Every Certified Legal Nurse Consultant knows that after a patient has a stroke, the care they receive in the first 3-4 hours is the most crucial. The type of stroke influences the treatment so proper recognition and diagnosis are essential. Despite this knowledge, the National Quality Forum (NQF) recently rejected a proposed guideline that would have called for a CT scan within 45 minutes of a patient presenting to the ED. Why is this important? The NQF sets the medical guidelines that are used by the Centers for Medicare & Medicaid Services (CMS) to evaluate (and reimburse) hospitals. So, with no reimbursement, the likelihood of a patient getting a CT scan drops pretty dramatically.
Archive for month: May, 2009
Homes across the U.S. are smelling like rotten eggs. There's actually a deeper reason than a teenage boy's socks. Depending upon the age and location of the home it may contain defective drywall. We're all aware of the environmental problems and issues associated with China and its pollution, chemical spills and lead paint in children's toys. But there are other ways that defective products can get into a home. One of which includes building or repairing the home with defective products (and the watchdog in this case is not the FDA)!
Any legal nurse consultant who owns a computer running the wonderful Windows operating system (OS), has, at some point been faced with the little pop-up that tells you something to the effect that "high-priority updates are available for your computer, would you like to download and install them now?" My answer is a whole-heartedly qualified "Yes! I sure would in certain situations."
I am at the airport getting ready to leave for Paris with my Starbucks coffee in hand. After this long flight, I'll be ready for that glass of red wine that always accompanies my Parisian breakfast. Click on the video to find out what legal nurse consulting, comprehensive reports for your attorney-clients and Paris have in common.
I just got back from the Chicago CLNC 6-Day Certification Seminar and had to share the immediate success of one of my CLNC students. Watch this video from a brand new Certified Legal Nurse Consultant.
Every day at our Chicago CLNC® Certification Seminar, the housekeeper left a handwritten thank-you note on my pillow. With that little note, she received a pay raise. The money I was leaving for a tip doubled after that second note. Her simple act of gratitude for a small gratuity led to a larger gratuity.
From the beginning - let me disclose a conflict of interest, I'm a Firefox user. I've flirted with Apple's Safari but find it is too slow to render its pages, and it's got the worst search function ever designed for looking for text on a web page (although it does tell you how many matches there are on a page). I've customized my Firefox browser to include my favorite blogs, news and RSS feeds and, even though it's a little slow to open the first time you fire it up each day, I love the fact that I'm tuned in to the world every time I jump on the Net. It's great the way I can do tabbed browsing, with a simple right-click opening pages from my Yahoo! searches in a new tab so I'm not clicking forward and back to get to my search results after a page pans out. It's also cool to be able to look up forgotten passwords for websites that deleted my "cookies."
Sometimes silence really is golden. Any negotiating coach will tell you that in a situation where one party to a negotiation makes an offer or statement and a period of silence sets in, the first party to talk or break that silence loses the point. Silence can be uncomfortable when you are talking to attorneys about your legal nurse consulting services, so how do you pull that off?
Two nights ago, Tom and I had dinner in a fairly chi-chi restaurant here in Chicago. It's known for celebrity sightings, great food and décor. Tom and I tend to eat fairly early (I'm up at 4:00am and usually have two meals before most people eat lunch). We're not so early that we get caught in the walker stampede as the 2-for-1 early birds make their exits, but we do sometimes bump into the last of the hobbling stragglers.
Last year, Botox, a medication containing Botulinum Toxin A, was routinely injected into over 2.5 million Americans and generated $1.3 billion in sales. All this despite reports that Botox could cause symptoms similar to botulism, loss of bladder control, blurred vision, trouble breathing, swallowing and talking (not because of the size of those lips). Certified Legal Nurse Consultants working for plaintiff and defense firms should be aware that on April 30, 2009, the FDA issued a statement that all botulinum toxin products (including Botox and Botox Cosmetic) carry a black box label warning as well as a risk evaluation and mitigation strategy (REMS).