A Free iPhone App that Simulates Clinical Cases


A lot of nurses like this app. 

A fun and free game that’s aimed at Doctors, Medical Students, Nurses, Student Nurses, and Paramedics.  This app has reached 9th place in the US medical app store and is a top 25 app in many countries.

Regardless of your 3G or WiFi connection, each case downloads very quickly (<5 seconds)– I took 1-2 minutes when I first opened the app to download all 16 cases. Once downloaded, the cases do not require any 3G or WiFi connection to be accessed.

Get it now on our Facebook site.

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Improve Your Day – Daily in Just 5 Minutes!


Just Sit Back and Relax!
Image by VinothChandar via Flickr

Try these 10 simple ways to lower stress and boost your mood and energy levels. They may just help you find the extra spark you need to meet the challenges of the day.

1. Make your bed. Starting off each day with this small ritual can help create a calm environment for you in your bedroom. Gretchen Rubin, author of The Happiness Project, writes that many people benefit from making this modest step part of their routines. By checking it off your to-do list first thing, you’ve got one less thing to worry about for the rest of the day.

2. Pack a snack. Before you head out the door in the morning, go into the kitchen and grab a fruit (like a banana, apple or grapes) or a healthy snack (like unsalted nuts or low-fat cheese). This way, when a case of the munchies strikes later in the afternoon, you won’t be reaching for a bag of chips or a candy bar from the vending machine out of convenience. Besides, you know what they say about an apple a day.

3. Clear your desk. You may not be able to overhaul your closet in five minutes, but you can manage to tidy your desk at work. From stray papers to scattered coffee mugs, clutter can make you lose focus and curb productivity. Declutter your outer environment and you may feel lighter on the inside and more motivated to concentrate on the task at hand.

4. Pump up the music. Several studies have found that listening to music can help lower blood pressure, reduce stress, and boost mood. The right music has the power to change your attitude. So load up your MP3 player and create a special playlist that will make you smile — whether you’re working or working out.

5. Sniff a lemon. For a quick de-stressing trick, turn to an underrated sense — your sense of smell. Japanese researchers found that linalool; a substance found in lemons, has anti-inflammatory properties and may reduce the flight-or-fight stress response. Other scents like basil, juniper, and lavender have also been found to lower stress.

6. Stretch. You don’t have to be a yogi to benefit from light stretching. Lift your arms above your head at your desk. Or better yet, stretch your legs by walking outside. Stretching can help improve your circulation and flexibility, and may help ease the tight muscles that accompany stress.

7. Meditate or Hypnosis. Try meditation and deep breathing to relax and turn your mind off. You don’t need any special equipment to practice meditation. Find a comfortable position in a chair or on the floor. Meditating or listening to hypnosis tapes on a daily basis, even just for a few minutes, has been shown to fight depression and ease stress.

8. Keep a gratitude diary. Take a minute every day to write downseveral things you’re thankful for, whether they’re big or small things. It’s easy to vent about weather, traffic, or job woes, but complaining brings negative energy along with it. Being thankful for what you have can make you appreciate all the positives in your life.

9. Turn off your electronics. Just becausewe live in a wired world doesn’t mean you need to stay connected every minute of every single day. Staring at computer screens and electronics all day long can zap your energy and encourage inactivity. So log off youremail, phones, and Internet (yes, social networking web sites count, too). This is especially important to allow you to unwind and relax before bed.

10. Prioritize. It’s easy to feel overwhelmed when you have multiple tasks crowding your mind. Make a list and finish your most dreaded duties first to avoid the anxiety caused by procrastination. Make a list and check off each task as you complete it. At the end of the day, a list of accomplishments is a great visual reminder of how productive you were.

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What Are the Procedures for a Blood Transfusion?


Patients who have suffered large blood loss from trauma or surgery–or who have a low hemoglobin level because of a disease process–may receive a blood transfusion. When to transfuse blood depends on several factors such as the person’s vital signs, hemoglobin level, current injury or disease process and the presence of underlying health problems. Hospitals across the country follow standardized procedures for a blood transfusion to promote patient safety.

Preparation

A staff member ensures a blood transfusion patient has at least an 18 gauge IV catheter in place, according to Kathleen Ouimet Perrin, Ph.D, author of “Understanding the Essentials of Critical Care Nursing.” The nurse uses a 500 milliliter bag of sterile normal saline to flush IV blood tubing and the patient’s IV site before connecting the blood tubing.

Obtain Patient Consent

The nurse obtains informed consent before initiating the blood transfusion. The nurse explains the procedure, all possible risks, and the signs and symptoms of a transfusion reaction to the patient.

Type and Cross Match

The Canadian Blood Services recommends that red blood cell compatibility testing be done when possible to give the patient blood that matches his type. In life-threatening situations, Type O negative blood is given because it is the universal donor.

The hospital blood bank creates special labels with a unique patient identification number and applies one to the transfusion record, a red patient identification bracelet and all allocated matching blood units. Lab personnel draw blood from the patient to type and cross match the patient’s blood and label all blood tubes with the corresponding blood bank identification number. Once the type and cross match results confirm the patient’s blood type, lab personnel label matching blood units with the assigned blood bank identification number and notify the nurse that the blood is ready.

Verify Blood Bank Number

Two nurses verify that the blood bank ID number on the unit of blood matches the ID number on the patient’s wrist band. Both nurses sign on the transfusion record that this has been done.

Vital Signs

The nurse measures the patient’s temperature, heart rate, respiratory rate and blood pressure before initiating the blood transfusion and then every 5 minutes for the first 15 minutes. Vital sign changes during the transfusion, especially an increase in temperature, indicate a possible blood transfusion reaction.

Begin Transfusion

The nurse starts the blood transfusion within 30 minutes of checking the unit of blood out of the lab because blood needs to be refrigerated. The nurse will return the blood to the lab if circumstances call for delaying the transfusion. The blood bank discards the unit of blood if it has been out of the fridge for more than 30 minutes.

The nurse transfuses the blood at a rate of 1 to 2 milliliters per minute for the first 15 to 30 minutes and remains with the patient during this time because transfusion reactions often occur in the first 30 minutes. The nurse has 4 hours to transfuse the blood. After 4 hours, the nurse discards any remaining blood.

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Main symptoms of swine flu. (See Wikipedia:Swi...
Image via Wikipedia

 

 

Swine Flu Quick Facts:

What is Swine Influenza?

Swine Influenza, swine flu, is a respiratory disease of pigs caused by type A influenza virus (H1N1) that regularly causes outbreaks of influenza in pigs. H1N1 viruses cause high levels of illness and low death rates in pigs.

Humans and Swine Flu?

Swine flu viruses do not normally infect humans. However, sporadic human infections with swine flu have occurred. Most commonly, these cases occur in persons with direct exposure to pigs (e.g. children near pigs at a fair or workers in the swine industry). In addition, there have been documented cases of one person spreading swine flu to others.

What are the symptoms of swine flu in humans?

The symptoms of swine flu in people are expected to be similar to the symptoms of regular human seasonal influenza and include fever, lethargy, lack of appetite and coughing. Some people with swine flu also have reported runny nose, sore throat, nausea, vomiting and diarrhea.

Can people catch swine flu from eating pork?

No. Swine influenza viruses are not transmitted by food. You can not get swine influenza from eating pork or pork products. Eating properly handled and cooked pork and pork products is safe. Cooking pork to an internal temperature of 160°F kills the swine flu virus as it does other bacteria and viruses. How can human infections with swine influenza be diagnosed? To diagnose swine influenza A infection, a respiratory specimen would generally need to be collected within the first 4 to 5 days of illness (when an infected person is most likely to be shedding virus). However, some persons, especially children, may shed virus for 10 days or longer. Identification as a swine flu influenza A virus requires sending the specimen to CDC for laboratory testing.

What medications are available to treat swine flu infections in humans?

This swine influenza A (H1N1) virus is sensitive (susceptible) to the neuraminidase inhibitor antiviral medications zanamivir and oseltamivir.  It is resistant to the adamantane antiviral medications, amantadine and rimantadine.

The Canadian Public Health Agency precautionary measures include:

If you are experiencing severe flu-like symptoms, please call Telehealth Ontario at 1-866-797-0000.


Get informed on your rights as a patient, or family member! Do you know the 10 questions you as a patient, or family member should absolutely ask your Nurse when you are first admitted to hospital? Improve your outcome when you are in need of care in a hospital.

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