GERMANY NEEDS 500 NURSES! LIMITED SLOTS ONLY!

The Philippine Overseas Employment Administration (POEA) is now ready to accept applications of Filipino nurses who wish to practice their profession in Germany. The hiring process is in accordance with the Agreement on Triple Win Migration between POEA and the German Federal Employment Agency on the placement of Filipino Health Professionals for Employment in the Federal Republic of Germany.

Germany is in need of male and female nursing staff from the Philippines to fill the current labor shortage in their healthcare industry. They intend to recruit 500 nursing staff until the end of 2014.

Successful nurse-applicants will initially work as an Assistant Nurse at hospitals. They will be promoted after recognition of the foreign qualification work as a qualified nurse. The starting gross salary amounts to €1,900 or more or less Php108,000 until recognition as a qualified nurse.

Requirements:

·        Filipino citizen and permanent resident of the Philippines with:
Bachelor of Science in Nursing (four years professional education; (B.S.N.)
Active Philippine Nursing License
At least two years of professional experience as nurse in hospitals, Rehabilitation centers and care institutions

·        Knowledge of German language
minimum Level B1 in accordance with the Common European Framework of Reference for Languages or willing to undergo German language training in the Philippines for up to six (6) months (to be paid by the employer)

Employment and residence conditions:

Nature of employment relationship

·        The employment contract initially is limited to one year working mainly in the job profile of nursing assistance until the recognition of the foreign qualification.

·        Based on the recognition of the foreign qualification, the employment contract can be extended after twelve months.

·        It is possible to apply for a permanent residence permit in Germany after five years.

Recognition of certification:

In accordance with the provisions of the Federal Republic of Germany, the recognition of the foreign qualification is mandatory. It has to be approved within the first year of employment by the relevant German authorities.

Board and Lodging:

The employer will assist the employee find a suitable accommodation and the expenses in full or in part will be borne by the employee.

Travel expenses:

The employer will pay the travel expenses from the Philippines to Germany.

Required application documents:

·        Cover letter and curriculum vitae with colored passport size picture (in English and in German, if possible)

·        High School Diploma (notarized copy)

·        Diploma of nursing (notarized copy)

·        Board Certificate from the Professional Regulation Commission

·        Certificate/s of employment from former employers (notarized copy)

·         Certificate of German language skills, if available

·         Copy of valid NBI clearance

·        Copy of valid passport

Application and selection process:

Submit the documents listed above to POEA under the following heading: “Triple Win.” Incomplete applications will not be considered.

Candidates who are short-listed will be informed about the location and time of their  interview with representatives of the Federal Employment Agency (BA/ZAV). Preferably,the interview will be in German language.In the framework of the cooperation of the German Federal Employment Agency (BA/ZAV) and the Deutsche Gesellschaft für Internationale Zusammenarbeit (GIZ) GmbH on the recruitment of nurses, GIZ will support local partners as well as provide language, professional and orientation training in the Philippines.

Furthermore, it will support the visa procedure and serve as focal point during the first integration phase in Germany. BA/ZAV, in cooperation with POEA, is responsible for the selection process  of nurses as well as for the placement of nurses to German employers and the approval of working conditions.

For further information, candidates can contact triplewin.poea@yahoo.com.

Please submit applications at Counter Triple Win, Employment Branch, Manpower Registry Division, Ground Floor, POEA, Blas F. Ople Building, Ortigas Avenue corner EDSA, Mandaluyong City.

source: nursingguide.ph

news article from poea.gov.ph

Middle East respiratory syndrome- coronavirus - update

(article taken from www.who.int)

29 MAY 2013 - The Ministry of Health in Saudi Arabia has notified WHO of an additional five laboratory-confirmed cases with Middle East respiratory syndrome coronavirus (MERS-CoV).

All five patients are from the Eastern region of the country, but not from Al-Ahsa, where an outbreak began in a health care facility in April 2013. The patients had underlying medical conditions which required multiple hospital visits. The government is conducting investigations into the likely source of infection in both the health care and the community settings.

The first patient is a 56-year-old man with underlying medical conditions, who became ill on 12 May 2013 and died on 20 May 2013. The second patient is an 85-year-old woman with underling medical conditions who became ill on 17 May and is currently in critical condition. The third patient is a 76-year-old woman with underlying medical conditions who became ill on 24 May 2013 and was discharged from the hospital on 27 May 2013. The fourth patient is a 77-year-old man with underlying medical conditions who became ill on 19 May and died on 26 May 2013. The fifth patient is a 73-year-old man with underlying medical conditions who became ill on 18 May and died on 26 May 2013.

Additionally, a patient earlier reported from Al-Ahsa, an 81-year-old woman has died. The government is continuing to investigate the outbreaks in the country.

In France, the first laboratory-confirmed case in the country, with recent travel from the United Arab Emirates has died.

Globally, from September 2012 to date, WHO has been informed of a total of 49 laboratory-confirmed cases of infection with MERS-CoV, including 27 deaths.

WHO has received reports of laboratory-confirmed cases originating in the following countries in the Middle East to date: Jordan, Qatar, Saudi Arabia, and the United Arab Emirates (UAE). France, Germany, Tunisia and the United Kingdom also reported laboratory-confirmed cases; they were either transferred for care of the disease or returned from the Middle East and subsequently became ill. In France, Tunisia and the United Kingdom, there has been limited local transmission among patients who had not been to the Middle East but had been in close contact with the laboratory-confirmed or probable cases.

Based on the current situation and available information, WHO encourages all Member States to continue their surveillance for severe acute respiratory infections (SARI) and to carefully review any unusual patterns.

Health care providers are advised to maintain vigilance. Recent travellers returning from the Middle East who develop SARI should be tested for MERS-CoV as advised in the current surveillance recommendations. Specimens from patients’ lower respiratory tracts should be obtained for diagnosis where possible. Clinicians are reminded that MERS-CoV infection should be considered even with atypical signs and symptoms, such as diarrhoea, in patients who are immunocompromised.

Health care facilities are reminded of the importance of systematic implementation of infection prevention and control (IPC). Health care facilities that provide care for patients suspected or confirmed with MERS-CoV infection should take appropriate measures to decrease the risk of transmission of the virus to other patients, health care workers and visitors.

All Member States are reminded to promptly assess and notify WHO of any new case of infection with MERS-CoV, along with information about potential exposures that may have resulted in infection and a description of the clinical course. Investigation into the source of exposure should promptly be initiated to identify the mode of exposure, so that further transmission of the virus can be prevented.

WHO does not advise special screening at points of entry with regard to this event nor does it currently recommend the application of any travel or trade restrictions.

WHO continues to closely monitor the situation.

Structures of the brain and what it controls.

Structures of the brain :

Cerebrum - divided into 4 fissures:

• frontal lobe - site of personality, memory, reasoning, concentration, and motor control of speech
• parietal lobe - site of sensation, integration of sensory information and spatial relationships
• temporal lobe - site of hearing, speech, memory, and emotion
• occipital lobe - site of vision and involuntary eye movements

Thalamus - receives inputs from all the sense except the olfaction ( sense of smell)

Hypothalamus - controls sleep and wakefulness, temperature, respiration, blood pressure, sexual arousal, fluid balance and emotional response.

Cerebellum - controls muscle movement regulates muscle tone, maintains balance and controls posture. 

Midbrain - mediates pupillary reflexes and eye movement

Pons - regulates perspiration 

Medulla Oblongata  - contains vomiting, vasemotor, respiratory, and cardiac centers.

Working Abroad! Wala na bang ibang paraan?

In the past few months I have been jumping from one agency/consultancy right after the other hoping that I could land my feet on a country that would compensate me and my service appropriately. 

If only Filipino Nurses are well compensated no one would wanted to work abroad. I think the hungriness of a lot Pinoys' to help and support their families is their living principle for working in a foreign land while fighting with racism , detachment and homesickness. 

I have spoken to a lot of Overseas Filipino Workers (OFW) online and the struggle is not very admirable.  They take care of people they don't know while the desire of taking care of their own families leaves them sleepless at night.

Oh well, I failed in different angles. It's either I lack the experience , my documents are incomplete or maybe its just working overseas is  not really for me. I am very much delighted to be able to help sick people (in Phil.) through my job and little by little I can ease their sorrows and pain but I am also dreaming to attain greener pasture for the love of the one above us.

BUT maybe it isn't my time yet. However while I am still in my home grown country, I will spend my time , my service, my loyalty, and my love to the people who matters to me most. 

SELF BREAST EXAMINATION

I had a 23 year old patient diagnosed with Breast Cancer ; Stage 4. It’s not odd to have end stage cancer at that certain age but I must say it is rare. Early symptoms are easy to detect by having a self breast examination.  Early detection is way 100% better than getting mastectomy at the later stage. There is no better cure for it but to do a self-assessment or BSE Breast Self Exam. So I will share a simplified chart on how it is done. 

It is best done 2 to 3 days after the menstrual period when breasts are no longer tender and swollen. For menopausal woman, it can be done on the first day of every month. TIP: It is best to keep a calendar of menstrual cycle to keep the notion on track. If you notice a lump, discharges from the nipple, dimpling or puckering of the skin, you should see a doctor at once. 

Non Ulcer (Functional) Dyspepsia

Dyspepsia is  the term given  for group of symptoms that originates  problem in the upper part of the abdomen. Non Ulcer Dyspepsia causes pain and dysfunction of the upper tract of the gastro intestinal system.
Pain and discomfort may be encountered in an intermittent pattern. Symptoms usually come and go more often and is always related to eating. The most common symptoms include: heartburn , bloating, belching, fatiguability, nausea and vomiting, easily gets full after a small meal. Other symptoms resmebles that of an ulcer like.

other related site: http://www.patient.co.uk/health/Dyspepsia-Non-ulcer-(Functional).htm

BLS training with ACLS seminar thhis July 26 to 28, 2012 Cebu City .. Limited Slots!! Avail Now!

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Nursing dream turns sour in the Philippines, no hiring for Nurses.

Nursing dream turns sour in the Philippines

By Kate McGeownBBC News, Manila

source: http://www.bbc.co.uk/news/world-asia-18575810

If you go into an American hospital, a Japanese elderly care centro, a British hospice or even the clinics at the centre of the recent violence in Libya and Syria, you are likely to find a nurse from the Philippines working there.

Filipinos' reliability and high level of English, coupled with the fact they are willing to accept jobs almost anywhere in the world, have proved a lifeline for many countries in need of nurses and care-workers.

It is an arrangement that has always seemed to work well for the Philippines too.

Not only is nursing a highly respected profession here, it has also been traditionally viewed as a passport out of poverty for many.

But in recent years, this dream has turned sour.

There are far fewer jobs than there once were, leaving tens of thousands unemployed.

At the beginning of this year, more than 200,000 registered Philippine nurses could not find work, and an estimated 80,000 are graduating this year to join an already saturated job market.

"It's so disappointing," said Tina Siuagan, who has been looking for a nursing position since she left university three years ago.

"You can't help but question: 'What's wrong with me, why can't I get a job?'"

'Not hiring'

When she started her degree, Tina could not have foreseen the global events that would mean her qualification would change from being a pathway to a good career into one that would probably not lead to a job at all.

But at the end of her four-year course, it was already painfully evident.

"When these nurses graduated, it was exactly the time the global economy went into recession," said Alvin Dakis, president of the Alliance of Young Nurse Leaders.

"Western countries were not hiring, so they're all now stuck in the Philippines."

To make matters worse, many countries have recently been trying to train more of their own nurses and therefore discouraging the hiring of foreign staff.

As a consequence, visa requirements - especially in the US and Europe - have gotten much tougher, restricting Filipinos to job opportunities in their own country.

And with so many applicants for every job, Philippine hospitals are only recruiting those with many years of specialist experience, leaving most graduates with nothing.

Lucrative jobs

A decade ago, it all seemed so simple.

Would-be nurses, most but not all of whom were female, studied and worked for a few years in the Philippines before taking up far more lucrative jobs abroad.

Such jobs not only meant the nurse was well provided for, it often meant that the money he or she sent home to the Philippines would provide for the rest of the family too.

"For almost 10 years, nursing was flavour of the year. Everyone went into nursing," said Catherine Castaneda from the Commission on Higher Education.

"All the parents wanted their children to go into nursing. Many rural folks had to sell their carabao - their water buffalo - and even their property just to send their child to nursing school."

Nursing schools opened up all over the country, and especially in the capital, Manila, to cash in on this demand.

And even now, many of these schools are still operating, churning out yet more graduates every year.

'No regrets'

Given the changing economic climate for nursing graduates, both the government and education providers are actively trying to stem this tide of unemployed nurses.

According to Ms Castaneda, the Commission on Higher Education has drafted strict rules for all nursing schools.

"Out of all the fields of study in the Philippines, the most monitored one is nursing," says Ms Castaneda.

The exams have got harder - only about half the students pass - and any school with below average results for more than five consecutive years is asked to close.

Government ministers repeatedly tell students who are thinking about studying nursing, even those partway through a nursing degree, to look at allied courses like medical technology and pharmacy instead.

And many nursing graduates are encouraged to find jobs in the call centres which are springing up around the Philippines. Some of these are taking advantage of their medical knowledge by offering back-office services for hospitals and clinics.

But despite the statistics and the newspaper headlines, there are still many young Filipinos who remain determined to go into nursing whatever the cost.

For the past three years, Angeline Veraga has been working as an unpaid volunteer in the cancer unit at Manila's East Avenue Medical Center.

She is a nursing graduate, and she has also done several short courses in certain specialist areas, but she has still not found any work at home or abroad.

For someone who studied nursing with the aim of being her family's main breadwinner, it is a bitter pill to swallow.

"My parents feel like I'm still going to school because they give me some money every day," she said.

"It's very difficult. At my age I should be the one helping my family, not them helping me."

But Angeline still has her heart set on a career on nursing.

"I don't regret being a nurse. Every time I go home I feel so blessed at being able to help someone, even though I don't get anything in return."

Despite all the difficulties, with that level of dedication, perhaps the Philippines will still be known for its nurses in years to come.

Leprosy (Hansen's Disease) ; Mycobacterium Leprea

Leprosy (Hansen's Disease) is a typical disease that causes skin sores, skin  and nervedamage, muscle weakness and inability to feel through the skin. It has been widespread and known since the biblical times. 

The main cause is the Mycobacterium Leprae. Before it was known to be incurable, individuals with Leprosy was used to be isolated in "Leper Colonies", but now science have evolved with answers for cure. Effective medications have been discovered in the United States and other developing countries. 

It is common in tropical and subtropical places. However the gravity of contaminating other individuals is not likely high because the bacteria  has a very long incubation period. You will never know if a person have it because most likely the symptoms appear in the latent phase. 

Symptoms:

• skin sores which may be lighter that the normal skin color and has decreased sensation to pain, heat and touch. 
• skin stiffness and  dryness
• muscle weakness and numbness on the affected areas of the body specifically on the hands and feet, could also lead to loss of fingers and toes 

Tests

• Skin lesion biopsy and skin scarping examinations

Treatment

• Dapson, Rifampicin, Clofazamine, Fluroquinolones, Macrolides and Minocycline

Prevetion
Avoiding CLOSE and LONG physical contact with untreated individuals. Patients on long term tretments are not highly contagious. 

Pre-eclampsia ; signs and symptoms

 

Pre-eclampsia is referred to as pregnancy induced hypertension characterized by increase in blood pressure and excess protein in the urine by 20 weeks of pregnancy. If left untreated can cause fetal and maternal death.
signs and symptoms

classifications:
A.  Mild Preeclampsia
    symptoms:
    BP of 140/90
    1+ to 2+ proteinuria on random
    weight gain of 2 lbs per week on the 2nd trimester and 1 lb per week on the 3rd trimester
    Slight edema in upper extremities and face

B. Severe Preeclampsia
    symptoms:
    BP of 160/110
    3-4+ protenuria on random
    Oliguria (less than 500 ml/24 hrs)
    Cerebral or visual disturbances
    Epigastric pain
    Pulmonary edema
    Peripheral edema
    Hepatic dysfunction

Management:
1. Hypertension Therapy
2. Magnesium Sulfate
3. Dietary and Nutritional factors
4. Fellatio

source: wikipedia.com

Cast Care

A cast is placed on an injured bone or muscle to immobilize and protect the affected area for healing and to relieve pain. Plaster of Paris and Wadding sheet are used to do the trick. 


TIPS to remember for the care of patient's with casts. 
1. ALWAYS keep the cast  CLEAN and DRY. A cast with wet drains causes infection if not managed properly. 
2. When bathing the patient, make sure to cover the cast with plastic.  
3. Do not lean or push the cast because it can break and deviates the purpose of immobilization. 
4. Scratching the skin under the cast, putting lotions or powder is never allowed for it can break the skin underneath. To relieve itching under the cast, try pointing a hairdryer on a cool-air setting down the cast.
5. A sling may be attached to the cast involving the upper extremities. Crutches may be needed to walk if the cast is on the leg , foot or ankle. 
6 Elevating the casted area can prevent swelling. . 
7 ALWAYS check for signs of COMPARTMENT SYNDROME such as sever pain, altered sensation of the affected part, absent pulses , tense and swollen shinny skin with obvious bruises and congestion of the digits with prolonged capillary refill time. 

Intravenous Line Insertion

This video shows how to start an IV line for patients.

JIPMER Pondicherry Jobs – Nursing jobs India – Jawaharlal Institute of Postgradute Medical Education & Research Staff Nurse jobs

JIPMER Pondicherry Jobs – Nursing jobs India – Jawaharlal Institute of Postgradute Medical Education & Research Staff Nurse jobs

Government of India
Jawaharlal Institute of Postgradute Medical Education & Research (JIPMER)
Pondicherry – 605006

Website : http://www.jipmer.edu/

Job Description : Applications are invited by the Director, JIPMER, Puducherry-605006 from eligible candidates for the following category of post mentioned below:

Staff Nurse : 90 posts
(UR-47, OBC-24, SC-13, ST-6)
Pay Scale : Rs.9300-34800 Grade Pay Rs. 4600/-

Desired :

(i) Diploma in General Nursing and Midwifery or equivalent.
(ii) Registered as Nurse; and
(iii) Registered as Midwife (or) equivalent with any State Nursing Council.

Age : 37 years, relaxation as per rules.

Fee : Demand Draft for Rs 500 or Rs 250 (SC/ST) drawn in favour of the Accounts Officer, JIPMER, payable at Pondicherry.

Apply : The duly filled in application forms for the post should be superscribed on the envelope as Application for the post of ______ and should reach to the Director, JIPMER, Dhanvantari Nagar, Puducherry-605006

Last date for applying : 5th October 2009.

For details visit : http://www.jipmer.edu/Advt-Staff%20nurse.doc

Upper and Lower GI Series Diagnostic Procedures

Barium is a radio-opaque substance that appears like "milk" or chalky white soultion, that constipates the stool.


UPPER GI SERIES (Barium Swallow)
Ingestion of Barium sulfate to outline esophagus and stomach (duodenum too) as well as its physiology, by radiologic (x-ray) examinations

Nursing Implications:
- NPO post midnight
- Encourage fluids to facilitate elimination
- Laxatives as ordered
- Advise for light (clay) colored constipated stool
LOWER GI SERIES (Barium Enema)
Instillation (by enema) of barium, positioning the client for radiologic examinations

Nursing Implications:
- Light diet and Laxative evening prior to test
- Cleansing Enema prior, followed by barium enema, then by series of x-rays, and cleansing enema (to prevent impaction)

****In case both barium swallow and barium enema will be done at one setting, barium enema is done first. !!

Nursing Implications on Gastric Diagnostic Procedures

GASTROSCOPY
Direct Visualization of the esophagus and the stomach using a lighted flexible tube.

Nursing Implications:
- NPO post midnight or at least 8 hours prior to the procedure and maintain NPO until gag reflex returns.
- Anesthesia, by a spray or gargle, may lead to sore throat for 4 days after the procedure
- Observe hematemesis and respiratory distress

PROCTOSCOPY SIGMOIDOSCOPY
Direct Visualization of the sigmoid colon and the anal canal

Nursing Implications:
- Laxative night before exam, NPO from midnight and enema or suppository in the morning of the procedure


COLONOSCOPY
Direct Visualization of the colon

Nursing Implication:
- Clear Liquid 1 to 3 days prior
- Cathartics for 2 nights prior
- Enema in am of exam
- Observe stool and vital signs

GASTRIC ASPIRATION
Insertion of nasogastric tube and aspiration of gastric of gastric content for laboratory analysis of abnormal constituents (blood, bacteria, malignant cells) and pH.

Nursing Implications:
- NPO at least 6 hours before the test
- Send aspirate to laboratory for test
- Histamine is someties ordered to stimulate HCL production (achlorydia - no HCL production is a findings in Pernicious Anemia)
- Occult blood test (Guaiac Test) may also be used to detect presence of blood in the aspirate (as it is also a test for occult blood in the stool)