Transcript of #RNchat for February 26, 2010. RNchat is a Twitter chat for registered nurses. Follow on Twitter: @RNchat.
Topics include:
Augmented Reality
Pediatric Pharmacology
Fall Prevention
Transcript for RNchat for Friday, April 16, 2010. RNchat is a Twitter chat for registered nurses.
Topics include:
T1 Health care professionals experience a level of grief when endearing patients die. How can our workplaces help us deal w/ this?
T2 Does the current educational system prepare new health care professionals to effectively manage grief at the workplace?
Follow @RNchat for more (http://Twitter.com/RNchat) or visit the blog http://RNchat.org
Transcript of RNchat - a Twitter chat for registered nurses - for August 6, 2010.
Follow @RNchat - http://Twitter.com/RNcat for regular updates.
Visit http://RNchat.org for more on RNchat.
Topic:
The role of sexism in the perception of nursing. Do people (consciously/unconsciously) still enframe Nursing as a "female" field?
Transcript of #RNchat, a Twitter chat for registered nurses. Follow @RNchat - http://Twitter.com/RNchat - or visit the blog - http://RNchat.org
Topics:
T1 As the volume of insured patients grows, we will need more resources to care for everyone, especially with longevity of life
T2 The new hcr bill adds a 10% tax on fees for tanning bed services. Are there other "unhealthy" activities we can possibly tax?
T3 Do you social media savvy nurses see Facebook & Twitter & such as valuable avenues for giving nursing care? #RNchat
Transcript of RNchat - a Twitter chat for Registered Nurses - for Friday, May 21, 2010.
Follow @RNchat on Twitter: http://Twitter.com/RNchat
Topics:
T1 We see more implantable defibrillators each year. How do we address turning it off during end-of-life palliative care?
T2 Does the Nursing Care Plan you use at work help to guide your nursing care or is it an additional task to complete each day?
Transcript for #RNchat, a Twitter chat for registered nurses and the public for March 23, 2010. Follow on Twitter for more: http://Twitter.com/RNcht or visit http://RNchat.org for full information.
Topic:
T1 Health Care Reform: What impact will the recent act's passage have on nursing? What reforms would you like to see take place?
Transcript for RNchat for Friday, April 16, 2010. RNchat is a Twitter chat for registered nurses.
Topics include:
T1 Health care professionals experience a level of grief when endearing patients die. How can our workplaces help us deal w/ this?
T2 Does the current educational system prepare new health care professionals to effectively manage grief at the workplace?
Follow @RNchat for more (http://Twitter.com/RNchat) or visit the blog http://RNchat.org
Transcript of RNchat - a Twitter chat for registered nurses - for August 6, 2010.
Follow @RNchat - http://Twitter.com/RNcat for regular updates.
Visit http://RNchat.org for more on RNchat.
Topic:
The role of sexism in the perception of nursing. Do people (consciously/unconsciously) still enframe Nursing as a "female" field?
Transcript of #RNchat, a Twitter chat for registered nurses. Follow @RNchat - http://Twitter.com/RNchat - or visit the blog - http://RNchat.org
Topics:
T1 As the volume of insured patients grows, we will need more resources to care for everyone, especially with longevity of life
T2 The new hcr bill adds a 10% tax on fees for tanning bed services. Are there other "unhealthy" activities we can possibly tax?
T3 Do you social media savvy nurses see Facebook & Twitter & such as valuable avenues for giving nursing care? #RNchat
Transcript of RNchat - a Twitter chat for Registered Nurses - for Friday, May 21, 2010.
Follow @RNchat on Twitter: http://Twitter.com/RNchat
Topics:
T1 We see more implantable defibrillators each year. How do we address turning it off during end-of-life palliative care?
T2 Does the Nursing Care Plan you use at work help to guide your nursing care or is it an additional task to complete each day?
Transcript for #RNchat, a Twitter chat for registered nurses and the public for March 23, 2010. Follow on Twitter for more: http://Twitter.com/RNcht or visit http://RNchat.org for full information.
Topic:
T1 Health Care Reform: What impact will the recent act's passage have on nursing? What reforms would you like to see take place?
Transcript for RNchat February 12, 2009. RNchat is a Twitter chat for registered nurses.
The Winkler RNs trial was the feature topic of this conversation.
Transcript of #RNchat for February 19, 2010.
Topics include:
T1 Grievances: What are best practices for grievances? When should nurses go public? How should they proceed?
T2 Pharmaceutical Industry: Is the industry sufficiently supportive of nursing? How should they be involved? What can they do for us?
T3 Women's Health: What Dx and Tx disparities do you still see between men and women?
Follow @RNchat for more (http://Twitter.com/RNchat)
Transcript of RNchat for February 18, 2010. RNchat is a Twitter chat for registered nurses.
This was a special with topics selected by the Robert Wood Johnson Foundation.
Topics include:
What was missing from your nursing education? What would you change?
Should nursing education continue to be based on time spent in the classrooms/training or on achieving specific competencies?
What do you think about online programs?
Follow @RNchat (http://Twitter.com/RNchat) for regular updates and visit RNchat.org (http://RNchat.org) for more information.
Transcript of #RNchat - a Twitter chat for registered nurses - for Saturday August 28, 2010.
Follow @RNchat - http://Twitter.com/RNchat for regular updates.
Topics included:
Postpartum Depression: What post-discharge resources work the best for detecting/treating PPD? Are facilities doing enough?
T2 Product Recalls: What technologies are being deployed to ensure products safety? e.g. Tag Readers; real-time alerts.
T3 Continuing Education: How are emerging media changing CE? Do you see CE being achieved via Social Media?
For more, visit our blog http://RNchat.org
run by @PhilBaumann
Transcript of RNchat, a Twitter chat for registered nurses. Learn more at http://RNchat.org. Follow @RNchat on Twitter - http://Twitter.com/RNchat
Topics included:
T1 Mobile Mobile Technology: from @HeathercatCAP - How can mobile tech benefit nurses? Specific examples, use case?
T2 Buzzword: Patient-Empowerment: What is patient empowerment to you? How might the Web (truly) empower?
T3 Nurses as linchpins: Comment on this assertion: "Nurses are the linchpins of health, from research to provision"
Transcript of RNchat for February 5, 2010. RNchat is a Twitter chat for registered nurses.
Topics include:
T1 Domestic Violence - How better (or worse) are healthcare, legal & community systems doing w/DV?
T2 Nursing News Sources - Where do you get your news on the profession? What are top sources? Blogs, Journals, etc.
T3 Community Nursing - What's the current state of community nursing? What specific areas need attention?
T4 Tech Trends - What are the biggest trends in h/c & nursing tech? (Web, mobile, devices)
Transcript of RNchat - a Twitter chat for registered nurses - for August 19, 2010.
Follow @RNchat - http://Twitter.com/RNchat - for regular updates.
Topics included (moderated by @EllenRichter):
T1 One Medicare Never Event is Foley catheter-related UTI. How does your practice strive to reduce this complication? Is it working?
T2 I was recently "family member/visitor" instd of RN. I wanted unlimited visiting time. What do U think? Is it OK to break rules?
Visit http://RNchat.org for more about RNchat!
Transcript of #RNchat - a Twitter chat for registered nurses - for Thursday, June 23, 2010.
Follow @RNchat (http://Twitter.com/RNchat) for more.
T1 How can RNs work with hospital admin to ensure compliance with mandated ratios when there are staffing problems, sick calls, etc?
T2 We are aware of safety risks when elderly get confused. What measures can we act on to prevent injury while hospitalizd?
Transcript for RNchat - a Twitter chat for registered nurses - for July 23, 2010.
Topics:
T1 Handwashing: What advances have you seen? How does Design affect compliance? What drives ya nuts when you see it?
T1 Follow-up: Are messages about what kinds of washing (eg soap & friction for c diff & other spores instead of alcohol) effective?
T2 Telehealth: How can telehealth nursing expand with role of the Web (Social Media, digital media, etc.)?
T3 Enhancing Collaboration: What are biggest challenges in provider collaboration? What solutions (technical or other) work best?
Follow @RNchat on Twitter - http://Twitter.com/RNchat and visit the blog RNchat.org for more!
Transcript of RNchat - a Twitter chat for registered nurses. Follow @RNchat for regular updates.
Topics included:
T1 Public Health Ramifications of #BP Spill: What are/can nurses do to mitigate damage to crews, populations, etc?
T2 Present & Future of Digital Tech: From mobile apps to social media, what are nurses doing? How can we use them to their fullest?
Visit http://RNchat.org for more.
Transcript of #RNchat - a Twitter chat for registered nurses. Follow @RNchat for regular updates.
Topics:
T1 Bedside Communication - what works and what doesn't? from @ VoalteTrey | What helps, what hinders?
T2 Hospitals Blocking Facebook - Some hospitals are blocking Facebook & other social media. Should or shouldn't they?
T2 Follow up: How web-literate are policy-makers? Do they really understand them, or just superficially? (
Transcript of #RNchat for January 22, 2010. RNchat is a Twitter chat for registered nurses and the general public.
Follow RNchat on Twitter: http://Twitter.com/RNchat
Transcript for #RNchat, a Twitter chat for registered nurses and the public for March 23, 2010. Follow on Twitter for more: http://Twitter.com/RNcht or visit http://RNchat.org for full information.
Topic:
T1 Health Care Reform: What impact will the recent act's passage have on nursing? What reforms would you like to see take place?
Transcript for #RNchat, a Twitter chat for registered nurses and the public for March 23, 2010. Follow on Twitter for more: http://Twitter.com/RNcht or visit http://RNchat.org for full information.
Topic:
T1 Health Care Reform: What impact will the recent act's passage have on nursing? What reforms would you like to see take place?
Transcript for #RNchat, a Twitter chat for registered nurses and the public for March 23, 2010. Follow on Twitter for more: http://Twitter.com/RNcht or visit http://RNchat.org for full information.
Topic:
T1 Health Care Reform: What impact will the recent act's passage have on nursing? What reforms would you like to see take place?
Transcript for #RNchat, a Twitter chat for registered nurses and the public for March 23, 2010. Follow on Twitter for more: http://Twitter.com/RNcht or visit http://RNchat.org for full information.
Topic:
T1 Health Care Reform: What impact will the recent act's passage have on nursing? What reforms would you like to see take place?
Transcript for #RNchat, a Twitter chat for registered nurses and the public for March 23, 2010. Follow on Twitter for more: http://Twitter.com/RNcht or visit http://RNchat.org for full information.
Topic:
T1 Health Care Reform: What impact will the recent act's passage have on nursing? What reforms would you like to see take place?
Transcript for #RNchat, a Twitter chat for registered nurses and the public for March 23, 2010. Follow on Twitter for more: http://Twitter.com/RNcht or visit http://RNchat.org for full information.
Topic:
T1 Health Care Reform: What impact will the recent act's passage have on nursing? What reforms would you like to see take place?
Transcript for #RNchat, a Twitter chat for registered nurses and the public for March 23, 2010. Follow on Twitter for more: http://Twitter.com/RNcht or visit http://RNchat.org for full information.
Topic:
T1 Health Care Reform: What impact will the recent act's passage have on nursing? What reforms would you like to see take place?
Transcript of #RNchat - a Twitter chat for registered nurses - for December 23, 2010.
Follow @RNchat - http://Twitter.com/RNchat - for regular updates.
Transcript for RNchat February 12, 2009. RNchat is a Twitter chat for registered nurses.
The Winkler RNs trial was the feature topic of this conversation.
Transcript of #RNchat for February 19, 2010.
Topics include:
T1 Grievances: What are best practices for grievances? When should nurses go public? How should they proceed?
T2 Pharmaceutical Industry: Is the industry sufficiently supportive of nursing? How should they be involved? What can they do for us?
T3 Women's Health: What Dx and Tx disparities do you still see between men and women?
Follow @RNchat for more (http://Twitter.com/RNchat)
Transcript of RNchat for February 18, 2010. RNchat is a Twitter chat for registered nurses.
This was a special with topics selected by the Robert Wood Johnson Foundation.
Topics include:
What was missing from your nursing education? What would you change?
Should nursing education continue to be based on time spent in the classrooms/training or on achieving specific competencies?
What do you think about online programs?
Follow @RNchat (http://Twitter.com/RNchat) for regular updates and visit RNchat.org (http://RNchat.org) for more information.
Transcript of #RNchat - a Twitter chat for registered nurses - for Saturday August 28, 2010.
Follow @RNchat - http://Twitter.com/RNchat for regular updates.
Topics included:
Postpartum Depression: What post-discharge resources work the best for detecting/treating PPD? Are facilities doing enough?
T2 Product Recalls: What technologies are being deployed to ensure products safety? e.g. Tag Readers; real-time alerts.
T3 Continuing Education: How are emerging media changing CE? Do you see CE being achieved via Social Media?
For more, visit our blog http://RNchat.org
run by @PhilBaumann
Transcript of RNchat, a Twitter chat for registered nurses. Learn more at http://RNchat.org. Follow @RNchat on Twitter - http://Twitter.com/RNchat
Topics included:
T1 Mobile Mobile Technology: from @HeathercatCAP - How can mobile tech benefit nurses? Specific examples, use case?
T2 Buzzword: Patient-Empowerment: What is patient empowerment to you? How might the Web (truly) empower?
T3 Nurses as linchpins: Comment on this assertion: "Nurses are the linchpins of health, from research to provision"
Transcript of RNchat for February 5, 2010. RNchat is a Twitter chat for registered nurses.
Topics include:
T1 Domestic Violence - How better (or worse) are healthcare, legal & community systems doing w/DV?
T2 Nursing News Sources - Where do you get your news on the profession? What are top sources? Blogs, Journals, etc.
T3 Community Nursing - What's the current state of community nursing? What specific areas need attention?
T4 Tech Trends - What are the biggest trends in h/c & nursing tech? (Web, mobile, devices)
Transcript of RNchat - a Twitter chat for registered nurses - for August 19, 2010.
Follow @RNchat - http://Twitter.com/RNchat - for regular updates.
Topics included (moderated by @EllenRichter):
T1 One Medicare Never Event is Foley catheter-related UTI. How does your practice strive to reduce this complication? Is it working?
T2 I was recently "family member/visitor" instd of RN. I wanted unlimited visiting time. What do U think? Is it OK to break rules?
Visit http://RNchat.org for more about RNchat!
Transcript of #RNchat - a Twitter chat for registered nurses - for Thursday, June 23, 2010.
Follow @RNchat (http://Twitter.com/RNchat) for more.
T1 How can RNs work with hospital admin to ensure compliance with mandated ratios when there are staffing problems, sick calls, etc?
T2 We are aware of safety risks when elderly get confused. What measures can we act on to prevent injury while hospitalizd?
Transcript for RNchat - a Twitter chat for registered nurses - for July 23, 2010.
Topics:
T1 Handwashing: What advances have you seen? How does Design affect compliance? What drives ya nuts when you see it?
T1 Follow-up: Are messages about what kinds of washing (eg soap & friction for c diff & other spores instead of alcohol) effective?
T2 Telehealth: How can telehealth nursing expand with role of the Web (Social Media, digital media, etc.)?
T3 Enhancing Collaboration: What are biggest challenges in provider collaboration? What solutions (technical or other) work best?
Follow @RNchat on Twitter - http://Twitter.com/RNchat and visit the blog RNchat.org for more!
Transcript of RNchat - a Twitter chat for registered nurses. Follow @RNchat for regular updates.
Topics included:
T1 Public Health Ramifications of #BP Spill: What are/can nurses do to mitigate damage to crews, populations, etc?
T2 Present & Future of Digital Tech: From mobile apps to social media, what are nurses doing? How can we use them to their fullest?
Visit http://RNchat.org for more.
Transcript of #RNchat - a Twitter chat for registered nurses. Follow @RNchat for regular updates.
Topics:
T1 Bedside Communication - what works and what doesn't? from @ VoalteTrey | What helps, what hinders?
T2 Hospitals Blocking Facebook - Some hospitals are blocking Facebook & other social media. Should or shouldn't they?
T2 Follow up: How web-literate are policy-makers? Do they really understand them, or just superficially? (
Transcript of #RNchat for January 22, 2010. RNchat is a Twitter chat for registered nurses and the general public.
Follow RNchat on Twitter: http://Twitter.com/RNchat
Transcript for #RNchat, a Twitter chat for registered nurses and the public for March 23, 2010. Follow on Twitter for more: http://Twitter.com/RNcht or visit http://RNchat.org for full information.
Topic:
T1 Health Care Reform: What impact will the recent act's passage have on nursing? What reforms would you like to see take place?
Transcript for #RNchat, a Twitter chat for registered nurses and the public for March 23, 2010. Follow on Twitter for more: http://Twitter.com/RNcht or visit http://RNchat.org for full information.
Topic:
T1 Health Care Reform: What impact will the recent act's passage have on nursing? What reforms would you like to see take place?
Transcript for #RNchat, a Twitter chat for registered nurses and the public for March 23, 2010. Follow on Twitter for more: http://Twitter.com/RNcht or visit http://RNchat.org for full information.
Topic:
T1 Health Care Reform: What impact will the recent act's passage have on nursing? What reforms would you like to see take place?
Transcript for #RNchat, a Twitter chat for registered nurses and the public for March 23, 2010. Follow on Twitter for more: http://Twitter.com/RNcht or visit http://RNchat.org for full information.
Topic:
T1 Health Care Reform: What impact will the recent act's passage have on nursing? What reforms would you like to see take place?
Transcript for #RNchat, a Twitter chat for registered nurses and the public for March 23, 2010. Follow on Twitter for more: http://Twitter.com/RNcht or visit http://RNchat.org for full information.
Topic:
T1 Health Care Reform: What impact will the recent act's passage have on nursing? What reforms would you like to see take place?
Transcript for #RNchat, a Twitter chat for registered nurses and the public for March 23, 2010. Follow on Twitter for more: http://Twitter.com/RNcht or visit http://RNchat.org for full information.
Topic:
T1 Health Care Reform: What impact will the recent act's passage have on nursing? What reforms would you like to see take place?
Transcript for #RNchat, a Twitter chat for registered nurses and the public for March 23, 2010. Follow on Twitter for more: http://Twitter.com/RNcht or visit http://RNchat.org for full information.
Topic:
T1 Health Care Reform: What impact will the recent act's passage have on nursing? What reforms would you like to see take place?
Similar to RNchat Transcript February 26, 2010 (20)
Transcript of #RNchat - a Twitter chat for registered nurses - for December 23, 2010.
Follow @RNchat - http://Twitter.com/RNchat - for regular updates.
Transcript of #RNchat - a Twitter chat for registered nurses - for Thursday, November 4, 2010.
Follow @RNchat - http://Twitter.com/RNchat for regular updates.
Topics were provided by the kindness of Palo Alto Medical Foundation (@PaloAlto on Twitter) through Erin Macartney (@emacartney):
T1 Are your job responsibilities changing with the advent of health care reform? How?
T2 How do you personally maintain excellent standards of care in the face of budget cuts and pressures?
T3 What areas of health innovation do you think are most important to patient care?
Chat was moderated by Phil Baumann, RN (@PhilBaumann on Twitter)
Transcript of #RNchat - a Twitter chat for registered nurses - for Friday October 29, 2010.
Follow @RNchat - http://Twitter.com/RNchat - for regular updates. Visit RNchat.org for more.
Topics provided by @NAPH1981
Produced by @PhilBaumann
Transcript of #RNchat - a Twitter chat for registered nurses - for Sunday, October 24, 2010.
Follow @RNchat on Twitter for updates.
Visit RNchat.org for more on the chat.
Topics include:
T1 - How are nurse - hospital relations where you are & have the hospitals slowed down hiring? If so, is it affecting staffing?
T2-Why R important nursing care areas missed (R we still 'holistic') & do patients perceive us as scolding, non- listeners?
T3 - what one change can each of us make to improve our practice/profession/units this week?
Follow @RNchat - http://Twitter.com/RNchat for regular updates.
Transcript of RNchat - a Twitter chat for registered nurses - for Friday, October 14, 2010.
Follow @RNchat for regular updates. RNchat.org for blog posts.
Topics included:
T1 If U had the OK to freely use Twitter in any aspect of patient care delivery, how would U use it? To reach pts? Family? MDs? RNs?
T2 Offer Topic Suggestions for Future Chats
Moderated by @EllenRichter
Transcript of #RNchat - a Twitter chat for registered nurses - for Saturday September 18, 2010.
This was the First Birthday of RNchat.
Follow @RNchat for regular updates - http://Twitter.com/RNchat
Visit the blog: http://RNchat.org
Transcript for #RNchat - a Twitter chat for registered nurses - for July 15, 2010.
TOPICS:
T1- How does lateral violence among RNs affect pt care? & how can we better prepare nurses & students to deal with lateral violence?
T2- Pharm:vast/quick changing/& can hurt pts.What areas do U need more pharm ed in & what should we teach nursing students?
T3 - Teaching better communication? how should we teach it & should scripting be used in Nursing?
Follow @RNchat - http://Twitter.com/RNchat for more!!
RNchat.org - http://RNchat.org
Transcript of #RNchat, a Twitter chat for registered nurses, moderated by Ellen Richter (@EllenRichter on Twitter).
Topics included:
T1 Every July, as new interns begin hospital rotations, patterns show a rise in patient safety events, termed the "July Effect"
T1 (contd) In what ways can the nursing profession help to reduce actual patient errors related to the "July Effect"?
T2 Theres growing evidence of the benefits of family being present during resuscitative efforts, especially a child. Do you agree?
T2 (contd) Would U want to be sent away from a loved one's side if its the last time U may see them alive? What are the pros/cons?
Follow @RNchat (http://Twitter.com/RNchat) for updates.
Transcript of RNchat - a Twitter chat for registered nurses - for June 4, 2010.
Follow @RNchat on Twitter for more: http://Twitter.com/RNchat
Topics:
Nurses' Bill of Rights
Motivating Environments in Nursing
Transcript for #RNchat - a Twitter chat for registered nurses - for Friday May 28, 2010. Follow @RNchat - http://Twitter.com/RNchat
Topics:
T1 The general dilemma of h/care socmedia: people can hurt themselves w/o the media (noone to talk to) or actually get hurt w/it
T2 Alternative Career Paths: Bedside nursing isn't the only career. What other pathways are available? How can we prep grads' paths?
T3 RN Camp: "Where Nursing Reboots" - http://RNcamp.com I want to extend #RNchat into "real life". See link & the next tweet
T3 RNcamp - It's tentatively scheduled for October, but may need to be 1st Qtr 2011. What would you like to see discussed there?
T3 If you would like to contribute or have questions about RNcamp, @ reply or email: Reboot@RNcamp.com
Transcript of RNchat, a Twitter chat for registered nurses, for Tuesday May 11, 2010
Topics includ:
T1 National Nurse: We've discussed this before, but let's revisit. HR4601 proposes an Office of the Nat'l Nurse. Discuss pros/cons
T2 The Old Degree Requirements Debate: Some Philly hospitals have started requiring BSNs. http://bit.ly/bWmarL - Please discuss.
Follow @RNchat - http://Twitter.com/RNchat
Vist the blog - http://RNchat.org
Transcript of #RNchat, a Twitter chat for registered nurses, for Tuesday, April 6, 2010.
Topic:
T1 National Nurse #HR4601: What do you think about creating a National Nurse Position in U.S.? What are pros? Any cons?
Transcript of #RNchat, a Twitter chat for registered nurses, for Friday April 2, 2010. Follow @RNchat on Twitter - http://Twitter.com/RNchat
Topics:
T1 If health care professnal makes accidental yet fatal med error what should resulting action be? Terminate? Suspend? Revoke? Jail?
T2 Should ea facility develop & implement their own nursing care standards or should there be internat'l standards of nursing care?
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
The Gram stain is a fundamental technique in microbiology used to classify bacteria based on their cell wall structure. It provides a quick and simple method to distinguish between Gram-positive and Gram-negative bacteria, which have different susceptibilities to antibiotics
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CDSCO and Phamacovigilance {Regulatory body in India}NEHA GUPTA
The Central Drugs Standard Control Organization (CDSCO) is India's national regulatory body for pharmaceuticals and medical devices. Operating under the Directorate General of Health Services, Ministry of Health & Family Welfare, Government of India, the CDSCO is responsible for approving new drugs, conducting clinical trials, setting standards for drugs, controlling the quality of imported drugs, and coordinating the activities of State Drug Control Organizations by providing expert advice.
Pharmacovigilance, on the other hand, is the science and activities related to the detection, assessment, understanding, and prevention of adverse effects or any other drug-related problems. The primary aim of pharmacovigilance is to ensure the safety and efficacy of medicines, thereby protecting public health.
In India, pharmacovigilance activities are monitored by the Pharmacovigilance Programme of India (PvPI), which works closely with CDSCO to collect, analyze, and act upon data regarding adverse drug reactions (ADRs). Together, they play a critical role in ensuring that the benefits of drugs outweigh their risks, maintaining high standards of patient safety, and promoting the rational use of medicines.
Basavarajeeyam is a Sreshta Sangraha grantha (Compiled book ), written by Neelkanta kotturu Basavaraja Virachita. It contains 25 Prakaranas, First 24 Chapters related to Rogas& 25th to Rasadravyas.
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
1. rnchat: Tonight on #RNchat we will discuss Augmented Reality (AR) & its implications in nursing
& health care in general >> Read up? http://i.cx/16o
2/26/2010 19:58
rnchat: One of our topic on #RNchat tonite: Augmented Reality (AR) & its implications in health
care ~Heres another article >> http://i.cx/16p
2/26/2010 20:01
nursingpins: How Augmented Reality Works (#RNchat topic tonight) http://tinyurl.com/5hstkg
2/26/2010 20:16
rnchat: Another topic at #RNchat tonite (in 30 minutes) is about pediatric drug development &
clinical trials ~Some links to info >> http://i.cx/16r
2/26/2010 20:34
rnchat: 3rd topic tonite @ #RNchat will be re: patient safety! How are we doing with inpatient
falls? Why cant we achieve 100% falls prevention?
2/26/2010 20:43
rnchat: Hello & welcome to tonites edition of #RNchat, a Twitter chat for any health care folks &
of course for RNs! Its a place to share ideas
2/26/2010 21:02
KaitlynAliano: @rnchat, no problem. ;-) #RNchat
2/26/2010 21:03
CutePedsNurse: #Rnchat Hello!! :)
2/26/2010 21:03
rnchat: Lets take a few minutes to seeing who is joining in. Introduce yourselves & tell us in 140
or less what brings you to #RNchat tonight!
2/26/2010 21:04
nursingpins: Hi all, Vernon Dutton -critical care & nursing history in New Orleans #RNchat
2/26/2010 21:04
rnchat: @CutePedsNurse Hi! #RNchat
2/26/2010 21:04
KaitlynAliano: Nursing student from NJ here! #RNchat
2/26/2010 21:05
InfusionNurse: Good evening to all!! Infusion nurse and nurse educator. Glad to be here tonite!! #RNchat
2/26/2010 21:06
rnchat: I am @EllenRichter & like Vernon, I'm a critical care nurse, & I am a legal nurse
consultant too. I love to meet like this & share #RNchat
2/26/2010 21:06
tactile: RT @tactile: Med Surg nurse in Denver, Colorado. I'm also @grimalkinrn. I am also a
skin and wound resource. #RNchat
2/26/2010 21:08
CutePedsNurse: RT @CutePedsNurse Hi all!! I'm a peds nurse who is preparing for nicu!! Yea! Looking for
ideas. I'm Jennifer /forgot the #RNchat
2/26/2010 21:08
2. holisticnurses: Hi all! Telehealth/Holistic RN, NYC #rnchat
2/26/2010 21:08
rnchat: Wow...great turnout, folks! Hello to all of you! Too many to put in one tweet! :) Waving hi!
#RNchat
2/26/2010 21:09
rnchat: #RNchat is a way for nurses (& all others in health care!) to meet, tweet & share feelings,
thoughts, ideas~ We welcome silent lurkers!
2/26/2010 21:09
TeriRN: Hey all. Traveling nurse specializing in hospice. #RNChat
2/26/2010 21:09
InfusionNurse: Happy to see familiar names and new ones too...Hi all! #RNchat
2/26/2010 21:10
bthenextstep: @rnchat just wanted to say hello to all my fellow RN's out there. Can't stay. I've missed
these chats! School keeps me busy! #RNchat
2/26/2010 21:10
rnchat: The topics will be labeled T1, T2, etc. Please remember to add topic label & hashtag
#RNchat to ea tweet so we can track your responses!
2/26/2010 21:10
rnchat: You can join our chat by signing into websites like tweetchat or tweetgrid or use twitter
search page. Use hashtag #RNchat & follow along!
2/26/2010 21:11
rnchat: T1 Augmented Reality: AR will become more common. What uses could you envision for
AR in nursing? #RNchat
2/26/2010 21:12
InfusionNurse: @bthenextstep ...we miss you...have fun studying!! #RNchat
2/26/2010 21:13
bthenextstep: @rnchat have a great night everyone! *high fives around the room* #RNchat
2/26/2010 21:13
rnchat: @bthenextstep We'll save your seat! :) #RNchat
2/26/2010 21:14
rnchat: T1 Is everyone familiar with augmented reality? #RNchat
2/26/2010 21:15
CutePedsNurse: T1- #RNchat I think we will begin to lose track of our patients and not really know them.
2/26/2010 21:16
nursingpins: T1-so much potl-Dr. office - nest avlib. apt -what serv--Hosp.wait time- ins. info -best
feature - see what others tweet about same. #RNchat
2/26/2010 21:16
InfusionNurse: T1 - just read up on it but would love to see AR used in finding veins...esp. peds and
obese pts. & others w/ bad veins. #RNchat
2/26/2010 21:16
SunnyStokes: Hello all! I'm Sunny, disease management nurse in primary care in rural SC. #RNchat
2/26/2010 21:17
3. TeriRN: 1st time hearing the term. Haven't had a chance to look at the article you posted.
#RNChat
2/26/2010 21:17
rnchat: @CutePedsNurse T1 Either that, or we may just get to know them better with AR
#RNchat
2/26/2010 21:17
tactile: I was googling augmented reality to see if it was something I should screen for, to be
honest. T1 #RNchat
2/26/2010 21:17
BonnieRN: #RNChat Phil, could you explain the term?
2/26/2010 21:18
rnchat: T1 Very broadly, its a wireless way to access information that is far away from the
accessor #RNchat
2/26/2010 21:18
InfusionNurse: T1 - shld help us, accdg to the article, we can point to a pt and all their info appears on
your phone/screen! #RNchat
2/26/2010 21:19
CutePedsNurse: T1-#RNchat I think it could go either way but I still like more interaction.
2/26/2010 21:19
rnchat: T1 @nursingpins had a great response tweet with ways AR is used #RNchat
2/26/2010 21:19
nursingpins: T1 unlimited info about any given place Resturant ex - menu, prices, reserv other reviews
- will work the same for medical info. #RNchat
2/26/2010 21:19
DaveyHo69: Like Nascar? Love your career choice! RT @CutePedsNurse: I'm a peds nurse who is
preparing for nicu!! I'm Jennifer forgot the #RNchat
2/26/2010 21:20
holisticnurses: T1 There are two articles. It would be great at teaching pt's anatomy and physiology of
their diseases as well as student RNs. #rnchat
2/26/2010 21:20
BonnieRN: #RNChat oh man, I did not know there was homework... studying up...
2/26/2010 21:20
rnchat: @BonnieRN LOL hi Bonnie! Its Ellen tonite, not Phil & welcome. I tweeted 2 links earlier
to familiarize ppl with the term AR #RNchat
2/26/2010 21:21
KaitlynAliano: T1: I think it could be beneficial when educating clients. #RNchat
2/26/2010 21:21
holisticnurses: @BonnieRN T1 One article shows graphics projected from a screen onto a person or a
surface. Blurs the line of reality and techology. #rnchat
2/26/2010 21:21
InfusionNurse: @BonnieRN ..Ellen is moderating, don't know if Phil is here tonite #RNchat
4. 2/26/2010 21:21
tactile: T1 It could be useful for ppl in hard to reach areas. However, I worked in IT. Left it for
more personal interaction #RNchat
2/26/2010 21:21
rnchat: T1 The ability for medical aid to be brought right to a desolate area via AR is amazing
#RNchat
2/26/2010 21:22
BonnieRN: #RNChat T1, U guys are over my head... lol I see the aps....
2/26/2010 21:23
nursingpins: T1 check pharmacy to see if they have your meds - prices- is it ready-gneric avlib.
information is limitless for any place -location #RNchat
2/26/2010 21:24
rnchat: T1 I would love to see the ability to put sensors on patients' skin that would ring at the 1st
sign of pressure build up #RNchat
2/26/2010 21:24
TeriRN: @rnchat I see I'm going 2need 2do some studying. I'm still not getting AR Right now C
how it could B used as an invasion of privacy. #RNChat
2/26/2010 21:25
KaitlynAliano: The ultrasound of the future: http://bit.ly/aWabTK (speaking of augmented reality...)
#RNchat
2/26/2010 21:25
TeriRN: @rnchat But that could be with any technology I know. Like the ideas for use I'm seeing
so far. #RNChat
2/26/2010 21:26
InfusionNurse: Awesome! RT @KaitlynAliano: The ultrasound of the future: http://bit.ly/aWabTK (speaking
of augmented reality...) #RNchat
2/26/2010 21:27
TeriRN: That's amazing. RT @KaitlynAliano: The ultrasound of the future: http://bit.ly/aWabTK
(speaking of augmented reality...) #RNChat
2/26/2010 21:27
nursingpins: T1 AR is like layers of information - you can cont how much info you get on your phone
just by pointing your phone at location etc. #RNchat
2/26/2010 21:27
CutePedsNurse: #RNchat T1 I agree that it could be very good for information. We would also need to be
careful about confidentiality.
2/26/2010 21:28
rnchat: @CutePedsNurse T1 Yes, we ALWAYS have to be aware of confidentiality in health care,
no matter what we are doing. :) #RNchat
2/26/2010 21:29
rnchat: OK 3 more minutes & on to the next topic, folks :) #RNchat
2/26/2010 21:29
TeriRN: @rnchat T1: That will be interesting. #RNChat
2/26/2010 21:29
5. nursingpins: T1 - we could have another chat about AR - it will be very common in near future, still
developing. #RNchat
2/26/2010 21:29
KaitlynAliano: @InfusionNurse @terirn - I know! Isn't it? #RNchat
2/26/2010 21:30
InfusionNurse: T1 - perhaps still a new concept to us but I can see where it will be helpful to us so we
can care for patients better... #RNchat
2/26/2010 21:30
rnchat: @nursingpins I agree. Augmented Reality is something we can build upon in future chats!
Today we are getting everyone on same page #RNchat
2/26/2010 21:31
InfusionNurse: @KaitlynAliano ...T1 that's exactly what I want to help me find veins easily....no missed
attempts! #RNchat
2/26/2010 21:31
holisticnurses: @InfusionNurse There is a product called Accuvein that can find veins for IV insertion. T1
#rnchat
2/26/2010 21:31
CutePedsNurse: RT @nursingpins T1 - we could have another chat about AR - it will be very common in
near future, still developing. #RNchat <>Yes
2/26/2010 21:32
KaitlynAliano: @InfusionNurse, you're right. That would be a great use of technology! #RNchat
2/26/2010 21:32
InfusionNurse: Yup, been using it, best so far in the market but its not AR . RT @holisticnurses: product
called Accuvein for IV insertion. T1 #RNchat
2/26/2010 21:32
rnchat: T2 Despite aggressive programs to identify pts at risk for falls, statistics R still too high.
What more can we do to combat falls? #RNchat
2/26/2010 21:33
TeriRN: @InfusionNurse I could of used something like that when I had my MI & the best vein
they could find was in shoulder with a 22. #RNChat
2/26/2010 21:33
ocdgirl2000: RT @holisticnurses: @InfusionNurse There is a product called Accuvein that can find
veins for IV insertion. T1 #rnchat
2/26/2010 21:33
KaitlynAliano: @rnchat, that's a tough one! re: T2... #RNchat
2/26/2010 21:34
InfusionNurse: OMG!! RT @TeriRN:...the best vein they could find was in shoulder with a 22. #RNchat
2/26/2010 21:34
TeriRN: T2: For nursing homes, staffing needs to be better. Not the state minimum. #RNChat
2/26/2010 21:34
nursingpins: T2 other than raising the bed as high as it will go - (to hear them when they hit the floor)
6. I would like to know too:) falls #RNchat
2/26/2010 21:35
ocdgirl2000: @holisticnurses #rnchat T1 whoever invented that will be rich! "accuevein"
2/26/2010 21:35
holisticnurses: Agreed, staffing. But that's a conundrum all it's own. RT @TeriRN: T2: For nursing
homes, staffing needs to be better. #rnchat
2/26/2010 21:35
nursingpins: T2 we need to make sure beds are in the lowest position (easy thing to remember)
#RNchat
2/26/2010 21:36
rnchat: T2 I think we need some more innovative & sensitive bed & chair sensor devices, ones
that quickly pull a nurse to the bedside? :) #RNchat
2/26/2010 21:36
TeriRN: T2: Also better ed So far inservices I've been in 4falls have been jokes Unfortunately
places I was @ wasn't in position 2sug better #RNChat
2/26/2010 21:37
holisticnurses: Yes! Come up with something good. http://www.accuvein.com/ RT @ocdgirl2000: #rnchat
T1 whoever invented that will be rich! #rnchat
2/26/2010 21:37
KaitlynAliano: RT @holisticnurses: Agreed, staffing. But that's a conundrum all it's own. RT @TeriRN:
T2: For nursing homes, staffing needs to b... #RNchat
2/26/2010 21:37
rnchat: T2 I also think any pt identified as a high risk should have visiting hours opened so family
can sit in shifts round the clock #RNchat
2/26/2010 21:37
holisticnurses: T2 Redesign location of nurses' station. #rnchat
2/26/2010 21:37
TeriRN: @holisticnurses Boy is it ever. Staffing is always better when it's survey time. Then back
to the bare minimum. =( #RNChat
2/26/2010 21:38
nursingpins: Latest study - some never events can't be 100% prevented - unfortunately falls are one of
them. #RNchat
2/26/2010 21:38
ocdgirl2000: #rnchat T2 group homes seem to do quite well around here,best of both worlds! great
care,surveyors keep closer eye on them.cheaper,like home
2/26/2010 21:38
KaitlynAliano: How do you all feel about restraints? We learned them 2 wks ago and were told they can
keep a patient at risk for a fall in bed. #RNchat
2/26/2010 21:38
rnchat: T2 If we place the responsibility on the family too, it could reduce falls just by having
more manpower alone! #RNchat
2/26/2010 21:38
7. TeriRN: @nursingpins Agreed, but the #'s could be less. I've witnessed nurses & aides ignore the
alarms b/c it's not their pt. #RNChat
2/26/2010 21:39
holisticnurses: @KaitlynAliano T2 Eeekk...not a restraint fan here. #rnchat
2/26/2010 21:40
rnchat: @KaitlynAliano T2 The risk for falls is not usually a criteria for restraints. This is why its
such a challenge. #RNchat
2/26/2010 21:40
nursingpins: T2 video monitors offer the best hope (and somebody to watch them) #RNchat
2/26/2010 21:40
TeriRN: Same here.>>>>RT @holisticnurses: @KaitlynAliano T2 Eeekk...not a restraint fan here.
#RNChat
2/26/2010 21:40
holisticnurses: Good idea! RT @rnchat: T2 pt identified as a high risk should have visiting hours opened
so family can sit in shifts round the clock #rnchat
2/26/2010 21:40
rnchat: RT @nursingpins: T2 video monitors offer the best hope (and somebody to watch them)
#RNchat
2/26/2010 21:40
DianaCCRN: T2 #RNchat my workplace looking at hiring private sitters for qualified patients. Cheaper
than paying for fall.
2/26/2010 21:41
KaitlynAliano: @holisticnurses, me neither! Just curious. #RNchat
2/26/2010 21:41
InfusionNurse: Good idea..RT @nursingpins: T2 video monitors offer the best hope (and somebody to
watch them) #RNchat
2/26/2010 21:41
nursingpins: @TeriRN Your are right - has to be a shared responsibility. #RNchat
2/26/2010 21:41
holisticnurses: Privacy laws prohibit video cameras in certain areas RT @nursingpins: T2 video monitors
offer the best hope (somebody to watch them) #rnchat
2/26/2010 21:42
TeriRN: @DianaCCRN Worked at one that told families they had to pay for the sitter. Families
can't afford it many times. #RNChat
2/26/2010 21:42
ocdgirl2000: #rnchat T2 the reason why pt's R in Nursing Homes is because families mostly don't
have time or inclination 2 B involved.or pt would be home
2/26/2010 21:42
BonnieRN: T2 #rnchat private sitters and family, quiet alarms someone who can run fast
2/26/2010 21:42
holisticnurses: Research Granny Cams. Slippery slope issue. RT @InfusionNurse: Good idea..RT
@nursingpins: T2 video monitors offer the best hope #rnchat
2/26/2010 21:43
8. TeriRN: @BonnieRN AWWWWW! Nurses need to where roller skates. =D #RNChat
2/26/2010 21:43
rnchat: @ocdgirl2000 T2 LOL, yes but these are the same families that definitely have time for
litigation if the pt falls! #RNchat
2/26/2010 21:43
tactile: @KaitlynAliano T2 I think restraints, chemical and physical should be a last resort and
increase the risk of delirium and injury #RNchat
2/26/2010 21:44
holisticnurses: Of course. Glad they're discussing the issue in schools. RT @KaitlynAliano:
@holisticnurses, me neither! Just curious. #rnchat
2/26/2010 21:44
KaitlynAliano: @TeriRN, roller skates could contribute to nurses' falls! :-D #RNchat
2/26/2010 21:44
BonnieRN: T2 awww yes, litigation... #rnchat
2/26/2010 21:44
TeriRN: @ocdgirl2000 Not always true Sometimes families can't handle the pt 2stay home & they
can't live alone nor afford private sitters #RNChat
2/26/2010 21:45
rnchat: @tactile T2 Yes good point. I dont think most hospitals even list "fall risk" as a choice in
restraint policies #RNchat
2/26/2010 21:45
ocdgirl2000: @rnchat #rnchat T2 sometimes!, sometimes not even, they have time to fight over the
leftover accounts!
2/26/2010 21:45
TeriRN: @KaitlynAliano Darn it always a down side to good ideas. =D #RNChat
2/26/2010 21:45
holisticnurses: Fall team! Great! RT @nursingpins: T2 ideally a(fall team)to assign & monitor-anything
can be done with enough help #rnchat
2/26/2010 21:45
rnchat: @BonnieRN LOL, yes, litigation...now you can tell its me & not Phil ;) #RNchat
2/26/2010 21:46
TeriRN: @holisticnurses T2: I like that a fall team. Facilities have wound care teams & IV teams
add a fall team. #RNChat
2/26/2010 21:46
rnchat: @holisticnurses T2 But wont a Fall Team be costly? In this day & age how can we OK
more staff? #RNchat
2/26/2010 21:47
rnchat: 2 minutes & on to topic 3 :) #RNchat
2/26/2010 21:48
ocdgirl2000: @TeriRN #rnchat T2 nursing homes are upwards 70K a year! cheaper to pay round the
clock Nursing care in pt's home!
9. 2/26/2010 21:48
Trybarefoot: Just 'iistening' here quietly - interesting chat...#RNChat
2/26/2010 21:48
KaitlynAliano: @rnchat, that's what I was thinking, too. Hospitals are trying to cut costs. A new team
would be a no-go, wouldn't it? #RNchat
2/26/2010 21:48
TeriRN: @rnchat T2: Wouldn't it B cheaper than litigation &increased care needed from the
injuries? Although cost of more staff will B issue #RNChat
2/26/2010 21:49
nursingpins: @rnchat T2 would add to cost but we are doing everything already without enough help
and support :) #RNchat
2/26/2010 21:49
tactile: T2 We should also try to equally distribute fall risk pts among the staff. No RN should
have all of them, and neither should 1 CNA! #RNchat
2/26/2010 21:49
TeriRN: @ocdgirl2000 Not if you don't have the money & have 2 rely on Medicaid. #RNChat
2/26/2010 21:49
holisticnurses: Interdisclipinary approach with the present staff. ??? RT @rnchat: T2 But wont a Fall
Team be costly? #rnchat
2/26/2010 21:50
rnchat: Sigh >> Yes! So true RT @nursingpins T2 would add to cost but we are doing everything
already without enough help and support :) #RNchat
2/26/2010 21:50
nursingpins: T2 we could try to split them up - but 60% of falls are not ID'd as fall potential. #RNchat
2/26/2010 21:50
TeriRN: @holisticnurses T2: That's an idea. #RNChat
2/26/2010 21:50
rnchat: T2 Awesome responses to the falls topic, folks! :) #RNchat
2/26/2010 21:51
TeriRN: RT @nursingpins: T2 we could try to split them up - but 60% of falls are not IDd as fall
potential.<<Sad but true #RNChat
2/26/2010 21:51
NursingCenter: Hey gang! Sorry I'm so late :) I'll try to catch up! #rnchat
2/26/2010 21:51
rnchat: @nursingpins Is that your facility's statistic or is that the US statistic...60% of falls not IDd
as potential? #RNchat
2/26/2010 21:51
KaitlynAliano: @NursingCenter, welcome! #RNchat
2/26/2010 21:52
rnchat: @NursingCenter Welcome!! :) #RNchat
2/26/2010 21:52
10. TeriRN: @NursingCenter Better late than never. =D #RNChat
2/26/2010 21:52
TeriRN: @NursingCenter Glad you made it. #RNChat
2/26/2010 21:53
rnchat: T3 Pediatric Rx: What is the future of peds Rx development? What are ethical dilemmas
of pediatric clinical trials? #RNchat
2/26/2010 21:53
ocdgirl2000: #rnchat T2 we used to see mostly all of our orthopedic patients as falls from Nursing
Homes, the ones that were the lower income..
2/26/2010 21:54
InfusionNurse: T3 - not much clinical trials going on for peds...can't use them as study subjects?
#RNchat
2/26/2010 21:54
NursingCenter: Thanks for the welcomes! Talking about falls, huh? Horrible when it happens - will check
transcript later to read your ideas! #rnchat
2/26/2010 21:55
holisticnurses: T2 And incentives for fall teams that decrease statistics. Seems like a return to a team
approach on floors-RN, LPN, CNA, SW, MD. #rnchat
2/26/2010 21:55
KaitlynAliano: RT @rnchat: T3: Pediatric Rx: What is the future of peds Rx development? What are
ethical dilemmas of pediatric clinical trials? #RNchat
2/26/2010 21:55
TeriRN: @holisticnurses T2: seen to many MDs order restraints rather than try to come up with
better solution or use sol. offered by RN #RNChat
2/26/2010 21:56
rnchat: T3 Some examples of pediatric clinical trials are at this link http://i.cx/16r #RNchat
2/26/2010 21:56
tactile: T3 #rnchat Pediatric trials: the benefits HAVE to outweigh the risks to growth, mental and
emotional development, and health.
2/26/2010 21:56
holisticnurses: MD's should take a monitoring shift. :) RT @TeriRN: @holisticnurses T2: seen many MDs
order restraints rather than try to come up... #rnchat
2/26/2010 21:57
ocdgirl2000: #rnchat T3 sometimes you see some Peds clinical trials at NIH, simply because the
patients can live there, be observed go to school there..
2/26/2010 21:57
nursingpins: T3 listening - peds exp is nill #RNchat
2/26/2010 21:58
holisticnurses: T3 Hmm...good question. All I can say is too many kids on Ritalin in my opinion. #rnchat
2/26/2010 21:58
TeriRN: @holisticnurses T2: MDs take a monitoring shift? That I would love to see. #RNChat
2/26/2010 21:58
11. TeriRN: @holisticnurses T3: I agree. I think some R dx'd ADD/ADHD when all they need is
redirection or consistant discipline. #RNChat
2/26/2010 22:00
rnchat: T3 If you had a terminally ill child, would you consent to a clinical trial of a new drug for
possible treatment? #RNchat
2/26/2010 22:00
holisticnurses: But medical students should to better understand the problem. RT @TeriRN:T2: MDs take
a monitoring shift? That I would love to see. #rnchat
2/26/2010 22:00
TeriRN: @holisticnurses T2: I sooooooo agree with you on that. #RNChat
2/26/2010 22:01
rnchat: T3 Didnt ADD & ADHD evolve with the computer age? #RNchat
2/26/2010 22:01
TeriRN: @rnchat T3: wow that's a hard one. Not sure what I would do. #RNChat
2/26/2010 22:01
ocdgirl2000: #rnchat T3 well,usually stuff around mental health,learning issues,sometimes it's cancer
treatment,or lupus,my friend grew up@ NIH,she's 55
2/26/2010 22:01
rnchat: T3 What is the ethically correct way to deal with development of new drugs to treat
pediatric disorders? #RNchat
2/26/2010 22:02
holisticnurses: Or was it the diagnosis that evolved? RT @rnchat: T3 Didnt ADD & ADHD evolve with
the computer age? #rnchat
2/26/2010 22:02
TeriRN: @rnchat T3: Hmmm good question. But using the standard I see where some adults
would have been labeled ADD/ADHD as a kid. #RNChat
2/26/2010 22:03
NursingCenter: T3 Ethical dilemmas with ped clinical trials ~ risk v. benefits, differences in physical &
emotional development #rnchat
2/26/2010 22:03
KaitlynAliano: @rnchat, only if there was nothing to lose and everything to gain... #RNchat
2/26/2010 22:03
rnchat: @ocdgirl2000 T3 Good examples! :) #RNchat
2/26/2010 22:03
cyclingwidow: Late arrival but I did make it tonight. Kim, RN, BSN, Clinical Analyst in IT #rnchat
2/26/2010 22:03
InfusionNurse: @rnchat ..T3... or the use of an approved drug 4 adults not peds but would help the
illness... #RNchat
2/26/2010 22:03
KaitlynAliano: @cyclingwidow, welcome! #RNchat
2/26/2010 22:03
12. TeriRN: @cyclingwidow Welcome Kim #RNChat
2/26/2010 22:04
holisticnurses: Burden falls on MD's to accurately report findings. RT @rnchat: T3 What is the ethically
correct way to deal w development of new rx #rnchat
2/26/2010 22:04
NursingCenter: @cyclingwidow welcome! #rnchat
2/26/2010 22:04
rnchat: @cyclingwidow Welcome anyway! :) #RNchat
2/26/2010 22:04
pamQ: T3 - There's this term called #NADD - Nerd Attention Deficiency Disorder w/c evolved
from the digital age. http://bit.ly/aSEVQT #RNchat
2/26/2010 22:04
TeriRN: @InfusionNurse T3: this is why some drugs can't be put in liquid form, FDA afraid MDs
will use them 4 peds when not tested. #RNChat
2/26/2010 22:05
rnchat: @TeriRN T3 Interesting point about liquid meds being easy to use on kids even if not
tested first! #RNchat
2/26/2010 22:06
holisticnurses: @ocdgirl2000 Must have been so very difficult for family...two kids at NIH. T3 #rnchat
2/26/2010 22:06
cyclingwidow: T3 personal example, 11 yo DD on Zantac for reflux. Just took her off it after she started
having severe abd pain & severe anxiety #rnchat
2/26/2010 22:06
InfusionNurse: @TeriRN ..whatever form it comes, doc just use smaller adult doses for peds since no
clincial data..but somehow it works... #RNchat
2/26/2010 22:07
rnchat: @cyclingwidow Did they feel those symptoms were related to the Zantac? #RNchat
2/26/2010 22:08
cyclingwidow: @cyclingwidow listed as side effects but could it be that the "rare" side effects might
actually be common in children? #rnchat
2/26/2010 22:08
holisticnurses: RT @cyclingwidow listed as side effects but could it be that the "rare" side effects might
actually be common in children? #rnchat
2/26/2010 22:08
ocdgirl2000: @holisticnurses #rnchat T3 this was so many years ago too!they were also from another
country!Lima, Peru, well off, but parents got divorced
2/26/2010 22:09
rnchat: T3 I always disliked recovering babies who had open heart. Drugs & drips were too small
to calculate. It always scared me. #RNchat
2/26/2010 22:09
TeriRN: @InfusionNurse T3: interesting. This is the reason my MD told me I couldn't have a
certain med 4 my child that prob would have work #RNChat
2/26/2010 22:10
13. InfusionNurse: T3 - meds for tx adult crohn's r available, docs use same med for peds crohn's until one
finally got fda approved for crohns. #RNchat
2/26/2010 22:10
ocdgirl2000: @holisticnurses #rnchat T3 & one healthy child.the one child that survived,my friend,went
into very good remissions,very few exacerbations
2/26/2010 22:11
holisticnurses: Agreed. Same here in Peds rotation. RT @rnchat: T3 Drugs & drips were too small to
calculate. It always scared me. #rnchat
2/26/2010 22:11
holisticnurses: @ocdgirl2000 T3 That's one success story. :) #rnchat
2/26/2010 22:11
rnchat: T3 Many topical meds for severe skin conditions like psoriasis/eczema have warnings for
very limited pediatric use #RNchat
2/26/2010 22:12
NursingCenter: Not much peds experience here...but what about consent? At what age can/should the
child be involved in the decision to enroll? #rnchat
2/26/2010 22:12
InfusionNurse: T3 - so if docs use adult dose for peds w/o FDA approval for peds use - isn't that off label
use? #RNchat
2/26/2010 22:12
cyclingwidow: T3 how do you determine the appropriate dosing for a child? Weight is common but is
that always appropriate? #rnchat
2/26/2010 22:13
rnchat: @NursingCenter T3 Good question! I would imagine a parent must consent for any
minor? #RNchat
2/26/2010 22:13
Trybarefoot: Just thinking the same? RT @NursingCenter: but what about consent? At what age
can/should the child be involved in the decision? #rnchat
2/26/2010 22:14
InfusionNurse: yet parents use them..RT @rnchat: T3 Many topical meds for skin conditions
psoriasis/eczema warnings for very limited pediatric use #RNchat
2/26/2010 22:14
cyclingwidow: @rnchat Unless emancipated. Parents must consent even for our minor OB pts. Of
course the minor can then consent for their minor #rnchat
2/26/2010 22:15
holisticnurses: T3 Used to do Peds Telehealth...parents would beg for antibiotics to treat viral infections.
Told them...you don't want to overuse. #rnchat
2/26/2010 22:15
InfusionNurse: @NursingCenter ...parent's provide the consent...till the age of 18. #RNchat
2/26/2010 22:15
ocdgirl2000: @holisticnurses #rnchat T3 until recently,she's not well now.she's worked so hard over
the years.HER CHOICE!!no one could tell her anything!
2/26/2010 22:16
14. NursingCenter: @cyclingwidow re: dosing...I would think age matters too, pharmacokinetics r/t organ
development, receptors- all the cellular stuff! #rnchat
2/26/2010 22:16
InfusionNurse: @cyclingwidow ..that is the issue esp. since there's no clinical data/recommendation for
peds dosing. #RNchat
2/26/2010 22:17
Trybarefoot: Across all USA? Canada?! RT @InfusionNurse: @NursingCenter ...parent's provide the
consent...till the age of 18. #RNchat
2/26/2010 22:17
holisticnurses: @ocdgirl2000 T3 Ah, was it partly her strong will that kept her well all these years too?!?
#rnchat
2/26/2010 22:17
rnchat: I just noticed that we have gone past our usual hour! Before people filter out I want to
thank everyone for participating tonite!! #RNchat
2/26/2010 22:18
NursingCenter: @holisticnurses I can see both sides of that one! Always want my kids to feel better right
away!!! #rnchat
2/26/2010 22:18
holisticnurses: LOL! That would perpetuate use of meds only! RT @chuymatt: @holisticnurses I wish we
could have the MDs prescribe placebos still. #rnchat
2/26/2010 22:18
cyclingwidow: @NursingCenter T3 exactly my thought. 2 of my girls are 2yrs apart and the younger is
the bigger child! Seems odd to give her MORE #rnchat
2/26/2010 22:18
KaitlynAliano: @Trybarefoot, Canada may have a different age of consent...(?) #RNchat
2/26/2010 22:18
tactile: @EllenRichter Thanks for hosting! Glad I could participate. I'm off to a hot bath and bed!!
I doubt I'll get off early tomorrow! #RNchat
2/26/2010 22:19
KaitlynAliano: @rnchat, great chat, Ellen! #RNchat
2/26/2010 22:19
InfusionNurse: Thanks Ellen! RT @rnchat: I just noticed that we have gone past our usual hour! I want to
thank everyone for participating tonite!! #RNchat
2/26/2010 22:19
Trybarefoot: Sorry I came late - appreciate the connections! Nite all..! #RNchat
2/26/2010 22:19
InfusionNurse: @Trybarefoot ..don;t know about Canada..sorry! #RNchat
2/26/2010 22:19
Trybarefoot: I'm thinking maybe? Need to ask that question! RT @KaitlynAliano: @Trybarefoot,
Canada may have a different age of consent...(?) #RNchat
2/26/2010 22:20
15. KaitlynAliano: Intelligent conversation as always. Would love to connect w/ everyone via @Twitter or
@LinkedIN. Enjoy the weekend! #RNchat
2/26/2010 22:20
nursingpins: Great job as always Ellen - Thanks, #RNchat
2/26/2010 22:20
rnchat: @Trybarefoot Glad you came too! You like to hang out with the nurses :) #RNchat
2/26/2010 22:20
InfusionNurse: Good nite to all! Have a great weekend! Great chat tonite...till next chat!! #RNchat
2/26/2010 22:21
rnchat: Great responses to all the topics! We will definitely chat more about Augmented Reality in
future chats as we see apps being used! #RNchat
2/26/2010 22:21
holisticnurses: An hour passed by so soon. Aw, well thanks Ellen and RNChat for the great discussion.
Bye, everyone! Have a great weekend. #rnchat
2/26/2010 22:22
grimalkinrn: @KaitlynAliano Feel free to follow me @tactile - my nursing/political twitter, or if you are
brave, @grimalkinrn. #RNchat
2/26/2010 22:22
cyclingwidow: Glad the girls decided to stay up late so I could get on the computer. :) even if I was
REALLY late #rnchat
2/26/2010 22:22
NursingCenter: @holisticnurses Yes - and unfortunately those infections are on the rise... #rnchat
2/26/2010 22:22
Kineticycle: #rnchat hey folks...sorry I missed out tonight! Hope it went well! Catch ya next time.
2/26/2010 22:22
TeriRN: @rnchat Great job tonight Ellen. Great convos too. Will start studying about AR. #RNChat
2/26/2010 22:22
cyclingwidow: Thanks Ellen @ellenrichter #rnchat
2/26/2010 22:23
ocdgirl2000: @RNchat #rnchat Thank You!As always, the Hostess with the Mostess!!Ellen!
2/26/2010 22:23
rnchat: I think I will suggest an alternate time for a chat next week so we can include more of the
west coast USA folks! Be on the lookout! #RNchat
2/26/2010 22:23
holisticnurses: Yes, that's my point too! We would educate viral vs bacterial. RT @cyclingwidow: but
NEVER antibiotics for viral infections. #rnchat
2/26/2010 22:23
NursingCenter: Thanks Ellen! Have a great weekend everyone! #rnchat
2/26/2010 22:23
TeriRN: @rnchat I would love that. Tonight I was off. But next Friday I'll be 30-45 mins late onto
chat #RNChat
2/26/2010 22:24
16. chuymatt: @rnchat West coast here! Not a problem for me. #rnchat
2/26/2010 22:24
cyclingwidow: @holisticnurses working in IT now but used to be in Infection Control. I will still get on
that soapbox anytime. :) #rnchat
2/26/2010 22:24
rnchat: Thanks to all of the participants!! Everyone have a great weekend (whenever in your
nursing week that may be!!) LOL Gnite! #RNchat
2/26/2010 22:24
holisticnurses: @cyclingwidow Best of luck with your 11yo! Bye, bye. #rnchat
2/26/2010 22:25
rnchat: Be on the lookout for @philbaumann to post this week's chat in transcript form on
http://rnchat.org #RNchat
2/26/2010 22:25
ocdgirl2000: #rnchat @rnchat, I was hoping more graduating Nursing students would start joining us
for our chats! I think it won't be long!
2/26/2010 22:25
holisticnurses: The IT/IC soapbox is welcomed anytime! RT @cyclingwidow: I will still get on that
soapbox anytime. :) #rnchat
2/26/2010 22:26
rnchat: @ocdgirl2000 Yes, pretty soon we will have a new group of RN grads! Its great, isnt it?
#RNchat
2/26/2010 22:26
cyclingwidow: Great convo at #RNChat tonight. @Busymom @ms_stacey You should follow @RNChat
2/26/2010 22:27
KaitlynAliano: @ocdgirl2000, several nursing students participated last week. Not sure where they
disappeared to! #RNchat
2/26/2010 22:31
Trybarefoot: YUP! Spent yrs surrounded by RNs! Now I train 'em! RT @rnchat: @Trybarefoot You like
to hang out with the nurses #RNchat
2/26/2010 22:32
Trybarefoot: @ocdgirl2000 #FF @LindsayBurke - she's the coolest RN grad I know! Watch her soar!
#RNchat
2/26/2010 22:35
ocdgirl2000: @KaitlynAliano #rnchat hope we're not too boring and stodgy?LOL!we'll have to start
sending our PR invites earlier next time!
2/26/2010 22:39
holisticnurses: We just talked about this on #RNchat RT @nytimesscience Rising Threat of Infections
Unfazed by Antibiotics http://nyti.ms/cRgBg7
2/26/2010 23:22