Medical Research

Every Certified Legal Nurse Consultant has experienced the joy of finding a website with the exact material they need for the report they’re working on for their attorney-client. Those same CLNC^® consultants have experienced the frustration of clicking on the bookmark for that webpage and seeing a “page not found” error message. How do you find that webpage once it’s lost in the Internet? Easy, there’s a free service called “iCyte^®” and it does a great job of saving a webpage so you can view it later, even if it’s removed or changed.

Simply visit iCyte.com, register for your free account and get started. It lets you “freeze” a copy of just about any webpage, and then it stores that “page” for you as a “project” on the iCyte system so that you can access that saved “original” page at any later time. You can even compare the past and current versions of the saved pages to see if there are any changes since you last visited.

Here’s the best part for savvy Certified Legal Nurse Consultants. If you’re using the Firefox^® browser, it has an add-on that allows you to highlight text on the page! Also, you can annotate the stored sites you saved as well as tag them and use iCyte’s free-form notes field to write comments about a page.

If you’re working with legal nurse consulting subcontractors, you can “invite” them to join your projects. This allows them to view and comment on them also. It’s an efficient way to review or add to your CLNC^® subcontractors’ citations.

The iCyte service is a great addition to any legal nurse consultant’s useful collection of website tools. Try it today!

Keep on techin’,

Tom

I don’t know about your husband (or wife), but mine is a creature of habits. Some good, some bad and some just…

For all his tech-tippyness, he even has a bad tech habit and I have his personal permission to share this one with Certified Legal Nurse Consultants (Tom, I owe you one!). Here goes: any time Tom starts searching, no matter where he is on the information superhighway at the time, he’ll go straight to either Google^® or Yahoo!^® to start his search. To get there he’ll open a new tab on whichever browser he’s got open and click “Home.” On Firefox^® it’s his customized Yahoo! homepage, on Internet Explorer^® 8 it’s his customized Google homepage and I have no idea what’s on his Safari^® page. Once the customized page has loaded, he starts getting ready to search.

Now, I’ve watched him do this. He doesn’t go straight to the search box and start typing, first he’ll scan that customized page of RSS news feeds, etc. for current updates, weather alerts, checks on how the Dow is doing and then when he’s satisfied that all is well with the world, he begins searching. By this time he’s lost at least two minutes and those minutes build up over a day, a week and a year. Every minute he’s assuring all is right with the world is one he could be spending on the ironing (Just kidding – it’s actually washing the dishes!). In all fairness, he does keep me updated on what’s going on in the world – but at a cost to his efficiency.

One of the things working in the ICU as an RN taught me is economy of movement. When you’re coding or resuscitating a patient you don’t want to be taking three steps to do something you can do in one or two. Seconds count when lives are in the balance. I try to apply economy of movement to my workday to keep me focused on the big things. I could end up needing to work all day every day if I’m inefficient, and that would interfere with my vacation plans!

That’s why when I search the Internet, no matter what webpage I’m on, I go straight to the search box built into the top of my web browser. Tom converted me to Firefox and I love to search right from the browser. If I’m ready to leave the page I’m on, I’ll just type my search term in the built-in search box and “Google” away. If I want to stay on the page I’m on and am just doing some fact checking, I’ll simply click open a new blank tab (Ctrl + t) and search away still using that built-in box. Firefox allows me to select the search engine I want to use:

IE8 picks Bing^®/Live search as its default and I’d have to ask Tom how to change that so I’ve left it on Bing:

I do recommend that you customize your iGoogle^® homepage and Yahoo! homepage to add RSS feeds relevant to your legal nurse consulting business. I also recommend that you search from “inside the box” to stay efficient and free of distractions.

Keep on searching – efficiently.

Success Is Inside!

I asked the CLNC^® Pros to share the websites they use most often for researching their medical-related cases. I invite you to bookmark your favorites.

Agency for Healthcare Research and Quality
Offers links to clinical information and current clinical research.

American Academy of Family Physicians (AAFP)
Offers links to journals, policies, position statements, references and resources pertaining to family practice.

American Association of Critical-Care Nurses (AACN)
Provides clinical resources, standards, journals, education and certification information for the critical care nurse.

American College of Physicians (ACP) PIER^® (Physician Information and Education Resource)
Comprises over 490 modules focusing on clinical topics as well as an extensive drug database and helpful patient information. Free to ACP members.

American College of Radiology (ACR)
Outlines standard of care, quality and safety resources, clinical research and news and publications.

American Heart Association
Provides statements, guidelines, clinical updates, news, continuing education, publications and statistics.

American Medical Directors Association
Supplies links to AMDA’s publications and products, news releases and resource library. Specific sections address the interests of medical directors and physicians who practice in long term care.

American Nursing Association (ANA)
Contains the nursing scope of practice including administration.

American Society of PeriAnesthesia Nurses (ASPAN)
Contains standards, education, links and publications.

Association of periOperative Registered Nurses (AORN)
Contains education, standards of practice and peer networking for the OR nurse.

Centers for Disease Control and Prevention (CDC)
Promotes health, prevention of disease, injury and disability and preparedness for new health threats. Also provides intra-agency support and resource-sharing for cross-cutting issues and specific health threats.

CINAHL
Provides the Cumulative Index to Nursing and Allied Health Literature (CINAHL^®), the most comprehensive resource for nursing and allied health literature.

Code of Federal Regulations – Title 42 – Public Health
Presents Chapter IV – Centers for Medicare & Medicaid Services, Department of Health and Human Services.

Department of Health and Human Services Office of the Inspector General
Allows you to check on the exclusion status of a healthcare provider or facility. Contains the list of sanctions and definitions of exclusions for Medicare fraud and other sanctions.

Elder Abuse Information
Helps you recognize and fight against elder abuse. Discusses different forms of elder abuse, causes and symptoms and gives the legal rights of the elderly.

Elsevier
Contains access to a variety of science and health information, books and journals.

eMedicine
Contains peer-reviewed online medical textbooks. Physicians continually update and revise this site. The standard format for each disease or condition includes diagnosis and treatment, differential diagnoses, and a list of additional references.

Federation of State Medical Boards
Contains a databank of board actions and physician disciplinary actions. Includes links to state medical boards.

Food and Drug Administration (FDA)
Helps you investigate concerns about products in the FDA database.

Harrison’s Online
Features the complete contents of Harrison’s Principles of Internal Medicine, 17th Edition.

Health Medicine refdesk.com
Contains an alphabetical list of health and disease-related links useful as a starting point for finding medical literature and other sites.

The Health Pages
Allows you to search for a physician by name and state or by specialty practice. This site has more current contact information than other physician directory sites, particularly telephone numbers. Links to state medical boards offering physician discipline information and reports on physicians and facilities are planned for this site.

Healthcare Financing Administration
Links to Medicare, Medicaid, SCHIP and other federal search resources.

Hippocrates Magazine
Contains clinical updates in primary care and practice management with access to archives and search features.

Infusion Nurses Society (INS)
Sets the standard for infusion care.

Institute for Healthcare Improvement (IHI)
Provides access to improvement knowledge and trustworthy content focused on healthcare quality across a broad array of topics.

Institute for Safe Medicine Practices
Presents links to newsletters, educational programs, medication safety tools and resources, articles, guidelines, products lists and reports.

Johns Hopkins Division of Infectious Diseases Antibiotic Guide
Provides information about infectious diseases and antibiotics. The site requires registration (free).

The Joint Commission
Accredits and certifies more than 17,000 healthcare organizations and programs in the U.S.

The Journal of the American Medical Association (JAMA)
Offers the most widely circulated, peer-reviewed, general medical journal in the world.

Manufacturer and User Facility Device Experience Database (MAUDE)
Gives links to reports of product and device failure and other information.

Mayo Clinic
Provides online resources for diseases and medical conditions, drugs and supplements and tests and procedures.

MDLinx.com
Contains links to 40 medical specialty websites for the latest developments and access to top journals. Also offers an email subscription service to alert you to news in specialties you select.

MedBioWorld
Contains links to publishers of medical and nursing journals in all fields and a complete list of all available journals worldwide.

Medical Library Association (MLA)
Provides educational opportunities, supports a knowledgebase of health information research and works with a global network of partners to promote the importance of quality information for improved health to the healthcare community and the public.

Medical Matrix
Provides ranked, peer-reviewed and annotated clinical medicine online resources for a variety of journals, texts, diseases and medical conditions.

Medical News Today – Litigation/Medical Malpractice News
Includes news and articles published daily on lawsuits, legislation, compensation claims, pharmaceutical company disputes and more.

Medicare
The official U.S. government site for Medicare.

MediLexicon
Contains searches, information, news and resources for the medical, pharmaceutical and healthcare professional, including medical abbreviations, medical dictionary, medical news, ICD-9 search, drug search, medical equipment and surgical instruments and other searches.

MedlinePlus^®
Presents health information from the National Library of Medicine.

Medscape
Supplies medical news, full-text journal articles and resource centers.

MedTerms
Clarifies difficult medical language as defined by doctors in easy-to-understand explanations of over 16,000 medical terms.

Merck Manuals Online
Contains links to search the Merck Manual of Medical Information, Merck Manual of Geriatrics and Merck Manual of Diagnosis and Therapy.

Merck Medicus
Contains information specific to your specialty, including clinical tools, specialty textbooks, journals and professional societies.

Micromedex Healthcare Series
Contains information on drugs, diseases, acute care, toxicology and alternative medicine.

Mosby’s Nursing Consult
Offers a vast array of information relevant to nurses including 38 leading nursing textbooks, 38 leading full-text nursing journals, evidence-based nursing monographs, drug information and calculators, over 370 practice guidelines, 8,000 patient handouts, 8,000 images, “Best Practice” clinical updates, dictionary, MEDLINE, Mosby’s Index and nursing and medical news.

National Association for Home Care & Hospice
Represents the interests and concerns of home care agencies, hospices and home care aide organizations.

National Cancer Institute
Contains information on cancer topics, clinical trials, cancer statistics, research and news.

National Center on Elder Abuse (NCEA)
Helps national, state and local partners in the field be fully prepared to ensure that older Americans will live with dignity, integrity, independence and without abuse, neglect and exploitation.

National Council of State Boards of Nursing (NCBSN)
Offers links to most U.S. nurse practice acts, regulations and state boards of nursing.

National Guideline Clearinghouse
Serves as a public resource for evidence-based clinical practice guidelines.

National Hospice and Palliative Care Organization (NHPCO)
Promotes access to palliative care and to maintaining quality care for persons facing the end of life and their families.

National Patient Safety Goals (NPSGs)
Delivers outlines and chapters for all applicable programs published by the Joint Commission.

National Pressure Ulcer Advisory Panel (NPUAP)
Contains online resources for pressure ulcer staging and links to public policy, education and research of pressure ulcers.

The New England Journal of Medicine
Contains a variety of clinically relevant medical information, including clinical and research articles, analysis and opinion articles and materials for both learning and teaching.

Occupational Safety and Health Administration (OSHA)
Presents comprehensive information about OSHA regulations, services, safety programs and employee training manuals with news and an online library.

Oncologic Nurses Society (ONS)
Represents over 37,000 registered nurses and other healthcare providers dedicated to excellence in patient care, education, research and administration in oncology nursing.

Pam Pohly’s Net Guide – Medical Academies & Healthcare Professional Associations
Contains links to hundreds of healthcare societies, academies, professional organizations and associations.

PubMed
Comprises more than 19 million citations for biomedical articles from MEDLINE and life science journals. Citations may include links to full-text articles from PubMed Central or publisher web sites.

Spine Universe
Contains detailed information involving conditions, treatments and wellness surrounding the spine. Additional resources include links to clinical trials, glossary of terms, recommended textbooks about spinal anatomy, videos and animations.

STAT!Ref
Offers access to cross-searchable, full-text medical, nursing and pharmacology electronic textbooks from a wide variety of reputable authors, publishers and societies.

Surgical-Medical-New Terms Glossary
Offers the most complete list of medical products, devices and pharmaceuticals, with links to manufacturers’ websites and Food and Drug Administration information on each product.

UpToDate
Provides evidence-based, peer-reviewed-information resource for clinical knowledge and improved patient care. Available by subscription.

Wound Care Strategies
Contains products, education and news related to wound care.

Wound, Ostomy and Continence Nurses Society
Represents an international society of nurses who are experts in the care of patients with wound, ostomy or continence problems.

Wrong Diagnosis
Contains links to symptoms, diseases, diagnosis, videos, tools, misdiagnosis, doctors, hospitals, drugs and articles.

Thank you to Suzanne Arragg, RN, BSN, CDONA/LTC, CLNC; Laura M. Averette, RN, MSN, CPHRM, CLNC; Dale Barnes, RN, MSN, PhN, CLNC; Nikki J. Chuml, RNC, CCE, FMC, CLNC; Larry Frace, RN, CLNC; Margaret Gallagher, RN, BSN, MSN, CLNC; Dorene Goldstein, RNC, CLNC; Sandra Higelin, RN, MSN, CS, CWCN, CLNC; Jane Hurst, RN, CLNC; Camille Joyner, RN, CCM, CLNC and Mildred Mannion, RN, BSN, CNOR, CLNC for sharing the websites they use most to research their legal nurse consulting medical-related cases.

Success Is Inside!

Our CLNC^® Pros deliver their top techniques to boost the efficiency and thoroughness of your medical research.

1. Use only authoritative websites for medical research. Accessing research studies may require a fee which is billable to the attorney.
2. As a member of the NACLNC^® Association, Certified Legal Nurse Consultants have free access to the Internet’s preeminent legal nurse consulting resources including CLNC^® resource links, a peer-reviewed collection of hundreds of the best Internet links on medical, nursing and scientific research.
3. Simplify your medical research with the National Library of Medicine. From this site you can enter MedlinePlus^®, a comprehensive database of article summaries from international medical literature and also search biomedical journal literature from MEDLINE/PubMed.
4. Subscribe to MD Consult and conduct a minimal search for general and specific information. The site contains many authoritative and up-to-date text and journal references. As you review individual journal publications, you can search for more articles on specific topics, instead of starting a new search. This time-saver allows you to cross-reference pertinent literature and identify key search words during your original search. You can even identify literature that is critical of the researchers or their methods, sometimes with notes citing conflicting results from other studies.
5. Screen the case to analyze and prepare a brief overview of the essence of the case. This helps you focus on the relevant injuries, treatment protocols and causation issues when researching.
6. Always review the standards of any pertinent professional organization. You can identify the relevant associations through the Healthcare Standards Directory (HCS) Online. This ensures that you include these standards in your research so you don’t miss professional standards that aren’t found in your online search. For example, for an emergency room case, contact the American Board of Emergency Medicine. For an obstetrical case, contact the National Association of Neonatal Nurses and The American Congress of Obstetricians and Gynecologists. These sites offer a wealth of information. Request the information these associations publish for consumers as well. The references cited in the bibliography of any standards are also useful.
7. Decide whether you want to conduct broadly defined research or narrowly defined research. This will shape the words that you use for your research. For example “GI bleed” is more broad than “stress-related mucosal bleeding manual ventilation.”
8. Keep your beginning search simple, then do a more complex search. Sometimes the simple things are the most pertinent to the case. Don’t make it harder than it has to be. Ask yourself what you really need to find, verify or compare. Recognize when enough is enough. Gain a sense of when you’ve got enough material and move on to applying the research to the case.
9. When searching for a primary subject, such as diabetes, remember to search at the same time for related issues relevant to the case, such as decubitus. This helps you avoid duplicating your efforts later.
10. Always check the bibliography of any journal article for additional research sources. While searching for general information in texts and Internet sources, make a list of the authors who are most widely published or referenced. This list could provide additional literature sources or potential testifying experts.
11. Make note of the medications and medical products used. Then search for any drug interactions or medical device incidents that could have contributed to the case in any way. Systematically reviewing this information keeps you from overlooking any potential product liability issues resulting from defective products. If you need to research a particular drug, or medical device, don’t overlook company sponsored websites.
12. Provide copies of the research articles to the attorney and highlight relevant information in the article to emphasize what is significant and to expedite the attorney’s review.

Thanks to Suzanne Arragg, RN, BSN, CDONA/LTC, CLNC; Laura M. Averette, RN, MSN, CPHRM, CLNC; Dale Barnes, RN, MSN, PhN, CLNC; Nikki J. Chuml, RNC, CCE, FMC, CLNC; Larry Frace, RN, CLNC; Margaret Gallagher, RN, BSN, MSN, CLNC; Dorene Goldstein, RNC, CLNC; Sandra Higelin, RN, MSN, CS, CWCN, CLNC; Jane Hurst, RN, CLNC; Camille Joyner, RN, CCM, CLNC and Mildred Mannion, RN, BSN, CNOR, CLNC for sharing their strategies for researching medical-related cases.

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Earlier this month, the Journal of the American College of Radiology (JACR) published an article based on advice from the Society of Breast Imaging (SBI) and American College of Radiology (ACR) which contradicted the U.S. Preventative Services Task Force (PSTF) and stated that annual mammograms should indeed begin at age 40 and even earlier if you’re at risk. Unlike the PSTF’s earlier recommendations, the SBI/ACR based its recommendations on several different trials and studies.

It’s good to see that medical professionals are recommending what women have known for years and what is just good, common sense – if you are 40+, go get yourself a mammogram and get one annually.

Success Is Inside!

P.S. Comment and share whether you agree or not.

Certified Legal Nurse Consultants have long known that the pharmaceutical and medical device industries have a vested interest in not only making sure that their products get wide distribution on the market, but also that they gain favorable press coverage in the healthcare and mainstream media. The extent of the “full court press” they make to gain such coverage takes on different extremes. Everything from parties, trips, gifts and research sponsorships are used to help influence writers. Another popular but hidden measure is the use of ghostwriters. They are often hired by the pharmaceutical or device industries themselves to write the articles, which are then submitted under the signature of an “impartial” doctor. Sometimes the so-called “ghost” may simply have ties, such as a sponsorship from the related industry or manufacturer, but other times the ghost may actually be part of the industry being written about. Just to name a few, many of you will remember the controversy surrounding disclosures of this practice related to Fen-Phen, Vioxx^® and Premarin^®.

According to The New York Times, many major medical journals are taking baby-steps in the right direction to identify and hopefully stop this practice, while others are not yet committed to the process. The Public Library of Science in its PLoS Medicine journal has called for a “zero-tolerance” ban on such ghostwriting and has suggested various remedies, including sanctions in situations where the ghostwriting is not disclosed.

Given the fact that many medical and other healthcare providers rely on these journals for unbiased information to make decisions regarding the use of different drugs, devices and treatments or even when creating standards of care, policies and procedures, etc., the information should be free of slant, spin or other bias. But apparently this isn’t true or at least doesn’t happen as often as we would hope.

The author of an article should be the person or persons who wrote or contributed the majority of the article, not the person who signs their name to it or submits it to a medical journal or other publication. At the very least the ghosts should be disclosed in the article’s acknowledgments, contributions or references.

Unfortunately, it appears that the major medical journals have not completely adopted nor have they enforced this policy. I am also not aware of any research being done to determine whether the professional nursing journals have adopted a similar policy. Until an impartial organization looks into this, or at least until the nursing journals adopt a policy of transparency, we’ll have to assume that nursing journals have the same potential level of bias or influence as do the medical journals.

What should be done? First the journals (scientific, medical or nursing) should put into effect a sanction policy for those situations in which a ghostwriter, sponsorship or other potential for bias is later disclosed or discovered. The second is for those same journals to adopt a transparency policy which then should disclose such bias as soon as it is discovered.

It’s imperative that healthcare professionals and ultimately the consumer are able to fully trust professional journals. Until ghostwriting is “ghostbusted,” we’re not in a position to place that trust. Until that day, Certified Legal Nurse Consultants should continue to question and challenge the validity of research studies where indicated.

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Just about every doctor and nurse in hospitals own a Sharpie^® at one time or another. Some use them for marking patients and others to label their lunch. It turns out that two different studies on infection risk found that good old fashioned Sharpies out-perform surgical markers in protecting patients from the risk of infection.

The 2008 study was conducted in Canada at the University of Alberta followed in 2009 with a study on reducing surgical site infections (SSIs) at Duke University in the U.S.

So long as an alcohol-based Sharpie is capped (and the outside properly swabbed) between uses on patients, the risks of passing on four common resistant bacteria – Staphylococcus aureus (MRSA), E. coli, vancomycin-resistant Enterococcus faecalis (VRE) and Pseudomonas aeruginosa – are much lower with a Sharpie than with a surgical pen.

Changing from surgical markers is a great way to do some cost-cutting at your facility while keeping down the risk of wrong-site surgeries. Why not kill two birds with one stone and still have a pen to make your more subtle points?

Success Is Inside!

As a Certified Legal Nurse Consultant, do you use Google^® to search on a regular (or exclusive) basis? If you’re like me, you’re tired of seeing only 10 results per page. You know, scan the page, click next on the Gooooooooooogle link and then see the next 10 links, repeat – next 10, repeat – next 10, repeat – ad nauseum and if you’re as tired as I am of that basic white Google homepage that offers little in the way of excitement other than an occasional logo change, it’s time to take matters into your own hands. Open your Internet Explorer^® or Firefox^® browser and point it to Google. Next, create an account with Google. It’s quick, easy and it’s free (plus they know all about you anyway – they’re Google after all).

After you create your account, go back to Google and click on iGoogle (in the top right corner of the page). You may not need to, it may take you right to iGoogle^TM. When you get to iGoogle (you’ll know) you can select a theme from the “Create your own homepage in under 30 seconds” box. Check a few of the options in the Select Interests box. You can change them later. When you’re done click on “See your page.”

Once you do you’ll see that your new iGoogle homepage has changed considerably. There will be new content like a useless clock, perhaps weather, news from CNN or perhaps your local paper or The New York Times. Ignore these changes for now, we’ve got important work to do.

First, go to the top of your new iGoogle homepage and click on either Preferences or Search Preferences (depending on which one you see). You can then tell Google to display 100 (really 100!) search results per page. You can also tell it to open search results in a new window. This is way cool – your original 100 results remain in place and each link opens in a new window. This way, as you evaluate each result for a case you’re working on for your CLNC^® business, you don’t lose the original results and can close each page (or follow its links) as you wish. Save your preferences and go back to iGoogle.

Next, you can select your theme or change your theme. You’ll have pages and pages of customizable themes (header images and page colorations) that will change the way you look at Google forever (or at least until you change themes). Vickie loves trekking and hiking in the mountains so she selected a cool theme that reminds her of the Bhutanese Himalayas. I’ve got an electro-techno-looking theme that charges me up. Some themes are static – the same all the time. Other themes change throughout the day. (Try Pocoyó for a fun, changing theme). You can search the themes by keywords to find one you like.

The Institute has also developed a theme specific to Certified Legal Nurse Consultants. You can get the iGoogle CLNC^® theme by logging into the NACLNC^® Community. Once logged into the Community, click Member Seal and Other Downloads. Select the iGoogle CLNC^® theme to easily upload it to your iGoogle homepage.

Now that iGoogle’s looking different, your next step is to address the new content that’s been added to your homepage, courtesy of iGoogle’s Gadget APIs (you’ve learned a new tech word. Now, instead of saying “I can’t go out with you Friday, I’m washing my hair,” you can say “I’m staying in Friday to use Core JavaScript Features and Standard XMLHttpRequest class objects to customize the APIs for my iGoogle homepage.”)

The APIs allow you to drag and drop, add and delete and even resize feeds on your iGoogle homepage. To take advantage of this, the first thing to do is navigate to Vickie’s Blog and click the Subscribe to Feed link at the top left. Now, instead of subscribing by email, select the option under Subscribe Now! to read the blog with your iGoogle or My Yahoo! web-based reader. It’ll then take you back to your iGoogle homepage and should show a box listing the last four headlines. You can then grab the “Vickie’s Blog” box with a left click and drag it anywhere on your page. Use the little icons in the top right of each feed box to delete a feed from your page or to move it around your iGoogle homepage.

Now visit other blogs, news sites (NYTimes.com) or alert sites (FDA.gov) and add their feeds to your homepage. Do a Google search for medical-malpractice news and feeds or other types of cases that interest you to find a wealth of news, facts and opinions. Almost all of these information sources for your Certified Legal Nurse Consulting business can be added to your new homepage. On mine I keep the local weather, a stock market ticker, global and local (Houston Chronicle) news and legal feeds. As you learn of new, interesting feeds you can add them, deleting the feeds you no longer need.

I haven’t tried this in IE8 yet, but in my Firefox browser I have multiple tabs that open each time I start Firefox. My homepage and primary display tab hold legal feeds, my secondary is tech feeds (natch!) and the last is news and current events (like movies). Every time I open a browser, I take 2-3 seconds to scan the headlines and then get to searching. One more tip is to use both IE8 and Firefox. I’ve set IE8 to Google, and Firefox to Yahoo!^® and I’ve got different content on each browser. My ultimate search destination (legal, news or research) helps me select which browser to open.

This blog has primarily been about Google but, with the exception of themes and colorizations, you can customize Yahoo! just as easily as you can Google.

Remember, use a combination of search engines to get the best results. You’re cheating yourself out of information gathering otherwise. Customizing your homepages will put more information at your fingertips. Just make sure it’s useful.

Keep on techin’,

Tom

Tom’s favorite search tool is Yahoo. Our director of education likes Google. My favorite search tool is Tom! Every day we field questions from CLNC^® consultants and even attorneys that are easily found through a quick Internet search. Tom has become a master at searching out the most arcane facts from the furthest reaches of the Internet. He uses a variety of search engines, constantly juggles and refines search terms, and even uses whole sentence searches. If you want to know what species of monkey is endemic to Canada, he’s the one to ask.

If I need a restaurant in Oslo or Poughkeepsie, he’ll not only find me a local review and suggestions on which species of sea urchin tastes best in October, but ferret out the name of the fisherman who sold it to the restaurant. Al Gore may have invented the Internet, but Tom is the one who has harnessed its power for the good of Vickie-kind. I may be exaggerating a little here, okay I’m exaggerating a lot. But with a little bit of mental sweat you can search as well as Tom.

There’s a wealth of medical, nursing, state and federal resources out there. You can learn about who can report Medicare and Medicaid fraud, what’s new in healthcare regulations and find answers to all sorts of questions simply by putting Google to work for you. Before you take the time to fill out that mentoring request to learn the definition of a legal term in your home state of Idaho just do a quick online search. We constantly answer mentoring questions that could have been answered with a simple trip to Google. Get the most out of your CLNC^® Mentoring by doing your search before you request mentoring. What’s good about this is that you will expand your knowledge and at the same time learn you can answer many of your own questions.

I always tell new CLNC^® consultants that, “we won’t do your work for you” and we won’t. We’re here to be your coach and to guide you on how to do the work, handle your CLNC^® business and to answer your questions (things you can’t necessarily find online). Don’t use the mentoring process to replace the thinking process or the nursing process. You’ve been trained to think critically as a nurse, you do it on the job and you do it naturally. Apply the nursing process to the legal nurse consulting process and you’ll come out a winner.

There’s a world of knowledge out there. Use it and use it wisely. Educate yourself and your attorney-clients. But, like Tom says, “Search smarter, not harder and don’t depend on Wikipedia unless you want to be road kill on the information superhighway.” Twitter you later!

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P.S. Comment on one interesting search you’ve done recently keeping in mind this blog is rated G.

Welcome to “Web 2.0″ with its completely new terminology for the blogosphere. But don’t be scared, I’m here to help you master the art of Web 2.0’s social bookmarking and get you hip.

When the Internet was relatively new and you saw a website that you wanted to share with friends, what did you do? Most likely, you picked up the phone or sent an email. Now there’s a new alternative – social bookmarking, which is awesome because who has time to phone a friend about a cool website? Social bookmarking allows users to ‘tag’ sites of interest. Once a site is tagged, your tags appear in two places: your user profile, and the homepage of the bookmarking network. The bookmarking network will display the tag temporarily, before it is replaced by newer ones.

Delicious is a social bookmarking network that allows users to tag, save, manage and share web pages from a centralized source. How many times have you bookmarked a website on your home computer, and then also needed to open it out of town? With Delicious, you can bookmark any website on the Internet and access them from any computer, anywhere.

Need to know the latest on Medicare fraud or toxic torts? Explore tags on Delicious.com and you’ll instantly get a list of all websites tagged by other users. If you’re working on a legal nurse consulting case that involves a specific drug, such as Vioxx^®, explore tags on Delicious. You’ll be amazed at what’s out there that someone else thought enough about to bookmark.

Bookmark what you like and it will be there when you come back – from any computer. Sounds good so far, right? It gets better. Since Delicious has an interactive “Web 2.0″ quality, you’re not just tagging websites, you’re conceptualizing with an entire community. Once a tag is entered into the bookmarking network, other users can rate it.

So, how is this beneficial to Certified Legal Nurse Consultants? Let’s say you want to reference a website on SIDs within a case report, but are unsure about the quality of the site’s information. If it has been tagged within a social network, chances are you’ll get an idea of what others think about it before including it in your work product for your attorney-client.

Social bookmarking can also help you market your CLNC^® business. After you’ve created your company website, let people know about it by creating a bookmark. Then ask other Delicious users within your network to rate your site. This even gives you a bit of page rank. Plus, it’s an excellent way to gain free traffic.

Using a social bookmarking network, such as Delicious, allows you to learn about new sites and tag your own sites while networking with new people.

Well, what are you waiting for? Go to Delicious.com and join. It’s FREE and easy! Make sure you bookmark Vickie’s Blog. Thanks!

Guest Blogger Profile

Brandy Mathews is a member of the marketing department at Vickie Milazzo Institute. She brings over 10 years of experience in computers, computer technology and the Internet to the Institute.