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     Last Activity May 20 2011       
Started By WhatGives
ANCC or AANP Certification
  Replies: 1    LastReply: BoardMgr
OK, I'm sure this has been discussed before but I'm looking for some more recent updates. I am completing an ANP program in May and its time to decide what  certification exam to take. Of course the school is pushing the ANCC because that's what their ciriculum is based on. I've heard th exam content is similar. What are the advantages/disadvantages of one or the other. I know there's some difference of how you sign credentials (APRN-BC versus ANP-C) but what else? Thank you for you input.

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     Last Activity Jan 19 2011       
Started By Moderator
Clinical Supervisor (Registered Nurse - RN)
  Replies: 1    LastReply: veitatemic
Maxim Healthcare Services is currently seeking a Clinical Supervisor to be directly responsible for clinical activities of office staff. The Clinical Supervisor will be part of a team which plans, implement and evaluates our patient's plans of care. Responsibilities and Duties of a Maxim Clinical Supervisor Include: Enforce and demonstrate 100% compliance with all Federal, State and local regulati... View Full Job Description

job posting Nov 13 2009


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     Last Activity Apr 04 2010       
Started By Moderator
Pediatrics/RNs $60/Hour Reg $90/Hour Ovt
  Replies 0
The most vulnerable patients depend on you and you deliver. At FASTAFF we understand that highly specialized Pediatrics or PICU RNs should be earning the best pay available. That's why we offer the best pay and assignments to the best nurses, just like you. FASTAFF offers Peds and PICU travel nursing opportunities at some of the most challenging facilities across the country where you will learn n... View Full Job Description

job posted Nov 12 2009


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     Last Activity Nov 22 2009       
Clinical Supervisor (Registered Nurse - RN)
  Replies 0
Maxim Healthcare Services is currently seeking a Clinical Supervisor to be directly responsible for clinical activities of office staff. The Clinical Supervisor will be part of a team which plans, implement and evaluates our patient's plans of care. Responsibilities and Duties of a Maxim Clinical Supervisor Include: Enforce and demonstrate 100% compliance with all Federal, State and local regulati... View Full Job Description

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     Last Activity Nov 22 2009       
FULL TIME RN
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Full-Time RN Tifton Area. Contact Bethany Hospice (229) 249-8687 for an appt.



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     Last Activity Nov 22 2009       
PART TIME RN
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Part- time RNs needed at Lakehaven Nursing Home. Position benefits including Health Insurance, Vision, Dental, 401k and competitive salary. Apply at Lakehaven Nursing, 410 E. Northside Dr., Valdosta, Ga. 229-242-7368

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     Last Activity Nov 19 2009       
Started By Forum Moderator
ICU - Registered Nurse - Valdosta
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NurseChoice - ICU - Registered Nurse - Valdosta, Georgia Job located - Valdosta USA DATE POSITION TITLE JOB# 09/27/2009 ICU - Registered Nurse - Valdosta, Georgia 23137888 




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     Last Activity Nov 17 2009       
Started By CougarNurse
Giving babies Tylenol may blunt vaccines' effect
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Just something to think about: From Yahoo News 
Giving babies Tylenol to prevent fever when they get childhood vaccinations may backfire and make the shots a little less effective, surprising new research suggests.

It is the first major study to tie reduced immunity to the use of fever-lowering medicines. Although the effect was small and the vast majority of kids still got enough protection from vaccines, the results make "a compelling case" against routinely giving Tylenol right after vaccination, say doctors from the U.S. Centers for Disease Control and Prevention.
They wrote an editorial accompanying the study, published in Friday's issue of the British medical journal, Lancet.

The study only looked at preventive use of Tylenol — not whether it is OK to use after a fever develops.

Tylenol or its generic twin, acetaminophen, is widely recommended as a painkiller for babies. Many parents give it right before or after a shot to prevent fever and fussiness, and some doctors recommend this. The CDC's vaccine advisory panel says it is a reasonable thing to do for children at high risk of seizures, which can be triggered by fevers.

However, fever after a vaccine isn't necessarily bad — it's a natural part of the body's response. Curbing fever, especially the first time a baby gets a vaccine, also seems to curb the immune response and the amount of protective antibodies that are made, the new study found.

It was led by military and government scientists in the Czech Republic and was done at 10 medical centers in that Eastern European country. It involved 459 healthy infants, 9 to 16 weeks old, who were getting vaccines against polio, pneumonia, meningitis, whooping cough, tetanus, hepatitis and other childhood diseases.

Half were given three doses of Calpol, or paracetamol — a Tylenol-like brand sold in Europe — during the first day after vaccination. The others were given nothing besides the vaccines.

Babies given the painkiller were significantly less likely to develop a fever — 42 percent versus 66 percent of the others — and very few in either group developed a high one.

However, lower rates of protective antibody levels from several vaccines were seen in the group given the drug. Levels remained significantly lower in this group after booster vaccines, given when the babies were 12 to 15 months old.

Next, the researchers looked at 10 other vaccine studies and found some supporting evidence that using Tylenol to prevent fevers at the time of vaccination may curb immune system response rates. The same may not be true of using the drug to treat fevers after they develop.

The research was sponsored by Belgium-based GlaxoSmithKline Biologicals, which makes all the vaccines used in the study. Some authors have financial ties to the company, including owning stock in it, and Glaxo had a role in reporting the results.

Even with the fever-lowering drugs, more than 90 percent of children in the Czech study achieved protection from the various vaccines after the booster dose, so the effect of lower levels of antibodies on any individual might be small, Dr. Robert Chen and two other CDC doctors wrote in an editorial.

Yet the consistency of findings from other studies makes "a compelling case against" routine use of fever-lowering medicines during immunization, they write.

It's not known if Tylenol or other painkillers might reduce vaccine response in adults, but they are less likely to develop a fever after vaccination or to be so bothered by it, said Dr. John Treanor, a vaccine specialist at the University of Rochester Medical Center in Rochester, N.Y., who had no role in the study.

Tylenol is the only member of the family of over-the-counter pain relievers that is not a nonsteroidal anti-inflammatory drug, or NSAID.

"There's been speculation for a long time that the use of NSAIDs might have an effect" on antibody production after vaccination, but this is far from proved, Treanor said.

Given that so few children develop high fevers after vaccines, skipping the meds unless fever develops "may be the way to go," he said.


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     Last Activity Nov 17 2009       
Started By GloriaH
ANCC Certification updates, May 2008
  Replies 0
From MedScape: 
Over the last two years, the American Nurses Credentialing Center (ANCC) has updated all its certification credentials for both specialty and advanced practice exams. There were various reasons for changing each of these, but the collective result is a complete updating of ANCC credentials.
Specialty Certifications

In October 2006, the basic specialty exam credentials were changed to RN-BC (Registered Nurse - Board Certified); this reflected and emphasized the fact that board certification is what ANCC does, and all ANCC-certified nurses are board certified. The RN-BC replaced previously used RN,C and RN,BC credentials.
Advanced Practice Certifications

In January 2008, ANCC introduced new advanced practice credentials for nurse practitioner (NP) and clinical nurse specialist (CNS) certifications, after review and deliberation with nurses and other stakeholders that began in 2005. The previous credential APRN,BC (Advanced Practice Registered Nurse, Board Certified) was retired and the NP and CNS certifications are now each recognized with a credential that reflects both the specialty and the role. (See table below for the correct, new, credentials.)
The process used to choose the new credentials involved extensive surveys of and consultations with certified nurses and related stakeholders, such as the  National Association of Clinical Nurse Specialists (NACNS),  American Psychiatric Nurses Association (APNA),  American College of Nurse Practitioners (ACNP), National Council of State Boards of Nursing (NCSBN) and other national certification bodies. One of the key reasons for changing the advanced practice credentials was the fact that the credential 'APRN' is a protected title in a number of states, as well as under National Council State Board of Nursing's (NCSBN) APRN Compact. To accommodate the progress that the Compact represents, and to avoid any conflict, the ANCC Commission on Certification determined that a change was in order. The outcome was this year's change in credentials.
Nursing Administration Certifications

The ANCC Nursing Administration and Nursing Administration, Advanced certification names, and related credentials, were updated effective April 24, 2008. These certifications were first offered in 1979; much has changed in the last three decades, including terminology and the role of nurses in senior healthcare management. The new names for the certifications, Nurse Executive and Nurse Executive, Advanced, and the related credentials, Nurse Executive - Board Certified (NE-BC) and Nurse Executive, Advanced - Board Certified (NEA-BC) were introduced to bring them into line with contemporary healthcare terminology and culture. The term "Nurse Executive" does not refer to a job title or position, but to the body of knowledge suitable for an executive decision maker. The Nurse Executive and Nurse Executive, Advanced certifications are suitable for a wide range of nursing roles, including all types of supervisors, managers, consultants, chief nursing officers, faculty, deans, and leaders.
Public Health Nurse, Advanced

The most recent change was to the name and credentials awarded for the certification for Clinical Nurse Specialist in Public/Community Health Nursing. For some time, the majority of graduate education programs offering public and community health nursing education have not met the criteria for clinical nurse specialist programs.
Consequently, at its March 2008 meeting, the ANCC Commission on Certification decided to correct the name and credential. The new certification name will be Public Health Nursing, Advanced. Anyone who takes and passes the the Public Health Nursing, Advanced exam afterMay 17, 2008 will use the credential APHN-BC (Advanced Public Health Nurse - Board Certified). This change only affects those taking the exam after May 17, 2008. Nurses who have passed the exam on or prior to May 17, 2008 will continue to use the credential PHCNS-BC (Public Health Clinical Nurse Specialist - Board Certified), provided they maintain their certification through renewal every five years.
While this is an 'advanced' credential, it is not 'advanced practice.' The positive side of this name change is that eligibility requirements will be changed and it is likely that the new requirements will be more in line with national public health graduate nursing programs, enabling more nurses to qualify for the certification. The eligibility requirements will be updated over the next months.
For further details on these issues, please check the  ANCC website regularly.

 Thought this was worth sharing.


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     Last Activity Nov 17 2009       
Started By Forum Moderator
*Regarding Posting a Message Topic
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Posting a message is simple, 
just click on the POST button above to start a new topic, 
or the REPLY button to respond to an existing topic.
Please, no profanity or hate speech of any sort. 

Discussions can be of anything. Popular topics seem to be Job Opportunities, 
Salary/Pay issues, Getting more job experience, Job Stress, 
 Management practices, and Working conditions.

Don't hesitate to start a discussion topic about any issue you want information
about, or think may help another nurse, or just want to share with others.


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