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Welcome to Episode 82
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News–
Costs of Uninsured Health Care
FDA to Look At Acetaminophen Products
Tip of the Week– Ciguatera Fish Poisoning
A ToxTidbits Segment with Lisa Booze from the Maryland Poison Center
About Ciguatera
Ciguatera fish poisoning (or ciguatera) is an illness caused by eating fish that contain toxins produced by a marine microalgae called Gambierdiscus toxicus. People who have ciguatera may experience nausea, vomiting, and neurologic symptoms such as tingling fingers or toes.
They also may find that cold things feel hot and hot things feel cold. Ciguatera has no cure. Symptoms usually go away in days or weeks but can last for years. People who have ciguatera can be treated for their symptoms.
Fish like barracuda, black grouper, blackfin snapper, cubera snapper, dog snapper, greater amberjack, hogfish, horse-eye jack, king mackerel, and yellowfin grouper have been known to carry ciguatoxins.
Find more info for nurses and other health care providers at the CDC page on Ciguatera Fish Poisoning
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Other Podcasts from Jamie Davis:
- The MedicCast (for EMTs, Paramedics, EMS field work)
- MedicCast News (Weekly short medical news program)
- MedicCast Live (Monthly live call-in show with a single EMS topic)
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Song this week:
Michael Heaton’s “I Know What I Know”
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This work is licensed under a
Creative Commons Attribution-Noncommercial-No Derivative Works 3.0 United States License.
Filed under nursing show podcasts by on May 29th, 2009. Comment. 
As a nurse and educator I am among the recession proof job holders in this rocky economy. Most of you are, too, (or are working towards joining the rest of us soon).
But we also know someone who has lost their job or is worried they will. Losing a job and the regular paycheck it promised is bad enough, but the loss of a health insurance safety net can be catastrophic. Many people may choose to go without insurance at all.
Few Options for Uninsured
This article outlines some of the limited options for the uninsured. These options include seeking coverage under a spouse’s plan, extending their existing coverage under a COBRA plan, and seeking state assistance programs like SCHIP. Sometimes those options are not open to the person or are simply too expensive.
The challenges for many of our patients are only going to get worse over the next year to year and a half. We, as nurses and nursing students, must commit ourselves doubly to helping our patients find the resources they need and find the best options for their particular circumstances.
Build An Uninsured Intervention Team
Here are some ideas for you to keep in mind. Put together a team approach as soon as you identify an at risk patient. If the patient is in a facility and will soon be discharged, contact your social worker to get them on board right away.
Make sure they have adequate time with OT and PT since they may not be able to afford home or follow up care in an outpatient venue. Evaluate the patient’s understanding of the instructions and get the physical or occupational therapist to also get the instructions to you so that you can follow up with the patient, too.
What other suggestions can you come up with to assist with the care of an uninsured patient? Who else might you include in the planning for these patients? Share your thoughts using the comments link below or email me at Comments@NursingShow.com.
Filed under RN on the side by on Mar 3rd, 2009. Comment.
Deciphering the two presidential candidates’ health care reform plans is a daunting task. Both sides play with numbers in ways that would make Enron’s accountants jealous. The only fact that remains true for both sides is that the current system, while maybe not broken completely, has some serious cracks.
Nurses and other medical caregivers on the front lines of the health care system know that something needs to change. People without insurance use emergency departments as their primary care doctors. Aging populations and shortages of medical professionals at all levels are causing holes in the continuum of care. Patient safety issues are in the forefront of the Joint Commission’s goals and yet the current system is set up for patient safety disasters.
Nurses Care About Health Care
This article from the Atlanta Journal Constitution focuses on the two competing health care plans proposed by the candidates and looks at how they relate to the current system in their region. It doesn’t matter on which side of the issue you fall, as a nurse, you need to educate yourself about the differences. The final plan will ultimately be a compromise of some sort and will incorporate aspects of both options.
Filed under RN on the side by on Oct 21st, 2008. Comment.
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