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En esta edición de Se Acabó el Juego traído a ustedes por Los Come Banco, reaccionamos al quinto partido de la final de conferencia de la Sección B entre los Santeros de Aguada y los Leones de Ponce en donde los visitantes sobrevivieron un maratón de 2 tiempos extras para extender la serie Recuerda seguirno en:Facebook https://www.facebook.com/loscomebanco/Instagram https://www.instagram.com/loscomebanco?igsh=NzlvdmV6dzJvNW5p&utm_source=qr Youtube https://youtube.com/@loscomebancoTikTok https://www.tiktok.com/@loscomebancos?_t=ZT-8uQiCc5mjl4&_r=1
En esta edición de Se Acabo el Juego traído a ustedes por Los Come Banco, reaccionamos al quinto juego de la serie de Final de Conferencia de la sección A del Baloncesto Superior Nacional, entre los Vaqueros de Bayamón y los Criollos de Caguas, donde los Vaqueros se anotaron una contundente victoria sobre los Criollos, 122 a 79.
En el episodio de hoy de El Pirra-ta de Corazón, traido a ustedes por Los Come Bancos, venimos a hablar de:La postemporada del BSNLo que ha hecho Quebradillas con sus picks desde el 2000Grant Basile se va de Italia y firma con nuevo equipoRecuerda seguirnos en:Facebook https://www.facebook.com/loscomebanco/ Instagram https://www.instagram.com/loscomebanco?igsh=NzlvdmV6dzJvNW5p&utm_source=qr Youtube https://youtube.com/@loscomebancoTikTok https://www.tiktok.com/@loscomebancos?_t=ZT-8uQiCc5mjl4&_r=1
En esta edición de Se Acabo el Juego traído a ustedes por Los Come Banco, reaccionamos al cuarto partido entre los Criollos de Caguas vs los Vaqueros de Bayamón, donde los Criollos igualaron la serie a dos al vencer a los Vaqueros, 111 a 97.
Welcome to Season 7 of The Cannabis Truth Podcast! In Great Moments in Cannabis Truth History Vol. 1, educator, author, speaker, and host Honey Smith Walls revisits memorable highlights from the early years of the podcast while sharing powerful lessons about medical cannabis, plant medicine, cannabinoids, cannabis education, holistic healing, natural wellness, and cannabis legalization. Honey also introduces her newly released book, Healing Beyond High: Cannabis Truth, where she shares her personal healing journey and practical insights for those seeking plant-based relief.Hello Sweet Friend! Every body is wonderfully unique, and cannabis affects each of us differently because of our individual chemistry. With hundreds of beneficial cannabinoids working together, understanding how these compounds interact can help you make informed choices and discover personalized wellness strategies.Join our Facebook community, Healing Beyond High, invite your friends, and download your FREE Cannabis Recovery Kit at HealingBeyondHigh.com/kit.Visit our affiliates:Dr. Dustin Sulak: https://healer.com/Dr. Philip Blair: https://www.blairmedicalgroup.com/Megan Mbengue MSMCT, BSN, RN: https://www.entheacare.com/Dr. Harold Han: https://www.phytorx.coLearn More About Medical Cannabis:https://www.cannabisclinicians.org/https://pubmed.ncbi.nlm.nih.gov/https://jamanetwork.com/Can't wait to help you elevate your quality of life!Pax Vobiscum,Honey Smith WallsEducator • Host • Author • Speaker#cannabiseducation #cannabisbenefits #cannabisheals #plantmedicine #medicalcannabis #medicalmarijuana #cannabinoids #holistichealing #plantbasedhealing #cannabispodcast #cannabislegalization #naturalwellness
Jeff Hoover talks with Dr. Emiley Button, Director of Nursing at Lindsey Wilson University, about the school's new fully online RN to BSN program. They discuss how the program helps working nurses earn their bachelor's degree, partnerships with area hospitals and Somerset Community College, tuition assistance opportunities, and the growing demand for nurses across Kentucky.
The Nurses Report on America Out Loud with Kimberly Overton, BSN, RN, BC-FMP – Former emergency room nurse Melinda Schwartzentruber recounts her struggle with medical gaslighting, worsening chronic illness, and unanswered symptoms. After conventional care fails to identify the cause, she pursues alternative treatment, receives a Lyme disease diagnosis, regains her health, and champions compassionate patient advocacy...
The Nurses Report on America Out Loud with Kimberly Overton, BSN, RN, BC-FMP – Former emergency room nurse Melinda Schwartzentruber recounts her struggle with medical gaslighting, worsening chronic illness, and unanswered symptoms. After conventional care fails to identify the cause, she pursues alternative treatment, receives a Lyme disease diagnosis, regains her health, and champions compassionate patient advocacy...
En esta edición de Se Acabó el Juego traído a ustedes por Los Come Banco, reaccionamos al tercer partido de la final de conferencia de la Sección B entre los Santeros de Aguada y los Leones de Ponce en donde los Santeros dominaron 100-89 a los Leones.Recuerda seguirno en:Facebook https://www.facebook.com/loscomebanco/Instagram https://www.instagram.com/loscomebanco?igsh=NzlvdmV6dzJvNW5p&utm_source=qrYoutube https://youtube.com/@loscomebancoTikTok https://www.tiktok.com/@loscomebancos?_t=ZT-8uQiCc5mjl4&_r=1
In this episode, we celebrate Kelly Chapman, BSN, RN, CWOCN, the inaugural WOCNCB Certified Nurse of the Year, and the powerful impact of mentorship, certification, and quiet leadership in wound, ostomy, and continence nursing. We are joined by Kelly, Dylan Carpenter a Certified Wound, Ostomy, and Continence Nurse, Nurse Educator and a colleague of Kelly's at UAB Hospital and Alex Aningalan the Financial Officer and Chair of the Nominations and Awards Committee of the Wound, Ostomy, and Continence Nursing Certification Board. Alex is a Certified Wound Ostomy Nurse.
The Nurses Report on America Out Loud with Melissa Schreibfeder, BSN, RN, BC-FMP – As chronic disease continues to rise, many believe our healthcare system has lost sight of what it truly means to heal. By embracing an increasingly secular approach to medicine, has healthcare neglected the importance of the soul, our relationship with our Creator, and the biblical principles that support whole-person healing?
Fantasy protagonists are highly prone to getting stabbed, sliced, impaled, poisoned, bonked on the head, dropped off cliffs, and otherwise wounded. Which means they need someone to patch them up! So who does that in your invented world, and how do they learn to do it? Guest Jesse Aragon joins us to discuss emergency medicine and other issues of healing. How much reality can you -- and should you -- bring into the medical components of your world? Waving a wand and curing all ills is easy, but potentially unsatisfying, but on the other hand, our heroes can rarely spare six months away from their Quest to let bones knit or infections pass. So just how much magic -- or sci-fi technology -- can you bring in to smooth the process along, and how do you make those things fit in with the rest of your world? Are there medical schools, or do you learn in a master-apprentice type system? How much experimentation is there? How well do your characters understand the real workings of the human body? And, most importantly: How do you get plot hooks out of it? [Transcript TK] Our Guest: Jesse Aragon* is a writer of sci-fi and fantasy, usually both at the same time. Her work features morally complicated protagonists, horror, tragedy, the numinous, and deep dives into the darkest, messiest parts of human nature. She grew up overseas, and “home” for her is everywhere from Brussels, Belgium to Albuquerque, New Mexico. She has a Psychology BA, an EMT-I license, and a BSN. She has been an usher, a cashier, a server, a home health aide, an EMT, an ER tech, and a trauma RN—her jobs have consistently been much stranger than any fiction she writes. When she's not writing, she enjoys weightlifting, video games, and horror movies. She loves cats, green chiles, and UFO lore. Her debut novel, THE DEMON STAR, is forthcoming from DAW/Astra in July 2026! *Yes, this is a real name. No, it has nothing to do with Lord of the Rings. No, she is not (so far as she knows) a descendant of Catherine of Aragon. It is a very common surname for people of Hispanic descent in Mexico and the Southwestern US.
The Nurses Report on America Out Loud with Melissa Schreibfeder, BSN, RN, BC-FMP – As chronic disease continues to rise, many believe our healthcare system has lost sight of what it truly means to heal. By embracing an increasingly secular approach to medicine, has healthcare neglected the importance of the soul, our relationship with our Creator, and the biblical principles that support whole-person healing?
En esta edición de Se Acabo el Juego, reaccionamos al tercer partido de la Final de Conferencia de la sección A entre los Vaqueros de Bayamón y los Criollos de Caguas, donde los Vaqueros tomaron la delantera en la serie 2 a 1, al vencer a los Criollos 106 a 83.
The Nurses Report on America Out Loud with Gail Macrae, BSN, RN – By retraining muscles and guiding natural growth, it helps to develop optimal airways, sound sleep, improved attention, and reduced chronic disease risk. Families facing existing difficulties gain access to root-cause strategies that complement other therapies. Awareness paired with early, consistent action generates...
The Nurses Report on America Out Loud with Gail Macrae, BSN, RN – By retraining muscles and guiding natural growth, it helps to develop optimal airways, sound sleep, improved attention, and reduced chronic disease risk. Families facing existing difficulties gain access to root-cause strategies that complement other therapies. Awareness paired with early, consistent action generates...
Ever struggled caring for bariatric patients? Join the co-hosts as they share their personal stories and offer practical, dignity-centered perspectives on caring for bariatric patients drawing upon the AMSN Core Curriculum. From navigating respectful care to approaching patient safety challenges, this is one conversation you won't want to miss. Learn more about the AMSN Core Curriculum at: https://amsn.org/Practice-Resources/Core-Curriculum-for-Medical-Surgical-Nursing 182 MEET OUR CO-HOSTS Kellye' McRae, MSN-Ed, RN is a dedicated Med-Surg Staff Nurse and Unit Based Educator based in South Georgia, with 12 years of invaluable nursing experience. She is passionate about mentoring new nurses, sharing her clinical wisdom to empower the next generation of nurses. Kellye' excels in bedside teaching, blending hands-on training with compassionate patient care to ensure both nurses and patients thrive. Her commitment to education and excellence makes her a cornerstone of her healthcare team. Marcela Salcedo, RN, BSN is a Floatpool nightshift nurse in the Chicagoland area, specializing in step-down and medical-surgical care. A member of AMSN and the Hektoen Nurses, she combines her passion for nursing with the healing power of the arts and humanities. As a mother of four, Marcela is reigniting her passion for nursing by embracing the chaos of caregiving, fostering personal growth, and building meaningful connections that inspire her work. Hayley Sweetser, MSN, APRN, AGCNS-BC, MEDSURG-BC, CPHQ, WTA-C is a Clinical Nurse Specialist in Newark, Delaware who provides support to patients and caregivers within the Acute Medicine Service Line at ChristianaCare. She is working towards reducing overall patient harm events within the service line through collaboration with bedside nurses, physicians, and other specialties. Hayley has a strong passion for medical-surgical nursing and has spent her whole nursing career in this specialty. She strives to advance medical-surgical nursing practice by encouraging alignment with evidence-based practice. Eric Torres, ADN, RN, CMSRN is a California native that has always dreamed of seeing the World, and when that didn't work out, he set his sights on nursing. Eric is beyond excited to be joining the AMSN podcast and having a chance to share his stories and experiences of being a bedside medical-surgical nurse. Sydney Wall, RN, BSN, CMSRN has been a med surg nurse for 5 years. After graduating from the University of Rhode Island in 2019, Sydney commissioned into the Navy and began her nursing career working on a cardiac/telemetry unit in Bethesda, Maryland. Currently she is stationed overseas, providing care for service members and their families. During her free time, she enjoys martial arts and traveling. Trish West, DNP, MSN, CMSRN, PCCN, CEN, NEA-BC, FAMSN is a passionate nurse leader whose career reflects both expertise and a heartfelt commitment to advancing patient care. Trish's credentials include being a Certified Medical Surgical Registered Nurse, Progressive and Emergency Nursing, Nursing Executive Advanced, and most recently, induction as a Fellow in the Academy of Medical Surgical Nursing. She enjoys spending time with her husband Mark and their five children. Her favorite motto, "Never underestimate the difference you can make," truly captures the spirit with which Trish approaches both professional and personal endeavors.
En esta edición de Se Acabó el Juego traído a ustedes por Los Come Banco, reaccionamos al segundo partido de la final de conferencia de la Sección B entre los Santeros de Aguada y los Leones de Ponce.
Continuamos con nuestra serie de La Autopsia donde estaremos analizando porque estos equipos fallecieron en el recorrido de lo que fue la temporada del 2026 del Baloncesto Superior Nacional. Esta vez le toca a los Cangrejeros de Santurce, quienes finalizaron con marca de 19-15 en la temporada regular y cayeron en la primera ronda de los playoffs 4-2 contra los Criollos de Caguas.
En esta edición de Se Acabo el Juego traído a ustedes por Los Come Banco, reaccionamos al segundo juego de la serie final de conferencia, entre los Criollos de Caguas y los Vaqueros de Bayamón.
Continuamos con nuestra serie de La Autopsia donde estaremos analizando porque estos equipos fallecieron en el recorrido de lo que fue la temporada del 2026 del Baloncesto Superior Nacional. Esta vez le toca a los Capitanes de Arecibo, quienes finalizaron con marca de 18-16 en la temporada regular y cayeron en la primera ronda de los playoffs 4-2 contra los Santeros de Aguada.
En esta edición de Se Acabo el Juego traído a ustedes por Los Come Banco, reaccionamos al primer partido de la final de conferencia de la Sección B entre los Santeros de Aguada y los Leones de Ponce.
En este nuevo episodio de El Pirra-ta de Corazón venimos a hablar de:La postemporada del BSN¿Es Georgie Pacheco un buen armador para los Piratas?¿Vasallo se va de Quebradillas?Gilberto Clavell estuvo toda la temporada en las narices PiratasRecuerda seguirno en:Facebook https://www.facebook.com/loscomebanco/ Instagram https://www.instagram.com/loscomebanco?igsh=NzlvdmV6dzJvNW5p&utm_source=qrYoutube https://youtube.com/@loscomebancoTikTok https://www.tiktok.com/@loscomebancos?_t=ZT-8uQiCc5mjl4&_r=1
En esta edición de Se Acabo el Juego traído a ustedes por Los Come Banco, reaccionamos al primer partido de la final de conferencia de la Sección A entre los Vaqueros de Bayamón y los Criollos de Caguas.
Las Voces REGRESAN
The Nurses Report on America Out Loud with Kimberly Overton, BSN, RN, BC-FMP – For millions of Americans living with chronic illness, the journey often begins the same way: unexplained symptoms, countless doctor's appointments, normal lab work, and the frustrating reassurance that "everything looks fine." Yet they know something isn't right...
The Nurses Report on America Out Loud with Kimberly Overton, BSN, RN, BC-FMP – For millions of Americans living with chronic illness, the journey often begins the same way: unexplained symptoms, countless doctor's appointments, normal lab work, and the frustrating reassurance that "everything looks fine." Yet they know something isn't right...
Are most of your meals built backwards with an oversized piece of protein and neglected vegetables? In this episode of the ProCare Health Live Podcast, bariatric nurse Brenda Hoehn sits down with classically trained chef and $140text{ lbs}$ bariatric success story Henry Baker (Chef Healthy Henry) to discuss The Protein Flip™. If you are a bariatric patient (VSG or bypass), taking GLP-1 medications, or simply looking for a sustainable, chef-designed way to build high-protein, plant-rich meals without restrictive dieting, this presentation will transform how you approach dinner tonight!
The Nurses Report on America Out Loud with Melissa Schreibfeder, BSN, RN, BC-FMP – After navigating years of chronic fatigue, Lyme disease, mold toxicity, and ultimately surviving inflammatory breast cancer, a rare and aggressive form of breast cancer, Amber was forced to look beyond standard approaches and ask deeper questions. What she discovered changed everything. The body is not broken. It is...
The Nurses Report on America Out Loud with Melissa Schreibfeder, BSN, RN, BC-FMP – After navigating years of chronic fatigue, Lyme disease, mold toxicity, and ultimately surviving inflammatory breast cancer, a rare and aggressive form of breast cancer, Amber was forced to look beyond standard approaches and ask deeper questions. What she discovered changed everything. The body is not broken. It is...
Continuamos con nuestra serie de La Autopsia donde estaremos analizando porque estos equipos fallecieron en el recorrido de lo que fue la temporada del 2026 del Baloncesto Superior Nacional. Esta vez le toca a los Gigantes de Carolina/Canovanas, quienes finalizaron con marca de 18-16 en la temporada regular y cayeron en la primera ronda de los playoffs 4-1 contra los Vaqueros de Bayamón.
Discover the step-by-step nursing career ladder in Kansas, from CNA to RN to BSN. Learn training requirements, salary jumps, program costs, and why Kansas's nursing shortage means now is the perfect time to start climbing. Newman University City: Wichita Address: 3100 McCormick Website: https://newmanu.edu/
The Nurses Report on America Out Loud with Gail Macrae, BSN, RN – Dr. Edith Chan explores blindfolded vision as an untapped human ability that strengthens intuition, emotional balance, and self-trust. Through playful training for children and adults, participants challenge limiting beliefs, expand perception, and discover new possibilities for education, family life, wellness, personal transformation, and growth...
The Nurses Report on America Out Loud with Gail Macrae, BSN, RN – Dr. Edith Chan explores blindfolded vision as an untapped human ability that strengthens intuition, emotional balance, and self-trust. Through playful training for children and adults, participants challenge limiting beliefs, expand perception, and discover new possibilities for education, family life, wellness, personal transformation, and growth...
Continuamos con nuestra serie de La Autopsia donde estaremos analizando porque estos equipos fallecieron en el recorrido de lo que fue la temporada del 2026 del Baloncesto Superior Nacional. Esta vez le toca a los Atleticos de San German, quienes finalizaron con marca de 21-13 en la temporada regular y cayeron en la primera ronda de los playoffs 4-1 contra los Leones de Ponce.
En esta edición de Se Acabó el Juego traído a ustedes por Los Come Banco, reaccionamos al partido del lunes 20 de julio en el Baloncesto Superior Nacional, donde los Criollos de Caguas visitaron a los Cangrejeros de Santurce.
Learning should not be a one-time thing. As a provider, it is our responsibility to stay up on current research, new protocols and evidence-based medicine. For Katie Oshita this meant attending the ICAP conference in April 2026 in Portland, OR. ICAP is an international, interdisciplinary conference where providers come together to learn from one another. In this episode, Katie Oshita will recap this amazing event and give you the short version, as she took 47 pages of notes! Listen here to learn more, and click this link to learn more about ICAP, find a member, and join.Podcast Host: Katie Oshita, RN, BSN, IBCLC has over 25 years of experience working in Maternal-Infant Medicine. While Katie sees clients locally in western WA, Katie is also a telehealth lactation consultant believing that clients anywhere in the world deserve the best care possible for their needs. Being an expert on TOTs, Katie helps families everywhere navigate breastfeeding struggles, especially when related to tongue tie or low supply. Katie is also passionate about finding the root cause of symptoms, using Functional Medicine practices to help client not just survive, but truly thrive. Email katie@cuddlesandmilk.com or www.cuddlesandmilk.com
Professional development to improve nursing knowledge and skills occurs in a variety of forms. Learn from Sandra Klafter, BSN, RN, CV-BC, about her experience in preparing for the Cardiac-Vascular Nursing Certification (CV-BC) as well as her involvement in PCNA.CV-BC CredentialVolunteering with PCNASee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
En esta edición de Se Acabo el Juego traído a ustedes por Los Come Banco reaccionamos al partido del domingo 19 de julio donde los Santeros de Aguada iban en buscar de cerrar su serie contra los Capitanes de Arecibo.
En la noche de hoy nos vamos LIVE para hablar sobre los partidos entre Criollos de Caguas vs Cangrejeros de Santurce donde los Criollos defienden la Roger Mendoza con éxito y ponen en jaque a los Cangrejeros. Ademas hablaremos sobre el partido entre Leones de Ponce vs Atléticos de San Germán donde Ponce pone fín a la temporada de los Atléticos y pasan a su 3ra semifinal consecutiva.
En esta edición de Se Acabo el Juego traído a ustedes por Los Come Banco, reaccionamos a los partidos del viernes 17 de julio en el Baloncesto Superior Nacional, donde los Gigantes de la C visitaron a los Vaqueros de Bayamon y los Santeros de Aguada visitaron a los Capitanes de Arecibo.
Jenna Eastvold, RN, BSN, NC-BC, is a board-certified nurse coach with over 17 years of experience in health, behavior change, and coaching. She's the founder of EnergizeWell, where she helps people who feel stuck, drained, or caught in patterns they're ready to change. Jenna's approach blends behavior change, somatic awareness, and practical support to help clients build self-trust, follow through, and create lasting change in their health, relationships, and work. Her work isn't about quick fixes or willpower. It's about understanding what's actually happening underneath the hesitation, the overthinking, the automatic yes when you meant to say no, and helping people respond differently in the moment, not just know better in theory. At the core of her work are four values: whole-person healing, self-trust and clarity, sustainable change, and supportive environments, the belief that our habits and surroundings shape behavior more than motivation ever does. In this episode, Jenna helps listeners understand why "just try harder" doesn't work, and what it actually takes to create change that holds up in real life. Connect with Jenna: Website: energizewell.com Instagram: @energizewell *** CONNECT WITH NIYC... Apply for GAME CHANGERS here: https://www.niycpidgeon.com/game-changers-application Download my FREE Positive Psychology Sales System here: https://niyc-pidgeon.mykajabi.com/the-positive-psychology-sales-system Grab The $27 Positive Psychology Sales Stack here: https://niyc-pidgeon.mykajabi.com/positive-psychology-sales-stack Connect on social media: Instagram: www.instagram.com/niycpidge LinkedIn: https://www.linkedin.com/in/niycpidgeon Website: www.niycpidgeon.com
"Think about what organs lie in the radiation field, and anything that lies in that radiation field is likely going to have some potential temporary—hopefully temporary—side effects. If you think about the pelvis, the things that live in there are the bladder, urethra, some bowel, rectum, reproductive organs, skin, some lymph nodes. And so, all of those things could potentially have associated side effects," ONS member Kayla Kafka-Peterson, BSN, RN, ROCN™, nurse navigator and leader in the brachytherapy and peri-anesthesia programs at UCLA Health, in Los Angeles, CA, told Lenise Taylor, MN, RN, AOCNS®, TCTCN™, oncology clinical specialist at ONS, during a conversation about radiation side effects in cancers of the pelvis. Music Credit: "Fireflies and Stardust" by Kevin MacLeod Licensed under Creative Commons by Attribution 3.0 Earn 0.75 contact hours of nursing continuing professional development (NCPD) by listening to the full recording and completing an evaluation at courses.ons.org by July 17, 2027. The planners and faculty for this episode have no relevant financial relationships with ineligible companies to disclose. ONS is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center's Commission on Accreditation. Learning outcome: Learners will report an increase in knowledge related to radiation to the pelvis. Episode Notes Complete this evaluation for free NCPD. ONS Podcast™ episodes: Radiation Site-Specific Side Effects series Episode 301: Radiation Oncology: Side Effect and Care Coordination Best Practices Episode 298: Radiation Oncology: Nursing's Essential Roles ONS Voice articles: Highly Localized, Precision Radiation Therapies Require Nurses to Drive Care Coordination, Patient Education The Intersection of Pelvic Health and Oncology Optimizes Sexual Symptom Management ONS book: Manual for Radiation Oncology Nursing Practice and Education (fifth edition) ONS courses: Nurse Navigation and Care During Brachytherapy for Cervical Cancer: 2025 ONS Bridge™ Session ONS ROCN™ Certification Review™ ONS/ONCC® Radiation Therapy Certificate™ Clinical Journal of Oncology Nursing articles: Updated Interventions for Radiation-Induced Diarrhea: Putting Evidence Into Practice With the Oncology Nursing Society Genitourinary Distress: Common Side Effect Sexual Dysfunction: Common Side Effect Brachytherapy: Increased Use in Patients With Intermediate- and High-Risk Prostate Cancers Oncology Nursing Forum article: Effect of Foot Reflexology and Aromatherapy on Anxiety and Pain During Brachytherapy for Cervical Cancer ONS Guidelines™ and Symptom Management Resources: Radiodermatitis Radiation-Induced Diarrhea Brachytherapy Huddle Card American Brachytherapy Society American Society for Radiation Oncology (ASTRO) European Society for Radiotherapy and Oncology (ESTRO) GEC-ESTRO Committee International Gynecologic Cancer Society Nursing Certificate Program To discuss the information in this episode with other oncology nurses, visit the ONS Communities. To find resources for creating an ONS Podcast club in your chapter or nursing community, visit the ONS Podcast Library. To provide feedback or otherwise reach ONS about the podcast, email pubONSVoice@ons.org. Highlights From This Episode "Brachytherapy is delivered two main ways. The most common is LDR and HDR. LDR stands for low-dose-rate radiation, which is the older type of brachytherapy, but it is still very much practiced today. And it is where we put radioactive seeds directly into the tumor or tumor resection bed, depending on what you're treating. And those pieces of radioactive material, such as iodine-125 or palladium-103, those will give off radiation over time and treat the area that they are in, and they will place more or less seeds into the tumor, depending on that patient's needs and their anatomy." TS 3:26 "The most common [side effect] for external beam is bladder irritation—cystitis. It can be some burning, some frequency, some urgency, and it can often mimic a UTI [urinary tract infection]. We also have to make sure our patients do not have a UTI. Most of the time they don't, but we don't want to miss that. Once a UTI has been ruled out, the mucosa in the bladder and the urethra, it has a very high cell turnover rate. And things with a high cellular turnover rate like mucosal linings, they respond to radiation very quickly. They also heal very quickly, but they start to break down quite quickly during radiation." TS 16:15 "For the bladder, some things that we can teach the patients … to keep their urinary system as comfortable as possible during treatment. We really encourage hydration because the more hydrated they are, the more diluted their urine will be and the less acidic it will be. As those tissues start to respond to the radiation, they will become, for lack of a better word, a little bit raw. And if you think of something acidic going on something that is raw, it's going to burn, and these patients do get burning. And so by promoting hydration, their urine becomes less acidic; it doesn't burn as much when they do urinate. And I find a lot of patients who are experiencing the urinary side effects, they don't want to drink because they're afraid to urinate. And it actually makes the burning worse because their urine gets ultra-concentrated." TS 22:29 "Anybody who has a vagina, who receives treatment to the pelvis—it doesn't matter if it's for vaginal cancer or if it's for bowel or rectal—if they have received radiation to the pelvis, they are at risk for vaginal stenosis and adhesions. And this, of course, can be more pronounced in patients who have a higher dose in the vagina or a larger surface volume of the vagina treated. But over time, that tissue, even long after radiation is done, will undergo late changes where they will have continued scar formation, and it starts to lose its elasticity and its functionality. And at times it can stick to itself, causing these adhesions." TS 28:15 "I think a common misconception is that you cannot safely work around radiation. That is something that I have heard a lot. In certain regions of the world, the nurses actually report that they have been having trouble getting good applicants because nobody wants to work in radiation because they think that you'll get radiated, that it's not safe. We've really tried to make radiation safety a big part of our teaching to show that actually, you can safely work around radiation with today's technology." TS 41:43
The Nurses Report on America Out Loud with Kimberly Overton, BSN, RN, BC-FMP – Kimberly and Wendy discuss what families can do differently when facing a medical crisis, the importance of having a trusted patient advocate, understanding informed consent, staying engaged with the medical record in real time, asking questions, documenting everything, and preparing for illness before...
The Nurses Report on America Out Loud with Kimberly Overton, BSN, RN, BC-FMP – Kimberly and Wendy discuss what families can do differently when facing a medical crisis, the importance of having a trusted patient advocate, understanding informed consent, staying engaged with the medical record in real time, asking questions, documenting everything, and preparing for illness before...
En esta edición de Se Acabo el Juego traído a ustedes por Los Come Banco, reaccionamos a los partidos del miercoles 15 de julio, donde los Vaqueros de Bayamon visitaron a los Gigantes de la C y los Capitanes de Arecibo visitaron a los Santeros de Aguada.
The Nurses Report on America Out Loud with Melissa Schreibfeder, BSN, RN, BC-FMP – Healthcare should be proactive instead of reactive. By recognizing potential patterns of dysfunction earlier and addressing modifiable lifestyle factors, we have an opportunity to support better health, empower individuals to make informed decisions alongside their healthcare team, and help prevent chronic...
A young man in his 20s experiences a head-on collision with a tree that leaves him in profound shock, and not exhibiting the symptoms that would seem to match his vital signs. Our team recognizes the mismatch and works quickly to get him to the hospital. Upon arriving at the hospital, the team does what our host refers to as "the ultimate hospital intervention" and performs an open resuscitative thoracotomy. After multiple surgeries and three days, the patient ultimately does not survive. But after the staggering volume of blood products and interventions performed, they wonder if he's still eligible for organ and tissue donation. In the last part of this episode, we answer that question with an expert on the issue. The insights are fascinating. Interested in obtaining CE credit for this episode? Visit OnlineAscend.com to learn more. Listeners can purchase individual episode credits or subscribe to the Critical Care Review Bundle and gain access to all episode CE Credits. We are joined by: Lindsey Speir, MHA, BSN, RN, CPTCExecutive Vice President Kelsey Nicks BSN, RN, CFRN Flight Nurse Harold Englert EMT-P, FP-C Jason Elliott RN, NRP, FP-C Click here to download this episode today! As always thanks for listening and fly safe! Hawnwan Moy MD FACEP FAEMS John Wilmas MD FACEP FAEMS Nyssa Hattaway, BA, BSN, RN, CEN, CPEN, CFRN
The Nurses Report on America Out Loud with Melissa Schreibfeder, BSN, RN, BC-FMP – Healthcare should be proactive instead of reactive. By recognizing potential patterns of dysfunction earlier and addressing modifiable lifestyle factors, we have an opportunity to support better health, empower individuals to make informed decisions alongside their healthcare team, and help prevent chronic...
The Nurses Report on America Out Loud with Gail Macrae, BSN, RN – Honeycutt saw how foreign proteins from GMOs, combined with glyphosate, were linked to rising childhood illnesses. Her frustration over her children's health led to action. She initially supported GMO labeling initiatives like California's Prop 37. After losses, she organized Moms Across America marches in...