cmas

• Question:-Why is there a war between LPNs and CMAs?
  I am enrolled in a 2 yr. AS program and I am upset about the rift <> CMAs and LPNs. CMAs are not nurses, granted and should not represent themselves as such. However, CMAs do have a broad scope of knowledge and do deserve the respect of the health care community. When education is key, why is there so much cat fighting going on? Can't we all just get along and each be happy with what we have decided to do in life?
  
  Answer:-There is a difference in training. LPNs are trained in 4 domains of patient care; med-surg, psychiatry, women's health and pediatrics. Also, we are taught of the nursing process of Assessment (or data gathering for the LPN), Diagnosis (nursing diagnosis), Planning, Implementation and Evaluation. In most states, it is very true that the Medical Assistant works under the license of the physician, but if there is a mistake, the physician is usually held to be more liable whereas a nurse is liable for herself under the Board of Nursing. It seems that the MA position is not as regulated, because some places have on the job training, others have the education, but not the certification/registration and some have a 2 year program while others have a shorter one.
  
  I am also not saying that one is better than the other. What I am saying is that one is licensed, thus is held more liable and responsible than the other. Yes, they do similar tasks, and if someone (meaning the physician) is going to vouch for their additional skills, then, sure, they can perform them. And, I can see how, if an MA is employed at a place where more complicated tasks are performed, that they are able to do more than an LPN. But, it seems to me that if there is a mistake, then, the patient can sue the physician for not delegating a qualified person who is performing the skill properly, but if it is a nurse, then, that nurse can be held legally liable and responsible for her own actions based on the scope of practice. I took a medical assisting course many years ago, and after I took the LPN course, I really saw that it was apples and oranges in the way that we were taught.
  
  Some LPNs say the same thing about RNs..."We do the same thing that they do...we are nurses, too (that is true, we are)"...I already know that we don't. We have skills that run parallel to the RN, for sure. However, they have even more liability and accountablility than we do. Again, this does not say that there are not shotty MAs, LPNs and RNs out there. It is the person that makes the job, not the level of education. However, I see clear differences between how all of these programs teach, and the level of accountability rises with each elevation of title.
• Question:-Is the CMAS SCUBA certification popular in the philippines?
  I'm thinking about taking the CMAS course since it is relatively cheaper than what is being offered in PADI. What are the advantages and disadvantages in pursuing this?
  
  Answer:-Padi is considered the best, but it is a narrow margin.CMAS is well respected. if the price difference between padi and Cmas will keep you from starting diving (need to save more) then take the cmas.Most establish dive centers accept the major accreditation agencies, just call ahead to verify. the important part is to get started. also with a 1 star CMAS you can take Padi specialty courses and after that just use the padi card. One of my dive buddies started with SSI then took a night dive padi course, make sure you dive the wrecks at subic bay great even for beginners.
• Question:-Who were the performers and what were the songs they sang at the 43rd CMAs?
  I watched the 43rd Annual CMAs, and I really liked all the performances. I was wondering, who were all the performers and what song did each one sing? (I know most of the performers but I really want to know the songs :)
  
  Answer:-Taylor Swift- Forever & Always
  Darius Rucker- Alright
  Miranda Lambert- White Liar
  Sugarland- Keep You
  Jamey Johnson & Kid Rock- Between Jennings And Jones
  George Strait- Twang
  Kenny Chesney & Dave Mattews Band- I'm Alive
  Vince Gill & Daughtry- Can't remember the song, sorry!
  Reba- Consider Me Gone
  Carrie Underwood- Cowboy Casonva
  Brad Paisley- Welcome To The Future
  Billy Currington- People Are Crazy
  Zac Brown Band- Devil Went Down To George
  Taylor Swift (again)- Fifteen
  Brooks and Dunn- Honkytonk Stomp
  Jason Aldean- Big Green Tractor
  Martina McBride & George Strait- I was country when country wasn't cool
  Lady Antebellum- Need You Now
  Tim McGraw- Southern Voice
• Question:-Is there a website on the internet that shows the CMAs live online?
  We dont get abc but we have faster internet so is there a website where i can watch the CMAs live?
  
  Answer:-Its on like the commercial or something or you can look it up at the CBS website if they are gonna going to put it on their website... :) hope it helps, but if you can, watching on tv is better because of the quality
• Question:-What are some good ideas for Cmas gifts for my 11 and 15 year old brothers?
  These kids have lots of the usual video games and electronics, and they already have boyhood staples like fishing poles, BB guns, etc., so I can't get them that stuff...
  What on earth could I give them that would really please them? I don't want to do a tired old gift card. What gift would have made you really happy at that age? I have about 40 bucks to spend on each.
  NOT clothes or electronics.
  
  I only have 40 BUCKS to spend.
  
  Answer:-Look at this site http://www.RobertsCritterCreators.com
• Question:-How much money do you make doing BPOs & CMAs?
  Just want to know if there are other Realtor out there having success with doing Broker Pricing Options and CMAs for banks? Any good sites to go to start?
  
  Answer:-Not a penny, since I refuse to do them. Lenders are notoriously slow to pay for such work, the fees paid are minimal, and most of the time the CMA or BPO doesn't get you any business in terms of listings. I leave the BPO's to the 'newbies'.
• Question:-What are the differences between CMAs and nurses?
  I know that I'd like to be some kind of medical professional, but I'm still deciding which degree to pursue. I know that CMAs and nurses are two different jobs; however, I'm not really sure what the responsibilities of each position are. Can somebody please clairify the responsibilities of CMAs versus nurses?
  
  Thank you!
  
  Answer:-There are two types of nurses: LPN=Licensed Practical/Licensed Vocational Nurse (2 year degree) and a RN= Registered Nurse (4 year degree)
  
  Licensed practical nurses (LPNs), or licensed vocational nurses (LVNs), care for people who are sick, injured, convalescent, or disabled under the direction of physicians and registered nurses.
  
  LPNs provide basic bedside care. Many LPNs measure and record patients’ vital signs such as height, weight, temperature, blood pressure, pulse, and respiration. They also prepare and give injections and enemas, monitor catheters, dress wounds, and give alcohol rubs and massages. To help keep patients comfortable, they assist with bathing, dressing, and personal hygiene, moving in bed, standing, and walking. They might also feed patients who need help eating. Experienced LPNs may supervise nursing assistants and aides.
  
  As part of their work, LPNs collect samples for testing, perform routine laboratory tests, and record food and fluid intake and output. They clean and monitor medical equipment. LPNs also monitor their patients and report adverse reactions to medications or treatments. LPNs gather information from patients, including their health history and how they are currently feeling. They may use this information to complete insurance forms, pre-authorizations, and referrals, and they share information with registered nurses and doctors to help determine the best course of care for a patient.
  
  Registered nurses (RNs), are higher in demand and make better wages than LPN's regardless of specialty or work setting, they treat patients, educate patients and the public about various medical conditions, and provide advice and emotional support to patients’ family members. RNs record patients’ medical histories and symptoms, help perform diagnostic tests and analyze results, operate medical machinery, administer treatment and medications, and help with patient follow-up and rehabilitation. LPN's/CMA's cannot adminster medications or drugs.
  
  RNs teach patients and their families how to manage their illness or injury, explaining post-treatment home care needs; diet, nutrition, and exercise programs; and self-administration of medication and physical therapy. Some RNs work to promote general health by educating the public on warning signs and symptoms of disease. RNs also might run general health screening or immunization clinics, blood drives, and public seminars on various conditions.
  
  When caring for patients, RNs establish a plan of care or contribute to an existing plan. Plans may include numerous activities, such as administering medication, including careful checking of dosages and avoiding interactions; starting, maintaining, and discontinuing intravenous (IV) lines for fluid, medication, blood, and blood products; administering therapies and treatments; observing the patient and recording those observations; and consulting with physicians and other health care clinicians. Some RNs provide direction to licensed practical nurses and nursing aids regarding patient care. RNs with advanced educational preparation and training may perform diagnostic and therapeutic procedures and may have prescriptive authority.
  
  RNs can specialize in one or more areas of patient care. There generally are four ways to specialize. RNs can choose a particular work setting or type of treatment, such as perioperative nurses, who work in operating rooms and assist surgeons. RNs also may choose to specialize in specific health conditions, as do diabetes management nurses, who assist patients to manage diabetes. Other RNs specialize in working with one or more organs or body system types, such as dermatology nurses, who work with patients who have skin disorders. RNs also can choose to work with a well-defined population, such as geriatric nurses, who work with the elderly. Some RNs may combine specialties. For example, pediatric oncology nurses deal with children and adolescents who have cancer.
  
  
  The Certified Medical Assistant is a multi-skilled health professional (MSHP) who works interdependently with other health care professionals to provide quality health care to
  the patient. The Medical Assistant is educated and trained to perform both administrative and clinical skills in the medical care environment. The Medical Assistant is directly responsible to the physician-employer who hires him/her or any other physician-appointed supervisor in the facility. With experience, the Medical Assistant may be promoted within departments or to supervisory levels in administrative and
  clinical positions when knowledge and skills have been demonstrated :
  
  *JOB DUTIES
  
  ADMINISTRATIVE
  1. Front desk reception.
  2. Answering phones and scheduling appointments.
  3. Greet patients, completion of registration forms, and give instructions.
  4. Filing and maintaining medical records.
  5. Filing and maintaining financial records.
  6. Preparing and typing correspondence.
  7. Processing, coding, and completing insurance claim forms.
  8. Processing mail.
  9. Purchasing and maintaining supplies and equipment.
  10. Performing computer skills in patient billing, transcription, scheduling,
  insurance claims, accounts receivable, and data base entry.
  11. Performing accounting, billing, and banking procedures.
  12. Arranging for hospital admissions and outside referrals for the physician.
  13. Calling prescriptions to the pharmacy for the physician.
  14. Communication skills using appropriate medical terminology.
  15. Following appropriate legal and ethical professional conduct.
  
  CLINICAL
  1. Measuring and recording vital signs.
  2. Recording patient interview, history and chief complaint.
  3. Providing patient education with regards to office policies, medications,
  management of diseased, home treatments and special diets.
  4. Preparing patients for examinations and performing routine screening tests.
  5. Assisting the physician with exams and minor office surgery.
  6. Phlebotomy and collection of other lab specimens.
  7. Performing basic lab tests.
  8. Performing EKGs.
  9. Assisting with X-ray and Physical Therapy procedures.
  10. Preparing and administering medications with physician’s authorizations.
  11. Change dressings, applying bandages, removing sutures and other first aid
  procedures.
  12. Using CPR skills when required.
  13. Maintaining supplies, equipment, stocking, and sterilizing instruments.
  14. Disposing of biohazard waste according to OSHA standards.
  15. Practicing OSHA safety standards.
  16. Performing accurate, legal, and ethical documentation at all times.
• Question:-Is there anywhere i can watch the CMAs live online?
  We dont get abc on our tv but we have faster internet so is there a website they show the CMAs live?
  
  Answer:-
• Question:-why did taylor swift make a confused face and say what after she performed on the CMAs?
  After performing Back to December she said what and had a annoyed/confused face. Does anyone know why?
  
  Answer:-I saw it, I don't know exactly why but I'm thinking that maybe she got a standing ovation...she always gets excited over things like that, she's so humble. I hope someone asks her:)
  
  
  UPDATE!!! lol
  Her fiddle player just tweeted:
  
  caitlinbird caitlin evanson
  CMA snow still in my hair- our girl's reaction to the standing ovation was super priceless.."whaaaa?"
• Question:-What should I get my friend for Cmas?
  My high school basketball team is doing a secret santa. And the gift is suppose to be under 15.00 dollars. Any ideas?
  Obviously she likes basketball...but Im pretty sure she has all the basketball stuff she would need.. so what would a teenage friend want for christmas? Thanks!
  
  Answer:-Maybe tickets to a basketball game

ricin

• Question:-Ricin, How is it made from Castor beans?
  Hey, i was wondering. Does anyone know how Ricin is made from Castor beans? And i mean the real way, not the way you find in the top ten google listings.
  
  ((This is for educational purposes))
  
  If you dont want to post it on the net, give me a way to talk to yah, IE AIM or MSN
  
  Answer:-of course ..but those listings and several anarchist cookbooks can do that. I will not post it here ......educational purposes ? making ricin...I truly doubt that
• Question:-How long does a person have ricin?
  it's for my biology project
  how long does the person have ricin? Like certain hours or days
  Oh..And also is blood drawn or other test be conducted?
  please help it's due tommorrow
  Thanx ^_^
  yeah how long it takes the body to be detoxified.
  
  Answer:-Ricin is a poison - and I think the question is how long it takes for the body to detox
• Question:-Why is the Ricin incident in Vegas not being considered terrorism or a potential for a terrorist attack?
  They guys hotel room had a book on how to make Ricin and there was a quantity of it found. How in the world is this not been called a foiled plot to terrorize us?
  
  If it looks like terrorism, smells like terrorism... ITS TERRORISM RIGHT? Or is it like what happened to Rodney King?
  
  Answer:-I guess only people that look like they are from the middle east, are black OR from Asia qualify as terrorists.
  
  Timothy McVeigh is normally not included in the list of people to be considered a terrorist. The KKK are just called fanatics or racists NOT what they are TERRORISTS!
  
  This guy had RICIN and the or book like the Anarchist Cook Book. Only a terrorist would have in their possession items of that sort. A scientist would not need the book. A teacher (a normal teacher anyway) would not need Ricin. Only someone that had a plan to harm people or animal life would have items like that.
  
  The people in charge can't have another qualified terrorist plot on their hands. Especially since the only reason they found out about it is because the guy got SICK and left the stuff in his hotel room!
  
  That's the country we live in I guess.
• Question:-How would you decontaminate a 500 spectator event of Ricin poisoning when resources are limited?
  Terrorist have released Ricin into school ventilation and in the popcorn butter during the game. By the end of the first half, people begin to experience diarrhea and vomiting from the poisioning. The available resouces are hospital 12 miles away, emergency room that can handle 25 patient at a time, 12 full time officers, 20 explorers, and a volunteer hazmat team which has a mobile hazmat trailer and portable decontamination tent. The police has also recieved a call stating that they did it and there would be more to follow if demands were not met.
  
  Answer:-Ricn treatment at the present time consists in treating the symptoms, (& stabilising the patient). Sometimes the patient's immune system kicks in before the patient dies and the patient is saved. Enteric ingestion is treated with super activated charcoal. And perhaps gastric lavage. It is very difficult to deliver ricin by air dissemination. You need massive amounts of it to achieve a lethal dose, in an open, large area. (i.e. it is not practical.). Your stadium attack would require about 500 pounds of aerosolised ricin. If you are a terrorist, forget it jerks. Parenteral delivery is more effective but not that simple. (I am alluding to the Markov assaination by the K.G.B. or their Bulgarian buddies who frequently did the K.G.B.'s "wet work".
  Poisoning by such delivery is treated by prompt surgical debridement of entry traumatised tissue. (but discovery of such delivery is often overlooked, or not noticed). I am not giving details. (but Muslim groups have been playing with the poison, idiots).
  There are a number of companies that are actively researching antidote chemicals, and effective antigens that would be good vaccine candidates. Try one at http://www.crti.drdc-rddc.gc.ca/en/publications/annual_reports/ar03_04_pt2_e.pdf for a report of promising work by Cangene Inc. and Swiftstrand Inc. Such drugs and vaccines should be available soon but clinical trial testing of them for a D.I.N. (i.e. regulatory approval), will be a big hurdle.
  Dan.
• Question:-How does ricin disable 1500 ribosomes per minute?
  What causes the poison to spread so rapidly, and so little of it to make such a large effect?
  
  Answer:-Ricin functions by cleaving the 60S subunit of eukaryotic ribosomes. It has enzymatic activity that breaks up the ribosome so it cannot function. Ricin is actively taken up by cells due to binding to carbohydrates on the surface of cells, causing internalization of the enzyme by endocytosis as well as macropinocytosis. Basically ricin binds to receptor molecules triggering endocytosis, then the enzymatic subunit binds to and destroys the 60S subunits of the ribosomes. The LD50 for ricin is only 22 micrograms per kilogram. Only tetrodotoxin is more lethal than ricin (LD50 - 8 micrograms/kg)
• Question:-How long does it take for Ricin to kill you if ingested?
  I'm just curious. I haven't come into contact with it or anything. I'm just writing a story on it.
  
  Answer:-Ricin is very deadly....in concentrated form....within minutes...remember the case, where a subject was poked with the tip on an umbrella....he died soon thereafter....I think that was in UK...some kinda spy!
• Question:-Would a ricin attack be considered chemical or biological warfare?
  I need to know for a school report.
  
  Answer:-Chemical--ricin, like most chemicals, is biological in origin, but is in a purified form. Biological warfare implies some sort of pathogen (virus or bacteria) is involved.
• Question:-Why does the media cover up the identity of the man making Ricin in his Vegas motel?
  They tell us it's not terrorism, but they don't tell us anything about him or his ethnic background.
  
  Answer:-The mans identy has been released. See: the drudge report website.
• Question:-Can you explain simply how ricin works?
  I don't understand exactly how ricin works. I know that it inhibits an enzyme that has something to do with ribosomes, but that's it. Can anyone explain how it works for me?
  
  Answer:-Ricin inactivates the 60S subunit of the ribosome by removing an adenine (A4324) from the 28S rRNA chain.
• Question:-Ricin,How can a 1/4gram of it kill an adult person?
  Doesn`t that sound ridicolous?
  
  My teacher told me it and i still doubt it.
  
  Answer:-You could use less than that. Read up on it, your body is very sensitve. Ricin works by preventing you're body from forming essential proteins, think how many molecules are in 1/4 gram of ricin, and how it many cells it could shut down.