$query = resource $row = array( "a:7:{s:4:"data";s:84:" ";s:7:"attribs";a:0:{}s:8:"xml_base";s:0:"";s:17:"xml_base_explicit";b:0;s:8:"xml_lang";s:0:"";s:5:"child";a:3:{s:0:"";a:6:{s:5:"title";a:1:{i:0;a:5:{s:4:"data";s:120:"Improper Drug Dosage, Wrong Medication, Interactions With Other Drugs.... May Be The Result Of Pharmacutical Malpractice";s:7:"attribs";a:0:{}s:8:"xml_base";s:0:"";s:17:"xml_base_explicit";b:0;s:8:"xml_lang";s:0:"";}}s:11:"description";a:1:{i:0;a:5:{s:4:"data";s:166825:"<img width="205" vspace="2" hspace="2" height="246" border="1" align="left" alt="" src="http://www.nursinghomesabuseblog.com/uploads/image/Picture 2(18).png" />Prescription drugs are invaluable tools in the practice of medicine, used to treat numerous illnesses and diseases. However, prescription errors can result in serious injury and death. In the United States, about 1.5 million preventable adverse drug events occur every year. Pharmaceutical malpractice can occur when a doctor prescribes the wrong medication or incorrect dose or when a pharmacist fills the wrong medication or dosage. The National Coordinating Council for Medication Error Reporting and Prevention (NCC MERP) defines a medication error as: "A medication error is any preventable event that may cause or lead to inappropriate medication use or patient harm while the medication is in the control of the health care professional, patient, or consumer. Such events may be related to professional practice, health care products, procedures, and systems, including prescribing; order communication; product labeling, packaging, and nomenclature; compounding; dispensing; distribution; administration; education; monitoring; and use." These pharmaceutical errors can result in serious health complications including allergic reactions, organ damage caused by an overdose, infection, stroke, heart failure, and even death. Doctors and pharmacists must follow strict regulations in order to prevent mistakes. In Illinois, the <a href="http://ilga.gov/legislation/ilcs/ilcs3.asp?ActID=1318&ChapAct=225%26nbsp%3BILCS%26nbsp%3B85%2F&ChapterID=24&ChapterName=PROFESSIONS+AND+OCCUPATIONS&ActName=Pharmacy+Practice+Act%2E">Pharmacy Practice Act</a> (225 ILCS 85) regulates the practice of pharmacy in Illinois.  Types of Pharmaceutical Errors <ul> <li>Adverse Drug Side Effects</li> <li>Incorrectly Filling A Prescription</li> <li>Incorrect Labeling</li> <li>Incorrect Dosage</li> <li>Drug Interactions</li> <li>Incorrect instructions regarding usage</li> </ul> Drug Side Effects Many prescription medications have serious side effects that should be considered before taking them. Some serious and common side effects include: allergic reactions, heart problems, liver and kidney failure, weight gain/loss, and psychological effects. The doctor prescribing your medication should consider the pros and cons of prescribing the medication as opposed to leaving the condition untreated or prescribing a different medication.  When considering whether to prescribe a drug with serious side effects, the doctor should consider your full medical history and information to determine whether you can handle the side effects. Also, when filling a prescription order, pharmacists have a duty to advise you about any side effects that might accompany the use of the prescription medication.  Incorrect Prescription Medication errors can result when there is a miscommunication of drug orders. This can involve poor handwriting, confusion between drugs with similar names, misuse of zeroes and decimal points, confusion of metric and other dosing units, and inappropriate abbreviations. As many people know, doctor’s handwriting is often times little more than a scrawl or scribble.  Doctors must take reasonable care in correctly and accurately writing prescriptions. One way to reduce the chance of prescription errors is to use electronic prescriptions, removing the risk of errors associated with poor handwriting. However, mistakes can still occur when a doctor types in the wrong prescription order. Therefore, doctors should take extra care when prescribing medications to ensure that no transcribing errors have occurred.  Medication errors can also occur when doctors take incomplete patient information. For example, the doctor might not know about the patient’s allergies, any other medications the patient is taking, previous diagnoses, and lab results. Doctors perform best when fully informed about the patient’s history and information. Doctors should ensure that they have a patient’s complete and up to date information before prescribing medication, in order to cut down on medication errors.  Incorrect Labeling Pharmacists must ensure that medications have correct labels before selling them to patients. Prescription medication labels should include the name of the drug it contains, the amount to be taken, the time of day to take the medication, and any warnings while taking the drug. When prescription medications are labeled incorrectly, you may end up taking the wrong drug, the wrong dose, the wrong time, or be unaware of warnings about what foods, beverages, or activities to avoid while taking the drug.  These mistakes can result in serious complications including liver or kidney damage or death or not receiving the full benefit of the drug’s intended purpose. Even when pharmacists include the correct information on the label, they should go over the recommended dosage, procedures, and warnings to ensure that you understand how to safely and correctly take the medication. This is especially important with older adults who may be unable to read the label.   Incorrect Dosage Prescription medications have more serious dangers associated with them than over the counter (OTC) drugs. Therefore, it is important that pharmacists issue the correct drug (the one the doctor prescribed) at the correct dose. Errors in filling prescriptions can result from similar-looking pills, difficult to read physician handwriting, and rushed work at pharmacies. Pharmacists must exercise reasonable care when filling each and every prescription order to ensure that you receive the highest standard of care and avoid injury.  In <a href="http://ilga.gov/legislation/ilcs/fulltext.asp?DocName=022500850K9">Illinois</a>, registered pharmacy technicians may, under the supervision of a pharmacist, assist in the dispensing process, offer counseling, and receive new verbal prescription orders (225 ILCS 85/9 – Registration as pharmacy technician). Depending on the pace of business at the pharmacy, these pharmacy technicians might not receive proper supervision to ensure the highest standard of care.  These mistakes can also cause serious medical complications, either because you take too much or too little of a drug or even taking the wrong drug. Many prescription medications treat serious illness and disease, and besides the risks associated with taking the wrong drug or the wrong dose, are the risks associated with not treating the illness or disease that prompted your doctor to give you a prescription in the first place.  Adverse Drug Interactions Many people, especially older adults, take multiple prescription medications, which are commonly prescribed my multiple doctors. However, problems can occur because the doctors prescribing these medications might not know about the other drugs you are taking.  This can lead to serious complications stemming from drug interactions. Drug-drug interactions are not the only type of potentially dangerous drug interactions; there can also be drug interactions with foods, beverages, and dietary supplements.  There are three main types of <a href="http://www.fda.gov/ForConsumers/ConsumerUpdates/ucm096386.htm">drug interactions</a>: <ul> <li>Drugs with food and beverages</li> <li>Drugs with dietary supplements</li> <li>Drugs with other drugs</li> </ul> Drug interactions can reduce the effectiveness of drugs, cause unexpected side effects, or increase the action of a particular drug. Drug interactions with food and beverages might result in delayed, decreased, or enhanced absorption of a medication. Dietary supplements can also cause a variety of drug interactions, and with fifty percent of American adults using dietary supplements (vitamins, minerals, amino acids, herbs or botanicals) on a regular basis, the risk of negative drug interactions is high.  For example, St. John’s Wort can reduce the concentration of medications in the blood; Vitamin E can increase anti-clotting activity and cause increased risk of bleeding when taken with blood-thinning medication; Ginseng can enhance the bleeding effects of aspirin and ibuprofen; and Ginkgo Biloba can decrease the effectiveness of anticonvulsant therapy. Drug-drug interactions can cause adverse drug reactions.  The rate of adverse drug reactions increases significantly when a patient is on four or more medications. This is especially worrisome because almost 40% of Americans receive prescriptions for four or more medications.  Because pharmacists fill prescriptions issued by multiple doctors, they are in the best position to catch potentially harmful drug interactions. However, some people use more than one pharmacy for their drug needs. Therefore, in order to avoid problems with drug interactions, you should use one pharmacy for all of your medications and keep a record of all prescription drugs, over the counter (OTC) drugs, and dietary supplements that you take.  Nursing home staff must take extra precautions when distributing new prescription medications to nursing home residents. Many nursing home residents are on multiple medications for a variety of physical and mental conditions that are best treated with prescription drugs. These residents might be under the supervision of multiple doctors, and it is the nursing home’s responsibility to ensure that the doctors are aware of all the resident’s medications and changes in condition in order to avoid serious medical complications.  Physician & Pharmacists Duty To Use Reasonable Care Pharmacists and doctors have a duty to exercise reasonable care in prescribing and filling prescription drugs. When this duty is breached, serious injuries and even death can occur. Elderly adults are particularly susceptible to injuries stemming from pharmaceutical medication errors because many older adults take multiple medications. Furthermore, many older adults see multiple doctors for specialized care to treat specific injuries or illnesses.  The increased number of prescription drugs and multiple drug providers can increase the likelihood for a pharmaceutical error. Older adults are also less able to prevent pharmaceutical errors because they might be less able to read the labels and warnings, be less able to understand the medication labels, and might be unable to provide doctors with a complete list of medications or medical information. Many older adults, especially those in nursing homes, rely on other people to fulfill their prescription needs. Therefore, additional care and caution must be taken when prescribing medications to older adults, especially those who rely on nursing home staff for medications and activities of daily living.  If you or a member of your family has suffered injury because of a pharmaceutical error, you can bring a pharmaceutical malpractice or negligence action. In addition, if the worst occurs and the pharmaceutical malpractice results in the death of a loved one, you may also be entitled to bring a wrongful death action.  Speak to our experienced pharmaceutical error lawyers about your case for free today.  Nationwide service.  (888) 424-5757 Resources: FDA: <a href="http://www.fda.gov/ForConsumers/ConsumerUpdates/ucm096386.htm">Avoiding Drug Interactions</a> <a href="http://www.nccmerp.org/">National Coordinating Council for Medication Error Reporting and Prevention</a> Adverse Drug Event Reporting: <a href="http://www.nap.edu/openbook.php?record_id=11897&page=1">The Roles of Consumers and Health-Care Professionals</a> Illinois General Assembly – <a href="http://ilga.gov/legislation/ilcs/fulltext.asp?DocName=022500850K9">225 ILCS 85/9</a> Registration as pharmacy technician PROFESSIONS AND OCCUPATIONS (225 ILCS 85/) Pharmacy Practice Act. (225 ILCS 85/1) (from Ch. 111, par. 4121) (Section scheduled to be repealed on January 1, 2018) Sec. 1. The Practice of Pharmacy in the State of Illinois is declared a professional practice affecting the public health, safety and welfare and is subject to regulation and control in the public interest. It is further declared to be a matter of public interest and concern that the practice of pharmacy, as defined in this Act, merit and receive the confidence of the public and that only qualified persons be permitted to practice pharmacy in the State of Illinois. This Act shall be liberally construed to carry out these objects and purposes. (Source: P.A. 85‑796.) (225 ILCS 85/2) (from Ch. 111, par. 4122) (Section scheduled to be repealed on January 1, 2018) Sec. 2. This Act shall be known as the Pharmacy Practice Act. (Source: P.A. 95‑689, eff. 10‑29‑07.) (225 ILCS 85/2.5) (Section scheduled to be repealed on January 1, 2018) Sec. 2.5. References to Department or Director of Professional Regulation. References in this Act (i) to the Department of Professional Regulation are deemed, in appropriate contexts, to be references to the Department of Financial and Professional Regulation and (ii) to the Director of Professional Regulation are deemed, in appropriate contexts, to be references to the Secretary of Financial and Professional Regulation. (Source: P.A. 95‑689, eff. 10‑29‑07.) (225 ILCS 85/3) (from Ch. 111, par. 4123) (Text of Section from P.A. 96‑339) (Section scheduled to be repealed on January 1, 2018) Sec. 3. Definitions. For the purpose of this Act, except where otherwise limited therein: (a) "Pharmacy" or "drugstore" means and includes every store, shop, pharmacy department, or other place where pharmacist care is provided by a pharmacist (1) where drugs, medicines, or poisons are dispensed, sold or offered for sale at retail, or displayed for sale at retail; or (2) where prescriptions of physicians, dentists, advanced practice nurses, physician assistants, veterinarians, podiatrists, or optometrists, within the limits of their licenses, are compounded, filled, or dispensed; or (3) which has upon it or displayed within it, or affixed to or used in connection with it, a sign bearing the word or words "Pharmacist", "Druggist", "Pharmacy", "Pharmaceutical Care", "Apothecary", "Drugstore", "Medicine Store", "Prescriptions", "Drugs", "Dispensary", "Medicines", or any word or words of similar or like import, either in the English language or any other language; or (4) where the characteristic prescription sign (Rx) or similar design is exhibited; or (5) any store, or shop, or other place with respect to which any of the above words, objects, signs or designs are used in any advertisement. (b) "Drugs" means and includes (l) articles recognized in the official United States Pharmacopoeia/National Formulary (USP/NF), or any supplement thereto and being intended for and having for their main use the diagnosis, cure, mitigation, treatment or prevention of disease in man or other animals, as approved by the United States Food and Drug Administration, but does not include devices or their components, parts, or accessories; and (2) all other articles intended for and having for their main use the diagnosis, cure, mitigation, treatment or prevention of disease in man or other animals, as approved by the United States Food and Drug Administration, but does not include devices or their components, parts, or accessories; and (3) articles (other than food) having for their main use and intended to affect the structure or any function of the body of man or other animals; and (4) articles having for their main use and intended for use as a component or any articles specified in clause (l), (2) or (3); but does not include devices or their components, parts or accessories. (c) "Medicines" means and includes all drugs intended for human or veterinary use approved by the United States Food and Drug Administration. (d) "Practice of pharmacy" means (1) the interpretation and the provision of assistance in the monitoring, evaluation, and implementation of prescription drug orders; (2) the dispensing of prescription drug orders; (3) participation in drug and device selection; (4) drug administration limited to the administration of oral, topical, injectable, and inhalation as follows: in the context of patient education on the proper use or delivery of medications; vaccination of patients 14 years of age and older pursuant to a valid prescription or standing order, by a physician licensed to practice medicine in all its branches, upon completion of appropriate training, including how to address contraindications and adverse reactions set forth by rule, with notification to the patient's physician and appropriate record retention, or pursuant to hospital pharmacy and therapeutics committee policies and procedures; (5) drug regimen review; (6) drug or drug‑related research; (7) the provision of patient counseling; (8) the practice of telepharmacy; (9) the provision of those acts or services necessary to provide pharmacist care; (10) medication therapy management; and (11) the responsibility for compounding and labeling of drugs and devices (except labeling by a manufacturer, repackager, or distributor of non‑prescription drugs and commercially packaged legend drugs and devices), proper and safe storage of drugs and devices, and maintenance of required records. A pharmacist who performs any of the acts defined as the practice of pharmacy in this State must be actively licensed as a pharmacist under this Act. (e) "Prescription" means and includes any written, oral, facsimile, or electronically transmitted order for drugs or medical devices, issued by a physician licensed to practice medicine in all its branches, dentist, veterinarian, or podiatrist, or optometrist, within the limits of their licenses, by a physician assistant in accordance with subsection (f) of Section 4, or by an advanced practice nurse in accordance with subsection (g) of Section 4, containing the following: (l) name of the patient; (2) date when prescription was issued; (3) name and strength of drug or description of the medical device prescribed; and (4) quantity, (5) directions for use, (6) prescriber's name, address and signature, and (7) DEA number where required, for controlled substances. DEA numbers shall not be required on inpatient drug orders. (f) "Person" means and includes a natural person, copartnership, association, corporation, government entity, or any other legal entity. (g) "Department" means the Department of Financial and Professional Regulation. (h) "Board of Pharmacy" or "Board" means the State Board of Pharmacy of the Department of Financial and Professional Regulation. (i) "Secretary" means the Secretary of Financial and Professional Regulation. (j) "Drug product selection" means the interchange for a prescribed pharmaceutical product in accordance with Section 25 of this Act and Section 3.14 of the Illinois Food, Drug and Cosmetic Act. (k) "Inpatient drug order" means an order issued by an authorized prescriber for a resident or patient of a facility licensed under the Nursing Home Care Act, the MR/DD Community Care Act, or the Hospital Licensing Act, or "An Act in relation to the founding and operation of the University of Illinois Hospital and the conduct of University of Illinois health care programs", approved July 3, 1931, as amended, or a facility which is operated by the Department of Human Services (as successor to the Department of Mental Health and Developmental Disabilities) or the Department of Corrections. (k‑5) "Pharmacist" means an individual health care professional and provider currently licensed by this State to engage in the practice of pharmacy. (l) "Pharmacist in charge" means the licensed pharmacist whose name appears on a pharmacy license and who is responsible for all aspects of the operation related to the practice of pharmacy. (m) "Dispense" or "dispensing" means the interpretation, evaluation, and implementation of a prescription drug order, including the preparation and delivery of a drug or device to a patient or patient's agent in a suitable container appropriately labeled for subsequent administration to or use by a patient in accordance with applicable State and federal laws and regulations. "Dispense" or "dispensing" does not mean the physical delivery to a patient or a patient's representative in a home or institution by a designee of a pharmacist or by common carrier. "Dispense" or "dispensing" also does not mean the physical delivery of a drug or medical device to a patient or patient's representative by a pharmacist's designee within a pharmacy or drugstore while the pharmacist is on duty and the pharmacy is open. (n) "Nonresident pharmacy" means a pharmacy that is located in a state, commonwealth, or territory of the United States, other than Illinois, that delivers, dispenses, or distributes, through the United States Postal Service, commercially acceptable parcel delivery service, or other common carrier, to Illinois residents, any substance which requires a prescription. (o) "Compounding" means the preparation and mixing of components, excluding flavorings, (1) as the result of a prescriber's prescription drug order or initiative based on the prescriber‑patient‑pharmacist relationship in the course of professional practice or (2) for the purpose of, or incident to, research, teaching, or chemical analysis and not for sale or dispensing. "Compounding" includes the preparation of drugs or devices in anticipation of receiving prescription drug orders based on routine, regularly observed dispensing patterns. Commercially available products may be compounded for dispensing to individual patients only if all of the following conditions are met: (i) the commercial product is not reasonably available from normal distribution channels in a timely manner to meet the patient's needs and (ii) the prescribing practitioner has requested that the drug be compounded. (p) (Blank). (q) (Blank). (r) "Patient counseling" means the communication between a pharmacist or a pharmacy intern under the supervision of a pharmacist and a patient or the patient's representative about the patient's medication or device for the purpose of optimizing proper use of prescription medications or devices. "Patient counseling" may include without limitation (1) obtaining a medication history; (2) acquiring a patient's allergies and health conditions; (3) facilitation of the patient's understanding of the intended use of the medication; (4) proper directions for use; (5) significant potential adverse events; (6) potential food‑drug interactions; and (7) the need to be compliant with the medication therapy. A pharmacy technician may only participate in the following aspects of patient counseling under the supervision of a pharmacist: (1) obtaining medication history; (2) providing the offer for counseling by a pharmacist or intern; and (3) acquiring a patient's allergies and health conditions. (s) "Patient profiles" or "patient drug therapy record" means the obtaining, recording, and maintenance of patient prescription information, including prescriptions for controlled substances, and personal information. (t) (Blank). (u) "Medical device" means an instrument, apparatus, implement, machine, contrivance, implant, in vitro reagent, or other similar or related article, including any component part or accessory, required under federal law to bear the label "Caution: Federal law requires dispensing by or on the order of a physician". A seller of goods and services who, only for the purpose of retail sales, compounds, sells, rents, or leases medical devices shall not, by reasons thereof, be required to be a licensed pharmacy. (v) "Unique identifier" means an electronic signature, handwritten signature or initials, thumb print, or other acceptable biometric or electronic identification process as approved by the Department. (w) "Current usual and customary retail price" means the price that a pharmacy charges to a non‑third‑party payor. (x) "Automated pharmacy system" means a mechanical system located within the confines of the pharmacy or remote location that performs operations or activities, other than compounding or administration, relative to storage, packaging, dispensing, or distribution of medication, and which collects, controls, and maintains all transaction information. (y) "Drug regimen review" means and includes the evaluation of prescription drug orders and patient records for (1) known allergies; (2) drug or potential therapy contraindications; (3) reasonable dose, duration of use, and route of administration, taking into consideration factors such as age, gender, and contraindications; (4) reasonable directions for use; (5) potential or actual adverse drug reactions; (6) drug‑drug interactions; (7) drug‑food interactions; (8) drug‑disease contraindications; (9) therapeutic duplication; (10) patient laboratory values when authorized and available; (11) proper utilization (including over or under utilization) and optimum therapeutic outcomes; and (12) abuse and misuse. (z) "Electronic transmission prescription" means any prescription order for which a facsimile or electronic image of the order is electronically transmitted from a licensed prescriber to a pharmacy. "Electronic transmission prescription" includes both data and image prescriptions. (aa) "Medication therapy management services" means a distinct service or group of services offered by licensed pharmacists, physicians licensed to practice medicine in all its branches, advanced practice nurses authorized in a written agreement with a physician licensed to practice medicine in all its branches, or physician assistants authorized in guidelines by a supervising physician that optimize therapeutic outcomes for individual patients through improved medication use. In a retail or other non‑hospital pharmacy, medication therapy management services shall consist of the evaluation of prescription drug orders and patient medication records to resolve conflicts with the following: (1) known allergies; (2) drug or potential therapy contraindications; (3) reasonable dose, duration of use, and route of administration, taking into consideration factors such as age, gender, and contraindications; (4) reasonable directions for use; (5) potential or actual adverse drug reactions; (6) drug‑drug interactions; (7) drug‑food interactions; (8) drug‑disease contraindications; (9) identification of therapeutic duplication; (10) patient laboratory values when authorized and available; (11) proper utilization (including over or under utilization) and optimum therapeutic outcomes; and (12) drug abuse and misuse. "Medication therapy management services" includes the following: (1) documenting the services delivered and communicating the information provided to patients' prescribers within an appropriate time frame, not to exceed 48 hours; (2) providing patient counseling designed to enhance a patient's understanding and the appropriate use of his or her medications; and (3) providing information, support services, and resources designed to enhance a patient's adherence with his or her prescribed therapeutic regimens. "Medication therapy management services" may also include patient care functions authorized by a physician licensed to practice medicine in all its branches for his or her identified patient or groups of patients under specified conditions or limitations in a standing order from the physician. "Medication therapy management services" in a licensed hospital may also include the following: (1) reviewing assessments of the patient's health status; and (2) following protocols of a hospital pharmacy and therapeutics committee with respect to the fulfillment of medication orders. (bb) "Pharmacist care" means the provision by a pharmacist of medication therapy management services, with or without the dispensing of drugs or devices, intended to achieve outcomes that improve patient health, quality of life, and comfort and enhance patient safety. (cc) "Protected health information" means individually identifiable health information that, except as otherwise provided, is: (1) transmitted by electronic media; (2) maintained in any medium set forth in the definition of "electronic media" in the federal Health Insurance Portability and Accountability Act; or (3) transmitted or maintained in any other form or medium. "Protected health information" does not include individually identifiable health information found in: (1) education records covered by the federal Family Educational Right and Privacy Act; or (2) employment records held by a licensee in its role as an employer. (dd) "Standing order" means a specific order for a patient or group of patients issued by a physician licensed to practice medicine in all its branches in Illinois. (ee) "Address of record" means the address recorded by the Department in the applicant's or licensee's application file or license file, as maintained by the Department's licensure maintenance unit. (ff) "Home pharmacy" means the location of a pharmacy's primary operations. (Source: P.A. 95‑689, eff. 10‑29‑07; 96‑339, eff. 7‑1‑10.) (Text of Section from P.A. 96‑673) (Section scheduled to be repealed on January 1, 2018) Sec. 3. Definitions. For the purpose of this Act, except where otherwise limited therein: (a) "Pharmacy" or "drugstore" means and includes every store, shop, pharmacy department, or other place where pharmacist care is provided by a pharmacist (1) where drugs, medicines, or poisons are dispensed, sold or offered for sale at retail, or displayed for sale at retail; or (2) where prescriptions of physicians, dentists, advanced practice nurses, physician assistants, veterinarians, podiatrists, or optometrists, within the limits of their licenses, are compounded, filled, or dispensed; or (3) which has upon it or displayed within it, or affixed to or used in connection with it, a sign bearing the word or words "Pharmacist", "Druggist", "Pharmacy", "Pharmaceutical Care", "Apothecary", "Drugstore", "Medicine Store", "Prescriptions", "Drugs", "Dispensary", "Medicines", or any word or words of similar or like import, either in the English language or any other language; or (4) where the characteristic prescription sign (Rx) or similar design is exhibited; or (5) any store, or shop, or other place with respect to which any of the above words, objects, signs or designs are used in any advertisement. (b) "Drugs" means and includes (l) articles recognized in the official United States Pharmacopoeia/National Formulary (USP/NF), or any supplement thereto and being intended for and having for their main use the diagnosis, cure, mitigation, treatment or prevention of disease in man or other animals, as approved by the United States Food and Drug Administration, but does not include devices or their components, parts, or accessories; and (2) all other articles intended for and having for their main use the diagnosis, cure, mitigation, treatment or prevention of disease in man or other animals, as approved by the United States Food and Drug Administration, but does not include devices or their components, parts, or accessories; and (3) articles (other than food) having for their main use and intended to affect the structure or any function of the body of man or other animals; and (4) articles having for their main use and intended for use as a component or any articles specified in clause (l), (2) or (3); but does not include devices or their components, parts or accessories. (c) "Medicines" means and includes all drugs intended for human or veterinary use approved by the United States Food and Drug Administration. (d) "Practice of pharmacy" means (1) the interpretation and the provision of assistance in the monitoring, evaluation, and implementation of prescription drug orders; (2) the dispensing of prescription drug orders; (3) participation in drug and device selection; (4) drug administration limited to the administration of oral, topical, injectable, and inhalation as follows: in the context of patient education on the proper use or delivery of medications; vaccination of patients 14 years of age and older pursuant to a valid prescription or standing order, by a physician licensed to practice medicine in all its branches, upon completion of appropriate training, including how to address contraindications and adverse reactions set forth by rule, with notification to the patient's physician and appropriate record retention, or pursuant to hospital pharmacy and therapeutics committee policies and procedures; (5) drug regimen review; (6) drug or drug‑related research; (7) the provision of patient counseling; (8) the practice of telepharmacy; (9) the provision of those acts or services necessary to provide pharmacist care; (10) medication therapy management; and (11) the responsibility for compounding and labeling of drugs and devices (except labeling by a manufacturer, repackager, or distributor of non‑prescription drugs and commercially packaged legend drugs and devices), proper and safe storage of drugs and devices, and maintenance of required records. A pharmacist who performs any of the acts defined as the practice of pharmacy in this State must be actively licensed as a pharmacist under this Act. (e) "Prescription" means and includes any written, oral, facsimile, or electronically transmitted order for drugs or medical devices, issued by a physician licensed to practice medicine in all its branches, dentist, veterinarian, or podiatrist, or optometrist, within the limits of their licenses, by a physician assistant in accordance with subsection (f) of Section 4, or by an advanced practice nurse in accordance with subsection (g) of Section 4, containing the following: (l) name of the patient; (2) date when prescription was issued; (3) name and strength of drug or description of the medical device prescribed; and (4) quantity, (5) directions for use, (6) prescriber's name, address and signature, and (7) DEA number where required, for controlled substances. DEA numbers shall not be required on inpatient drug orders. (f) "Person" means and includes a natural person, copartnership, association, corporation, government entity, or any other legal entity. (g) "Department" means the Department of Financial and Professional Regulation. (h) "Board of Pharmacy" or "Board" means the State Board of Pharmacy of the Department of Financial and Professional Regulation. (i) "Secretary" means the Secretary of Financial and Professional Regulation. (j) "Drug product selection" means the interchange for a prescribed pharmaceutical product in accordance with Section 25 of this Act and Section 3.14 of the Illinois Food, Drug and Cosmetic Act. (k) "Inpatient drug order" means an order issued by an authorized prescriber for a resident or patient of a facility licensed under the Nursing Home Care Act or the Hospital Licensing Act, or "An Act in relation to the founding and operation of the University of Illinois Hospital and the conduct of University of Illinois health care programs", approved July 3, 1931, as amended, or a facility which is operated by the Department of Human Services (as successor to the Department of Mental Health and Developmental Disabilities) or the Department of Corrections. (k‑5) "Pharmacist" means an individual health care professional and provider currently licensed by this State to engage in the practice of pharmacy. (l) "Pharmacist in charge" means the licensed pharmacist whose name appears on a pharmacy license and who is responsible for all aspects of the operation related to the practice of pharmacy. (m) "Dispense" or "dispensing" means the interpretation, evaluation, and implementation of a prescription drug order, including the preparation and delivery of a drug or device to a patient or patient's agent in a suitable container appropriately labeled for subsequent administration to or use by a patient in accordance with applicable State and federal laws and regulations. "Dispense" or "dispensing" does not mean the physical delivery to a patient or a patient's representative in a home or institution by a designee of a pharmacist or by common carrier. "Dispense" or "dispensing" also does not mean the physical delivery of a drug or medical device to a patient or patient's representative by a pharmacist's designee within a pharmacy or drugstore while the pharmacist is on duty and the pharmacy is open. (n) "Nonresident pharmacy" means a pharmacy that is located in a state, commonwealth, or territory of the United States, other than Illinois, that delivers, dispenses, or distributes, through the United States Postal Service, commercially acceptable parcel delivery service, or other common carrier, to Illinois residents, any substance which requires a prescription. (o) "Compounding" means the preparation and mixing of components, excluding flavorings, (1) as the result of a prescriber's prescription drug order or initiative based on the prescriber‑patient‑pharmacist relationship in the course of professional practice or (2) for the purpose of, or incident to, research, teaching, or chemical analysis and not for sale or dispensing. "Compounding" includes the preparation of drugs or devices in anticipation of receiving prescription drug orders based on routine, regularly observed dispensing patterns. Commercially available products may be compounded for dispensing to individual patients only if all of the following conditions are met: (i) the commercial product is not reasonably available from normal distribution channels in a timely manner to meet the patient's needs and (ii) the prescribing practitioner has requested that the drug be compounded. (p) (Blank). (q) (Blank). (r) "Patient counseling" means the communication between a pharmacist or a student pharmacist under the supervision of a pharmacist and a patient or the patient's representative about the patient's medication or device for the purpose of optimizing proper use of prescription medications or devices. "Patient counseling" may include without limitation (1) obtaining a medication history; (2) acquiring a patient's allergies and health conditions; (3) facilitation of the patient's understanding of the intended use of the medication; (4) proper directions for use; (5) significant potential adverse events; (6) potential food‑drug interactions; and (7) the need to be compliant with the medication therapy. A pharmacy technician may only participate in the following aspects of patient counseling under the supervision of a pharmacist: (1) obtaining medication history; (2) providing the offer for counseling by a pharmacist or student pharmacist; and (3) acquiring a patient's allergies and health conditions. (s) "Patient profiles" or "patient drug therapy record" means the obtaining, recording, and maintenance of patient prescription information, including prescriptions for controlled substances, and personal information. (t) (Blank). (u) "Medical device" means an instrument, apparatus, implement, machine, contrivance, implant, in vitro reagent, or other similar or related article, including any component part or accessory, required under federal law to bear the label "Caution: Federal law requires dispensing by or on the order of a physician". A seller of goods and services who, only for the purpose of retail sales, compounds, sells, rents, or leases medical devices shall not, by reasons thereof, be required to be a licensed pharmacy. (v) "Unique identifier" means an electronic signature, handwritten signature or initials, thumb print, or other acceptable biometric or electronic identification process as approved by the Department. (w) "Current usual and customary retail price" means the price that a pharmacy charges to a non‑third‑party payor. (x) "Automated pharmacy system" means a mechanical system located within the confines of the pharmacy or remote location that performs operations or activities, other than compounding or administration, relative to storage, packaging, dispensing, or distribution of medication, and which collects, controls, and maintains all transaction information. (y) "Drug regimen review" means and includes the evaluation of prescription drug orders and patient records for (1) known allergies; (2) drug or potential therapy contraindications; (3) reasonable dose, duration of use, and route of administration, taking into consideration factors such as age, gender, and contraindications; (4) reasonable directions for use; (5) potential or actual adverse drug reactions; (6) drug‑drug interactions; (7) drug‑food interactions; (8) drug‑disease contraindications; (9) therapeutic duplication; (10) patient laboratory values when authorized and available; (11) proper utilization (including over or under utilization) and optimum therapeutic outcomes; and (12) abuse and misuse. (z) "Electronic transmission prescription" means any prescription order for which a facsimile or electronic image of the order is electronically transmitted from a licensed prescriber to a pharmacy. "Electronic transmission prescription" includes both data and image prescriptions. (aa) "Medication therapy management services" means a distinct service or group of services offered by licensed pharmacists, physicians licensed to practice medicine in all its branches, advanced practice nurses authorized in a written agreement with a physician licensed to practice medicine in all its branches, or physician assistants authorized in guidelines by a supervising physician that optimize therapeutic outcomes for individual patients through improved medication use. In a retail or other non‑hospital pharmacy, medication therapy management services shall consist of the evaluation of prescription drug orders and patient medication records to resolve conflicts with the following: (1) known allergies; (2) drug or potential therapy contraindications; (3) reasonable dose, duration of use, and route of administration, taking into consideration factors such as age, gender, and contraindications; (4) reasonable directions for use; (5) potential or actual adverse drug reactions; (6) drug‑drug interactions; (7) drug‑food interactions; (8) drug‑disease contraindications; (9) identification of therapeutic duplication; (10) patient laboratory values when authorized and available; (11) proper utilization (including over or under utilization) and optimum therapeutic outcomes; and (12) drug abuse and misuse. "Medication therapy management services" includes the following: (1) documenting the services delivered and communicating the information provided to patients' prescribers within an appropriate time frame, not to exceed 48 hours; (2) providing patient counseling designed to enhance a patient's understanding and the appropriate use of his or her medications; and (3) providing information, support services, and resources designed to enhance a patient's adherence with his or her prescribed therapeutic regimens. "Medication therapy management services" may also include patient care functions authorized by a physician licensed to practice medicine in all its branches for his or her identified patient or groups of patients under specified conditions or limitations in a standing order from the physician. "Medication therapy management services" in a licensed hospital may also include the following: (1) reviewing assessments of the patient's health status; and (2) following protocols of a hospital pharmacy and therapeutics committee with respect to the fulfillment of medication orders. (bb) "Pharmacist care" means the provision by a pharmacist of medication therapy management services, with or without the dispensing of drugs or devices, intended to achieve outcomes that improve patient health, quality of life, and comfort and enhance patient safety. (cc) "Protected health information" means individually identifiable health information that, except as otherwise provided, is: (1) transmitted by electronic media; (2) maintained in any medium set forth in the definition of "electronic media" in the federal Health Insurance Portability and Accountability Act; or (3) transmitted or maintained in any other form or medium. "Protected health information" does not include individually identifiable health information found in: (1) education records covered by the federal Family Educational Right and Privacy Act; or (2) employment records held by a licensee in its role as an employer. (dd) "Standing order" means a specific order for a patient or group of patients issued by a physician licensed to practice medicine in all its branches in Illinois. (ee) "Address of record" means the address recorded by the Department in the applicant's or licensee's application file or license file, as maintained by the Department's licensure maintenance unit. (ff) "Home pharmacy" means the location of a pharmacy's primary operations. (Source: P.A. 95‑689, eff. 10‑29‑07; 96‑673, eff. 1‑1‑10.) (225 ILCS 85/4) (from Ch. 111, par. 4124) (Section scheduled to be repealed on January 1, 2018) Sec. 4. Exemptions. Nothing contained in any Section of this Act shall apply to, or in any manner interfere with: (a) the lawful practice of any physician licensed to practice medicine in all of its branches, dentist, podiatrist, veterinarian, or therapeutically or diagnostically certified optometrist within the limits of his or her license, or prevent him or her from supplying to his or her bona fide patients such drugs, medicines, or poisons as may seem to him appropriate; (b) the sale of compressed gases; (c) the sale of patent or proprietary medicines and household remedies when sold in original and unbroken packages only, if such patent or proprietary medicines and household remedies be properly and adequately labeled as to content and usage and generally considered and accepted as harmless and nonpoisonous when used according to the directions on the label, and also do not contain opium or coca leaves, or any compound, salt or derivative thereof, or any drug which, according to the latest editions of the following authoritative pharmaceutical treatises and standards, namely, The United States Pharmacopoeia/National Formulary (USP/NF), the United States Dispensatory, and the Accepted Dental Remedies of the Council of Dental Therapeutics of the American Dental Association or any or either of them, in use on the effective date of this Act, or according to the existing provisions of the Federal Food, Drug, and Cosmetic Act and Regulations of the Department of Health and Human Services, Food and Drug Administration, promulgated thereunder now in effect, is designated, described or considered as a narcotic, hypnotic, habit forming, dangerous, or poisonous drug; (d) the sale of poultry and livestock remedies in original and unbroken packages only, labeled for poultry and livestock medication; (e) the sale of poisonous substances or mixture of poisonous substances, in unbroken packages, for nonmedicinal use in the arts or industries or for insecticide purposes; provided, they are properly and adequately labeled as to content and such nonmedicinal usage, in conformity with the provisions of all applicable federal, state and local laws and regulations promulgated thereunder now in effect relating thereto and governing the same, and those which are required under such applicable laws and regulations to be labeled with the word "Poison", are also labeled with the word "Poison" printed thereon in prominent type and the name of a readily obtainable antidote with directions for its administration; (f) the delegation of limited prescriptive authority by a physician licensed to practice medicine in all its branches to a physician assistant under Section 7.5 of the Physician Assistant Practice Act of 1987. This delegated authority under Section 7.5 of the Physician Assistant Practice Act of 1987 may, but is not required to, include prescription of controlled substances, as defined in Article II of the Illinois Controlled Substances Act, in accordance with a written supervision agreement; and (g) the delegation of prescriptive authority by a physician licensed to practice medicine in all its branches or a licensed podiatrist to an advanced practice nurse in accordance with a written collaborative agreement under Sections 65‑35 and 65‑40 of the Nurse Practice Act. (Source: P.A. 95‑639, eff. 10‑5‑07; 96‑189, eff. 8‑10‑09; 96‑268, eff. 8‑11‑09.) (225 ILCS 85/5) (from Ch. 111, par. 4125) (Section scheduled to be repealed on January 1, 2018) Sec. 5. Application of Act. (a) It shall be unlawful for any person to engage in the practice of pharmacy in this State and it shall be unlawful for any employer to allow any person in his or her employ to engage in the practice of pharmacy in this State, unless such person who shall engage in the practice of pharmacy in this State shall be first authorized to do so under the provisions of this Act. (b) Nothing contained in this Act shall be construed to invalidate any existing valid and unexpired certificate of registration, nor any existing rights or privileges thereunder, of any pharmacist, registered assistant pharmacist, local pharmacist, or registered pharmacy apprentice, in force on January 1, 1956 and issued under any prior Act of this State also in force on January 1, 1956. Every person holding such a certificate of registration shall have the authority to practice under this Act, but shall be subject to the same limitations and restrictions as were applicable to him or her in the Act under which his or her certificate of registration was issued. Each such certificate may be renewed as provided in Section 12. (c) It shall be unlawful for any person to take, use or exhibit any word, object, sign or design described in subsection (a) of Section 3 in connection with any drug store, shop or other place or in any other manner to advertise or hold himself out as operating or conducting a drug store unless such drug store, shop, pharmacy department or other place shall be operated and conducted in compliance with the provisions of this Act. (d) Nothing in this Act shall be construed to authorize a pharmacist to prescribe or perform medical diagnosis of human ailments or conditions. (Source: P.A. 95‑689, eff. 10‑29‑07.) (225 ILCS 85/5.5) (Section scheduled to be repealed on January 1, 2018) Sec. 5.5. Unlicensed practice; violation; civil penalty. (a) Any person who practices, offers to practice, attempts to practice, or holds oneself out to practice pharmacy without being licensed under this Act shall, in addition to any other penalty provided by law, pay a civil penalty to the Department in an amount not to exceed $5,000 for each offense as determined by the Department. The civil penalty shall be assessed by the Department after a hearing is held in accordance with the provisions set forth in this Act regarding the provision of a hearing for the discipline of a licensee. (b) The Department has the authority and power to investigate any and all unlicensed activity. (c) The civil penalty shall be paid within 60 days after the effective date of the order imposing the civil penalty. The order shall constitute a judgment and may be filed and execution had thereon in the same manner as any judgment from any court of record. (Source: P.A. 89‑474, eff. 6‑18‑96.) (225 ILCS 85/5.7) (Section scheduled to be repealed on January 1, 2018) Sec. 5.7. Advertising services. A licensee shall include in every advertisement for services regulated under this Act his or her title as it appears on the license or the initials authorized under this Act. (Source: P.A. 91‑310, eff. 1‑1‑00.) (225 ILCS 85/6) (from Ch. 111, par. 4126) (Section scheduled to be repealed on January 1, 2018) Sec. 6. Each individual seeking licensure as a registered pharmacist shall make application to the Department and shall provide evidence of the following: 1. that he or she is a United States citizen or legally admitted alien; 2. that he or she has not engaged in conduct or behavior determined to be grounds for discipline under this Act; 3. that he or she is a graduate of a first professional degree program in pharmacy of a university recognized and approved by the Department; 4. that he or she has successfully completed a program of practice experience under the direct supervision of a pharmacist in a pharmacy in this State, or in any other State; and 5. that he or she has passed an examination recommended by the Board of Pharmacy and authorized by the Department. The Department shall issue a license as a registered pharmacist to any applicant who has qualified as aforesaid and who has filed the required applications and paid the required fees in connection therewith; and such registrant shall have the authority to practice the profession of pharmacy in this State. (Source: P.A. 95‑689, eff. 10‑29‑07.) (225 ILCS 85/7) (from Ch. 111, par. 4127) (Section scheduled to be repealed on January 1, 2018) Sec. 7. Application; examination. Applications for original licenses shall be made to the Department in writing on forms prescribed by the Department and shall be accompanied by the required fee, which shall not be refundable. Any such application shall require such information as in the judgment of the Department will enable the Board and Department to pass on the qualifications of the applicant for a license. The Department shall authorize examinations of applicants as pharmacists not less than 3 times per year at such times and places as it may determine. The examination of applicants shall be of a character to give a fair test of the qualifications of the applicant to practice pharmacy. Applicants for examination as pharmacists shall be required to pay, either to the Department or the designated testing service, a fee covering the cost of providing the examination. Failure to appear for the examination on the scheduled date, at the time and place specified, after the applicant's application for examination has been received and acknowledged by the Department or the designated testing service, shall result in the forfeiture of the examination fee. The examination shall be developed and provided by the National Association of Boards of Pharmacy. If an applicant neglects, fails or refuses to take an examination or fails to pass an examination for a license under this Act within 3 years after filing his application, the application is denied. However, such applicant may thereafter make a new application accompanied by the required fee and show evidence of meeting the requirements in force at the time of the new application. The Department shall notify applicants taking the examination of their results within 7 weeks of the examination date. Further, the Department shall have the authority to immediately authorize such applicants who successfully pass the examination to engage in the practice of pharmacy. An applicant shall have one year from the date of notification of successful completion of the examination to apply to the Department for a license. If an applicant fails to make such application within one year the applicant shall be required to again take and pass the examination. An applicant who has graduated with a professional degree from a school of pharmacy located outside of the United States must do the following: (1) obtain a Foreign Pharmacy Graduate Examination Committee (FPGEC) Certificate; (2) complete 1,200 hours of clinical training and experience, as defined by rule, in the United States or its territories; and (3) successfully complete the licensing requirements set forth in Section 6 of this Act, as well as those adopted by the Department by rule. The Department may employ consultants for the purpose of preparing and conducting examinations. (Source: P.A. 95‑689, eff. 10‑29‑07.) (225 ILCS 85/7.5) (Section scheduled to be repealed on January 1, 2018) Sec. 7.5. Social Security Number or unique identifying number on license application. In addition to any other information required to be contained in the application, every application for an original, renewal, or restored license under this Act shall include the applicant's Social Security Number or other unique identifying number deemed appropriate by the Department. (Source: P.A. 95‑689, eff. 10‑29‑07.) (225 ILCS 85/8) (from Ch. 111, par. 4128) (Section scheduled to be repealed on January 1, 2018) Sec. 8. Licensure by endorsement; emergency licensure. The Department may, in its discretion, license as a pharmacist, without examination, on payment of the required fee, an applicant who is so licensed under the laws of another U.S. jurisdiction or another country, if the requirements for licensure in the other jurisdiction in which the applicant was licensed, were, at the date of his or her licensure deemed by the Board to be substantially equivalent to the requirements then in force in this State. A person holding an active, unencumbered license in good standing in another jurisdiction who applies for a license pursuant to Section 7 of this Act due to a natural disaster or catastrophic event in another jurisdiction may be temporarily authorized by the Secretary to practice pharmacy pending the issuance of the license. This temporary authorization shall expire upon issuance of the license or upon notification that the Department has denied licensure. Upon a declared Executive Order due to an emergency caused by a natural or manmade disaster or any other exceptional situation that causes an extraordinary demand for pharmacist services, the Department may issue a pharmacist who holds a license to practice pharmacy in another state an emergency license to practice in this State. (Source: P.A. 95‑689, eff. 10‑29‑07.) (225 ILCS 85/9) (from Ch. 111, par. 4129) (Section scheduled to be repealed on January 1, 2018) Sec. 9. Registration as pharmacy technician. Any person shall be entitled to registration as a registered pharmacy technician who is of the age of 16 or over, has not engaged in conduct or behavior determined to be grounds for discipline under this Act, is attending or has graduated from an accredited high school or comparable school or educational institution or received a GED, and has filed a written application for registration on a form to be prescribed and furnished by the Department for that purpose. The Department shall issue a certificate of registration as a registered pharmacy technician to any applicant who has qualified as aforesaid, and such registration shall be the sole authority required to assist licensed pharmacists in the practice of pharmacy, under the supervision of a licensed pharmacist. A registered pharmacy technician may, under the supervision of a pharmacist, assist in the practice of pharmacy and perform such functions as assisting in the dispensing process, offering counseling, receiving new verbal prescription orders, and having prescriber contact concerning prescription drug order clarification. A registered pharmacy technician may not engage in patient counseling, drug regimen review, or clinical conflict resolution. Beginning on January 1, 2010, within 2 years after initial registration as a registered technician, a pharmacy technician must become certified by successfully passing the Pharmacy Technician Certification Board (PTCB) examination or another Board‑approved pharmacy technician examination and register as a certified pharmacy technician with the Department in order to continue to perform pharmacy technician's duties. This requirement does not apply to pharmacy technicians registered prior to January 1, 2008. Any person registered as a pharmacy technician who is also enrolled in a first professional degree program in pharmacy in a school or college of pharmacy or a department of pharmacy of a university approved by the Department or has graduated from such a program within the last 18 months, shall be considered a "student pharmacist" and entitled to use the title "student pharmacist". A student pharmacist must meet all of the requirements for registration as a pharmacy technician set forth in this Section excluding the requirement of certification prior to the second registration renewal and pay the required pharmacy technician registration fees. A student pharmacist may, under the supervision of a pharmacist, assist in the practice of pharmacy and perform any and all functions delegated to him or her by the pharmacist. Any person seeking licensure as a pharmacist who has graduated from a pharmacy program outside the United States must register as a pharmacy technician and shall be considered a "student pharmacist" and be entitled to use the title "student pharmacist" while completing the 1,200 clinical hours of traini" ) $data = array( "child" => array( "" => array() ), "type" => 128, "headers" => array( "last-modified" => "Sat, 06 Feb 2010 04:50:30 GMT", "etag" => "vSzmO1NAi/hSuMPpot3DQrhZZfo", "content-type" => "text/xml; charset=UTF-8", "transfer-encoding" => "chunked", "date" => "Sat, 06 Feb 2010 04:50:30 GMT", "expires" => "Sat, 06 Feb 2010 04:50:30 GMT", "cache-control" => "private, max-age=0", "x-content-type-options" => "nosniff", "server" => "GFE/2.0", "x-xss-protection" => "0" ), "build" => "20090627192103" ) $items = 20 $feed = array( "data" => "", "attribs" => array( "" => array() ), "xml_base" => "", "xml_base_explicit" => false, "xml_lang" => "", "child" => array( "" => array(), "http://www.w3.org/2005/Atom" => array() ) ) $sql = "SELECT `data` FROM `items` WHERE `feed_id` = '1356554975ff10f2158e60e5e4ae4b7cspc' ORDER BY `posted` DESC LIMIT 20"

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Top Nursing Blogs

Soliant Health

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Phil Baumann

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Welcome to Episode 117 The Nursing Show is a proud member of the ProMed Podcast Network. Subscribe to the show, free! —– Right Click to download (Macs Option Click) Subscribe with iTunes here (need iTunes — it’s free) Read more on Tuberculosis Nurse Review and Episode 117…...

Upper Respiratory Infections and Episode 116

Welcome to Episode 116 The Nursing Show is a proud member of the ProMed Podcast Network. Subscribe to the show, free! —– Right Click to download (Macs Option Click) Subscribe with iTunes here (need iTunes — it’s free) Read more on Upper Respiratory Infections and Episode 116…...

Shock Review for Nurses and Students and Episode 115

Welcome to Episode 115 The Nursing Show is a proud member of the ProMed Podcast Network. Subscribe to the show, free! —– Right Click to download (Macs Option Click) Subscribe with iTunes here (need iTunes — it’s free) Read more on Shock Review for Nurses and Students and Episode 115…...

Street Drug Contaminants Review for Nurses and Episode 114

Welcome to Episode 114 The Nursing Show is a proud member of the ProMed Podcast Network. Subscribe to the show, free! —– Right Click to download (Macs Option Click) Subscribe with iTunes here (need iTunes — it’s free) Read more on Street Drug Contaminants Review for Nurses and Episode 114…...

Patient Education Tips for Nurses and Episode 113

Welcome to Episode 113 The Nursing Show is a proud member of the ProMed Podcast Network. Subscribe to the show, free! —– Right Click to download (Macs Option Click) Subscribe with iTunes here (need iTunes — it’s free) Read more on Patient Education Tips for Nurses and Episode 113…...

Hyperthyroidism and Episode 112

Welcome to Episode 112 The Nursing Show is a proud member of the ProMed Podcast Network. Subscribe to the show, free! —– Right Click to download (Macs Option Click) Subscribe with iTunes here (need iTunes — it’s free) Read more on Hyperthyroidism and Episode 112…...

Nurse Ratched's Place

Racial Profiling: The Ghost of Nurse Aiko Hamaguchi

Portrait by Ansel Adams, 1943 My mother told me to never talk about religion or politics in public. She said it is impolite, but I have to speak up. The woman in this picture is Nurse Aiko Hamaguchi. Look at her closely. Nurse Hamaguchi is the face...

New Year’s Resolutions and Nursing Jobs

This nurse looks like she’s charting, but she might be fooling you. Perhaps she’s writing down her New Year’s resolutions. I’ve noticed a lot of nurses doing that around this time of the year when they are at work. The number one resolution during a bad shift...

Best Video Ever For Breast Cancer Awareness

I found this video over at Diary of a Trauma Nurse. The video was done at Providence St. Vincent Medical Center in Portland, Oregon. Put your dancing shoes on. It’s time to boogie! Best Video Ever For Breast Cancer Awareness – Nurse Ratched's Place Best Video Ever For Breast...

Happy Holidays in the Kitchen

It looks like the girls have been busy cooking Christmas dinner for their patients in the hospital kitchen. Really. Some hospitals will do anything to save a buck. Anyway, it looks like everyone is having fun. Wishing you happy holidays from Nurse Ratched’s Place. Happy Holidays in...

Al Franken Shuts Down Joe Lieberman on the Senate Floor

Priceless……… Al Franken Shuts Down Joe Lieberman on the Senate Floor – Nurse Ratched's Place Al Franken Shuts Down Joe Lieberman on the Senate Floor – Nurse Ratched's Place...

Politicians Meddle with Iowa’s Mental Health System.

I took this picture a couple of years ago during a trip to Iowa. This is the old Clarinda Asylum for the Insane. The name was changed for obvious reasons a long time ago to the Clarinda Treatment Complex. I grew up in Iowa, so let me tell...

Keith's Blogs

The Adventures of Bob The Nurse

A male nurse action figure with too much time on his hands....

Fiction, Prose & Ephemera

Miscellaneous writings by a nurse with too much time on his hands....

A Nurse and his Treo

The photographic adventures of a peripatetic nurse and his trusty smart-phone....

Latter Day Sparks

The latter day life and times of Sparkey the Dog....

...

allnurses: A Nursing Community for Nurses

KAPLAN QBANK (Q BANK)????

Hello everyone, Can anyone let me know more about the Kaplan Qbank? If I get the Kaplan book......

I feel so hopeless ! :(

Well... I want to be a nurse. I thought " Ok..go to college, get awesome grades and get your......

Care of the patient with stroke sxs >5 hrs PTA

I'm a new grad in the ED, and I need some help in understanding what to expect in the nursing care......

Need help with a wound protocol...

Hi, I just got a job at a specialty hospital. They are a new hospital with a rehab and skilled......

what experience needed for a new Adult NP to be hired?

Hi all, I am in Adult NP trac about half way through. I have been an RN in acute care (NON......

I need some major help!!!

Hello ya'll.... I am currently going to online college with University of Phoenix because I was......

Jonathan Rosenfeld's Nursing Homes Abuse Blog

Lawsuit Alleges CNA At A Golen Living Center Sexually Abused Paralyzed Patient

A recently filed lawsuit against Golden Living Centers in Merrillville, IN alleges that a CNA at the facility entered the room of a paralyzed stroke patient, took his clothes off and fondled the man against his will. The CNA identified as, Ismael Golden, also faces criminal charges related to the...

Bankruptcy Laws Allow Owners Of Assisted Living Facility To Ignore $1.2M Judgment Against Them

The $1.2 million judgment North Carolina Superior Court Judge, James Ammons handed down in a 2006 negligence trial will literally amount to nothing after the owners of the Countryside Villa run-for-cover under North Carolina's bankruptcy laws. The large verdict against the assisted living facility was awarded to Joe Cooper, a Marine...

Respite Care: A Welcome Break For Caregivers Or Exposing A Loved One To Unnecessary Harm?

Respite Care means the intermittent and temporary care for frail or disabled adults on behalf of the primary caregiver in order to provide relief and support. It is an important aid for families who care for older family members so that they can run errands, work, take care of personal matter,...

Elderly Woman Wanders From Her Convalescent Home To Her Death

I'll never get accustomed to the fact that many elderly will suffer an injury or die due to the carelessness of people who are intended to care for them. It seems that every few weeks we hear about an elderly person who mysteriously goes missing from a facility and wanders...

Nursing Home Operator And CNA's Named As Defendants In Civil Lawsuit After Sex Abuse Scandal

After the well publicized abuse of elderly patients at the Good Samaritan Nursing Home in Minnesota, some of the patients who were victimized have filed a civil lawsuit against the nursing home and the individual nurses involved. Prosecutors have already filed criminal charges against two young woman who tormented many of...

60 Nursing Home Patients Sickened By Norovirus

More than 60 patients at the Good Shepherd Nursing Home in Ohio have become ill after contracting norovirus. According to the Ohio Department of Health the norovirus outbreak occurred sometime around January 15th. It is unclear what triggered this norovirus outbreak, but norovirus is highly contagious and can be spread through...

Lessons in Nursing

Denver CyberKnife

I have recently accepted a new position in a brand new clinic opening in South Denver called Denver CyberKnife. It is exciting as it is a new learning experience for me and will be a challenging new role as CyberKnife Coordinator. This is a disconnect from everything I have been...

“Is this going to be on the test?”

I was lecturing recently, and the students are frantically writing down notes until a student raises their hand and asks this question. I give an answer indicating that it probably won’t be on the test, but it is good information to know, and what do I see? Everyone putting their...

The Why’s of Nursing

As a nursing instructor, I always find myself asking my students ‘why’? And I always have a problem with the answer. Because someone told me to do it that way. This is the heart of nursing and also the downfall of many nursing schools. If you can answer the question...

Just graduated from nursing school? Now find a job…

Finding a job in nursing is different from most of the other job hunts out there. As a new grad, you are just excited to get out there are get working (after you pass your boards of course). Just keep in mind these few things when looking for a job...

The Story that started it all…

I got a viral infection when I was 12 years old that landed me in the hospital for a short time. During that stay, I encountered doctors and nurses at their best, and this experience changed my focus in life. After recovering from my illness, that summer I broke child...

Do I need prior medical experience to be a nurse?

A lot of people ask me whether or not prior medical experience is a prerequisite for nursing school, and I summarize it in a word…no. This is the short answer, however, there is a longer answer. You don’t need formal medical training prior to entering nursing school, but spending some...

Lost on the Floor

That’s Just Wrong

Not too long ago we had a patient on our obs unit who was dealing with some issues of constipation. Unfortunately, they had 2 things working against them. First, was being born with a congenital defect requiring surgery and leading them to a life of issues with their bowels. Second,...

Totally Inappropriate, But Still Funny

Shocking Internal Retirement Home Betting Pool Memo | Top Cultured. First off, it’s a fake. Second off, betting/wagering on the lives of those you take care of is wrong. But here’s the thing: I can understand it. We’ve bet on ETOH levels, BNP levels, how low a hemoglobin and hematocrit is, how...

A Nurse’s View on the iPad in Healthcare

According to the already gushing reviews, the iPad is a “game changer” and “the device health care has waited for.” Not really. I do believe that there will be areas in health care where it could be very useful and could make a difference. One example that comes to mind is the...

Hypotension Causing Nursing Hypertension

Hypotension Causes: Three Cases Of Severe Hypotension and Their Dramatic Response To Treatment. I’m almost going to print this up and drop it in a couple of hospitalist’s mail boxes as they completely buggered their management of the hypotensive patient. So here’s the story… 50-odd year old dude comes in with bilateral foot...

Callous Comment of the Night

“Oh look, Mr. Sleep Apnea is in the ER, ‘hearing voices’.” says one RN. “Someone just needs to tell him that it’s only his trach whistling again.” replies jaded charge nurse, barely looking up from their charting. Somedays it’s hard to be warm and sincere. It’s easier to be cold and callous. ...

Add Another to the List

From the folks that brought you… fibromyalgieurs chest painieurs methadonians chronic drug seekieurs/chronic painieurs comes a whole new group of fun-time pains in the asses: *drum roll please…* gastroparesis-ieurs Yes, you too can have nebulous complaints that never seem to be fixed without the aid of “dilauntin”. Why pay rent when you can convince the docs that your symptoms...

Emergiblog

Change of Shift is Up; Next Edition Taking Submissions!

The new edition of Change of Shift is up at Rehab RN! The next edition will be hosted at the Blog of the Interdisciplinary Nursing Quality Research Initiative, also known as the INQRI Blog. The Initiative is associated with the Robert Wood Johnson Foundation. The theme for this edition of Change of...

The Kids Are Alright

Nurse Jones was impressed with the NeoNatal App on her new iPad, but the device was much larger than she expected. I plan to get an iPad. I wonder if it comes with “wings”. Is the deluxe version called a Max-i-Pad? Sorry, I had to get my feminine hygiene jokes out of the...

Grand Rounds – the LOL Edition!

Welcome to the LOL edition of Grand Rounds! I just adore the I Can Has Cheeseburger – LOL Cat site and the kittehs provide our background theme for the week. This is a great place to announce that the finalists of the 2009 Medical Weblog Awards are now up at Medgadget! This is...

Change of Shift – Volume 4, No. 15

It’s time again for Change of Shift, the bi-weekly nursing blog carnival! It’s an eclectic selection this week: hospital to office, students and veterans, money and…well, poo-poo, disasters and preparedness. Quick note: I have a “mailing list” that I use to mail out CoS notifications. If you are not on the list...

Anatomy of a Pain Shot

This has me stumped. What on earth is she doing? She is drawing something up from a spoon, I assume it is a medication. But what? I usually associate this sort of activity with heroin addicts, but obviously this is a clinical environment. Okay, all you nursing historians out there… What medication would need to be...

Change of Shift – Volume Four, No. 14

Happy New Year and welcome to the first Change of Shift of the new decade! Are you still writing “09″? I’m not! For some reason I have converted to “01″. Lord knows how many of my charts have the wrong dates on them! It’s a new decade and the new year finds...

Nursing Informatics Online

[Promoting nursing competitiveness: introduction to the digital divide.]

Forum: Nursing Informatics Journal Articles Posted By: Nursing Informatics News Post Time: 02-04-2010 at 05:08 AM...

Clinical practice corner: health information technology.

Forum: Nursing Informatics Journal Articles Posted By: Nursing Informatics News Post Time: 02-03-2010 at 05:34 AM...

Collaborating to optimize nursing students' agency information technology use.

Forum: Nursing Informatics Journal Articles Posted By: Nursing Informatics News Post Time: 01-29-2010 at 05:45 AM...

Adoption of a PDA-based home hospice care system for cancer patients.

Forum: Nursing Informatics Journal Articles Posted By: Nursing Informatics News Post Time: 01-29-2010 at 05:45 AM...

Recording practices and satisfaction of hemophiliac patients using two different data entry systems.

Forum: Nursing Informatics Journal Articles Posted By: Nursing Informatics News Post Time: 01-29-2010 at 05:45 AM...

Description of inpatient medication management using cognitive work analysis.

Forum: Nursing Informatics Journal Articles Posted By: Nursing Informatics News Post Time: 01-29-2010 at 05:45 AM...

Off the Charts

The Checklist – Taking Finger-Pointing Out of the Equation

By Peggy McDaniel, BSN, RN Ok, I will admit right off that I am a huge fan of Atul Gawande’s writing. I have read his books Better and Complications, and I think much of his work should be required reading for all health care students. I haven’t read his newest book, The Checklist Manifesto:...

Déjà Vu All Over Again: Internal Uterine Contraction Monitoring Another Case of Practice Without Evidence

By Shawn Kennedy, MA, RN, interim editor-in-chief Last week, the New England Journal of Medicine (NEJM) reported (abstract available here) on a Dutch multi-center randomized trial comparing internal versus external monitoring of uterine contractions during induced labor on rate of cesarean or instrument delivery. Among secondary outcomes they examined were use...

“I often feel anxious and nervous when I care for a dying patient . . .”

As a nursing student, I often feel anxious and nervous when I care for a dying patient. My classroom lectures have been similar to those given in medical school—death is an enemy to be conquered. We focus on treating the disease process and give very little attention to death and...

Normal Blood Pressure — in 1914

That’s an excerpt from an October 1914 article about blood pressure that was published in AJN (our older articles only exist in PDF versions, so click the PDF link in the upper right corner of the article landing page). Maybe, though, in the absence of the many medications we now have to...

Is the Florence Nightingale Pledge in Need of a Makeover?

By Christine Moffa, AJN clinical editor Authors and publishers frequently send nursing– and health care–related books to AJN in hopes we will review them. I love it, so keep on sending them. My latest read is Mystery at Marian Manor: The Adventures of Nora Brady, Student Nurse, a book for young adults....

Emergency—Bleeding Esophageal Varices: What Nurses Need to Know

By Sylvia Foley, AJN senior editor This month’s CE feature opens with a patient with alcoholic cirrhosis who suddenly vomits large amounts of blood. She’s experiencing variceal hemorrhage from esophageal varices, an often deadly complication of alcoholic liver disease, as author Melissa M. Smith explains. Esophageal varices occur in roughly...

Nursing Ideas

Judith Oulton International Nursing Leadership and Perspectives on Health Human Resources

Judith Oulton Frances Bloomberg International Distinguished Visiting Professor – University of Toronto Sitting down with Judith Oulton, the former CEO of the Internaitonal Council of Nurses. We talk about her experience and how she came to the role and her current work on global health human resources. She is an incredible nursing...

Researching the Internationally Educated Nursing Work Force in Saudi Arabia – Joan E Mitchell

Joan E Mitchell MSN, EdD jemitchell [at] cbahi.org Nurse Consultant and Surveyor Central Board of Accrediation for Healthcare Institutions – Jeddah [googleMap], Saudi Arabi Sitting down with Joan Mitchell at the Sigma Theta Tau Conference in Indianapolis and discussing her work in patient safety and quality of care was very enlightening. After watching...

Peter Goossens Helping Patients Recognize Bi-Polar Symptoms

Peter Goossens RN PhD – email: p.j.j.goossens [at] saxion.nl Nurse Expert – Dimence – Map Professor in Mental Health – Saxion Senior Researcher – Radboud University Nijmegen Peter Goossens, a Dutch mental health nurse and researcher, and I sit down to discuss his research that helps bi-polar patients recognize on coming periods of mania...

Marla Salmon – Nursing an Entire Nation

Marla E Salmon ScD, RN, FAAN Dean & Professor – University of Washington School of Nursing A conversation with Marla Salmon ScD RN FAAN, current Dean and Professor at the University of Washington and former Chief Nurse of the United States of America. We discuss her experience working with Bill Clinton and...

Irmajean Bajnok Sharing Nursing Best Practice Around the World

Irmajean Bajnok RN PhD Director of International Affairs and Best Practice Guidelines – Registered Nurses Association of Ontario Sitting down with Irmajean Bajnok we discuss her experience and how she came to be Director of the IA-BPG. We talk about how the BPG came to be but also about how she hopes...

Sioban Nelson Learning from the History of Nursing

Sioban Nelson PhD Dean and Professor - Lawrence S Bloomberg Faculty of Nursing After starting the MN at the University of Toronto, I have had a few readings from Sioban about understanding the history of Nursing. These articles really helped my understanding of nursing. Being young in the profession this historical analysis...

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