Tuesday, April 9, 2013

Registerd Nurse career at Devereux Florida in Melbourne

Devereux Florida is currently interviewing Registerd Nurse on Sun, 07 Apr 2013 18:23:38 GMT. Shift Available: PT, 3rd shift (11 p.m.-7 a.m.). Weekends and holidays required All Registered Nurses are expected to implement our Philosophy of Care which is to provide: Individual Services Effective and Accountable Services Utilize Positive Approaches Registered Nurse Responsibilities include: Provide initial client assessments on new clients Provide an assessment following a client...

Location: Melbourne, Florida

Description: Devereux Florida is currently interviewing Registerd Nurse right now, this career will be reside in Florida. More complete informations about this career opportunity please read the description below. Shift Available: PT, 3rd shift (11 p.m.-7 a.m.). Weekends and holidays required

All Registered Nurses are expected to implement our Philosophy of Care which is to provide:

Indivi! dual Services

Effective and Accountable Services

Utilize Positive Approaches

Registered Nurse Responsibilities include:
Provide initial client assessments on new clients

Provide an assessment following a client restraint

Provide medication administration training for all staff

Communicate w/ treating psychiatrist about client needs

Provide basic nursing care to clients

Complete restraint documentation and treatment team documentation

Assist in other administrative duties of the therapeutic group home as

Work with a team to provide in home residential instruction for our 12 adolescent male clients in the areas of: daily living skills, communication skills, social skills and community living skills

Job Requirements

Must be able to complete a two week new hire orientation class; hours are approximately 8:45 a.m. to 5 p.m. each day

Graduate of an accre! dited school of nursing

An Associates Degree required! , BSN preferred

Licensed as a Registered Nurse in the State of Florida required

One year nursing experience required

Previous experience working with children and adolescent in residential setting and/or psychiatric nursing preferred

This position will require flexibility in schedule and must be available to work weekends

Valid Florida Driver's license required

Company Profile

Devereux is a leading nonprofit behavioral health organization that supports many of the most underserved and vulnerable members of our communities. Founded in 1912 by Helena Devereux, we operate a comprehensive national network of clinical, therapeutic, educational, and employment programs and services that positively impact the lives of tens of thousands of individuals and families every year. We help empower children and adults with intellectual, emotional, developmental, and behavioral challenges to lead fulfilling and rewarding lives.! Our Philosophy of Care operates under the core principles of Individualized Services; Effective and Accountable Services; and Positive, Behavioral Approaches.

The Devereux Foundation, founded in 1912 in Pennsylvania, planted roots in Florida in 1987 to create Devereux Florida. The organization has grown by leaps and bounds to meet the needs of children in Florida. Today, Devereux Florida operates almost 50 programs in 38 counties statewide, touching the lives of over 13,000 children on an annual basis. It is Devereux's Philosophy of Care to provide these services on an individualized basis, in the least restrictive environment possible. Devereux Florida is unique in that we offer the full continuum of behavioral health, child welfare and developmental disabilities services to individuals in settings ranging from abuse/neglect prevention programs, community outreach programs, counseling centers, mobile response team, early learning programs, child welfare case mana! gement, family support and visitation center, a variety of foster care ! programs, shelter program. Group homes, residential treatment centers, statewide inpatient psychiatric programs, children's psychiatric hospital, and a dual diagnosis center for children and adolescents with symptoms of both mental illness and intellectual/developmental disabilities.

Brief Description

Be a part of creating meaningful, independent and productive lives for children and adolescents who receive services from our 133 bed residential treatment center in Viera, FL. We have a current opening for a part time RN. The RN position will allow you to find purpose and give you room to grow in the largest not-for-profit provider of services to children and families in Florida.

Additional Details

The primary purpose of Devereux is to provide quality service to those entrusted to our

care by their families, guardians, agencies, and other designated parties. The most critical resource we have to accomplish this task is our employee! s. No intervention can be implemented without the assistance of competent employees who are physically and mentally prepared to carry out this tremendous responsibility.

For this reason, in addition to a competitive salary, Devereux provides a comprehensive health and welfare benefits program to eligible full-time employees, family members, and domestic partners. Health and welfare programs include medical, dental, prescription drug, preventative care, mental health services, and an Employee Assistance / Work Life Balance Program, as well as generous time-off policies, and a 403 B retirement plan. Additionally, voluntary, employee paid, Vision and Supplemental Life Insurance are available to FT employees.

Devereux offers Voluntary Medical and / or Dental Coverage - available to eligible PT

employees and FT employees who have not yet satisfied the eligibility waiting period for FT benefit offerings.

**It is the intent of Devereux to contin! ue to offer these benefits; however, we reserve the right to change or ! stop them at any time, with or without notice.

To learn more
about Devereux, please visit our home page at www.devereux.org .

Devereux is a drug-free workplace,
drug screen required. EOE
- .
If you were eligible to this career, please give us your resume, with salary requirements and a resume to Devereux Florida.

Interested on this career, just click on the Apply button, you will be redirected to the official website

Source: http://floridapsychiatristjobs.blogspot.com/2013/04/registerd-nurse-career-at-devereux.html

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Hospital group says 'alarm fatigue' can be deadly

CHICAGO (AP) ? Constantly beeping alarms from devices that monitor the vital signs of the critically ill have "desensitized" hospital workers who sometimes ignore the noise, leading to at least two dozen deaths a year on average, a hospital accrediting group said Monday.

And these cases are probably vastly underreported, said the Joint Commission in an alert to hospitals calling attention to the problem.

The beeping devices include those that measure blood pressure and heart rate among other things. Some beep when there's an emergency, and some beep when they're not working. That can lead to noise fatigue and the delay in treating a patient can endanger lives, the accreditation commission says.

Complicating the situation is the abundance of technology, with no standardization for what the beeps mean, said Dr. Ana McKee, the commission's executive vice president and chief medical officer.

The commission's estimate of possible deaths related to the problem is considerably lower than the reports it found in a U.S. Food and drug Administration database. The FDA lists more than 500 deaths potentially linked with hospital alarms between January 2005 and June 2010. But that includes mandatory reports of malfunctions and in some cases the connection to a death is only tenuous.

The commission's own database reports 80 deaths and 13 severe injuries between January 2009 and June 2012. Hospitals voluntarily report these to the commission, which reviews them and in these cases determined there was a clear connection to the device, said McKee.

There likely are far more problems than have been reported, partly because ignoring or misinterpreting an alarm may have set off a chain of events that led to an injury or death, she explained. But tracing back to that first oversight can be difficult, McKee said.

Alarm-system events included patient falls, delays in treatment and medication errors that resulted in injury or death, the Joint Commission said.

The most common factor was "alarm fatigue." But other problems included misinterpreting alarm signals, too few staffers to respond to alarms, and equipment malfunctions.

"With the proliferation of technology, alarms, and a lack of standardization," it's more challenging for doctors and nurses to respond adequately, McKee said.

The commission said hospital leaders need to address the problem and train staffers in safe alarm management.

The organization accredits more than 10,000 U.S. hospital and health care organizations. Hospitals covet accreditation and following commission advice is key to maintaining it.

McKee said the alert will help raise awareness and lead to hospital changes that may save lives.

___

Online:

Commission: http://www.jointcommission.org

___

AP Medical Writer Lindsey Tanner can be reached at http://www.twitter.com/LindseyTanner

Source: http://news.yahoo.com/hospital-group-says-alarm-fatigue-deadly-165344249.html

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Dem, GOP senators work on background check deal (The Arizona Republic)

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Thursday, April 4, 2013

World powers expect Iran to be ready for progress at next nuclear talks

Iran nuclear talks resume tomorrow in Kazakhstan, with six world powers expecting Iran to ?engage seriously? over a February proposal to curb its nuclear work, according to a senior US official.

?There has been a very positive line out of Tehran on the talks so far,? said the US official, speaking on condition of anonymity. ?We hope that that positive talk will now be matched with some concrete responses and actions on the Iranian side.?

"The onus is really on Iran to respond to the proposal and tell us where they stand," the American official said.

The two-day talks in the Kazakh city of Almaty will build on a proposal put down by six world powers in late February, also in Almaty. The proposal calls on Iran to strictly limit its most sensitive nuclear work ? uranium enrichment to 20 percent, which is technically not too far from bomb-grade ? in exchange for partial relief from crippling sanctions.

RECOMMENDED: How much do you know about Iran? Take our quiz to find out.

Iran?s chief negotiator hailed that proposal as a potential ?turning point? because it requires both sides to take steps. But after 13.5 hours of subsequent technical talks in Istanbul on March 18, an Iranian source said the offer had ?no balance? because Iran, from its perspective, was required to give up more than it got in return.

The US official said the six nations of the P5+1 group (the US, Russia, China, Britain, France, and Germany) negotiating with Iran ?are in complete agreement that this is a balanced and fair and proportionate step-by-step proposal that asks appropriate things of Iran and offers a proportionate response.?

About Iran?s reaction, the US official said: ?I?m not entirely surprised that Iran?s first response would be to say we want more for doing less.? If Iran ?does not take concrete steps to address the concerns of the international community,? the US official added, then sanctions ?pressure only will increase.?

NUTS AND BOLTS

The P5+1 proposal describes the ?voluntary measures? to be taken by both sides in a six-month timeframe ?with renewal by mutual consent,? according to a version of the proposal seen by The Christian Science Monitor.

Although this version could not be independently verified ? these talks are not public ? its details closely match broader descriptions from anonymous American, European, and Iranian sources in recent weeks.

The current proposal calls on Iran to suspend all enrichment above the 5 percent needed to fuel power reactors; to convert its existing 20 percent enriched uranium into fuel for a research reactor, and export or dilute the rest; and to put its deeply buried Fordow enrichment facility in a ?reduced readiness status without dismantlement.?

The proposal lists a number of specific technical steps to be taken at Fordow, including piping and cable disconnections, vacuum adjustments, and removal of ?feed and withdrawal systems? that have until now enabled Iran?s centrifuges there to spin uranium to 20 percent purity.

Iran would also have to accept ?enhanced? monitoring of its nuclear facilities, including cameras at Fordow to provide ?continuous surveillance with live stream transmission? to the Vienna headquarters of inspectors of the UN International Atomic Energy Agency (IAEA).

In exchange, and ?after IAEA confirmation that Iran has implemented all these measures,? the US and European Union would suspend sanctions on gold and precious metals, and the export of petrochemicals.

The P5+1 would also offer civilian nuclear cooperation, including providing fuel for an aging research reactor in Tehran ? which requires 20 percent enriched uranium for fuel ? as well as IAEA technical help with acquiring a modern research reactor, safety assistance, and supplying of isotopes for nuclear medicine.

The US would further ?license safety-related inspection and repair in Iran for Iranian commercial aircraft? bought years ago from American plane-makers.

P5+1 diplomats have said this ?confidence building measure? is a first step, and this version of the proposal states that ?additional significant steps? taken by Iran will yield ?corresponding steps? from the P5+1. ?In return for further significant action? from Iran, it states, the US and EU would be ?prepared to take comparable action, including proportionate relief of oil sanctions.?

BACKED INTO A CORNER?

Even as talks have resumed ? the Almaty I session in February broke an eight-month diplomatic dry spell ? all sides have continued rhetoric that grates against the other.

Iran?s Supreme Leader Ayatollah Ali Khamenei, for example, has several times in recent weeks listed past grievances against the US, and accused Washington of wanting these talks in order to show Iran?s ?weakness.? He has ruled out direct US-Iran talks for now.

Likewise, the US and Israel continue to state that ?all options are on the table? ? meaning military ones as well ? in their bid to discourage any Iranian rush for a nuclear weapon. Iran publicly rejects nuclear weapons, but has yet to resolve questions with the IAEA about possible past weapons-related work.

A nuclear deal is possible and its contours well known, says Seyed Hossein Mousavian, who was a member of Iran?s nuclear negotiating team a decade ago and is now at Princeton. ?But America should try to [help save] the face of the Iranians, rather than push them into a corner," he adds.

Both sides should define their most important needs and what they can expect at the end of the diplomatic process, says Mousavian. He suggests a two-for-two formula, in which the P5+1 would present two lists: one with every single transparency measure they want Iran to take and a second detailing every measure and guarantee required for Iran to limit enrichment to 5 percent and prevent a ?break out? to a nuclear bomb.

Iran?s two lists would focus on its two priorities: Recognition of its ?right? to enrich uranium, and the lifting of nuclear-related sanctions that have choked its economy. Mutual agreement on such lists, says Mousavian, ?will help both of you know the end state.?

READY FOR PROGRESS

Some of those conclusions are echoed by the ?Iran Task Force? of the Washington-based Atlantic Council, which reports today, after a two-year examination of Iran issues, that the US ?should prepare a roadmap, to be used in negotiations, for gradually removing sanctions as concrete agreements are reached. Iran needs to see off-ramps and an endgame.?

The Atlantic Council report says a US military option is a ?last resort,? but that the Obama administration ?must ensure that this threat remains credible, as it may ultimately be the only course that deters Iran from deciding to build nuclear weapons.?

The report also prominently calls for ?new measures to augment people-to-people ties, support Iran?s democratic evolution, and facilitate trade in food, medicine, and medical supplies? as a ?potent goodwill gesture.?

Those recommendations are among the ?most important,? says Barbara Slavin, a senior fellow at the Atlantic Council who drafted the report.

?The US-Iran dispute has been going on for decades and is not about to end anytime soon. But someday, the US and Iran will have diplomatic relations again and we need to prepare the ground for that now,? says Ms. Slavin.

A first step may be what happens at Almaty II, though diplomats don?t yet know what to expect from Iran, says the senior US official.

?The only thing we?ve heard is ? from the public rhetoric, which has been repeated in private conversations people have had with the Iranians ? those who do have communications with them ? and that is that they?re going to come in a positive frame of mind ready to continue to make progress,? says the US official. ?But whether that is going to be meaningful, we have no idea.?

RECOMMENDED: How much do you know about Iran? Take our quiz to find out.

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Source: http://news.yahoo.com/world-powers-expect-iran-ready-progress-next-nuclear-150930993.html

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Another Senate Democrat changes mind on same-sex unions

After years of opposing redefining marriage to include unions between same-sex couples, a number of senators?most recently Illinois Republican Sen. Mark Kirk?have announced that they now support gay marriage.

Kirk, only the second Republican in the chamber to declare his support after Ohio Republican Sen. Rob Portman did so last month, said Tuesday that he now believes that the "government has no place in the middle" of two people who love each other.

Kirk's announcement, made in a statement posted on his website, arrived just hours after Delaware Democratic Sen. Tom Carper wrote on his Facebook page that after "a great deal of soul searching" he had concluded that "all Americans ultimately should be free to marry the people they love and intend to share their lives with, regardless of their sexual orientation."

Just a day before, Pennsylvania Democratic Sen. Bob Casey made his own declaration of support, following the lead of several Senate Democrats who over the last week or so endorsed same-sex marriage.

With Carper and Casey's announcements, only seven Senate Democrats still oppose same-sex marriage: Mark Pryor of Arkansas, Joe Donnelly of Indiana, Bill Nelson of Florida, Joe Manchin of West Virginia, Heidi Heitkamp of North Dakota, Mary Landrieu of Louisiana and Tim Johnson of South Dakota.

Pressure continues to build on the Democratic holdouts?many of whom face re-election battles next year. Liberal advocacy groups like MoveOn.org are currently conducting coordinated campaigns to sway the remaining senators.

Recent national surveys suggest that public opinion is swinging in favor of granting same-sex couples the legal right to marry. A national ABC News-Washington Post poll conducted last month found that 58 percent of Americans now support allowing same-sex marriage. Ten years ago, only 37 percent believed the government should recognize same-sex marriages. Last week the Supreme Court heard two cases on the subject, which addressed the constitutionality of a voter-approved measure that banned same-sex marriages in California and the Defense of Marriage Act.

Source: http://news.yahoo.com/blogs/ticket/last-senate-democrat-support-same-sex-marriage-151103198--politics.html

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Wednesday, April 3, 2013

NASA team investigates complex chemistry at Saturn's moon Titan

Apr. 3, 2013 ? A laboratory experiment at NASA's Jet Propulsion Laboratory, Pasadena, Calif., simulating the atmosphere of Saturn's moon Titan suggests complex organic chemistry that could eventually lead to the building blocks of life extends lower in the atmosphere than previously thought. The results now point out another region on the moon that could brew up prebiotic materials.

The paper was published in Nature Communications this week.

"Scientists previously thought that as we got closer to the surface of Titan, the moon's atmospheric chemistry was basically inert and dull," said Murthy Gudipati, the paper's lead author at JPL. "Our experiment shows that's not true. The same kind of light that drives biological chemistry on Earth's surface could also drive chemistry on Titan, even though Titan receives far less light from the sun and is much colder. Titan is not a sleeping giant in the lower atmosphere, but at least half awake in its chemical activity."

Scientists have known since NASA's Voyager mission flew by the Saturn system in the early 1980s that Titan, Saturn's largest moon, has a thick, hazy atmosphere with hydrocarbons, including methane and ethane. These simple organic molecules can develop into smog-like, airborne molecules with carbon-nitrogen-hydrogen bonds, which astronomer Carl Sagan called "tholins."

"We've known that Titan's upper atmosphere is hospitable to the formation of complex organic molecules," said co-author Mark Allen, principal investigator of the JPL Titan team that is a part of the NASA Astrobiology Institute, headquartered at Ames Research Center, Moffett Field, Calif. "Now we know that sunlight in the Titan lower atmosphere can kick-start more complex organic chemistry in liquids and solids rather than just in gases."

The team examined an ice form of dicyanoacetylene -- a molecule detected on Titan that is related to a compound that turned brown after being exposed to ambient light in Allen's lab 40 years ago.

In this latest experiment, dicyanoacetylene was exposed to laser light at wavelengths as long as 355 nanometers. Light of that wavelength can filter down to Titan's lower atmosphere at a modest intensity, somewhat like the amount of light that comes through protective glasses when Earthlings view a solar eclipse, Gudipati said. The result was the formation of a brownish haze between the two panes of glass containing the experiment, confirming that organic-ice photochemistry at conditions like Titan's lower atmosphere could produce tholins.

The complex organics could coat the "rocks" of water ice at Titan's surface and they could possibly seep through the crust, to a liquid water layer under Titan's surface. In previous laboratory experiments, tholins like these were exposed to liquid water over time and developed into biologically significant molecules, such as amino acids and the nucleotide bases that form RNA.

"These results suggest that the volume of Titan's atmosphere involved in the production of more complex organic chemicals is much larger than previously believed," said Edward Goolish, acting director of NASA's Astrobiology Institute. "This new information makes Titan an even more interesting environment for astrobiological study."

The team included Isabelle Couturier of the University of Provence, Marseille, France; Ronen Jacovi, a NASA postdoctoral fellow from Israel; and Antti Lignell, a Finnish Academy of Science postdoctoral fellow from Helsinki at JPL.

Founded in 1998, the NASA Astrobiology Institute is a partnership between NASA, 15 U.S. teams and 13 international consortia. It is based at NASA Ames Research Center, Moffett Field, Calif. The Institute's goals are to promote, conduct and lead interdisciplinary astrobiology research, train a new generation of astrobiology researchers, and share the excitement of astrobiology with learners of all ages. The NAI is part of NASA's Astrobiology program, which supports research into the origin, evolution, distribution and future of life on Earth and the potential for life elsewhere. For more information, visit http://astrobiology.nasa.gov/.

JPL is a division of the California Institute of Technology, Pasadena.

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Source: http://feeds.sciencedaily.com/~r/sciencedaily/space_time/nasa/~3/VqnOibH7Dwg/130403114118.htm

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China announces two new bird flu cases, including one death

BEIJING (Reuters) - China has found two more cases of a new strain of bird flu and one of the victims has died, state media said on Wednesday, bringing to nine the number of cases.

A 38-year old cook became ill early last month while working in the province of Jiangsu, where five of the other cases were found. He died in hospital in Hangzhou city on March 27, the Xinhua news agency reported. Samples tested positive for the new H7N9 strain on Wednesday.

The second patient, also in Hangzhou, is a 67-year old who is under treatment. Xinhua said no connection between the two cases had been discovered, and no one in close contact with either patient had developed any flu-like symptoms.

Of the seven other cases of the new strain, two have died, both in the business hub of Shanghai. The other five are in a critical condition in hospital in Nanjing.

Shanghai, Nanjing and Hangzhou are all close to each other in eastern China.

The Agriculture Ministry said it had yet to find any animals infected with H7N9, though added it was possible it had been brought to China by migratory birds.

The World Health Organization said on Monday that the first three cases had shown no evidence of human-to-human transmission, but that there were questions about the source of the infection and the mode of transmission.

China has stepped up its alert level since the cases came to light and has said it is being transparent in dealing with the outbreak.

China has a checkered record when it comes to tackling bad news, which has been known to be covered up by officials fearing it may attract unwanted attention from superiors and damage promotion prospects.

In 2003, authorities initially tried to cover up an epidemic of Severe Acute Respiratory Syndrome, which emerged in China and killed about a tenth of the 8,000 people it infected worldwide.

(Reporting by Ben Blanchard and David Stanway; Editing by Robert Birsel)

Source: http://news.yahoo.com/strain-bird-flu-infects-four-others-china-xinhua-012646972.html

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