Podcasts about lpns

Welcome to the Sustainable Clinical Medicine Podcast! In this episode, Dr. Sarah Smith is joined by Sue Peters—a healthcare improvement leader with a background in audiology and extensive experience in quality improvement for clinical teams. Sue and Sarah dive into the day-to-day challenges clinicians face, from the dreaded in-basket workload to the complexities of team communication and patient care coordination. Together, they explore practical strategies to streamline processes, clarify roles within clinical teams, and leverage everyone's unique skills to create more efficient and sustainable practice environments. Sue shares actionable tips on offloading non-physician work, optimizing EMRs, and effectively onboarding patients—all while ensuring that both providers and patients benefit from these improvements. Plus, they chat about breaking old habits, embracing true teamwork, and even finding ways to take things out of everyone's overloaded "backpack." Here are 3 key takeaways from this episode: Embrace Team-Based Care: Don't try to shoulder all the work alone. By clearly defining roles and empowering every member of the care team—from RNs and LPNs to MOAs—practices can improve patient access, reduce wait times, and allow clinicians to focus on what matters most. Optimize Your EMR Processes: Standardizing how we populate and use EMR data not only improves patient care, but also makes it much easier to delegate and manage population health. Consistency in documentation enables actionable reporting—and lets the right team member handle the right task. Involve Everyone in Change: Successful quality improvement requires all voices at the table, not just physicians. When team members participate in designing solutions, they're more engaged, invested, and open to new ways of working. Sue Peters Bio: Sue Peters is a Healthcare Improvement Leader working with Primary Care and Specialty Teams to achieve true team-based care through Quality Improvement. Imagine a team where every member has a critical role in patient care and is working to top of scope, allowing you to focus on the work for which you are highly trained - It is possible. -------------- Would you like to view a transcript of this episode? Click here Learn more about our guest: https://petersconsulting.ca/ https://www.linkedin.com/in/sue-peters-b8661774/ **** Charting Champions is a premiere, lifetime access Physician only program that is helping Physicians get home with today's work done. All the proven tools, support and community you need to create time for your life outside of medicine. Learn more at https://www.chartingcoach.ca **** Enjoying this podcast? Please share it with someone who would benefit. Also, don't forget to hit “follow” so you get all the new episodes as soon as they are released. **** Come hang out with me on Facebook or Instagram. Follow me @chartingcoach to get more practical tools to help you create sustainable clinical medicine in your life. **** Questions? Comments? Want to share how this podcast has helped you? Shoot me an email at admin@reachcareercoaching.ca. I would love to hear from you.

On this episode of Senior Matters, host Mark E. Wight speaks with Robert Vande Merwe, Executive Director of the Idaho Healthcare Association continue their conversation about major changes impacting senior care and healthcare providers in Idaho.  Their conversation is based on the 2025 Idaho Legislative Session. Starting July 1, state regulations for nursing homes, hospitals, and home health agencies will be eliminated, shifting more responsibility to federal oversight. We discuss how these changes affect care quality, patient admissions, and facility inspections. Robert also addresses Idaho's nursing shortage and new delegation rules allowing LPNs to conduct focused assessments—offering temporary relief for overwhelmed RNs. The conversation rounds out with bold education initiatives including high school LPN programs and stackable credentials aimed at growing the healthcare workforce. Finally, Robert shares advocacy efforts around potential federal Medicaid cuts and their devastating implications for Idahoans. Whether you're a caregiver, senior, or healthcare worker, this is essential listening to stay informed on what's changing in Idaho's healthcare landscape. Listen to Part 1 of the podcast at  

GDP Script/ Top Stories for March 18th Publish Date: March 18th From The BG AD Group Studio, Welcome to the Gwinnett Daily Post Podcast. Today is Tuesday, March 18th and Happy Birthday to Gary Sinise ***03.18.25. BIRTHDAY. GARY SINISE*** I’m Peyton Spurlock and here are your top stories presented by KIA Mall of Georgia Annandale Village hosting career fair March 26 Travis Tritt To Headline Buford Fall Concert Georgia Department of Public Safety partnering with ICE All of this and more is coming up on the Gwinnett Daily Post podcast, and if you are looking for community news, we encourage you to listen daily and subscribe! Break 1: Kia MOG (07.14.22 KIA MOG) STORY 1: Annandale Village hosting career fair March 26 Annandale Village is hosting an on-campus career fair on March 26 at 3500 Annandale Lane, Suwanee, from 10 a.m. to 1 p.m. and 3 to 6 p.m. The nonprofit, which supports adults with developmental disabilities and brain injuries, offers positions like RNs, CNAs, LPNs, and direct support professionals. Job offers may be made on the spot, and candidates can apply online beforehand. Annandale provides benefits like signing bonuses, flexible schedules, and extensive PTO, fostering a positive work environment. For details, visit annandale.org. STORY 2: Travis Tritt To Headline Buford Fall Concert Country music star Travis Tritt will headline the Buford Community Center's fall concert on Sept. 13, joined by Drake White and his daughter, Tyler Reese Tritt. The event, held on the concert lawn, starts at 6 p.m., with gates opening at 4:30 p.m. A Marietta native, Tritt is known for hits like “It’s a Great Day to Be Alive” and “Here’s a Quarter.” This annual concert follows last year’s headliner, Tyler Hubbard of Florida Georgia Line. STORY 3: Georgia Department of Public Safety partnering with ICE Georgia's Department of Public Safety (DPS) will train all 1,100 sworn officers under ICE's 287(g) program to identify and apprehend illegal immigrants deemed public safety risks, Gov. Brian Kemp announced. DPS Commissioner Billy Hitchens emphasized the collaboration's role in enhancing community safety. The 287(g) program, authorized in 1996, allows ICE to delegate federal immigration enforcement authority to state and local officers. Georgia's Department of Corrections already participates in the program, assisting with deportations. Critics argue some deportations target individuals whose only offense is being in the U.S. illegally, a civil violation. We have opportunities for sponsors to get great engagement on these shows. Call 770.874.3200 for more info. We’ll be right back Break 2: STORY 4: Buford Teen — Missing For Over A Year — Found Safe In Tennessee Over a year after disappearing from her Buford home, 17-year-old Asata Amun has been found safe in Tennessee. Authorities discovered she had been in the custody of Tennessee’s Department of Children’s Services under an alias since February 2024. A case manager identified inconsistencies in her statements, leading to her identification as a missing Georgia teen. Arrangements are underway to transfer her to Georgia’s Department of Family & Children Services, while the investigation into her disappearance remains active. Amun had been missing since February 1, 2024, after being seen running from her home on doorbell video. STORY 5: Gwinnett Solicitor General Lisamarie Bristol will seek re-election in 2026 Gwinnett Solicitor General Lisamarie Bristol has announced her bid for re-election in 2026. A Democrat first elected in 2022, Bristol highlighted her office's achievements, including creating a Special Victims Unit, expanding diversion programs, and reducing crime across all categories in Gwinnett. She emphasized her commitment to fighting recidivism, addressing case backlogs, and focusing on serious crimes. Bristol will officially launch her campaign on March 25. The 2026 election will also feature races for Gwinnett County commission, court, and school board seats, alongside statewide and congressional contests. Break: Ingles Markets 2 ***Guide Weekly Health Minute*** 10.15.24 GUIDE HEALTH MINUTE_FINAL*** Break 4: Signoff – Thanks again for hanging out with us on today’s Gwinnett Daily Post Podcast. If you enjoy these shows, we encourage you to check out our other offerings, like the Cherokee Tribune Ledger Podcast, the Marietta Daily Journal, or the Community Podcast for Rockdale Newton and Morgan Counties. Read more about all our stories and get other great content at www.gwinnettdailypost.com Did you know over 50% of Americans listen to podcasts weekly? Giving you important news about our community and telling great stories are what we do. Make sure you join us for our next episode and be sure to share this podcast on social media with your friends and family. Add us to your Alexa Flash Briefing or your Google Home Briefing and be sure to like, follow, and subscribe wherever you get your podcasts. 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Some nurses won't qualify for a retention bonus, including LPNs in special care homes. Jeanne Armstrong spoke to Jan Seely, president of the New Brunswick Special Care Home Association, about how her members are reacting to that.

The union is asking for higher pay, better staffing ratios and more sustainable work schedules.

Kasey Pacheco believes that collaboration is the key to improving healthcare and bringing nurses together. In this episode, Kasey talks about what she is doing to bring nurses success by teaching them about holistic health and guiding them to pivot into their passion. Summary:Kasey is a nurse and loves caring for patients, but found that her nursing colleagues also needed care. She helps others by offering holistic health and assisting them with sharing their stories. Kasey is the founder of Preservers of Life Digital Marketing Agency, where “we blend the nurturing essence of a nurse with the strategic prowess of a marketing expert. Our foundation rests on the belief that every valuable individual deserves a spotlight, a platform where their story shines brightly in the crowded digital landscape.”. Kasey is also involved in Nurses in Charge, a non-profit nursing community that is committed to empowering nurses, including students, CNAs, LPNs and RNs. By bringing together nurses from all areas, this group strives to inspire and lift up our profession.Anyone that meets Kasey sees a shining star that wants others to shine brighter than herself. For any nurse entrepreneurs that would like to be more visible, Kasey can do that. She can guide those that are looking for change and promote them on the platform that will serve them best. Connect:Follow Kasey's journey on LinkedIn and YouTube. ★ Support this podcast on Patreon ★

The Association of Nurses and Nurse Practitioners of British Columbia [NNPBC] is the professional association that represents the voice of all four nursing designations in BC – RNs, LPNs, RPNs and NPs. By bringing all nursing designations under one roof, our association is a first of its kind in Canada, and presents a stronger, united nursing voice to influence health and social policy and advance the nursing profession. (NNPBC, 2024).  Listen as Angela offers an overview of BC's nursing professional association, what their current focus entails, and how policy can be the game changer for nursing. Also, hear about Angela's experience with the Canadian Nurses Association and the International Council of Nurses. Angela Wignall is a Registered Nurse serving as the Director, Professional Practice & Health Policy with the Nurses and Nurse Practitioners of British Columbia (NNPBC), BC's unified professional nursing association. Angela is a policy nurse whose practice centres nursing at the intersection of policy and governance. Angela holds a BA from York University, a BSN from the University of Victoria, a Masters in Policy & Practice, and is currently completing her PhD with a research focus on nation state level Chief Nursing Officer leading health policy coalitions. Angela is a member of the Board of Directors for the Canadian Nurses Association (CNA) and has recently supported the work of Canada's Chief Nursing Officer as a member of the CNO Advisory Committee on Nursing Retention. In addition, she supports the International Council of Nurses as chair of the PAHO region Global Nursing Leadership Institute Alumni Network and co-chair of the international GNLI Steering Group. Angela advises and speaks around the world on nurse-led innovation, clinical governance, policy science, nursing leadership in policy contexts, and health-care transformation. She lives with her partner and two sons on the beautiful homelands of the Lekwungen speaking peoples, the Songhees and Esquimalt First Nations, in what is colonially known as Victoria, BC.The Association of Nurses and Nurse Practitioners of British Columbia-https://www.nnpbc.com Notes for the season acronyms:Allied Health Professions – other health care providers such as physiotherapists, occupational therapists, nutritionists, speech language pathologists, audiologists, respiratory therapists, and so on.ARNBC - Association of Registered Nurses of BCBCCNM - BC College of Nurses & MidwivesBCNU – BC Nurses UnionCNA - Canadian Nurses Association HHR – Health Human ResourceIEN - Internationally Educated NursesLPN – Licensed Practical Nurse NNPBC – Nurses and Nurse Practitioners of BC (formerly ARNBC)NBA – Nurses' Bargaining AssociationNPS – Nursing Policy Secretariat within the BC Ministry of HealthRNABC - Registered Nurses Association of BCRPN – Registered Psychiatric NurseInstagram: @calling.all.nursesComments and feedback can be sent to our email: callingallnurses.podcast@gmail.com

Good day ladies and gentlemen, this is IRC news, I am Joy Stephen, a certified Canadian Immigration practitioner, and I bring to you this Provincial News Bulletin from the province of Prince Edward Island. This recording originates from the Polinsys studios in Cambridge, Ontario.With revenues forecasted at $3.15 billion and planned spending of $3.23 billion, the province is expecting a deficit of approximately $85 million. The 2024-2025 budget focuses on improving healthcare, building housing and helping with the cost of living while supporting young and old Island residents, their families, and the places they live, learn and work.Highlights of the new investments in this budget include:Improving Your Healthcare$10.5 million to add more patient medical homes$9.9 million to support the implementation of a medical school$7.1 million to add more doctors and more residency seats$6.2 million to improve our recruitment of healthcare professionals$4.9 million to provide more supports for seniors$4.5 million to move towards wage parity for long-term care$3.7 million to enhance access to care$3 million to deliver mental health services$2.4 million to integrate associate physicians and physician assistants$2.2 million to train and upskill more RCWs, LPNs, paramedics and RNsBuilding Together$10 million to grow and maintain our inventory of affordable units$6.9 million to expand shelter spaces and improve supports for vulnerable Islanders$6.7 million for tax rebates for builders$1.6 million to support social housing units$200,000 to support creation of a land use planHelping with Everyday Costs$14.6 million for tax system changes$7.3 million for incentives to install heat pumps, hot water heaters and insulation$3.1 million to improve supports for Social Assistance and AccessAbility Support clients$1.1 million to introduce a PEI Children's Benefit$1 million to keep public transit fares affordable and add transit routes$380,000 to expand the seniors independence initiativeLearning and Growing$7 million to add more front-line staff to the education system$4.3 million to grow childcare supports and spaces$1 million to support school food programs$940,000 to enhance the George Coles Bursary$708,000 to implement a vision care program for childrenSafer Communities and Strengthening Industries$2.4 million to implement the Gender-based Violence Action Plan$2 million to grow the bioscience sector$1 million to fund operating costs of the EV charging network$1 million to strengthen agriculture$773,000 to improve impaired driving enforcement$500,000 to begin development of a coastal management plan$500,000 to expand the tourism season$205,000 to support diversity and inclusion$150,000 to address workforce challenges of municipal police servicesFor Health Care and Social Services personnel exploring the possibility of immigrating to PEI, this announcement carries significant weight. It offers valuable insights into the prevailing landscape of their sector, empowering Health Care and Social Services personnel to tailor their immigration plans in accordance with the evolving needs of the industry.  You can always access past news from the Province of Prince Edward Island by visiting this link: https://myar.me/tag/pe/.Furthermore, if you are interested in gaining comprehensive insights into the Provincial Express Entry Federal pool Canadian Perman

In the first part of a series of episodes about medical malpractice litigation, Bill Kanasky, Jr., Ph.D. talks about nurses sitting for deposition, in particular, the LPN, and the importance of the initial meeting and communication with these nurses. These lower-level nurses often struggle at deposition due to their nervousness about the process, fear of the ramifications, potential blame issues, etc. It's critical to meet with these nurses as soon as possible, checking in with them, seeing how they are doing, and demonstrating that you care about them as a person. Bill discusses how crucial the initial assessment of their mental, physical, and emotional state is before any prep for the deposition starts. Also, it is important to ask them difficult questions about their job, including whether there have been issues at work previously, whether they blame anyone else for the incident at the heart of the case, and their specifics memories of what took place. Lastly, Bill talks about getting their commitment to work with you to prepare for their deposition. Watch the video of this episode: https://www.courtroomsciences.com/r/c3S

Doctors Kevin Mailo and Wing Lim join forces to talk about the “d word” that isn't talked about enough: delegation. They lead a discussion explaining why we need to move away from assuming we know everything there is to know and instead embrace the expertise of others to achieve the best results. And how delegation is the key. Dr. Mailo and Dr. Lim break down what can and can't be delegated out. There are crucial tasks that only we can do and must continue doing, but there are plenty of other tasks we don't need to be spending our personal resources on tending to. They talk about the difference between delegation and abdication because very different results emerge from adhering to the wrong one. Dr. Wing Lim shares a checklist on how to do delegation the best way, with clear instructions and expectations keeping everyone informed on their part of the equation. This is an episode that's key to freeing up our time by ensuring that we do only those tasks which require us and that we responsibly delegate the tasks that don't need our direct involvement. –About Dr. Kevin Mailo:Kevin is an emergency physician based out of Edmonton, Alberta. He is known for his highly engaging teaching style that breaks down complex topics into memorable experiences. Kevin cares deeply about the long-term wellness of the medical profession and wants to see physicians and their families succeed personally and financially.About Dr. Wing Lim:Apart from his clinical & teaching roles, Wing has extensive experience in Practice Management and Business Development. He is passionate about sharing his extensive knowledge & experience (both clinical & business) with others in various settings, from his clinic mentoring younger colleagues, to churches, senior groups, ethnic functions, radio broadcasts, retreats, seminars, and national conferences.–Physician Empowerment: website | facebook | linkedin--TranscriptDr. Kevin Mailo: Hi, I'm Doctor Kevin Mailo, one of the co-hosts of the Physician Empowerment podcast. At Physician Empowerment we're dedicated to improving the lives of Canadian physicians personally, professionally, and financially. If you're loving what you're listening to, let us know! We always want to hear your feedback. Connect with us. If you want to go further, we've got outstanding programing both in person and online so look us up. But regardless, we hope you really enjoy this episode. Dr. Kevin Mailo: Hi. Uh, it's Kevin again on the Physician Empowerment podcast. And, of course, we've got Wing here joining us. And today's topic is very near and dear to my heart because it has taken me a long time. To develop this skill because I was very much in the micromanaging, do it yourself space. And it's been not only, I think for myself, you know, in terms of life being less stressful, but it's also been really a lot of fun because as you expand your network, you begin to broaden your horizons, see things through other people's eyes, and grow as a person. And what I'm getting at here, and I didn't use the D word yet, is delegation. And that's what's so powerful in improving our lives. So in an earlier episode on the podcast, we talked about time management. And one of the keys to time management is being able to either automate a task and streamline its process, or hand off to somebody that you trust, who maybe you've even invested some time in training up, let's say if it's a medical office assistant. So today, Wing is going to be exploring the power of delegation in our lives. Because again, you know, Wing, you've achieved so much in the space of real estate practice building while maintaining a robust and happy family life. And I would venture to guess a big part of that success has been through delegation. Dr. Wing Lim: Yeah. Delegation doesn't come easy. So let's go deeper. And this one is not going to be a talk, Kevin and I, we're just going to chat on this. The delegation, I think we all talk about the D word, right, but deep down we don't want to. We really don't want to because we trust ourselves. Right? And this is a recurring theme at Physician Empowerment. The biggest enemy of freedom may be the guy in the mirror. Because we have so many years of education and processes and because lives are at stake. Mistakes are costly to other people and to yourself. So we tend to just do it, right, and they say, if you want to do it right, do it yourself. And so years after years, post-graduate training, residency, one fellowship and all that, teaching you that you are it, you're the expert. And so you have to do it right. And because of that, we have this intrinsic trust in ourselves. And some of us become very egotistical, giant ego, and even the God-like syndrome. Right? And we don't trust anyone. So as a result, it's very difficult for medical professionals to actually delegate. I'll give you an example. There are people who would rather take the, I have colleagues that would take the blood pressure themselves, like on a patient, rather than trusting a medical staff to do it. Why do you have to do that? Right? Because even blood pressure, you know, there's a good way and bad way to do it. Okay, I understand there's some procedures you cannot delegate out, but more and more we're team based. So I think the first thing to fight is this intrinsic bend towards just trusting yourself and not trusting others because I'm smart, therefore everybody else is dumb. So therefore I don't want to water down my quality. So I don't want to delegate to you. Dr. Kevin Mailo: And let me just interrupt there and say like, this is not about delegating the crucial tasks, right? You know, like if you're a surgeon, you know, and you're elbow deep in somebody's abdomen, you really want to make sure that it's done right. That's where you want to focus your energy is on those crucial, crucial tasks, right? I mean, I do the same thing in the ER in the trauma bay, right? Like sitting at the airway, making sure it's done properly. Because that's the crucial task. But realize that delegation, and I'm just going to go on a little bit of a rant here, delegation is a resource saving measure for us, right? Because we only have so much concentration and intensity and focus. So do you want to dissipate that by like measuring every single one of your patients blood pressure, because you don't trust that somebody will put the automatic blood pressure cuff on properly on the arm? Dr. Wing Lim: Exactly. Dr. Kevin Mailo: Right? Like there has to be some limits here because if you're so focused on that, are you really hearing the history? Do you know what I mean? Or if you are doing your own taxes because you don't want to pay an accountant, or you're doing your own bookkeeping, are you missing the big picture on high level tax planning that could mean hundreds of thousands of dollars to you. Right? So there is a limit to how much attention and focus we can bring in, right? Like I can't sit there and, you know, make sure every IV that, you know, my nursing staff in the department are doing it, doing it perfectly right. Like, no, I have to sit there and be able to focus on the things that no one else can do but me and then, and be comfortable delegating and trusting my team. So that's a personal growth thing, but don't feel bad about the parts that you need to micromanage in your life. By all means do it. You can't outsource personal relationships and friendships, but you want to be present for those. Dr. Wing Lim: Exactly. So you hit it right on the nose there, Kevin. So the paradigm here is this: only do what only you can do. That's the whole thing about delegation. Only do what only you can do. You're the only one that could be your significant other's significant other, spouse, or whatever you want to call it. You're the only dad or mom your kids have, right? You cannot delegate that out, right? When you have the chief surgeon, you have to do stuff that you have to do. But then everything else you should not do, right? It's like a flashlight versus a laser pen. Right? We all understand that, right? The point of focus is to just put everything out and just do only what you can, only you can do. And then, you know what? If you're a team lead in the department and your practice and your division, you know, what's the most scarce resource is a thing called thinking. Thinking--. Dr. Kevin Mailo: -- but it's true-- Dr. Wing Lim: -- is a hard thing. Otherwise everybody will be doing it. Dr. Kevin Mailo: It's very easy to do. And I think this segues nicely backwards to our earlier talk about time. I think it's very easy. Our minds like to get into that rut of, well, I want to focus on this one detail or task because it requires less mental energy. Dr. Wing Lim: Mhm. Dr. Kevin Mailo: When really, thinking, as Henry Ford said it, is the hardest job of all. And that requires some mental space. And to get that mental space, we need to delegate. Dr. Wing Lim: Exactly. So you cannot rely on your allied professional that you delegate down to do that for you. Right? Otherwise they should be sitting in your chair. Then you need to be delegated the task and they need to do the thinking. So if you're a clinic owner, you need to absolutely do the thinking. If a department head, the list goes on and on, right? And so, yeah, so do only what you can do. And if we can chew on that and then just plan your life accordingly, your life would absolutely change and everybody around you would absolutely change. But for that to happen, to only do what you want to do, only you can do, that means you have to have the intrinsic trust in other people. And I tell people that I love to work with people smarter than me. I love to be the dumbest person in the room. I love to because then I gain a lot, right? So I have no background in architecture construction. When we built this 156 unit senior home, state of the art building that won an award, second in the world, I didn't even know that until we got the award. And who won the award? What we did collectively. But the designers did, and I found myself and my partners, this was my dream, right? And I sat in a room downtown Edmonton, top architect, or biggest architect firm in the nation, in the Edmonton branch and in there is like 15 engineers. And I look around. These guys are all very, very smart. I didn't even know there could be 15 engineers, different disciplines. They kept looking at me and my partners. What do you want? Right? So if the why is big enough, the how comes. And so once you delegate the people who are smart and I said I'm the dumbest person in this room. And time and time again and once you do the delegation, things get done despite of you. I love that, not because of me, but things got done in spite of me, right? And then big things could happen. So that's  delegation. Okay. Let's talk about what delegation is not. Delegation is not abdication. Okay, let me repeat. Delegation is not abdication. And why would you say that? Because that's the common mistake we have. And the top, top, top example is in finance. Okay, I just had a chat with one of our Physician Empowerment Masterclass attendees and this professional, we're talking about this application that we give our money to these transaction based, commission based people that set their financial advisors. And meanwhile, he's selling us products, right? Sorry. They are selling us products and they're going to help you be financially free. Maybe, maybe, maybe maybe not. Dr. Kevin Mailo: I don't know, I don't know. Dr. Wing Lim: What's assured is their commission, not your future. Right? And so this abdication just because oh, because you said you're good. I just give it to you. Give my whole life hard earned money to you. That's your abdication, right? Dr. Kevin Mailo: I mean, but I mean, you can also go the other way. I mean, you can blindly buy the market on a broad spread ETF and not pay attention to what, not that you want to time the market, but you want to time your life around the market like, you know, and ask yourself, am I ready to fall off the cliff 12 months before retirement if the market crashes, you know? And again, you can't just blindly trust a person or a process and say, well, that's good enough. You do have to, you have to manage your managers. I think that's what we teach at the course. Dr. Wing Lim: Another example. There's lots of horror story examples. We're just looking at a building in our city that was owned by a physician that went into receivership. Right.? And this dude trust to somebody else who is the expert who's going to run the whole thing. And I drove by that plaza, that plaza is full. It's hard to find parking. How does somebody run it down to the ground? Right? And now it's in judicial sale. And this, unfortunately, this guy's in deep trouble now. And so if you think, oh, real estate is going to, or whatever, you know, you pick a asset class, it's going to make me rich. No it doesn't. And unless you have a good management team, if you just blindly trust somebody, just abdicated your future, they're going to bite you back in the butt. Right? So that's a sobering example.  Dr. Kevin Mailo: And I think the other reflection here is like a lot of the time when we've done something ourselves for many years, we unconsciously know all the ins and outs of it. We unconsciously know all the ins and outs of it, and so there has to be some patience when we're working with somebody and teaching them and some humility. Right? And put yourself in their shoes and remember when you were learning that process and that thing. And so just pause, put the time in and and make sure that they understand and make sure you understand their position as somebody new to this task. And so check your assumptions before you begin to sit down and have that instructions conversation with the person that you're about to delegate to. Dr. Wing Lim: Right. And then they don't perform well and you give them heck. You know what? You should give yourself heck, right? I'm just training a new staff, a highly reliable staff just left for a higher-paid position in the hospital. Right. We do that, lose staff all the time, right? We start with new and there's a lot of assumptions. So I got angry that why is this not done? Because they're new. I didn't teach them. Right? Next thing is you need to give a clear time frame. The song I love you tomorrow, you're just a day away. It keeps postponing tomorrow. If there's no clear time frame, don't expect to get it done. And relationships get tarnished, work relationships, even personal relationships get tarnished because you always say that I'm going to do it when. Right? So if you don't have a time frame, don't expect it to be done in a hurried manner. And then there has to be measurable outcomes. If there are no measurable outcomes, it's just a bunch of warm fuzzies. Sorry. It has to be measured. If you cannot measure it, it cannot be done. There has to be accountability. So you give the task to somebody. Is that accountable? Okay, let's jump from clinical practice to finance again. I have a colleague that was told by his wealth manager, doctor in the last 20 years, in the stock portfolio, you earn 20% a year for the last ten years. Is that even possible? Right. And the only reason, if you take that up... Dr. Kevin Mailo: Of course, I know where this is going. Dr. Wing Lim: It's the annual contribution. Then you had this was making money every year. Right? Dr. Kevin Mailo: Yeah. Dr. Wing Lim: Right. And there's no accountability because you just believe them, right? Whatever they say. And same, we delegate a task to the accountant. Like I do, I trust my accountant, but I don't run business decisions with my accountant. My accountant is not the guy who makes that business decision. He makes accounting decision. Right? So the accountability structure has to be well defined, and they have to be accountable to you or somebody else on something that is measurable. That's true. Dr. Kevin Mailo: Absolutely. Absolutely. Dr. Wing Lim: Final thing is consequence. If you let people do something where whether they do or not, there's no consequence, you have endorsed the non-performance. So somebody says if you, if your staff or whoever you trust in your team, they can get away with XYZ. And they keep getting, they will continue to get away, because you blessed it. You condone it. There has to be consequences. Yay or nay, right? Good or bad. So these are some of the guardrails that is supposed to be intrinsic. But you know what, I don't think it's really common knowledge. And while talking about it, I reminded myself 3 or 4 things that, oh shoot, I didn't follow what I preached. Right? This is just reminder for all of us that to be effective, you need team. And to have effective team, you need to have this delegation process. Dr. Kevin Mailo: I love it. I love it. Dr. Wing Lim: Right. And then to have a systematic thing. If you do this together as a systematic process that's at different level, right. Delegation was just talking about this act of delegating. But then you still, somebody still need to create the architecture, the whole conveyor belt, the whole, what do you call that, assembly line. Right? And A on B fold on C glue on D and you achieve E. Like so this has to be processed, and that's called systemization which is a different talk altogether. But this is really important for us to understand that to achieve more than what you can achieve by yourself, you got to let go of this ego thing, trust somebody. But with criteria. Dr. Kevin Mailo: And again this is people skills. This is absolutely people skills and I think that's so important. Right? Not only the words you choose, the time frames you give the person you're delegating to, how you provide feedback, how you discuss consequences or outcomes, all of this is people skills, right. And again this is the barrier to delegating because you go oh I'm not looking forward to this conversation. Maybe I'll just do it myself. But again, that's not how we grow as individuals. When we grow as individuals personally, professionally, financially, it's because we're able to have those tough conversations, but just have it with yourself in the mirror before you go in there. And again, emphasize to yourself that this is a people skill. This isn't about the given task or your process or anything more than, it is a people skill. Dr. Wing Lim: Right. And it's to empower your team up to their capacity. So we have, I've joined a practice management course a long time ago and that's a different talk as well. But basically what we learned is a doctor should never do a nurse's job, RN should not do LPNs job, LPNs should not do MAs job, MAs should not do a receptionist job, receptionist shouldn't do a janitorial job. But you can see all this in every clinic, every department, right? It's all screwed up. I was a patient once a few years ago, and I found a Sunday morning there's a RN changing bed sheets. I thought, why do you need to do that? Right? That's an absolute waste of public resource. And so if we understand that process we would be a lot more effective. Dr. Kevin Mailo: I'll just chime in with a few high level practical points about delegation. And this applies, because delegation can be done in our personal life and professional life. You know, do you change the oil on your vehicle or you take it into the shop to get it done? Do you mow your own lawn or do you hire it out? And so the first sort of matrix that I get people to look through, the first lens actually, is probably a better description, the first lens I get when I teach this topic at our conference or in the Masterclasses, is the first thing you want to look through is your hourly rate. Know how much per hour you make gross. And then net after overhead. And remember, when you're calculating your hourly rate, it is not just time in front of patients. It is administrative work, CME, emails, charting, whatever have you. It could even include your commute. Right? So understand what your hourly rate is. And I think unfortunately when you add up all of the unpaid things you do as a doctor, your hourly rate plummets and it's pretty depressing. Nonetheless, go through the exercise. I encourage everybody to do it. I know my hourly rate. And so number one is know your hourly rate because it allows you to make decisions on how much you're going to pay somebody to do something, right? And remember there are tax consequences. So if it's a corporate expense then it's a corporate expense. And you're more tolerant of, you know, that higher hourly rate to bring in a great professional, for instance, a great accountant or a great bookkeeper. Dr. Wing Lim: Exactly. Dr. Kevin Mailo: These people that help you build wealth. And then in your personal life, remember, it's after tax dollars, so you probably don't want to hold, you don't want to delegate to Skip the Dishes every night. Put it that way. You really don't. And or, you know, Uber Eats or whoever else is out there, right? Like you actually have to be very mindful of the after tax cost to yourself before you delegate. The other lens that I get people to look through, you know, we talk about this in an earlier episode, is what is crucial and cannot be delegated. That list is actually very short in our personal and professional lives. But don't delegate away the things that are actually going to matter in your life, whether it's driving your kids to soccer, spending time with your spouse or partner, even if it means taking him or her to the airport, right? Yeah, could you delegate a cab? But what about that moment that you could have shared together? Be mindful in delegation. This is, I hate the word efficiency in our lives, especially in our personal lives. I remember coming across, I remember I met an ophthalmologist once who was outstanding, said be efficient with things, not with people. Dr. Wing Lim: Mhm. Wow. Dr. Kevin Mailo: Like ideally if you have done time management and delegation properly, you should have lots of like free moments where you don't have to be anywhere else but enjoying that moment, right? Whether it's reading a book, spending time with family or friends, going for a walk, whatever, like or even just be free to like have like a day that just goes all over the place. But you didn't have to do anything else in your life because it was all properly delegated and you created that space. That's a gift to you. That is so powerful. And so that again is the next criteria that I ask people to use as a lens is, is this making my life happier? Like for instance I changed the oil on my truck with my kids because I like that time with my son and at times it's been three generations of us doing it just to teach and bond. I would never delegate that out. Right? That's just an example from my personal life. So try to be mindful and reflective of where you are delegating and delegate the things but don't delegate people. Don't be efficient with the people that matter in your life. And don't even be efficient with yourself. Like, you know, create downtime for yourself. Dr. Wing Lim: Mhm. Dr. Kevin Mailo: So that you can invest in yourself. So those are, those are again my reflections, you know having maybe learned the hard way about either under delegating or over delegating, frankly. There is a balance. Dr. Wing Lim: Exactly. Dr. Kevin Mailo: Okay. Maybe we'll wrap it up. Again that was another great one. I love, I love these topics because these are the things again that we all struggle with but don't even have a framework to talk about it or think about it. But if you can effectively delegate in your personal and professional life, you can go anywhere and build anything you want. That's a key. Dr. Wing Lim: And to earn back the freedom. Dr. Kevin Mailo: Oh goodness. The freedom's everything, honestly. Dr. Wing Lim: Mhm. Yeah. Dr. Kevin Mailo: Honestly I look at my, I look at my own teenagers living that free life and I'm deeply envious of their time richness. Dr. Wing Lim: Exactly. Dr. Kevin Mailo: You know? Dr. Wing Lim: No kidding. Dr. Kevin Mailo: Not all the drama of being a teenager. Not all the drama of being a teenager, but certainly envious of that, the wealth of time that they have compared to the rest of us who are so busy and overscheduled. Dr. Wing Lim: Mhm. Yeah. Dr. Kevin Mailo: All right. All right. Let's wrap this one up. Thank you. Dr. Wing Lim: Yeah okay. Thank you everyone. Dr. Kevin Mailo: Thank you so much for listening to the Physician Empowerment podcast. If you're ready to take those next steps in transforming your practice, finances, or personal well-being, then come and join us at PhysEmpowerment.ca - P H Y S Empowerment dot ca - to learn more about how we can help. If today's episode resonated with you, I'd really appreciate it if you would share our podcast with a colleague or friend and head over to Apple Podcasts to give us a five star rating and review. If you've got feedback, questions or suggestions for future episode topics, we'd love to hear from you. If you want to join us and be interviewed and share some of your story, we'd absolutely love that as well. Please send me an email at KMailo@PhysEmpowerment.ca. Thank you again for listening. Bye. 

My name is Nurse Sam and I am the founder/CEO of Nurse Sam Global Media LLC! I am a Licensed Practical Nurse and a nursing content creator!I believe that a person ‘retains when they're entertained' so I created the Nursing School Study Bar - centered around my mission to bridge the gap between studying and engaging, interactive learning in Nursing School. I sell creative digital products/notes and study guides influenced by nostalgia and entertainment!I also design and create merch to proudly represent LPNs and boldly stand against LPN degradation/discrimination! #LPNsAreNursesPeriodIt's crazy to think I started my entire brand about a month after my emergency hysterectomy 2 years ago! I gave birth to my brand even after castration!! it's my literal baby and only child so I'm ready to make one hell of an IMPACT!

In this episode, we're joined by Melissa Waddell in her role as President of the Alberta Primary Care Nurses Association.  She talks about the future of nursing in primary care as we move toward a greater focus on team-based care and sharing the load to manage the care deficit.  Melissa provides some details on the current scopes of practice for Alberta nurses - particularly RNs and LPNs,  and highlights areas where they can provide excellent support in busy family practices.Alberta Primary Care Nurses AssociationPrimary Care Nursing in Alberta: A Guide to the RolePrimary Care Nurse Scheduling Guidelines

Original Presentation Date: 30 October 2023Re-released due to technical issues This collaborative presentation between the College of Registered Nurses of NL (CRNNL) and the College of Licensed Practical Nurses of NL (CLPNNL) outlines the similarities and differences between RNs and LPNs scope of practice. The presenters speak about regulatory expectations, professional accountability, self-reflections on individual scope of practice, client predictability, assignment, and they conclude the presentation with a practice scenario.Original Presentation Date: 30 October 2023 Hosted on Acast. See acast.com/privacy for more information.

This collaborative presentation between the College of Registered Nurses of NL (CRNNL) and the College of Licensed Practical Nurses of NL (CLPNNL) outlines the similarities and differences between RNs and LPNs scope of practice. The presenters speak about regulatory expectations, professional accountability, self-reflections on individual scope of practice, client predictability, assignment, and they conclude the presentation with a practice scenario. Hosted on Acast. See acast.com/privacy for more information.

We find out about a new UNB program that offers LPNs in Miramichi and Moncton the opportunity to become RNs without leaving home.

There are pros for going straight for your RN, there are pros for doing LPN first, or even just doing LPN. Not everyone who gets their LPN degree is planning on becoming an RN. The first obvious pro for going the LPN route is that it's faster. You can get your LPN in just 12 months, whereas getting your RN takes about 18 months. So you're gonna save like half a year, which isn't a huge deal. I mean, once you're in nursing school, the time goes by so quickly anyway, that 6 months feels like nothing. But it is true that getting your LPN is faster and it's cheaper. So, if you're just looking for the quickest way to get a steady, fairly well-paying job in the healthcare field, then LPN is a good way to get your foot in the door. But, I will say, the LPNs get paid significantly less. The average pay for an LPN is $23 an hour, whereas an RN gets $37 per hour. So that's a $14 an hour difference. So that's pretty significant. Over a 12 hour shift, that's gonna be, let's see, let me calculate that… That's $168 difference over a 12 hour shift. So that's about a $2,000 a month difference. So you would make about $2,000 less per month as an LPN than you would as an RN. But one reason why you might choose to pursue an LPN rather than an RN straight out of the gate is that it's easier to get into LPN school than RN school. Maybe your GPA isn't exactly where you want it to be to be competitive, so you could get into an LPN program, complete that, and then, once you have your LPN, it's much easier to get into the bridge program that will take you from your LPN to an RN. And if you did the LPN program and then the bridge program back to back, that would take you 12 months for the LPN and then another 12 months for the bridge program, so if you're comparing that to the RN, that would take you about 6 months longer than if you just did the RN straight out of the gate. But, like I said, it's much easier to get into the LPN program. You don't have to have the same level of grades that you would need to have to get into most RN programs. And you could even do your LPN program in 12 months and then get a job working in a hospital, and most hospitals do tuition reimbursement, and usually it's quite a bit for nurses, and they will pay for you to do that bridge program, to go on and get your RN degree. So that would be the most financially responsible way to go about it. 

Ginny and Quintin join the show to discuss what the group is, why they want the reclassification to direct care, and how the approach to the Alberta Labour Relations Board is going.

The Province announced a new path for CCA's to become LPN's. We speak with the Minister of Seniors and Long-Term Care about the pilot project.

From the designers of the world's first full-sized autonomous helicopter, Gather AI is totally disrupting inventory management.Gather AI has fully autonomous drones flying around warehouses, using smart sensors & camera systems to gather data on racks and pallets of inventory, communicating that data in real-time with the warehouse management system and keeping a live, accurate log of the entire warehouse's inventory.No longer do companies need the laborious task of manually driving forklifts to pull inventory, log it in spreadsheets and slowly disperse the data to those who need it. Instead, this system of hardware + software + data is massively speeding up that process and freeing up humans to do more interesting work.We sat down with the company's Vice President of Customer Success Sean Mitchell to dig into the technology, the role of data and how it's revolutionizing logistics in manufacturing and distribution today.3 Big Takeaways from this episode:A truly disruptive solution like Gather AI's requires the integration of hardware, software and data: It all begins with fully-autonomous drones which are capable of path planning and flying themselves around a facility to perform inventory management. The AI-driven software enables the drones to take data from their sensors and train the model to understand barcodes, LPNs, full pallets vs empty pallets, etc. and keep an accurate image-based database of inventory in real-time. Most importantly, the data can be integrated with warehouse management software and other management systems to make sure every department has the data they need when they need it, and maximize results.Inventory automation enables warehouse operators to do more value-added work: Instead of deploying a team to monotonously drive forklifts around a facility to manually track inventory, companies can now train those individuals to operate autonomous drones, analyze the data, find mistakes and fix them. These operators get to be "detectives" solving inventory questions, getting product where it needs to be, and maximizing throughput for the organization.How can schools replicate a system like this in the classroom? Teach the integration of these 3 key components: Drones are a great tool to teach skills (hard & soft) that are being used in the workforce today. Considering the three main components outlined in Takeaway #1, instructors can teach the following outcomes: Hardware - build, 3D print, design, improve, troubleshoot, optimize drone technology. Software - program controllers, do the encoding, wire electrical systems. Data - capture data and leverage AI tools to drive optimal performance in a process.ResourcesLearn more about Gather AI: gather.aiConnect with Gather AI:LinkedIn  |  YouTubeEpisode page: https://techedpodcast.com/gatherai/Instagram - Facebook - YouTube - TikTok - Twitter - LinkedIn

On Dec 5, 2022, two LPNs in South Carolina were arrested after dressing changes were not performed on two vulnerable adults from Sept. 9-11, 2022 resulting in worsening of their health. In this video, I SBAR the situation, why it may have led to criminal charges, and go over important considerations for nurses.  Get weekly tips, encouragement, stories from the bedside and more - just for nursing students and new nurses at: https://www.freshrn.com/ Blog:  Courses [free and paid]: 

On today's show, Christian Leuprecht, Professor at the Royal Military College and Queen's University, joins us to provide an update on the war in Ukraine. We also chat with Kathy Howe, executive director of the Alberta Association of Nurses, about licensed practical nurses looking for more recognition. Plus, Lenore Newman, Canada Research Chair in Food Security and the Environment at the University of the Fraser Valley, breaks down agriculture on Mars and what one might eat if they lived there. Learn more about your ad choices. Visit megaphone.fm/adchoices

Kathy Howe, executive director of the Alberta Association of Nurses Learn more about your ad choices. Visit megaphone.fm/adchoices

This episode of The College Handoff features Curtis Anderson and Jane Jeppson. Curtis is the founder and CEO of NURSA, a recruiting platform for nurses. Jane is a BYU nursing alumna and current head of clinical at NURSA. Together they explain how CNAs, LPNs, and RNs can find per diem work using NURSA to earn clinical experience in a variety of fields. The College of Nursing at Brigham Young University presents nursing careers and professional insight to undergraduate students. This is the seventy-seventh show in The College Handoff series and was recorded in November 2022.

Betty Long, RN, MHA, President and CEO of Guardian Nurses Healthcare Advocates, and Dr Lisa Gill, CRNP. Nurse Practitioner and Chief Clinical Officer for Primary HomeCare, discussed nursing in today's healthcare systems.  Far from their original support role in a hospital or private practice, today nurses are an integral part of health care delivery.  They discussed the types of nursing and specialties, from recent RN graduates who pad the acute care hospital positions, to nurse practitioners who can diagnose and prescribe, to obstetrical and psychiatric, oncology, surgical and more, and the training required.  We spoke on how, by default, they are often the unofficial medial navigator for many patients, they spend more concentrated time with patients.   Both admitted that even as medical professionals the amount of paperwork and requirements are too involved, well above a layman.    They discussed the gender diversity, today men make up an almost equal share of students, but they gravitate to emergency and high-energy, critical jobs.   We also discussed home health care and caregivers, with the need growing, LPNs and other certificates are in demand.   Often an entry level to nursing,  Ms Long noted that they are a vital part of healthcare, allowing people to stay at home longer and more cost effectively.  But while it's an attractive job to parents who need flexible hours, the low pay keeps many – mostly men - from applying.    Despite the rapidly growing need for more nurses, there are barriers: an RN degree is expensive, and there are too few nursing schools and educators to meet the demand.  We also discussed the salary, while US nurses make more than their counterparts in other countries, they are often paid on a service basis, not outcome.  For someone who is interested in the profession they suggested the American Nursing Association. Visit Guardian Nurses Healthcare Advocates or Primary HomeCare

Last week, Central Health told CBC it has notified SEVEN families about privacy breaches affecting residents of the long-term care facility in Baie Verte. Some incidents have to do with inappropriate photos taken by staff. At least one incident is related to staff talking about and laughing at a resident within earshot. On Friday, the College of Licensed Practical Nurses of Newfoundland and Labrador said that two LPNs are facing allegations that appear to be related to at least some of the incidents. The College of Registered Nurses of Newfoundland and Labrador told us that no registered nurses are under investigation in connection with the privacy breaches. Today, you can hear Bernice Hillier's full interview with Lynn Power, Executive Director of the College of Registered Nurses of Newfoundland and Labrador.

Welcome to How To Scale Commercial Real Estate Podcasts, Today we are joined by Adam Benton.  Adam founded Stellar Senior Living in 2012 with 4,000 units and 2,300 employees. The company now has 9 states with plans to grow to 30 locations by 2021.    [00:00 - 05:36] Stellar Senior Living Reports Steady Growth in Senior Housing Market Adam talks about how the company grows and manages its operations The senior living market is in a good position with high demand and few competitors   [05:36 - 11:17] Senior Housing Industry rebounds after Covid Covid did not do as well as other businesses, such as restaurants or office space, during the downturn. However, Covid has seen growth in its business since then and now offers a need-driven product that is in high demand. Senior housing is currently cheap because of the depressed occupancy levels and demographic trends of people living longer. The cost of construction and interest rates are also contributing to the current depressed market for senior housing.   [11:17 - 16:47] How to Keep a Building Occupied: Tips for Attracting and Retaining Talent People do want buildings that look nice and smell good, but they also want someone to care for their loved ones properly. People are more likely to be distressed with a property if it has deferred maintenance or is older. There is no one silver bullet for retaining or attracting employees, but the same things that make employees happy at work - like contributing and feeling like they're making a difference - will make them stay. Senior housing businesses look for market conditions that will allow them to keep residents and attract new ones." [16:48 - 20:58] Closing Segment Reach out to Adam!  Links Below   ----------------------------------------------------------------------------------   Tweetable Quotes: “We learned during Covid that it truly is a need-driven business. So people move in for a number of reasons, maybe a lifestyle change or they just want to make that next step. But often it's also driven by maybe you had broken your hip and you're getting surgery and then you realize that probably home isn't the best environment for you going forward, or that your kids are worried about you living by yourself and you wanna be in more of a social structure”- Adam Benton   “When we look at a property that's maybe distressed, you'd be surprised that sometimes they're distressed because they've had deferred maintenance and they're older and there's an opportunity just to do like a CapEx improvement plan.” - Adam Benton Connect with Adam Benton by following him on Linkedin or visit their website at (www.stellarliving.com Connect with me:   I love helping others place money outside of traditional investments that both diversify a strategy and provide solid predictable returns.     Facebook   LinkedIn   Like, subscribe, and leave us a review on Apple Podcasts, Spotify, Google Podcasts, or whatever platform you listen on.  Thank you for tuning in!   Email me → sam@brickeninvestmentgroup.com Want to read the full show notes of the episode? Check it out below: [00:00:30] Sam Wilson: Adam Benton started Stellar Senior living in 2012. The company now has 4,000 units in nine states with 2,300 employees. Adam, welcome to the [00:00:41] Adam Benton: show. Hey, thanks for [00:00:43] Sam Wilson: having me, Sam. My goodness. 2300 employees. That's a lot of people to keep track of. [00:00:48] Adam Benton: How do you do it ? well, it's our most impressive metric. It just happens to be a people business. Obviously, you have your real estate component. You got this operational piece and the operations, it's a people business, so there's residents, there's employees, and probably the most difficult as the resident family members. So all in lots of people that we're trying to make happy and but it, it makes for a great [00:01:07] Sam Wilson: business. Absolutely. Adam, there are three questions I ask every guest who comes from the show in 90 seconds or less. You tell me where did you start? Where are you now and how did you get there? [00:01:15] Adam Benton: Yeah, so this business I started, it was, I started with my With my dad and my brother. And we did it about 10 years ago. I see 11 years ago. We just had this idea, didn't, didn't grow up. Think I'd be in a family business. And so we we started looking for properties to buy. I was working on Wall Street. So had a lot of experience on the sales side of things and and we ended up finding four assets. My dad had a fair amount of experience in the space, but had never started a business on his own doing this. So we We basically found these four assets. We ended up partnering with a public real estate investment trust who actually bought them and then we leased it back from them. And then at that point, the whole goal is just that you gotta make more money than your lease payment. And at the time we were making a little less, and so we just had to kind of grind and, and keep going. So that's how we started. And then the second question is where are we at today? And then how did we get there? Is that right? [00:02:06] Sam Wilson: Yeah, we're just gosh, you gotta be confusing. My own question. Where'd you start? Or Callie, 90 seconds or less? Where'd you start? Where are you now? And how'd you get there? Yeah, I think that's gist, but feel, like I said, I asked that question. Seven times a week, and I can't even remember the exact level, [00:02:19] Adam Benton: but there you go. So, so today we're at, like, like you said, we're at nine states. We've got a few thousand employees, we've got 30 locations. And and, and how we get there is it, it seems amazing, but it's basically three properties a year. So that's it over 10 years and all of a sudden you're at 30. So that's, Out there. I just adding on three. [00:02:39] Sam Wilson: Yeah, adding, So it's one, one every four months you're bringing, bringing online, and I guess you're right, it's the it's the toes and hair idea in that is that you just, Yeah. Keep plugging away at it. Tell me about the senior living opportunity. Where, where is the market now in, in, in this opportunity? I guess just, just gimme a, I guess if you don't mind, just a, a, your, your overall perspective on Yeah. The asset [00:03:04] Adam Benton: class and where you see it going. So I, I love this asset class for a number of reasons. One is it's it's the very people focused, very service oriented. So that component of the business is just incredible there. There's so many stories every day of people caring for other people and and really showing love one to another. So, and it's hard to avoid. There's a lot of businesses where it's you're struggling to find a purpose as to why you're doing it that's easy in this business. Right. It's also a nice nexus between real estate and operations. So senior housing is still considered. Or senior living is still considered a real estate asset class. It's an alternative asset class. It's the largest piece. It's about 35% of alternatives. So you've got your sort of five major food groups, right? It's like multi-family and office space and retail. And let's see, what would be another one? Industrial. Storage industry. Yeah, I guess, storage. Yeah. So then on the, Yeah, exactly. So on the alternative side storage is considered alternative student housing, alternative senior housing, alternative databases, database centers is alternative. So, we're the largest portion of that. Cause it takes a level of operations to do it. But it's a nice mix, so you still need to know the basics. Blocking and tackling related to mainly like an apartment complex. Oh, I remember the fifth one. It's hotels, it's hospitality. That's on the core asset class stuff, so, Right. But but then there's another piece which is just, there's an operating component to it. So if you look at our income statement on one end, it looks a lot like an apartment complex, and on the other end it looks a lot like. More of like a home health and hospice or a Chili's restaurant, and you just combine those three together and you've got our business, which is senior housing. . [00:04:48] Sam Wilson: What is the health of the market today? I mean, there's all sorts of, you know, theories going on. Okay, where's multifamily now? Where's self storage? You know what's over bought, What's under bought? But tell me about the senior living space. What's that market snapshot look [00:05:01] Adam Benton: like? So, the senior living space, I, I think it's in a phenomenal position to invest in today, and there's a few reasons for it. So, just to make a comparison, if you look at multifamily today, there's some difficulties. There's people are looking for high prices. There's a ton of demand. It's very obvious and a lot of properties are, are totally full. Well in our space. We're still, we got knocked on our heels a little bit during Covid and and the, the whole industry dropped from kind of the 90 ish percent occupancy down to. Mid to low seventies, and it's been climbing back every month. Right. So we didn't get nearly as as hit as restaurants or office space for example, or hotels. But it did hurt us. But we've seen it growing back now. What we learned during Covid is that it truly is a need driven business. So people move in for a number of reasons, maybe a lifestyle change or they just want to make that next step. But oftentimes it's also driven by maybe you had a. You broke your hip and you're getting it you had surgery on it, and then you realize that probably home isn't the best environment for you going forward, or that that your kids are worried about you living by yourself and you wanna be in more of a social structure. So those are kind of the need driven reasons why people would move in. We thought that during covid, you know, March of 2020 and April of 2020, that you would just see it go to zero. And it didn't, It was incredible. Our, our offering, because of the restrictions put on our business, or, Hey, you can move your loved one in. They'll move in. They're never allowed to leave and you're never allowed to come in and visit. And it is like, And you could talk through a window. We had to do that for almost a year, and people were still moving in. So it just really highlights the fact that there's a need even with that kind of poor value proposition during the time. But and that it's climbing back now, you, you combine the fact that. I think senior housing right now is actually still cheap because of of the, of the depressed occupancy levels. And then you you look at demographic trends of where it's going and the demand is just, the math is just easy to do where you're just seeing baby boomers aging. People living longer. And then a higher utilization percentage of people above 75 that use assisted living that are really driving it. And then you layer on the fact that right now it's actually a little difficult to build existing buildings with cost of construction and cost of interest of, of debt. And you end up in an interesting scenario where you've got. What I consider something that's probably on the more value in terms of what it's worth today because of the lower occupancy, but then with really good demographics going forward. And then not a lot of new supply coming on for a while because of people looking at the cost of construction and the fact that it's still depressed with occupancy. [00:07:49] Sam Wilson: So how, how does that play in with, say, a recession? So you have, I get the need side of things. I get the fact that, okay, maybe if occupancies are low, the prices overall are like, in, in your words, you know, things are still cheap, but let's let, let's, let's forecast a recession and say, Okay, you know what, maybe, maybe that boomer, maybe that retiree, maybe their portfolio went to pot, right? It's worth half its value. How does that play into your guys' business, and does it affect it, [00:08:20] Adam Benton: if at all? Yeah. So, it will affect it. But for example, in the 2008, 2009 financial crisis it was the best performing real estate asset class coming out of it right in the middle of it as well. And then to highlight back to what we saw during Covid, which is just that. the reasons why people are using senior housing don't necessarily correlate with the market as a whole. It's more need driven related to your health. And then the main ways in which our residents pay for moving into senior housing they have three. Sort of buckets that they pull from. So one is obviously just your general social security, so you're getting a thousand or 2000 a month from that. The second is maybe savings, your pensions, and then the last one is equity from your home. And so those, well, those will come down a little bit, but if you. Look at what's happened even over the last run of 10 or 15 years. Those second buckets your pension savings, those amounts and then the value of your home have gone up tremendously. So we're not seeing a huge slowdown from people's ability to pay for senior housing when they need it. And I don't think that'll slow very much during per session. [00:09:31] Sam Wilson: Right. What are you guys, are you guys building ground up? Are you buying existing facilities? What's your [00:09:36] Adam Benton: strategy? We do both. Yeah. So we do, we have three ground up constructions that we're doing today. A typical ground up will be 150 units. And they generally range at that size of about 40 to 50 million to build something like that. And then in terms of existing oftentimes these properties need to compete. And so to do that, you need to have really good set of amenities and common space and we'll take existing properties, renovate them, make 'em look nicer, and then put in the correct operations and get it going. So we do both options by existing and build. What, [00:10:14] Sam Wilson: what, When you look at a, an asset, and I'm gonna call it distressed, right? I'm gonna take this all the way back to maybe my single family days of, of flipping houses. Yeah. You could spot one a mile away. You're like, Oh, hey, there's a house we can make a pile of money on. Cuz you see the common signs, like what are the common signs you're finding in assets that you're acquiring and then renovating. You're like, Oh, hey, there's something that we can turn around. [00:10:35] Adam Benton: Yeah, it's a little different than what you might find in a home or multifamily. And the fact that you might find a multifamily that, hey, it's just a little tired. There's deferred maintenance, and the prices are a little bit too high if we just go through and carpet, paint and lighting and maybe some changes that we can then compete and have it fill back up and charge higher rate. Within the senior housing space, if you think about how you choose hospital, for example it's less about what the building looks like and more about the reputation and their operational ability to care for you, right? So when you take those two concepts, senior housing sort of sits in the middle where there's a component where you want it to look good and nice, but at the same time you have to have a solid reputation and There's a saying in our industry, which is that chandeliers don't give care. People do. Hmm. And so you see that now when people first look to move in they they wanna make sure the building looks nice and you just kind of hit those table stake options, that it smells good. You got somebody that's greeting at the front desk, things like that. But then ongoing, what they really want is that someone's gonna do two. They're going to they're gonna properly care for your loved one and they're gonna love them. Right? So those are those two sort of aspects that. That that you need. So when we look at a property that's maybe distressed, you'd be surprised that sometimes they're distressed because they've had deferred maintenance and they're older and there's an opportunity just to do like a CapEx improvement plan, right? But we see a lot of new buildings that are also distressed and it's because they missed on the, on that reputational or operational component to it. And those are Ones that we love because it just is a matter of just finding the right team, training 'em properly, incentivizing 'em, and just having everybody pull in the same direction. And that doesn't actually take a lot of CapEx, but you can't go buy it at Home Depot either. So you gotta, you gotta build it. [00:12:20] Sam Wilson: Yeah. I mean, that, that sounds more like a company culture issue than it does a, like you're saying, a, a CapEx. [00:12:28] Adam Benton: Right, right. Yeah. You, you can't go to, you know, Aisle 13 and Walmart and buy company culture. You, you get, it's one of those secret sauce items that you have to just constantly work on. And and especially when you have a couple thousand employees, that is, that is truly something that we focus a lot on. In fact, we have, this is something we pulled from Netflix. We have what's called the culture deck, which is about a 70 page PowerPoint slide that goes through all of our culture items. That we [00:12:53] Sam Wilson: talk about how, how, I mean from a couple, you know, from two sons and dad saying, All right, hey, let's go buy some senior living facilities. That's cool. To now having a 70 page culture deck like that's a lot of progress, first of all. But how did you decide, and how did you finally figure out, especially from the early days, what that culture was gonna look like, what you wanted, how you wanted that to actually play out? I mean, that, that to me sounds a lot like work going, Yeah, [00:13:22] Adam Benton: this is gonna be, sounds pretty daunting, right? That's exactly, that's a great word [00:13:25] Sam Wilson: for it. [00:13:26] Adam Benton: So if you were. So for your listeners on the podcast, what I'd recommend, if you wanna get some exposure to senior housing, what you want to do is partner with a management company like an operator that will, that will be able to do it for you. I wouldn't just jump in and start saying, Great, I'm gonna just. This is easy. I'm just gonna start operating, buying and operating senior housing unless you got a lot of time. So the, the first thing you can do is you can find a property and then you basically just couple it with a very good operator. And there's usually a handful of operators in every state that are well known that will partner with you. And they and some of them do third party management where they'll come in and just manage for a fee. And then the other option is you could joint venture with them where it's. Manage for a fee, plus they'll probably throw in some capital and, and invest alongside you. So that's probably step one. If you don't want to go build like a 60 page culture deck and manage a whole set of employees and payroll and everything goes with it. And then you can learn a lot by doing that. And if you feel like it's worth it, then you could over time just like morph into your launching your own management company. [00:14:29] Sam Wilson: What, who is, who is the hardest. Employee for you guys to bring on and, and kind of fit into your system. Like what's the greatest need that you say inside of your business? Like, man, this is somebody that makes or breaks this, and it's probably the hardest seat to fill. [00:14:45] Adam Benton: Yeah, we're a 24-hour business, so the hardest seat to fill would probably be a weekend night shift, med tech or caregiver, right? So imagine it, right? Your 2:00 AM Sunday morning caregiver, that that's probably your hardest position to fill. And they're the most important because they're right front lines on, on what's happening. If you think about a standard building of ours, we've got an executive director, you have a chef and their whole team, so. So chef servers, cooks, dishwasher. You have like a nurse with their whole team. So that's rn, LPNs, med techs, CNAs, right? So, and then you have activities, right, which is activities transportation. And then you might have a front desk, and then you have a sales team maintenance. And and then you have basically an executive director that runs that whole thing. And I'm sure I'm missing a section, but that's the basic structure of a senior housing team. [00:15:38] Sam Wilson: Wow. Yeah. That And, and how do you guys solve that? Like what, what do you do to attract that 2:00 AM. You call med tech, Was that the right [00:15:45] Adam Benton: word? Yeah. Like a med tech, somebody who's managing medications or, or a, a certified nursing assistant. That is a real trick, especially today where, where we're having a lot of payroll issues related to attracting, retaining, maintaining talented employees. And there's, there's not a silver bullet but it's the same thing people wanna. In a place where where they have a friend, where they feel like they're making a contribution or making a difference every day, and where they have opportunity to grow and hit their own goals. And and so you have to be just like, we're, you're, you're trying to keep a building occupied by attracting residents on the same side. We have a similar process for attracting and retaining talented employees. [00:16:31] Sam Wilson: Is there a location or, or I guess like where does this business work? Is it anywhere? What, like what do you guys look for in expansion? You say, Okay, here's, here's kind of the right market conditions for us. To move into that area? What's that look like for [00:16:46] Adam Benton: you? That's a great question. They, the, the knee jerk reaction is to say, I know it's Arizona and Florida, right? That's where we're at. But this is actually, it's just draw five mile radiuss around the entire country with population. So your top 100 MSAs. And then you just this, this is more of like a a product where you offer to a neighborhood. For example, our average age resident is 86 years old. Wow. And at that point there when we look at the demographics of where to build a property, Sometimes we look at what the population is of where their kids are because at that age, let's say mom lives in Texas and she has a fall and her kids all live outta state, right? They're probably not gonna actually find a place in Texas to. To have their mom live. They'll have mom live near one of the kids. Right. And and so they tend to move to places like Columbus, Ohio or Salt Lake City. They're not, it doesn't actually match up with what, what you're thought of is where elderly live. They might live there before, but then when they have more needs, they'll move in close to their kids. And we're talking a five to six mile radius, 12 minute drive time. That's what we're [00:17:57] Sam Wilson: talking that, That's interesting. I'm thinking about a small town here in Tennessee that I know pretty well. And they put in, I don't know how big the facility was, but it, for that small town, it was a pretty astounding facility. I'm like, really? Here? And the place is, It's jam packed. Yeah, jam packed. And I mean, this town doesn't have more than 15, maybe 20,000 tops. People in it. And I just kind of looked at that. I was, you know, it's a head scratcher for me going, I would not have put a assisted living facility or a senior living facility in this town. And yet, here I am wrong again, which is not uncommon, but here I am wrong again. So I was really curious what, what you guys see you know, where, where you guys find opportunities. So that's really cool that, you know, think through like where are the kids, wherever the kids are gonna be in a five mile radius, you know, with any, any any, you know, large msa. There you go. That's that, that's a pretty easy easy, easy dart to board. So [00:18:52] Adam Benton: that's not do. It is, and we, we find that know we've seen that strategy as well. Obviously it, it makes sense if you're in the middle of Salt Lake City and you've got a million people to draw from. But we've seen it in places. We have a property in Colene, Idaho. Colene is not very big. Mm-hmm. . But we find that the draw actually comes not just from Colene, but there's a massive sort of 50 mile radius of rural population where people are coming in from and and that at some point, the similar. Track that you would do to come to a hospital or to something where you need additional care, You'll do the same thing to come into the, the closest city for senior housing needs. Right, [00:19:27] Sam Wilson: right. I guess that that would make sense for the town. I'm thinking of too, cuz there's nothing within an hour and a half of there that would be any, any substantial size. But there's dozens of towns that are, you know, anywhere from five to 15,000 people. That surround it within 30 to 45 minutes. So [00:19:43] Adam Benton: that makes sense. That's the big town. Yeah. Right, [00:19:45] Sam Wilson: right, right, right. Yeah. Yeah. So that's that's very, very fascinating. Adam. I've loved this. Thanks for taking the time to come on this show today and break down the senior living space for us. How you guys got involved in it, the ways that you guys have grown and built your company, things to look out for and, and, and then, Yeah. I mean, this is, this has been absolutely awesome just learning about your business, the people business. I can't believe that 2300 employees. Right. That's a lot of, a lot of balls to keep in the air and things to keep moving. If our listeners wanna get in touch with you and learn more about you, what is the best way to do that? [00:20:16] Adam Benton: Yeah, you can look me on at LinkedIn. So our business is Stellar senior living and Adam Benton at Stellar Senior Living. And just message me. I'm happy to reach out talk with you directly if you have any questions about the business and and I always loved taking time to explain our industry a little better. Awesome. Thanks [00:20:31] Sam Wilson: again, Adam. Have a great rest of your day. [00:20:32] Adam Benton: Yeah, you bet. Thanks Sam.  

In this episode, we talk with nurse leaders from Allegheny Health Network (Pittsburgh, Pennsylvania) about their innovative blended staffing model that encourages LPNs to return to acute care, along with other programs to help bolster staffing, like incentivizing nurses who have left the workforce to return to practice.

This week on First City Focus: A special home to help kids during a difficult time in their life is now open in Knox county. We'll find out how the Isaiah 1:17 House is ready to serve those entering foster care. Just like hundreds of hospitals across our nation, Good Samaritan is currently dealing with a crucial nursing shortage. We'll find out how simulated labs might be part of a solution. And at the same time Vincennes University is looking to enroll current LPNs, or licensed practical nurses, into a new pathway to earning their bachelor's degree in nursing.

Our conversation today is with Dr. Colleen M. Lorber — Founder & CEO of Wraparound Experts.Colleen Lorber has her Ph.D. in School Psychology and founded Wraparound Experts from over 15 years in the field, combining her knowledge of the environments and professionals that she has worked with to provide a model of services that “wrap around” a child and the environments and people that influence the success of the child every day.Colleen knew she wanted to be a child psychologist in the 6th grade and that goal and determination drove her to complete her doctorate at the age of 27. During her undergraduate and graduate school years, Colleen worked at residential treatment facilities for at-risk youth where she helped children with autism through behavioral therapy and mobile therapy services.When Colleen was completing her doctorate, she began working at a privately owned company as a psychology intern and after 15 years, she departed from the company as its Chief Operating Officer where she was managing over 1,000 employees spanning psychologists, speech therapists, special education teachers, Title 1 teachers, occupational therapists, physical therapists, RNs, LPNs, Medical Assistants, and School Health Aides.Unfortunately, the research coming out examining the current state of our society's mental health is dismal. The pandemic has clearly had an effect on how we are operating our everyday lives. Colleen and Wraparound Experts believe that the way to begin to work on our mental health, starting with children in Ohio, is to bring it back to concentrate on our basic human needs which include not only our physical/biological needs but also our feelings of safety/security, love and belonging, and esteem — this is the exact nature of the work Colleen is pushing forward with Wraparound Experts and what we spend our conversation exploring today — Please enjoy my conversation with Colleen Lorber.--Connect with Dr. Colleen Lorber on LinkedInLearn more about Wrap Around ExpertsFollow Wraparound Experts on Twitter @wraparoundexpe1--Connect with Jeffrey Stern on LinkedInFollow Jeffrey Stern on Twitter @sternJefeFollow Lay of The Land on Twitter @podlayofthelandhttps://www.jeffreys.page/

If you don't know her I'm sure you know of her for her viral study guides for nurses... On this episode, Meisha Amia and Dr. Nicole Thomas had a chance to sit down with thee Nurse Sam. She is a (L)it (P)roud (N)urse who has changed the game for nursing students with her creative study content that connects to music, entertainment and culture. She's also a voice for change in the inclusiveness of LPNs amongst the nursing community as a whole. Hear her talk about her journey from LPN to Total Hysterectomy and how that transpired into her brand we see online. Enter code ‘NURSEPOWER' for 50% off your entire order on thenursesam.comTo join The Nurse Power Network: NursePowerNetwork.com

This week we're shouting-out the magic of Licensed Practical and Licensed Vocational Nurses with @TheNurseSam. She and Adrianne are bringing you the hot tea on this often-underappreciated group of professionals including what the LPN role entails, how Sam came to be a proud practicing member and, later, a successful entrepreneur helping countless nursing students. This episode is intended to show students, nurses, and the public alike that LPNs have an important place in healthcare, and the LPN program is one of many paths into the profession. Sam also shares her experiences with her own health issue and how it gave rise to her business helping students study for exams with pop culture artwork.For more information on Nurse Sam's content, visit her website at: thenursesam.comorlinktr.ee/Thenursesam--------------------Want more nursing-related content? Find the podcast, blogs, videos, merch, and more at linktr.ee/nursinguncensoredpodcast————————Recorded with Zoom and edited with Adobe Audition.————————Copyright-free music included in this episode found in the YouTube Audio Library:------------------Nursing Uncensored participates in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for us to earn fees by linking to Amazon.com affiliated sites.

In honor of National Nurses Week, we convened an all-star panel of nurses from the Green House and Pioneer Network communities to discuss the vital role that RNs, LPNs, and other nursing professionals play in truly driving culture change in long-term care. You'll hear real-life examples of how nurses can take small steps that lead to big quality-of-life improvements for elders and people living with disabilities. Nurses already have a natural desire to help others and provide comfort – and with the right leadership and guidance, nurses can form the bedrock of an elder-directed culture at nursing homes and other communal eldercare settings. Nurses aren't just pill-distributors and vitals-takers; they're the eyes, ears, and heart of an organization that can provide the personal connections that make all the difference for elders and families alike. Today's panel consists of: Ivy Gordon-Thompson, Director of Nursing at Green House adopter community John Knox Village Lora Perryman, LPN, Staff Nurse at Green House adopter community Poydras Home   Joan Devine, Director of Education, Pioneer Network Marla DeVries, Chief Learning Officer, The Green House Project Carol DuMond-Stryker, Project Coach, The Green House Project   Learn more about the Pioneer Network conference, which we're encouraging all friends of Green House to attend! https://www.pioneernetwork.net/pioneering-a-new-culture-of-aging-2022-conference Show notes/call to action: Learn more about The Green House Project: www.thegreenhouseproject.org

Dr. Urso says that the persistence of spike protein in different parts of the body is interfering with the immune system's normal functions and causing health problems. Americans wanted to go back to normal and take a vaccine made in a year. Sucks to be you lol. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app

The Alabama Department of Public Health is seeking LPNs and RNs for part-time positions in the Wellness Program. Responsibilities include conducting biometric screenings and administering influenza vaccine at worksites. Must enjoy working with the public, teamwork with other nurses, and strong interpersonal skills. To request more information, go to alabamapublichealth. gov/worksitewellness/contact.ht ml. To apply visit https:// www.alabamapublichealth. gov/employment/opportunities. html, apply for Licensed Practical Nurse- Hourly – 40122 or Nurse- Hourly – 40251. The Alabama Department of Public Health complies with the State and Federal laws prohibiting employment discrimination based on race, color, religion, gender, sexual orientation, gender identity, genetic information,...Article Link

Alabama Cooperative Extension System at Auburn University is seeking candidates for a 4-H Regional Extension Agent to work in Washington County. For information related to duties and responsibilities, and to apply, visit www.auemployment.com and refer to Posting #P0511F or contact Kim Rogers at kkr0009@auburn.edu. Deadline for submitting an application is May 1, 2022. The Alabama cooperative Extension System is an EEO/Vet/Disability employer. SA15-2tcar The Alabama Department of Public Health is seeking LPNs and RNs for part-time positions in the Wellness Program. Responsibilities include conducting biometric screenings and administering influenza vaccine at worksites. Must enjoy working with the public, teamwork with...Article Link

The Alabama Department of Public Health is seeking LPNs and RNs for part-time positions in the Wellness Program. Responsibilities include conducting biometric screenings and administering influenza vaccine at worksites. Must enjoy working with the public, teamwork with other nurses, and strong interpersonal skills. To request more information, go to alabamapublichealth. gov/worksitewellness/contact.ht ml. To apply visit https:// www.alabamapublichealth. gov/employment/opportunities. html, apply for Licensed Practical Nurse- Hourly – 40122 or Nurse- Hourly – 40251. The Alabama Department of Public Health complies with the State and Federal laws prohibiting employment discrimination based on race, color, religion, gender, sexual orientation, gender identity, genetic information,...Article Link

Ep23: Lifestyle Medicine and Cannabis Nursing: Ariana Ayu, RN, MSc Highlights"...the kind of interventions that we use within lifestyle medicine vary based on the individual because everything I do comes from this coaching paradigm where the client is the number one authority on their own body."  ~Ariana AyuAh-ha MomentsLearning about lifestyle medicine coupled with cannabis Nursing enhances a Nurse's understanding making this approach to patient care more tangible and relatableThere is rich and credible research supporting the use of cannabis and the endocannabinoid system for many, many populationsLifestyle medicine combined with Nurse Coaching and Cannabis Nursing focuses on the goals of the patient, the client and the communityThe endocannabinoid system is the master regulatory system of all of the other systems in the body, so understanding it, enhances the knowledge of the healthcare professionalUsing Cannabis as an adjunct in Nursing care is about helping clients and patients listen to their bodies, honor their innate wisdom, and pay attention, rather than just taking something that will make it go numbThe CannyNurse™ Certification Program is open to all Nurses, LPNS, LVNs who are interested in taking an in-depth program to understand Cannabis Nursing and the endocannabinoid systemResources and LinksIntegrative Nurse Coach Certificate ProgramCannyNurse™ Certificate Program CannyNurse™ Scholarship ProgramNurse Coaching:  Integrative Approaches for Health and Wellbeing textbookCannyNurse™ Blog

This episode of HPNA Podcast Corner welcomes guest Shelly Thomas to share with us A Day in the Life of a Certified Hospice and Palliative Care Licensed Practical Nurse. In this episode, Shelly speaks to the importance of certification and the role hospice LPN's play in the care of person and their families living with serious illness. The podcast describes the certified hospice LPNs role, the part they play on the interprofessional hospice team and Shelly's personal reason for becoming certified. Join us as we hear about a day in the life of a certified hospice LPN, and the integral role they play.   About Shelly Shelly has dedicated career to hospice /pall care, starting as a nursing assistant, then obtained her LPN, and worked for Hospice of the Westerns reserve in Cleveland, Ohio for 28 years and currently works for Westlake homecare team in the role of partners in practice, working with RN. In addition, in 2016, Shelly was awarded the 2016 HPNA LPN of the year and became a certificated LPN in 2012.  

Intro (00:00):The Medical Alley Podcast is brought to you by MentorMate. Custom software needs vary significantly, whether you're powering a medical device, overhauling your backend architecture, or re-imagine your patient experience MentorMate can help. Harnessing the technical excellence of Bulgaria, MentorMate provides end to end software services and all sectors of healthcare. With deep expertise in design development, cloud, and software support MentorMate helps healthcare clients administer world-class care through technology. Learn more at mentormate.com.Jessica Young (00:40):Welcome back to another episode of Medical Alley Association's "At the Table" podcast, where we explore how policy affects the healthcare community here in Minnesota's Medical Alley and beyond. I'm Jessica Young, state policy and advocacy manager here at the Medical Alley Association, and your host for today. Joining me is Congresswoman Michelle Fischbach, who represents Minnesota's seventh congressional district. Her constituency spans the western half of the state, running from the Canadian border all the way down to near the Iowa border. This is the congresswoman's first term, though she is certainly no stranger to representing the people of Minnesota. She has an impressive resume and has held a number of positions at the state level, including Lieutenant Governor, before being elected as the Congresswoman for the seventh district. Representative Fischbach currently serves on the agriculture committee and the judiciary committee. It is great to talk to you again, Congresswoman, and thank you so much for joining me today.U.S. Rep. Michelle Fischbach (01:37):Thank you. I really, really appreciate it. And I will just add that I do sit on the rules committee also. I sit on three committees, which which is a little unusual for a freshmen, but really do love all of the committees I sit on with ag and rules and judiciary.Jessica Young (01:54):Thank you for mentioning that. That is a good one to flag and one that I'm sure folks don't totally understand as it is more probably procedural, is that right?U.S. Rep. Michelle Fischbach (02:03):You know, it is a little bit. All of the bills come through the rules committee before they go to the floor and in rules committee, we determine how they're going to be handled on the floor, how long the debate's going to be. You know, what amendments may be ruled in order, things like that. So it's been very nice as a freshmen because, you know, before it gets to the floor, I see every bill before it gets there. So I'm really able to really understand, you know, get both feet, jump in with both feet and know what's going on and what's getting to the floor.Jessica Young (02:37):I was going to say, that's awesome. A great way to get exposure to a lot of different issues and a lot of different pieces of legislation. So great experience for your first year.U.S. Rep. Michelle Fischbach (02:46):Yeah. And it's just wonderful people on that committee and with a ranking member Cole and Congressman Reschenthaler, and they've been very, very kind to to a freshmen.Jessica Young (02:59):I love that. And my first question kind of ties well into that conversation. I'm sure you get asked this a lot, but can you just tell us about your first year in Congress and maybe specifically, what was the transition like from state Senator and then Lieutenant Governor to Congresswoman?U.S. Rep. Michelle Fischbach (03:07):Well, you know, I will tell you, not that I keep track, but I've been here 295 days. I have a ticker on my phone to remind me, you know, because since swearing in, because it seems like there's a lot more going on. When you, when you think of the days, it seems like a lot shorter, but when you're here, there's so much going on. But you know, I miss being in Minnesota obviously, and being in the legislature a little different. You know, you head to St. Paul and we're only five months long. And so here it's year round. And so you gotta adjust to that.U.S. Rep. Michelle Fischbach (03:52):But you know, I think that a lot of the issues we dealt with in my Senate district do really translate to the seventh district, you know, ag issues, workforce issues, those healthcare issues, those kinds of things really translate. Obviously though, on the federal level, there are new issues that I've been dealing with that, you know, never had to deal with antitrust issues in the Minnesota Senate. So it is a steep learning curve. The rules and procedures are a little different, but I've been catching onto those. And so I think that things have been going well. I haven't made any big mistakes yet, I guess.Jessica Young (04:32):That's good to hear. And I'm sure some of the experiences you had as Senate president have to be helpful, just understanding some of the procedural motions and things, even though they're a bit different.U.S. Rep. Michelle Fischbach (04:42):Oh, absolutely. It was very helpful to have some, you know, some idea of the procedures and how a bill moves through the legislature. And it is a little different, you know, I mean, I can really geek out and, you know, we used Mason's in Minnesota now we use Jeffersonian and then there's a whole lot of rules exclusively for the U S house. So I've been getting to know those so that I better understand. And for me, it's part of understanding, you know, how to pass legislation and things like that, making sure you know all these stops that things have to take.Jessica Young (05:16):And it's a complicated process. We're lucky to have you there and that you're so engaged in sort of unpacking all those different procedures and some of the things that are specific to D.C. and the house in general. But I'll maybe pivot my questions if I can, to some more healthcare focused, I'm hoping you could tell us a little bit about some of the struggles or issues that your constituents might face related to the availability of and access to healthcare. I'm really curious about access to specialists, emergency care, preventive care and everything in between.U.S. Rep. Michelle Fischbach (05:52):Yeah. I mean, you know, in rural Minnesota, we are always struggling access for healthcare and making sure that it's available and, you know, it's difficult because you mentioned in the opening, you know, my district goes from the Canadian border almost all the way to Iowa. And in some of those, those are very rural areas and we need to make sure that people have healthcare available to them. And so it's always a struggle when we do have, you know, we have some really strong hospitals in the area, but it's always a struggle for them to attract doctors and making sure that they have enough nurses. And just even just, I think in general, any of the healthcare staff and those specialists in particular about how do you attract them to rural Minnesota?U.S. Rep. Michelle Fischbach (06:35):And I will say, something that I talked about on the campaign trail and talk a lot about here too, is as strong rural communities and healthcare is an important part of that because you need the education, you need the broadband. And I know we'll probably talk a little bit about telemedicine, but you know, those broadband making sure we've never had been, but you have to have — and housing. Housing has been a big one, but those strong rural communities to attract the doctors. So it's kind of this, you know, circular kind of struggle that you have to make sure that it is an attractive place to bring people. And healthcare is one of those. And so they've always been facing those struggles, and the education. And as you know, I was a chair of the higher ed committee when I was in the Minnesota Senate.U.S. Rep. Michelle Fischbach (07:20):We always talked about keeping those two-year schools, those rural schools, whether it be two or four year, strong so that they can educate those nurses, they can educate those LPNs. They can educate some of those healthcare workers closer to home, because then obviously if you have someone who's being educated there, they're more likely to to stay there and work there. So it is a struggle, not only make sure that we have the folks, but keep those facilities open, keeping them functioning. They're obviously expensive. You know, lots of things that you use for healthcare are expensive. But making sure that we can attract those doctors, I know that there have been programs with U of M for rural doctors, but looking at whether it be loan forgiveness, things like that to attract people to rural Minnesota, because I do think once people do experience rural Minnesota, I think that they are likely to stay and enjoy themselves. We do have that quality of life that is not always available in the Metro area — and no real insult to the Metro area, but I do favor rural Minnesota.Jessica Young (08:32):Yeah. And I really liked how you approach that kind of like a holistic sort of view of the issue that you want a strong rural community in every sense. And healthcare is a piece of that puzzle. And the next question I was going to ask you, I think you started to hit on, so I'll maybe ask it and if there's feel free to reiterate some of the things you said or mention anything new, but given your years of experience working in public policy and representing folks, you know, in CD7 and Senate district 13, what solutions can we consider to address the lack of access to healthcare in rural areas? You mentioned loan forgiveness, prioritizing two and four year degree programs. Is there anything else that comes to mind or things that you have seen that work well to sort of address this issue?U.S. Rep. Michelle Fischbach (09:17):Well, and I did briefly kind of mention broadband in passing during the previous answer. But I think that one of the things, you know, we learned during the COVID shut down whatever you want to call it. You know, that telemedicine was a critical part of the, of the answer to getting people healthcare. And I think as we look at not only broadband, but we do look at telemedicine and how we're going to reimburse. Cause I know that during COVID, we reimbursed more and we're trying to take a look and see if some of those reimbursements for telemedicine can be made permanent. And it kind of ties in with broadband in the sense that we've got to make sure not only at the hospital or the clinic level at the provider level, that we have the ability to use telemedicine, but also at the patient level. Someone needs to make sure that the broadband has to be strong enough to get to their door.U.S. Rep. Michelle Fischbach (10:10):They have to have the ability, the equipment to use it. And so we need to make sure on both of those fronts that we are addressing those things and that the broadband is strong enough and it's available. I don't know if it's the complete solution. We can't do everything by telemedicine, but we certainly can do a lot more than we thought we could via telemedicine. And so I think that we need to continue to expand that. I don't think that it is a complete replacement. I think it is an enhancement. We still need to address those critical access hospitals and making sure that they're there and that we can get the specialists that we can, but we may be able to supplement where we can't always have those things and prevent people from having to drive hours to the Metro area or to the biggest city around to get all that care.U.S. Rep. Michelle Fischbach (10:59):So I think that we need to have some kind of balance, but we'll continue. You know, I did mention those loan programs. I think if we do more to encourage doctors to maybe do their residency or nursing students to do their clinicals in rural Minnesota, we can continue to engage them and show them that it is a great place to live and work and raise families. So I think more than anything, we have to do a part of it. We need to just sell rural Minnesota and make sure that we are encouraging them to at least see what's out there, because I think that they will see that it is a great setting to be in. We have good hospitals that are here that are doing their thing. And so anything that we can do on the state and federal level and loan programs, residency programs, things like that we need to encourage.Jessica Young (11:51):Absolutely. And I love your view and perspective on telehealth, because obviously this has boomed over the last 18 months and it can be really complimentary to in-person care. And I think of in particular, folks in a district like yours, where if they do need access to that specialist, that's located in St. Paul or Minneapolis, to be able to at least have that initial appointment with them over the phone and save drive time, time away from work, it can be a pretty cool technology. And similar to my previous questions, we kind of led into my last one. So I love the flow. It's going so well. The last question I wanted to ask you is what do you think the future of telehealth looks like for your district, the state and the country in general? And then kind of second part of that question. Can you just talk about the importance of innovation in the healthcare space?U.S. Rep. Michelle Fischbach (12:41):Well I'll take the first one. The innovation in the healthcare space is just necessary. And innovation in general, you know, always helps. You think about rural Minnesota, you think about before the internet, people couldn't move out there and work. And now we can have someone who telecommutes, you know, from a rural area, from a very rural area, as long as their broadband is good. So as you know, so that innovation and you think about it, tele-health a few years back was not something that people were thinking about, but a 15 minute checkup or just, you know, things like that. And people are driving two hours to get to just is unnecessary now. And so those things are really, I think, helping move medicine forward in rural Minnesota and making sure that people have it available to them.U.S. Rep. Michelle Fischbach (13:36):But I do say, and I kind of mentioned a little bit in the, in the earlier question about, you know, I think that it will enhance and it can improve healthcare in rural areas because we are able to use them complimentary of each other so that when someone really needs to come in, they will be able to come in. But if it's something they need to check up on, and I think you saw it a little bit with, you know, how a lot of the health plans started nurse lines or the hospital started nurse lines, they understand by even starting that years ago, they understand that maybe it's just something very simple and that it can be, you know, okay do this or that and if it's not better, please come in. But now with the, even the tele-health with the pictures that they're able to look at each other I think is even better that way that you can address things without someone driving several hours, or an elderly person having to go out in the cold, because we also deal with cold in Minnesota, a few years back, we had the polar vortex, nobody wanted to go out, but you had to if you had a doctor's appointment or something, and so some of those things can be addressed too.U.S. Rep. Michelle Fischbach (14:51):So I see the future as we continue to promote broadband and making sure that we get it into our rural areas. I see that can really be one of the tools in the toolbox for us in rural Minnesota, making sure that people have health care available to them.Jessica Young (15:08):Yeah. You make excellent points and broadband has come up a couple of times and you know this well that it's sort of an annual issue, I would say, at the state legislature. And we've seen federal administrations prioritize broadband too. But I think the future of virtual care seems exciting and tele-health is one of the big steps forward. So hopefully it continues to help folks in your district and alleviate some of the stressors and roadblocks that come with finding appropriate healthcare, but really appreciate your perspective on that issue. And I know Medical Alley members are on the front lines innovating, and they're leading the way with some of these new technologies. So to hear from you and hear your perspective from your district, I think is extremely valuable. So I appreciate you diving into some of those more specific issues. Before we wrap, is there anything that you would like our listeners to know? Policies you might be working on issues that you're particularly passionate about? I'll kind of hand it to you if there's anything you want to close with?U.S. Rep. Michelle Fischbach (16:11):Well I will just say, I know that we have great medical innovators in Minnesota, great medical companies, and we have done a lot in making sure that those critical access hospitals that we do have clinics. I mean, obviously I would like to see those stay and be stronger and make sure that we continue what we have. There are places that have lost them in the last few years. And I hate to see that, but I'd like to see those clinics. So that is something that I'm working on and I'll go back to that and that strong rural community issue, and healthcare is just a critical part of that and making sure. So anything that I can do to make sure that we keep keep those and and enhance them and make them workable for folks, I think is so, so important.U.S. Rep. Michelle Fischbach (16:59):And I continue to look at, can we get our schools to make sure they have enough room for all the folks who want to be nurses? You know, I know that a few years back we were dealing with shortages of student space for nursing programs. And so we want to make sure that those are available. So there's a whole lot of kind of aspects of that we need to be looking at to make sure that we are able to provide that and the innovation that we have gone through in the last, I mean, 20 years even is just amazing, and that is due a lot to the innovators we have in Minnesota and moving things forward and making sure that people are staying healthier and are able to get the kinds of whether it be, you know, equipment or medical care or those kinds of things available. And so I want to make sure that we do provide that to every Minnesotan. And so that's what I do moving forward is making sure that rural Minnesota isn't left behind and that we are continuing to promote that because that is — like I said earlier, I am partial to rural Minnesota. So I want to make sure that people have the opportunity to to live and work there and raise their children there.Jessica Young (18:18):Absolutely. And you're a fierce advocate. Your constituents, and frankly, Minnesotans are lucky to have you in DC sharing that perspective. And I have had the pleasure of working with you at the state level. So it's so fun for me to talk to you again and connect again and hear how your work is going out there, but it was great talking with you today, Congresswoman, and thank you for your time. I know you're busy and thank you for your insights on truly some of the most complicated policy issues. We're really lucky to have you in Congress.U.S. Rep. Michelle Fischbach (18:45):Well, thank you very much. I appreciate it. And we are working hard and I will say just since folks will be listening to this, please, if there's anything you think, of reach out to the office if there's any questions or anything like that. Because the more we hear from the seventh district in Minnesota, the better we can represent you and understand what kinds of things we should be addressing. So I appreciate the opportunity to just share a few things today, but, but really want to have conversations every day and make sure that we are actually doing what people need us to be doing.Jessica Young (19:21):That's awesome. Absolutely. And I know from Medical Alley's perspective, we look forward to the continued relationship and working with you for years to come. So thank you again. And I want to say to a special thank you to our listeners. Your continued support allows us to bring you great conversations like this one. So if you enjoyed it, please consider subscribing to the Medical Alley podcast and giving us a five-star rating. We will see you next time on "At the Table."

Adam Lewis is the CEO of Apploi, a hiring software company centered around healthcare. With a background in HR, he has spent lots of time working with healthcare companies to identify and remove roadblocks in their job application processes. Two of the largest problems often encountered in healthcare recruiting are: how to attract more candidates into the application funnel and how to successfully move them through said funnel. To start with the latter of these issues, Adam states that out of all industries, healthcare takes the longest amount of time to recruit personnel with the average span being 40 days. This is often the result of an application being too lengthy and complicated. In order to make this process more frictionless, the application should feature fewer questions upfront and be mobile optimized so as to be accessible to nurses, CNAs, and LPNs who will likely be filling it out on their phones. The job postings themselves should also be created with the needs of current healthcare workers in mind. Rather than going by the old method of copying and pasting the needs of a position, employers must be more creative to grab the attention of job seekers in this modern competitive market. Job postings should narrate the experience of company culture, the perks that employees will receive, and the value that they will be regarded with.  FOLLOW ADAM AND APPLOI!WebsiteLinkedIn RELATED EPISODESEp. 77: CNAs: Make Them Want To StayEp. 73: Make Your Staff WANT To Stay!Ep. 71: Combating Staff Turnover & Burnout In Nursing Homes

If you are an LNC who did your clinical work in a hospital, you'll find many challenges in analyzing a legal case involving nursing homes. Tiffany Hinds, an LNC who has extensive experience working in nursing homes, provides a wealth of information. Among the challenges she describes are medical records that are unique to long-term care environments. She also emphasizes the importance on having information on the government-issued rating of the facility. The nursing home environment is prone to situations such as frequent falls and pressure ulcers. An LNC must analyze every aspect of the case to determine if liability is involved. In a broader sense, the LNC needs to understand the particular occupational dynamics of a nursing home. CNAs, who are largely overworked and underpaid, comprise the bulk of the work force. Their high turnover places a burden on the nursing home in terms of the need to train and integrate the new employees into the system. Tiffany emphasizes the importance of acknowledging the CNA's vital contribution to the facility. She also compares the roles of LPNs and RNs. The pandemic has exposed the shortcomings of nursing homes across the country. You can expect increasing number of legal cases to occur. This podcast can help you gain a better understanding of the issues involved. https://youtu.be/xtrAgXOc2Z4 Join me in this episode of Legal Nurse Podcast to learn about Nursing Homes Why is the Minimum Data Set (MDS) so essential for an LNC involved in a long-term care case so important to understand? What are F-tags, and why are they critical? What situations or conditions are most prone to lawsuits? In an investigation of a case, what steps should be taken? How can a nursing home administrator or supervisor encourage staff to be honest about reporting errors or incidents? What causes high turnover of CNAs in nursing homes, and how does that affect overall quality of care? Related Product Join Us for our 4th virtual conference LNC Success Pat and Barbara put together the first Legal Nurse Consulting Virtual Conference in July 2020. They are back with their 4th all new conference based on what attendees said they'd find most valuable. This new implementation and networking event is designed for LNCs at any stage in their career. Build your expertise, attract higher-paying attorney clients, and take your business to the next level. After  the LNC Success Virtual Conference, you will leave with clarity, confidence, and an effective step-by-step action plan that you can immediately implement in your business. Your Presenter Tiffany Hinds BSN, RN, CLNC is the founder and CEO of Precision Healthcare LLC. She is a certified legal nurse consultant with extensive years of experience in skilled nursing facilities, specifically long-term care. She has held different positions within various multi- faceted facilities that has enabled her to leverage her clinical experience and knowledge to quickly identify medical and nursing issues that can often go unnoticed. Before devoting her work full-time to Precision Healthcare, Tiffany served as a Nurse Manager of sub-acute units, Director of Wound Care, Risk Manager, Assistant Director of Nursing and an Infusion Nurse, which all strengthen her previous position as Director of Nursing. In her capacity as Director of Nursing, the facilities under her charge, surpassed expectations with annual department of health surveys, resulting in the facilities being found deficiency free. She has audited a variety of top nursing home concerns, pioneered multiple projects according to regulatory compliance, written and revised policies and procedures, spearheaded leadership/staff trainings, and successfully implemented programs and committees. Tiffany was born and raised in the Bronx, New York where she resides with her husband and their three beautiful children. Connect with Tiffany at www.precisionhc.net

Geer Village Senior Community is a community of healing professionals whose principal mission is to console, treat, strengthen, and refresh the bodies, minds, and spirits of the elderly and disabled residents of the tri-state area. Your Destination is Geer Village Senior Community Located in the scenic, historic railway town of North Canaan, CT. Don't miss out! Join Our 2-Day Career Event: Fri. September 10th 7am - 10am OR 1pm - 4pmSat. September 11th 8am-12pmCurrent openings: RNs, LPNs, CNAs, Dietary Aides, Maintenance and Out-Patient Physical Therapists. For immediate consideration and choice of your preferred position, bring your resume & receive an interview on the spot—while enjoying the famous “Railway Signature Cinnamon Bun”More details: https://www.geercares.org/careers-eventMake Geer Your Destination Sheri Mele, Recruitment Specialist 860.824.3809 or smele@geercares.org  Geer Village Senior Community focuses on what really matters, caring for our friends, family and neighbors in the northwest corner of Connecticut. We have no distant corporate office to report to. Our patients, families, employees, management and board of directors all focus on what is best for life here in our community. That's our promise.

This is Vaccine 411, the latest coronavirus vaccine information for September 7th, 2021. Like healthcare workers, they are most at risk. And like many healthcare workers, they are reluctant to get the vaccine. No national statistics show the vaccination rate for America's entire population of first responders, but police and fire departments report figures far below the national rate of adults who have had at least one dose. Increasingly, mandates are putting jobs at risk for refusal to take the shots. You really have to wonder what's going on behind the scenes. Now, the CDC says masks are no longer required indoors or outdoors in most settings if you're fully vaccinated. The news came as a shock after a steady drumbeat of guidance that the fully vaccinated can get Covid, spread Covid, and host new variants of Covid. Regardless, the White House is promoting the new guidance on social media. There are reports researchers recently discovered antibodies that can neutralize a range of variants and coronaviruses. This could lead to better post-infection treatments if true. They studied survivors, looking for antibodies that may be resistant to losing their effectiveness against variants and new viruses. One antibody showed a high breadth of effectiveness. Another bound well with all respiratory viruses and prevented COVID-19 infections in animal subjects. How bad is the nursing shortage? Right now, close to 15,000 RN positions are available in North Carolina alone. And there are 5,500 job openings for nursing assistants and LPNs. There's also a shortage of school nurses. In fact, that was happening even before the pandemic. The CDC says there should be a nurse for every 750 students, but nearly a fourth of all schools in the US don't have one at all. You want to get tough on people who put others at risk of the virus but, do you want to get communist country tough? Vietnam put a 28-year-old man in jail for five years Monday for breaking quarantine rules. His trial lasted one day. Despite that severity, Vietnam's outbreak is worsening, with the vast majority of its 13,385 deaths happening in the last few months. In the United States cases were down 12%, deaths are up 31%, and hospitalizations are up 9% over 14 days. But keep in mind that for this and most of today's statistics, there's an artificial dip due to lack of reporting over the Labor Day holiday. The 7-day average of new cases has been trending up since July 5. There are 8,863,957 active cases in the United States. With not all states reporting daily numbers, the five states with the biggest 14-day increase in hospitalizations: North Dakota up 379%. South Dakota 79%. West Virginia 52%. Tennessee 50%. And Maine 42%. The top 10 counties with the highest number of recent cases per capita according to The New York Times: Rusk, TX. Dorchester, SC. Taylor, FL. Russell, KY. Uvalde, TX. Hendry, FL. Butte, SD. Hardee, FL. Pike, OH. And Wayne, MS. There have been at least 649,023 deaths in the U.S. recorded as Covid-related. The top 3 vaccinating states by percentage of population that's been fully vaccinated: Vermont at 68.1%, Connecticut at 66.4%, and Massachusetts at 66.3%. The bottom 3 vaccinating states are Alabama at 39.1%, Wyoming at 39.3%, and Idaho at 39.5%. The percentage of the U.S. that's been fully vaccinated is 53%. The 5 countries with the largest recent 24-hour increase in the number of fully vaccinated people: Panama up 3%. And Oceana, Bangladesh, Argentina, and India 2%. Globally, cases were down 16% and deaths were down 10% over 14 days, with the 7-day average trending down since August 27. There are 18,811,819 active cases around the world. The five countries with the most new cases: The U.K. 41,192. The United States 39,644. India 30,184. Iran 27,579. And the... See acast.com/privacy for privacy and opt-out information.

This is Coronavirus 411, the latest COVID-19 info and new hotspots… Just the facts… for September 7th, 2021. Like healthcare workers, they are most at risk. And like many healthcare workers, they are reluctant to get the vaccine. No national statistics show the vaccination rate for America's entire population of first responders, but police and fire departments report figures far below the national rate of adults who have had at least one dose. Increasingly, mandates are putting jobs at risk for refusal to take the shots. You really have to wonder what's going on behind the scenes. Now, the CDC says masks are no longer required indoors or outdoors in most settings if you're fully vaccinated. The news came as a shock after a steady drumbeat of guidance that the fully vaccinated can get Covid, spread Covid, and host new variants of Covid. Regardless, the White House is promoting the new guidance on social media. There are reports researchers recently discovered antibodies that can neutralize a range of variants and coronaviruses. This could lead to better post-infection treatments if true. They studied survivors, looking for antibodies that may be resistant to losing their effectiveness against variants and new viruses. One antibody showed a high breadth of effectiveness. Another bound well with all respiratory viruses and prevented COVID-19 infections in animal subjects. How bad is the nursing shortage? Right now, close to 15,000 RN positions are available in North Carolina alone. And there are 5,500 job openings for nursing assistants and LPNs. There's also a shortage of school nurses. In fact, that was happening even before the pandemic. The CDC says there should be a nurse for every 750 students, but nearly a fourth of all schools in the US don't have one at all. You want to get tough on people who put others at risk of the virus but, do you want to get communist country tough? Vietnam put a 28-year-old man in jail for five years Monday for breaking quarantine rules. His trial lasted one day. Despite that severity, Vietnam's outbreak is worsening, with the vast majority of its 13,385 deaths happening in the last few months. In the United States cases were down 12%, deaths are up 31%, and hospitalizations are up 9% over 14 days. But keep in mind that for this and most of today's statistics, there's an artificial dip due to lack of reporting over the Labor Day holiday. The 7-day average of new cases has been trending up since July 5. There are 8,863,957 active cases in the United States. With not all states reporting daily numbers, the five states with the biggest 14-day increase in hospitalizations: North Dakota up 379%. South Dakota 79%. West Virginia 52%. Tennessee 50%. And Maine 42%. The top 10 counties with the highest number of recent cases per capita according to The New York Times: Rusk, TX. Dorchester, SC. Taylor, FL. Russell, KY. Uvalde, TX. Hendry, FL. Butte, SD. Hardee, FL. Pike, OH. And Wayne, MS. There have been at least 649,023 deaths in the U.S. recorded as Covid-related. The top 3 vaccinating states by percentage of population that's been fully vaccinated: Vermont at 68.1%, Connecticut at 66.4%, and Massachusetts at 66.3%. The bottom 3 vaccinating states are Alabama at 39.1%, Wyoming at 39.3%, and Idaho at 39.5%. The percentage of the U.S. that's been fully vaccinated is 53%. The 5 countries with the largest recent 24-hour increase in the number of fully vaccinated people: Panama up 3%. And Oceana, Bangladesh, Argentina, and India 2%. Globally, cases were down 16% and deaths were down 10% over 14 days, with the 7-day average trending down since August 27. There are 18,811,819 active cases around the world. The five countries with the most new cases: The U.K. 41,192. The United States 39,644. India 30,184.... See acast.com/privacy for privacy and opt-out information.

The RN2writer Show helps nurses and other clinicians learn how to become freelance writers. And, NO, you don't have to be an RN! LPNs, LVNs, NPs, APRNs - all nurses welcome! (And, to be honest, we welcome non-nurse clinicians, too, such as PAs, LCSWs, MDs - anyone with a healthcare background who wants to be a writer is welcome to join us.) Here's what you can expect in each weekly episode: • Interviews with successful nurse writers to inspire you and help you see the possibilities for this career path • Interviews with experts – editors and content directors – to demystify the writing industry and share their secrets for what makes someone their “go-to” freelance writer • 10-minute coaching sessions, where Beth sits down with a nurse writer via Zoom and blasts through any obstacle that's impeding their progress • Tutorials that walk you through common freelance tasks • Occasional glimpses into La Vida Freelance – to illustrate the fabulous lifestyle a writing career can afford you Don't forget to subscribe!

Paul Felton Werner talks about the awesome staff at Christ the King Manor! Although many of us think only about the clinical positions like nurses and LPNs, there are many other positions within the 400 people who work at CTK... some of which are hiring right now.

HELL-th SCARE deals with the "Jerry Springer" like reality of healthcare. Fringe lunatic nurses, cheating co-workers, incompetent doctors, and management who act like mob bosses. The grim truth of dying patients with no quality of life left, whose "Living Wills" have been hijacked and nullified by relatives for purely selfish, greedy, or guilt driven reasons. Micro-managed policies that actually put patients at risk and the abuse found in nursing homes - of staff members. HELL-th SCARE presents a frank picture of what really takes place behind the scenes in the healthcare profession without "sugar coated" self-righteousness. Supervisors from hell, impaired co-workers ( RNs, BSNs, MSN, LPNs, CNAs, etc.), impostors masquerading as registered nurses, along with dangerous nurses who nearly kill their patients but are not fired due to hospital politics &/or policies.For Your Listening Pleasure all the radio shows available on The 'X' Zone Broadcast Network with our compliments, visit - https://www.spreaker.com/user/xzoneradiotv.The ‘X' Zone Broadcast Network Shows and Archives - https://www.spreaker.com/user/xzoneradiotvThe ‘X' Zone TV Channel on SimulTV - for more information visit http://www.simultv.comThe ‘X' Chronicles Newspaper - www.xchroniclesnewspaper.com

HELL-th SCARE deals with the "Jerry Springer" like reality of healthcare. Fringe lunatic nurses, cheating co-workers, incompetent doctors, and management who act like mob bosses. The grim truth of dying patients with no quality of life left, whose "Living Wills" have been hijacked and nullified by relatives for purely selfish, greedy, or guilt driven reasons. Micro-managed policies that actually put patients at risk and the abuse found in nursing homes - of staff members. HELL-th SCARE presents a frank picture of what really takes place behind the scenes in the healthcare profession without "sugar coated" self-righteousness. Supervisors from hell, impaired co-workers ( RNs, BSNs, MSN, LPNs, CNAs, etc.), impostors masquerading as registered nurses, along with dangerous nurses who nearly kill their patients but are not fired due to hospital politics &/or policies. For Your Listening Pleasure all the radio shows available on The 'X' Zone Broadcast Network with our compliments, visit - https://www.spreaker.com/user/xzoneradiotv. The ‘X' Zone Broadcast Network Shows and Archives - https://www.spreaker.com/user/xzoneradiotv The ‘X' Zone TV Channel on SimulTV - for more information visit http://www.simultv.com The ‘X' Chronicles Newspaper - www.xchroniclesnewspaper.com

By Michael Tetreault, Editor/Host/Author/Communicator Did you know there are about as many nurses in the U.S. as there are people in Los Angeles? According to the American Association of Colleges of Nursing, there are more than 3.8 million nurses in the U.S. and rising. Roughly three quarters are registered nurses (RNs), and the remaining quarter are licensed practical nurses (LPNs). Additionally, there are over 100,000 nurse practitioners. According to the American Association of Colleges of Nursing, nurses also comprise the largest segment of hospital staff, are the primary providers of hospital patient care, and deliver most of the nation's long-term care. Outnumbering Doctors in most hospitals, the nurses serving our communities have tough jobs. From bed pans to blood, smiles to bar code scans, they're always there in the heat of the moment. We want to say THANK YOU and provide a few ways for those who work next to these generous individuals, with some thoughtful and practical ways you can show them your gratitude. www.ForDoctorsForum.org www.ConciergeMedicineForum.com www.ConciergeMedicineToday.org

Bekah uses her experience as an LPN and now an RN to discuss why LPNs are nurses too.

It's the second year in a row that National Nursing week is happening in the midst of a global pandemic. And with spiking numbers of cases in our third wave in Nova Scotia, Nursing Union President Janet Hazelton discusses PPE, pandemic fatigue and resiliance and mental health.

This Podcast is brought to you by: Picmonic - USE THIS LINK TO GET 20% OFF ANY PREMIUM MEMBERSHIP: https://www.picmonic.com/affiliate/medspirationLDW19 Click here to SUBSCRIBE to our YouTube channel: https://www.youtube.com/channel/UCBILFOvoJ4x2bRhfSapAopA?sub_confirmation=1 In today's episode, we're joined by Dr. Uma Naidoo. Michelin-starred chef David Bouley described Dr. Uma Naidoo as the world’s first “triple threat” in the food & medicine space: a Harvard trained psychiatrist, Professional Chef graduating with her culinary schools’ most coveted award, and a trained Nutrition Specialist. Her nexus of interests have found their niche in Nutritional Psychiatry. Dr. Naidoo founded and directs the first hospital-based Nutritional Psychiatry Service in the United States. She is the Director of Nutritional and Lifestyle Psychiatry at Massachusetts General Hospital (MGH) & Director of Nutritional Psychiatry at MGH Academy while serving on the faculty at Harvard Medical School. She has also been asked by the American Psychiatric Association (APA) to offer the first academic text in nutritional psychiatry. I read her best selling book, 'This is Your Brain on Food' & in this episode we go IN DEPTH about which foods she uses to help her patients fight depression, anxiety, PTSD ADHD & more. ►Listen on Spotify: https://open.spotify.com/episode/3h4yxkgwZCzn193Ls7O8FX?si=UylJQzUpSPySkNrwt9mDcQ&dl_branch=1 ►Listen on iTunes: https://podcasts.apple.com/us/podcast/medspiration/id1440527968#episodeGuid=medspiration.podbean.com%2F2275a52d-d9c5-37ff-a5bb-da547f5adb1a ►Watch on YouTube: https://youtu.be/LXJU4Ol-Okc ►Follow us on Instagram: https://www.instagram.com/medspiration/ This Podcast is brought to you by: Picmonic - USE THIS LINK TO GET 20% OFF ANY PREMIUM MEMBERSHIP: https://www.picmonic.com/affiliate/medspirationLDW19 Picmonic has a visual learning platform that will help anyone in healthcare learn more in less time, so they can rock course exams, boards, and become more competent providers! Using their learning tools has been proven to increase long term memory retention up to 331%! Picmonic helped me with my USMLE Step 1 studies & can help also help student NPs, PAs, Pharm Ds, RNs, LPNs, paramedics & those in premed. We've partnered with them to bring you an INCREDIBLE OFFER: You can check them out @: Picmonic.com & sign up for FREE & you’ll get instant access to a free video and quiz questions every day - no credit card required. Use the promo code Medspiration for 20% off any Premium subscription!   Show Notes: 0:00 Intro 1. Introducing Dr. Naidoo (5:00) 2. Dr. Uma's Training (7:05) 3. Nutritional Psychiatry & Dr. Naidoo's Service (11:57) 4. Food Labeling & the Food System (17:14) 5. Gut Health and Mental & Emotional Well-being (19:08) 6. Foods that can Worsen Mental Health (22:01) 7. Mono-Sodium Glutamate (MSG) Foods & OCD (24:03) 8. Sugar, Artificial Sweeteners, Depression & Neuro-inflammation (25:46) 9. Addressing Soda intake + Sugar Addiction with Patients (30:28) 10. Foods that Help Depression (38:02) 11. The Mediterranean Eating Pattern (MEP) (38:57) 12. Foods that Help Anxiety (41:38) 13. How much Caffeine is ok? (44:24) 14. PTSD, Gut Memory & Foods to Eat/ Avoid (46:21) 15. The Role of the Gut in ADHD (52:27) 16. The Carnivore Diet? (54:20) 17. Tips for Easy Food Swaps & Substitutions (57:01) 18. Does Dr. Naidoo take supplements? (59:26) 19. How to Connect with Dr. Naidoo (1:00:11) Connect with Dr. Uma: Website: https://umanaidoomd.com Instagram: http://www.instagram.com/drumanaidoo/​ Facebook: https://www.facebook.com/DrUmaNaidoo/ Buy her best selling book: https://book.umanaidoomd.com If you enjoy this episode, please subscribe to our podcast & rate it 5 stars on iTunes: https://podcasts.apple.com/us/podcast/medspiration/id1440527968 Tag @medspiration in your stories on IG & please share with us your favorite parts of this podcast, I’ll be sure to feature you & write back!!! MEDspiration is a 501c3 (47-3028584) public benefit nonprofit organization. If you would like to support our vision of a better world, you can donate by visiting: https://donorbox.org/medspire-the-world All donations are tax-deductible. LIKE us on FB: https://www.facebook.com/MEDspiration Tweet us on Twitter: https://twitter.com/medspiration_ Subscribe to our YouTube channel: https://www.youtube.com/user/MEDspiration Booking & charity inquiry: ceo@medspired.org  

In our second episode of 2021, we're joined by Dr. Will Bulsiewicz.  Dr. B is a board certified gastroenterologist & a master of clinical science. Today we are dissecting his NYT best selling book, Fiber Fueled. This is a conversation about gut health and it's relationship to everything from cognition to immunity. Enjoy! ✌

“While the switch to distance learning was traumatic at first, I think we're going to end up in a much better place when it's all said and done,” says Scott Shaw, president and CEO of Lincoln Tech which has always taken a hands-on learning approach. That’s because the blended in-person and online learning model emerging from COVID gives the school’s adult students more flexibility to manage their jobs and childcare now that they don’t always have to be on campus to take classes.  Lincoln Tech started 75 years ago to educate WWII veterans in auto mechanics and HVAC.  Now, it has 22 campuses and nearly two dozen programs, including nine in the health professions. In fact, they produce 50% of the LPNs in New Jersey and are hoping to start offering an RN program in the Garden State as well, which has one of the biggest shortages of nurses in the country. In this episode with host Shiv Gaglani, Shaw also discusses the increased interest in health professions due to the pandemic, student debt, and the key traits today’s employers are looking for in their staff.

Det ryms så mycket bra musik, så mycket tankar och så mycket känslor på ”Sången dom spelar när filmen är slut” att skivan fördelas på två avsnitt. I denna del pratar Toni och Emil om låtarna på LPns sida A. Peter LeMarc jämförs med Super Mario. Mysteriet med Evelina nagelfars, finns svaret i en film med Juliette Binoche? Emil knäcker månens betydelse i Peters texter. Toni skryter om alla böcker han läst. Är detta det nördigaste avsnittet hittills? Förhoppningsvis. Intro- och outromusik av Kristoffer Hedberg från Easy october. Följ oss på instagram på @peterlepod och gilla vår facebooksida

Personal Perspective equipment with RN Chryste Middleton-Shakir. Her website is https://nursecm.com We Facilitate Face to Face, Telephonic, and Telenurse Conferencing Services to Care Plan, Coordinate Care, Provide Clinical Resources and Education, and Support Our Patients, Family's, and Partners Ours Services Help Prevent Hospitalizations and ED visits We Help Improve Overall Quality of Care and Patient Satisfaction. Click Here to learn more. Home Health/Hospice/Palliative Care Triage Services We offer After Hours Triage Services to support for Home Health, Hospice, and Palliative Care Service Providers. Safe, effective, and appropriate assessment and disposition of experienced, trained RNs and LPNs.using Physician / PCP approved guidelines or protocols for health-related problems via telephone, video conference, or messenger. Click here to learn more Process Improvement and Clinical Training Services We can Help Accommodate your Staffing Education Needs P&P Development Services Process Improvement Consultation Technology Services We can assist with Technological Transformation Services We Build Electronic Forms, Websites, and Simple Software Platforms. www.momentspod.com --- Support this podcast: https://anchor.fm/momentsofgrace/support

More Nursing in Nursing Homes “Nursing homes have changed over time.”— Melissa Batchelor, PhD, RN, FNP, FAAN (04:04-04:14) Melissa Batchelor has been involved with nursing home care since 1996 and as someone who's been in the business for quite some time, she can tell that nursing homes have truly changed over time. Today, we're going to talk about nursing in an age-friendly nursing home, along with Melissa's friends and colleagues, who have very extensive backgrounds and histories in nursing and home care. “As a country, we must make a serious investment in the systems that care for older people. That means nursing homes need to be recognized and reimbursed as a vital part of the healthcare system, and as equal partners in the health care system. Let's continue to support any continuing education and leadership training for registered nurses in nursing homes”  – Tara Cortes, PhD, RN, FAAN In this week's episode, you'll learn about: Who are the residents living in our nursing homes today? What are the major differences in how nursing homes are treated differently than hospitals in our healthcare system? What are some of the reasons why nursing homes struggle to provide quality care to frail older adults? Why do we need more nursing in nursing homes? What are the major differences in types of caregivers we collectively call “nursing staff” in nursing homes? What can consumers do to make nursing homes safer during COVID and what is needed post-COVID? GUEST INFO: Marie Boltz, PhD, RN, FAAN Professor at Penn State University College of Nursing.  Geriatric Nurse Practitioner/Nurse Researcher.  Her experience in nursing homes includes: as a clinician, an administrator, a researcher, and a consultant. Charlene Harrington, Ph.D. RN, Professor Emerita Department of Social & Behavioral Sciences University of California San Francisco She studied nursing homes for 35 years, looked at staffing, ownership, financing legislation and regulation. Barbara Bowers, PhD, RN, FAAN Faculty professor at the University of Wisconsin, Madison. She has spent over 30 years as a teacher, researcher and clinician in long-term care settings. Worked as a certified nursing assistant (CAN) in nursing homes to put herself through undergraduate nursing school. Ann Kolanowski, PhD, RN, FAAN Professor Emerita at Penn State College of Nursing.  Worked as a staff nurse in a nursing home.  She's been an educator and geriatric nurse researcher for the past 30 years. Christine Mueller, PhD, RN, FGSA, FAAN Professor in the School of Nursing at the University of Minnesota and hold long-term care professorship in nursing.  She's been involved in studying nursing home care, particularly interested in factors associated with quality. Tara Cortes, PhD, RN, FAAN Executive Director of the Hartford Institute for Geriatric Nursing at New York University Rory Meyers College of Nursing. Professor of nursing in college.  Many years of her career were spent in the hospital, in the nursing administration, and most of her last twenty years have been very focused caring for older adults with a particular emphasis and interest in long-term care. Part One of “Nursing” In an Age-Friendly Nursing Home Nursing homes are where people who have very complex chronic conditions and functional amputations, live in the hope that they can receive care that's going to give them a good quality of life. And not just custodial care, but sadly, nursing homes and long-term care, in general, are not seen as an integral component of our healthcare system. Here's a little snapshot about how nursing homes are different today than they used to be according to Dr. Marie Boltz: How are nursing homes different today than they were in the past? “Many folks think that nursing home care is unexciting and doesn't vary from day to day. But as you can see, it's very complex because the residents with multiple comorbidities and conditions need extensive assessment and care management. After all, when they do become ill, their symptoms are often subtle and very hard to recognize”. –  Marie Boltz, PhD, RN, FAAN Past: Typically, residents were somebody who needed some help with bathing, dressing, and grooming.  They no longer could live at home, so they came to the nursing home. That traditional type of nursing home resident still exists, but… Today: That person today, as the population has aged, has become frailer, living to advanced age and also living with dementia.  These are folks who are in their 80s, 90s, and sometimes 100 plus,  Today these residents have a lot of comorbidities, high rates of cognitive impairment, and sometimes serious mental illness and/or substance abuse issues overlaid on top of that. Many of our nursing homes are admitting residents directly from the nursing home who are requiring skilled or subacute care. You can imagine the combination of these with trying to provide a home-like environment, and honoring preferences can challenge today’s nursing home staff.   “People who work in long-term care facilities and geriatrics aren't there for the money, but because they actually care.” — Melissa Batchelor, PhD, RN, FNP, FAAN (34:42-34:49) What are some major differences in how nursing homes are treated differently than hospitals in our healthcare system? “There's a tremendous gap in nursing leadership in nursing homes. Most Directors of Nursing do not have education beyond their basic nursing program. This is unlike what happens in acute care settings where nursing leadership typically has a graduate education and certification.” - Ann Kolanowski, PhD, RN, FAAN Many of the professional nurses who are in nursing homes are not involved in direct care – this work is primarily done by Certified Nursing Assistants (CNAs). Professional nurses are not practicing to the full scope of their license.  These nurses may be involved in tasks like passing medications or administering treatments rather than doing the type of work that only a professional nurse can do. Inadequate training resulting in a lack of expertise for recognizing and managing complex problems Low pay – there is a tremendous difference in what a nurse makes in a NHS compared to a hospital or medical center Little or no sick leave The regulatory and payment structure for NHS is different than in acute care hospitals.   All of this contributes to a very high rate of staff turnover and an inability to sustain positive change” - Ann Kolanowski, PhD, RN, FAAN Part Two of “Nursing” In an Age-Friendly Nursing Home So, why do we need more nursing in nursing homes? Inadequate Staffing Prior to 2016, there was no requirement for minimum staffing standards. In 2016, the Obama administration increased the regulations for nursing homes.  Before the pandemic, 75% of nursing homes in the United States did not have adequate staffing levels, causing the inferior quality of care.  When the virus hit, it wasn't a surprise that many nursing homes were unable to prevent the spread of the disease throughout those facilities.  Nursing homes that had low staffing and poor quality were the most likely to get the COVID-19 virus.   Infection Control Standards We also know that before the virus, 63% of all the nursing homes did not meet the infection control standards and were given deficiencies by the state surveyors.  And again, that was primarily because it's directly related to the lack of registered nurse staffing in nursing homes who are essential for developing infection control plans and implementing those plans. The Impact of For-Profit Nursing Homes “Over 70% of nursing homes in the United States are for- profit. These nursing homes are trying to make money for their owners or shareholders. And many of them are big chains. One of the ways they do that is by keeping the staffing levels low because they're the most expensive type of nurse and their overall staffing. And this is why it has contributed to a persistent chronic low staffing in nursing homes around the country” - Charlene Harrington, Ph.D., RN, FAAN “Everybody deserves a safe environment.” —  Melissa Batchelor, Ph.D., RN, FNP, FAAN (35:11-35:16) There are different types of caregivers collectively referred to as “nurses”. Can you explain the differences in these types of caregivers? Christine Mueller, Ph.D., RN, FAAN explains:    LICENSED NURSES   There are two types of licensed nurses in nursing homes and each has a different “scope of practice”. That means each role within the nursing team has different things they can do for a resident. Registered Nurses (RN) who can have an Associate Degree from a technical school or community college; or a Bachelor’s of Science in Nursing (BSN) from a university.  For example, ONLY RNs can develop and evaluate a nursing plan of care for a resident Both types of RNs delegate nursing and direct care tasks to LPNs and CNAs Nursing care is usually delegated to LPNs and includes passing medications, doing assessments of residents, reporting findings to the RN, implementing a nursing plan of care. Direct care is usually delegated to CNAs and includes directly helping a resident to eat, use the bathroom, get dressed, toileting, bathing and grooming. RNs can do all of the duties LPNs and CNAs can do - but rely heavily on these members of the healthcare team to deliver nursing and direct care.  Licensed Practical Nurses (LPN) is another type of nurse with a training background from a technical school or community college.   CERTIFIED NURSING ASSISTANTS   The majority of direct care provided in nursing homes is delivered by a Certified Nursing Assistant. Direct care is a term that means directly helping a resident to eat, use the bathroom, get dressed, toileting, bathing and grooming. DID YOU KNOW? RNs provide and average of 48 MINUTES of care per resident a day in the “nursing” home RNs in a hospital provide 10 HOURS a day in an acute care setting What’s being done and what can I do? Barbara Bowers, PhD, RN, FAAN shares:   Center for Medicare and Medicaid Services (CMS) is forming a Commission for Safety and Quality in Nursing Homes. We need nurses with nursing home experience to be appointed to this commission.   Contact your representatives to support H.R.6698 and S.3644 H.R. 6698 Quality Care for Nursing Home Residents and Workers During COVID–19 Act of 2020 Schakowsky [D-IL-9] introduced May 5, 2020 Improving Quality of Care in SNFs and NFs by adding a Full-time Infection Control with specialized training in prevention and control. Residents who elect to leave the facility and live with family can be readmitted with180 days of emergency period. At least 72-hours notice of discharge or transfer to LAR Weekly testing of residents for COVID19 and reporting - OR if testing kits are not available, daily screening until sufficient test kits obtained. Adequate staffing to assist communication with family members through email, phone calls, virtually at least weekly Reporting to State Health Departments if PPE shortage expected to occur Employee education on transmission of COVID19 Two weeks of paid sick leave Employee testing prior to each shift and reporting – OR if testing kits are not available, daily screening until sufficient test kits obtained For both staff and employees: Daily reporting to CMS of confirmed or suspected COVID19 cases; Number of deaths; amount of PPE and projected needs; staffing levels (using existing PBJ); number of residents and staff tested; notification of residents, family members, and employees with 12 hours of a positive case or death; new onset of symptoms in 3 or more residents or employees reported within 72 hours;  Information should be made available on Nursing Home Compare  24-hour Registered Nurse services provided – Note: Doesn’t say in-person (but it should!) State Survey monitoring (remotely) if positive COVID case Civil Money Penalties of $10K per day for any violation of these requirements Section repeats Medicaid Funding S.3644 Quality Care for Nursing Home Residents and Worker During COVID-19 Act of 2020 – Cory Booker [D-NJ] introduced May 7, 2020 About Melissa I earned my Bachelor of Science in Nursing (‘96) and Master of Science in Nursing (‘00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I truly enjoy working with the complex medical needs of older adults. I worked full-time for five years as FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home and office visits) then transitioned into academic nursing in 2005, joining the faculty at UNCW SON as a lecturer. I obtained my PhD in Nursing and a post-Master’s Certificate in Nursing Education from the Medical University of South Carolina College of Nursing (’11) and then joined the faculty at Duke University School of Nursing as an Assistant Professor. My family moved to northern Virginia in 2015 and led to me joining the faculty at George Washington University (GW) School of Nursing in 2018 as a (tenured) Associate Professor where I am also the Director of the GW Center for Aging, Health and Humanities. Find out more about her work at https://melissabphd.com/.

Not all the news coming out of this madness is bad. Sam Herring, Vice President and General Manager of Intrepid by VitalSource talks about how this current crisis can be a time of resourcefulness and innovation in the workplace learning space. He illustrated these thoughts with how one of largest not‐for‐profit, academic health systems in the United States built and deployed a remote learning system to train the army of nurses battling COVID-19 during those first weeks in March:“Within a day of selecting the Intrepid platform, the health system’s learning team created an initial course prototype, within four days learning pathways were created and audited by nursing leaders, and within eleven days the complete training solution was launched across the entire health system. The initial audience includes approximately 3000 nurses, LPNs, and hospital support staff, and may expand to additional groups.”Listen to this episode of Remote Possibilities for more insights related to the new realities of distance learning.

One of the variety of roles LPNs can have in the community is that of an Occupational Health Nurse. Sandy shares details of what her job entails, the client population she serves and the skills she uses... that she never thought she would!

Meet Sarah Gray, BSN RN, a founding clinician at Trusted Health, the California-based team of nurses and innovators that are reimagining how healthcare staffing works. They staff LPNs, RNs, and CNPs in temporary jobs (like travel assignments) as well as full-time staff positions. They kindly sponsored the last 4 episodes and today we get to chat.Sarah is here to talk about lots of things, including a new way to find opportunities in nursing. Call it what you will...travel nursing, contract nursing, agency nursing...this is the new and improved version for the modern nurse. It’s like social media for awesome nursing jobs. You can fill out a resume-quality profile, cruise jobs on the app and even have employers seek you out. Adrianne and Sarah cover a lot more than that in this highly-informative episode. You’ll want to listen if you are considering being a traveling nurse (you can do it locally, too!), or if you already travel and you want an agency that listens to you more.Sarah talks about:-What nurses want from job searches and placement. -How her skills as a Pediatric bedside nurse translated into this start-up opportunity.-Why the traditional contract nursing system doesn’t put nurses first.-How to decide what you want from your career and future plans.-How nurse advocates change the travel nursing game.-Trusted Health wants to see nurses happy, fulfilled and in the jobs they want.Please check them out if you’ve got the itch to try something new. They will make it really easy for you.www.trustedhealth.com/uncensored————————Want more nursing-related content?

In this second podcast, Dr. Travis Olives, the Associate Medical Director of the Minnesota Poison Control Center, faculty physician at Hennepin Healthcare Emergency Department, and Assistant Professor of Emergency Medicine at the University of Minnesota Medical School; continues with his discussion around the merits of (or lack there of) drug of abuse testing, the management of opioid overdose, and discuss why synthetic opioids are so dangerous. Objectives:    Upon completion of this podcast, participants should be able to: Describe at least 2 types of opioids of abuse. Differentiate how the dose (& potency) of specific opioids has on the impact of advanced care treatment. Describe techniques utilized in the emergency treatment around the presentation of opioid overdose/abuse. CME credit is only offered to Ridgeview Providers for this podcast activity. Complete and submit the online evaluation form, after viewing the activity.  Upon successful completion of the evaluation, you will be e-mailed a certificate of completion honoring you 0.75 CME/CEU credit within 2 weeks.  You may contact the accredited provider with questions regarding this program at  rmccredentialing@ridgeviewmedical.org.  Ridgeview Medical Center is accredited by the Minnesota Medical Association to provide continuing medical education for physicians. This program is also designed to meet the Minnesota Board of Nursing continuing education requirements for 1 contact hour of credit for RNs and LPNs.  Other disciplines may use this for their continuing education as appropriate.  It is the participant’s responsibility to ascertain if this program meets their particular requirements. Click on the following link for your CME credit: CME Evaluation: "TOX TALK: Synthetic Opioids" (Podcast) (**If you are listening to the podcasts through iTunes on your laptop or desktop, it is not possible to link directly with the CME Evaluation for unclear reasons. We are trying to remedy this. You can, however, link to the survey through the Podcasts app on your Apple and other smart devices, as well as through Spotify, Stitcher and other podcast directory apps and on your computer browser at these websites. We apologize for the inconvenience.)  The information provided through this and all Ridgeview podcasts as well as any and all accompanying files, images, videos and documents is/are for CME/CE and other institutional learning and communication purposes only and is/are not meant to substitute for the independent medical judgment of a physician, healthcare provider or other healthcare personnel relative to diagnostic and treatment options of a specific patient's medical condition.”   FACULTY DISCLOSURE ANNOUNCEMENT  It is our intent that any potential conflict should be identified openly so that the listeners may form their own judgments about the presentation with the full disclosure of the facts. It is not assumed any potential conflicts will have an adverse impact on these presentations. It remains for the audience to determine whether the speaker’s outside interest may reflect a possible bias, either the exposition or the conclusions presented. Planning committee members and presenter(s) have disclosed they have no significant financial relationship with a pharmaceutical company and have disclosed no conflict of interest exists with the presentation/educational event.

This is the first of a two part toxicology podcast series, Dr. Travis Olives, a medical toxicologist and the Associate Medical Director of the Minnesota Poison Control Center, and emergency medicine physician with Hennepin Healthcare, discusses synthetic stimulants, which include: methamphetamine, "bath salts", synthetic cannabinoids, and urine drug of abuse testing. Objectives:    Upon completion of this podcast, participants should be able to: Name at least 3 types of synthetic stimulants. Indicate how synthetic stimulants are presenting itself in the emergency department and in the community. Determine when the use of urine tests can be warranted for drugs of abuse. Describe techniques utilized in the emergency department around presentation of synthetic simulant abuse. CME credit is only offered to Ridgeview Providers for this podcast activity. Complete and submit the online evaluation form, after viewing the activity.  Upon successful completion of the evaluation, you will be e-mailed a certificate of completion honoring you 1 CME/CEU credit within 2 weeks.  You may contact the accredited provider with questions regarding this program at  rmccredentialing@ridgeviewmedical.org.  Ridgeview Medical Center is accredited by the Minnesota Medical Association to provide continuing medical education for physicians. This program is also designed to meet the Minnesota Board of Nursing continuing education requirements for 1 contact hour of credit for RNs and LPNs.  Other disciplines may use this for their continuing education as appropriate.  It is the participant’s responsibility to ascertain if this program meets their particular requirements. Click on the following link for your CME credit: CME Evaluation: "Synthetic Stimulants" (Podcast) (**If you are listening to the podcasts through iTunes on your laptop or desktop, it is not possible to link directly with the CME Evaluation for unclear reasons. We are trying to remedy this. You can, however, link to the survey through the Podcasts app on your Apple and other smart devices, as well as through Spotify, Stitcher and other podcast directory apps and on your computer browser at these websites. We apologize for the inconvenience.)  The information provided through this and all Ridgeview podcasts as well as any and all accompanying files, images, videos and documents is/are for CME/CE and other institutional learning and communication purposes only and is/are not meant to substitute for the independent medical judgment of a physician, healthcare provider or other healthcare personnel relative to diagnostic and treatment options of a specific patient's medical condition.”   FACULTY DISCLOSURE ANNOUNCEMENT  It is our intent that any potential conflict should be identified openly so that the listeners may form their own judgments about the presentation with the full disclosure of the facts. It is not assumed any potential conflicts will have an adverse impact on these presentations. It remains for the audience to determine whether the speaker’s outside interest may reflect a possible bias, either the exposition or the conclusions presented. Planning committee members and presenter(s) have disclosed they have no significant financial relationship with a pharmaceutical company and have disclosed no conflict of interest exists with the presentation/educational event.

Order Dr. Bruce Perry's book here: The Boy who was Raised as a Dog: And Other Stories from a Child Psychiatrist's Notebook : what Traumatized Children Can Teach Us about Loss, Love, and Healing This Podcast is brought to you by: Picmonic - USE THIS LINK TO GET 20% OFF ANY PREMIUM MEMBERSHIP: https://www.picmonic.com/affiliate/medspirationLDW19 Picmonic has a visual learning platform that will help anyone in healthcare learn more in less time, so they can rock course exams, boards, and become more competent providers! Using their learning tools has been proven to increase long term memory retention up to 331%! Picmonic helped me with my USMLE Step 1 studies & can help also help student NPs, PAs, Pharm Ds, RNs, LPNs, paramedics & those in premed. We've partnered with them to bring you an INCREDIBLE OFFER:  You can check them out @: Picmonic.com & sign up for FREE & you’ll get instant access to a free video and quiz questions every day - no credit card required.  Use the promo code Medspiration for 20% off any Premium subscription!  According to the National Library of Medicine, it is now scientifically proven that the environment we grow up in has a direct impact on our brain development. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3232061/ Research from animal and human models suggest that early life stress (such as abuse, witnessing domestic violence, and serious household dysfunction) that occurs while mom is pregnant, or after birth, during a baby's first days, weeks and months of life, may be particularly influential for neuro-developmental or brain-related outcomes. This is because the stress occurs at a time when brain systems are rapidly organizing. For example, a baby’s brain is making 20,000 brand new neurons per second! Compare that to the average adult, who will makes about 400 neurons a day. During last months episode with Dr. Bessel van der Kolk, we connected the CDC’s Adverse Child Experience’s (ACES) study to chronic disease & mental health. The thing that alarmed me most as a physician was that individual’s who have 6 or more ACEs die on average: 20 years earlier than those who grow up in stable environments! Well we cannot complete that conversation without looking at how the brain forms during our experiences in childhood (neuro-development). That’s why today, we’re bringing you the WORLD’s leading expert on childhood trauma! This is the man that Oprah goes to when she wants to learn about childhood trauma!! Dr. Bruce Perry is a psychiatrist & has a PHD in neuroscience. In this episode, Dr. Perry explains what happens inside the brain’s of children exposed to extreme stress & shares their lessons of courage, humanity & hope.  Guys this podcast is starting to open up a space where we can literally HEAR & FEEL the future of medicine coming!! This episode is a living example of that. If you enjoy this episode, please subscribe to our podcast & rate it 5 stars: MEDspiration Podcast on AppleYou can find Dr. Perry on Social Media:Instagram: @brduncperFacebook: https://www.facebook.com/The-ChildTrauma-Academy-10150097357115293/Visit Dr. Perry's website: https://www.neurosequential.com

Incoming NBNA President Martha Dawson, DNP, RN, FACHE, shares her priorities for the organization as she becomes its 13th President. As the NBNA approaches its 50th anniversary in 2021, Martha is planning to highlight its founders and past leaders, and to focus on emphasizing the importance of meeting patients where they are, before they get sick. Martha describes how the 122 chapters are at the heart of NBNA, and ways their community programs have been effective in mitigating health disparities. Local programs include working with politicians on environmental aspects such as lead levels, addressing violence, recognizing the importance of social determinants, and facilitating better access to care. The NBNA is one of very few professional development organizations that bring together RNs, LPNs, and students under the same umbrella, and then supports them along varied career paths, which include business and management positions as well as the clinical track. Martha believes that legislation is perhaps the most important conduit to change, and she talks about why she supports mentoring future leaders to ensure there are strong voices from the black nurse community able to influence future health policy. With Carla Harwell, MD.

Order Dr. Bessel van der Kolk's Best Selling Book here: The Body Keeps the Score: Brain, Mind and Body in the healing of TraumaThis Podcast is brought to you by: Picmonic - USE THIS LINK TO GET 20% OFF ANY PREMIUM MEMBERSHIP: https://www.picmonic.com/affiliate/medspirationLDW19 Picmonic has a visual learning platform that will help anyone in healthcare learn more in less time, so they can rock course exams, boards, and become more competent providers! Using their learning tools has been proven to increase long term memory retention up to 331%! Picmonic helped me with my USMLE Step 1 studies & can help also help student NPs, PAs, Pharm Ds, RNs, LPNs, paramedics & those in premed. We've partnered with them to bring you an INCREDIBLE OFFER:  You can check them out @: Picmonic.com & sign up for FREE & you’ll get instant access to a free video and quiz questions every day - no credit card required.  Use the promo code Medspiration for 20% off any Premium subscription!  According to the CDC's Adverse Childhood Experience Study (ACE study): there is a direct link between childhood trauma & adult onset of chronic disease as well as depression, suicide, being violent, & a victim of violence & drug abuse. https://www.cdc.gov/violenceprevention/childabuseandneglect/acestudy/about.html Adverse Childhood Experiences are defined as:Kids who grew up in environments that included psychological, physical, or sexual abuse &/or domestic violence, neglect, living with a substance abuser, someone who is mentally ill, suicidal, or ever sent to prison. Persons who have experienced four or more categories of childhood exposure, compared to those who had experienced none, had 4 to 12-fold increased health risks for alcoholism, drug abuse, depression, & suicide attempt; a 2- to 4-fold increase in smoking, poor self-rated health, 50+ sexual intercourse partners, and sexually transmitted disease; and a 1.4- to 1.6-fold increase in physical inactivity and severe obesity. Individuals with greater than 6 ACEs die on average 20 years earlier than those who don't! This body of research brought me to our guest today: Dr. Bessel Van Der Kolk. He is one of the world’s foremost experts on trauma & he’s spent over 3 decades working with survivors. Dr. Bessel is a member of the first neuro-imaging team to investigate how trauma changes brain processes, and he did the first research linking Bipolar Disorder and deliberate self-injury to trauma and neglect in early childhood. He did the first studies on the effects of SSRIs on PTSD; & also some of the first studies on the benefits of Yoga & EMDR. His NYT best selling book - The Body Keeps Score - Brain Mind & Body in the Healing of Trauma uses recent scientific advances to show how trauma literally reshapes both the body & brain & it completely Transformed my understanding of human physiology! If you enjoy this episode, please subscribe to our podcast & rate it 5 stars: MEDspiration Podcast on AppleYou can find Dr. Bessel on Social Media:Instagram: @bessel_van & @thebodykeepsthescoreFacebook: https://www.facebook.com/thebodykeepsthescore/Visit Dr. Bessel's Website for exclusive offers: https://besselvanderkolk.net/

Order Tim's Best Selling Book here: Relentless - From Good to Great to Unstoppable This Podcast is brought to you by: Picmonic - USE THIS LINK TO GET 20% OFF ANY PREMIUM MEMBERSHIP: https://www.picmonic.com/affiliate/medspirationLDW19 Picmonic has a visual learning platform that will help anyone in healthcare learn more in less time, so they can rock course exams, boards, and become more competent providers! Using their learning tools has been proven to increase long term memory retention up to 331%! Picmonic helped me with my USMLE Step 1 studies & can help also help student NPs, PAs, Pharm Ds, RNs, LPNs, paramedics & those in premed. We've partnered with them to bring you an INCREDIBLE OFFER:  You can check them out @: Picmonic.com & sign up for FREE & you’ll get instant access to a free video and quiz questions every day - no credit card required.  Use the promo code Medspiration for 20% off any Premium subscription!  According to the National Library of Medicine, it is now scientifically proven that exercising a growth mindset can build brain power for health; improve our ability to learn new tasks; & open the door to higher achievement (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5836039/)!  If you’ve been listening to our podcast for awhile now, you know I love harping on the science of ‘neuroplasticity’ & how it has shown time & time again: when we choose to believe that our basic abilities can be developed & improved upon through dedication & hard work—the brain physically changes in a way that allows us to strengthen the Mind-Body connection! This holds true for everyone out there: whether you’re trying to get better at studying, improve as an entrepreneur, become a great Leader OR just trying to be great at whatever you do. It turns out that many of the world's greatest athletes ARE leveraging the growth mindset to reach the top of their sport! Thats why in todays episode - we’re bringing you the man that teaches the world's greatest athletes - Michael Jordan, Kobe Bryant, Dwayne Wade, Charles Barkley, Hakeem Olajuwon, Scottie Pippen etc. - how to fuel their minds in ways that helps them take their games to the NEXT level! Tim Grover is widely recognized as an authority on the Science & Art of achieving Physical & Mental Domination! Today, Tim offers psychological insights into the nature of elite performance that will leave you more MEDSPIRED THAN EVER!!!! When asked about Tim's book, Kobe Bryant said: 'Tim Grover knows more than anyone about the mental side of sports. His book is the blue print for discovering what your capable of achieving, getting the results you never imagined, reaching the highest level of success - & then going even higher.' Tim & I discuss got to discuss the relentless system in detail & combined the world of sports & mental health in a way that’s never been done before!! We touched on the topics of dealing with adversity & failure; overcoming anxiety; how to use anger as a tool to excel; & HOW every single one of our listeners out there can USE Tim’s techniques to take their LIFE to the next level - regardless of your backgorund! If you enjoy this episode, please subscribe to our podcast & rate it 5 stars: MEDspiration Podcast on Apple You can find Tim Grover on Social Media: Instagram: @attackathletics Facebook: Tim S. Grover Twitter: @attackathletics Visit Tim's Website for exclusive offers: Timgrover.com    

Order Dr. Ornish's Best Selling Book here: https://undoitbook.com This Podcast is brought to you by: Picmonic - USE THIS LINK TO GET 20% OFF ANY PREMIUM MEMBERSHIP: https://www.picmonic.com/affiliate/medspirationLDW19 Picmonic has a visual learning platform that will help anyone in healthcare learn more in less time, so they can rock course exams, boards, and become more competent providers! Using their learning tools has been proven to increase long term memory retention up to 331%! Picmonic helped me with my USMLE Step 1 studies & can help also help student NPs, PAs, Pharm Ds, RNs, LPNs, paramedics & those in premed. We've partnered with them to bring you an INCREDIBLE OFFER:  You can check them out @: Picmonic.com & sign up for FREE & you’ll get instant access to a free video and quiz questions every day - no credit card required.  Use the promo code Medspiration for 20% off any Premium subscription!  According to the American Heart Association, individuals that choose to implement 5 healthy life style habits can add more than a decade to their life expectancy (https://www.ahajournals.org/doi/full/10.1161/CIRCULATIONAHA.117.032047)! A 2018 large-scale study of more than 100,000 patients by the Harvard School of Public Health found that those who chose to eat a healthy diet rich in vegetables; exercise at least 30 minutes a day; maintain a healthy body weight; limit their alcohol use; & chose not to smoke during adulthood, had an 82% lower risk of dying from cardiovascular disease, a 65% lower chance of dying from cancer, and a 74% lower risk of dying from all causes during follow-up (https://www.hsph.harvard.edu/news/press-releases/five-healthy-lifestyle-habits/).  Stats like these were the reason my investigations brought me to our guest - Dr. Dean Ornish - He just published a book which is called: UNDO IT - How Simple Lifestyle Changes Can Reverse Most Chronic Diseases - I read it in it’s entirely before this interview! Once I finished it, I realized Dr. Ornish literally has compiled 40 + years of his life work & research into this master piece of a book! Dr. Ornish is the president & founder of the Preventive Medicine Research Institute & current Clinical Professor of Medicine at the University of California, San Francisco. A ton of the ground breaking research we discuss in this episode was literally dreamed up by him & conducted by his teams. His medical background is from Baylor School of Medicine & Harvard Medical School.  If you enjoy this episode, please subscribe to our podcast & rate it 5 stars: https://podcasts.apple.com/us/podcast/medspiration/id1440527968 You can find Dr. Orish on Social Media: Instagram: @deanornishmd Facebook: Dean Ornish Dean Ornish's website: https://www.ornish.com

This Podcast is brought to you by: Picmonic - USE THIS LINK TO GET 20% OFF ANY PREMIUM MEMBERSHIP: https://www.picmonic.com/affiliate/medspirationLDW19 Picmonic has a visual learning platform that will help anyone in healthcare learn more in less time, so they can rock course exams, boards, and become more competent providers! Using their learning tools has been proven to increase long term memory retention up to 331%! Picmonic helped me with my USMLE Step 1 studies & can help also help student NPs, PAs, Pharm Ds, RNs, LPNs, paramedics & those in premed. We've partnered with them to bring you an INCREDIBLE OFFER:  You can check them out @: Picmonic.com & sign up for FREE & you’ll get instant access to a free video and quiz questions every day - no credit card required.  Use the promo code Medspiration for 20% off any Premium subscription!  According to the Proceedings of the National Academy for Sciences (PNAS) of the United States: It has long been presumed that it was NOT possible to voluntarily influence the Autonomic Nervous System & Innate Immune System. In 2014, a peer reviewed study that was published after Wim Hof demonstrated that through practicing the Wim Hof Method (https://www.youtube.com/watch?v=nzCaZQqAs9I&t=1s), a self developed technique that involves a combination of breathing, cold exposure & meditation, the sympathetic nervous system & immune system CAN indeed be voluntarily influenced. Here is the link to this study:(https://www.pnas.org/content/111/20/7379). In today's episode, we're sitting down with the Ice-Man himself! Wim owns 26 official Guinness World Records, all of which are beyond comprehension to most who hear them! In 2007 he climbed 22,000ft up Mount Everest in only shorts & shoes. In 2009 he ran a full marathon in the Arctic circle in temperatures close to -20°C, wearing only a pair of shorts and having not trained at all. In 2011, Wim broke his own cold-endurance record, remaining submerged neck-deep in an ice bath for 112 minutes. The same year he completed another marathon without training, this time in the Namibian desert in temperatures of up to 40°C, without drinking a drop of water!  I made sure to study EVERY peer-reviewed study ever published on Wim before this interview (links to these studies are below). Wim & I discussed how he is revolutionizing medicine & medical science through meditation; How it is possible to use the mind to control the immune system & nervous system; mental health; epi-genetics; & the Science of the Wim Hof Method. P RESEARCH: 2018 Article: “Brain over body”–A study on the willful regulation of autonomic function during cold exposure Authors: O. Muzik, K. Reilly, V. Diwadkar - Wayne State Univeristy School of Medicine Summary: In this paper, a brain imaging study was conducted to measure the relative contributions of the brain and the periphery that endow the Iceman to withstand the cold using his Wim Hof Method techniques. The results provide compelling evidence for the primacy of the brain (CNS) rather than the body (peripheral mechanisms) in mediating the Iceman's responses to cold exposure. They also suggest the compelling possibility that the WHM might allow practitioners to develop higher level of control over key components of the autonomous system, with implications for lifestyle interventions that might ameliorate multiple clinical syndromes. 2015 Article: The Role of Outcome Expectancies for a Training Program Consisting of Meditation, Breathing Exercises, and Cold Exposure on the Response to Endotoxin Administration: a Proof-of-Principle Study Authors: H. van Middendorp, M. Kox, P. Pickkers, A.W.M. Evers - Radboud University Medical Centre Summary: This paper adds to a previous study, published in 2014, on the ability to voluntarily influence the physiological stress response in healthy men to experimentally induced inflammation, after WHM training. It is a proof-of-principle study that investigated how one’s expectancies might play a role in treatment outcome. Indications were found that generalized outcome expectancy optimism is a potential determinant of the autonomic and immune response to induced inflammation after training. 2014 Article: Voluntary Activation of The Sympathetic Nervous System and Attenuation of the Innate Immune Response In HumansAuthors: M. Kox, P. Pickkers et al. - Radboud University Medical Center (published in PNAS) Summary: In this paper, the effects of the Wim Hof Method on the autonomic nervous system and innate immune response are evaluated. A group of twelve people was trained with the Wim Hof Method before undergoing an experiment to induce inflammation, normally resulting in flu-like symptoms. Compared to a control group who were not trained in the Wim Hof Method, the trained participants showed fewer flu-like symptoms, lower levels of proinflammatory mediators, and increased plasma epinephrine levels. In conclusion, the trained group was able to voluntarily activate their sympathetic nervous system.   Article: Controlled Hyperventilation After Training May Accelerate Altitude AcclimatizationAuthors: G. Buijze, M.T. Hopman Summary: This report deals with the effects of the Wim Hof Method on acute mountain sickness (AMS). During an expedition to Mt. Kilimanjaro, a group of 26 trekkers who were trained in the Wim Hof Method used the breathing techniques to largely prevent and, if needed, reverse symptoms of AMS.   Article: Frequent Extreme Cold Exposure and Brown Fat and Cold-Induced Thermogenesis: A Study in a Monozygotic TwinAuthors: J. Vosselman, W.D. van Marken-Lichtenbeld - Maastricht University Medical Center Summary: This study tested the effects of a lifestyle with frequent exposure to extreme cold on brown adipose tissue (BAT) and cold-induced thermogenesis (CIT). The experiment compared Wim Hof, who is used to extreme cold exposure, to his monozygotic twin brother who isn’t. Both used a g-Tummo like breathing technique. The results showed no significant difference in BAT or CIT between the two subjects. However, Wim’s core temperature dropped less compared to his brother and his subjective response to the cold temperature was more positive. Furthermore, the body heat generated of both brothers was considerably higher than the average person. Thus, it seems that g-Tummo like breathing during cold exposure might cause additional heat production. 2012  Article: The Influence of Concentration/meditation on Autonomic Nervous System Activity and the Innate Immune Response: A Case Study Authors: M. Kox, M. Hopman, P. Pickkers. et al. - Radboud University Medical Center Summary: This case-study research was conducted after Wim Hof claimed he could influence his autonomic nervous system and thereby his innate immune response. His inflammatory response was measured during an 80-minute full body ice immersion and practicing the Wim Hof Method concentration technique. In addition, an endotoxemia experiment was conducted to study Wim’s in vivo innate immune response. The results showed how the techniques of the Wim Hof Method seemed to evoke a controlled stress response. This response is characterized by sympathetic nervous system activation, which seems to attenuate the innate immune system. Here, Wim Hof proved he was able to influence his a 2009 Letter: Blood tests during meditation and breathing exercises in New York led by Dr. K. Kamler & G. Stewart Summary: During Wim’s world record attempt of full ice immersion wearing only shorts, he swallowed a vital sense monitor capsule to measure his core temperature. His core temperature started at 98.6 °F and dropped to 88 °F after 75 minutes of cold immersion. Remarkably, his temperature rose again to 94 °F within the next 20 minutes. Standard medical dogma states that once your core temperature falls below 90 °F, your body is not able to warm itself again. Thus, if no external source of heat is provided, your temperature will continue to spiral downward and you will eventually die of hypothermia. However, Wim proved he was able to raise his core temperature from 88 °F to 94 °F by using the Wim Hof Method techniques (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4034215/)   2019 - Research currently being conducted: Motivation and Experiences of WHM PractionersRMIT University in Australia has conducted a survey study, exploring the motivation and experiences of Wim Hof Method practitioners worldwide. This will offer insight into 1) the positive impact of practicing the WHM on health & wellbeing and 2) any potential adverse effects, which in turn improves safety protocols. The data is currently being analyzed. Inflammation & PainIn the Netherlands, Radboud University Medical Center in Nijmegen is completing a new study about the effects of the various components of the WHM on inflammation and pain. Metabolic ActivityKenkodo Metabolomic Discoveries in Germany is working closely with Radboud UMC. They are analyzing blood samples that have been taken by Radboud UMC in previous studies. Using this data, they seek to deepen the understanding of the metabolic activity in blood cells when practicing the WHM. Its various parameters can provide new insight into shifts in metabolic rate. Auto-immune DiseaseThe Amsterdam Medical Centre (AMC) in the Netherlands is conducting a study into the effects of the WHM on inflammation and quality of life of people with Spondylitis. Brain ActivityWayne State University in Michigan, USA, is measuring the effect of the WHM on brain activity. This research consists of 2 parts: 1. Effects of isolated cold exposure 2. Effects of cold exposure combined with WHM breathing exercises and mind-set Hof wore a water perfusion suit, which continuously pumps ice cold water in and out of tubes in the suit, while lying in fMRI and PET machines. They also monitored his heart and metabolic rates. “I was heating the water at first,” he said.  Please subscribe to our podcast & rate it 5 stars!  You can find Wim Hof on Social Media: Instagram: @iceman_hof YouTube: Wim Hof Facebook: Wim Hof Wim's website: https://www.wimhofmethod.com

As everyone in primary care tries to shift to team based models of care, task shift, and deliver value rather than volume, we are all looking at staffing and workforce issues. What is the best way to staff a clinic? Should we hire more MAs or LPNs or nurses or NPs? How should we think about these decisions? Our guest today to talk about workforce is Bianca Frogner, PhD. Dr. Frogner is an Associate Professor and health economist in the Department of Family Medicine in University of Washington’s School of Medicine. Dr. Frogner is also the Director of the Center for Health Workforce Studies. She publishes extensively about workforce issues, particularly in the community health center setting. You can find many of her publications here. If you enjoy the show, please rate and review us wherever you find us, it helps others find the show, and share us on social media and with our friends and colleagues. We’d love to hear feedback and suggestions, so you can tweet at us @RoSpodcast or @HMSPrimaryCare or drop us a line at contactATrospod.org.

Alvin Kahn -Principal, Executive Director of Recruitment at Alvin Kahn and Associates 30 years ago, Alvin started recruiting for hospitals across the country. Eventually Alvin was promoted to working in the corporate office doing trainings and continued to recruit. In 1995, Alvin started out on his own, with Alvin Kahn and Associates, a recruitment company specifically focused on the nursing home industry. What pulled to the nursing home world from the acute care/hospital industry? There was a group from Milwaukee Wisconsin, that started working with the rehab in the nursing home industry and they needed someone to manage their Eastern operation. Alvin was hired by this company to help out with in several states. When that company eventually sold, Alvin was able to use the relationships he had built to go out on his own and as they say, the rest is history. Do you help fill line staff for nursing homes for RNs, LPNs and CNAs? AK focuses primarily on management level and above and the facilities work internally to fill the other positions. What is your magic trick to find the candidates that are the right fit for the specific positions requested? What can you do that the facility cannot do? Facilities reach out to us because the candidates and the facilities are concerned that the job search should be kept confidential. That's a reputation that was earned and created over time. -- The employer does not want the current employee to know that they are looking and the candidate does not want their current boss to know that they are looking, lest they lose their jobs before they are ready to move on. We only send over candidates that are qualified and have a really great potential of being an actual fit for the position. If you work with an online resource such as Indeed.com or Craigslist.com, even if you put the ads up correctly and sponsor them, you will still receive many, many candidates that are completely not qualified. A good recruitment firm will only send over pre-screened candidates which they genuinely believe have an excellent chance of success. That is what is done at Alvin Kahn and associates. The firm actually works hard to establish a relationship with the candidates to really see the full picture and understand their background. Equipped with this information, there are much better chances that the candidate will be the right candidate for the position. Do you find a practice that the nursing home operators or candidates are doing that are surprising to you? At times, a candidate will share more information than we find necessary. When asked why they are looking to make a change, they may share more information and details than we feel we need to know. We understand that there are always at least 2 sides to every story. At times there are candidates that have had a troubled past. The facilities will generally pass right over these candidates because they don't have the time or resources to fully vet out the candidates. As a recruitment firm, we encourage candidates to be upfront with their past and that they share any skeletons that they may have in the closet. This is in their past interest, because they will come out later and at that point, it can derail the entire process. Retainer vs. Contingency Retainer search firms are paid an amount in advance to be available to fill positions as the needs arise. Contingency search firms, like Alvin Kahn and Associates, are paid only if and when they successfully place the candidates in their positions. Over The Phone Almost all of the work that is done in finding and screening candidates is done over the phone. It's still really effective to speak over the phone (INSERT LINK TO PHONE LIVE), and it's working. When a candidate comes into the office, there is lots of wasted time on the part of the candidate and the firm that could be better used to find the right candidates. The firm is now looking to do video conferencing to add the face to face connection to the process without compromising on the efficiency and use of everyone's time. Is there any particular piece of advice that you wish someone would have told you earlier on in your career? There are 2 points here. You must have mentors and you need to learn from everyone to some extent. However, don't listen to everyone else's advice. What works for them, works for them. You must infuse your professional activities with your own unique talents and personality. Additionally, it's critical to focus on the recruitment results when speaking with candidates. You are not their social worker and all conversation and engagement should focused on that end goal. What's your favorite part of your business that lights you up inside? The greatest excitement is when we find are able to successfully place a candidate with a company. We actually make a toast together to celebrate the event. And no, it's not just because that's when we make our money. We get that special sense of accomplishment and joy when the candidate was not able to find employment without our help. Or when the employer was not able to fill the position on their own. Parting Advice The process must be taken seriously. Candidates should know the facilities well before approaching the recruiters and the facilities should also be equally invested in the process. Links and Resources Phone 732-901-6070 Website AlvinKahn.com Social - Linkedin The Career Podcast - The Love Your 9 to 5 Show Podcast

The Pete Talks Jobs Show! May 2, 2019 An All-Jobs Episode! VirtualVocations featured with Jobs All Across The USA. Class A & B Drivers needed in 26 States. Local to McHenry, IL - McHenry County - & Chicagoland... Book Processors, Order Fillers, Stockers... Merchandise Handlers - All Shifts... Chemical Operators, Machine Operators, Printed Circuit Board Solderers, CNC Lathe Set-Up & Operators, Field Service Techs, Electrical Assemblers, Residential Cleaning, and more... Medical Professionals & Support - RNs, LPNs, CNAs, MAs, Home Aides, DSPS, Assisted Living, Memory Care, Long-Term-Care, Medical Groups, and more... Henderson, Nevada - General Manager for C-Pap supplier. Milwaukee, WI - Potawatomi Hotel & Casino hiring! Tri-State Employer, JewelOsco hiring in Illinois, Indiana, & Iowa. Nation-Wide Retailers Hiring including Big R & Home Depot. Employers, to sponsor your job listings, send a note to: PeteTalksJobs@gmail.com Advertise on & Sponsor 24-7WPL! Send a note to: 247WPL@gmail.com

This Podcast is brought to you by: Picmonic - USE THIS LINK TO GET 20% OFF ANY PREMIUM MEMBERSHIP: https://www.picmonic.com/affiliate/medspirationLDW19 Picmonic has a visual learning platform that will help anyone in healthcare learn more in less time, so they can rock course exams, boards, and become more competent providers! Using their learning tools has been proven to increase long term memory retention up to 331%! Picmonic helped me with my USMLE Step 1 studies & can help also help student NPs, PAs, Pharm Ds, RNs, LPNs, paramedics & those in premed. We've partnered with them to bring you an INCREDIBLE OFFER:  You can check them out @: Picmonic.com & sign up for FREE & you’ll get instant access to a free video and quiz questions every day - no credit card required.  Use the promo code Medspiration for 20% off any Premium subscription!  According to Data from the 2011 Drug Abuse Warning Network - cocaine was involved in over 500,000 of the nearly 1.3 million drug related ER visits. That's about 1 in every 3 visits that are related to drugs. Transport to the ER annually for medical emergencies caused by alcohol has increased from about 3 million to 5 million over the past 9 years! Of these admissions - the CDCs estimated that over 72,000 individuals died of drug over doses in 2017, that was an ALL TIME high in U.S history. Bringing our awareness to these numbers cannot come at a more important time. In today's episode, we're sitting down with interventional cardiologist, Dr. Ali Haider. We go into detail about Dr. Ali's journey towards becoming a heart doctor & how he has gone on to become a bonafide bad-ass/ educator on social media (@yourheartdoc). We had the pleasure of touching on nearly EVERY topic you can imagine that relates to health of the human heart! These included Cocaine Use, Cardiology, Alcohol Abuse, The Best Diets, Heart Disease, Emotional Intelligence & Mental Health. Dr. Ali is board certified in Internal Medicine, Cardiovascular Diseases, Echocardiography, Nuclear Cardiology, Interventional Cardiology, & vascular ultrasound.  Please subscribe to our podcast & rate it 5 stars!  You can find Dr. Ali on Social Media: Instagram: @yourheartdoc YouTube: coming soon!! Twitter: @yourheartdoc1  

This Month in AJN – December 2018 monthly highlightsDecember 2018Editor-in-chief Shawn Kennedy and clinical editor Betsy Todd present the highlights of the December issue of AJN. The authors of our first CE, “Original Research: Advance Care Planning: An Exploration of the Beliefs, Self-Efficacy, Education, and Practices of RNs and LPNs,” surveyed RNs and LPNs working in skilled nursing facilities to learn about the similarities and differences in their advance care planning–related beliefs, sense of self-efficacy, education, and practices. Our second CE, “Managing Movement Disorders: A Clinical Review,” discusses the pathophysiology and assessment of three different, common neuromuscular disorders—muscle tightness, spasticity, and clonus—as well as the treatment options for each. In our next article, “Creating a Culture of Mobility: Using Real-Time Assessment to Drive Outcomes,” the authors describe how they implemented an intervention based on the use of three new assessment tools to promote awareness of the importance of early mobility among nurses and physical and occupational therapists on an inpatient orthopedic unit. “Transition to Practice: Delegating as a New Nurse” provides strategies new nurses can use and specific steps they can take to help them succeed in delegating tasks to LPNs/LVNs and unlicensed assistive personnel. In addition, there's News, Reflections, Drug Watch, Art of Nursing, and more

This Month in AJN – December 2018 monthly highlightsDecember 2018Editor-in-chief Shawn Kennedy and clinical editor Betsy Todd present the highlights of the December issue of AJN. The authors of our first CE, “Original Research: Advance Care Planning: An Exploration of the Beliefs, Self-Efficacy, Education, and Practices of RNs and LPNs,” surveyed RNs and LPNs working in skilled nursing facilities to learn about the similarities and differences in their advance care planning–related beliefs, sense of self-efficacy, education, and practices. Our second CE, “Managing Movement Disorders: A Clinical Review,” discusses the pathophysiology and assessment of three different, common neuromuscular disorders—muscle tightness, spasticity, and clonus—as well as the treatment options for each. In our next article, “Creating a Culture of Mobility: Using Real-Time Assessment to Drive Outcomes,” the authors describe how they implemented an intervention based on the use of three new assessment tools to promote awareness of the importance of early mobility among nurses and physical and occupational therapists on an inpatient orthopedic unit. “Transition to Practice: Delegating as a New Nurse” provides strategies new nurses can use and specific steps they can take to help them succeed in delegating tasks to LPNs/LVNs and unlicensed assistive personnel. In addition, there’s News, Reflections, Drug Watch, Art of Nursing, and more

AJN editor-in-chief Shawn Kennedy speaks with authors Ruth Ludwick and Kristin R. Baughman about their study, which surveyed RNs and LPNs working in skilled nursing facilities to learn about the similarities and differences in their advance care planning–related beliefs, sense of self-efficacy, education, and practices.

Episode 11: "There are no boundaries to the human condition." A personal history in nursing - Linda Sorensen, RN Patient names have been "bleeped" in order to protect patient privacy in accordance with HIPPA.  Show Notes (helpful to non-clinical listeners!) LVN – Licensed Vocational Nurse, a different type of nursing license still offered by many states, also called LPN in some parts of the country. This type of license is not as liberal as RN licenses, i.e. LVNs cannot perform some skills like blood product administration (varies by state) “step up program” – once RN licensure became the norm many educational programs were created to allow LVNs and LPNs bridge to RN licensure CNA – Certified Nursing Assistant, or a “nurse’s aide” – many nurses have practiced as CNAs and aides prior to becoming fully licensed nurses “Float” nurse – nurses that work typically in different hospital units rather than just the same one all the time “CCRN” – Critical Care Certified Registered Nurse – a national certification offered by the AACN to recognize expertise in critical care. Not many nurses around have had this distinction for as long as Linda has. Hospital administrations are just now starting to offer bonuses and pay differential to nurses with this certification. “Swan” – a piece of medical equipment inserted through a large vein and threaded into the heart’s pulmonary artery. Also called a pulmonary artery catheter, it allows clinicians to measure advanced hemodynamics and diagnose heart failure. First used in 1970 and we still use Swan-Ganz catheters today. “ICP drain” – intracranial pressure drain; much like the Swan-Ganz, it is a diagnostic as well as a therapeutic tool inserted into the skull to relieve cerebral swelling and measure pressures “precepted” – “Precepting” is a term used by nurses to identify the training of new nurses and newly hired nurses mariemacmillan.com macmillanpages@gmail.com Podcast feedback line: 503-512-0185

More than a third of healthcare organizations have launched nurse advice lines to reduce avoidable emergency room use and direct patients to the most appropriate care venue, according to a July 2010 survey by the Healthcare Intelligence Network. The staffing and operation of Optima Health's nurse advice line is influenced by many factors, explains Patricia Curtis, director of operations, clinical care services for Optima Health. Curtis describes the distinct responsibilities of the LPNs and RNs who staff the advice line as well as the diverse needs of the member populations who call the advice line. Curtis will share how Optima's nurse advice line has evolved from a call center that supported a staff model HMO to a critical component of the organization's effort to improve the efficiency of healthcare utilization during "Maximizing the Nurse Advice Line To Ensure Appropriate Healthcare Utilization," a 45-minute webinar on January 6, 2011.