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Last Activity May 20 2011
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Started By WhatGives
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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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Nursing News
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Last Activity Jan 19 2011
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Started By Moderator
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Last Activity Apr 04 2010
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Started By Moderator
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Pediatrics/RNs $60/Hour Reg $90/Hour Ovt
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job posted Nov 12
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Job openings
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Last Activity Nov 22 2009
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Last Activity Nov 22 2009
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Last Activity Nov 22 2009
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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
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Started By Forum Moderator
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Last Activity Nov 17 2009
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Started By CougarNurse
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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
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Started By GloriaH
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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
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Started By Forum Moderator
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*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,
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