Podcasts about RN

In this episode, Kathleen Sanford, DBA, RN, FAAN, Senior EVP, Chief Nursing Officer, CommonSpirit Health, discusses improving nurse retention through virtual integrated care, nurse residency programs, career support and shared governance.

202 Prescription-Grade THC-Free CBD for Pain, Anxiety, and Sleep: Pulak Sharma on Cope Now Host Marie Betcher, RN and former hospice nurse, interviews Pulak Sharma, founder of Kazmira and creator of Cope Now, a vertically integrated telemedicine, compounding pharmacy, and manufacturing platform providing prescription, pharmaceutical-grade THC-free CBD. Sharma explains their CGMP-validated hemp extraction and purification process, compounding into an oral tincture in three strengths, delivery to patients, and development of a shelf-stable nano-emulsion. He says patients most commonly seek help for anxiety and pain, and notes many consumer CBD products are underdosed, citing therapeutic ranges of roughly 200–400 mg/day and typical prescribing around 300 mg/day, with protocols for titration and liver enzyme concerns. They discuss CBD's non-scheduled status, lower side-effect profile compared with opioids/benzodiazepines, clinician and pharmacist oversight for dosing and interactions, and batch testing showing non-detect THC to avoid psychoactive effects and THC-positive urine tests. 00:00 Welcome and Disclaimer 00:29 Meet the Guest and Episode Focus 02:07 How Cope Now Works 03:06 Product Formats and Strengths 03:53 Top Uses and Proper Dosing 05:25 Hospice Needs and Opioid Alternatives 08:52 Titration and Daily Timing 12:04 Telemedicine Intake and Prescribing 13:32 Founder Story and Older Patients 16:14 Closing the Guidance Gap 17:59 Addiction and THC Free Assurance 20:47 Standardizing CBD as Medicine 23:42 Final Thanks and Subscribe https://copenow.com/ If you want to help, you can donate to help support Hospice Explained at the Buy me a Coffee link   https://www.buymeacoffee.com/Hospice  Hospice Explained Affiliates & Contact Information Buying from these Affilite links will help support this Podcast.  Maire introduces a partnership with Suzanne Mayer RN inventor of the  cloud9caresystem.com,  When patients remain in the same position for extended periods, they are at high risk of developing pressure injuries, commonly known as bedsores. One of the biggest challenges caregivers face is the tendency for pillows and repositioning inserts to easily dislodge during care.(Suzanne is a former guest on Episode #119) When you order with Cloud 9 care system, please tell them you heard about them from Hospice Explained.(Thank You) Marie's Contact Marie@HospiceExplained.com www.HospiceExplained.com   Finding a Hospice Agency 1. You can use Medicare.gov to help find a hospice agency, 2. choose Find provider 3. Choose Hospice 4. then add your zip code This should be a list of Hospice Agencies local to you or your loved one.  

Mastering this clinical judgment skill is essential before test day. Continue your NCLEX preparation at https://www.ReMarNurse.com 2026 NCLEX Conference Updates: NCSBN just reviewed 1.3 million NCLEX exams, and one skill stood out above all six in the CJMM—prioritizing hypotheses. Professor Regina Callion, MSN, RN, explains why identifying the most urgent patient problem matters before choosing solutions, actions, or outcomes. Work through NCLEX questions on postoperative complications, hypoglycemia, delirium, head injury, heart failure, and cardiac arrest.  

Vous aimez notre peau de caste ? Soutenez-nous ! https://www.lenouvelespritpublic.fr/abonnementUne émission de Philippe Meyer, enregistrée au studio l'Arrière-boutique le 19 septembre 2026.Avec cette semaine :Matthias Fekl, avocat et ancien ministre de l'Intérieur.Béatrice Giblin, directrice de la revue Hérodote et fondatrice de l'Institut Français de Géopolitique.Nicole Gnesotto, vice-présidente de l'Institut Jacques Delors.Lucile Schmid, présidente de La Fabrique écologique et membre du comité de rédaction de la revue Esprit.LE CANADA DE MARK CARNEY, DERNIÈRE CHANCE DE L'EUROPE ? En pleine guerre commerciale avec les États-Unis de Donald Trump, le Canada cherche de nouveaux partenaires, tandis que l'Europe, dont les relations avec Washington sont tout aussi houleuses, cherche des appuis à sa stratégie de rééquilibrage entre les deux super-puissances, Chine et États-Unis. Mark Carney dans son discours de Davos du 20 janvier 2026, avait acté le basculement dans un âge des empires fondé sur la coercition. Il y avait exposé le dilemme des puissances moyennes : choisir entre l'autonomie ou la soumission, et proposé une stratégie fondée sur la limitation des dépendances vis-à-vis des empires, la diversification des partenariats et le renforcement de la coopération entre les puissances moyennes.Mercredi, dans son discours annuel sur l'état de l'Union devant le parlement européen à Strasbourg en présence du Premier ministre canadien Mark Carney, la présidente de la Commission européenne, Ursula von der Leyen a proposé que le Canada devienne le « premier membre associé » de l'Union européenne. « Nous voyons le monde avec les mêmes yeux : de l'IA au changement climatique, de l'Arctique à la géopolitique », a souligné Mme von der Leyen, appelant Ottawa et Bruxelles à « bâtir » un « avenir commun ». A l'annonce de cette proposition, les eurodéputés se sont levés pour applaudir longuement M. Carney.Jeudi, Mark Carney, a accueilli favorablement, « cette ambition ». S'exprimant à, son tour devant les députés européens, à Strasbourg, il a assuré que « les sondages montrent qu'une écrasante majorité de Canadiens sont favorables à des liens beaucoup plus étroits avec l'Europe ». Pour le Premier ministre canadien le Canada et l'Europe sont « plus forts ensemble » et ils sont liés par des « valeurs communes », non par des « deals », une allusion claire au président américain, Donald Trump. « Le Canada et l'Europe devraient garantir leur autonomie stratégique grâce à une coopération approfondie couvrant l'ensemble des capacités stratégiques », a développé M. Carney, arguant que les deux blocs devraient « œuvrer en faveur d'échanges numériques fluides, ainsi que d'une libre circulation des produits non agricoles et d'une vaste gamme de services. Nous devrions renforcer les liens entre nos populations, en permettant à nos jeunes de travailler, d'étudier et de vivre où ils le souhaitent, de part et d'autre de l'Atlantique », a-t-il déclaré. Pour autant, le Premier ministre canadien a assuré ne pas chercher la construction d'un « troisième bloc pour devenir une grande puissance rivale qui aurait de meilleures manières ». « Nous ne recherchons pas le pouvoir pour dominer autrui. Nos démocraties sont fondées sur l'État de droit », a-t-il souligné, avant de qualifier cette alliance future de « phare pour les démocraties ».COMBIEN D'EXTRÊMES DROITES ?Pour son premier grand discours depuis que la justice lui a rouvert la voie vers l'Élysée, Marine Le Pen a déroulé un programme refermant, point par point, la parenthèse libérale que Jordan Bardella et certains de ses conseillers avaient tenté d'ouvrir, gravant dans le marbre son slogan « ni droite ni gauche ». Pour 2027 elle veut mener « plus que jamais » la « bataille sociale ». Une formule qui sonne comme un désaveu pour ceux qui, en interne, espéraient muscler le versant pro-entreprise du parti. Affichant sa volonté de mettre l'accent sur la « priorité nationale » – « un droit naturel et juste », Marine Le Pen a promis d'appliquer ce principe controversé au logement social, l'un des « grands chantiers » de son potentiel quinquennat. En martelant cette thématique, elle s'est épargnée toute explication sur les polémiques qui ont émaillé la rentrée du RN. C'est à peine si elle a, sur le réseau X, promis de soumettre l'interdiction du voile à un réferendum. Elle n'est pas plus revenue sur la retraite à 62 voire à 60 ans, que sur les saillies racistes et sexistes d'un policier municipal membre du service d'ordre du parti, ou sur la fin de l'aide à l'Ukraine annoncée par le maire de Perpignan, Louis Aliot. Des propos qui viennent rappeler les positions prorusses longtemps tenues par le RN, que n'endosse pas totalement Jordan Bardella. La stratégie du « tandem complémentaire » tenue l'année passée, avec une ligne plus libérale incarnée par Jordan Bardella, et une ligne plus sociale et populiste jouée par Marine Le Pen, prend désormais des allures de duel au sommet.Le 13 septembre, un autre duo à l'extrême droite mettait en scène ses ambitions, et ses possibles rivalités : Sarah Knafo puis Éric Zemmour ont conclu, chacun à leur tour, les universités d'été de Reconquête. Si le chef de la formation, n'a pas encore confirmé sa probable candidature, il a entamé sa rentrée en ciblant son créneau favori, l'islam, se déclarant contre le port du voile dans l'espace public, pour la « remigration » et critiquant sa meilleure ennemie, Marine Le Pen. Tandis qu'Éric Zemmour mise sur l'identitaire, sa compagne, Sarah Knafo combat sur le champ libéral. L'énarque creuse un sillon dans le secteur économique, portant un discours antifiscal, anti-État et techno-capitaliste, inspiré par Elon Musk et les politiques menées en Argentine et au Salvador.Chaque semaine, Philippe Meyer anime une conversation d'analyse politique, argumentée et courtoise, sur des thèmes nationaux et internationaux liés à l'actualité. Pour en savoir plus : www.lenouvelespritpublic.frHébergé par Audiomeans. Visitez audiomeans.fr/politique-de-confidentialite pour plus d'informations.

The Nurses Report on America Out Loud with Ashley Caputo, RN, FMP – I explore how mold exposure affects cellular health, detoxification, and respiratory function. I explain why individual health factors matter, outlines her approach to recovery, and highlights distinctions between mycotoxin toxicity, allergies, colonization, and fungal infections while discussing testing options and personalized support for healing...

"Unlike our cancer indications where we use these medications often to activate the immune system to target cancerous cells, in noncancer indications, the goal is really to either suppress an overactive immune or inflammatory cells or modulate the immune system. Immune modulation by use of chemotherapy and immunotherapy can help reduce abnormal inflammation, decrease autoantibody production, and also can alter T-cell and B-cell activity," ONS member Kelsey Miller, MSN, RN, AGCNS-BC, OCN®, clinical nurse specialist in oncology and infusion therapy at Reading Hospital in West Reading, PA, told Lenise Taylor, MN, RN, AOCNS®, TCTCN™, oncology clinical specialist at ONS, during a conversation about chemotherapy and immunotherapy for noncancer indications. Music Credit: "Fireflies and Stardust" by Kevin MacLeod Licensed under Creative Commons by Attribution 3.0  Earn 0.5 contact hours of nursing continuing professional development (NCPD) by listening to the full recording and completing an evaluation at courses.ons.org by September 18, 2027. The planners and faculty for this episode have no relevant financial relationships with ineligible companies to disclose. ONS is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center's Commission on Accreditation. Learning outcome: Learners will report an increase in knowledge related to the use of anticancer therapies for noncancer indications. Episode Notes  Complete this evaluation for free NCPD.  ONS Podcast™ episodes: Pharmacology 101 series Episode 152: Administer Rituximab Immunotherapy With Confidence ONS Voice articles: JAK1 Inhibitor Quickly Relieves ICI-Related Dermatitis Oncology Drug Reference Sheet: Cyclophosphamide Oncology Drug Reference Sheet: Methotrexate What Oncology Nurses Need to Know About Arboviral Disease in Patients Receiving B-Cell–Depleting or –Modulating Therapies ONS books: Access Device Guidelines: Recommendations for Nursing Practice and Education (fourth edition) Chemotherapy and Immunotherapy Guidelines and Recommendations for Practice (second edition) Clinical Guide to Antineoplastic Therapy: A Chemotherapy Handbook (fourth edition) Clinical Journal of Oncology Nursing article: Early Recognition and Response of Chemotherapy-Induced Hypersensitivity Reactions: A Nursing Discussion ONS courses: ONS Fundamentals of Chemotherapy and Immunotherapy Administration™ Safe Handling Basics Vascular Access Devices ONS Huddle Cards: Anaphylaxis Monoclonal Antibodies ONS position statement: Education of the Nurse Who Administers and Cares for the Individual Receiving Antineoplastic Therapies American Academy of Neurology: Practice Guideline Recommendations: Disease-Modifying Therapies for Adults With Multiple Sclerosis American College of Rheumatology: Treatments National Multiple Sclerosis Society: Infused therapies Injectable therapies Medications Used Off-Label NCODA Patient Education Sheets To discuss the information in this episode with other oncology nurses, visit the ONS Communities. To find resources for creating an ONS Podcast club in your chapter or nursing community, visit the ONS Podcast Library. To provide feedback or otherwise reach ONS about the podcast, email pubONSVoice@ons.org. Highlights From This Episode "The most common immunotherapy agent that's well known to both oncology and other autoimmune disorders is rituximab. And that is used for rheumatoid arthritis, granulomatous, and antineutrophil cytoplasmic antibodies (ANCA)-associated vasculitis. And then it also has many off-label indications for other autoimmune disorders, such as lupus and multiple sclerosis. It's also used in immune thrombocytopenia and Sjogren's condition." TS 3:28 "Two common chemotherapy agents that come to mind that are used in lower doses for noncancer conditions are methotrexate, which helps modify the underlying disease process to reduce inflammation and preserve organ and joint function. And that's most commonly used rheumatology-wise first-line for rheumatoid arthritis and psoriatic arthritis. A second chemotherapy agent that's well known to oncology is cyclophosphamide, and that really serves as a powerful immunosuppressant for conditions such as ANCA-associated vasculitis and severe lupus nephritis." TS 3:57 "When talking about the monoclonal antibody frequency, it's often shorter in our oncology indications. We may see it weekly, every 21 days, every 28 days—compared to our autoimmune disorders that are months in between. This is really due to cancer cells continuously proliferating, so we need to stop the growth and not allow residual cancer cells to remain. And for the monoclonal antibodies, for example, rituximab again, it's depleting B cells that contribute to autoantibody production and inflammation. So targeting that after one to two infusions, the peripheral B cells are often depleted within days to weeks because of how well the drug works, how targeted it is. Those effects may persist for 6–12 months or even longer." TS 8:39 "Infection prevention education—it's so important to get to know the patient to individualize your teaching. For example, you need to know what matters most of the patients when they go home. Are they taking care of their grandchildren? Do they love to go outside and garden and do mulching? Are they cleaning up their chicken coop? So those kind of things, as a nurse, you can then help tailor your education so you can help prevent infection in these patients because I don't think just standard run-of-the-mill infection prevention teaching is as beneficial as when you can individualize it for that patient." TS 17:33 "If organizations are going to allow non-oncology nurses to administer, we just want to make sure that there is an established process or a protocol to administer rescue medications. That may include what you're already doing if you have a change in patient condition—calling for activating that emergency response system if you're in an inpatient setting. When we look at our ambulatory infusion centers that may have non-oncology nurses administering, you still have to have that training and competency verification and also emergency medical equipment readily available. That would include oxygen and your rescue medications. For the non-oncology nurse, some key points are to make sure that you check on your patient throughout these infusions and have that conversation up front to report any symptoms, both big and small." TS 23:06 "For safe handling, there are many misconceptions that it differs between cancer and non-cancer. When I first started at our organization, even some providers may minimize the risk for low-dose oral chemotherapy. However, it's still metabolized and excreted through our bodily fluids. And we know that traditional chemotherapy, like methotrexate and cyclophosphamide, is cytotoxic. So if a patient's prescribed them for noncancer indications, you still need to cover the basics, like shared bathrooms, what to do if there's contaminated linen, and also bring up the topic of contraception to ensure that our patients and their partners remain safe and do not get exposed." TS 27:13

Send us Fan MailYour day starts calm, then you check your phone and suddenly you feel anxious, foggy, or weirdly heavy even though nothing “bad” happened. That moment is the clue. We talk about how modern digital life floods us with opinions, predictions, hot takes, and spiritual content, and how that constant stream can turn into spiritual static, especially if you're empathic, intuitive, or energetically open. We walk through a simple shift that changes everything: treating discernment as spiritual hygiene. Not every message deserves access to your energy. We share practical questions you can ask before you consume content like “Does this ground me or spike my anxiety?” “Does this feel like truth or pressure?” and the one that cuts through the fog fast: “Is this mine or is this noise?” Because sometimes the feelings you have after scrolling are not your intuition at all, they're collective anxiety, someone else's fear, or plain overstimulation. Then we get concrete with easy energy clearing and grounding practices you can use immediately: three slow deep breaths before reaching for your phone, stepping away from content that makes you distrust yourself, and using digital boundaries like mute, unfollow, unsubscribe, or block without guilt. We also share a short heart centered reset you can say out loud to release what isn't yours, return your energy, and call your power back to you. If you want more calm, better self trust, and less “internet residue” in your body, hit play. Subscribe for more quick tips, share this with a friend who feels drained online, and leave a review with the boundary you're practicing this week.Support the showSpiritual Spotlight Series is hosted by Rachel Garrett, RN, CCH — Akashic Records Practitioner, Master Energy Healer, and Certified Crystal Healer.Conversations about the things we almost don't say out loud. For the ones who feel everything — but question it.Each episode features real stories of spiritual awakening, healing, and transformation from guests across all walks of life, alongside solo teachings on Akashic Records, crystal healing, nervous system support, and intuitive development.Healing doesn't have to be heavy.New: Join the monthly live Akashic reading → YouTube membership at $4.99/month → youtube.com/@rachelgarrett/membership✨ Explore More Spiritual Wisdom & Stay Connected

Featuring Ivy Singley, Director of Employment Services and Workforce Development, Infirmary HealthReplacing one bedside nurse ran just over $61,000 last year. Every single percentage point of RN turnover swings the average hospital's bottom line by roughly $290,000 a year. Treating that as a pipeline problem misses what happens inside the walls every day, and Ivy Singley has spent almost 30 years in those walls.

Unfortunate. Holy Ghost on girls. RN exorcist? Is word "negro" wrong? Scared of cancer! NBA guy on Jesus w/ N3on: same God? Pro-Palestine Macklemore. Trade jobs w/ AI!

The Nurses Report on America Out Loud with Kimberly Overton, BSN, RN, BC-FMP – What if one of the most overlooked tools for supporting our health is something as simple as taking better care of the place where much of the outside world first enters our bodies—the nose? A conversation about nasal health, prevention, and taking a more proactive approach to...

Where healthy living meets unforgettable travelCan you explore the world, enjoy incredible food and still stick to the healthy lifestyle you've worked so hard to build?In this episode of NHA Today, Dr. Stephan Esser sits down with Wanda Huberman, Executive Director of the National Health Association, and Lisa McCarl, RN, MS, CTA, of McCarl Travel, LLC, to explore how NHA is bringing plant-based living and unforgettable travel together.Lisa and Wanda take listeners behind the scenes of NHA's plant-based cruises, including the work that goes into coordinating with cruise line culinary teams, arranging private dining and making sure ships are prepared for the way NHA travelers eat. On some voyages, NHA chefs even work alongside the ship's culinary team to help bring the NHA approach into the kitchen.But the food is only part of the experience. These trips give travelers the opportunity to explore destinations around the world while connecting with people who share their commitment to healthy living. Wanda and Lisa share how friendships formed during NHA trips often continue long after everyone returns home.The conversation offers a look at cruises throughout the Caribbean, Europe, Asia, Alaska, Australia, New Zealand and beyond. Lisa also explains why many trips are planned years in advance, how the wait lists work and why joining one can still be worthwhile when a trip appears to be full.Wanda also shares a preview of NHA's land-based adventures, including upcoming trips to Rwanda and Botswana organized with World Vegan Travel. From wildlife encounters and hiking to cultural experiences, these trips offer even more ways to see the world while keeping healthy food, adventure and community at the center of the experience.If travel is on your wish list, discover what's ahead and how NHA is making it easier to explore the world without leaving your healthy lifestyle behind.Links & ResourcesExplore NHA Plant-Based Travel:https://www.healthscience.org/plant-based-travel/Join the NHA Whole-Food, Plant-Based Travel Facebook Group:https://www.facebook.com/groups/nhaplantbasedtravelConnect with Lisa McCarl, CTA, ECC, VTA | McCarl Travel, LLC:https://www.thetravelinstitute.com/agent/25665/Watch NHA Today on YouTube:https://www.youtube.com/@nationalhealthassociationFollow Dr. Stephan Esser on Instagram:https://www.instagram.com/esserhealth/Learn more about the National Health Association:https://www.healthscience.org/

Send us Fan MailWhat if you didn't come here to fix, perfect, or endlessly heal yourself—but to fully experience being you?In this deeply personal episode of the Spiritual Spotlight Series, Rachel welcomes spiritual medium Christy Levy and spiritual teacher and channel Gary Temple Bodley, co-hosts of An Unimaginable Life.Christy shares how her mediumship unexpectedly emerged in her 50s and how she now connects with spirit guides, crossed-over loved ones, and the non-physical collective known as White Light. Gary reveals how meditation opened his connection with Joshua, a collective of non-physical teachers, and explains why our beliefs and perspectives shape the reality we experience.Together, they explore channeling, spirit guides, pre-birth intentions, free will, limiting beliefs, light language, manifestation, and why life may be designed for discovery rather than certainty.Then the conversation becomes personal as Christy connects with Rachel's spirit guides live. Hildegard of Bingen and Gerald Durrell step forward with powerful guidance about uniting medicine and mysticism, choosing wonder over certainty, releasing the belief that usefulness determines value, and allowing the healer to become the creator.This conversation is a beautiful reminder that healing doesn't always have to be heavy—and that wanting an experience may be reason enough to pursue it.Learn more about Christy and Gary, explore the Freedom Project, and listen to An Unimaginable Life at https://teachingsofjoshua.com. Support the showSpiritual Spotlight Series is hosted by Rachel Garrett, RN, CCH — Akashic Records Practitioner, Master Energy Healer, and Certified Crystal Healer.Conversations about the things we almost don't say out loud. For the ones who feel everything — but question it.Each episode features real stories of spiritual awakening, healing, and transformation from guests across all walks of life, alongside solo teachings on Akashic Records, crystal healing, nervous system support, and intuitive development.Healing doesn't have to be heavy.New: Join the monthly live Akashic reading → YouTube membership at $4.99/month → youtube.com/@rachelgarrett/membership✨ Explore More Spiritual Wisdom & Stay Connected

// Sur YouTube https://www.youtube.com/channel/UC0cT8BZdFUmC0vgr1XS7aPA// Présentatrice du journal Le Fil d'Actu

When Holly and Nathan Miller learned their baby was breech late in pregnancy, the unmedicated vaginal birth they had been preparing for suddenly felt out of reach. Living in rural South Georgia, they explored their options, including finding a provider experienced in vaginal breech birth, but ultimately faced limited choices close to home.   In this episode, EBB Childbirth Class graduates Holly and Nathan share how they shifted their focus from the birth they had originally envisioned to creating a family-centered Cesarean experience. They talk about advocating for a clear drape and immediate skin-to-skin, navigating conflicting information from providers, and finding ways to remain active participants in their baby's birth. They also reflect on Cesarean recovery, the importance of partner support, and what they learned about speaking up for their preferences even when circumstances were outside their control.   (01:27) Finding Evidence Based Birth® and Preparing for an Unmedicated Birth (03:33) When Birth Plans Began to Change (05:03) Navigating Birth Options in Rural South Georgia (07:51) Exploring ECV, Vaginal Breech Birth, and Cesarean (10:24) Shifting Toward a Family-Centered Cesarean (12:50) Advocating for a Clear Drape and Immediate Skin-to-Skin (15:10) Holly and Nathan's Cesarean Birth Story (17:43) What a Cesarean Felt Like Physically and Emotionally (22:03) Meeting Eliana and Beginning Skin-to-Skin (25:31) Breastfeeding and Recovering from a Cesarean (28:53) Partner Support During Postpartum Recovery (30:09) Advice for Navigating Breech Birth and Unexpected Changes (31:53) Looking Ahead to a Future VBAC   Resources EBB 256 – Top 3 Recommendations for Preventing Pelvic Floor Dysfunction after Birth with Dr. Sarah Duvall, Founder of Core Exercise Solutions All About Breach EBB 299 – A Breech Vaginal Birth Story with EBB Parents Naoma Kleisner, RN, MSN and Mohamed Koraichi EBB 298 – Overcoming Barriers to Breech Vaginal Birth with Dr. Emiliano Chavira, OB/GYN and Maternal Fetal Medicine Specialist EBB 297 – Frequently Asked Questions about Breech with Dr. Rebecca Dekker and Sara Ailshire, MA EBB 296 – Evidence on Breech Birth with Dr. Rebecca Dekker and Sara Ailshire, MA EBB 173 - Evidence on External Cephalic Version for Breech Positioned Babies EBB 172 – Breech Vaginal Birth with Dr. Rixa Freeze and Dr. David Hayes EBB 171 – The Experience of a Unique Vaginal Breech Birth with Janae and Andrew Rick EBB 111 – Positioning Breech Babies with Dr. Elliot Berlin

The Nurses Report on America Out Loud with Melissa Schreibfeder, BSN, RN, BC-FMP – For decades, many patients suffering from complex, multisystem symptoms have struggled to find answers within the conventional medical system. Lyme disease is one condition that can be particularly challenging because symptoms may persist long after initial treatment and can overlap with mold illness...

When a patient experiences profound cardiogenic shock, a patient might receive an intra-aortic balloon pump, a device that is timed directly to the cardiac cycle that inflates and deflates to augment coronary profusion. Or they might receive an impella, an axial flow archimedes screw that continuously pulls blood forward through the aortic valve. Both devices share the same ultimate objective: Keeping a failing heart alive. But they do this in fundamentally distinct ways. So what happens when a patient is a true clinical unicorn a deeply unstable cardiac patient that has both devices running simultaneously? This episode of the AMPED podcast answers this very question, so listen in as our team discusses their analytical process and how they navigated this unusual situation.   Interested in obtaining CE credit for this episode? Visit OnlineAscend.com to learn more. Listeners can purchase individual episode credits or subscribe to the Critical Care Review Bundle and gain access to all episode CE Credits.    We are joined by:   Madison O'Connor BSN, RN, CFRN     Marcie Day, RN, BSN, CCRN, CFRN, CES-A   Click here to download this episode today! As always thanks for listening and fly safe! Hawnwan Moy MD FACEP FAEMS John Wilmas MD FACEP FAEMS Nyssa Hattaway, BA, BSN, RN, CEN, CPEN, CFRN

This episode is sponsored by Gilead Sciences. Gilead had no involvement or input in the podcast content. Gilead is working to transform how cancer is treated. We are innovating with next-generation therapies, combinations, and technologies to deliver improved outcomes for people with cancer. From antibody drug conjugates and small molecules to cell therapy-based approaches, our portfolio and pipeline assets are creating new possibilities for people with cancer.Recorded on location at the San Antonio Breast Cancer Symposium, December 2025.Metastatic triple-negative breast cancer remains the breast cancer subtype with the fewest targetable biomarkers and the shortest treatment algorithm. When a trial reports a double-digit progression-free survival in the first-line setting, it is worth understanding what that actually changes and how the trial was designed with patient outcomes at the center.This episode was recorded in December 2025, before regulatory action. On June 24, 2026, the FDA approved sacituzumab govitecan-hziy for two first-line indications in triple-negative breast cancer: as a single agent for adults with unresectable locally advanced or metastatic TNBC who are not candidates for PD-1 or PD-L1 inhibitor-based therapy supported by ASCENT-0, and in combination with pembrolizumab for adults whose tumors express PD-L1 with a CPS of 10 or greater supported by ASCENT-04. Janice's speculation in this episode about how PD-L1 status might factor into the guidelines has since been answered by the label.ASCENT-04/KEYNOTE-D19 NCT05382286 was a phase 3, open-label, randomized trial of 443 patients with previously untreated locally advanced unresectable or metastatic TNBC whose tumors expressed PD-L1 at a CPS of 10 or greater by the 22C3 assay. Participants were randomized 1:1 to sacituzumab govitecan plus pembrolizumab or to physician's choice of chemotherapy plus pembrolizumab. Patients in the control arm with centrally confirmed progression were offered crossover to sacituzumab govitecan.0:00 Live from the San Antonio Breast Cancer Symposium0:30 The METAvivor ribbon and what the pink ribbon leaves out1:35 Diagnosed in 2016 with a median overall survival of 9 to 15 months2:26 Nine years later3:20 From pediatric nursing to research advocacy4:30 What has changed since 2017, and what has not5:26 2011: when chemotherapy was the only option5:55 On not knowing a relevant clinical trial existed6:47 Why metastatic TNBC still has no maintenance therapy7:25 What first-line treatment looks like today8:25 Inside ASCENT-049:09 Progression-free survival, defined9:59 Why a double-digit PFS is notable in this subtype11:20 Why each subsequent line of treatment works for less time11:52 How many patients never reach second line12:50 The case for a stronger first-line option13:21 Crossover design, and why it matters to patients14:33 What crossover means in a randomized trial15:56 Patient advocates in clinical trial design18:59 Quality of life versus quantity of life21:48 Rapid fire: metastatic breast cancer and metastatic TNBC23:06 Rapid fire: first line, second line, progression-free survival24:00 Rapid fire: immunotherapy and antibody-drug conjugates24:59 Advice for the newly diagnosed26:04 What she wants next: a biomarker26:52 On ADCs, tolerability, and the need for novel targetsJanice Cowden, RN is a research patient advocate living with metastatic triple-negative breast cancer. She practiced as a registered nurse for approximately 22 years, primarily in pediatrics, and later worked as a pharmaceutical sales representative. She was diagnosed with stage I triple-negative breast cancer in 2011 and with metastatic disease in 2016, and completed the Living Beyond Breast Cancer advocacy training program in 2017.This podcast is intended for educational and informational purposes only and should not be considered medical advice.

Aujourd'hui, c'est au tour de Jean-Philippe Tanguy, député RN de la Somme, de faire face aux GG. - L'émission de libre expression sans filtre et sans masque social… Dans les Grandes Gueules, les esprits s'ouvrent et les points de vue s'élargissent. 3h de talk, de débats de fond engagés où la liberté d'expression est reine et où l'on en ressort grandi.

The Nurses Report on America Out Loud with Melissa Schreibfeder, BSN, RN, BC-FMP – Nurse Jodi O'Malley calls for renewed commitment to nursing ethics as she challenges COVID hospital protocols. Her advocacy centers on informed consent, patient rights, and family access, urging nurses to question harmful policies, strengthen ethics education, and put patient welfare above institutional pressure and profit...

Patrick Weil est historien et directeur de recherche émérite au CNRS. Il vient de publier De l'immigration en France chez Grasset, une enquête menée auprès de ceux qui fabriquent vraiment cette politique, préfets, entrepreneurs, élus, associations, et qui ne ressemble à aucun des livres militants qu'on trouve habituellement sur le sujet.C'est la deuxième fois que je le reçois. La première, nous avions parlé de laïcité, et j'avais déjà été frappé par sa façon de désamorcer les sujets brûlants en revenant simplement aux faits et au droit. Cette fois je voulais aller plus loin, et je l'ai poussé volontairement dans tous les sens. J'ai argumenté la peur, j'ai argumenté les mauvais arguments de la gauche, j'ai posé les questions que j'entends régulièrement dès que l'on aborde ces sujets. Parce que l'immigration est probablement le sujet sur lequel je vois le plus de gens intelligents perdre leur capacité à penser.Dans cet épisode, nous parlons de ce que dit réellement le droit du sol, de ce que coûte et rapporte l'immigration, des OQTF, du regroupement familial qui concerne 14 000 personnes par an, de Meloni, de Trump, des contrôles au faciès et du code de l'indigénat. J'ai questionné Patrick sur la seule question qui compte peut-être : est-ce qu'on peut encore mettre les Français d'accord sur ce sujet ?Sa réponse m'a surpris. Et j'ai fini par lui raconter ma propre expérience, celle d'un enfant d'Antillaise à qui on a demandé d'oublier ce qu'il était pour devenir français.Citations marquantes« Les gens croient que le droit du sol, c'est comme si un enfant naît en France d'une mère étrangère, il est français. Jamais. C'est le droit américain. »« 105 millions d'étrangers entrent en France tous les ans pour faire du tourisme. L'immigration irrégulière, c'est moins de 0,2 %. »« Il me dit : je suis islamophobe. Et vingt minutes après : j'ai engagé 500 papiers, ils sont tous musulmans et deux d'entre eux sont géniaux. »« Quand on donne une réponse sans avoir fait la recherche, c'est déjà une idéologie. C'est le produit de la paresse intellectuelle. »« Le vrai sujet, c'est qu'on est dans une histoire commune qu'on ne se raconte pas. Qu'on ne nous a pas racontée. »Idées centrales discutées1. Les idées fausses sont partagées par tout le monde, pas seulement par un camp (05:03)Le droit du sol automatique à la naissance n'existe pas en France. Le regroupement familial n'a pas été créé par Giscard en 1976, il existe depuis qu'il y a de l'immigration organisée. Ces deux erreurs structurent pourtant l'essentiel du débat public.Pourquoi c'est important : on se bat sur un objet qui n'existe pas, et pendant ce temps les vrais dysfonctionnements ne sont pas traités.2. Supprimer le droit du sol déstabiliserait toutes les familles françaises (06:42)Si on supprime le double droit du sol, prouver sa nationalité suppose de remonter une filiation. Registres, paperasse, bureaucratie, pour tout le monde. Une tradition présente en France depuis 1515 disparaîtrait.Pourquoi c'est important : une mesure présentée comme dirigée contre les étrangers frapperait d'abord les Français.3. La complexité des gens n'apparaît jamais dans les sondages (14:16)L'ancien élève de Patrick, chef d'entreprise dans le Sud, se déclare islamophobe et emploie 500 personnes majoritairement musulmanes. À l'inverse, on peut défiler contre l'islamophobie et ne jamais louer son appartement à un sans-papiers.Pourquoi c'est important : c'est exactement ce niveau de réalité que le débat politique efface, et c'est là que l'accord redevient possible.4. L'immigration est un symptôme, pas la cause (65:16)Le niveau scolaire baisse à cause des méthodes d'enseignement. La crise du logement vient de décisions prises au début du premier quinquennat Macron. L'immigration sert de bouc émissaire à un dysfonctionnement général de l'État.Pourquoi c'est important : tant qu'on désigne le symptôme, on ne répare rien.5. On a augmenté l'immigration sans jamais l'annoncer ni l'accompagner (49:53)Plus 50 % entre 2000 et 2025, multiplication par cinq de l'immigration africaine en Bretagne et en Pays de la Loire. Aucune classe supplémentaire, aucune alphabétisation prévue, aucun logement. Les gens qui disent que ça ne va pas ont un peu raison.Pourquoi c'est important : c'est le point où Patrick donne raison à la colère, ce qui rend son propos crédible pour tout le monde.6. Se déclarer universaliste et accepter les contrôles au faciès est intenable (57:37)Le Conseil d'État a qualifié la pratique de racisme systémique. Aucune conséquence n'a suivi. De Blasio à New York et Theresa May en Angleterre ont supprimé les contrôles préventifs.Pourquoi c'est important : Patrick relie explicitement cette pratique au code de l'indigénat, et en fait le point d'entrée d'une vraie politique d'égalité.7. Une politique d'immigration efficace passe par le marché du travail, pas par la police (30:44)Comités départementaux du marché du travail occasionnel, bureaux de recrutement dans les pays d'origine, carte de saisonnier renouvelable sur dix ans, diversification des sources. Et un ministre dédié, qui ne soit pas celui de l'Intérieur.Pourquoi c'est important : c'est la partie programmatique du livre, et elle ne ressemble ni à la gauche ni à la droite.Questions posées dans l'interviewTu es historien. Pourquoi écrire un livre sur l'immigration aujourd'hui ?Est-ce qu'on dit n'importe quoi à gauche comme à droite sur ce sujet ?Quelle est la chose la plus incomprise sur l'immigration en France ?Que se passerait-il concrètement si on supprimait le droit du sol ?Comment expliques-tu qu'un chef d'entreprise se dise islamophobe et emploie 500 musulmans ?Ton objectif, c'est de mettre les gens d'accord sur ce sujet ? C'est possible ?C'est quoi, un immigré ? La définition légale dit-elle la même chose que ce dont les gens parlent ?L'immigration a augmenté de 50 % en vingt-cinq ans. Ce n'est pas la preuve qu'il y a un problème ?Combien ça coûte, l'immigration, et combien ça rapporte ?A-t-on raison d'avoir peur de l'extrême droite quand on voit que Meloni n'a rien changé ?Qu'est-ce qu'on répond aux gens qui ont peur pour des raisons sécuritaires ?C'est quoi, cette histoire commune dont tu dis qu'on ne se la raconte pas ?Est-ce qu'on doit être tributaire toute notre vie du colonialisme ?Concrètement, on fait quoi demain matin ?Références citées dans l'épisodeLivresDe l'immigration en France, Patrick Weil, Grasset, 2026 (02:32)La France qui veut être africaine, cité comme titre d'un collègue historien (41:55)Rapports et textesRapport Weil au gouvernement Jospin sur la politique d'immigration, 1997 (02:32)Loi de 1905 sur la séparation des Églises et de l'État, article 31 (70:57)Loi de 1973 sur la nationalité, rapporteur Jean Foyer (43:05)Décision du Conseil d'État sur les contrôles au faciès (57:37)Discours de Clemenceau du jour de l'armistice (53:00)InstitutionsCNRS, OFPRA, INSEE, Défenseur des droits, CESUPersonnalités politiquesMarine Le Pen, Jordan Bardella, Éric Ciotti, François Bayrou, François Ruffin, Emmanuel Macron, Nicolas Sarkozy, Giorgia Meloni, Donald Trump, Bill de Blasio, Theresa May, Charles de Gaulle, Georges Pompidou, Jean FoyerHistorique et culturelL'Action française et la suppression du droit du sol depuis la fin du XIXe siècle (05:03)Le double droit du sol, décision de 1515 (07:10)La France libre née au Tchad, la 2e DB, la ségrégation exigée par les Américains (40:57)Le film récent sur de Gaulle (23:40)Le code de l'indigénat (60:09)Chiffres clés+50 % d'immigration entre 2000 et 2025, environ 132 000 par an105 millions de touristes étrangers par an, immigration irrégulière estimée à moins de 0,2 %5 à 6 millions de musulmans en France, moins de 10 %, contre 30 % perçus350 000 titres délivrés par an, dont environ 120 000 étudiantsRegroupement familial : 14 000 personnes par an, enfants compris70 % des immigrés en âge de travailler occupent un emploiEnviron 30 % des membres de l'armée, des médecins et des infirmières sont enfants d'immigrésContrôles d'identité à New York : de 800 000 à 11 000 Timestamps clés00:00 — Ce qui vous attendPourquoi j'ai voulu argumenter dans les deux sens, y compris la peur.01:58 — Générique02:32 — Pourquoi un historien écrit sur l'immigration en 2026Trente ans après son premier livre et le rapport Jospin de 1997, Patrick reprend l'enquête. Cette fois pas pour le gouvernement, pour les lecteurs.04:05 — Est-ce qu'on dit n'importe quoi des deux côtés ?Oui. À gauche aussi, par exemple quand on affirme que personne ne viendrait si on ne contrôlait pas les frontières.05:03 — Le droit du sol n'est pas ce que vous croyezL'automaticité à la naissance n'existe pas en France. Ce qui existe, c'est le double droit du sol, à la troisième génération. Et le regroupement familial n'a pas été inventé par Giscard.06:42 — Ce que supprimer le droit du sol ferait vraimentProuver une filiation, des registres, de la paperasse. Une tradition ancrée depuis 1515 qui déstabiliserait toutes les familles françaises.08:06 — La méthode du livre : partir de ce que dit l'extrême droiteLa submersion, l'envahissement. Patrick répond chiffre par chiffre, y compris à Bayrou et aux 70 % de Français qui l'approuvaient.10:07 — Combien de musulmans en France ?Les Français répondent 30 %. La réalité tourne autour de 10 %. Et la laïcité n'a jamais été faite contre les croyants.11:13 — L'homme qui se dit islamophobe et emploie 500 musulmansL'anecdote qui a déclenché le livre, et qui dit tout de la complexité française.14:34 — L'agence du travail occasionnel et l'histoire folle de la rentrée universitairePourquoi déplacer la rentrée au 15 octobre a poussé les viticulteurs vers l'immigration irrégulière.17:49 — Réparer l'ÉtatLa colère des gens qui se sentent oubliés ne parle pas que d'immigration. Elle parle d'un service public qui ne sert plus le public.19:00 — Le Pen, la mère-grand et le grand méchant loupLa fable que Patrick utilise pour décrire le RN d'aujourd'hui.20:08 — Les chiffres ne suffisent pas quand il y a des croyancesMa discussion au Portugal sur les viols, et pourquoi je n'ai pas réussi à convaincre.21:39 — Ce que l'immigration a apporté à la FrancePremier pays d'immigration d'Europe dès la fin du XIXe, une force démographique dans un pays qui déclinait, et les projections de 1945 qui se sont trompées.25:59 — C'est quoi exactement un immigré ?La définition légale, et l'écart avec ce dont les gens parlent réellement.27:52 — L'augmentation de 50 %, preuve d'un problème ?Non : travailleurs, étudiants, régularisations, crises d'asile. Une immigration largement voulue.29:39 — Les OQTF, à quoi elles servent vraimentPourquoi on les délivre à tour de bras en sachant qu'elles ne seront pas exécutées.30:44 — Réguler par le marché du travail plutôt que par la policeL'exemple de Nice, les 40 000 étudiants, et le changement de statut de l'immigré à l'ère de WhatsApp.32:49 — Les saisonniers renouvelables, le modèle MeloniUne carte de dix ans qui n'a de valeur que si on repart. Et pourquoi personne ne viole la règle.34:08 — Meloni n'a rien changé, Trump siL'extrême droite n'est pas une couleur unique. Mais Patrick ne prendrait pas le risque.36:14 — Qui sont réellement ceux qui partentPas les plus pauvres. Les pauvres ne peuvent pas bouger. Souvent les plus diplômés.37:44 — Le droit à l'immobilitéLa notion qui manque au débat : le droit de rester chez soi, de ne pas être persécuté, de vivre dans un pays qui fonctionne.39:52 — Les enfants d'immigrés dans l'armée, les hôpitaux, la policeSi on les enlève, plus rien ne fonctionne.40:45 — L'histoire commune qu'on ne raconte pasLa France libre née au Tchad, l'empire, la décolonisation, et pourquoi tout cela est absent des programmes scolaires.43:05 — Les Africains de la 2e DB et la loi de 1973Un gaulliste qui se souvenait du rôle des Africains dans la Libération, et qui l'a inscrit dans la loi sur la nationalité.44:55 — Quand une réponse sans recherche devient une idéologieLe post-colonialisme comme fake news de la paresse intellectuelle, dans un sens comme dans l'autre.46:39 — Combien coûte l'immigration ?Pourquoi Patrick trouve la question absurde, et ce que ça change de savoir qu'ils arrivent déjà éduqués.49:53 — Le vrai reproche : on n'a rien prévuMultiplication par cinq en Bretagne, zéro classe supplémentaire, zéro logement. Là, les gens ont raison.51:00 — La peur sécuritaire, et l'argument du « not all men »Je prends sa place deux secondes pour retourner l'argument.55:49 — Mon expérience : oublie ce que tu es, et tu seras françaisCe que ma mère antillaise a fait, et pourquoi ça ne marche pas dans la rue.57:37 — Les contrôles au faciès, racisme systémique reconnu, zéro conséquenceDe Blasio, Theresa May, et l'inaction française.60:09 — Le code de l'indigénat n'est pas si loinL'humiliation comme peine publique, et ce qu'elle produit.61:20 — Concrètement, on fait quoi ?Le programme : rentrée au 1er octobre, comités départementaux, bureaux de recrutement, diversification, accueil, formation, explication claire de la laïcité.65:16 — L'immigration comme symptômeÉcole, logement, narcotrafic. À chaque fois, le bouc émissaire plutôt que la réforme.67:39 — Et si laisser frauder coûtait moins cher que traquer la fraude ?Ma question la plus inconfortable, et sa réponse.69:16 — Le regroupement familial, c'est 14 000 personnesLa taille d'une petite ville. Pour un débat national permanent.70:57 — Le voile, la loi de 1905, et ce qui est réellement interditCe n'est pas le signe religieux. C'est la pression. Dans les deux sens.73:15 — À quoi ouvrir, à quoi claquer la porteSa réponse tient en deux phrases. Suggestion d'autres épisodes à écouter : #207 Comprendre la tension autour de la laïcité avec Patrick Weil (https://audmns.com/oavleuD) #351 Pourquoi ne peut-on plus s'en sortir en travaillant? (partie 1) avec Antoine Foucher (https://audmns.com/chQnSYy) Vlan #103 Comment passer du rejet des migrants à leur accueil avec Lionel Pourtau (https://audmns.com/QaEGpTn)Hébergé par Audiomeans. Visitez audiomeans.fr/politique-de-confidentialite pour plus d'informations.

In this episode, Dr. Janice Walker, DHA, MBA-HCM, NEA-BC, BSN, RN, System Chief Nursing Officer, Senior Vice President, UF Health, discusses standardizing nursing practice, accelerating nurse recruitment, strengthening the talent pipeline, and reimagining clinical education through UF Health's Clinical Reimagining Model.

What happens when three specialists are almost certain something isn't cancer, but your gut tells you to keep asking questions?In this episode, Jamie sits down with Krista Brown, MS, RN, oncology nurse navigator, breast cancer survivor, and cancer prevention advocate for a powerful conversation about hereditary breast cancer risk, genetic testing, early detection, and patient self-advocacy.After learning that she carried an ATM genetic mutation, Krista began increased breast screening and started planning a preventive mastectomy. When an MRI revealed an abnormality, she was initially advised to wait and follow up. Even after multiple specialists reassured her that it was almost certainly not cancer, Krista couldn't shake the feeling that she needed more answers.She advocated for herself and requested a breast biopsy  It was Stage 1A breast cancer.Krista and Jamie talk about hereditary cancer risk, genetic testing Genetic mutations, early detection, second opinions, prevention, lifestyle, and why advocating for yourself can be difficult, even when you're a nurse.They also explore one of Krista's most important messages:“Don't confuse being healthy with being invincible.”This conversation is a powerful reminder that breast cancer  prevention isn't about perfection. It's about knowing your risk, knowing your family history, getting appropriate screenings, asking questions, and becoming an active participant in your own healthcare.Connect with KristaInstagram: @cancer.prevention.rnhttps://www.instagram.com/cancer.prevention.rn/LinkedIn: Krista Brownhttps://www.linkedin.com/in/krista-brown-b71956249/ResourcesTest Those Breasts®https://testthosebreasts.orgFind it early. Change the outcome.®This episode is for educational purposes only and is not a substitute for individualized medical advice.

This podcast episode explores transitions of care for patients with PSVT (paroxysmal supraventricular tachycardia), featuring insights from Alison Stephens, PA-C and Todd Wagner, RN. They discuss diagnosis, treatment pathways and the importance of patient education, follow-up care, and addressing social determinants of health to prevent recurrence and improve outcomes. CE units are available for this episode only through June 15, 2027. To access CE, visit pcna.net/course/spotlight-on-psvt/.Related PCNA Resources​​- Patient Journey: PSVT Strikes Anytime, Anyplace - https://pcna.net/resource/patient-journey-psvt-strikes-anytime-anyplace-video/​- PSVT: Barriers and Solutions to the Disease Burden for Patients - https://pcna.net/resource/psvt-barriers-and-solutions-to-the-disease-burden-for-patients/​- Living with PSVT: A Patient-Centered Care Plan - https://pcna.net/podcast/living-with-psvt-a-patient-centered-care-plan/​- Living with PSVT: Episodic Rapid Heart Rates - https://pcna.net/podcast/living-with-psvt-episodic-rapid-heart-rates-psvt-afib-and-more/See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

In part 2 of the Cognitive Distortions Masterclass, Laura shares a step-by-step business roadmap from certification to first paying client, covering the four-phase timeline: weeks 1–12 for certification training, week 12+ for the business course where you set up your LLC and legal foundation, weeks 12–20 to learn enrollment conversations, and weeks 20–6 months for pro bono clients. She notes that 40% of graduates who follow this path have a paying client by six months. She then covers scope of practice — nurse coaching is not clinical care, and the distinction is your protection — and confirms you can coach outside your licensed state by working with out-of-state clients as a certified life coach. Client acquisition, she explains, is built on service: 20% of free clients convert to paying, and your first $100K will likely come from word of mouth and referrals rather than marketing.The episode pivots into the Nurse Coach Residency program — a 12–18 month, 3-trimester, 200-CEU business program. Trimester 1 covers business setup, visibility, 80 invitations, and your first 1–5 paying clients. Trimester 2 targets your first $10K through sales training and niche development. Trimester 3 is a capstone project with website, advanced marketing, and a community leadership component. Pricing is $5K per trimester or $12K total, and Laura confirms you can succeed without residency — the business course has all the information; residency just provides structure and accountability, like a personal trainer for your gym membership.The Q&A portion covers investment fears and cognitive distortions around price, including Laura's story of a nurse on food stamps who built a thriving practice; a detailed explanation of the 80 invitations for a recently laid-off nurse pursuing her MBA; an LVN asking about success without RN credentials and Nancy's story of kayak coaching and a $10K client.Watch the full episode on YouTube: https://youtu.be/znQS_bHuOfUConnect with us:Instagram: @successfulnursecoachesWebsite: www.thesuccessfulnursecoaches.comMentioned in this episode:Nurse Coach Residencyhttps://www.nurselifecoachacademy.com/nurse-coach-residency

 Recognizing the Unseen: When Vitals Don't Tell the Full Story> Explore the nuances of assessing patient conditions in critical care.In the latest episode of the Critical Care Obstetrics Podcast, Dr. Suzanne McMurtry Baird and Dr. Stephanie Martin delve into a crucial topic that every healthcare professional encounters: the discrepancy between a patient's vital signs and their clinical presentation.  The Importance of ContextHealthcare providers often find themselves in situations where the numbers on the chart suggest one thing, while the patient in front of them tells a different story. Suzanne begins with a critical reminder: **"We treat the numbers and we don't really treat the patient."** This highlights the necessity of integrating clinical judgment with the data at hand. Case Analysis: Is It Normal or Not?The episode kicks off with a case study that exemplifies this disconnect. A postpartum patient exhibits a heart rate of 132 despite appearing relatively well. As Stephanie points out, **"Just because the patient looks fine doesn't mean the numbers are too."** This leads to a discussion on how easy it is to rationalize away abnormal signs, especially when the patient appears comfortable. Key Takeaways:- **Essential Signs:** A heart rate that's rising in a postpartum patient is a red flag, regardless of how they appear. It's crucial to question any assumptions that lead to complacency. - **Quantified Blood Loss:** The importance of measuring blood loss accurately was emphasized, with the doctors urging that all deliveries should have quantified blood loss recorded, not just select cases. - **Compensation is Key:** Stephanie warns against the trap of assuming that normal blood pressure means everything is okay. **"It means she's compensating,"** she says, highlighting the need for proactive monitoring and intervention. Continuing EducationTo further explore these scenarios and improve clinical skills, Suzanne and Stephanie invite listeners to join their Patreon community, where they extend these discussions and provide additional insights into critical care practices.In closing, always remember: the numbers might not tell the full story, but with careful attention to both the data and the patient, we can provide the best care possible. Tune in to the full episode to immerse yourself in these valuable discussions and enhance your clinical acumen.The experts at Clinical Concepts in Obstetrics pool their decades of experience caring for critically ill pregnant women to discuss the challenges encountered in caring for these vulnerable women.Dr Stephanie Martin is the Medical Director for Clinical Concepts in Obstetrics and a Maternal Fetal Medicine specialist with expertise in critical care obstetrics.Suzanne McMurtry Baird, DNP, RN is the Nursing Director for  Clinical Concepts in Obstetrics with many years of experience caring for critically ill pregnant women.Julie Arafeh, RN, MS is the Simulation Director for Clinical Concepts in Obstetrics and a leading expert in simulation.Critical Care Obstetrics Academy: https://www.clinicalconceptsinob.com/Follow us:Patreon: patreon.com/CCOBYouTube: @CriticalCareOBPodcastInstagram: https://www.instagram.com/criticalcareob/Dr Martin's LinkedIn: http://linkedin.com/in/stephanie-martin-65b07112aCCOB LinkedIn: https://www.linkedin.com/company/clinical-concepts-in-obstetrics/Twitter/X: https://twitter.com/OBCriticalCareCCOB Facebook: ...

Cliquez ici pour accéder gratuitement aux articles lus de Mediapart : https://m.audiomeans.fr/s/P-UmoTbNLs Ambiance délétère en interne, polémiques à répétition, éviction de conseillers… Alors que la campagne présidentielle du RN a commencé dans la douleur pour le parti, la candidate a fait sa rentrée officielle, dimanche 13 septembre, avec un discours sans grande nouveauté, et a annulé sa traditionnelle visite de la braderie d'Hénin-Beaumont. Un article de Youmni Kezzouf publié dimanche 13 septembre et lu par Jérémy Zylberberg. Hébergé par Audiomeans. Visitez audiomeans.fr/politique-de-confidentialite pour plus d'informations.

201 Hospice Explained: Margaret Montes RN, BSN, PHN on Early Hospice Nursing, Comfort Care, and Family Education Host Marie Betcher, RN, interviews retired hospice nurse Margaret Montes RN, BSN, PHN with facilitator Cindy Cisneros. Margaret, raised in Puerto Rico and licensed in 1976, joined the new Hospice of East San Gabriel Valley in 1987 and worked 33 years, starting when the census was eight patients and she was the only nurse; her bilingual skills helped serve Spanish-speaking families. They discuss early obstacles such as recruiting nurses suited for hospice, later team disagreements resolved through weekly interdisciplinary meetings, and common family fears that hospice or medications (including morphine) hasten death, emphasizing comfort as the goal. Margaret shares end-of-life visioning stories and a case where a family called 911 despite DNR wishes. They stress educating families on the dying process (including Barbara Karnes' "blue book"), bereavement follow-up, and analogies like the body as an aging car and end of life mirroring infancy. 00:00 Welcome and Disclaimer 00:29 Meet Marie and Guests 01:49 Margaret Finds Hospice 05:26 Early Hospice Challenges 07:28 Team Meetings Behind Scenes 10:43 Hospice Does Not Hasten Death 12:14 Comfort Beyond Medication 14:25 End of Life Visions Stories 18:07 When Families Call 911 20:46 What Everyone Should Know 24:01 Family Dynamics and Aftercare 27:39 Faith Fear and Support 29:46 Analogies for Dying Process 32:08 Final Thanks and Subscribe   If you want to help, you can donate to help support Hospice Explained at the Buy me a Coffee link   https://www.buymeacoffee.com/Hospice  Hospice Explained Affiliates & Contact Information Buying from these Affilite links will help support this Podcast.  Maire introduces a partnership with Suzanne Mayer RN inventor of the  cloud9caresystem.com,  When patients remain in the same position for extended periods, they are at high risk of developing pressure injuries, commonly known as bedsores. One of the biggest challenges caregivers face is the tendency for pillows and repositioning inserts to easily dislodge during care.(Suzanne is a former guest on Episode #119) When you order with Cloud 9 care system, please tell them you heard about them from Hospice Explained.(Thank You) Marie's Contact Marie@HospiceExplained.com www.HospiceExplained.com   Finding a Hospice Agency 1. You can use Medicare.gov to help find a hospice agency, 2. choose Find provider 3. Choose Hospice 4. then add your zip code This should be a list of Hospice Agencies local to you or your loved one.

Rebecca Florsheim, MD, MPH, environmental health physician at the NYU Grossman School of Medicine and the World Trade Center survivor's clinic, discusses the health effects of the September 11th terrorist attacks, still ongoing 25 years later.Photo: Capt. John Gallagher, FDNY (Ret.), right, stands with Rep. Peter King, R-N.Y., during a news conference to urge passage of the "James Zadroga 9/11 Health and Compensation Act" to address the long-standing health effects of the terrorist attacks of September 11, 2001, Nov. 18, 2009. Gallagher was a first responder to ground zero on 9/11 and now suffers from a terminal lung disease. (Tom Williams/Roll Call/Getty Images) Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

"It's a chronic disease. It never goes away for some people, and so therefore it has these periods of remission where it's really quiet and well controlled. Then there can be periods of flares where you're actively engaged in treatment or it's impacting other pieces. There's this feeling patients have of, 'When am I going to have that flare?' You know, this anticipatory anxiety of, 'When are things going to be done differently?' or 'When do I need to change?'" ONS member Caitlin Murphy, DNP, APRN, FNP-BC, AOCNP®, chief nurse practitioner at Dana-Farber Cancer Institute in Boston, MA, told Lenise Taylor, MN, RN, AOCNS®, TCTCN™, oncology clinical specialist at ONS, during a conversation about long-term chronic lymphocytic leukemia (CLL) considerations for oncology nurses. Music Credit: "Fireflies and Stardust" by Kevin MacLeod Licensed under Creative Commons by Attribution 3.0  Earn 0.5 contact hours of nursing continuing professional development (NCPD), including 15 minutes of pharmacotherapeutic content, by listening to the full recording and completing an evaluation at courses.ons.org by September 11, 2027. The planners and faculty for this episode have no relevant financial relationships with ineligible companies to disclose. ONS is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center's Commission on Accreditation. Learning outcome: Learners will report an increase in knowledge related to the nursing considerations of caring for people with long-term CLL. Episode Notes  Complete this evaluation for free NCPD.  ONS Podcast™ episodes: Episode 428: Chronic Lymphocytic Leukemia Treatment Considerations for Oncology Nurses Episode 422: An Overview of Chronic Lymphocytic Leukemia for Oncology Nurses Episode 256: Cancer Symptom Management Basics: Hematologic Complications Episode 201: Which Survivorship Care Model Is Right for Your Patient? ONS Voice articles: Cardio-Oncology Program Monitors Heart Toxicities Throughout Survivorship Fixed-Duration Therapy for CLL May Lower Cardiovascular Risks and Costs Less Than Continuous Treatment Individuals With CLL Face Increased Risk for Skin Cancer Patients With CLL Report Worse QoL and Other Factors Clinical Journal of Oncology Nursing articles:  In Remission: A Patient's Experience of Continued Care After Chronic Lymphocytic Leukemia Venetoclax: Management and Care for Patients With Relapsed or Refractory Chronic Lymphocytic Leukemia ONS book: Site-Specific Cancer Series: Leukemia (first edition) ONS Learning Libraries: Hematology, Cellular Therapy, and Stem Cell Transplantation Learning Library Survivorship Learning Library ONS Symptom Management Resources:  Prevention of Bleeding Prevention of Infection: General CLL Society: Living With CLL Lymphoma Research Foundation: Remission and Long-Term Survivorship National Comprehensive Cancer Network To discuss the information in this episode with other oncology nurses, visit the ONS Communities.  To find resources for creating an ONS Podcast club in your chapter or nursing community, visit the ONS Podcast Library. To provide feedback or otherwise reach ONS about the podcast, email pubONSVoice@ons.org. Highlights From This Episode "I think about the immunocompromised state that often comes from the CD20 monoclonal antibodies such as obinutuzumab, rituximab, and ofatumumab. All of those are agents that have been used in CLL, and they can lead to hypogammaglobulinemia. That is something that can be short-lived right after therapy, but can be prolonged or even a lifelong status after receiving these types of therapies. And then some of the other pieces that we think about are increased risk of basal cell carcinoma, routine skin exams, and maintaining some of those components of evaluation, monitoring, and preventative types of health care." TS 1:57 "We think about how we comanage some of these comorbidities, especially cardiovascular. … The evolution of cardio-oncology programs has been incredibly valuable, specifically for a lot of agents that have such a significant impact on the risk of developing hypertension but also on the potential for atrial fibrillation. When we think about our aging population and common cardiovascular risks, cardio-oncology has been an incredible partner to be able to collaborate and effectively manage their cardiovascular health in a way that keeps that risk reduction strategy in place, but also allows us to maintain these really effective oncologic agents." TS 4:50 "When we think about indefinite therapy, the consideration is that patients are on a therapeutic agent for as long as that agent is working, so there's no set time that is indicated. We oftentimes talk about cycle length or a year of therapy or things like that. But when we think about indefinite treatment, it's really a shift in the perspective of looking at CLL like a chronic disease that is continually being managed. I think this is when we partner and think about other comorbidities that we manage, such as hypertension. You have to take something every day to effectively manage this disease. And so this is what we think about with indefinite treatment—that the patient is going to be receiving treatment or engaged in taking these agents for as long as they're working and it's giving the patient the intended benefit." TS 12:30 "CLL might not be something that requires an action plan. There's a lot of active surveillance and routine monitoring, and there's not really something the patient can do to say, 'I'm kind of in the driver's seat.' I think this is one of those components that really ties together what we can advocate for our patients to be doing to reduce the risk of complications. I often talk about immunizations and vaccines and really staying up to date because that's going to be the most effective way for them to reduce the risk of infections." TS 15:01 "Everyone's going to need different support, but there's so much opportunity to really provide a meaningful quality of life. Whether patients are on active surveillance or have never needed therapy, if they need periods of treatment or are off therapy, or if they're continuously on therapy, I think that there are a lot of things that we can do to advocate for them to have a really good quality of life and be able to live fully with this diagnosis." TS 27:44

Neurofeedback pioneer Joy Lunt, RN opens this classic NeuroNoodle Open Mic conversation with a case that still grabs your attention: a client with dissociative identity disorder whose EEG "utterly changed" mid-session—"like as if somebody else was sitting in the chair." Later, Joy describes seeing the EEG of one personality look like that of a four-year-old child.This is NeuroNoodle before today's Brain Bar—the audience-driven Open Mic format where Pete Jansons brought viewer questions directly to the panel. Joy Lunt, Jay Gunkelman, Dr. Mari Swingle, Dr. Andrew Hill, John Mekrut, Joshua Moore, Anthony Ramos and the crew move from DID and EEG patterns into depression and the salience network, neurofeedback protocols, Joy's striking experience using neurofeedback with her mother after a Parkinson's diagnosis, Parkinson's and repeated head trauma, the panel's debate over "digital Ozempic" and the brain, insomnia, exhausted kids, autism, and why hyperfocus and flow are "not even close."

Send us Fan MailIf you've ever said yes while your whole body begged for no, this quick Spiritual Spotlight is your permission slip to come back to yourself. We're naming a truth that can feel hard to believe when you're a helper: your boundary is not a betrayal. A limit doesn't mean your heart is closed. It means your energy, time, and capacity matter, too.We talk about why boundaries feel so uncomfortable for healers, empaths, caregivers, nurses, moms, intuitive spaceholders, and lifelong people pleasers. When you've been taught that love equals availability, you can start to confuse being loving with being endlessly accessible. But those aren't the same thing. You can care deeply and still say no. You can be spiritual without carrying everyone else's emotional backpack. A boundary is simple, honest clarity: what you can offer, what you cannot carry, and where you end and someone else begins.We also get real about what happens when you change the pattern. Not everyone will celebrate your new limits, especially people who benefited from you having none. Their discomfort doesn't automatically mean you're doing something wrong. Sometimes it means healing is finally happening. We close with grounded self-reflection questions to help you spot where you're overextending, what you fear will happen if you honor your limit, and whether “selfish” is actually just “unfamiliar.”If this landed, subscribe, share it with a fellow overgiver, and leave a review so more people can find support in setting healthy boundaries. What boundary would bring you peace this week?Support the showSpiritual Spotlight Series is hosted by Rachel Garrett, RN, CCH — Akashic Records Practitioner, Master Energy Healer, and Certified Crystal Healer.Conversations about the things we almost don't say out loud. For the ones who feel everything — but question it.Each episode features real stories of spiritual awakening, healing, and transformation from guests across all walks of life, alongside solo teachings on Akashic Records, crystal healing, nervous system support, and intuitive development.Healing doesn't have to be heavy.New: Join the monthly live Akashic reading → YouTube membership at $4.99/month → youtube.com/@rachelgarrett/membership✨ Explore More Spiritual Wisdom & Stay Connected

Nu gäller det att fôlk från söder till norr spetsar öronen och letar fram duttpennorna bland böset för det är dags för dialektbingo! Lyssna på alla avsnitt i Sveriges Radios app. Ett nyfiket och underhållande aktualitetsprogram med lyssnaren i fokus.På bingobrickan ikväll efterlyser vi det här:Nån som knappast är snål, med sitt pitemålNån som utan besvär kan utöka vårt kalmaritiska vokabulärNån som har absolut gehör på dialekter runt SkanörNån som utan problem hajar tugget i MasthuggetNån som kan vara med och skåla lite käckt med en bohuslänsk dialektI extramaterialet får vi nya tillskott till puddinglådan i form av Robin Hood och Doctor Quinns Sully!

durée : 00:04:01 - Le Billet politique - par : Jean Leymarie - Côté pile, des sondages flatteurs. Côté face, des polémiques en série. Le Rassemblement national est plus fragile qu'il n'y paraît. Vous aimez ce podcast ? Pour écouter tous les épisodes sans limite, rendez-vous sur Radio France

The Nurses Report on America Out Loud with Kimberly Overton, BSN, RN, BC-FMP – On September 28, 2026, families who lost loved ones during the COVID era will gather in Washington, D.C., for Senator Ron Johnson's COVID Hospital Protocol Roundtable to share their stories and raise questions about what happened to their loved ones after they entered American hospitals. And they will not be standing alone...

Ann Garvin shares her commitment to the journey while remaining agnostic about the outcome. She talks about being kinder to the animal that is you, learning that she actually liked to write, and what getting a Modern Love article will do for your sales. Don't miss this gorgeous chat! Ann Garvin, Ph.D. is the USA Today Bestselling author of seven funny and sad novels about women who do too much in a world that asks too much from them. She worked as an RN and taught in the University of Wisconsin system for years. She currently teaches creative writing at Drexel University in their Masters of Fine Arts program. Ann has written for the New York Times, Newsweek, Writer's Digest, AARP and more, is the founder of the multiple award-winning Tall Poppy Writers and watches too much TV with her dog, Peanut. Tell Two Friends is her most recent release. Her Modern Love article: https://www.nytimes.com/2024/06/07/style/modern-love-he-wanted-to-date-younger-women.html⏰ DEVELOPMENTAL EDITING SLOTS AVAILABLE (limited): http://rachaelherron.com/edit

There is a lot of conflicting information online about progesterone right now, particularly around whether women need to take it continuously, whether cycling is necessary, and whether progesterone can somehow interfere with estrogen or increase dementia risk. In this conversation, Dr. Phyllis Bronson, Carol Petersen, RPh, CNP, and Jill Chmielewski, RN, BSN, discuss some of the biggest claims circulating about progesterone and hormone therapy. The conversation explores the importance of progesterone, how different delivery methods can affect the way it works in the body, and why dose and individual response matter. They also discuss oral, topical and vaginal progesterone, the role of allopregnanolone, estriol and Bi-Est, and why measuring hormones in the blood doesn't always tell the full story of what is happening at the tissue level. They also tackle one of the biggest current controversies: the idea that continuous progesterone may increase dementia risk. The group discusses the evidence and theories behind this claim, the importance of balancing estradiol with progesterone, and why women need to be cautious about making hormone decisions based on simplified social media messaging. This is a wide-ranging conversation designed to give you more context, more questions to ask, and a deeper understanding of the ongoing debate around women's hormones. In this episode: The truth about continuous vs. cycling progesterone How progesterone works with estrogen in the body Oral, vaginal and transdermal progesterone: what's the difference? The controversy around progesterone and dementia risk Why hormone therapy needs to be individualized based on dose, delivery method and your unique response   About Phyllis Bronson, PhD Phyllis Bronson, Ph.D., holds a doctorate in biochemistry. Her ongoing research involves studying the biological impact of molecules on mood and emotion. Dr. Bronson works with women who have hormone-based mood disorders, utilizing her original research on human identical hormones. She lives in Aspen, Colorado, and is President of Biochemical Consulting and The Biochemical Research Foundation. Dr. Bronson is the author of Moods, Emotions, and Aging: Hormones and the Mind-Body Connection,and has authored many articles, which can be found here. In the Aspen area? On July 27th, the Jewish Community Center in Aspen will be hosting The Great Hormone Conversation with Phyllis and Dr. Alan Altman. For more info or tickets,click here.‍ ‍   About Carol Petersen, RPh, CNP Carol Petersen is an accomplished compounding pharmacist with decades of experience helping patients improve their quality of life through bioidentical hormone replacement therapy. She graduated from the University of Wisconsin School of Pharmacy and is a Certified Nutritional Practitioner. Her passion for optimizing health and commitment to compounding is evident in her involvement with organizations including the International College of Integrated Medicine and the American College of Apothecaries, the Academy of Anti-Aging Medicine (A4M), American Pharmacists Association and the Alliance for Pharmacy Compounding.  She was also the founder and first chair for the Compounding Special Interest Group with the American Pharmacists Association. She chairs the Integrated Medicine Consortium, an umbrella group for complementary medicine organizations.   She cohosts a radio program, "Take Charge of Your Health," in the greater New York area. She is on the Medical Advisory Boards for the Centre for Menstrual Cycle and Ovulation Research (CeMCOR.ca) and the Institute for Bioidentical Medicine (IOBIM.org). She also writes and edits for A4M's website www.worldhealth.net and is a co-producer of "Immortality Now" podcasts. Carol offers personal consultations at www.thewellnessbydesignproject.com. About Jill Chmielewski, RN, BSN Jill Chmielewski, a Registered Nurse, Certified Health Coach, Menopause Educator, and Women's Health Advocate with over 30 years of experience in healthcare. Most recently, Jill joined the Balance App team as the U.S. expert. Balance was founded by Dr. Louise Newson and is dedicated to educating and empowering women around the world with evidence-based information, helping them better understand their hormone health and make informed choices for their bodies.

On 11 April 1809 Thomas Cochrane, RN, made one of the most famous assaults in British naval history. At the Battle of Basque Roads – at which he destroyed much of the French Atlantic Fleet – he detonated an explosion vessel so powerful that it is still being spoken about today. This is a special and different episode of Travels Through Time. In it Peter Moore narrates the opening to his new book, A Dangerous Game: Thomas Cochrane's Life on the Edge. This illustrated excerpt features on the audiobook from Penguin, which is narrated by Ric Jerrom. Find out more and download A Dangerous Game on Audible. And read more about Thomas Cochrane on Unseen Histories. Show Notes Scene: 11 April 1809, Basque Roads Anchorage, France. People/Social Presenter: Peter Moore  Producer: Maria Nolan Theme music: Egmont by Ludwig van Beethoven.

The Nurses Report on America Out Loud with Melissa Schreibfeder, BSN, RN, BC-FMP – Food labels promise better health, but ingredients tell the fuller story. Nurse Lillian Mueller explains how women can evaluate protein sources, recognize misleading marketing, and choose nutrient-dense foods. Reading nutrition panels and ingredient lists helps families make informed decisions about everyday meals and convenient snacks...

In this episode,Katrina Ascencio-Holmes, BSN, RN, Chief Nurse Officer, Sutter Health, discusses strategies to recruit, retain and develop the health system's 18,000 nurses, including career development, mentorship, shared governance and frontline engagement. She also shares how Sutter is investing in workplace safety and technology while creating an environment where nurses can build meaningful, long-term careers.

Send us Fan MailHave you read the books, repeated the affirmations, worked on your mindset—and still found yourself repeating the same patterns?In this episode of the Spiritual Spotlight Series, Rachel Garrett speaks with Dr. Louise Swartswalter, founder of the Brain Soul Success Academy and creator of the B.R.A.I.N. System™, about why conscious awareness alone may not be enough to create lasting transformation.Dr. Louise shares her remarkable journey from a devastating health crisis and three years on oxygen to becoming a naturopath, neuro-biofeedback specialist, and transformational teacher. Together, Rachel and Dr. Louise explore how childhood experiences, emotional wounds, ancestral patterns, nervous-system responses, and energetic imprints may continue influencing our choices—even after we consciously decide to change.You'll hear about: Why affirmations and mindset work don't always reach the deeper pattern  The connection between the brain, body, soul, and energetic field  Why “I'm not enough” may be one of our most common subconscious blocks  How fear can disguise itself as intuition  The importance of integration after a spiritual breakthrough  Why healing does not have to become an endless search for the next wound  How changing your energy can transform your relationships  Practical questions that can help uncover where a repeating pattern began Dr. Louise also guides Rachel through a live energetic exercise focused on releasing doubt, strengthening self-worth, and embodying the belief: “I am enough.”This conversation is an invitation to move beyond simply understanding your patterns—and begin creating change that your whole being can support. Support the showSpiritual Spotlight Series is hosted by Rachel Garrett, RN, CCH — Akashic Records Practitioner, Master Energy Healer, and Certified Crystal Healer.Conversations about the things we almost don't say out loud. For the ones who feel everything — but question it.Each episode features real stories of spiritual awakening, healing, and transformation from guests across all walks of life, alongside solo teachings on Akashic Records, crystal healing, nervous system support, and intuitive development.Healing doesn't have to be heavy.New: Join the monthly live Akashic reading → YouTube membership at $4.99/month → youtube.com/@rachelgarrett/membership✨ Explore More Spiritual Wisdom & Stay Connected

durée : 00:19:05 - Journal de 08h00 - Le Royaume-Uni, la France et dix autres pays annoncent des sanctions contre les colons israéliens en Cisjordanie, Israël riposte. L'encadrement des parents mis en cause dans l'enquête Pisa. Le retour possible de Marion Maréchal crée des remous au Rassemblement national. - équipe : Hélène Fily Vous aimez ce podcast ? Pour écouter tous les épisodes sans limite, rendez-vous sur Radio France

What is a Clinical Nurse Specialist (CNS)? What exactly do they do? How can they help us as med-surg nurses? Join the co-hosts as the welcome special guest NACNS President Dr. Jackie Iseler alongside guest co-host AMSN President Dr. Kristi Reguin-Hartman for a revealing conversation about the often-misunderstood role of the clinical nurse specialist — and how CNSs support bedside nurses, solve complex care challenges, improve measurable outcomes, and strengthen the entire healthcare system. Learn more about the National Association of Clinical Nurse Specialists at https://nacns.org/  SPECIAL GUEST Jackeline Iseler, DNP, MSN, RN, ACNS-BC, CNE, FCNS is an Adult Health Clinical Nurse Specialist, Assistant Professor at Michigan State University College of Nursing, and Program Director of the Clinical Nurse Specialist Concentration in East Lansing, Michigan. Dr. Iseler teaches graduate nursing students and the nursing students in the Adult-Gerontology Clinical Nurse Specialist program. She was the first certified clinical nurse specialist at Spectrum Health in Grand Rapids, Michigan in the cardiovascular and in the adult transplant program. She has served as president of the Great Lakes Chapter of the International Transplant Nurses' Society. And is currently serving as president of the Michigan Association of Clinical Nurse Specialists and a member of the National Association of Clinical Nurse Specialist Graduate Education Committee since 2020. She serves on the Michigan Board of Nursing as the clinical nurse specialist representative. And is a Certified Nurse Educator (CNE) through the National League for Nursing in 2019. Dr. Iseler's expertise is in the heart and lung transplant, left ventricular assist device (LVAD) patient population, transitions of care, and quality and process improvement. GUEST CO-HOST AMSN President Kristi Reguin-Hartman, DNP, APRN, ACNS-BC has more than 20 years of experience in acute care nursing, professional development, and advanced practice as a Clinical Nurse Specialist. Her expertise in technology implementation, product management and clinical education drives her focus on streamlining workflows through data-driven approaches. She started her nursing journey with an ADN from Nassau Community College in Long Island, New York and has completed her Doctor of Nursing Practice at the University of North Carolina – Wilmington where she authored the 2022 CTHAT Nursing Workload Tool for Medical-Surgical Nurses. Kristi currently works as a Clinical Transformation Manager for Philips Healthcare in the Hospital Patient Monitoring division and as Clinical Instructor with East Carolina University. She volunteers for the North Carolina Nurses Association and has served as Director for the Academy of Medical-Surgical Nurses since 2018.   MEET OUR CO-HOSTS Kellye' McRae, MSN-Ed, RN is a dedicated Med-Surg Staff Nurse and Unit Based Educator based in South Georgia, with 12 years of invaluable nursing experience. She is passionate about mentoring new nurses, sharing her clinical wisdom to empower the next generation of nurses. Kellye' excels in bedside teaching, blending hands-on training with compassionate patient care to ensure both nurses and patients thrive. Her commitment to education and excellence makes her a cornerstone of her healthcare team.   Marcela Salcedo, RN, BSN is a Floatpool nightshift nurse in the Chicagoland area, specializing in step-down and medical-surgical care. A member of AMSN and the Hektoen Nurses, she combines her passion for nursing with the healing power of the arts and humanities. As a mother of four, Marcela is reigniting her passion for nursing by embracing the chaos of caregiving, fostering personal growth, and building meaningful connections that inspire her work. Hayley Sweetser, MSN, APRN, AGCNS-BC, MEDSURG-BC, CPHQ, WTA-C is a Clinical Nurse Specialist in Newark, Delaware who provides support to patients and caregivers within the Acute Medicine Service Line at ChristianaCare. She is working towards reducing overall patient harm events within the service line through collaboration with bedside nurses, physicians, and other specialties. Hayley has a strong passion for medical-surgical nursing and has spent her whole nursing career in this specialty. She strives to advance medical-surgical nursing practice by encouraging alignment with evidence-based practice.   Eric Torres, ADN, RN, CMSRN is a California native that has always dreamed of seeing the World, and when that didn't work out, he set his sights on nursing.  Eric is beyond excited to be joining the AMSN podcast and having a chance to share his stories and experiences of being a bedside medical-surgical nurse.   Sydney Wall, RN, BSN, CMSRN has been a med surg nurse for 5 years. After graduating from the University of Rhode Island in 2019, Sydney commissioned into the Navy and began her nursing career working on a cardiac/telemetry unit in Bethesda, Maryland.  Currently she is stationed overseas, providing care for service members and their families.  During her free time, she enjoys martial arts and traveling.  Trish West, DNP, MSN, CMSRN, PCCN, CEN, NEA-BC, FAMSN is a passionate nurse leader whose career reflects both expertise and a heartfelt commitment to advancing patient care. Trish's credentials include being a Certified Medical Surgical Registered Nurse, Progressive and Emergency Nursing, Nursing Executive Advanced, and most recently, induction as a Fellow in the Academy of Medical Surgical Nursing. She enjoys spending time with her husband Mark and their five children. Her favorite motto, "Never underestimate the difference you can make," truly captures the spirit with which Trish approaches both professional and personal endeavors.   

durée : 00:18:09 - Journal de 08h00 - La proposition de loi intégrale sur les violences sexistes et sexuelles arrive, lundi, à l'Assemblée. Poussée historique de l'extrême droite allemande avec la victoire de l'AfD en Saxe-Anhalt. À Billy-Montigny, dans le Pas-de-Calais, le maire RN supprime les kits de rentrée pour les collégiens. - équipe : Hélène Fily Vous aimez ce podcast ? Pour écouter tous les épisodes sans limite, rendez-vous sur Radio France

durée : 00:05:03 - Les Matins de France Culture - par : Mattéo Caranta - La série d'enquête "RN, la dernière marche" des Jours décrypte les rouages de la conquête du pouvoir du Rassemblement National. Dernier épisode signé Pierre Bafoil et Marius Sort : "Racisme, antisémitisme et appels au meurtre : bienvenue sur le groupe Facebook du site Frontières". Vous aimez ce podcast ? Pour écouter tous les épisodes sans limite, rendez-vous sur Radio France

The Nurses Report on America Out Loud with Ashley Caputo, RN, FMP – I explore repurposed drugs, cancer biology, metabolic support, and integrative therapies while examining what research actually shows. I discuss ivermectin, fenbendazole, red-light therapy, nutrition, and faith, emphasizing evidence, safety, advocacy, and individualized care for people navigating difficult cancer treatment decisions and supportive options carefully...

"Think about all the important things our kidneys do for the body. Those things are compromised. If we have excess buildup of toxins and waste in the body, you're having problems with fluid reabsorption. Then you have also problems with electrolytes not being balanced. Then in turn, you have ongoing shutdown of systems. So the cardiopulmonary system gets compromise. Your circulatory system then gets compromised. And then all the things in the body that depend upon ongoing circulatory flow are then causing major resets in the system that need to be addressed," ONS member Brenda S. Nettles, DNP, MS, ACNP-BC, AOCNP, CNE, assistant professor at the Johns Hopkins School of Nursing and nurse practitioner at Johns Hopkins Hospital in Baltimore, MD, told Madeline Johnston, MSN, RN, OCN®, oncology clinical specialist at ONS, during a conversation about urinary obstructions. Music Credit: "Fireflies and Stardust" by Kevin MacLeod Licensed under Creative Commons by Attribution 3.0  Earn 0.25 contact hours of nursing continuing professional development (NCPD) by listening to the full recording and completing an evaluation at courses.ons.org by September 4, 2027. The planners and faculty for this episode have no relevant financial relationships with ineligible companies to disclose. ONS is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center's Commission on Accreditation. Learning outcome: Learners will report an increase in knowledge relating to urinary obstruction as an oncologic emergency. Episode Notes  Complete this evaluation for free NCPD.  ONS Podcast™ episodes: Oncologic Emergencies 101 series Episode 424: Radiation Site-Specific Side Effects: Cancers of the Pelvis Episode 394: Prostate Cancer Survivorship Considerations for Nurses Episode 390: Prostate Cancer Treatment Considerations for Nurses Episode 387: Prostate Cancer Screening, Early Detection, and Disparities ONS Voice articles: A Primer on Urothelial Cancer Oncology Urgent Care Provides the Right Place, Right Time, and Right Treatment for Patients Experiencing Cancer-Related Emergencies In the Event of an Oncologic Emergency, Make Sure You're Prepared to Deliver Compassionate, Life-Saving Care ONS book: Understanding and Managing Oncologic Emergencies: Traditional and Emerging ONS course: ONS Oncologic Emergencies™ ONS Oncologic Emergencies Learning Library American Cancer Society anatomy galleries: Female Genitourinary System Male Genitourinary System To discuss the information in this episode with other oncology nurses, visit the ONS Communities. To find resources for creating an ONS Podcast club in your chapter or nursing community, visit the ONS Podcast Library. To provide feedback or otherwise reach ONS about the podcast, email pubONSVoice@ons.org. Highlights From This Episode "As far as diagnoses go, I think that the ones that we see most common are impacted by the actual genitourinary system itself being impacted, so your patients with prostate cancer and patients with bladder cancer are definitely the ones that we see most often. But you'll see that it's also in individuals that have a diagnosis of either mucinous neoplasms or invasive peritoneal disease that invades all the cavities of the body—and also your sarcomas, because they also will actually the involve different parts of the renal system as part of their spread pattern." TS 3:55 "The first thing you want to do is try to eliminate the causative factor. So what's causing the obstruction? If there's something that's limiting flow because of the compression from the outside of the ureter or compressing around the kidney itself that they can't drain adequately, then you can look at ways to manage that by inserting a nephrostomy tube into the kidney. You can also put in ureteral stents to help alleviate the pressure from drainage from the kidney to the ureter and into the bladder." TS 7:20 "It's very common when people have a partial obstruction to have still some degree of urinary output. But the key thing is looking at, over time, how that may change. So if they do develop some progressive symptoms of the flank pain, and then also renal function begins to get a little bit lower and lower over time. Hematuria or signs of infection—those are again that next-level discussion that needs to be had about what gets evaluated next to confirm a possible obstruction." TS 10:00 "The biggest misconception, I believe, would be that you have time to figure it out. And the individual that already has immunocompromised states and also possible decline in baseline renal function have very low thresholds for us to really wait on these things too long. It's always better to err on the side of caution and do at least the due diligence of minimal evaluation by looking at the individual's vital signs and looking at their ability to still have urine output. Then if that's now compromised, work further into the process in a more timely manner." TS 13:47 "It's always good to have a refresher about how to manage different types of urinary diversion systems, so check with your facility in regards to what they carry for nephrostomy tube devices and the maintenance plans they have for those as far as frequency of flushing. So you can be a problem solver for your individual that has these diversion devices place for urinary obstructions." TS 16:19

In this episode, Donna Berizzi, DNP, RN, OCN, NEA-BC, Executive Director of Oncology, Johns Hopkins Hospital, & Associate Chief Nursing Officer, Cancer Service Line, Sidney Kimmel Comprehensive Cancer Center, Johns Hopkins Medicine, discusses rising oncology volumes, workforce pressures and the need to redesign care workflows. She shares how Johns Hopkins is combining predictive analytics, advanced clinical evaluation, drug preparation, and specialized care pathways to reduce delays, improve capacity, and create a more sustainable experience for patients and care teams.This episode is sponsored by LeanTaaS.

The Nurses Report on America Out Loud with Kimberly Overton, BSN, RN, BC-FMP – Nurses are taught from the very beginning of their careers that patient advocacy is one of their highest responsibilities. We are expected to speak up when something doesn't seem right, question unsafe practices, and always put the patient's well-being first. But what happens when raising those concerns creates conflict?

You're eating the healthy meal. Protein, rice, vegetables, healthy fats, all the things. And an hour later you're unbuttoning your pants because your belly has expanded like you're four months along. In this episode, I'm breaking down why your bloating, your fatigue, and your stalled scale aren't three separate problems. They're one problem, and it starts with digestion.IN THIS EPISODE, YOU'LL LEARN:Why a healthy body should be able to tolerate the occasional pizza night without days of discomfort, and what it means if yours can'tThe simple push test that tells you whether what you're feeling is bloating or body fatWhy digestion takes real energy, and how a struggling gut leaves you with less capacity to be consistent with anything elseWhy hormones are downstream of digestion, and why fixing the gut has to come before we ever touch hormonesWhat actually happens to your hormones when your stool sits too long, and why that's one of the most common reasons for hormonal imbalanceWhy GLP-1 users need to prioritize digestion even more, and how doing so improves the results of the medication itselfThe solve, nourish, sustain order I use with every client, and why skipping straight to "just be consistent" sets you up to failTIMESTAMPS: 00:00 — Welcome and why today's episode matters for your digestion 02:16 — Well Nourished consultations and how to get on the waitlist 04:38 — Why occasional "unhealthy" food shouldn't wreck you for days 07:32 — Why digestion matters even more if you're on a GLP-1 08:24 — Bloating vs. body fat, the simple test to tell the difference 10:45 — Why digestion is an energy cost, not a free process 12:35 — Fatigue as a capacity problem, not a discipline problem 13:58 — Why your symptoms aren't a willpower issue 16:13 — Why hormones are downstream of your gut 18:37 — The solve, nourish, sustain framework 19:25 — Why labs aren't one-size-fits-all inside Well Nourished 21:43 — What real nourishment actually includes 23:52 — Your next step, the live masterclass and Well NourishedRESOURCES:

The Nurses Report on America Out Loud with Melissa Schreibfeder, BSN, RN, BC-FMP – Dr. Peter McCullough discusses preventing respiratory illness, early treatment, long COVID, vaccine injury, and persistent spike protein. He explains nasal hygiene, supportive therapies, patient recovery cases, and a prevention-focused healthcare model while outlining how physicians and functional nurses can better support patients moving...