portion of the latter, on extracting the syringe needle after filling the syringe With liquid, will be lautomatically closed owing to the elasticity of the material. Thus, there will be no great demand on the tightening between the cap 1 and the turnable closure I8.
Various modifications of the device are conceivable within the scope of the appended claim.
What I claim is:
In a device for facilitating the removal, by means of an injection syringe,'of injection solution from a container whose neck is sealed by means of a member of a pierceable material, a cap adapted to be applied to said neck, a relatively thick hollow needle forming a straight and runobstructed passage secured in an eccentric position to said cap and adapted to pierce said pierceable member and toserve as a protective 4 guide for the one needle ef the injection syringe, and an end piece turnably mounted on said cap and provided with an eccentrically located aperture which may be brought into and out of alignment with the channel of the piercing needle by a turning movement of the end piece.
REFERENCES CITED The following references are of record in the y iile of this patent:
. UNITED STATES PATENTS Number
Patent Citations
Referenced by
Original Image


text:
Relevant offers
Detachment commander officer cadet Liam Scott gets painted with "camouflage" mud by some helpful pupils at Seddon School yesterday.
Mr Scott was one of 25 air force officer cadets training at Base Woodbourne who were at the school yesterday for community work that included painting, gardening and running a sports afternoon with senior pupils.
The cadets, who are on a five-day camp at Seddon, are in the final week of their 23-week initial officer training course.
- The Marlborough Express
Sponsored links
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Students hunt for new red grape
Dashwood Pass road almost finished
Conviction out of proportion, judge says
Youth worker offers a supportive ear
The tiny Blenheim plot that packs a punch
Terry Gillan: Biography from London to Blenheim
World War 2 fighter pilot returns to first posting for Easter air show
High-speed chase of teens in stolen car
Galloway and Zeilinger go to a whole new level
French takes out caddie of the year
New Year's parties to have new organiser
Schools eye gay-straight support groups
Artist's work highlights festival history
Massey Ferguson rolls into Blenheim on big trip
Award 'icing on cake' for best Marlborough business
Tractor in the city stops outside Parliament
Advice for parents: Get 'pre-nup' protection
The tiny Blenheim plot that packs a punch
High-speed chase of teens in stolen car
Terry Gillan: Biography from London to Blenheim
World War 2 fighter pilot returns to first posting for Easter air show
Youth worker offers a supportive ear
Widow finds her way on two wheels
Scramble for vineyard jobs in wake of cyclone
Picton businesses divided over deck chairs
Is the region better served by having multiple events over one weekend or spread out throughout the year?Related story: (See story)


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The Top 25 People Crippling Scientology, No. 24: David Touretzky ...
10.08.2011 If she has too much work you might try letting Tommy Davis out of the RPF to give her a hand. Please cite a specific piece of inaccurate information Dr. Touretzky has published on the topic of Scientology. Otherwise it is hard to take ...
Tom Cruise Lured Back Into Scientology By Man The Church Now Says Was...
Today, the St. Petersburg Times unveiled part two of its devastating series on David Miscavige, diminutive leader of Scientology.An indication...
Tommy Davis, Scientology Spokesman, …
Tommy Davis Video 3 from Village Voice Media on Vimeo. (There at the end, Ranna assumes that Davis is in the Office of Special Affairs -- Scientology's …
The Top 25 People Crippling …
Like Tommy Davis, public affairs director Pat Harney is occasionally thrust into the unenviable position of having to defend Scientology's practices.
Katie Holmes 'Biggest Nightmare' in Scientology History, Say Experts
Rathbun says he witnessed Tommy Davis, head of the church's Celebrity Centre and the son of actress Anne Archer, feeding Isabella and Connor Cruise...
Wikipedia: Tommy Davis
Thomas W. "Tommy" Davis (born August 18, 1972) was the head of the Church of Scientology's Celebrity Centre International in Los Angeles, California until midway through 2011. On August 20, 2012, it was reported on Channel Nine's program, A Current Affair that he, and his wife, have not been seen for over a year, and his whereabouts are currently unknown.
Tommy Davis Scientology
Tommy Davis is the spokesperson and director of public affairs for the Church of Scientology. Davis is the son of actress Anne...
BlinkX Video: Davis: 'Scientology is a new religion'
Tommy Davis, Spokesperson for the Church of Scientology to CNN's John Roberts. - 05.09.2008, Submission
BlinkX Video: Today Tonight interviews Tommy Davis - Part 1 of 2
February 22, 2010Australia's Channel 7 Today Tonight program on Scientology. - 02.22.2010, DailyMotion
TOMMY DAVIS LEAVES THE BUILDING. Thanks to EireAnon 24 October 2009 Second part of ABCs Nightline coverage into Scientology. Part 1: http://www.youtube.com ...
ABC News Nightline Scientology Tommy Davis LIES and stalks out Part 5...
Scientology Spokesman Confirms Xenu Story | Scoop News
After years of dismissing the story as false, Scientology spokesman Tommy Davis has confirmed that the story of mankind's origins involving an alien overlord...
Scientology's New Face - The Daily Beast
In his first interview since walking off Nightline last week, church spokesman Tommy Davis talks to Kim Masters about Monday's startling public defection by...
What happened to the First Lady of Scientology? | New York Post
The Church has long insisted Mrs. Miscavige is not missing. "I definitely know where she is," spokesman Tommy Davis told The New Yorker.
Twitter Posts: 卐 (RawbinWarfare)
2012.02.13 i remember watching that scientology documentary with tommy davis in it, omg he's such a psycho and beautiful, ily tommy davis.
Google Groups: tommy davis: scientology's new angry, unstable pitchman
27.10.2009: ... twitchell_mem...@newsguy.com alt gossip celebrities http://gawker.com/
Wikipedia: Tommy Davis (Scientology) - …
Thomas W. "Tommy" Davis (born August 18, 1972) is the former head of the Church of Scientology's Celebrity Centre International in Los Angeles, California until ...
Wikipedia: Tommy Davis (Scientology) - Wikipedia, the free encyclopedia
Thomas W. "Tommy" Davis (born August 18, 1972) was the head of the Church of Scientology's Celebrity Centre International in Los Angeles, California until midway ...
It's Official: Tommy Davis No Longer a Scientology Spokesman « The...
One of our eagle-eyed commenters pointed out something yesterday: Tommy Davis has suddenly vanished from Scientology's media relations web page.
Tommy Davis & Jessica Feshbach: New …
We hear it all the time — what happened to Tommy Davis and Jessica Feshbach? There still seems to be a huge fascination for the two former Scientology media ...
Scientology Spokesman, Tommy Davis, Remains Missing |
Related PostsKing Of Queens Star Leah Remini Leaves The Church Of ScientologyEx Scientologist Leah Remini Is Penning Tell-All MemoirAnother High-Ranking...
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Tommy Davis. Latest News. Scientology's Secret Files On People Who Left The Church · Court Revelation: Church Of Scientology Created Secret Files Called ...
THE TOMMY DAVIS DEPOSITION: Scientology asks judge to reconsider...
One of those, with former Scientology spokesman Tommy Davis, was taken on December 4. Davis was combative in the deposition and denied ...
Tommy Davis Forces Disconnection : XENU TV
Having stated publicly that disconnection does not exist, Scientology's missing PR person Tommy Davis is caught on tape trying to get one of ...
The Monique Rathbun harassment lawsuit against Scientology is really heating up, with a judge's order yesterday that denied the church's attempt to bounce Monique ...
We got Tommy Davis' lies
Tommy Davis c/o Colony Capital, LLC. Dear Mr. Davis: As you know — because you were officially on post in the Scientology cult at the time ...
Radar Online | Tommy Davis
The star-studded church of Scientology was recently rocked by the defection of Leah Remini, but she's far from their only critic; RadarOnline.com gives you a ...
Tommy Davis: Scientology's New Angry, Unstable Pitchman
Tommy Davis, the latest chief spokesman and outraged-interview-cutter-offer for the Church of Scientology, is a callow Hollywood brat, Tom Cruise hanger-on,...
5 Reasons Why He's Tommy Davis: Scientology Badass
There are a lot of ways someone can become an epic badass. You could get a wicked awesome tattoo of an anchor, totally on your bicep muscle. Or you...
update on former scientology spokesman Tommy Davis: he's been found
update on former scientology spokesman Tommy Davis: he's been found The Industry - Celebrity News and Gossip
Scientology Grudge Match: Tommy Davis Gets Called Out By Mike Rinder...
SCIENTOLOGISTS AT WAR, the Channel 4 Documentary. As we predicted, a version of Channel 4′s documentary, "Scientologists at War," has appeared on the Internet.
Operation Clambake Message Board • View topic - Tommy Davis and Texas
Tommy Davis figures prominently in Lawrence Wright's new book, "Going Clear: Scientology, Hollywood, and the Prison of Belief." While Wright ...
To Tommy Davis on valor theft : Scientology v. Armstrong
Tommy Davis. Official Spokesperson of Scientology. Dear Mr. Davis: I'm writing you about a matter that concerns me, as well as you and other ...
Tommy davis News, Video and Gossip - Gawker
Scientology, Accused of Snooping on Celebs, Lashes Out at Anderson Cooper
Scientology''s Tommy Davis.
So incredibly gay.
Radar Online | Oscar-Winner Paul Haggis' Stunning Departure From...
Tom Cruise, John Travolta and Jenna Elfman can count one less Hollywood A-Lister as a fellow Scientologist. In a shock heard-round-the-Scientology world, Paul...
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Mist (Command)Talk0
this wiki
Mist is a command option in Final Fantasy XII. It is unlocked whenever the player has obtained a license for an Esper or a Quickening on the License Board. Both commands require the use of a—or multiple—Mist gauges, which consumes MP in the original Final Fantasy XII, but consumes its own Mist charges in the IZJS version.
When the player selects Mist, it will open a submenu containing the option "Summon" and "Quickening". Even if the player is inflicted with the status Silence, these menus will not be disabled. However, if they are inflicted with Disable or Confuse they will be.
- See also: Esper (Final Fantasy XII)
Summon allows the summoning of an Esper in battle, where level 3 Espers use up three Mist gauges and level 1 Espers only use up a single gauge. It is instantaneous, and upon use, two other party members disappear. They cannot trigger traps, have the same level as their summoner but a fixed Attack, Defense and Magick Resist, cannot combo attacks or deal critical hits, and can use Magicks without using up MP. They last until the Esper uses its ultimate move, or either one minute thirty seconds in the original or four minutes and ten seconds in IZJS. Espers work like guests; they cannot be controlled and follow their own gambits in the original, but can be controlled in the IZJS version.
- Main article: Quickening (Ability)
Quickening is the equivalent of a Limit Break. It involves real-time input of button commands, and fast reflexes are required to chain together multiple characters' attacks before the timer expires, meaning potentially multiple characters can use multiple Quickenings that can deal huge amounts of damage. Similar to Espers, Quickenings require multiple Mist Charges to use (though it is possible to gain a Mist Charge during the Quickenings if the right input is used), and although using several characters' Quickenings at once can deal high damage, it can also potentially deplete all characters' MP at once (in the original, this is less of a problem in the IZJS release).


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Our new devotional "If God Loves Me, Why Did I Lose My Job?" explores the struggle of unemployment. Sign up here.
10:1 censer. A vessel for burning incense.
unauthorized fire. Lit. "strange fire." Apparently the instructions for offering incense were not properly followed, perhaps by using coals from elsewhere than the altar (Lev. 16:12; cf. Ex. 30:1–9). Some interpreters suggest that the two men were also drunk (cf. v. 9).


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Chevrolet is celebrating the 59th Birthday of the Corvette this week. Here is a video they released today on the Chevrolet Youtube Channel featuring a look back at 60 years of America's favorite sports car.
That's no rookie behind the wheel, but even an experienced driver like Kelly Bise has trouble keeping a supercharged Corvette Z06′s power under control.
In this video from High Tech Corvette, Bise gets his Z06 up to an incredible 160 mph in just a half-mile run at the Houston Mile before he lets up.
A motorcade of Corvettes recently made its way slowly down the interstate from Illinois to Tennessee.
The hours racked up behind the wheel of the cars, however, were nothing compared to the emotions of their drivers and the joy of the children once they reached St. Jude Children's Research Hospital in Memphis.
The Corvette owners were participating in the first-ever St. Jude Corvette Drive in early May and wound up raising $50,000 for the hospital.
I normally don't talk too much about my own Corvette, but this is just too cool for us to pass up. Yesterday, we posted that USA Today wants your Corvette Photos. Taking the plunge, I sent them this photo of our 1966 Corvette convertible parked at Davis Islands in Tampa.
This morning, USA Today has posted a story on their website called Happy Birthday, Chevrolet Corvette and our black Sting Ray is the 3rd image in the accompanying photo gallery.
When it comes to custom license plates, Corvette owners are tops when it comes to unique characters, phrases, or sayings. We spent took some time this weekend wandering the grounds of the Pheasant Run Resort see what the all the Corvette owners had come up with. Click past the jump to see some of our favorite license plates from the 2012 Bloomington Gold show.
Last weekend Bloomington Gold formally inducted the 2012 honorees into The Great Hall. The 3rd class of cars features the earliest known production Corvette, 2 very famous racecars, and arguably the most famous Corvette styling car of all time. The diverse list of people and organizations consists of a Lemans winning racer, the founder of Corvette Central, and a former Corvette Chief Engineer.
You can't please everyone – even when you take away a drug dealer's car.
The Clayton County Sheriff's Department in Atlanta, Georgia is under fire from some citizens for keeping a confiscated Corvette ZR1 that it is using for promotional and educational purposes.
If you're looking for a 1978 Corvette Pace Car that is a great candidate for NCRS or Bloomington Gold certification, then Mike Yager at Mid America Motorworks has just the car for you.
Mike and his team bought the car for just those reasons, but he says they've just been too busy restoring other cars and don't have room for this Pace Car.
The 2012 version of the Bloomington Gold Corvette Show took place last weekend in St. Charles, Illinois. Chamber of Commerce weather, a fantastic setting, and spectacular cars all combined to produce yet another memorable late-June celebration of Corvettes.
The Barrett-Jackson Collector Car auction held over the weekend in Orange County, California appeared to be another success. A final talley of 25 Corvettes ranging from a 1957 roadster to a 1996 Coupe were offered at the 3rd annual sale in Southern California and when it was said it done, sales of Corvettes totaled just over $1.2 Million.


text:
Walking to an early morning breakfast event at the Association of periOperative
Registered Nurses (AORN) conference, held March 7-11, I kept thinking of my
friend, Lisa. Still recovering from a double mastectomy and reconstructive
surgery during her fight with breast cancer, she would often attend shows with
me in the past to cover events for our magazines. On March 9, I was attending
the launch of the Medline Pink Glove Dance Video Competition. As I walked into
the large gala room, it was flooded with pink lights and nearly 1,000 nurses were
getting ready to kick off the competition. I sat down at a table with nurses
from Boston, Kansas and Nebraska to eat my food, but we were soon all jumping
to our feet as we began to honor breast cancer survivors through the joy of
The Medline Pink Glove Dance is the only campaign to
unite nearly 200,000 healthcare professionals, patients, survivors and
communities to share hope for a cure and honor those affected by the disease.
Breast Cancer survivor and former "Dancing With the Stars" host Samantha Harris
danced side-by-side with the nurses and shared her personal cancer journey.
"I knew I was in the right place when I walked into
the Breast Center at St. John's Hospital in Santa Monica, Calif. Nurses held my
hand, listened to me and I never felt alone," Harris said at the event. "Cancer
had a chance to break me down but I was determined to fight back with strength
and positivity."
ADVANCE for
Nurses will be highlighting the very first Pink Glove Dance video, as well
as last year's winner and other ones at www.advanceweb.com/nurses to
inspire you to challenge your colleagues to enter your dance moves. The
competition is running in its fifth year and includes the U.S., Canada and
Panama. To register, go to http://www.pinkglovedance.com/.
According to the American Cancer Society, 1 out of 8
women in the U.S. will develop breast cancer in their lifetime. I'm thankful
every day my friend, Lisa, is cancer free. With support from Medline, which has
donated more than $1.6 million to the National Breast Cancer Foundation, more
awareness of the disease will be able to be spread throughout the community to
help those numbers finally reach zero.
By Eileen Sullivan-Marx, PhD, RN, FAAN
Mark Twain famously said: "Age is an issue of mind over matter. If you don't mind, it doesn't matter." There is a good amount of truth to his words but – try though we might – we cannot think away the aging process. As we get older, there will come a time when we will find ourselves in the care of healthcare professionals. When that time comes, I want to know that my well-being is in the hands of dedicated individuals who know how to not only care for me in ways that are sensitive to my unique needs, but are also solidly based in the latest evidence and carefully established protocols.
Those are important criteria. That is why when it comes to my health I, like many others, know to put my trust in nurses. Nursing interventions have long proven to have a substantive and positive impact on patient care and outcomes. When identifying the best and most appropriate interventions for older adults, a growing number of healthcare facilities look to NICHE (Nurses Improving Care for Healthsystem Elders). NICHE is an internationally recognized leader in nurse-led interventions that address critical health issues older adults face every day. The NICHE program aims to improve how older adults receive care by affecting change at the healthsystem level. To date, this approach has been highly effective, with the NICHE program successfully implemented in more than 620 facilities.
This spring, nurses and healthcare providers will meet in Lake Buena Vista, Fla., for the 2015 Annual NICHE Conference "Innovation Through Leadership." Join us from April 14-17 as we celebrate the numerous successes at our NICHE facilities. Then be part of our ongoing discussion about what we – as nurses and healthcare leaders – can do to ensure that our older patients receive the quality care they need and deserve.
Whether you have been involved with NICHE for years, or are just now beginning to explore this innovative program, the 2015 Annual NICHE Conference is a must-attend event. Where else can you hear about the latest innovations and initiatives being developed by NICHE sites and leading experts in geriatric care? When you leave, you will take with you a wealth of information and innovative ideas that you can adapt for your facility.
We are privileged to have two very interesting and knowledgeable keynote speakers at the conference this year. Our first is Eric A. Coleman, MD, MPH. Dr. Coleman is professor of medicine and head of the division of Health Care Policy and Research at the University of Colorado Anschutz Medical Campus, where he leads The Care Transitions Program. Our second keynote speaker is Patricia Quigley, PhD, MPH, ARNP, CRRN, FAAN, FAANP. Dr. Quigley is associate director of the VISN 8 Patient Safety Center of Inquiry, where she is nationally recognized for her work in patient safety, nursing, and rehabilitation.
What else does NICHE have in store for you over the four-day event?
· 57 panel presentations during which speakers will present evidence-based approaches to promote positive outcomes.
· Over 110 poster presentations that will dive into key topics like transitions, cognitive impairment, medication, and patient safety.
· Our new roundtable sessions with 27 presenters who will facilitate discussions on cognitive behavior, patient safety, and transitions.
As for me, I will kick-off the conference with opening remarks on Tuesday, April 14. After that, I look forward to spending the rest of my time learning about the remarkable accomplishments being made by all of you. I anticipate getting a lot of useful ideas from you – ideas that NICHE can use to further build on its already outstanding program, ensuring you continue to make a positive impact in the lives of your patients through your relationship with us.
I hope you will be able to attend this important event. For a complete list of conference information and to register, please visit: http://conference2015.nicheprogram.org/.
Eileen Sullivan-Marx is dean of New York University College of Nursing. NICHE is based at the college and has over 620 hospitals and healthcare facilities from the US, Canada, Bermuda, and Singapore in its network.
By Agnes
Gutowski, MSNc, BSN, and Ryann Nocereto, MSNc, BSN
In recent
years, hospital administrators and staff nurses have reported dissatisfaction
with the level of preparedness of new graduate nurses. Despite decreased
availability of clinical sites, a shortage of faculty members and an increase
in student volume, schools of nursing have been given the task of improving the
quality of graduating nursing students.
Schools of
nursing have partnered with healthcare organizations to create an immersion program
for senior nursing students, coined the "Capstone Experience."
At our
community hospital in Connecticut, Capstone students are accepted from in-state
baccalaureate programs. Students choose their top areas of interest and are
placed on units with staff nurses who possess a desire to mentor. This provides
students with the opportunity to explore various specialties in a structured
environment. As experienced nurses, we have noticed that this initiative is
innovative and effective in preparing student nurses to enter the
The Capstone
program pairs students one-on-one with a selected preceptor on any hospital
unit. Students become immersed in the role of staff nurse and are coached
through performing full assessments, applying ordered interventions, taking
part in interdisciplinary collaboration, and communicating using the SBAR
technique. Students follow their preceptor once a week for eight hours during
the last semester of their senior year. This program serves as preparation for
their upcoming graduation and transition into the nursing profession.
At the
completion of their Capstone experience, students report feeling an increased
level of confidence, improved assessment skills, and a positive career outlook.
In addition, hired nurses with Capstone experience have displayed a solid
knowledge base and ability to adapt in their role as a patient's primary nurse.
In turn, this creates improved retention rates and increased job satisfaction
among new hires. Preceptors report a sense of satisfaction watching the student
evolve from novice to advanced beginner at the completion of the program.
members at our hospital have responded positively to graduate nurses with Capstone
experience. The program has shown to produce quality nurses who possess an
understanding and increased level of comfort related to patient care.
nurses should champion Capstone projects in their facilities to bridge the gap
between academia and clinicals. With continued use of this immersion program,
hospitals can expect to see competent new graduates with a true understanding
of the nursing profession.
Gutowski is staff nurse, PACU, and Capstone preceptor; and Ryann Nocereto is staff
nurse, surgical unit and Capstone Clinical Nurse Educator, both at Middlesex
Hospital, Middletown, Conn.
Ebola was a large issue this year, but other nursing topics that have been in the spotlight include bullying, the ADN versus BSN controversy, and the challenges new grads face entering the profession.
Looking beyond these issues, ADVANCE highlighted hundreds of nurses working long hours doing what they do best - tirelessly caring for their patients.
As we look forward to 2015, it's important that you recognize all that you contribute to your job and the importance of giving back some of your passion to yourself. There are always challenges around the next corner, which makes it imperative to take care of who you are first, so you can continue to care for others.
But how can you keep your well-being intact as you head into 2015? Throughout this holiday season, take the time to relax, have fun, and be yourself - spend time with your kids, visit family members, find quiet time to do what makes you happy.
I have the greatest respect for nurses and what they do, and I don't think many are recognized for the dedication they give to their patients and the healthcare profession in general. The most important thing is to be proud of what you do. One way ADVANCE wants to recognize nurses and their hard work is through the 2015 Best Nursing Team contest. Beginning Dec. 15, you can enter your team and showcase all the great work you do.
Visit http://nursing.advanceweb.com/Web-Extras/Online-Extras/Best-Nursing-Team-2015.aspx to tell us all the great work you've done over the past year. All you need to do is write a short essay highlighting the programs you've worked on to improve patient care and healthcare initiatives. Take some time to share your successes. We want to hear from you.
Healthcare in the U.S. has experienced a dramatic shift throughout the past decade. From an increase in chronic illness and a growing aging population to the changing models in coordinated care, employees in the healthcare field, most notably nurses, are facing increasing demands. To help celebrate and bring renewed appreciation to the men and women who are at patients' bedsides day in and day out, Cardinal Health created a campaign to inform and inspire the nursing community.
RNspire, a largely digital program hosted through Facebook, is a community dedicated to recognizing nurses for their countless contributions to the healthcare industry. In the spirit of Thanksgiving, we launched a campaign encouraging fans to share 'Thank You Notes' to showcase their appreciation to family, friends and colleagues.
The campaign was a success with more than 500 shares and further encouraging dialogue with nurses from across the country. All three campaigns have collected stories and shared special experiences from nurses stretching from New York to California. AmeriCares will receive a $5,000 donation from the Cardinal Health Foundation as a result of these shares.
As leaders and active contributors to multidisciplinary teams, nurses continue to play an important role within the ever-changing healthcare system, and constantly rise to the challenges to ensure quality and safety, care and compassion. It's because of nurses like Marvin Delfin, staff nurse at Trinity Mother Francis, and Leanne Jewell, nurse in the mother-baby unit at South Miami Hospital - both recent winners of RNspire competitions - that we created and maintained this program. It has been so inspiring to read the comments and stories that have been collected since the launch in early May.
So, tell me, what inspires you as a nurse?
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After facing burnout, this veteran emergency nurse has resuscitated her career with a little help from her colleagues.
By Susan Salka, President and CEO, AMN Healthcare
Most public companies dedicate some resources to good corporate
citizenship. They choose to spend these resources - time, money or both -- on
endeavors aligned with the company's mission and goals in win-win situations.
It's all part of a company's social responsibility. But I believe we need to
take it one important step further and create sustainable CSR programs.
There are times when it is absolutely appropriate and necessary to
provide support to alleviate a short-term situation. When natural disasters or
personal tragedies hit, people need immediate assistance to survive and rebuild
their lives. And who can argue the benefit of brightening the day of a child
enduring cancer treatment at a local hospital? But in addition to these
endeavors, a significant amount of time, energy and resources expended by a
company and its team members should be focused on activities that result in an
enduring, tangible benefit, one that builds upon its own past achievements.
The most meaningful and lasting CSR initiatives are built around the
active participation of company team members. I personally encourage our team
to be active at work, active in their lives and active in the community. And
they've responded. We have very committed [and] purposeful people who avidly
take part in our many CSR projects. So, to honor that high level of engagement,
it behooves company leadership -- and me personally -- to make sure that the
causes we support make meaningful and, ideally, lasting change out there.
Last year, AMN Healthcare developed a partnership with a charitable
institution on the mission of a lifetime, one that effectively aligns with our
business strengths, provides powerful opportunities for team engagement and
results in vital and sustainable improvement in the lives of people who really
need help.
The organization is HELPS International, a Dallas-based nonprofit
founded by a former investment banker, whose mission is to provide integrated,
long-range solutions for Central American communities in need. HELPS sends
several mission trips each year to the same regions of Guatemala, with
carefully designed programs that build upon successes from the prior year. As a
healthcare staffing and workforce solutions company, AMN sponsored 10
clinicians for the week-long medical mission and 10 nonclinical volunteers from
our staff to take part in a correlated community development project.
As background, the highlands of Guatemala are an impoverished area with
incredibly scarce medical resources. People often live in dirt-floor shacks and
cook over open fires with no ventilation. The HELPS medical mission included an
acute-care mobile hospital where medical professionals saw about 500 patients,
many with chronic respiratory and eye diseases and/or burns from the open
fires, and hernias due to carrying large amounts of wood. The community
development team installed safety stoves that vent toxic smoke out of homes,
use 70% less wood and reduce the incidence of burns from children
falling into open cook fires. For more information visit https://helpsintl.org/.
For AMN, sustainability must be more than a buzzword; it has to be a
palpable achievement. For example, the HELPS hospital and clinic created a
portable health records system so that families have accurate medical charts
covering many years of treatment. Continuity in treatment improves long-term
patient outcomes. The stoves program reduces diseases; prevents burns; helps
alleviate the heavy burdens people must carry and provides families more time
to create wealth. In addition, HELPS integrates an education program for
indigenous children and an economic development program to help small-hold
farmers increase corn yield so they can feed their families and sell extra
production for cash.
This sustainable CSR opportunity enhances the quality of our company
and our entire team by fostering meaningful engagement in the world around us.
Every team member who volunteered for the Guatemala mission told me it was a
life-changing opportunity. Those who went came back and told colleagues amazing
stories -- and showed them even more amazing pictures - of how they made
worthwhile, lasting improvements in people's lives. The team engagement success
of this mission is itself sustainable, its long-term value transcending the
company outlay to sponsor the volunteers. The mission spreads pride throughout
the company for the achievement of this year's volunteers and, looking forward,
is building team enthusiasm to take part in what will become an annual mission.
In addition, we were recognized by our industry association with its top award
for corporate social responsibility.
The HELPS mission has quickly become the centerpiece of our CSR
activities. We still support many other very important causes locally and
nationwide, particularly those that involve health and wellness. But by
embracing true sustainability as our principal CSR objective, we have created a
partnership that manifests the character of our company and our team and
ensures that our investment of resources results in meaningful achievement. I
challenge every company to examine their CSR efforts to ensure they have
appropriate focus on the sustainability of their activities.
From experience, I know that depression brings with it much stigma. It's much different than saying you have cancer or heart disease; those conditions have solid treatments. Depression does not. So, it's not something I've shared with many people. A handful, at most. And to be honest, I'm hesitant in writing this now. I've fought a battle for almost 2 years. Very few people knew I had depression because I couldn't see past the darkness and stigma. I'm quite saddened by what Robin Williams must have been going through to have reached the point of suicide. I am one of the lucky ones who is starting to win the battle and see the light. I agree knowledge of this disease is power. But it's not an easy battle to win.
I have been on more than 15 medications that have brought on anxiety and sickness. I've attended more than 50 therapy sessions, and struggled day in and day out to get out of my bed and live my life. Anxiety greeted me every day as I turned my alarm off and I cried every morning while driving to work; I took medications that made me have poor perception, resulting in bumping into cars in front of me; I've made dates with friends only to change them once, then twice, then cancelling them; I've hidden in closets so my kids couldn't see me lose it. I was constantly looking within, and blind to everything outside of me.
Looking back, I have to say I definitely reached the very bottom of depression and saw no way of climbing out. I was at the bottom of that hole for a long time, through celebrations like birthdays and Christmas, through meetings at work and trips to conferences. Every doctor or therapy appointment I attended, I was asked if I considered suicide. And each time I always hesitated and said no, simply for two reasons - Ava and Harrison. So, sitting at the bottom, I had to find a way to climb out. I switched doctors, went religiously to therapy sessions, and literally just kept getting up each day and doing what I needed to do. I leaned on my faith and kept asking God if he could make it a little bit easier every day. There were days when I didn't think He was listening. When was He going to help me?
Slowly, over several months, I have worked with my new doctor to titrate my medication from 6-8 pills a day down to 2. I've stretched my wings, sometimes to the point of great unease, meeting a friend for dinner, or taking my kids for a day out. I've found that I look at others quite differently because they too could be battling hidden demons. So I reach out with kind words: hello, have a great day, thanks for your help.
My battle is not over but my climb out of depression has come a long way. I could have depression for the rest of my life, but I've learned there's strength in adversity and there are others in worse pain than I myself have felt. I'm just an ordinary person who is a mother, daughter, sister and friend. My life has been average with normal ups and downs. Depression came to rest on my shoulders and this journey has been given to me for some reason. But today I laugh more, and reach out more and feel empathy more. Moving forward, I ask you to show kindness to others and know that people may not be the person they appear on the outside.
There's a lot going on in the world today that's scary. Words like Ebola, ISIS, shootings, bullying, cancer, depression and death are just the tip of the iceberg when it comes to things that probably keep us awake at night. While these thoughts can become all-consuming given the technology-driven world we live in where our phones, tablets and TVs provide us with uncomfortable images 24/7, perhaps we should start spending more time trying to find the positives in life.
Thanksgiving is coming up soon, and for many reasons we always make time to be grateful on that day when we're sitting around the dining room table. But I think it might help us deal with the reality of life if we try and practice gratitude every day of the year. In the car. At your desk. Before you go to sleep at night.
It only takes one thought. I'm thankful for my kids, and my house, and my health. I'm thankful that I have friends and my co-workers and my job. And if you take just that one minute, then perhaps that one minute will spread throughout your day and into tomorrow and perhaps next month. And if you show gratitude toward others, it becomes contagious.
Another way to show gratitude is to reach out to others in your life, to your patients and even to strangers. Smile. Listen to someone's troubles. Hold the door for the next person. Sit at the bedside of a patient and share stories. Send a card for no reason. Appreciate all the people in your life and goodness will come back to you.
I'm not trying to make you believe that if you're thankful, nothing bad will ever happen to you. We face challenges every day, lives filled to the brim with trials: financial troubles, health issues, loneliness. As nurses, you work long hours, handle difficult cases and face hard decisions every day to ensure your patients receive the best care. But if you can recognize the good things in life and be grateful for them, then perhaps the bad times might seem more manageable.
With all the negativity that has been swamping the healthcare sector recently, including nurses with Ebola, quarantines and stressors on healthcare professionals addressing infection control measures, maybe it's time we start to share our gratitude with others. We should all be thankful we live in a country where healthcare advances save lives every day. And I'm thankful for all the nurses who tirelessly care for their patients, those who teach the next generation and the individuals who handle the management of nursing initiatives throughout healthcare failities.
What are you thankful for? I'd like to encourage you to share your gratitude with ADVANCE and then we'll compile a "gratitude wall" online later this month. Through sharing, we can all start focusing on the positive things in our lives and, by doing so, can face the challenges with a stronger point of view.
Share your gratitude with me at email@example.com.
A nurse's lifestyle is different than any other. Here, find nursing guides to balance your life.
By Sam Osei, RN
In my opinion, I do not think the body of nursing has done
enough to acknowledge the presence of males in the nursing profession in this
21st century. Low interest in nursing for men contributes to the lack of gender
diversity in the profession. As a result, stereotype of nursing as a "female
profession" persists. Men make up fifty % of the general population, therefore,
developing strategies to encourage men to choose nursing will not only help to
diversify the profession but will also help to fill the gap for the anticipated
nursing shortage and eliminate the stereotype of nursing as a female
Nursing Shortage
The anticipated next nursing shortage is not all about the
fact that the nation's schools of nursing are not producing enough nurses to
meet the demand for healthcareservices. Neither is the shortage of nurses only
about the lack of nursing educators or not enough schools available. It is also
about the possible number of baby boomers retiring in the next few years.
According to the American Association of Colleges of Nursing (AACN), the
average age of nursing professionals is about 44.5 years as of 2012, ("AACN," 2010) and this
group will be retiring in the next few years. Also, a specific elderly
population in our society is living longer. Therefore, it is certain to project
a cause for national crisis with too few nurses to care for such a large human
Furthermore, the current trend of hospitals acquiring magnet
status has resulted in the hiring of Bachelor of Science in Nursing (BSN)
prepared nurses and the elimination of Licensed Practical Nurse (LPN)
positions. This has increased the pressure of associate degree nurses (ADN's)
to acquire Bachelor of Science in nursing degree within a set amount of time,
or lose their job and there by adding more fuel to the anticipatory nursing
The nursing shortage needs to be addressed head on and I
will be pleased to read first hand from your prestigious journal my suggestions
for an alternative solution to combat the shortage crisis.
The nursing shortage threatens patient care, affordability,
and safety. Studies have corroborated the intuitive idea that when nurses are
understaffed, patient safety suffers and medical error increase (AACN, 2010).
The supply of nurses in this country is made up of licensed practical nurses
(LPN's), registered nurses (RN's) and advanced practice registered nurses
(APRN's). The profession is predominantly females and according to the National
League for Nursing (NLN), male enrollment in undergraduate nursing education
has increased to 16% in 2011 ("NLN,"
2013). However, according to the Department of Professional Employees
(DPE), only 9% of registered nurses of the national workforce is composed of
men ("DPE, 2013"). It
is time that the "gurus" in the profession refrain from using derogatory words
in discouraging the few accepted males in nursing.
The Basics
The nursing profession is not just pushing pills and taking
orders as some may think, instead, providing care beyond and above expectation.
Providing physiological and psychosocial needs of our patients sometimes
require using personal resources that have gone unnoticed. Kudos to most nurses
who exceed expectation in care, providing basic needs such as clothing, powder,
combs, and shoes to name just a few that contribute to "Holistic Care".
On the same token, just as physical needs are not only part
of the holistic care, emotional needs are also taken into consideration. What
is considered "woman talk" in patient care, where by a woman nurse to woman
patient is requested to resolve pertinent issue related to their care; it is
likewise in "man to man talk", male patients may feel more comfortable in
discussing issues with their male nurses. The female patient also do ask for
the male perspective in issues that is also pertinent to their care. It is time
to look beyond the past and encourage men to pursue the nursing profession as a
The need for healthcare is growing. The fact still remain
that people are living longer. The population aged 65 and older will double
from 2000 to 2030 and the nation's nursing care is expected to balloon over the
next 20 years ("BLS,"
2010). According to the Bureau of Labor statistics, the future demand for
nurses is expected to increase dramatically when the baby boomers reach their
60's and beyond (BLS, 2010). Also, the population aged 85 and older is the
fastest growing age group in the U.S.
Men make up 50% of
the population, and they remain the largest source to plan for the future
nursing profession. By 2020 the number of nurses will fall nearly 20% below
requirement; therefore, using all resources available to attract men into the
profession will not only diversify the nursing profession but also provide
competent and increase choices available to the patient population in offering
care. The Institute of Medicine reported that, "Men's unique perspective and
skills are important to the profession and will help contribute additional
diversity to the workforce" ("IOM,"
2010). We need men in nursing to enhance diversity (Vicki, 2012) and to close the gap
for nursing shortage.
For these reasons mentioned, I call on the nursing
profession to step up and recognize that there is only "A Nurse," and not a
male or female nurse. Every effort should be made to recognize that men are an
additional resource to the profession in contributing to the "Holistic Care"
teachings. This idea is worth encouraging males to pursue the profession and
not to discourage them into nursing. After all, nursing still remain second to
none because of the vast amount of knowledge we bring to healthcare.
I challenge all nurses, professors of nursing and the
nursing profession to consider men in nursing as a viable solution to the
nursing shortage and a viable resource in this great profession.
I am a registered nurse who specializes in spinal cord and
brain injuries, working in a specialty healthcare facility in Connecticut. I am
proposing an extensive recruitment campaign geared towards men to tap into the
50% male population. Part of the campaign effort will be geared towards
eliminating the stereotype of nursing as a female only profession, and the
successes of male nurses in the different nursing environments. This effort in
campaigning will help open the door to accept more males in this
non-traditional field of practice hence contribute to the diversity in nursing
and confront head on the predicted nursing shortage.
Sam Osei is a
registered nurse at the Hospital for Special Care, University of Hartford, Hartford,
I don't know about you, but I can't imagine driving without my GPS in the glove box of my car. Even when I know my trip route, I still have an extra sense of security that if my phone dies, or I take the wrong turn accidentally, I can always turn on my GPS and get re-routed. I got my Garmin Nuvi 1490T as a birthday gift after several years of pent-up frustration from getting lost on the seemingly convoluted roads of Houston. Now, I don't leave home without making sure my little electronic friend - Hank - is intact, charged and ready to go in my car.
Navigating the healthcare system can be similar to driving on the complicated streets of Houston, if one is not familiar with the territory. In essence, people often get lost on the complex "roads" to healthcare services in this country. In light of this, several studies have shown the positive impact of patient navigators, those I refer to as Patient GPS. A Patient GPS in the area of women's health can guide women from the side streets of preventive services like mammograms to the complicated highways of understanding and selecting treatment options if or when diagnosed with breast cancer. This short video clip gives a good overview of a Patient GPS's characteristics in the breast cancer healthcare service area.1
The American Cancer Society recommends the following for women to prevent breast cancer:2
Although annual mammography screening is recognized as effective in reducing breast cancer-related deaths, immigrant and refugee women are still less likely to have mammography screenings due to the fact that they are less familiar with the U.S. healthcare system.3-5 Immigrant women, racial/ethnic minorities and women from low-income backgrounds are most affected by breast cancer.6-11 A recent study about Bosnian refugee women in Massachusetts found that patient navigation worked to significantly increase mammogram rates among this group of women.12 Just like my friend, Hank, a Patient GPS can keep women (especially immigrant and refugee women) from getting lost on the busy roads and various detours of the U.S. healthcare system.
What ways do you think a patient GPS can support breast cancer survivors in staying healthy? What other areas of our lives do you think a human GPS can help us?
1. Flager Hospital Cancer Institute. (2010). Role of a cancer patient navigator. Retrieved from http://www.youtube.com/watch?v=RbUkwzTj_mg&feature=related
2. American Cancer Society. (2014). American Cancer Society recommendations for early breast cancer detection in women without breast symptoms. Retrieved from http://www.cancer.org/cancer/breastcancer/moreinformation/breastcancerearlydetection/breast-cancer-early-detection-acs-recs
3. Norman, S.A., et al. (2006). Benefit of screening mammography in reducing the rate of late-stage breast cancer diagnoses (United States). Cancer Causes and Control, 17(7), 921-929.
4. Norman, S.A., et al. (2007). Protection of Mammography Screening against Death from Breast Cancer in Women Aged 40-64 years. Cancer Causes and Control, 18(9), 909-918.
5. Sabatino, S.A., Coates, R.J., Uhler, R.J., Breen, N., Tangka, F., & Shaw, K.M. (2008). Disparities in mammography use among US women aged 40-64 years, by race, ethnicity, income, and health insurance status, 1993 and 2005. Medical Care, 46(7), 692-700.
6. Andreeva, V.A., Unger, J.B., & Pentz, M.A. (2007). Breast cancer among Immigrants: A systematic review and new research directions. Journal of Immigrant and Minority Health, 9(4), 307-322.
7. Echeverria, S.E., & Carrasquillo, O. (2006). The roles of citizenship status, acculturation, and health insurance in breast and cervical cancer screening among immigrant women. Medical Care, 44(8), 788-792.
8. Israel De Alba, F., McMullin, J.M., Sweningson, J.M., & Saitz, R. (2005). Impact of US citizenship status on cancer screening among immigrant women. Journal of General Internal Medicine, 20(3), 290-296.
9. Jemal, A., Siegel, R., Ward, E., Hao, Y., Xu, J., & Thun, M.J. (2009). Cancer statistics. CA: A Cancer Journal for Clinicians, 59(4), 225-249.
10. Pasick, R.J., & Burke, N.J. (2008). A critical review of theory in breast cancer screening promotion across cultures. Annual Review of Public Health 29, 351-368.
11. Sheppard, V.B., Christopher, J., & Nwabukwu, I. (2010). Breaking the silence barrier: Opportunities to address breast cancer in African-born women. Journal of National Medical Association, 102(6), 461-468.
12. Percac-Lima, S., Milosavljevic, B., Oo SA, Marable, D., & Bond, B. (2012). Patient navigation to improve breast cancer screening in Bosnian refugees and immigrants. Journal of Immigrant and Minority Health, 14(4), 727-30.
National Breast Cancer Coalition sets deadline for developing a breast cancer vaccine and stopping metastasis.
Clinicians constantly receive texts, calls, voicemails, emails, tweets, etc., all flowing right to their fingertips. Everything can seem urgent, and it can be difficult to determine what actually requires immediate attention, what can wait and what can be handled by someone else. This can be especially problematic for nursing staff who communicate with multiple clinicians across multiple care teams and facilities. It's enough to drive anyone nuts.
In an effort to improve care coordination, many healthcare organizations are adopting solutions that would give clinicians access to all of the information they could possibly need, as soon as it's available. And while these notifications and messages are well-intentioned, receiving a high volume of incoming notifications and messages can actually backfire. Receiving too many messages can result in "alarm fatigue," driving a tendency for clinicians to simply tune out.
Instead of shuffling every piece of information to clinicians when information becomes available, we need to provide them with opportunities to appropriately filter that information so they receive what is actually pertinent to them at a given point in time and context. The Memorial City Practice of the IPC Hospitalist Group is one example of a provider that's cutting down on this unnecessary static. They've recently implemented a program that enables physicians to create a personal algorithm to drive communications to them based upon how, where and when they work.
In addition to taking steps to reduce the noise, Memorial City is also giving nurses a way to reach those physicians quickly when time is of the essence. They have developed an escalation process that first delivers an unobtrusive notification "ping" to the physician when a new message is available. Without an immediate response, a follow-up notification is delivered at the one-minute mark, and then another at 15 minutes. If the physician still hasn't responded after 15 minutes, she or he receives a phone call. By establishing this type of protocol, Memorial City is balancing the need to cut down on white noise while still giving nurses the ability to sound the alarm when necessary.
Healthcare organizations of all shapes and sizes need to support clinicians by helping them improve their personal efficiency and develop best practices for communicating with one another, and offering guidelines for how they can identify the communication events that are relevant. Doing so creates more effective communications among providers and helps better coordinate care.
At the end of the day, we can have all the gadgets in the world with information coming at us from multiple directions, modalities and apps - but it's knowing how to effectively optimize the flow of those interactions that is the key to meaningful improvement in care coordination.
Identifing system and human issues that can contribute to alarm fatigue.
I knew I wanted to address Ebola in this editorial. How could I not? If you ask my colleagues, they'll tell you I have strong opinions about all of this. But when I think about writing a strong, clear message about the topic, it seems impossible. There is so much information, right and wrong, being manufactured on an hourly basis. On the day I wrote this editorial Oct. 18, these were some headlines I found: "Texas Hospital Employee Quarantined in Belize," "Ebola in America: Who Is Being Watched Most Closely," and "Without a Vacccine I'm Not Sure We Can Stop Ebola." What does all this mean?
As an editor, I'm a member of the media; but in this case, I believe there are too many stories coming from various media sources that foster the hysteria of the situation or give half the story. Don't get me wrong, this is a serious situation that needs to be covered, but as nurses, you have to know the best sources to find the information that will be help you protect yourselves and your patients in the coming months.
ADVANCE for Nurses has been busily creating an Ebola resource Center that includes original content written by nurses, as well as information from the CDC, including infographics and handouts on personal protective equipment and important ways to stop the spread of disease in your facility. I encourage you to take a look and find important materials you can use in your own patient and healthcare worker education: http://nursing.advanceweb.com/Web-Extras/Online-Extras/Ebola-Resource-Center.aspx
In one story, Eileen Thomas is a nursing professor at American Sentinel University in Aurora, Colo., offers her advice: "Encourage nurses to make a commitment to educating themselves rather than responding in fear. Seek information from reliable sources such as the CDC and WHO, rather than relying on information portrayed by the media alone.
"As nurses, we have a professional responsibility to become knowledgeable regarding Ebola transmission, symptoms, and prevention. If we educate ourselves first, can then educate our patients and the public to prevent history repeating itself in regards to stigma that is often associated with an infectious disease, particularly when it reaches epidemic proportion.
Follow ADVANCE's Ebola Resource Center in the coming weeks as we continue to provide you with the resources you need to keep fighting this disease.
Other sources you can research include the CDC (www.cdc.gov/), World Health Organization (www.who.int/en/) and the American Nurses Association (www.nursingworld.org/Ebola-Information).
As nurses, I know you have one thing in mind: the safety of your patients. This scary situation finds everyone in a place of not knowing where to turn. But as one nurse commented to one of ADVANCE's writers: "Caring for patients in what the World Health Organization acknowledged as the 'most severe, acute health emergency in modern times' may be part of her nurses' wiring. "Nurses were drawn to this role because of their capability for new knowledge and their passion for patients," she said. "They're doing what needs to be done even when there aren't others who would step forward."
Keep stepping forward, and keep learning more each day.
Email me at email@example.com to share your thoughts on the Ebola story.
By Martie Moore, RN, MAOM, CPHQ, chief nursing officer, Medline Industries Inc.
Who would have thought that the tools you count on every day to do so much for you would become the center of incredible tension within the care delivery system?
In many ways, these tools are a perfect example of Polarity. Polarity Management teaches us that it is not black and white, nor is it gray. It is black and it is white. When using Polarity Management theory, you consider the polar points within an issue. In hand hygiene, the polar points I am speaking about are simple and yet very complex: They are the hands of caregivers.
Hand hygiene has become a focal point of care settings in the U.S. Many hand washing programs have an "either/or" focus to them: Either you wash or gel your hands, or you don't. I had one infection control practitioner say to me that she did not understand why this was such a difficult issue. You just wash your hands, period, end of story. "Enough said about the subject!"
Given that conversation, I started to research the tension around hand hygiene. I would not argue with the IP that hand hygiene is critical. I agree on that point. But I do not agree that it is as simple as just washing your hands.
I asked caregivers across the nation how they would describe their hands at the end of a shift. More than 70 percent of the respondents said dry, itchy, cracked, sweaty or red. The majority were in the dry and itchy category. Many expressed concern about their ability to maintain care at the bedside with the condition of their hands.
When asked if they would be more compliant with hand hygiene if their hands felt better, the vast majority of respondents said yes. They also acknowledged that they use a variety of products and solutions - rom homemade to commercial - to try to address the discomfort of the condition of their skin.
Here lies the polarity: The very action that we are asking people to do this is causing them discomfort and pain.
When we as leaders take the approach of an "either/or" to hand washing, we miss a very important component to being successful in protecting our patients and those who provide care. We miss the simple element of pain and discomfort and the influence that has on the brain and subsequent actions of the care providers.
Understanding how to protect and heal the skin of the care providers is a critical first step. Look at what is available to them throughout their workday. If key steps are taken on a preventive measure to preserve the integrity of the skin and hands of the care providers, they will respond to what they know is so important: hand washing.
Skilled nursing facilities have significantly reducted nosocomial infection rates using airborne pathogen control technology.
U.S. Rep. Earl Blumenauer (D-OR) and 33 other members of
the House of Representatives recently sent a letter to Centers for Medicare
& Medicaid Services (CMS) Administrator Marilyn Tavenner asking her "to adopt
recommendations that would adequately reimburse Medicare providers for having
voluntary discussions about end-of-life care and planning with patients."
According to the letter sent to CMS on Sept. 24, the time
doctors currently spend having discussions with their patients about
end-of-life care and planning is not reimbursed under Medicaid and Medicare.
Unfortunately, without this incentive, these conversations are
not happening.
"Patients who wish to make clear their goals, values, and wishes
through discussions with their trusted providers should have the opportunity to
do so," Blumenauer notes in a press release about the letter. "In order to have these conversations, providers must
have the adequate time, space and reimbursement to conduct the complex and
time-consuming discussions necessary to learn about the goals and values held
by their patients and plan appropriately for their care.
"Every organization that has seriously considered this issue,
from the American Medical Association to the Institutes of Medicine, knows we
have to start respecting people's choices about how they face the end of life,"
continues Blumenauer. "Making this simple change will have a profound effect on
the way patients and their families spend their final days, and everyone
deserves that dignity."
While I fully support the recommendations in the letter from the
representatives to CMS, and although I understand healthcare is a business and also
recognize that the culture in the U.S. rewards those who make the most money they
can by charging as much as they can for their services at every turn, I have to
ask how any physician can justify on moral and ethical grounds refusing to speak to a dying
patient about their wishes at the end-of-life just because they may not get
paid for having the conversation.
Is there really nothing left that is more important than money?
The other signers of the letter, all of whom are Democrats, were:
Henry A. Waxman (CA-33), Suzanne Bonamici (OR-01), Peter DeFazio (OR-04), Ted Deutch (FL-19), Sander Levin (MI-09), Jim McDermott (WA-07), Lois Capps (CA-24), Rosa DeLauro (CT-03), Keith Ellison (MN-05), Sam Farr (CA-17), Rush Holt (NJ-12), Rick Larsen (WA-02), Barbara Lee (CA-09), Betty McCollum (MN-04), James P. Moran (VA-08), Chellie Pingree (ME-01), Alcee Hastings (FL-20), Jared Huffman (CA-02), Ron Kind (WI-03), John Larson (CT-01), John Lewis (GA-05), James P. McGovern (MA-02), William Owens (NY-21), Mark Pocan (WI-02), David Price (NC-04), Linda Sanchez (CA-38), Allyson Schwartz (PA-13), Mike Thompson (CA-05), Peter Welch (VT-At large), Bobby Rush (IL-01), Janice Schakowsky (IL-09), David Scott (GA-13), and Chris Van Hollen (MD-08).
My friend and I were supposed to meet for a walk one night. But a text popped up on my phone that she had an extended doctor's appointment that included an emergency ultrasound after an annual mammogram. The word "emergency" always makes me feel uncomfortable, but I'd been through a series of breast cysts and knew that mammograms sometimes take longer when they find those types of things.
Later that night, my friend called me to relay a story that left me speechless. After reviewing her images, her radiologist recommended she visit her physician in the same building - that day. So she made her way to the next appointment. Her doctor examined her and the images and then revealed he had taken the liberty of making an appointment with a breast surgeon - that day. Confused, she made her way across the hall to surgeon's office. During that meeting, she heard the words no woman wants to hear - I'm pretty confident you have breast cancer.
This began a journey she's still traveling.
My friend was the first person I knew personally who had breast cancer, which is pretty surprising given about 1 in 8 (12%) women in the U.S. will develop invasive breast cancer during their lifetime. There are about 232,670 new cases of invasive breast cancer diagnosed in women each year, according to the American Cancer Society.About 62,570 new cases of carcinoma in situ (CIS) will be diagnosed (CIS is non-invasive and is the earliest form of breast cancer). And about 40,000 women will die from breast cancer.
As nurses, you no doubt have either cared for patients or know your own personal family and friends who are fighting a breast cancer battle. And as a nurse, you can provide a valuable resource for patients and families who must face questions, fear and the unknown. While October is Breast Cancer Awareness Month, I ask that you spread the word about this disease throughout the entire year. Below are some ideas from the U.S. Department of Health & Human Services you can incorporate into your healthcare facility's education program. Find the toolkit here: http://healthfinder.gov/NHO/PDFs/OctoberNHOToolkit.pdf
And when caring for patients with breast cancer, share as many resources as you can to help them make difficult decisions about treatment, surgery and healing. Remember, you may understand radiation, lumpectomies and chemotherapy, but a patient with a new diagnosis does not. And perhaps, the most important thing you can do when encountering a patient with breast cancer is to show compassion.
After much research and soul-searching, my friend chose a double mastectomy. Two weeks post surgery, she continues the fight to get better. She received the wonderful news that no more cancer was found during the surgery and all had been removed. Now she can heal without the worry of continued treatments or cancer. Each day she gets a little stronger, and I'm thankful every day she's made it through. She's a survivor.
Let's work to spread the word on breast cancer awareness and early diagnosis and treatment - this month and throughout the year. Because there are thousands of people like me who have a friend who must hear the words "I'm pretty confident you have breast cancer." Let's get that number to zero.
We offer you resources to help and honor individuals fighting breast cancer.