Nursing Career Aspect 1
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Jack Cochran Interview

Jack Cochran was like many people he already had a career path and went back to school in 2011 at Duquense for a 12 month cont. program Starting in August to July 2012. Jack was able to take an Accelerated because he already had a Bachelors Degree in Environmental Science.

Miranda R. Stafiej's insight:

During Mr.Cochran student life he had to do clinical experience, which is hands on training where you would participate with the patient rather than just watch what was happening. Duquense was a school that focused a lot on the community, so the participation process took place in not just hospitals but in daycares, and the health department as well. It really opens the idea that nurses are not just in hospitals they are everywhere and its good to expose them to all the places and gain experience (cochran). 

Jack took his Boards to become a registered Nurse  in Pennsylvania, The boards are a National test that you take to receive your license to become a Registered Nurse. Many states you have to apply for in each state, for example Jack lives in Ohio but he is went to school in Pennsylvania and it was easier for him to get all of his paper works transferred because of this, then when he went back to live in Ohio all he had to do was apply for his license. Though there are some states that follow the Compact State Agreement, where other states do not require you to receive  a license in their state if you have one in another. 

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Health_Reform_and_the_Decline_of_Physician_Private_Practice.pdf

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Miranda R. Stafiej's comment, February 17, 2014 12:36 PM
The health care changes being made are different than the one made in the 90's. The changes made by the obama administration have a harboring effect that is sure to be around for a significant amount of time. Two key aspects in this health care reform are both informal and formal.
Miranda R. Stafiej's comment, February 17, 2014 12:42 PM
Private practice physicians will be replaced in a gradual manor. This will cause an abrupt eruption of practitioners to unify with each other or look for jobs with in hospitals. This will mostly be do from capital, administrative, technical resources.
Miranda R. Stafiej's comment, February 17, 2014 12:51 PM
The PAC's will greatly increase physicians legal liability on the statuses of obligations under federal fraud and abuse statutes. This will cause more funds for security and suspension of government necessity to prove justified reason for the suspicious or wrong doing. The environment may become hectic and heated do to all of the debate over a certain unfortunate event.
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Health Care Reform

Health Care Reform | Nursing Career Aspect 1 | Scoop.it
The American Nurses Association recognizes that health care reform is a national priority and is working on behalf of the nursing community toward this goal. Nurses and advanced practice nurses have important roles to play, ensuring any action puts patient safety first and stresses affordable access to quality health care.
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Miranda R. Stafiej's comment, February 18, 2014 12:39 PM
This bill has brought a new stance to health care. Many of the health groups such as the American Nurses Association believe that it is their responsibility to define to the public what all of these things mean, to them to the nurses and to our government.
Miranda R. Stafiej's comment, February 18, 2014 12:44 PM
This government enforces health reform lets nurses gain access to more than just the "ill". The health care reform wants more educational buildings and classes ran by nurses to discuss wellness and prevention of illness. By doing these things more programs will be nurse led changing the atmosphere for nurses to be a team effort rather than individual work.
Miranda R. Stafiej's comment, February 18, 2014 12:52 PM
The programs listed above will be paid for by funds the ACA has implied for the registered nurses to take and run. Programs also for nurses such as behavioral or pediatric health will have a specific way to pay for loans if they meet certain criteria. Altogether pushes people in the nursing career to gain a higher degree by giving them a helping hand in certain aspects such as money.
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Work Based Experience

Today on March 23 2014 I was able to take advantage of the shadowing opportunities at UPMC. My day was spent in the emergency room where I shadowed Lou Anne Lucarelli a Nurse Practitioner.

Miranda R. Stafiej's insight:

 

I arrived at the hospital promptly at 630 A.M. Where I met Nurse Lou Anne. She has been a Nurse Practitioner for 3 years and chose the same education method of receiving her Associates, Bachelors and Masters degree as I plan on. She was awarded her Associates degree at CCAC, then received her BSN online, and Finally attended Duquense University for her Masters degree.  All while being a full time mother.

I followed Lou Anne through out the day.

When I first got there we went talked to the nurse who had been there over night to see patients, check in and see what is going on. Luckily when we got there the nurse we were replacing only had one patient who came in for a sustainable injury nothing major. After we talked to the nurse we went and looked over the patients paper work our selves reading charts about the patients heart rate, blood pressure, medications when the medications where taken when they are due next. She showed me how to read some of the charts. 

After reviewing all of the information we received we went to talk to the doctor to see what he wanted us to do before he would go to examine the patient. As we went to talk to the doctor he had wanted us to do no more with this patient for everything had been done already.

As we awaited for our next Patient to come through the door Lou Anne began to talk to me about the average day of an Emergency Nurse. As she kept filling me in with information I began to realize that being a Nurse is not the average job, especially in the emergency room. In the Emergency room she explained to me that you can see all types of patients from fatal car accidents, to a broken arm, to people who are in cardiac arrest. Working in the ER you have to be ready for whatever may come through those doors, Its an exciting and stressful job. 

Though most of shadow experience had mainly been standard, we would go and interview the patient see what was wrong I stood aside her as she would take the patients vitals make sure the patient was comfortable took notes and then made the patient more comfortable in anyway we could. Then we would talk to the doctor give him the information talk to him. Let him go talk to the patient while we would go take care of another then we would repeat the process, but the second time we talked to the doctor we would be assigned to ask for a urine sample or give a shot or take blood all depending on the patients circumstances. The doctors had us running around quite a bit from patient to patient. 

We did this til about 11 then we went to lunch, where we ate in the cafeteria. Came back checked on the charts of the new and old patients. 

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Impact of Obamacare: Job Implications of Healthcare Reform Bill

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Miranda R. Stafiej's comment, February 13, 2014 12:44 PM
With the new insurance program being passed in 2010 many thoughts have come along for the ride, and by effecting 41.3 million americans it is rightly so. Thoughts on the impact of this bill passing has touched ares of not only those gaining health insurance but to who provide for the ill. The medical field is going through some demanding changes such as caring for the ill and job growth.
Miranda R. Stafiej's comment, February 13, 2014 12:51 PM
The impact on jobs from the passing of PPACA bill, is quite rewarding. Over the next decade it is predicted that 250000 to 400000 job openings every year. Increasing job openings grants a promising future in the medical field.
Miranda R. Stafiej's comment, February 17, 2014 12:31 PM
One of the biggest advancements this policy has made for health care is the out patient treatment, preventative, and ambulatory care. This will cause a faster hospital treatment for those in critical care, meaning urgency will matter once again in the hospital environment.
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How Affordable Health Care Act Will Impact Future Doctors (1/2)

Great Breaking News & Critical Updates on Medical School, the MCAT & Future Of Medicine: http://bit.ly/ZYXHLj On this month's edition of Kaplan's The Pulse, ...
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