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Taking To The Air, Flight Nurse Urges New Training For Air Care

November 2, 2011 Category :All About Nursing| Nursing Articles 0

The fastest way to the hospital may be a helicopter ride. The safest way is with a well-trained acute-care flight nurse with expertise in working in the cramped, noisy, vibrating and extreme hot and cold environment on board the aircraft.

To meet the growing demand to fly patients from an accident or disaster scene or from one hospital to another, researchers from Case Western Reserve University’s Frances Payne Bolton School of Nursing call for new competencies and training for flight nurses.

Andrew Reimer, a flight nurse and PhD graduate of the nursing school, and Shirley Moore, the associate dean of research at the Frances Payne Bolton School of Nursing, outlined these goals in the Journal of Advanced Nursing article, “Flight Nursing Expertise: Towards a Middle-Range Theory.”

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Acute Biologic Crisis

October 21, 2011 Category :Nursing Articles 0

Acute Biologic Crisis in medical term simply means hemorrhage. Hemorrhage on the other hand refers to a big amount of blood loss from a vessel, severe brain damage is said to take place in 3 to 5 minutes after the oxygen supply has been intermittent. Acute in layman’s term refers to illness with a rapid or abrupt onset, generally with a short, severe course and requiring immediate treatment. Chronic is the opposite of acute, indicates indefinite duration or virtually no change.

There are classifications of an Acute Biologic Crisis; in general the first one is the primary – occurs at the time of operation, this is the time when a person undergoes an operation. In this procedure the patient needs to be calm and relax in order for the operation to be successful. Once the patient is not calm their might be an Acute biologic crisis happens.

Secondly, is the intermediary, it happens within the first few hours of the surgery. During the operation the patient might experience biologic crisis, the doctor’s gives the patient medical remedies for the patient not to experience hemorrhage. Always listen to the doctor’s advice.

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UMC Dasmarinas

October 19, 2011 Category :Nursing Articles| Nursing Schools 0

UMC Dasmarinas is actually short for DLSUMC which stands for De La Salle University Medical Center. DLSUMC is located in Dasmarinas Cavite because the medical school of DLSU is located in its satellite campus in Congressional Avenue, Dasmariñas City, Cavite, Philippines.

The DLSUMC in particular serves as the main teaching hospital of the De La Salle Health Sciences Institute, while at the same time a healthcare institution or hospital that caters the population within the vicinity of the Dasmarinas and its nearby towns. UMC Dasmarinas was as originally launched as a teaching and training hospital for the Emilio Aguinaldo College of Medicine (EACM) in 1982. However, EACM was later acquired by De La Salle University in 1987.

As a partner of the De La Salle Health Sciences Institute, the private hospital is primarily owned by the Brothers of Christian Schools, a Catholic Congregation founded by St. John Baptist de La Salle. Administration of the hospital is provided by the Sisters of St. Paul of Chartres, a missionary Congregation, founded by Fr. Louis Chauvet that is essentially engaged in healthcare ministry. Incidentally, the same congregation of nuns is responsible for institution of St. Paul University.

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Lasik Eye Surgery Philippines 101

October 18, 2011 Category :Nursing Articles 0

The human eye is considered to be one of the vital parts in our body and without it we cannot appreciate the things around us and moving around is not that easy. People should give utmost care to their eyes so as not to encounter any problems with one’s vision. As we grow old, our vision tends to weaken and these changes are inevitable. It helps if you eat the right kinds of food and you practice the ways on how to care for the eyes, but no matter what we do, things are bound to change in one way or another. It’s a good thing that there is lasik eye surgery in the Philippines already so that people can enjoy the benefits of having a 20/20 vision again just in case they have refractive errors.

Some people are born with certain problems in the eye and there are those who acquire it as they age. Whether it is genetically acquired or you’re older that’s why you are experiencing these problems, you should consult an eye specialist in order to have the necessary medical treatment. Let us try to identify some of the refractive errors in the human eye so that you’ll know whether you need lasik eye surgery or not.

  • Hyperopia or farsightedness is one of the common problems of the eyes. You would know that you are farsighted when you find it hard to focus on the things that are near you and when your vision is clearer when they are farther from your eyes.

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Review Centers in Baguio

October 15, 2011 Category :All About Nursing| Nursing Articles 0

Baguio City is the summer capital of the Philippines, also known as the “City of Pines”. The city is at an altitude of approximately 1500 meters (5100FT) in Luzon, because of its elevated place, the temperature in the city is 8 degree Celsius lower compared to the average temperature of the rest of the country. Average temperature ranges from 15 to 23 degrees Celsius. Tropical pine forests eco region conducive to the growth of mossy plants and flowering orchids. It has become the midpoint of business and commerce as well as the center of education in the entire Northern Luzon. Many well –known and prestigious colleges in Baguio City can be seen. And it has been said that some of the center minds have studied and gone to school right there.

The people are crowded around just to study on the park. Review their lessons and study in groups. Because of the weather and mild climate of the city, one cannot possibly get wrong to the study and stay at Baguio City. The place is conducive for learning. That is why many Universities and Colleges can be seen around Baguio City. As well as the review centers also sprouting in the different part of Baguio City, as a business man in the field of education one can see the whole advantage for having a place like Baguio City.

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How to be a Nurse in Italy

October 14, 2011 Category :All About Nursing| Nursing Articles 3

Being a nurse has a lot of responsibilities. Taking good care for the patients needs a hundred percent focus and attention. The Filipino’s are known for being patience and hardworking when it comes to their responsibilities. Being a nurse as a profession entails a lot of experiences and seminars to attend to in order to become a successful and full pledge registered nurse, and to land a nursing career outside the country.

Italy is the best place to go when planning to work outside the country, it is the place where a registered nurse aiming to work not only because of the salary but because of the high end equipment and promising place. Being a nurse in Italy takes a lot of paperwork’s and effort in applying, others are lucky because they are being recruited to work in an Italian Hospitals, sometimes if a nurse has a relative in Italy easy for them to find a job as because they are being requested by the employer to work for them.

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Laparoscopic Cholecystectomy Cost

September 25, 2011 Category :Nursing Articles 0

A Laparoscopic Cholecystectomy, in layman‘s term it is the surgical removal of the gallbladder.  It is the organ situated just below the liver on the upper right quadrant of the stomach.   It is predominantly performed to heal gallstones problem.

There are two basic types and procedure of this, the open cholecystectomy and laparoscopic cholecystectomy operation.  In laparoscopic procedure, the process that is performed is by using laparascopic visualization of the gallbladder and adjoining vital structures.  The method requires, only a few small incisions be made in abdominal wall.  It is comparatively new operation that provides a safe and efficient surgical treatment for gallbladder removal.

The operation requires general anesthesia for it is a major operation for the patient not to feel the operational procedure. In addition to this, the Laparoscopic Cholecystectomy does not need the abdominal muscles to cut, that results to less pain, fast recovery, enhanced cosmetic outcome, and smaller number of complications, namely scars and infections.

The best thing also is that the patient can be discharged on the same day or the next day after the surgery. They can return to their normal living after a week or two.    Moreover this operation should performed only by an experienced trained, skilled surgeons.  The team of surgical   doctors should follow strict guiding principle in doing this operation. Only patients who have these symptoms of gallstones should be given an operation.

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Focus on Midwifery

September 20, 2011 Category :Nursing Articles 1

One of the most important considerations when a woman gets pregnant is to find a person who is willing and able to take care of the needs of the soon to be mother. Finding one is very crucial to the family especially if you’re a first time mom. Hiring a midwife is not much of an option for couples but it definitely makes sense if you want to have personal extra care during the pregnancy and the labor.

The most basic job of a midwife is help a woman have a healthy and risk-free pregnancy. Midwives do this job with extra love and care and with sufficient knowledge and expertise. Choosing a healthcare provider to care for you and your baby is a big and crucial decision to make. Generally, midwives are mostly women because they are more fit and inclined being mothers who give birth themselves. Women know better in helping other women especially in matters known only to women. Midwives are trained to function and act as obstetricians. In many areas, there are very limited doctors or obstetricians available. In rural areas, a midwife is often the first choice to find help during pregnancies and especially when a woman is giving birth. If a Doctor is not available, you can easily find a midwife within the area. After a mother gives birth, the midwife is there to assist again in breastfeeding the baby. Midwives know that breastfeeding the infant is by far, the healthiest option for both the newly mom and baby.

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Belo Medical

September 18, 2011 Category :Nursing Articles 4

Once you heard the name Belo, what goes on your mind are beautiful faces and sexy bodies personified by commercial models and showbiz personalities on television in their revealing outfits.   Just recently, pictures of the sexy Belo models appearing in high rise billboards had become controversial, as they disturb the public and can cause accidents to many motorists especially men whose attention from the road gets disrupted as their eyes gaze to the Bello billboard. Such potential attests to the fact that these models are indeed tantalizing. Indeed, these models are lucky to be handled and managed by the Belo Medical.

Many people dream to have the beauty and sexy body of models and actresses.  With Belo Medical, such dreams can now be attained or realized.  Belo Medical can fix the minute imperfections that people want to be changed.  However, it apparently comes with a price.  Beauty is expensive. It is also an investment.  Beauty provides confidence that makes one more sociable and more success oriented.

Belo offers a lot of services that a regular person can afford even if you’re not a well known personality, celebrity or a rich person. It caters people from all walks life.  At present, Belo Medical has six clinics around Metro Manila that are located in Alabang, Makati, Ortigas, Quezon City, Greenhills and Rustans in Makati. Each clinic has its own surgical and operating rooms.

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How to Apply for NCLEX Examination

November 10, 2010 Category :Nursing Articles 0

NCLEX stands for National Council Licensure Examination. This exam is for everyone who wants to practice nursing inside the United States. This licensure exam needs to be taken after attending nursing school. There is a separate licensure exam for registered nurse candidates (NCLEX-RN) and practical nurse and vocational nurse candidates (NCLEX-PN). A graduate of Bachelor of Science in Nursing needs to pass the NCLEX exam to become a licensed registered nurse.

The US requires that the practice of nursing in the country be regulated by licensing authorities to ensure public protection. All aspiring nurses need to pass this examination which assesses the knowledge of an individual to effectively and safely perform medical care.

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Registration for review for voluntary retake of Tests 3, 5 starts March 21

September 8, 2009 Category :Nursing Articles 0

The Department of Labor and Employment (DOLE) today announced that the registration for the Special Review program for the voluntary retake examinations of the equivalent of Tests III and V of the June 2006 Nursing Licensure Examination will begin on March 21 until April 4, 2007. Labor and Employment Secretary Arturo D. Brion, in a news conference Saturday at the University of the Philippines in Manila, indicated that the registration for the Special Review program may either be on-line through a website established by the DOLE for the purpose, or manual registration. Registrants are advised to follow these procedures: For on-line registration, 1) type http://www.specialnursingreview.dole.gov.ph on the address bar of your Internet browser; 2) click the Register button on the menu bar; 3) type your PRC License number and Last name on the corresponding box provided, then click the Register button; 4) type the necessary information to complete the registration process, then click the Continue button; 5) select your 1st, 2nd, and 3rd preferences from the list of specific fields (area, school, and schedule) then click the Submit button; 6) click the Print button to obtain a copy of proof of registration; 7) a notification will be sent to your contact number (text or e-mail) by the COE or selected nursing schools prior to the start of special review class; 8) once notified, you must secure a copy of proof of confirmation by visiting the website and simply printing the confirmation slip as provided by the system; 9) click the “if already registered, check your confirmation here” message at the bottom part of the screen; 10) and, to view and print the proof of confirmation, type your PRC license number and Last Name on corresponding box provided, then click Check confirmation and Print buttons, respectively. For manual registration, 1) secure a Registration Form from any DOLE Regional or Provincial Office or any of the listed COE and selected nursing schools; b) fill up the necessary information; c) submit the accomplished form to any of the offices/institutions and secure a copy of registration; d) a notification will be sent to your contact number or e-mail by the COE and selected nursing schools, if you haven’t received a notification two weeks prior to your scheduled date of review, you may visit any of the offices mentioned for the list of confirmed reviewees; 5) and, once notified, you must secure a copy of proof of confirmation from the schools indicated in the notification document/text message. Manual registration may be done either in the Regional Centers of Excellence (COEs) coordinating schools, Participating Nursing Schools, and DOLE Regional and Provincial Offices. Both on-line and manual registrants to the Special Review program are advised that the proof of confirmation must be presented during the first meeting of the review. Brion said that the Special Review Program is being made available free of charge, on a first-come, first served basis, in coordination with the recognized COEs in the field of nursing, and participating nursing schools. The COEs are as follows: University of the Philippines Manila, Saint Paul University Philippines, University of Sto. Tomas, UERM Medical Center, St. Paul University Iloilo, Silliman University, St. Louis University Baguio City, Xavier University Cagayan de Oro, and San Pedro College Davao. Nationwide, the Participating Nursing Schools are as follows: Pamantasan ng Lungsod ng Maynila, Trinity University of Asia, Saint Mary’s University – Bayombong, Saint Paul University – Dumaguete, Velez College, Saint Paul University – Manila, Remedios T. Romualdez Memorial School (Makati Medical Center), West Visayas State University, Sacred Heart College, PCU – Mary Johnston College of Nursing, Cebu Normal University, De La Salle Health Sciences Campus, Southern Luzon State University, Mariano Marcos State University, Cebu Doctors University, and University of the Philippines Manila School of Health and Sciences (Palo, Leyte, Philippines). source: Information and Publication Service

NCLEX for Foreign Nurses – A guide.

September 8, 2009 Category :Nursing Articles 2

Written by Meladee M. Stankus, RN MS Note: As of August 1, 2002 the Arizona Board of Nursing will accept applications from foreign educated nurses who have not completed the CGFNS exam. These nurses will only need the TOEFL or similar English exam, if their nursing education in their country was not in English. In addition, the nurse must have the nursing program transcripts evaluated for equivalency to US nursing educational standards and a validation of unrestricted licensure in their country or origin. This will facilitate the licensure into Arizona for those foreign nurses who would prefer to take the NCLEX. And not take CGFNS. The National Council License Exam (NCLEX) is a test that each nurse must pass in order to obtain a license to practice nursing in the state where they will work. In the United States, licensing is under the authority of each individual state, not the federal government. Nurses cannot apply directly to the NCLEX, but must apply through one of the states. State requirements for foreign educated nurses Each state has unique laws and regulations for Registered Nurses. Differences are apparent between states in requirements for foreign educated nurses. For example, California and Nevada have very different requirements . California does not require that a foreign educated nurse have passed the CGFNS exam in order to apply for licensure. California does require that the nurse undergo a credential review by specialists within their agency. This means that foreign nurses must have their transcripts from their nursing school sent directly to the California Board of Nursing as well as documents verifying their license from the licensing authority in their country. Unfortunately, California will not accept the Visa Screen by the CGFNS or any other credential evaluation. They will review a copy of a credential certificate from another source, but California still must complete their own review of the transcript. Since the immigration law specifically requires the Visa Screen, foreign nurses applying for licensure in California, must be credentialed twice, and have the forms and transcripts sent to both California and the CGFNS. CGFNS will not accept the California Board of Nursing Credential Review. Neither California or the CGFNS will recognize their respective credential review, leaving the foreign nurse with two sets of fees, the potential for delays when documents are not received, etc. The most common cause for delays in the completion of the credentialing by both agencies is not receiving the required documents from the licensing agency and also from the nursing school in a timely manner. Note: As of this July 2002, California is now requiring the foreign educated nurse applicant to provide a valid social security number. California will only issue a temporary license without the social security number. Unfortunately, the INS will not accept a temporary license to file the I-140 and/or adjustment of status. As long as this situation exists, I would not recommend foreign educated nurses apply in California for purposes of filing the I-140 unless they are also a CGFNS test passer. If they are a CGFNS test passer with a pass on TOEFL, the I-140 petition can be filed. Then if a concurrent adjustment of status and EAD is filed, the nurse can apply for the social security card after the EAD is received in about 90 days. Then….with the social security card, the nurse can obtain the full license. However, with the temp license and the social security card, the nurse can begin to work. Application forms from various agencies can be difficult to complete. Some of the applications forms are written in language that native speakers, find confusing, let alone someone who has English as a second language. In addition, when the foreign educated nurse, who is residing abroad tries to phone these licensing agencies, they often get busy signals as well as long waits. This can be expensive and frustrating. Carl Schusterman, the leading US Immigration Law firm, handling healthcare workers, has provided links to various states web sites to assist with solving state problems. Not all states have web sites and those that do have web sites, may not have a specific area for instructions to foreign educated nurses. ( See our Nurse links section.) Taking the NCLEX in Guam or Saipan Some Philippine nurses who have passed the CGFNS exam as well as those who have not taken the CGFNS exam, will seek to take the NCLEX in either Gaum or Saipan or will obtain a US Tourist Visa and travel to the US to sit for the NCLEX exam. Saipan does not currently require a US tourist visa for Philippine nurses traveling to take NCLEX and staying only 3 days. However, the test site can only handle 6 nurses taking NCLEX per day. Guam does require a US tourist visa. However, with the actual paper approving the nurse to take the NCLEX in Guam, the US Embassy has in the past, been approving nurses for tourist visa to travel to Gaum for NCLEX. Guam can handle 12 or more NCLEX test takers each day. The NCLEX organization is in a one year long process of changing from the Chauncy company that run the test sites. This might mean improvements in test site capacity. It also may result in other international test sites being opened in such cities as Manila. As of August 16, 2002, new test sites and phone numbers for Guam and Saipan. Please read this article, written by Meladee M. Stankus, President of Nurse Immigration USA. Click Here For More. as well as the NCS Pearson VUE web site. The CGFNS exam is becoming less attractive to US employers. Applying for the CGFNS exam, waiting two months for the exam and obtaining the results two to three months after the exam, can take a nurse up to 6 months or even one year to complete. Test results take so long to be mailed to the nurse, that the deadline for the next exam will have passed. This means that a failure to achieve a score of 400, and the nurse must apply for the next exam. Then that nurse will have a another one year wait for the results of that exam. CGFNS exam results are not published/mailed to the nurse until after the expiration date for application the next exam. In addition, the CGFNS exam is expensive and it is only given three times per year. Last year, in Manila , Philippines, several thousand Philippine nurses completed the CGFNS exam. CGFNS does not publish the pass /fail rate for various countries. Current CGFNS application test fees are $295.00 However, one can estimate that Philippine nurses are projected by this writer to be providing at least $3,000,000 annually in revenue to the CGFNS for exams. Additional fees of $325.00 are paid for Visa Screen to the ICHP, a division of the CGFNS. If only 2000 Visa Screen application are sent from the Philippines annually, a very conservative estimate, that would represent $625,000 of additional revenue provided by Philippine nurses to the CGFNS. Although, the CGFNS exam certificate will allow for the filing of the I-140,with an US employee sponsor, some US employees will require that the nurse pass the NCLEX prior to departing and arriving in the US to start employment. At one point in the past, the CGFNS web site asserted that the foreign educated nurses who obtained a passing score on the CGFNS exam, was predicted have an 85% probability of passing NCLEX. However, US employers are learning this is questionable. In fact, the published statistics from the NCLEX indicated that all foreign educated nurses pass NCLEX at a rate of about 40%. The CGFNS is a “paper and pencil” examination. The CGFNS exam may have a multiple choice question on a subject. The NCLEX is a test taken on a computer and claims to evaluate the test takers ability in critical thinking on the various subjects. The nurse test taker must be able to identify the implications of signs and symptoms and what action is required of the nurse. The NCLEX requires knowledge of the US nursing role as well as the role of personnel such as LPNs. This will be a challenge to a foreign educated nurse who has not worked in US hospital. The NCLEX is a Computer Adaptive Test. The NCLEX is unique test of experience which uses advanced computer programming. This allows the test to increase levels of difficulty for the individual test, depending upon correct and incorrect responses to various questions. For example, if an exam question on cardiac pharmacology is missed, the test can select other questions in that subject for that individual test taker. With this approach, each set of questions will vary amongst different test takers. In addition, the test program is scoring and evaluating after each question. A test taker who gives incorrect responses to a certain number of questions, will find the computer shuts down with a message that the test is over. Conversely, the test taker who has answered sufficient number of questions correctly ?.will have the same experience. In both cases, the test taker is not told of the reason the test is “complete” and only finds out when official test results are available. This can result in a few sleepless nights for all individuals. Some will get the good news that they passed, others will get bad news. Hospitals are discovering that the nurses who take NCLEX after passing the CGFNS ,may not pass NCLEX. Once the nurse has not passed the NCLEX, the nurse must wait 90 days before retaking and about $200.00 in additional fees must be paid . US hospital employers are quickly learning to require a thorough and specialized NCLEX review course prior to the NCLEX examination. Some are actually requiring the foreign nurse hire who has passed the CGFNS exam, to obtain NCLEX in Guam or Saipan prior to arrival in US, This is seen of late in advertising by foreign nurse recruitment agencies literature and web sites, that seek to provide foreign nurses to US employers. I believe that when NCLEX is given internationally, that very few nurses will seek to take the CGFNS exam. There is an increasing trend for US employers to pay the fees for all test and requirements for foreign nurse hires. This is due to the competition for qualified nurses. If the employer has to choose between the CGFNS exam or the NCLEX, employers will choose NCLEX. Obviously, the employer will then have a known “RN” product. Those nurses who are currently arriving with the green card, and have only the CGFNS exam and must take NCLEX in US, are facing delays until they can assume RN work. This foreign educated nurse may only work in a limited capacity because of these delays. If the nurse passes NCLEX the first time, this delay may only be months. If the first exam is not passed, that delay may be months or years. Licensure by Endorsement Those nurses who apply to take the NCLEX exam through a state like Arizona that does not have a requirement of having passed the CGFNS exam, may intend to apply for endorsement into another state that does require the CGFNS. Thereby, the foreign educated nurse who has not passed the CGFNS exam, first applies to a state like Arizona. Then, after obtaining the Arizona license, seeks endorsement into this other state. Not all states provide for endorsement and the applicant must research each state and the exact requirements for endorsement.

St. Augustine School Of Nursing Offers In-Demand Medical Transcription Courses

September 8, 2009 Category :Nursing Articles 14

The Philippines is turning out to be the next hub for medical transcription companies. Medical Transcription is fast becoming the career choice next to the call center trade for most graduates and professionals as well because of the huge pay it offers. According to latest figures from Philippine Business.com.ph, an MT can earn a minimum of P10, 000 a month with additional incentives depending on his production output. Those with US-based clients can earn in dollars while working at home (US labor statistics place the median hourly earnings of a transcriptionists at US$13.05). St. Augustine School of Nursing (SASN), the leading nursing and caregiver school in the country, continues to offer high quality medical transcription programs in view of the growing demand for medical transcriptionists (MTs). SASN specifically designed three levels of MT programs to accommodate non-medical college graduates and even high school graduates. The first level is intended for fresh, high school graduates who are willing to get into this profession as soon as possible. While the second level program is specially designed for college graduates who earned non-medical degrees but who want changes in their career. The third level is meant for medical and allied graduates such as doctors, nurses among others who would like to shift to this lucrative profession. SASN Cluster Head Darwin Dominguez said that in order to accommodate students from all walks of life, different terms of payment are available. Big discounts await those who pay cash. There are also affordable and flexible installment schemes, he divulged adding that there are also opportunities for job placement assistance after completing the program. Mr. Dominguez said the institution has competent and highly qualified faculty who are experts in various medical related fields and were trained especially for the MT program. The program outline follows basic but very effective principles of medical transcription. Computer Fundamentals teaches a student the basics of computer operation and function. Introduction to Medical Transcription and Business Technology introduces the student to the fundamentals of MT. Advanced Keyboarding trains the student to acquire speed typing, an essential skill for MT practitioners. Medical Terminology educates the student about the complex world of medical jargon and language. Leadership subjects teach the student how to manage and lead a team of MTs. SASN also offers professional caregiver, nursing aide and practical nursing programs and is part of the famous AMA Education System, considered as the largest IT education provider in the country which was established by Ambassador Amable R. Aguiluz V. SASN in its three years of existence has been awarded as the most outstanding caregiver school in 2003 by the Philippine Caregiver Association. It was also conferred the 2004 National Shopper’s Choice award for being the no. 1 chain of nursing schools in the country. For enrollment details, call 3733901 up to 08 locals 8321 and 8277.


September 8, 2009 Category :Nursing Articles 0

The Commission on Graduates of Foreign Nursing Schools (CGFNS) is an immigration-neutral, nonprofit organization and is an internationally recognized authority on credentials evaluation pertaining to the education, registration, and licensure of nurses and other healthcare professionals worldwide. CGFNS protects the public by ensuring that nurses and other healthcare professionals educated in countries other than the United States are eligible and qualified to meet licensure, immigration and other practice requirements in the United States. Requirements 1. A completed CGFNS Application You can apply to CGFNS programs in one of three ways: Request a copy of the application from CGFNS by mail or phone. Apply online Download application forms, complete them and send to CGFNS. 2. A FULL transcript with an official school seal/stamp Mailed to CGFNS directly from your nursing school, verifying the total number of hours of classroom instruction (theory) and hours of clinical practice you completed in each of the courses you completed during your professional training/nursing program. A validation of your original registration/license as a nurse Mailed to CGFNS directly from the authority which issues registrations / licensure in your original country of education (if applicable). If your diploma gives you the right to practice nursing in your country, your nursing school or the Ministry of Health must also validate your diploma to CGFNS. 3. A validation from any other licensing authority where you hold a license as a registered and/or practical nurse (if applicable). 4. A photocopy of your secondary school diploma (high school); OR, if you no longer have your original diploma, an official letter signed by the principal, with the school seal/stamp sent to CGFNS directly from your secondary school verifying your full dates of attendance and date of completion/graduation. Note: This step is no longer required if you graduated from high school more than 10 years ago. All documentation must be sent to CGFNS via mail/courier; CGFNS will not accept any official documentation sent either by fax or email. The mailing address is: Commission on Graduates of Foreign Nursing Schools (CGFNS) 3600 Market Street, Suite 400 Philadelphia, Pennsylvania 19104-2651 USA APPLICATION STEPS STEP 1. Complete an application form. This can be found in the Certification Program Application Packet or can be obtained on-line at www.cgfns.org. STEP 2. Prepare and send a nursing education form. Section 1 is to be completed by the applicant, while Section 2 is to be completed by your school of nursing. STEP 3. Prepare and send a request for validation of registration/license form. STEP 4. CGFNS will open a file and send an identification number. The identification number is for record-keeping purposes only. STEP 5. CGFNS will review your credentials and notify you of eligibility status for the qualifying examination. EXAM FEES Enclose the application fee in US dollars, drawn on a US bank. Send an international money order or certified bank check payable to CGFNS or pay with one of the following credit cards: Visa, MasterCard or Discover/Novus. The first application and examination fee is $295.00. The Application fee can be paid by: Credit card payment CGFNS accepts Visa, MasterCard and Discovery/Novus (CGFNS does not accept American Express) International money orders or certified bank checks made payable to CGFNS. On-line when you complete your application at www.cgfns.org Note: Personal checks are not accepted. Do not send cash in the mail. All fees must be paid in U.S. dollars drawn on a U.S. bank. The full application fee must be paid before your application and file will be reviewed. The fee covers the expense of processing your application, reviewing your credentials, and preparing, administering and scoring your exam. Exam Schedule The exam schedule includes morning and afternoon sessions, plus a lunch break. The day will begin with morning registration, followed by Part I of the nursing exam, which contains 150 questions. Then there will be a lunch break and afternoon registration, followed by Part II of the exam which contains 110 questions. Before each part of the exam, a CGFNS staff member will give you an exam booklet containing instructions and questions. The instructions will be read aloud in English, while you read silently. The CGFNS exam supervisor will tell you when to begin working on the exam and when you must stop. Passing The Exam The passing score for the CGFNS Qualifying Examination is set at 400 out of 800 items in the examination. Others: To access your exam schedule (roster) information, you must: Go to the official CGFNS web site, www.cgfns.org On the first web page, locate the link ON-LINE EXAM SCHEDULE INFORMATION, and click on this link In the new window, enter your permanent CGFNS identification number In the Select CGFNS CP Exam Date drop-down box, select an exam date Click on the button labeled SUBMIT Your exam schedule information will be displayed. you may print this page for your records. If you are not scheduled (rostered) for that exam, you will be advised. On the day of the exam, you will simply need to go to the location of your exam at the appointed time. It will no longer be necessary for you to wait for your admission permit to arrive in the mail, or to present your admission permit to CGFNS staff on the day of the exam. You must take at least one (1) form of official, government-issued photo identification (such as your passport) with you to the exam location. You will not be admitted to the exam without proper identification. Examples of acceptable identification: Passport Professional Regulation Commission ID card Nursing license (if it contains your photograph) United States state driver’s license (not an International Drivers Permit) Changing Exam Date or Location, Your Name or Address or Cancellation of Application If you need to change your scheduled exam center or exam date or desires to cancel your application, CGFNS should be informed no later than 10 weeks before the exam you requested. Request should be done in writing, signed or on-line. E-mail requests for change of date, location, or name and address will not be accepted at any time. In your letter requesting any of these changes, remember to include your CGFNS ID Number and birth date. At the Exam Center Plan to arrive at your Exam Center at the time your Exam Permit indicates. If you are late, regardless of the reason, you will not be admitted to the exam. By not admitting latecomers, we avoid disrupting the exam in progress and give everyone the same amount of time to take the exam. Family and friends are not permitted in the exam room, nor are books, papers, cameras, calculators, tape recorders, cellular phones or pagers. Wear comfortable clothes and do not bring valuable items or large amounts of money to the exam. You will be given two special pencils to use, but you should bring your own eraser and pencil sharpener. You also may bring your lunch, so you can be sure you will be back from the lunch break in time. You will not be allowed to eat or drink while the exam is in session. When you arrive, CGFNS exam staff will ask you to sign your name on a register. Bring a passport and official government issued identification that includes your photograph. In the exam room, please follow exactly the instructions that CGFNS staff members give you. The exam personnel and you must follow certain rules about seating arrangements and behavior during the exam. For example, staff will assign you a seat that you may not change; a staff member must accompany you if you have to leave the room; and you may not talk during the exam. No exceptions will be made to the rules. During the exam, CGFNS staff members observe all of the test takers to make sure everyone follows these instructions. Only applicants who are officially scheduled by the authority of the CGFNS Headquarters are authorized to take the exam. Scores obtained and applications submitted by unscheduled individuals will be invalid, null and void. Re-application for a future exam and the corresponding fee will need to be submitted.

Introducing the Latest Medicine for Diabetes: The INCRETINS – INCrease secRETion on Insulin

September 8, 2009 Category :Nursing Articles 5

Diabetes Mellitus remains a growing problem worldwide and the scientific community continues to search for ways to prevent, slow down the progression, control and treat this complex hormonal/metabolic disease. In order to understand this, a basic overview of hormones and their effects in the body (Science of Endocrinology) needs to be elaborated-so let us start with some definitions in “Endocrinology 101 “. Hormones are composed of chains of molecules that are secreted by different glands in our body-such as the pancreas; the thyroid, the ovaries, pituitary, adrenals, etc. The hormones travel in the blood to act on different “gates” or receptors located in other parts of the body to cause changes in our cells’ function or development in order to sustain our survival. Problems in the secretion, action acid effects of hormones can lead to devastating problems that affect our lives-and one very good example of a classic, truly “endocrine” disease is Diabetes Mellitus (DM). We already know that problems with the secretion and action of the hormone insulin that comes from our pancreas lead to diabetes mellitus-a disease where the sugar or glucose remains high in the blood instead of entering inside the cells of the body to be used up as energy source. But the body’s ways to regulate how we handle our food to sustain life is not that simplistic. When we were in grade school, we were taught that food is digested by acids and other chemicals or enzymes that are in our stomachs and intestines. But aside from breaking down the food we eat, our small intestines react to the presence of food by secreting their own hormones that come from the glands that line the walls of the gut. These hormones go to the pancreas to make it increase the secretion of insulin in response to eating so that the glucose entering the blood stream from the breakdown of food can effectively enter the cells. Not only do these gut hormones stimulate the release of insulin; they also reduce the secretion of the hormone glucagon which has the opposite effect of insulin because it increases the level of glucose in the blood instead of decreasing it. These gut hormones that increase the secretion of insulin are called the incretins. Medicines for diabetes that have been developed based on the principle of gut hormones are termed “incretin-based” therapies. Let Us Meet The Incretins There are two principal gut hormones or incretins secreted by the small intestinal glands-glucagonlike peptide 1(GLP-1) and glucosedependent insulinotropic polypeptide(GIP). They do not remain in the bloodstream for a long time because they are easily degraded in the blood by the enzyme dipeptidyl peptidaseIV (DPP IV). So if we were to give GLP-1 and GIP to diabetic patients to control their blood sugar throughout the day, these hormones would need to be infused into the bloodstream continuously like an intravenous fluid in order for them to be effective. Another important point to remember is that incretin-based therapies are designed for patients who still have enough functioning pancreas that can secrete insulin-this means they do not work in type 1 DM wherein , insulin remains the only effective treatment. Incretin Mimetics One way to avoid the fast degradation is to create a molecule that will mimic the action of the incretin when it attaches to the receptor; but at the same time, be different enough so that it is not recognized and degraded by the human enzyme DPP IV This is how the drug EXENATIDE was developed. It comes from the saliva of the big lizard-the Gila Monster-and it acts on the receptors of GLP-1 leading to decreased blood sugar level. It also promotes feeling of fullness thereby reducing food intake leading to weight loss. Just like insulin, it needs to be injected. Side effects j;-idude nausea, vomiting, diarrhea and a significant dent on the budget because it is more expensive than the other therapies for diabetes. It can be given together with other tablets for diabetes your doctor prescribes for you. Exenatide has become increasingly popular among overweight and obese diabetics because it can cause weight loss. DPP-IV Inhibitors Another way to use the incretins in the treatrr;ient of diabetes is to give a drug that will block the “janitor” enzyme DPP-IV so that the GLP- 1 and GIP will not be de-activated and can stay longer in the body to stimulate the pancreas to secrete more insulin in timing with the meals. This is how the two other drugs=SITAGLIPTIN and VILDAGLIPTIN-work. They are in tablet form and can be given once or twice a day. The side effects include nausea, diarrhea, runny nose, rashes and headache. These drugs can be given in combination with other diabetic tablets or as single agents in some cases. Just like with most drugs, it is always best to consult your doctor about these agents and trust that they are updated enough to know what is safe and effective for you. As our technology improves, more and more body functions and hormone effects are being discovered in the exciting field of endocrinology. This little bit of “Endocrine 10 l ” gives you an idea of how elaborate the principles of hormone action can be; and there are a lot of researches being done in order to improve how we manage endocrine diseases like diabetes mellitus.

Filipino Nurses as Caregivers Abroad

September 8, 2009 Category :Nursing Articles 0

The movie of Sharon Cuneta Caregiver perfectly depicts the life and frustrations of Filipino caregivers abroad. Most of our caregivers are nurses or nursing graduates, in case you didn’t know. I haven’t seen Sharon Cuneta’s movie and this is not going to be an article about showbiz or movies. It’s about Pinoys abroad working as caregivers. The Philippines is Canada’s best source of caregivers. I know because one of my former flames went there in 1999. She’s a nurse four years my senior. We had plans of getting married and this is no secret to my present wife. Being a nursing researcher, I got interested in studying how many Filipinos work abroad as caregivers. I do not have the exact figures at this point in time but in 2007 alone, some 200,000 Filipinos have been living in the UK for at least 3 years and working mostly in health facilities. In Canada, the scenario is quite the same. More than 200,000 Filipinos or Pinoys work in hospitals and nursing homes as nurses, nursing assistants and caregivers. Each year, The Philippines sends Filipino workers abroad and it seems that working as a caregiver is the easiest way out of the country. From experience, in 1999 and earlier years, if you are a nursing graduate or a Registered Nurse (RN), you can apply as caregiver to Canada and UK without undergoing any further training. In 2001, job requirements became more strict and the Philippine government made changes to policies regarding employment abroad as a caregiver. Starting then, nurses/nursing graduates or anyone who wanted to work as a caregiver had to undergo schooling. It was the start of the Caregiver School Outbreak where the number of caregiver schools or training centers all over the country started to increase at a very fast rate. In my view, the government policy or job requirement was laced with a little malice. It was known at a later time that most of the caregiver training centers or schools were owned by government officials. It all boiled down to business, baby! Up to now, the situation remains the same. And how about the caregivers? Are they having the best time of their lives? Nope. That’s an illusion. Most of them either suffer from the homesick versus dollar syndrome or regret for not having been with their families for a long time. The worst is when a mother fails to see her kids grow up. This is a huge sacrifice on their parts. And who cares about our caregivers and other overseas Filipino workers (OFW’s)? We all should, not just the government. So, do you want to be a caregiver? — http://www.jpsimbulan.com/2008/06/20/filipino-nurses-as-caregivers-abroad/