Sunday, August 22, 2010

FORENSIC NURSING SEMINAR

FORENSIC NURSING SEMINAR 
goes to South (SM MALL OF ASIA)

(PRC CPE Provider : Council of Nursing Accreditation # 2009-026)

When: SEPTEMBER 12, 2010
Where: SM Cinema, Mall of Asia, Pasay City
Time: 8:00 AM-12:00 NN

Plenary Discussion:

- Death Examination Autopsy
- Investigation and Documentation
- Care of the Sexually Abused Patients

Resource Speaker:
PCI Jericho Angelito Q. Cordero, DPSP, MD, RN

- Pathologist/Medico Legal Officer/DNA Analyst/Forensic Nursing Advocate
- Deputy Chief,DNA Laboratory-PNP Crime Laboratory
- Camp Rafael Crame,Quezon City
- Pathologist,East Avenue Medical Center
- Professor-Legal Medicine, University of the East

Reg Fee: 600php only
Inclusive of 3 Certificates with CPE Units, CD ROM hand out, breaktime refreshment


Note: If you can invite 15 persons (Nurse, BSN Graduates or Students), you are FREE on the Seminar Please refer them to me accordingly so i could  note that they are your friends or classmates.

* You need to text me if you want reservations to include you on our headcount for seats, food and certificates. This is on site payment just look for me on the seminar day (Xomai)

For reservations/registrations and inquiries:
Globe - 09153787964
Smart - 09301832876
Sun - 09334622474

Look for Xomai, RN

CRITICAL CARE NURSING SEMINAR


 








CRITICAL CARE NURSING RE-DEFINED

(PRC CPE Provider : Council of Nursing Accreditation # 2009-026)
 
When: SEPTEMBER 12, 2010
Where: SM Cinema, Mall of Asia, Pasay City
Time: 8:00 AM-12:00 NN

Plenary Discussion:

- Current Challenges in Critical Care
- Advancement in Respiratory Management and Device Therapies
- Overview of Diseases under Critical Care

Resource Speaker: Mr. Melvin Miranda, RN
- Reviewer and Lecturer  - Local Board Exam (SRG)
- Taking up Masters Degree in Nursing (MAN)
- Clinical Coordinator
- Have Mastery in Critical Care


Registration Fee: 600php only
Inclusive of 3 Certificates with CPE Units, CD ROM hand out, breaktime refreshment

LIMITED SLOTS ONLY

Note: If you can invite 15 persons (Nurse, BSN Graduates or Students), you are FREE on the Seminar Please refer them to me accordingly so i could  note that they are your friends or classmates.

* You need to text me if you want reservations to include you on our headcount for seats, food and certificates (Limited Slots only). This is on site payment just look for me on the seminar day (Xomai)


For reservations/registrations and inquiries:
Globe - 09153787964
Smart - 09301832876
Sun - 09334622474

Look for Xomai, RN

Monday, August 9, 2010

FORENSIC NURSING SEMINAR in Health Care

FORENSIC NURSING SEMINAR  in Health Care

(PRC CPE Provider : Council of Nursing Accreditation Number 2009-026)

When: August 15, 2010
Where: SM North Edsa, Cinema 10, Quezon City
Time: 9:00 am - 2:00 pm

 

Plenary Discussion:

- Death Examination and Autopsy
- Investigation and Documentation
- Evaluation and care of the Sexually Abused Patient

Resource Speaker:
PCI Jericho Angelito Q. Cordero, DPSP, MD, RN

- Pathologist/Medico Legal Officer/DNA Analyst/Forensic Nursing Advocate
- Deputy Chief,DNA Laboratory-PNP Crime Laboratory
- Camp Rafael Crame,Quezon City
- Pathologist,East Avenue Medical Center
- Professor-Legal Medicine, University of the East

Reg Fee: 600php only
Inclusive of 3 Certificates with CPE Units, CD ROM hand out, breaktime refreshment


Note: If you can invite 15 persons (Nurse, BSN Graduates or Students), you are FREE on the Seminar Please refer them to me accordingly so i could  note that they are your friends or classmates.

* You need to text me if you want reservations to include you on our headcount for seats, food and certificates. This is on site payment just look for me on the seminar day (Xomai)

For reservations/registrations and inquiries:
Globe - 09153787964
Smart - 09301832876
Sun - 09334622474

Look for Xomai, RN

Friday, July 23, 2010

Acute Rheumatic Fever



  • Rheumatic fever Is a systematic disease characterized by inflammatory lesions of connective tissue and endothelial tissue, primarily affecting the heart and joints.
  • The pathogenesis is thought to be an autoimmune response to group A beta-hemolytic streptococcus.
  • There is cross-reactivity between cardiac tissue antigens and streptococcal cell wall components.
  • The unique pathologic lesions of rheumatic fever is the Aschoff body, a collection of reticuloendothelial cells surrounding a necrotic center on some structure of the heart.
  • Acute Rheumatic Fever is commonly seen in children ages 5 to 15 but may occur in adults.
  • There is a high recurrence rate, and 75% of those with ARF progresses to acute rheumatic heart disease in adulthood.
  • Complications include significant heart failure, pericarditis, pericardial effusions, aortic or mitral valve insufficiency, and permanent cardiac damage.
Assessment
  1. History of streptococcal pharyngitis or upper respiratory infection 2 to 6 weeks before onset of illness.
  2. Jones criteria, presence of two major manifestations, or one major and two minor manifestations, plus evidence of preceding streptococcal infection, are required to establish diagnosis.
  3. Major manifestations:
    • Carditis
    • Polyarthritis
    • Chorea
    • Erythema marginatum
    • Subcutaneous nodules
  4. Minor manifestations:
    • History of previous rheumatic fever or evidence of pre-existing rheumatic disease.
    • Arthralgia: pain in one or more joints without evidence of inflammation, tenderness to touch, or limitation of motion.
    • Fever: temperature in excess of 100.4 degree Fahrenheit (38 degree Celsius).
    • Erythrocyte sedimentation rate (ESR) – elevated.
    • C – reactive protein – positive.
    • Electrocardiogram (ECG) changes – mainly pulse rate interval prolongation.
    • White blood cell count – elevated (leukocytosis).
Diagnostic Evaluation
  1. Throat culture for group A beta-hemolytic streptococci and blood sample for titter of streptococcal antibodies ( antistreptolysin O, or ASO titer) to support evidence of recent streptococcal infection.
  2. Complete blood count, ESR, and C-reactive protein for changes described above.
  3. Baseline ECG and echocardiogram may be done to evaluate valve function.
  4. Chest x-ray for cardiomegaly or heart failure.
Pharmacologic Interventions
  1. Antibiotics to treat streptococcal infection – generally I.M. penicillin or erythromycin in penicillin allergy.
  2. Corticosteroids for patients with carditis complicated by heart failure to prevent permanent cardiac damage.
  3. Salicylates or nonsteroidals for patients with arthritis (but not while on high-dose corticosteroids because of risk of GI bleeding) and antipyretics to control fever, after diagnosis has been established.
  4. Phenobarbital, diazepam if chorea is present.
  5. Prophylactic antibiotics for at least 5 years after ARF.
Nursing Interventions
  1. Monitor temperature frequently, and patient’s response to antipyretics.
  2. Monitor the patient’s pulse frequently, especially after activity to determine degree of cardiac compensation.
  3. Auscultate the hear periodically for development of new heart murmur or pericardial or pleural friction rub.
  4. Observe for adverse effects of salicylate or nonsteroidal anti-inflammatory drug (NSAID) therapy, such as stomach upset, tinnitus, headache, GI bleeding, and altered mental status.
  5. Monitor the patient’s response to long-term activity restriction.
  6. Restrict sodium and fluids and obtain daily weights as indicated.
  7. Administer medications punctually and at regular intervals to achieve constant therapeutic blood levels.
  8. Explain the need to rest (usually prescribed for 4 to 12 weeks, depending on the severity of the disease and health care provider’s preference) and assure the patient that bed rest will be imposed no longer than necessary.
  9. Assist the patient to resume activity very gradually once asymptomatic at rest and indicators of acute inflammation have become normal.
  10. Provide comfort measures.
  11. Provide safe, supportive environment for the child with chorea.
  12. Observe for the disappearance or any major or minor manifestations of the disease and report signs of increased rheumatic activity as salicylates or steroids are being tampered.
  13. Encourage continuous prophylactic antimicrobial therapy to prevent recurrence.

Thursday, July 8, 2010

Basic Wound Management and Suturing Training









GSN-International Skills Enhancement and Education Center (ISEEC) invites all Healthcare Providers to attend their workshop entitled:


"Basic Wound Management and Suturing Training "

3 Days Training with PRC- CPE Units and International Standard
(Council for Nursing CPE Provider Accreditation # 2009-023)
principles of wound management as they appl
On completion of this module, students will: 1. Understand th
ey to a simple laceration. 2. Be able to demonstrate the preparation of a simple laceration for closure.
. Be able to demonstrate basic suturing techniques on a model. Date: August 23-35, 2010 Venue: Unit 5
3. Be able to demonstrate sterile technique while preparing and suturing a simple laceration on a model.
402 Pacific Corporate Center 131 West Avenue Quezon City. Ms. Grace S. Navea, RN, BSN, MBA, CPHM, Ph.D (President/CEO of GSN ISEEC, Open Heart OR Nurse, ICU Nurse, PICC Nurse in the USA)

For inquiries and Reservation/Registration Pls. contact the following numbers: * Office: 355-06-15 * Globe - 09153787964 * Smart- 09301832876 * Sun- 09334622474 Look for: Xomai, RN