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In a hospice everything is done for the patient, aiming at improving the quality of life of the patient in a hospice setting or at home. Managing symptoms is part of hospice, but contrary to what many people believe, so is therapy if there is gain to be made. If someone has had a stroke for instance, and the patient still has mental function and physical ability, the hospice must provide occupational therapy if it will increase the quality of life for the stroke patient. Physical therapy services which include things like occupational therapy or speech services must be available, and when these special services are provided, they must be offered in a manner which is consistent with accepted standards of practice.
LPNs have to be sensitive to needs of terminally ill patients and will need to assess whether a patient can actually benefit from therapy. They will also discuss the treatment with the physician. For instance if a patient is too weak and is getting close to passing on, doing certain therapies on them could be painful and uncomfortable to the patient; whereas if a patient is in remission, these additional treatments will be considered.
It is not surprising that an emotional bond is often formed between the nurse, the patient and the family. Of course the licensed practical nurse is involved with CEU's, known as Continuing Education Unit. This is necessary for anyone who works in a licensed profession like nursing. The reason for this continued education is for the licensed nurse to maintain their license. This ensures that the public are always at the receiving end of medical treatment from licensed professionals who have had the correct training and who are competent to work in the industry.
They work in hospitals, private homes, residential care facilities, nursing facilities as well as other hospice care environments. They most work a 40-hour week. Terminally ill patients require constant round the clock care, and for this reason, LPNs are required to put in night shifts, weekends as well as public holidays. They have to stand for long periods of time and will be required to assist patients to move in and out of bed.
The LPN has to participate in a recognized continuing education program, with qualified instruction. The certificate received will provide evidence of completion of continuing education requirements which have been mandated by qualified certification bodies. These records will also provide employers with information on training around the occupation of nursing.
Nurse.com for instance offer CEU's for LPNs which are accredited and been providing courses for decades. LPNs can select from audio, video, text, audio, webinar, live, as well as free CE courses. Nurses have access to more than 600 titles and also instant CE certificates once the courses are complete. LPNs can receive their certificates by email or fax.
The LPN is entitled to perform almost all nursing procedures, but they are not authorized to supervise other nurses with lesser training. Only registered nurses or licensed practical nurses may give medications to patients. For your loved one to receive the ultimate medical care, LPNs always take part in CEU's so that they can provide the very best care for any medical situation. Hospice LPNs are required to maintain their professional competence, and to follow the Code of Ethics for all nurses. This is the reason why they enroll in programs of continuing education. The LPN has to relay information to the physician. Information on the vital signs as well as other important medical information is relayed to the physician so that they can make appropriate medical orders for the patient.
The courses are all relevant topics to nursing and are created by certified and degreed medical professionals and other healthcare professionals founded on evidence based information. Our authors write courses on topics relevant to your career. You will find courses on wound care, coronary artery disease, Alzheimer's, bipolar disorders, amongst others. Course content is founded on evidence-based information and undergoes a comprehensive editorial review process. Not only that course records are retained for a number of years so that they can be verified when necessary and LPNs can also request electronic copies of certificates that have gone missing or becomes damaged over the years.
Hospice nurses perform many different nursing duties. Some of these will include:
Hospice care is known as palliative medical care which is care aimed at reduce pain and making the patient comfortable as opposed to treatment for a cure. Terminally ill patients have the right to spend their last days in comfort and hospice care provides professional medical care as well as supportive care.
The hospice LPN must be registered as well as being certified by a state health department as a hospice worker. Working as a hospice nurse will require completion of a year-long training program and certification. Training programs are available through colleges, universities and technical schools, and community colleges as well as hospitals. To join the training program, a high school degree will be required.
After successfully completing the practical nursing training program, the licensed practical nurse must take the National Council Licensure Examination, known as NCLEX-PN in order to actually get a license as an LPN. If you want to know more about the training and license, each state has their own Board of Nursing, and they will supply you will all the information you need. The nurse's license gives the nurse authority to perform professional assessments of patients and many other medical tasks.
Hospice LPNs often look at advancing their careers by becoming charge nurses. This gives them the responsibility of overseeing the work of the other LPNs as well as nursing assistants. If they want to they can also become certified in specialties. To become credentialed, CEU's and on-the-job training is required to complete the specific certification. The hospice LPN can also become a registered nurse with LPN-to-RN training programs.
The U.S. Code of Federal Regulations states that Nursing services must be directed and staffed to assure that the nursing needs of patients are met, and that services must be provided in accordance with recognized standards of practice. The U.S. Code of Federal Regulations states that "drugs and biologicals are administered only by the following individuals: (1) A licensed nurse or physician, (2) An employee who has completed a State-approved training program in medication administration, (3) The patient if his or her attending physician has approved. (4) Any other individual in accordance with applicable State and local laws. The persons, and each drug and biological they are authorized to administer, must be specified in the patient's plan of care."
Many LPNs want to have a Bachelor of Science degree in nursing, and even though this is not a pre-requisite to working in a hospice, many LPNs realize that having this degree opens far more nursing opportunities. Remember that what CEU's you do, all states require LPNs to graduate from an accredited nursing school and successfully pass a national licensing examination.
There are many hospices providing a wonderful service to terminally ill patients, and these hospices are staffed by exceptional hospice staff who serve the public in a caring and dedicated fashion. Licensed practical nurses working in hospices will have received all the appropriate training and certification to ensure that ignorance, carelessness and errors in judgment are not the order of the day. The health care industry is forever evolving and licensed practical nurses undergo CEU's to ensure that that quality of services and standard are constantly maintained at high levels. Health care is a special calling for LPNs where the public is served from staff who has had the best training there is.]]>
What would make this possible in the first place is that you would know what your tasks are because you have been around the health care professionals for a while as an LPN. What this translates to would be that you would need to have at least one to three years experience in the field of nursing.
You would have had close communication with patients as well as caring for them. Added to this you would have some experience in case management in order for you to be able to perform as a manager. You should also be sure that you have a basic knowledge of Medicare or Medicaid regulations, as this becomes a vital task to perform. Your communication skills should also be to effectively communicate information to people from a wide array of backgrounds, age groups (that would include children and older folk as well) and education.
In order for you to fill out forms and reports you must have good written skills. The main and important stream of your duties would be to effectively communicate the status and progress of patients to physicians and other healthcare personnel. This is what needs to be filled out as a medical record. You have to work independently as well as be able to interact with review organizations (such as auditors and so forth), physicians and all other hospital personnel. Effective communication is also necessary in that you need to be able to communicate matters in a clear and concise manner to the patients or clients of the facility for which you work.
One of the things that you must know as well is that there are entry-level positions available for those who have less experience. This will also determine the salary you would earn. It is therefore important to also use CEU's to develop your skills further in order for you to perform at your best in your work. Somewhere in your course structure it would be important to have at least a segment of mental health, social work, or any such related section as your tasks would also involve counseling. There are also other courses that you could add to assist you in your career. It is important however, that you do use CEU's to become more skilled and at the same time improve your qualifications.
The tasks that an LPN case manager has to do include:
1. Admitting patients to the hospital or to the healthcare facility at which you are employed.
– This includes interviews with patients to obtain the required information for admission such as:
This information is vital to assist in the eventual coordination of treatments.
2. There is the need for the LPN case manager give concurrent and retrospective written reviews of all
By looking into the patient's healthcare insurance, the case manager can provide solutions of how both parties could benefit in the end in terms of payment of services rendered. He or she is also in a position to explain the content of the documents to the client and point out certain aspects that might not be paid and so forth.
It is the task of the LPN case manager to make sure that:
This is done with continued, constant and comprehensive assessment of all cases on an individual basis. What it comes down to is the fact that the LPN case manager is the coordinator of the healthcare facility as there are many aspects of the facility, which are in need of coordination. The different departments with services and treatments need to be coordinated so that there are no conflicts between the different treatment facilities as well as the different departments. The emphasis is on support and assistance and to meet the needs of a person in their entirety. These needs are met through communication where information is shared. It is about making use of available resources to promote the quality and the cost effective outcome of the case.
The general requirement for a case manager is a BA or MA degree in social work or mental health counseling. However, the needs of patients can be met easily an LPN case manager. This is in the proviso that the LPN is constantly adding CEU's to his or her portfolio.
One of the things on what the case manager would focus on is the fact that many patients have phobias about what they might be facing. This is an important job for the case manager. It is the job of the case manager to address these issues and provide comfort or solutions. Patients often have to face:
If you are in a position to decide what you would like to focus on more, you might want to deal with specific areas of the health care fraternity. Examples of this might be mental healthcare or the physically disabled. The latter might be quite interesting, as you need to coordinate:
The ultimate reasoning behind case management in this field is for the reason of assisting the person or the individual to reach their optimum level of health and wellness and to have as complete functional capability as possible.
To reach these goals the case manager would do this through advocacy, through finding service facilitation, education, communication and the identification of service resources and so forth. It is especially the finding and facilitation of needed services that would allow the cases to turn out successfully.
When dealing with all the different departments, the patients and the staff (especially the physicians and medical doctors), there is always the need for a case manager to coordinate everything.
If you were an LPN case manager, you would benefit greatly by the fact that you have your case management certification. Certification would indicate that you have your education in place, that you are skilled and experienced in order to perform the appropriate services, which would therefore be based on sound principles of practice.]]>
Caring for patients with cancer, especially in the later stages of cancer can be quite a challenge. Seeing what these patients and their families have to go through is not an easy task and you have to be a strong person to be able to perform this job.
To become and Oncology LPN you will have to go through the regular LPN program, but you would have to specialise in Oncology. Treating cancer patients should be like treating other patients, but the treatments that these patients have to endure is a little more intense than what you would see in a general ward or a paediatric ward.
Becoming an Oncology LPN means that you would have to go through CEU's, or Continuing Education Units, to ensure that they still conform to the standards that the health sector has laid down.
There are few things that the LPN cannot do in the Oncology ward. Many of the LPN's perform the same amount and the same type of work as the RNs in the ward.
The only things that an LPN cannot do in the Oncology ward are:
Apart from these, the Oncology LPN could have the following duties:
With the national nursing shortage it has become imperative that LPNs are allowed to perform certain tasks under the supervision of doctors and other more experienced nurses and RNs. Some of these tasks would not be allowed to be performed unsupervised, but when there are superiors to keep a watchful eye, an LPN will be allowed to perform certain more complicated tasks and procedures.
Even if an LPN is not the most qualified person in the Oncology ward, they are definitely not the least important members of the team. The LPNs perform the basic care of the patients so that the RNs and the specialists only have to take care of the more specialised tasks. With enough LPNs on a team, the hospital only needs to have one RN to supervise the team. Because it takes longer to qualify as an RN it stands to reason that there will be less RNs in the industry than there are LPNs.
LPNs have done such good work and they have become such an integral part of the team that many RNs see them as their equals rather than their subordinates. Thus there is no shame in becoming an LPN while building up the experience and confidence before becoming an RN.
Apart from the most obvious hazard such as HIV there are other infectious diseases that an LPN could be subjected to. Two of these are tuberculoses and Hepatitis. A patient may be a carrier of these diseases and may not even know about it. For this reason there are several measures in place to minimise a nurse's risk to infection and exposure to any of these conditions and diseases.
An LPN in the oncology ward may be at risk from handling the live-saving drugs that are administered to patients. There is little that anyone can do about this risk except the usual preventative measures such as using gloves and masks and not handling the medication for longer than necessary.
Just as with other nurses, the oncology LPN will be spending a lot of hours walking, standing, bending and lifting. All of these actions take a toll on the body and nurses should make sure that they try to remain fit and try their best to bend in the correct way to not damage any ligaments or joints.
Nursing in itself is a stressful job because of the nature of the work and having to counsel families and patients who have been diagnosed with cancer can be a difficult task because a lot of people see this diagnosis as a death sentence. Seeing the pain and the difficulties that these patients and their families have to go through can take an emotional toll on any person.
The long working hours of being a nurse combined with the emotional hardship that the Oncology nurses have to go through can be very difficult. An Oncology LPN must learn to adapt to difficult hours and long periods on their feet with a lot of physical and mental challenges.
Part of being an LPN in the Oncology ward is that you gain volumes of experience as well as knowledge in Obstetrics. The Oncology LPN is heavily depended on as a part of the team and should you wish to be promoted, there will be many of your superiors who will put in a good word for you and will be able to vouch for the progress you have made in nursing.
Being able to specialise in one field means that you will always be able to find work in that field, although because Oncology is such a specialised field and the patients need special care in this ward, an Oncology LPN can get work in a general ward as well with experience from the Oncology ward.
The benefit package in the Oncology ward is financially lucrative as well and knowing that you are helping patients and their families through a very dark time in their lives I a very big benefit as well.
It is very seldom that someone would go into a certain career to stay on the same level of competence and be happy where they are. There are so many avenues that are open to LPNs and Oncology LPNs in particular.
There are many vacancies available for Oncology LPNs because of the nursing shortage and because of LPNs taking their careers further and being promoted through further study to RNs. Finding a job will not be difficult with the need for nurses increasing marginally each year.
From being an Oncology LPN, the nurse can obtain an undergraduate degree to become an RN and from there take part in the CEUs in order to gain experience and keep up to date with the latest information in the industry in order to work their way up the chain of command.
An LPN can also be placed in a senior or supervisory position within the chain of command once they have gained enough experience in the ward and can then help the surgeons, doctors and RNs to oversee procedures that are done by the other LPNs and help in the on-the-job training of the junior staff members.
This question should come up when hearing about the term, but there is really not much of a difference between the two. The Oncology LPN is just specialised in the treatment of Cancer patients and is schooled in Obstetrics and the basic care and which medication they are allowed to administer to patients where another LPN in another type of ward will be more specialized in the specifics of that ward.
There are many precautions that need to be taken in the Oncology ward which the LPNs are schooled on. There are many procedures that are specific to the oncology ward that other LPNs would not be able to or would need to perform.
The Oncology LPN needs to do continuous education while they are working to ensure that they are at the standard of knowledge and experience needed for this occupation.
Units that the LPN would need to go through and write exams on include:
These are just a handful of the subjects that have to be studied and assessed on. All of these units are also to enhance the experience of the nurse as well as the patient. Knowing how to deal with not only the illness but the psychological and emotional aspects that goes with it for the patient and their families is a boon to the medical profession and restores the faith patients and their families have in those who are treating them for something which may be fatal.]]>
LPN IV Certification is an additional qualification that a licensed practical nurse can obtain by attending a course on intravenous therapy. The additional knowledge gained by attending LPN IV certification classes will expand your professional skills and once you have successfully completed the course you can apply for certification through one of the professional nursing associations.
IV certificate programs offer study topics such as refresher courses in health care laws and anatomy and physiology. Students will also be taught practical approaches to IV therapy preparation and administration.
In order to study for your LPN IV Certification you must be a Licensed Practical Nurse with a current license. Obtaining this supplemental certificate will increase your salary.
IV Certification courses are comprised of pre-study coursework, practical training using practice dummies or mannequins and didactic sessions on the following:
Why Should I Get LPN IV Certification?
There are various reasons why it makes sense to obtain LPN IV Certification:
There are various ways in which you can obtain your IV Certification, depending on your circumstances and where you practice as a Licensed Practical Nurse. In order to get your certification in intravenous therapy you will need to be in possession of a clean, current and unendorsed Licensed Practical Nurse license which is valid for the state in which you intend practicing.
In order to be eligible to apply for certification in IV Therapy you will need to complete a course or program in intravenous therapy methods. This type of course will prepare you to perform intravenous blood collection, and the administration of fluids, blood and medicine directly into a vein through a needle. Attendees generally need to complete a course of self-study; this may include an examination prior to the course.
In order to ascertain the requirements for your state, you can do some research on the internet.
Where Can I Get My LPN IV Certification?
Each state has its own regulations regarding the authorization of LPNs to conduct intravenous therapy.
Most states require that the LPN complete a training course consisting of theoretical and practical study prior to obtaining certification. The length of the courses can also differ but are generally approximately one to two days in duration.
Employers often offer LPN IV certification classes or sponsor the individual.
NAPNES certifies all LPN's regardless of the state in which they reside. Certification can be done in the comfort of your own home and it is valid for 5 years.
The courses are generally developed to meet the individual state nursing standards. These standards could include regulations regarding what type of IV therapy LPNs may provide, and in what settings they may administer IV therapy. Some states for instance, will only allow LPNs to administer IV therapy in hospitals, but not in home-care settings.
This is a sixty-hour, full IV Certification course which will prepare you to perform intravenous
therapy and venous blood collection through peripheral and central venous catheters. You will be given the knowledge, skill and competencies to safely perform intravenous therapy in accordance with the Nurse Practice Act.
These courses have been written with the practicing LPN in mind so that he or she can continue to work whilst obtaining the certification in their own time and at their own pace. This program demands only one day of laboratory instruction and practice, and the remainder of the course can be completed at your own facility in your own time.
In order to be enrolled in this program you must be in possession of a current LPN license in good standing for the state in which you work. A current and valid Compact Multi-state Licensed Practical Nurse license in good standing and without discipline will also allow you to enroll for this course.
|60 Hours
|Independent Study
|44 Hours
|Laboratory Instruction & Practicum
|8 Hours
|Clinical with Preceptor
|8 Hours
Independent study modules will be mailed to you once you have completed registration and payment requirements.
You are required to study the course notes and complete the written tests. During this time you will also be required to organise a qualified preceptor at the institute at which you are going to perform the clinical portion of your course.
You will be given three months within which to complete this section of the program.
Once you have completed and submitted the self-study modules and quizzes, and arranged for a preceptor, you will be required to register for a laboratory instruction day.
During the practical portion of this course, at lab practice day, you will be taught how to perform the following tasks via discussion and demonstration:
You will be mentored throughout the day and will have ample time in which to practice each of these new skills on mannequins that will be provided.
Once you have successfully completed your written and lab practice you will be required to complete a skills validation check off with the preceptor(s) that you previously arranged. Once you have successfully demonstrated knowledge in the above skills and the preceptor has signed off on it you will need to mail the validation skills check to whoever is offering the course.
Skills that are required to be validated with qualified preceptor:
Once all of these steps have taken place you will be signed off for the clinical portion of the course too. Now that you have successfully completed the LPN IV Certification program you will receive your certificate.
There are other courses that are offered by various institutions which last for one or two days, and yet others that are only 20 hours long:
You will also be able to find various other programs in your state by doing some research online. Some programs will be campus oriented and offer practical experience at a nearby healthcare facility with which they have a good relationship whilst others may be a combination of online classes and clinical practice in a facility near to you.
The curriculum for the LPN IV Certification course will include thorough instruction on correct IV techniques through practical laboratory work, supervised clinical work experience, and demonstrations.
Specific classes will be given in:
LPN IV Certification must be renewed every five years. In order to renew your IV Certification you will need to complete a board approved LPN IV Refresher course or provide proof of 10 contact hours of continuing education related to IV therapy.
Any LPN whose IV certification has lapsed cannot perform IV therapy until they renew their LPN IV certification. You will have up to 2 years in which to renew your IV Certification by completing 10 CEs related to IV Therapy or by successfully completing a board approved IV refresher course and submitting proof to the WSBN.
In order to meet the renewal requirements for the of your LPN licensure you must meet the continuing education component of 5 contact-hours of continuing education.
LPN IV Certification is accepted for continuing education credits. Proof of course completion and certification must be submitted in order for the credits to be allocated.]]>
LPNs, who are concerned about the NCLEX-PN examination and about passing it to the best of their ability, need to try a study guide such as NCLEX-PN Practice Questions Exam Cram by Wilda Rinehart, Diann Sloan, and Clara Hurd. This is one of the many options that you will have when it comes to preparing for your examination to the best of your ability.
The NCLEX-PN Practice Questions Exam Cram by Wilda Rinehart, Diann Sloan, and Clara Hurd comes with a CD. This CD contains no less than five practice exam papers. By doing and redoing these exam papers until you can answer them within the time limits specified and until you can get nearly all the answers right, you will be well prepared for the NCLEX-PN examination. The software on the CD mimics the program that you will use to answer the questions in the test. This will improve your computer-based confidence for the exam. The CD is aimed at providing you with an experience that feels as close as possible to the actual exam. To run the CD you will need Microsoft Windows XP, Microsoft Vista, or Microsoft Windows 7, a Pentium class 1GHz processor (or equivalent), 256MB RAM, and 30MB Hard Drive Space.
The authors of this book are experts in the field with extremely advanced nursing qualifications. What is more, they have been where you are now and they know exactly what you will be facing when the exam comes round. When you purchase this book you are benefiting from the authors' advanced knowledge on all things related to nursing and their specific expertise on the LPN examination.
The book itself contains the following:
This makes it a comprehensive, and therefore and excellent, guide to the NCLEX-PN exam.
"This is an excellent selection for those who needed to pass the licensing. Whether you're aiming to be an RN, an LVN, or I believe even CNA. This book [has] questions very similar to the test and if you ever get to memorize all the questions you will be able to ace the licensing test. Also, not only it gives you the answers, it also gives the explanation why it is the answer. So, you get answers and learn at the same time in an easy way. [It is] highly recommended". Amazon.com Consumer Review
Professional reviews of this book often include detailed information about its here authors. Each of these writers has excellent credentials to their names. Perhaps the most important thing is that they are all nurses who have been through the same situations that you have yet to encounter. This makes them great authorities on the topics that are covered in NCLEX-PN Practice Questions Exam Cram.
The main positive comment that people have regarding this book is that it comes with excellent rationales. In other words it does not simply provide you with the correct answer to a question, but it also provides you with detailed reasons as to why it is the correct answer. In addition it also explains why the other answers are incorrect. This is essential to your learning experience. Memorizing answers and facts is easier when you understand why those answers and facts are considered to be the correct ones.
Several reviewers have said that they used nothing else for exam preparation other than this book, and that they passed. In fact the computer shut them off at 85 questions because they showed their competence in the exam quickly and easily and did not have to continue with the test.
It is important to note that a few of the reviewers of this book found it disappointing in one aspect: this, the 3rd edition, is not that different from the 2nd edition. If you already have the 2nd edition there is not too much point in buying the third edition, especially in terms of the practice questions provided as these are all the same.
The book costs about $20, which is not a bad price at all when you consider that it is what will get you through the NCLEX-PN examination effortlessly.
NCLEX-PN Practice Questions Exam Cram by Wilda Rinehart, Diann Sloan, and Clara Hurd, as well as the various other books on the market that exist for the purpose of preparing you for the NCLEX-PN exam, will help you in a number of different ways:
If you plan to become an LPN and you only have the NCLEX-PN examination standing in between you and success, remember that nurses who use a study guide of some kind to get through the exam do a much better job overall than those who do not. This is because these study guides provide you with insight into what will actually be on the exam. A good example of an NCLEX-PN study guide that you could use is the NCLEX-PN Interactive Flashcard Book by Rebekah Warner.
Using a study guide can benefit you in a number of ways:
It has long since been known that, when it comes to learning, flashcards can be among the most useful tools that you will have at your disposal. This is what makes the NCLEX-PN Interactive Flashcard Book by Rebekah Warner one of the best resources that you could get your hands on. Some have even described the flashcards as "indispensable" to your success in the NCLEX-PN examination. There are also hundreds of example questions that will be invaluable in helping you to prepare for the exam adequately as not only are they asked in the exact same way as they would be on the test, but you may also find that in many cases the exact same questions are asked on the test as well. Comprehensive answers with explanations are provided for each of the questions.
The main function of this book is to help you check your test readiness before you jump right into taking the NCLEX-PN examination. Through this book you will be able to see what your weak points are and develop an understanding of what specific areas of the coursework you need to focus on in a little more detail. For these reasons it is an invaluable guide for the exam. The book is recommended because it is an:
Essentially you can use the book to practice whenever you have free time, which could be when you are at home, at work, or travelling by public transport.
Rebekah Warner, the author, is an RN with a great deal of experience. She has written all of these tests that you will still have to go through and therefore has an accurate understanding of what you can expect from the NCLEX-PN examination. In addition to preparing you for the exam, the book gives you a relaxed feel as it also provides fun and interesting facts about the nursing profession. Although these needn't be studied for the exam, they do help you enjoy the study experience.
Usually flashcards come separately and in a box. However this is specifically a book of flashcards, which means that they are neatly bound and therefore easier to use. The book is also carefully indexed to allow you to find the topics that you would most like to focus n quickly and easily. This should be used in conjunction with other study materials.
"This is an indispensable asset. The organization of the book makes it easy to quickly review concepts/procedures. Plus it's almost compact enough to carry with you for reading anywhere. Also very useful in preparing for the state boards, has many of those tricky questions". – Amazon.com Consumer Review
When you read reviews online regarding this book you will soon pick up on a few main themes:
Firstly people like to praise the flashcard system saying that it is an easy and fun way to learn the work required for the exam.
Secondly the many practice questions that are included as well as the indexing system that the book uses make it a very effective and hassle-free guide to follow when preparing for the NCLEX-PN examination. This is also a very popular aspect of the book that reviewers like to praise.
In addition people enjoy the fact that the book can be studied at whatever pace suits you. This self-paced, self-study method works for many different people and has helped many different nurses make it through the exam.
Reviewers who have used the book also like to mention how convenient the size of the book is. You can basically take the NCLEX-PN Interactive Flashcard Book by Rebekah Warner with you wherever you go as it is easy to transport in a bag or sometimes even in your pocket. You can literally study wherever you are.
Note also that more than one reviewer used this book as a way to get through their actual coursework. By testing yourself using these flashcards every step along the way, you will be even more adequately prepared for the exam when it comes time to write it than if you try to cram all of the information in the night before you write.
On Amazon.com the book costs about $6 or $7 and is therefore one of the cheaper books that you will find to help you pass the exam. You must remember, however, that this book is best when used as a supplement with other guides and books that are aimed at helping you pass the NCLEX-PN exam.
The reviews of the NCLEX-PN Interactive Flashcard Book by Rebekah Warner are good, overall. There are not many books out there that have quite as good a reputation for helping LPNs through the exam as this one. However you need to remember that there are many options out there. There are countless different books that exist to help you pass your examination and some use different studying styles to others. Make sure that you take some time to find a good quality book that suits your personal style of studying.]]>
If you are an LPN that is preparing for the NCLEX-PN exam, the NCLEX-PN® Review Made Incredibly Easy study guide may be just what you are on the lookout for. This is one of the many study guides out there that exists to help LPNs through this difficult exam. Just remember, however, that although the word "easy" is contained in the title, this does not mean that you will not have to put some effort and work into your studying.
The three main characteristics of the NCLEX-PN® Review Made Incredibly Easy book are that it is:
Easy-to-read: this means that you will not start to feel bogged down by too much information contained on too many pages with too much writing. The easier it is to read a study guide, the easier it is for you to learn from that study guide.
Outline-format NCLEX® preparation book: "outline format" means that the book provides an overview of everything that you will need to know for the NCLEX-PN examination. This will also make it easier for you to study the actual content required for the test.
Online questions and answers: there are a number of questions and answers that can be found online for this specific book and these will allow you to practice answering questions very similar to those that you may be asked n the actual exam. This will build your confidence.
The Incredibly Easy approach that the book adopts makes it a unique study guide in that:
As far as nursing revision resources go, this is one of the better options that you could choose to use. This is because it covers everything that you could be tested on in the NCLEX-PN examination, including:
The book encourages critical thinking. Critical thinking means that you can look at a question and think about it in such a way that you are more likely to think of the correct answer. It is a deeper level of thinking and is required to pass the exam. Critical thinking questions are included on each f the chapters included in the book.
The latest edition of the book has been carefully updated to provide you with the most current and relevant information. This updated version includes:
There are about 1000 practice questions included. These questions not only come with the correct answers, but also with explanations as to why those are the correct answers and why the other options are incorrect.
"This book is an excellent study tool, if you're like me and you need to have all the info in your hands at once this is the book you need. I have talked with others about this and they agree that similar questions are on the test. The disk is an awesome tool with thousands of question to learn from and it's set up like you're taking the actual test. It offers the new multiple style questions as well as multiple choice, diagrams and fill in the blank formats…an excellent buy any way you look at it". Amazon.com Consumer Review
One of the more popular comments that you may hear about this book in a review is that it has everything in it. A lot of students prefer this because it means that they have all of the information that they need in their hands at the same time. You do not need an additional source of information except perhaps for the notes that you have already made during the course of your studies.
Another thing that makes this book popular is that it comes with a lot of different practice questions and tests that can be used to prepare for the exam. in addition consumers who have used the book n the past like to mention how similar the practice questions are to the ones that you will actually be asked on the exam itself.
In addition reviewers like to talk about how quickly the book helped them. Some bought the book with only a week to spare before taking the exam and they still passed, which speaks volumes for the efficacy of the study guide.
Most reviewers agree that the book works well as a supplement to the knowledge that you have already gathered in your training and should be used as a revision tool rather than as your only source of guidance.
This book is available for about $28 online and this is a very reasonable price when you consider that it is preparing you for your NCLEX-PN examination. As study guides go t is fairly good quality as well as being quite affordable. When shopping online you will find that the book is substantially cheaper to purchase in this way than if you go to a store, so this is a way to ensure that you will be able to get your hands on this invaluable resource.
With a guide like this you will prepare for the exam in a number of different ways. You will not only have a good working knowledge of what will actually be on the test, but you will also have a clear idea of how the test will be structured, both of these aspects will improve your confidence greatly. Nerves are one of the main factors that cause LPNs to fail on the NCLEX-PN test. Note: There are a number of other study guides on the market that are aimed at helping you pass the NCLEX-PN exam and it is recommended that you explore all of the options available to you before purchasing a book.]]>
This is unfortunate as there are many very good male nurses, and they perform their duties very well too. A male LPN can bring a different outlook to nursing, and can offer a very different point of view, dignity and strength to the profession. Of course their physical strength also comes in very handy at times, when there is a heavy piece of equipment or a rather large patient that needs moving.
Believe it or not, there are many male nurses out there, and most of them thoroughly enjoy their jobs and wouldn't change them for the world. A man who has done some time serving his country in a field hospital assisting medics with injured soldiers for instance, would make an excellent male LPN, and someone who has done some EMT training makes a dedicated male nurse, especially in trauma units in hospitals. In an ER unit there is no gender; it is every hand on board to deal with the many emergencies, and thus this "gender neutral" setting is perfect for men who desire to join the nursing profession.
One of the reasons that men make good nurses is that they have more confidence than their female counterparts have and are not intimidated by doctors. Men who decide to join the nursing profession are generally very confident, motivated and dedicated individuals who any doctor or registered nurse would be proud to work with. Men have a natural yen to take on new challenges, and generally have very good decision-making skills, which is a boon when in an emergency situation and you have just seconds to save someone's life by your actions.
A male LPN or male nurse is also perfect to work in long-term care facilities such as a VA hospital, because they have an advantage over their female counterparts if they have served in the armed forces, as they can relate to what the veterans are going through. It is also often easier for men to create a sense of camaraderie with their long-term patients because many of the male patients feel more comfortable with a male nurse. Many male patients also prefer a male nurse when it comes to something like catheterisation, as they feel it is easier for a man to do.
According to the Bureau of Labor Statistics, there are somewhere in the region of 1,500 accredited training programs for Licensed Practical Nurses and job prospects in the nursing profession are expected to grow faster than for many other occupations due to the fact that the baby boomers are now reaching the age when they become ill more and need more long-term nursing care.
The American Hospital Association estimates that 75 % of all hospital vacancies are for nursing posts. According to the Department of Labor, registered nursing is the top occupation in terms of projected growth over the next few years, with in excess of one million new and replacement nurses being required just in 2012. Despite this fact, according to the American Nurses Association, only 6 % of nurses in theUnited Statesare men.
"Men in Nursing" is the first professional journal that has taken this phenomenon on and is targeting men to shuck the traditional and to become a male LPN or male RN if they so wish. The journal does this by highlighting the accomplishments of men in the nursing field and providing information about various specialties that men could enjoy as a male nurse without feeling that they are doing a "woman's job."
Nursing has always been seen as a woman's profession, being that the woman is seen as the earth mother, nurturer, and healer of all wounds, physical and emotional, the shoulder to cry on and, somehow, also the weaker sex. Unfortunately due to the fact that women were (and still are in some countries) treated as second-class citizens; the nursing profession has also denigrated the value of nurses and the nursing profession in general.
Doing away with the perceived notion that a man who becomes a nurse is either doing so because he needs to earn money whilst studying to become a doctor, is gay or is just not clever enough to get better employment is of utmost importance in getting nursing for men more widely accepted as just another job that anyone can do, irrespective of gender.
In a time when most countries are undergoing an economic meltdown and jobs are scarce, this is the perfect time for men to claim their right to join the nursing profession and enjoy all the benefits thereof:
As a male LPN you will work under the direct supervision of either a medical doctor or a registered nurse. You r duties will include the following:
There are various types of LPN programs that you could take, depending on your experience, circumstances and what you plan for your future in the nursing profession"
As much as the demand for qualified nurses is growing substantially every year, there are thousands of nurses who are getting turned away from nursing colleges every year because of lack of space in the program. Nursing schools have taken note of this dichotomy and have come to the party with some really innovative implementations of various programs to deal with the influx of nursing students in order to satisfy the need in the nursing profession. There are many bridge programs for those who are currently LPNs or RNs and who want to further their education in order to move up and earn better salaries. These programs allow for quick transference of credits and all the theoretical and clinical training required to transition.
For a young man who wishes to become a male LPN, there are a few alternatives:
Studying to become a LPN at a nursing school typically involves around twelve months of study, which includes theoretical and practical training. The LPN course can be done at a technical vocational school, hospital or community college. The theoretical side can include chemistry, biology, drug administration, medical-surgical nursing, psychology, emergency medical technology, nutrition, anatomy and physiology, and obstetrics and gynecology. The practical work that is required for this qualification is referred to as "clinicals" and generally takes place in hospitals or clinics.
In order to study to become an LPN you will need to meet certain requirements:
Some programs also require you to take some other prerequisite courses which may include:
Because an LPN course is a course in basic nursing and usually the starting point for a nursing career that can culminate in being a manager or director, the program of study to enable the graduate to work under the direct supervision of a physician or registered nurse is basic and will include:
The clinical aspect of the training takes place in a hospital or clinical scenario and is hands-on training under the supervision of a doctor or registered nurse, focused on preparing you to handle all types of situations when faced with them in the real world once you have qualified as a male LPN. Many of the colleges have a relationship with local hospitals and other medical institution and many of these institutions offer their interns permanent employment once they graduate and register as an LPN.
Once you have completed your training as an LPN and have graduated you will be eligible to sit for the NCLEX-PN exam which you will need to do I order to gain licensure to practice. Once you have obtained licensure you will be able to look for employment in private homes, doctor's clinics, homes for the aged, nursing facilities, hospitals and various other medical facilities.
Remember that if you really want to become a male LPN, you should do so and not worry about what society thinks; the more male nurses that there are the more society will become used to the idea that nursing is not a gender-specific profession.]]>
One of the bigger challenges that you will face on your path to becoming an LPN is the NCLEX-PN examination. Luckily there are a number of very good study guides out there that are aimed specifically at helping you get through the exam as easily as possible. One such study guide is Lippincott's Review for NCLEX-PN by Barbara Kuhn Timby, Ann Carmack RN MSN, and Diana L. Rupert RN MSN PhD. With a book such as this one you will:
It is also a great way to build your confidence as a sense of being prepared is the best way to deal with your nerves.
Lippincott's Review for NCLEX-PN by Barbara Kuhn Timby, Ann Carmack RN MSN, and Diana L. Rupert RN MSN PhD is often considered to be one of the best and most popular options that you could choose when looking for a comprehensive and effective method of preparing for the NCLEX-PN examination. This book is essentially a Question & Answer Review. What this means is that the Lippincott's Review for NCLEX-PN is made up of a variety of questions for which comprehensive answers as well as explanations and rationales for those answers are provided. The test questions are meant to mimic the content of the actual test, thereby helping you to prepare adequately as well as boosting your confidence. In many situations you can feel more confident about an upcoming exam if you have a clear idea of what the exam will entail, both in terms of question content as well as in terms of the test's format. Recently the NCLEX-PN examination began including alternative forms of questions, including:
This book includes comprehensive examples of these kinds of questions and it aims to prepare you for anything that you may encounter in the actual examination. According to Amazon.com, the book includes a "Test-Taking Strategy" for each question to help students break down the question to its core components in order to identify the correct answer. Basically what this means is that you will be taught the all important skills that you need to answer questions. These are skills that are seldom taught in formal programs, making this book one of the best resources that you could choose to rely on to get through the NCLEX-PN examination. The main focus of the book is to allow you to practice with as many exam-style questions as possible. It therefore includes:
The book has recently been updated. This means that it represents an example of what you are likely to face in the most recent NCLEX-PN test format. When looking for a study guide you should specifically look for one hat is up to date as test format, as well as standard procedures, can change a surprising amount over time.
The CD which is included mimics the computer-based test taking situation. It also includes a review mode function that is specifically there to help you adequately study and prepare for the exam.
"This book focuses on many areas of nursing including med-surg, pediatrics, the Endocrine system, and lab values which are all areas covered in length on the NCLEX-PN CAT. I would highly recommend this study guide to any nursing student studying for the board. Included is a disk with multiple questions and rationales. I purchased many types of resources in preparation for the NCLEX and I feel this book prepared me more than any of the others. Good luck future nurse!" Amazon.com Consumer Review
A top comment that consumers like o make when reviewing this product is the fact that the CD that comes with it not only contains questions that are highly similar to the exam in many ways, but that the format of the CD is very similar to the computerized format of the exam. This allows you to prepare adequately for the exam situation itself and thereby approach the test with a higher degree of confidence.
Another compliment that you may often come across when reading reviews is that this book s very good for anyone who wants to get into the critical thinking mode. It prepares you engage in the kind of thinking required not only for the exam but also for your career as an LPN once you have successfully passed the exam.
The book comes with rationales or explanations for why the answer is correct and why the rest are incorrect. It can therefore add substantially to your learning experience and understanding of the topic.
Several nurses have also mentioned that even though they purchased several books for the exam, it was this book that prepared them most thoroughly for the test. This is because the questions that the book provides to help you practice for the exam are very similar to what will actually be on the exam in both terms of content as well as format.
Many nurses also found the book helpful during their studies as it is very similar to the questions that you will get n class. And, of course, the earlier you start thinking about exam preparation, the easier you will find the exam.
The book costs somewhere in the region of $30 when purchased online and is therefore not too expensive, especially when you consider the preparation advantage that it will give you on the exam.
Although this is a very good study guide to choose, you need to remember that it is not the only option. Price comparisons are important when looking for a study guide, of course, but it is even more important that you do quality comparisons. The best way to decide whether or not a book increases your chances of passing the exam is by reading as many customer reviews as you can find about the book.]]>
There is no quick and easy way to pass the NCLEX-PN examination. You will have to put some effort and work into regardless of what methods you use to get through the exam. However one very good method of preparing for the NCLEX-PN examination that has shown to be effective for a large number of different students involves using a study guide such as the HESI Comprehensive Review for the NCLEX-PN® Examination. A study guide such as this one will prepare you for the exam in a number of different ways. It will give you an idea of the format of the test and get you used to answering the questions in the style that is expected. It will also, of course, prepare you for the actual content of the test by reviewing the important aspects of your coursework. And it will improve your confidence on the test dramatically.
The HESI Comprehensive Review for the NCLEX-PN® Examination, 3rd edition study guide is an excellent resource if you wish to prepare for the NCLEX-PN examination. This book provides an excellent study program that will, firstly, prepare you for the HESI exit examination as well as for the actual NCLEX-PN examination that all prospective LPNs must write. There are a number of features that make this book a good option:
The HESI Hint boxes may perhaps be the most important feature of the book. These boxes specifically exist to give you some essential clues about what topics and questions are most likely to be covered on the NCLEX-PN examination. The content outlined in these boxes should be studied carefully. The critical thinking questions exist to help you get a good grasp on the work and come with comprehensive answer guides which also help you learn the work. The book is also extremely helpful in that it not only explains why correct answers are correct; it also explains why the other options are wrong. This will make it easier for you to identify both right and wrong answers on the examination.
There is an increased focus on pharmacology in the NCLEX-PN examination. Consequently the pharmacology tables included in this book will make studying this complex information substantially easier as it summarizes all of the important information that you need to know into one, easy to understand and follow table format. The chapters in the books are well organized in such a way that you can easily get t the chapter and topic that you are most interested in focusing on. Remember the exam is divided into clear categories. So is this book. If you have a weakness in one area this book makes it easy to focus on that area. The chapters are also laid out consistently. In other words, each chapter follows the same format. This will help you learn things more quickly. The book comes with a CD. This CD contains hundreds of questions that mimic the questions asked in the NCLEX-PN examination and are therefore a great source of practice for the examination.
"This book does a great job reviewing the strong points of nursing! Great study guide! The practice tests really help and have some of the same questions seen on the actual HESI (I took about 3 HESI tests so far)". Amazon.com Consumer Review
One of the main things the reviewers like to praise regarding this book is that it is broken down very nearly into the various different topics that you need to study for the exam. The main reason why this is a good thing is that it makes the studying process so much more streamlined and easy to use.
Another popular comment is that the book provides very good explanations as to why an answer s either correct or incorrect. It is far easier to learn a concept if you have a good understanding of why the facts are as they are. This makes it one of the better study guides.
On Amazon.com the book has not received anything below four stars, although it must be kept in mind that this is made up of only three reviews on the book so far. In general there are not a lot of reviews about this book which could either mean that it is not very popular, or that it is very new to the market and perhaps not a lot of nurses are aware that it exists. It may be better to go with a more well known option in order to be sure that you are not wasting your money.
This book cots $45.86 and is therefore one of the more expensive options that you have. However it is also one of the more comprehensive and reliable study guides for the NCLEX-PN exam, and remember it is also preparing you for the HESI test. As study guides go, there are far worse ones to spend your money on. In addition it is interesting to note that you, as a student, can most likely receive a discount on the book when you purchase it, whether you buy it online or whether you purchase it from a book store in your area.
The reviews on this book are by and large very positive. If you work hard and follow the advice and structure of this guide you will most probably do a great job on the test. Just remember that there are a number of different study guide options out there. You may for example prefer to get a study guide that comes with a guarantee that you will pass (and which is also, unfortunately, more expensive). However the HESI Comprehensive Review for the NCLEX-PN® Examination will be more than enough to get you through the exam if you are willing to put in the work that is required.]]>


text:
Marketplace Sync
More Channels = More Sales
Sell Everywhere, Your Income Has No Limit Now
More Channels = More Sales
Sell Everywhere, Your Income Has No Limit Now
Everyone knows that they shouldn't put all eggs in one basket, multiple sales channels selling is not a new idea, but it has always hindered by your capacity (usually time) to upload and manage products in different marketplaces. Now SiteGiant store is not just able to list your products to marketplaces like Lelong, 11street, LogOn, Lazada, Qoo10, GemFive, Amazon, Shopee and Youbeli but also update the orders / inventory from these marketplaces to your store.
Selling in Website (RM50k / month)
You get a total of RM140K / month, it's 180% INCREMENT of revenue each month. Furthermore, when we add in new marketplaces for syncing, it's like open up another water tap in your online business, except the one flows in is cold, hard cash instead.
After using SiteGiant' Marketplace Sync, surprisingly, our sales has been increased 20% -30% at least. At this point we just sync around 60 products over…
After using SiteGiant' Marketplace Sync, surprisingly, our sales has been increased 20% -30% at least, At this point we just sync around 60 products over…
Before that, without Marketplace Sync, there is no breakthrough in our revenue. Our sales has been stagnant for some times…
Also, long time ago, I already plan to expand my online business by selling in marketplace, but I just don't have the luxury of time to reupload my products into the marketplaces.
Now I am able to save at least 80% of product uploading time in the marketplaces. I can utilize my spare time on business opportunity & marketing.
Thanks to SiteGiant' Marketplace Sync, I am very satisfied with it…
Our Sales has been increased 200% – 300% after using SiteGiant's Marketplace Sync
Without Marketplace Sync, selling in multiple Marketplaces is a big challenge…
SiteGiant's Marketplace Sync help us to reduce the error in product management like typing error, no more mistake in uploading products.
We also can quickly filter out the products, assigned to respective Marketplace's category easily such as which product has been sync and which one haven't sync. The status is very clear. It has definitely increase the efficiency in managing our products in multiple marketplaces, I have save more than 80% of my time in product management. I have more time to accompany my family as my kids is growing up
With Marketplace Sync, I manage to upload few hundreds of products in one day… It has actually shocking my marketplace's account manager…
Without Marketplace Sync, as a Seller I will not put so much products in Marketplace, buyers will have less choices, probably we will sync only a few core products. Marketplace Sync indirectly helping to boost eCommerce industry as it has increase ranges of product in Marketplace…
Our Sales has been increased 200% – 300% after using SiteGiant's Marketplace Sync
Increase Your Income by increase additional sales channel selling.
Get More Exposure to your brand, get free traffic from other channels.
Time Saving – With a single click, all your products in SiteGiant Store will sync over to the marketplace and all orders from the marketplace will sync back to your store.
The Ultimate
Platform that used
by Malaysia
Power Sellers
To INCREASE Sales, AUTOMATE Process,
REDUCE Workload and
MANAGE Multiple Markeplaces…
All In One Place!
90% of sales is generated from Marketplaces…
For the time being, our online business is relied heavily on SiteGiant's Marketplace Sync, estimately 90% of sales is generated from Marketplaces, without Marketplace Sync tool, we'll not manage our products so effectively.
The beauty in the Marketplace Sync is not only it help us Saving Time in product uploading, whenever there is any transaction in other marketplace, we can sync back the order details to keep in our online store and update the inventory as well.
When SiteGiant get our Store Featured in 11street's Best Store Section, our Sales has been increased at least 30%… The Shocking Deals Promotion is even more powerful, pushing our sales into whole new level
I have to admit that all these result is achievable, I didn't paying anything extra to SiteGiant or Marketplace that I participated, It is indeed one of the value added service provided by SiteGiant
From International business to successful local online business
SiteGiant's system contains one excellent feature when in comparison with other shopping cart system. First, their response is fast, whenever there are new features or modules, they will update to my website automatically.
Second, their system works very well in local market…
– Lawrence Liaw

subset: commoncrawl


text:
Penalty Kick
Print advertisment created by BBDO, Romania for Winterfresh, within the category: Confectionery, Snacks.
Creative Director: Mihai Gongu
Copywriters: Dan Stanescu, Alex Strimbeanu
Art Director: Cosmin Simionescu
I suppose it has something to do with your breath. Bad breath = people staying away from you. But this ad left me puzzled as well.
nice idea ***
view my blogs : Evden eve nakliyat * Ev Taşıma * Piyano Taşıma
Look at the slogan - unlimited closeness, as far as that goes this is a nice idea how to show it. Thoigh, closenes and chewing gum and football... pretty far fetched
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text:
This is a new initiative supported by the Open Society Institute which offers free online access to a variety of peer-reviewed publications, including a number of history journals
Archive for the 'Digital Scholarship' Category
Open Access JournalsIn Digital Scholarship, Online journals on February 18, 2011 at 2:12 pm
New frontiers in digital scholarshipIn Digital Scholarship on June 11, 2010 at 11:22 am
Issuu.com is a site that enables free (and very glossy) publishing. The online reader is very easy to use.
For historians, who like the look and feel of a book, and love to use images, this could be a great and cheap place to publish things that might not otherwise see the light of day.
I found this useful publication from the Bibliothèque Publique d'Information in Paris on the history of Muslims in France.


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$ 9.99
Handcrafted wire-wrapped Emerald (May's birthstone) bead ring. Bead consists of one 8mm faceted Emerald and two Solid .925 Sterling Silver corrugated beads, and two solid silver daisy spacers. Wire is silver-plated anti-tarnish artistic wire. If you would like this same ring in copper send me an email. Sizes 4-12 available. Please allow about 3 days to make the ring of your choice.
Emerald is the sacred stone of the goddess Venus and is thought to preserve love. It is also known as the stone of prophecy.
Please note there may be slight variations in the finished product due to the natural variations of the stones.
$ 9.99
Handcrafted wire-wrapped oval Amazonite bead ring. Bead consists of one 20mm Amazonite. Wire is anti-tarnish copper artistic...
$ 9.99
Handcrafted wire-wrapped Amethyst (February's birthstone) bead ring. Bead consists of one 9mm AAA quality Amethyst and...


text:
Coast Guard Recapitalization:
Matching Needs and Resources Continue to Strain Acquisition Efforts
GAO-17-654T: Published: Jun 7, 2017. Publicly Released: Jun 7, 2017.
Additional Materials:
- Highlights Page:
- Full Report:
- Accessible Version:
(202) 512-4841
Office of Public Affairs
(202) 512-4800
The Coast Guard is a decade into its effort to modernize its fleet, and many new ships and aircraft are now in service.
For example, the Fast Response Cutter and National Security Cutter offer greater endurance and effectiveness than the ships they replaced—though maintenance and equipment issues have limited their operations.
More broadly, the affordability of the Coast Guard's portfolio is in doubt, and its new Offshore Patrol Cutter will strain funding for other programs. Although we are not making recommendations in this testimony, we have made recommendations in recent years to help the Coast Guard plan for future acquisitions.
The Coast Guard's Fast Response Cutter and National Security Cutter
Photos of the Coast Guard's Fast Response Cutter (left) and National Security Cutter (right)
Additional Materials:
- Highlights Page:
- Full Report:
- Accessible Version:
(202) 512-4841
Office of Public Affairs
(202) 512-4800
What GAO Found
The Coast Guard is currently procuring three new cutter classes that are intended to have more capability than the legacy assets they are replacing. In particular, the National Security Cutter (NSC) and the Fast Response Cutter (FRC) are generally demonstrating improved mission performance (see figure). Both cutters have greater fuel capacity and efficiency and handling/sea-keeping than the legacy assets they replace, all of which increase endurance and effectiveness. Another new asset—the Offshore Patrol Cutter (OPC)—is also expected to provide increased capabilities compared to the Medium Endurance Cutter it is replacing, such as the ability to conduct longer patrols.
The Coast Guard's Fast Response Cutter and National Security Cutter
The Coast Guard, however, has not been able to take full advantage of the FRC's and NSC's capabilities because of maintenance and equipment issues limiting their time available for operations. GAO found in March 2017 that while both cutters met their minimum mission capable targets on average over the long-term, more recently—from October 2015 to September 2016—they fell below their minimum targets due to needed increased depot-level maintenance. Both cutters have also been plagued by problems with critical equipment, such as the diesel engines, which have contributed to lost operational days.
In June 2014, GAO found gaps between the funding amounts the Coast Guard estimates its major acquisitions need and what it has requested. This has continued. For example, senior Coast Guard officials peg acquisition needs at over $2 billion per year, but the President's budget requested $1.2 billion for fiscal year 2018. In an effort to address funding constraints, the Coast Guard delayed new acquisitions through the annual budget process, but lacks a long-term plan to set forth affordable priorities. As a result of these issues, it is facing a gap in the capability provided by its Medium Endurance Cutters, which are slated to reach the end of their service lives before all the OPCs are operational. GAO recommended in 2014 that the Coast Guard develop a 20-year fleet modernization plan that identifies all acquisitions needed to maintain the current level of service—aviation and surface—and the fiscal resources needed to buy the identified assets. DHS concurred with the recommendation, but it is unclear when the Coast Guard will complete this effort.
Why GAO Did This Study
In order to meet its missions of maritime safety, security, and environmental stewardship, the Coast Guard, a component within the Department of Homeland Security (DHS), employs a variety of surface and air assets, several of which are approaching the end of their intended service lives. As part of its efforts to modernize its surface and air assets (an effort known as recapitalization), the Coast Guard has begun acquiring new vessels, such as the National Security Cutter, Fast Response Cutter, and a number of air assets, and developing the Offshore Patrol Cutter. Despite the addition of new assets, concerns surrounding capability and affordability gaps remain.
This statement addresses (1) the capabilities provided by the newer Coast Guard assets, (2) maintainability and equipment challenges for the new cutters, and (3) the overall affordability of the Coast Guard's acquisition portfolio. This statement is based on GAO's extensive body of work examining the Coast Guard's acquisition efforts spanning several years, including the March 2017 report on the NSC and FRC's maintainability.
What GAO Recommends
GAO is not making recommendations in this statement but has made recommendations to the Coast Guard and DHS in the past regarding recapitalization and the specific assets involved, including that the Coast Guard develop a 20-year fleet modernization plan that identifies all acquisitions needed to maintain the current level of service and the fiscal resources needed to acquire them. DHS agreed with this recommendation.
For more information, contact Marie A. Mak at (202) 512-4841 or firstname.lastname@example.com.
Jul 31, 2017
Refugees:Actions Needed by State Department and DHS to Further Strengthen Applicant Screening Process and Assess Fraud RisksGAO-17-706: Published: Jul 31, 2017. Publicly Released: Jul 31, 2017.
Jul 27, 2017
Federal Emergency Management Agency:Additional Actions Needed to Improve Handling of Employee Misconduct AllegationsGAO-17-758T: Published: Jul 27, 2017. Publicly Released: Jul 27, 2017.
National Mall:Actions Needed to Better Manage Physical Security RisksGAO-17-679: Published: Jul 27, 2017. Publicly Released: Jul 27, 2017.
Jul 25, 2017
Coast Guard Acquisitions:Limited Strategic Planning Efforts Pose Risk for Future AcquisitionsGAO-17-747T: Published: Jul 25, 2017. Publicly Released: Jul 25, 2017.
Southwest Border:Additional Actions Needed to Strengthen Management and Assess Effectiveness of Land-based Surveillance TechnologyGAO-17-765T: Published: Jul 25, 2017. Publicly Released: Jul 25, 2017.
Jul 20, 2017
Supply Chain Security:CBP Needs to Enforce Compliance and Assess the Effectiveness of the Importer Security Filing and Additional Carrier RequirementsGAO-17-650: Published: Jul 20, 2017. Publicly Released: Jul 20, 2017.
Jul 18, 2017
Federal Emergency Management Agency:Additional Actions Needed to Improve Handling of Employee Misconduct AllegationsGAO-17-613: Published: Jul 18, 2017. Publicly Released: Jul 18, 2017.
Jun 29, 2017
Critical Infrastructure Protection:DHS Has Fully Implemented Its Chemical Security Expedited Approval Program, and Participation to Date Has Been LimitedGAO-17-502: Published: Jun 29, 2017. Publicly Released: Jun 29, 2017.
Jun 7, 2017
Coast Guard Recapitalization:Matching Needs and Resources Continue to Strain Acquisition EffortsGAO-17-654T: Published: Jun 7, 2017. Publicly Released: Jun 7, 2017.
Jun 1, 2017
Immigration Courts:Actions Needed to Reduce Case Backlog and Address Long-Standing Management and Operational ChallengesGAO-17-438: Published: Jun 1, 2017. Publicly Released: Jun 1, 2017.
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Contact Form
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Obstacle Revelations
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Obstacle Revelations
Event Timetable
24 February 2017
OCREC Training Camp
8 March 2017
Obstacle Revelations
Get ready for the OCR European Championships obstacles! Over the course of the coming weeks we will reveal some of the 50 obstacles you will be expected to tackle on our course. Today we will show you an obstacle which is probably no surprise for you. Please meet the Spinners by Urban-sky obstacle design division Europe.
The next obstacle which you will be expected to tackle on our 2017 OCR European Championships course. Today we will reveal an obstacle which you might remember from last year. Please meet the Monkey steps which will be build by Bruggink en Rougoor.
At least 80% of the obstacles will be build there specially for the 2017 OCR European Championships Course. Today we announce the Net Climb which is an obstacle from the permanent obstacle course on Flevonice.
Today we announce the Urban Sky Monkey Bars. These are not ordinary monkey bars - get ready for a wobbly ride! These monkey bars can move. Try to hang on at the 2017 OCR European Championships!
Today we announce the Urban Sky Super Snake. This will turn everyone around - Try to hold on while this spiral is set in motion by your own body weight. Try to hang on at the 2017 OCR European Championships!
Next announcement the Wall Jump. Run, Jump and pull yourself up and over Jump on at the 2017 OCR European Championships!
Meet the Commando ropes. How will you tackle this obstacle? Are you going to hang on these ropes? Are you going to slide to the other side? Over or under…. make sure you don't hit the water. A plunge in this water will condemn you to the re-try lane!
Test your physical fitness at our "Dragons back". This time we will show you an obstacle that will test your mental capabilities. It's not the distance but the mental block you need to overcome. Will you dare jumping from platform to platform, high up in the air? Or will you lose valuable time talking yourself into taking this leap?
Look who's back!
Last year this was the obstacle that cost most of our athletes their wristband.
Will this year be any different at the UFO 2.0 ?
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Obstacle Sport Expo
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8 March 2017
OCREC Training Camp
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The Irish Medical Times reveals that 70% of adults in the fluoridated Republic are above the medically-safe daily fluoride intake and this is directly due to drinking water being fluoridated. In the UK which is largely un-fluoridated, a sizeable proportion of adults are also above safe levels.
Only in February 2012 the European Commission again warned that the very youngest are at greatest risk with bottle-fed babies receiving 140 times more fluoride than from mother's milk. Some 30,000 babies this year in the Republic will probably be fed formula made up with fluoridated tap water and still parents here have not been warned of the risks.
Meanwhile in N. Irelandits Health Minister's proposal to increase general exposure to fluoride (Poot's Potty Plan to Fluoridate N.I on www.ukcaf.org) now looks even more misguided and irrational than when announced last month. Whereas Poot's potty plan is surely now dead-in-the-water, every day in the South eighty newborn babies are at fluoride risk while Dublin's negligent health authorities stand idly by.
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- 76% of possible asylum seeker minors tested in Sweden are likely adults
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2015 Travelers Championship Generates More Than $1.56 Million for Charity
CohnReznick's Hartford, CT office has partnered with the Travelers Championship for the past eight years providing administrative support to the program by tracking pledges, issuing invoices and processing deposits. In addition, as an incentive to encourage CT not-for-profit organizations to participate in Birdies for Charity, CohnReznick created Birdies Bonus Bucks, a $50,000 pool that is shared among participating charities; which has resulted in a bonus $.15 on every dollar collected. Read the full press release from the Travelers Championship below.
Tournament has generated more than $10 million since Travelers became title sponsor in 2007
HARTFORD, Conn., Oct. 8, 2015 - The Travelers Championship announced today that it has generated more than $1.5 million for charity for the second consecutive year. The 2015 tournament generated a record $1.565 million for over 140 nonprofit organizations throughout the region. This year's total also represents a milestone for the tournament, as the event has generated more than $10 million for local and regional charities since Travelers became title sponsor in 2007.
"Having surpassed $1.5 million for the second year in a row is an incredible achievement for the community," said Travelers Championship Tournament Director Nathan Grube. "The number of local and regional organizations we're able to impact on a yearly basis with the help of programs like Birdies for Charity sponsored by CohnReznick is what makes the Travelers Championship so special."
The Travelers Championship has a rich history of supporting the community and donates 100 percent of its net proceeds to charity, generating $33 million since its inception in 1952. In addition to funds produced during tournament week, the Travelers Championship offers several programs throughout the year, including Birdies for Charity and Chip in for Charity to increase its support of organizations that help those in need.
"When we decided to sponsor the tournament in 2007, one of our primary goals was to support the Connecticut community," said Travelers Executive Vice President and Chief Administrative Officer Andy Bessette. "Now, nine years later, we are extremely proud of what we've been able to accomplish, having reached more than $10 million in charitable contributions."
The Hole in the Wall Gang Camp is a major beneficiary of the tournament, and was recognized as the 2014 PGA TOUR Charity of the Year. As a part of the honor, the organization was awarded a $30,000 grant from the TOUR. The Hole in the Wall Gang Camp strives to offer a unique healing experience for children and families coping with diseases, and the grant will aid in supporting its various initiatives.
Preparation has already begun for the 2016 Travelers Championship, which will be held from August 1 to 7 at TPC River Highlands in Cromwell, Conn. For more information, please visit www.TravelersChampionship.com.
About the Travelers Championship
The Travelers Championship, held in Cromwell, Connecticut, is one of the premier events on the PGA TOUR and part of the FedExCup series. The tournament proudly supports the PGA TOUR's Tradition of Giving Back by donating 100 percent of net proceeds to charities. Travelers, a leading provider of property casualty insurance for home, auto and business, is the Official Property Casualty Insurance Provider of the PGA TOUR. The company became the tournament's title sponsor in 2007. Travelers has been doing business in the community for more than 150 years and has been a corporate sponsor of this event each year since its inception in 1952. Complete details are available at www.TravelersChampionship.com[r20.rs6.net].