#improving nurse safety in workplace

[performancehealthpartners]

Explore practical strategies for improving nurse safety in the workplace with Performance Health. Our detailed guide offers actionable tips, best practices, and innovative solutions to protect nurses from workplace hazards. Learn how to reduce risks, prevent injuries, and enhance the well-being of healthcare professionals. Create a safer, healthier work environment for nurses. Visit our blog for essential insights and expert advice.

[batboyblog]

Things Biden and the Democrats did, this week #25

June 28-July 5 2024

The Department of Labor's Occupational Safety and Health Administration (OSHA). Is putting forward the first ever federal safety regulation to protect worker's from excessive heat in the workplace. As climate change has caused extreme heat events to become more common work place deaths have risen from an average of 32 heat related deaths between 1992 and 2019 to 43 in 2022. The rules if finalized would require employers to provide drinking water and cool break areas at 80 degrees and at 90 degrees have mandatory 15-minute breaks every two hours and be monitored for signs of heat illness. This would effect an estimated 36 million workers.

The Federal Emergency Management Agency announced $1 Billion for 656 projects across the country aimed at helping local communities combat climate change fueled disasters like flooding and extreme heat. Some of the projects include $50 Million to Philadelphia for a stormwater pump station and combating flooding, and a grant to build Shaded bus shelters in Washington, D.C.

The Department of Transportation announced thanks to efforts by the Biden Administration flight cancellations at the lowest they've been in a decade. At just 1.4% for the year so far. Transportation Secretary Pete Buttigieg credited the Department's new rules requiring automatic refunds for any cancellations or undue delays as driving the good numbers as well as the investment of $25 billion in airport infrastructure that was in the Bipartisan Infrastructure Law.

The Department of Transportation announced $600 million in the 3rd round of funding to reconnect communities. Many communities have been divided by highways and other Infrastructure projects over the years. Most often effecting racial minority and poor areas. The Biden Administration is dedicated to addressing these injustices and helping reconnect communities split for decades. This funding round will see Atlanta’s Southside Communities reconnected as well as a redesign for Birmingham’s Black Main Street, reconnecting a community split by Interstate 65 in the 1960s. 

The Biden Administration approved its 9th offshore wind power project. About 9 miles off the coast of New Jersey the planned wind farm will generated 2,800 megawatts of electricity, enough to power almost a million homes with totally clear power. This will bring the total amount of clean wind power generated by projects approved by the Biden Administration to 13 gigawatts. The Administration's climate goal is to generate 30 gigawatts from wind.

The Biden Administration announced funding for 12 new Regional Technology and Innovation Hubs. The $504 million dollars will go to supporting tech hubs in, Colorado, Montana, Indiana, Illinois, Nevada, New York, New Hampshire, South Carolina, Florida, Ohio, Oklahoma, and Wisconsin. These tech hubs together with 31 already announced and funded will support high tech manufacturing jobs, as well as training for 21st century jobs for millions of American workers.

HHS announced over $200 million to support improved care for older Americans, particularly those with Alzheimer’s and related dementias. The money is focused on training primary care physicians, nurse practitioners, and other health care clinicians in best practices in elder and dementia care, as well as seeking to  integrate geriatric training into primary care. It also will support ways that families and other non-medical care givers can be educated to give support to aging people.

HHS announced $176 million to help support the development of a mRNA-based pandemic influenza vaccine. As part of the government's efforts to be ready before the next major pandemic it funds and supports new vaccine's to try to predict the next major pandemic. Moderna is working on an mRNA vaccine, much like the Covid-19, vaccine focused on the H5 and H7 avian influenza viruses, which experts fear could spread to humans and cause a Covid like event.

[covid-safer-hotties]

Also preserved on our archive

SARS-CoV-2 is now circulating out of control worldwide. The only major limitation on transmission is the immune environment the virus faces. The disease it causes, COVID-19, is now a risk faced by most people as part of daily life.

While some are better than others, no national or regional government is making serious efforts towards infection prevention and control, and it seems likely this laissez-faire policy will continue for the foreseeable future. The social, political, and economic movements that worked to achieve this mass infection environment can rejoice at their success.

Those schooled in public health, immunology or working on the front line of healthcare provision know we face an uncertain future, and are aware the implications of recent events stretch far beyond SARS-CoV-2. The shifts that have taken place in attitudes and public health policy will likely damage a key pillar that forms the basis of modern civilized society, one that was built over the last two centuries; the expectation of a largely uninterrupted upwards trajectory of ever-improving health and quality of life, largely driven by the reduction and elimination of infectious diseases that plagued humankind for thousands of years. In the last three years, that trajectory has reversed.

The upward trajectory of public health in the last two centuries Control of infectious disease has historically been a priority for all societies. Quarantine has been in common use since at least the Bronze Age and has been the key method for preventing the spread of infectious diseases ever since. The word “quarantine” itself derives from the 40-day isolation period for ships and crews that was implemented in Europe during the late Middle Ages to prevent the introduction of bubonic plague epidemics into cities.

Modern public health traces its roots to the middle of the 19th century thanks to converging scientific developments in early industrial societies:

The germ theory of diseases was firmly established in the mid-19th century, in particular after Louis Pasteur disproved the spontaneous generation hypothesis. If diseases spread through transmission chains between individual humans or from the environment/animals to humans, then it follows that those transmission chains can be interrupted, and the spread stopped. The science of epidemiology appeared, its birth usually associated with the 1854 Broad Street cholera outbreak in London during which the British physician John Snow identified contaminated water as the source of cholera, pointing to improved sanitation as the way to stop cholera epidemics. Vaccination technology began to develop, initially against smallpox, and the first mandatory smallpox vaccination campaigns began, starting in England in the 1850s.

The early industrial era generated horrendous workplace and living conditions for working class populations living in large industrial cities, dramatically reducing life expectancy and quality of life (life expectancy at birth in key industrial cities in the middle of the 19th century was often in the low 30s or even lower). This in turn resulted in a recognition that such environmental factors affect human health and life spans. The long and bitter struggle for workers’ rights in subsequent decades resulted in much improved working conditions, workplace safety regulations, and general sanitation, and brought sharp increases in life expectancy and quality of life, which in turn had positive impacts on productivity and wealth.

Florence Nightingale reemphasized the role of ventilation in healing and preventing illness, ‘The very first canon of nursing… : keep the air he breathes as pure as the external air, without chilling him,’ a maxim that influenced building design at the time.

These trends continued in the 20th century, greatly helped by further technological and scientific advances. Many diseases – diphtheria, pertussis, hepatitis B, polio, measles, mumps, rubella, etc. – became things of the past thanks to near-universal highly effective vaccinations, while others that used to be common are no longer of such concern for highly developed countries in temperate climates – malaria, typhus, typhoid, leprosy, cholera, tuberculosis, and many others – primarily thanks to improvements in hygiene and the implementation of non-pharmaceutical measures for their containment.

Furthermore, the idea that infectious diseases should not just be reduced, but permanently eliminated altogether began to be put into practice in the second half of the 20th century on a global level, and much earlier locally. These programs were based on the obvious consideration that if an infectious agent is driven to extinction, the incalculable damage to people’s health and the overall economy by a persisting and indefinite disease burden will also be eliminated.

The ambition of local elimination grew into one of global eradication for smallpox, which was successfully eliminated from the human population in the 1970s (this had already been achieved locally in the late 19th century by some countries), after a heroic effort to find and contain the last remaining infectious individuals. The other complete success was rinderpest in cattle9,10, globally eradicated in the early 21st century.

When the COVID-19 pandemic started, global eradication programs were very close to succeeding for two other diseases – polio and dracunculiasis. Eradication is also globally pursued for other diseases, such as yaws, and regionally for many others, e.g. lymphatic filariasis, onchocerciasis, measles and rubella. The most challenging diseases are those that have an external reservoir outside the human population, especially if they are insect borne, and in particular those carried by mosquitos. Malaria is the primary example, but despite these difficulties, eradication of malaria has been a long-standing global public health goal and elimination has been achieved in temperate regions of the globe, even though it involved the ecologically destructive widespread application of polluting chemical pesticides to reduce the populations of the vectors. Elimination is also a public goal for other insect borne diseases such as trypanosomiasis.

In parallel with pursuing maximal reduction and eventual eradication of the burden of existing endemic infectious diseases, humanity has also had to battle novel infectious diseases40, which have been appearing at an increased rate over recent decades. Most of these diseases are of zoonotic origin, and the rate at which they are making the jump from wildlife to humans is accelerating, because of the increased encroachment on wildlife due to expanding human populations and physical infrastructure associated with human activity, the continued destruction of wild ecosystems that forces wild animals towards closer human contact, the booming wildlife trade, and other such trends.

Because it is much easier to stop an outbreak when it is still in its early stages of spreading through the population than to eradicate an endemic pathogen, the governing principle has been that no emerging infectious disease should be allowed to become endemic. This goal has been pursued reasonably successfully and without controversy for many decades.

The most famous newly emerging pathogens were the filoviruses (Ebola, Marburg), the SARS and MERS coronaviruses, and paramyxoviruses like Nipah. These gained fame because of their high lethality and potential for human-to-human spread, but they were merely the most notable of many examples.

Such epidemics were almost always aggressively suppressed. Usually, these were small outbreaks, and because highly pathogenic viruses such as Ebola cause very serious sickness in practically all infected people, finding and isolating the contagious individuals is a manageable task. The largest such epidemic was the 2013-16 Ebola outbreak in West Africa, when a filovirus spread widely in major urban centers for the first time. Containment required a wartime-level mobilization, but that was nevertheless achieved, even though there were nearly 30,000 infections and more than 11,000 deaths.

SARS was also contained and eradicated from the human population back in 2003-04, and the same happened every time MERS made the jump from camels to humans, as well as when there were Nipah outbreaks in Asia.

The major counterexample of a successful establishment in the human population of a novel highly pathogenic virus is HIV. HIV is a retrovirus, and as such it integrates into the host genome and is thus nearly impossible to eliminate from the body and to eradicate from the population (unless all infected individuals are identified and prevented from infecting others for the rest of their lives). However, HIV is not an example of the containment principle being voluntarily abandoned as the virus had made its zoonotic jump and established itself many decades before its eventual discovery and recognition, and long before the molecular tools that could have detected and potentially fully contained it existed.

Still, despite all these containment success stories, the emergence of a new pathogen with pandemic potential was a well understood and frequently discussed threat, although influenza viruses rather than coronaviruses were often seen as the most likely culprit. The eventual appearance of SARS-CoV-2 should therefore not have been a huge surprise, and should have been met with a full mobilization of the technical tools and fundamental public health principles developed over the previous decades.

The ecological context One striking property of many emerging pathogens is how many of them come from bats. While the question of whether bats truly harbor more viruses than other mammals in proportion to their own species diversity (which is the second highest within mammals after rodents) is not fully settled yet, many novel viruses do indeed originate from bats, and the ecological and physiological characteristics of bats are highly relevant for understanding the situation that Homo sapiens finds itself in right now.

Another startling property of bats and their viruses is how highly pathogenic to humans (and other mammals) many bat viruses are, while bats themselves are not much affected (only rabies is well established to cause serious harm to bats). Why bats seem to carry so many such pathogens, and how they have adapted so well to coexisting with them, has been a long-standing puzzle and although we do not have a definitive answer, some general trends have become clear.

Bats are the only truly flying mammals and have been so for many millions of years. Flying has resulted in a number of specific adaptations, one of them being the tolerance towards a very high body temperature (often on the order of 42-43ºC). Bats often live in huge colonies, literally touching each other, and, again, have lived in conditions of very high density for millions of years. Such densities are rare among mammals and are certainly not the native condition of humans (human civilization and our large dense cities are a very recent phenomenon on evolutionary time scales). Bats are also quite long-lived for such small mammals – some fruit bats can live more than 35 years and even small cave dwelling species can live about a decade.

These are characteristics that might have on one hand facilitated the evolution of a considerable set of viruses associated with bat populations. In order for a non-latent respiratory virus to maintain itself, a minimal population size is necessary. For example, it is hypothesized that measles requires a minimum population size of 250-300,000 individuals. And bats have existed in a state of high population densities for a very long time, which might explain the high diversity of viruses that they carry. In addition, the long lifespan of many bat species means that their viruses may have to evolve strategies to overcome adaptive immunity and frequently reinfect previously infected individuals as opposed to the situation in short-lived species in which populations turn over quickly (with immunologically naive individuals replacing the ones that die out).

On the other hand, the selective pressure that these viruses have exerted on bats may have resulted in the evolution of various resistance and/or tolerance mechanisms in bats themselves, which in turn have driven the evolution of counter strategies in their viruses, leading them to be highly virulent for other species. Bats certainly appear to be physiologically more tolerant towards viruses that are otherwise highly virulent to other mammals. Several explanations for this adaptation have been proposed, chief among them a much more powerful innate immunity and a tolerance towards infections that does not lead to the development of the kind of hyperinflammatory reactions observed in humans, the high body temperature of bats in flight, and others.

The notable strength of bat innate immunity is often explained by the constitutively active interferon response that has been reported for some bat species. It is possible that this is not a universal characteristic of all bats – only a few species have been studied – but it provides a very attractive mechanism for explaining both how bats prevent the development of severe systemic viral infections in their bodies and how their viruses in turn would have evolved powerful mechanisms to silence the interferon response, making them highly pathogenic for other mammals.

The tolerance towards infection is possibly rooted in the absence of some components of the signaling cascades leading to hyperinflammatory reactions and the dampened activity of others.

An obvious ecological parallel can be drawn between bats and humans – just as bats live in dense colonies, so now do modern humans. And we may now be at a critical point in the history of our species, in which our ever-increasing ecological footprint has brought us in close contact with bats in a way that was much rarer in the past. Our population is connected in ways that were previously unimaginable. A novel virus can make the zoonotic jump somewhere in Southeast Asia and a carrier of it can then be on the other side of the globe a mere 24-hours later, having encountered thousands of people in airports and other mass transit systems. As a result, bat pathogens are now being transferred from bat populations to the human population in what might prove to be the second major zoonotic spillover event after the one associated with domestication of livestock and pets a few thousand years ago.

Unfortunately for us, our physiology is not suited to tolerate these new viruses. Bats have adapted to live with them over many millions of years. Humans have not undergone the same kind of adaptation and cannot do so on any timescale that will be of use to those living now, nor to our immediate descendants.

Simply put, humans are not bats, and the continuous existence and improvement of what we now call “civilization” depends on the same basic public health and infectious disease control that saw life expectancy in high-income countries more than double to 85 years. This is a challenge that will only increase in the coming years, because the trends that are accelerating the rate of zoonotic transfer of pathogens are certain to persist.

Given this context, it is as important now to maintain the public health principle that no new dangerous pathogens should be allowed to become endemic and that all novel infectious disease outbreaks must be suppressed as it ever was.

The death of public health and the end of epidemiological comfort It is also in this context that the real gravity of what has happened in the last three years emerges.

After HIV, SARS-CoV-2 is now the second most dangerous infectious disease agent that is 'endemic' to the human population on a global scale. And yet not only was it allowed to become endemic, but mass infection was outright encouraged, including by official public health bodies in numerous countries.

The implications of what has just happened have been missed by most, so let’s spell them out explicitly.

We need to be clear why containment of SARS-CoV-2 was actively sabotaged and eventually abandoned. It has absolutely nothing to do with the “impossibility” of achieving it. In fact, the technical problem of containing even a stealthily spreading virus such as SARS-CoV-2 is fully solved, and that solution was successfully applied in practice for years during the pandemic.

The list of countries that completely snuffed out outbreaks, often multiple times, includes Australia, New Zealand, Singapore, Taiwan, Vietnam, Thailand, Bhutan, Cuba, China, and a few others, with China having successfully contained hundreds of separate outbreaks, before finally giving up in late 2022.

The algorithm for containment is well established – passively break transmission chains through the implementation of nonpharmaceutical interventions (NPIs) such as limiting human contacts, high quality respirator masks, indoor air filtration and ventilation, and others, while aggressively hunting down active remaining transmission chains through traditional contact tracing and isolation methods combined with the powerful new tool of population-scale testing.

Understanding of airborne transmission and institution of mitigation measures, which have heretofore not been utilized in any country, will facilitate elimination, even with the newer, more transmissible variants. Any country that has the necessary resources (or is provided with them) can achieve full containment within a few months. In fact, currently this would be easier than ever before because of the accumulated widespread multiple recent exposures to the virus in the population suppressing the effective reproduction number (Re). For the last 18 months or so we have been seeing a constant high plateau of cases with undulating waves, but not the major explosions of infections with Re reaching 3-4 that were associated with the original introduction of the virus in 2020 and with the appearance of the first Omicron variants in late 2021.

It would be much easier to use NPIs to drive Re to much below 1 and keep it there until elimination when starting from Re around 1.2-1.3 than when it was over 3, and this moment should be used, before another radically new serotype appears and takes us back to those even more unpleasant situations. This is not a technical problem, but one of political and social will. As long as leadership misunderstands or pretends to misunderstand the link between increased mortality, morbidity and poorer economic performance and the free transmission of SARS-CoV-2, the impetus will be lacking to take the necessary steps to contain this damaging virus.

Political will is in short supply because powerful economic and corporate interests have been pushing policymakers to let the virus spread largely unchecked through the population since the very beginning of the pandemic. The reasons are simple. First, NPIs hurt general economic activity, even if only in the short term, resulting in losses on balance sheets. Second, large-scale containment efforts of the kind we only saw briefly in the first few months of the pandemic require substantial governmental support for all the people who need to pause their economic activity for the duration of effort. Such an effort also requires large-scale financial investment in, for example, contact tracing and mass testing infrastructure and providing high-quality masks. In an era dominated by laissez-faire economic dogma, this level of state investment and organization would have set too many unacceptable precedents, so in many jurisdictions it was fiercely resisted, regardless of the consequences for humanity and the economy.

None of these social and economic predicaments have been resolved. The unofficial alliance between big business and dangerous pathogens that was forged in early 2020 has emerged victorious and greatly strengthened from its battle against public health, and is poised to steamroll whatever meager opposition remains for the remainder of this, and future pandemics.

The long-established principles governing how we respond to new infectious diseases have now completely changed – the precedent has been established that dangerous emerging pathogens will no longer be contained, but instead permitted to ‘ease’ into widespread circulation. The intent to “let it rip” in the future is now being openly communicated. With this change in policy comes uncertainty about acceptable lethality. Just how bad will an infectious disease have to be to convince any government to mobilize a meaningful global public health response?

We have some clues regarding that issue from what happened during the initial appearance of the Omicron “variant” (which was really a new serotype) of SARS-CoV-2. Despite some experts warning that a vaccine-only approach would be doomed to fail, governments gambled everything on it. They were then faced with the brute fact of viral evolution destroying their strategy when a new serotype emerged against which existing vaccines had little effect in terms of blocking transmission. The reaction was not to bring back NPIs but to give up, seemingly regardless of the consequences.

Critically, those consequences were unknown when the policy of no intervention was adopted within days of the appearance of Omicron. All previous new SARS-CoV-2 variants had been deadlier than the original Wuhan strain, with the eventually globally dominant Delta variant perhaps as much as 4× as deadly. Omicron turned out to be the exception, but again, that was not known with any certainty when it was allowed to run wild through populations. What would have happened if it had followed the same pattern as Delta?

In the USA, for example, the worst COVID-19 wave was the one in the winter of 2020-21, at the peak of which at least 3,500 people were dying daily (the real number was certainly higher because of undercounting due to lack of testing and improper reporting). The first Omicron BA.1 wave saw the second-highest death tolls, with at least 2,800 dying per day at its peak. Had Omicron been as intrinsically lethal as Delta, we could have easily seen a 4-5× higher peak than January 2021, i.e. as many as 12–15,000 people dying a day. Given that we only had real data on Omicron’s intrinsic lethality after the gigantic wave of infections was unleashed onto the population, we have to conclude that 12–15,000 dead a day is now a threshold that will not force the implementation of serious NPIs for the next problematic COVID-19 serotype.

Logically, it follows that it is also a threshold that will not result in the implementation of NPIs for any other emerging pathogens either. Because why should SARS-CoV-2 be special?

We can only hope that we will never see the day when such an epidemic hits us but experience tells us such optimism is unfounded. The current level of suffering caused by COVID-19 has been completely normalized even though such a thing was unthinkable back in 2019. Populations are largely unaware of the long-term harms the virus is causing to those infected, of the burden on healthcare, increased disability, mortality and reduced life expectancy. Once a few even deadlier outbreaks have been shrugged off by governments worldwide, the baseline of what is considered “acceptable” will just gradually move up and even more unimaginable losses will eventually enter the “acceptable” category. There can be no doubt, from a public health perspective, we are regressing.

We had a second, even more worrying real-life example of what the future holds with the global spread of the MPX virus (formerly known as “monkeypox” and now called “Mpox”) in 2022. MPX is a close relative to the smallpox VARV virus and is endemic to Central and Western Africa, where its natural hosts are mostly various rodent species, but on occasions it infects humans too, with the rate of zoonotic transfer increasing over recent decades. It has usually been characterized by fairly high mortality – the CFR (Case Fatality Rate) has been ∼3.6% for the strain that circulates in Nigeria and ∼10% for the one in the Congo region, i.e. much worse than SARS-CoV-2. In 2022, an unexpected global MPX outbreak developed, with tens of thousands of confirmed cases in dozens of countries. Normally, this would be a huge cause for alarm, for several reasons.

First, MPX itself is a very dangerous disease. Second, universal smallpox vaccination ended many decades ago with the success of the eradication program, leaving the population born after that completely unprotected. Third, lethality in orthopoxviruses is, in fact, highly variable – VARV itself had a variola major strain, with as much as ∼30% CFR, and a less deadly variola minor variety with CFR ∼1%, and there was considerable variation within variola major too. It also appears that high pathogenicity often evolves from less pathogenic strains through reductive evolution - the loss of certain genes something that can happen fairly easily, may well have happened repeatedly in the past, and may happen again in the future, a scenario that has been repeatedly warned about for decades. For these reasons, it was unthinkable that anyone would just shrug off a massive MPX outbreak – it is already bad enough as it is, but allowing it to become endemic means it can one day evolve towards something functionally equivalent to smallpox in its impact.

And yet that is exactly what happened in 2022 – barely any measures were taken to contain the outbreak, and countries simply reclassified MPX out of the “high consequence infectious disease” category in order to push the problem away, out of sight and out of mind. By chance, it turned out that this particular outbreak did not spark a global pandemic, and it was also characterized, for poorly understood reasons, by an unusually low CFR, with very few people dying. But again, that is not the information that was available at the start of the outbreak, when in a previous, interventionist age of public health, resources would have been mobilized to stamp it out in its infancy, but, in the age of laissez-faire, were not. MPX is now circulating around the world and represents a future threat of uncontrolled transmission resulting in viral adaptation to highly efficient human-to-human spread combined with much greater disease severity.

While some are better than others, no national or regional government is making serious efforts towards infection prevention and control, and it seems likely this laissez-faire policy will continue for the foreseeable future. The social, political, and economic movements that worked to achieve this mass infection environment can rejoice at their success.

Those schooled in public health, immunology or working on the front line of healthcare provision know we face an uncertain future, and are aware the implications of recent events stretch far beyond SARS-CoV-2. The shifts that have taken place in attitudes and public health policy will likely damage a key pillar that forms the basis of modern civilized society, one that was built over the last two centuries; the expectation of a largely uninterrupted upwards trajectory of ever-improving health and quality of life, largely driven by the reduction and elimination of infectious diseases that plagued humankind for thousands of years. In the last three years, that trajectory has reversed.

The upward trajectory of public health in the last two centuries Control of infectious disease has historically been a priority for all societies. Quarantine has been in common use since at least the Bronze Age and has been the key method for preventing the spread of infectious diseases ever since. The word “quarantine” itself derives from the 40-day isolation period for ships and crews that was implemented in Europe during the late Middle Ages to prevent the introduction of bubonic plague epidemics into cities1.

Rat climbing a ship's rigging. Modern public health traces its roots to the middle of the 19th century thanks to converging scientific developments in early industrial societies:

The germ theory of diseases was firmly established in the mid-19th century, in particular after Louis Pasteur disproved the spontaneous generation hypothesis. If diseases spread through transmission chains between individual humans or from the environment/animals to humans, then it follows that those transmission chains can be interrupted, and the spread stopped. The science of epidemiology appeared, its birth usually associated with the 1854 Broad Street cholera outbreak in London during which the British physician John Snow identified contaminated water as the source of cholera, pointing to improved sanitation as the way to stop cholera epidemics. Vaccination technology began to develop, initially against smallpox, and the first mandatory smallpox vaccination campaigns began, starting in England in the 1850s. The early industrial era generated horrendous workplace and living conditions for working class populations living in large industrial cities, dramatically reducing life expectancy and quality of life (life expectancy at birth in key industrial cities in the middle of the 19th century was often in the low 30s or even lower2). This in turn resulted in a recognition that such environmental factors affect human health and life spans. The long and bitter struggle for workers’ rights in subsequent decades resulted in much improved working conditions, workplace safety regulations, and general sanitation, and brought sharp increases in life expectancy and quality of life, which in turn had positive impacts on productivity and wealth. Florence Nightingale reemphasized the role of ventilation in healing and preventing illness, ‘The very first canon of nursing… : keep the air he breathes as pure as the external air, without chilling him,’ a maxim that influenced building design at the time. These trends continued in the 20th century, greatly helped by further technological and scientific advances. Many diseases – diphtheria, pertussis, hepatitis B, polio, measles, mumps, rubella, etc. – became things of the past thanks to near-universal highly effective vaccinations, while others that used to be common are no longer of such concern for highly developed countries in temperate climates – malaria, typhus, typhoid, leprosy, cholera, tuberculosis, and many others – primarily thanks to improvements in hygiene and the implementation of non-pharmaceutical measures for their containment.

Furthermore, the idea that infectious diseases should not just be reduced, but permanently eliminated altogether began to be put into practice in the second half of the 20th century3-5 on a global level, and much earlier locally. These programs were based on the obvious consideration that if an infectious agent is driven to extinction, the incalculable damage to people’s health and the overall economy by a persisting and indefinite disease burden will also be eliminated.

The ambition of local elimination grew into one of global eradication for smallpox, which was successfully eliminated from the human population in the 1970s6 (this had already been achieved locally in the late 19th century by some countries), after a heroic effort to find and contain the last remaining infectious individuals7,8. The other complete success was rinderpest in cattle9,10, globally eradicated in the early 21st century.

When the COVID-19 pandemic started, global eradication programs were very close to succeeding for two other diseases – polio11,12 and dracunculiasis13. Eradication is also globally pursued for other diseases, such as yaws14,15, and regionally for many others, e.g. lymphatic filariasis16,17, onchocerciasis18,19, measles and rubella20-30. The most challenging diseases are those that have an external reservoir outside the human population, especially if they are insect borne, and in particular those carried by mosquitos. Malaria is the primary example, but despite these difficulties, eradication of malaria has been a long-standing global public health goal31-33 and elimination has been achieved in temperate regions of the globe34,35, even though it involved the ecologically destructive widespread application of polluting chemical pesticides36,37 to reduce the populations of the vectors. Elimination is also a public goal for other insect borne diseases such as trypanosomiasis38,39.

In parallel with pursuing maximal reduction and eventual eradication of the burden of existing endemic infectious diseases, humanity has also had to battle novel infectious diseases40, which have been appearing at an increased rate over recent decades41-43. Most of these diseases are of zoonotic origin, and the rate at which they are making the jump from wildlife to humans is accelerating, because of the increased encroachment on wildlife due to expanding human populations and physical infrastructure associated with human activity, the continued destruction of wild ecosystems that forces wild animals towards closer human contact, the booming wildlife trade, and other such trends.

Because it is much easier to stop an outbreak when it is still in its early stages of spreading through the population than to eradicate an endemic pathogen, the governing principle has been that no emerging infectious disease should be allowed to become endemic. This goal has been pursued reasonably successfully and without controversy for many decades.

The most famous newly emerging pathogens were the filoviruses (Ebola44-46, Marburg47,48), the SARS and MERS coronaviruses, and paramyxoviruses like Nipah49,50. These gained fame because of their high lethality and potential for human-to-human spread, but they were merely the most notable of many examples.

Pigs in close proximity to humans. Such epidemics were almost always aggressively suppressed. Usually, these were small outbreaks, and because highly pathogenic viruses such as Ebola cause very serious sickness in practically all infected people, finding and isolating the contagious individuals is a manageable task. The largest such epidemic was the 2013-16 Ebola outbreak in West Africa, when a filovirus spread widely in major urban centers for the first time. Containment required a wartime-level mobilization, but that was nevertheless achieved, even though there were nearly 30,000 infections and more than 11,000 deaths51.

SARS was also contained and eradicated from the human population back in 2003-04, and the same happened every time MERS made the jump from camels to humans, as well as when there were Nipah outbreaks in Asia.

The major counterexample of a successful establishment in the human population of a novel highly pathogenic virus is HIV. HIV is a retrovirus, and as such it integrates into the host genome and is thus nearly impossible to eliminate from the body and to eradicate from the population52 (unless all infected individuals are identified and prevented from infecting others for the rest of their lives). However, HIV is not an example of the containment principle being voluntarily abandoned as the virus had made its zoonotic jump and established itself many decades before its eventual discovery53 and recognition54-56, and long before the molecular tools that could have detected and potentially fully contained it existed.

Still, despite all these containment success stories, the emergence of a new pathogen with pandemic potential was a well understood and frequently discussed threat57-60, although influenza viruses rather than coronaviruses were often seen as the most likely culprit61-65. The eventual appearance of SARS-CoV-2 should therefore not have been a huge surprise, and should have been met with a full mobilization of the technical tools and fundamental public health principles developed over the previous decades.

The ecological context One striking property of many emerging pathogens is how many of them come from bats. While the question of whether bats truly harbor more viruses than other mammals in proportion to their own species diversity (which is the second highest within mammals after rodents) is not fully settled yet66-69, many novel viruses do indeed originate from bats, and the ecological and physiological characteristics of bats are highly relevant for understanding the situation that Homo sapiens finds itself in right now.

Group of bats roosting in a cave. Another startling property of bats and their viruses is how highly pathogenic to humans (and other mammals) many bat viruses are, while bats themselves are not much affected (only rabies is well established to cause serious harm to bats68). Why bats seem to carry so many such pathogens, and how they have adapted so well to coexisting with them, has been a long-standing puzzle and although we do not have a definitive answer, some general trends have become clear.

Bats are the only truly flying mammals and have been so for many millions of years. Flying has resulted in a number of specific adaptations, one of them being the tolerance towards a very high body temperature (often on the order of 42-43ºC). Bats often live in huge colonies, literally touching each other, and, again, have lived in conditions of very high density for millions of years. Such densities are rare among mammals and are certainly not the native condition of humans (human civilization and our large dense cities are a very recent phenomenon on evolutionary time scales). Bats are also quite long-lived for such small mammals70-71 – some fruit bats can live more than 35 years and even small cave dwelling species can live about a decade. These are characteristics that might have on one hand facilitated the evolution of a considerable set of viruses associated with bat populations. In order for a non-latent respiratory virus to maintain itself, a minimal population size is necessary. For example, it is hypothesized that measles requires a minimum population size of 250-300,000 individuals72. And bats have existed in a state of high population densities for a very long time, which might explain the high diversity of viruses that they carry. In addition, the long lifespan of many bat species means that their viruses may have to evolve strategies to overcome adaptive immunity and frequently reinfect previously infected individuals as opposed to the situation in short-lived species in which populations turn over quickly (with immunologically naive individuals replacing the ones that die out).

On the other hand, the selective pressure that these viruses have exerted on bats may have resulted in the evolution of various resistance and/or tolerance mechanisms in bats themselves, which in turn have driven the evolution of counter strategies in their viruses, leading them to be highly virulent for other species. Bats certainly appear to be physiologically more tolerant towards viruses that are otherwise highly virulent to other mammals. Several explanations for this adaptation have been proposed, chief among them a much more powerful innate immunity and a tolerance towards infections that does not lead to the development of the kind of hyperinflammatory reactions observed in humans73-75, the high body temperature of bats in flight, and others.

The notable strength of bat innate immunity is often explained by the constitutively active interferon response that has been reported for some bat species76-78. It is possible that this is not a universal characteristic of all bats79 – only a few species have been studied – but it provides a very attractive mechanism for explaining both how bats prevent the development of severe systemic viral infections in their bodies and how their viruses in turn would have evolved powerful mechanisms to silence the interferon response, making them highly pathogenic for other mammals.

The tolerance towards infection is possibly rooted in the absence of some components of the signaling cascades leading to hyperinflammatory reactions and the dampened activity of others80.

Map of scheduled airline traffic around the world, circa June 2009 Map of scheduled airline traffic around the world. Credit: Jpatokal An obvious ecological parallel can be drawn between bats and humans – just as bats live in dense colonies, so now do modern humans. And we may now be at a critical point in the history of our species, in which our ever-increasing ecological footprint has brought us in close contact with bats in a way that was much rarer in the past. Our population is connected in ways that were previously unimaginable. A novel virus can make the zoonotic jump somewhere in Southeast Asia and a carrier of it can then be on the other side of the globe a mere 24-hours later, having encountered thousands of people in airports and other mass transit systems. As a result, bat pathogens are now being transferred from bat populations to the human population in what might prove to be the second major zoonotic spillover event after the one associated with domestication of livestock and pets a few thousand years ago.

Unfortunately for us, our physiology is not suited to tolerate these new viruses. Bats have adapted to live with them over many millions of years. Humans have not undergone the same kind of adaptation and cannot do so on any timescale that will be of use to those living now, nor to our immediate descendants.

Simply put, humans are not bats, and the continuous existence and improvement of what we now call “civilization” depends on the same basic public health and infectious disease control that saw life expectancy in high-income countries more than double to 85 years. This is a challenge that will only increase in the coming years, because the trends that are accelerating the rate of zoonotic transfer of pathogens are certain to persist.

Given this context, it is as important now to maintain the public health principle that no new dangerous pathogens should be allowed to become endemic and that all novel infectious disease outbreaks must be suppressed as it ever was.

The death of public health and the end of epidemiological comfort It is also in this context that the real gravity of what has happened in the last three years emerges.

After HIV, SARS-CoV-2 is now the second most dangerous infectious disease agent that is 'endemic' to the human population on a global scale. And yet not only was it allowed to become endemic, but mass infection was outright encouraged, including by official public health bodies in numerous countries81-83.

The implications of what has just happened have been missed by most, so let’s spell them out explicitly.

We need to be clear why containment of SARS-CoV-2 was actively sabotaged and eventually abandoned. It has absolutely nothing to do with the “impossibility” of achieving it. In fact, the technical problem of containing even a stealthily spreading virus such as SARS-CoV-2 is fully solved, and that solution was successfully applied in practice for years during the pandemic.

The list of countries that completely snuffed out outbreaks, often multiple times, includes Australia, New Zealand, Singapore, Taiwan, Vietnam, Thailand, Bhutan, Cuba, China, and a few others, with China having successfully contained hundreds of separate outbreaks, before finally giving up in late 2022.

The algorithm for containment is well established – passively break transmission chains through the implementation of nonpharmaceutical interventions (NPIs) such as limiting human contacts, high quality respirator masks, indoor air filtration and ventilation, and others, while aggressively hunting down active remaining transmission chains through traditional contact tracing and isolation methods combined with the powerful new tool of population-scale testing.

Oklahoma’s Strategic National Stockpile. Credit: DVIDS Understanding of airborne transmission and institution of mitigation measures, which have heretofore not been utilized in any country, will facilitate elimination, even with the newer, more transmissible variants. Any country that has the necessary resources (or is provided with them) can achieve full containment within a few months. In fact, currently this would be easier than ever before because of the accumulated widespread multiple recent exposures to the virus in the population suppressing the effective reproduction number (Re). For the last 18 months or so we have been seeing a constant high plateau of cases with undulating waves, but not the major explosions of infections with Re reaching 3-4 that were associated with the original introduction of the virus in 2020 and with the appearance of the first Omicron variants in late 2021.

It would be much easier to use NPIs to drive Re to much below 1 and keep it there until elimination when starting from Re around 1.2-1.3 than when it was over 3, and this moment should be used, before another radically new serotype appears and takes us back to those even more unpleasant situations. This is not a technical problem, but one of political and social will. As long as leadership misunderstands or pretends to misunderstand the link between increased mortality, morbidity and poorer economic performance and the free transmission of SARS-CoV-2, the impetus will be lacking to take the necessary steps to contain this damaging virus.

Political will is in short supply because powerful economic and corporate interests have been pushing policymakers to let the virus spread largely unchecked through the population since the very beginning of the pandemic. The reasons are simple. First, NPIs hurt general economic activity, even if only in the short term, resulting in losses on balance sheets. Second, large-scale containment efforts of the kind we only saw briefly in the first few months of the pandemic require substantial governmental support for all the people who need to pause their economic activity for the duration of effort. Such an effort also requires large-scale financial investment in, for example, contact tracing and mass testing infrastructure and providing high-quality masks. In an era dominated by laissez-faire economic dogma, this level of state investment and organization would have set too many unacceptable precedents, so in many jurisdictions it was fiercely resisted, regardless of the consequences for humanity and the economy.

None of these social and economic predicaments have been resolved. The unofficial alliance between big business and dangerous pathogens that was forged in early 2020 has emerged victorious and greatly strengthened from its battle against public health, and is poised to steamroll whatever meager opposition remains for the remainder of this, and future pandemics.

The long-established principles governing how we respond to new infectious diseases have now completely changed – the precedent has been established that dangerous emerging pathogens will no longer be contained, but instead permitted to ‘ease’ into widespread circulation. The intent to “let it rip” in the future is now being openly communicated84. With this change in policy comes uncertainty about acceptable lethality. Just how bad will an infectious disease have to be to convince any government to mobilize a meaningful global public health response?

We have some clues regarding that issue from what happened during the initial appearance of the Omicron “variant” (which was really a new serotype85,86) of SARS-CoV-2. Despite some experts warning that a vaccine-only approach would be doomed to fail, governments gambled everything on it. They were then faced with the brute fact of viral evolution destroying their strategy when a new serotype emerged against which existing vaccines had little effect in terms of blocking transmission. The reaction was not to bring back NPIs but to give up, seemingly regardless of the consequences.

Critically, those consequences were unknown when the policy of no intervention was adopted within days of the appearance of Omicron. All previous new SARS-CoV-2 variants had been deadlier than the original Wuhan strain, with the eventually globally dominant Delta variant perhaps as much as 4× as deadly87. Omicron turned out to be the exception, but again, that was not known with any certainty when it was allowed to run wild through populations. What would have happened if it had followed the same pattern as Delta?

In the USA, for example, the worst COVID-19 wave was the one in the winter of 2020-21, at the peak of which at least 3,500 people were dying daily (the real number was certainly higher because of undercounting due to lack of testing and improper reporting). The first Omicron BA.1 wave saw the second-highest death tolls, with at least 2,800 dying per day at its peak. Had Omicron been as intrinsically lethal as Delta, we could have easily seen a 4-5× higher peak than January 2021, i.e. as many as 12–15,000 people dying a day. Given that we only had real data on Omicron’s intrinsic lethality after the gigantic wave of infections was unleashed onto the population, we have to conclude that 12–15,000 dead a day is now a threshold that will not force the implementation of serious NPIs for the next problematic COVID-19 serotype.

UK National Covid Memorial Wall. Credit: Dominic Alves Logically, it follows that it is also a threshold that will not result in the implementation of NPIs for any other emerging pathogens either. Because why should SARS-CoV-2 be special?

We can only hope that we will never see the day when such an epidemic hits us but experience tells us such optimism is unfounded. The current level of suffering caused by COVID-19 has been completely normalized even though such a thing was unthinkable back in 2019. Populations are largely unaware of the long-term harms the virus is causing to those infected, of the burden on healthcare, increased disability, mortality and reduced life expectancy. Once a few even deadlier outbreaks have been shrugged off by governments worldwide, the baseline of what is considered “acceptable” will just gradually move up and even more unimaginable losses will eventually enter the “acceptable” category. There can be no doubt, from a public health perspective, we are regressing.

We had a second, even more worrying real-life example of what the future holds with the global spread of the MPX virus (formerly known as “monkeypox” and now called “Mpox”) in 2022. MPX is a close relative to the smallpox VARV virus and is endemic to Central and Western Africa, where its natural hosts are mostly various rodent species, but on occasions it infects humans too, with the rate of zoonotic transfer increasing over recent decades88. It has usually been characterized by fairly high mortality – the CFR (Case Fatality Rate) has been ∼3.6% for the strain that circulates in Nigeria and ∼10% for the one in the Congo region, i.e. much worse than SARS-CoV-2. In 2022, an unexpected global MPX outbreak developed, with tens of thousands of confirmed cases in dozens of countries89,90. Normally, this would be a huge cause for alarm, for several reasons.

First, MPX itself is a very dangerous disease. Second, universal smallpox vaccination ended many decades ago with the success of the eradication program, leaving the population born after that completely unprotected. Third, lethality in orthopoxviruses is, in fact, highly variable – VARV itself had a variola major strain, with as much as ∼30% CFR, and a less deadly variola minor variety with CFR ∼1%, and there was considerable variation within variola major too. It also appears that high pathogenicity often evolves from less pathogenic strains through reductive evolution - the loss of certain genes something that can happen fairly easily, may well have happened repeatedly in the past, and may happen again in the future, a scenario that has been repeatedly warned about for decades91,92. For these reasons, it was unthinkable that anyone would just shrug off a massive MPX outbreak – it is already bad enough as it is, but allowing it to become endemic means it can one day evolve towards something functionally equivalent to smallpox in its impact.

Colorized transmission electron micrograph of Mpox virus particles. Credit: NIAID And yet that is exactly what happened in 2022 – barely any measures were taken to contain the outbreak, and countries simply reclassified MPX out of the “high consequence infectious disease” category93 in order to push the problem away, out of sight and out of mind. By chance, it turned out that this particular outbreak did not spark a global pandemic, and it was also characterized, for poorly understood reasons, by an unusually low CFR, with very few people dying94,95. But again, that is not the information that was available at the start of the outbreak, when in a previous, interventionist age of public health, resources would have been mobilized to stamp it out in its infancy, but, in the age of laissez-faire, were not. MPX is now circulating around the world and represents a future threat of uncontrolled transmission resulting in viral adaptation to highly efficient human-to-human spread combined with much greater disease severity.

This is the previously unthinkable future we will live in from now on in terms of our approach to infectious disease.

What may be controlled instead is information. Another lesson of the pandemic is that if there is no testing and reporting of cases and deaths, a huge amount of real human suffering can be very successfully swept under the rug. Early in 2020, such practices – blatant denial that there was any virus in certain territories, outright faking of COVID-19 statistics, and even resorting to NPIs out of sheer desperation but under false pretense that it is not because of COVID-19 – were the domain of failed states and less developed dictatorships. But in 2023 most of the world has adopted such practices – testing is limited, reporting is infrequent, or even abandoned altogether – and there is no reason to expect this to change. Information control has replaced infection control.

After a while it will not even be possible to assess the impact of what is happening by evaluating excess mortality, which has been the one true measure not susceptible to various data manipulation tricks. As we get increasingly removed from the pre-COVID-19 baselines and the initial pandemic years are subsumed into the baseline for calculating excess mortality, excess deaths will simply disappear by the power of statistical magic. Interestingly, countries such as the UK, which has already incorporated two pandemic years in its five-year average, are still seeing excess deaths, which suggests the virus is an ongoing and growing problem.

It should also be stressed that this radical shift in our approach to emerging infectious diseases is probably only the beginning of wiping out the hard-fought public health gains of the last 150+ years. This should be gravely concerning to any individuals and institutions concerned with workers and citizens rights.

This shift is likely to impact existing eradication and elimination efforts. Will the final pushes be made to complete the various global eradication campaigns listed above? That may necessitate some serious effort involving NPIs and active public health measures, but how much appetite is there for such things after they have been now taken out of the toolkit for SARS-CoV-2?

We can also expect previously forgotten diseases to return where they have successfully been locally eradicated. We have to always remember that the diseases that we now control with universal childhood vaccinations have not been globally eradicated – they have disappeared from our lives because vaccination rates are high enough to maintain society as a whole above the disease elimination threshold, but were vaccination rates to slip, those diseases, such as measles, will return with a vengeance.

The anti-vaccine movement was already a serious problem prior to COVID-19, but it was given a gigantic boost with the ill-advised vaccine-only COVID-19 strategy. Governments and their nominal expert advisers oversold the effectiveness of imperfect first generation COVID-vaccines, and simultaneously minimized the harms of SARS-CoV-2, creating a reality gap which gave anti-vaccine rhetoric space to thrive. This is a huge topic to be explored separately. Here it will suffice to say that while anti-vaxxers were a fringe movement prior to the pandemic, “vaccination” in general is now a toxic idea in the minds of truly significant portions of the population. A logical consequence of that shift has been a significant decrease in vaccination coverage for other diseases as well as for COVID-19.

This is even more likely given the shift in attitudes towards children. Child labour, lack of education and large families were the hallmarks of earlier eras of poor public health, which were characterized by high birth-rates and high infant mortality. Attitudes changed dramatically over the course of the 20th century and wherever health and wealth increased, child mortality fell, and the transition was made to small families. Rarity increased perceived value and children’s wellbeing became a central concern for parents and carers. The arrival of COVID-19 changed that, with some governments, advisers, advocacy groups and parents insisting that children should be exposed freely to a Severe Acute Respiratory Syndrome virus to ‘train’ their immune systems.

Infection, rather than vaccination, was the preferred route for many in public health in 2020, and still is in 2023, despite all that is known about this virus’s propensity to cause damage to all internal organs, the immune system, and the brain, and the unknowns of postinfectious sequelae. This is especially egregious in infants, whose naive immune status may be one of the reasons they have a relatively high hospitalization rate. Some commentators seek to justify the lack of protection for the elderly and vulnerable on a cost basis. We wonder what rationale can justify a lack of protection for newborns and infants, particularly in a healthcare setting, when experience of other viruses tells us children have better outcomes the later they are exposed to disease? If we are not prepared to protect children against a highly virulent SARS virus, why should we protect against others? We should expect a shift in public health attitudes, since ‘endemicity’ means there is no reason to see SARS-CoV-2 as something unique and exceptional.

We can also expect a general degradation of workplace safety protocols and standards, again reversing many decades of hard-fought gains. During COVID-19, aside from a few privileged groups who worked from home, people were herded back into their workplaces without minimal safety precautions such as providing respirators, and improving ventilation and indoor air quality, when a dangerous airborne pathogen was spreading.

Can we realistically expect existing safety precautions and regulations to survive after that precedent has been set? Can we expect public health bodies and regulatory agencies, whose job it is to enforce these standards, to fight for workplace safety given what they did during the pandemic? It is highly doubtful. After all, they stubbornly refused to admit that SARS-CoV-2 is airborne (even to this very day in fact – the World Health Organization’s infamous “FACT: #COVID19 is NOT airborne” Tweet from March 28 2020 is still up in its original form), and it is not hard to see why – implementing airborne precautions in workplaces, schools, and other public spaces would have resulted in a cost to employers and governments; a cost they could avoid if they simply denied they needed to take such precautions. But short-term thinking has resulted in long-term costs to those same organizations, through the staffing crisis, and the still-rising disability tsunami. The same principle applies to all other existing safety measures.

Worse, we have now entered the phase of abandoning respiratory precautions even in hospitals. The natural consequence of unmasked staff and patients, even those known to be SARS-CoV-2 positive, freely mixing in overcrowded hospitals is the rampant spread of hospital-acquired infections, often among some of the most vulnerable demographics. This was previously thought to be a bad thing. And what of the future? If nobody is taking any measures to stop one particular highly dangerous nosocomial infection, why would anyone care about all the others, which are often no easier to prevent? And if standards of care have slipped to such a low point with respect to COVID-19, why would anyone bother providing the best care possible for other conditions? This is a one-way feed-forward healthcare system degradation that will only continue.

Finally, the very intellectual foundations of the achievements of the last century and a half are eroding. Chief among these is the germ theory of infectious disease, by which transmission chains can be isolated and broken. The alternative theory, of spontaneous generation of pathogens, means there are no chains to be broken. Today, we are told that it is impossible to contain SARS-CoV-2 and we have to "just live with it,” as if germ theory no longer holds. The argument that the spread of SARS-CoV-2 to wildlife means that containment is impossible illustrates these contradictions further – SARS-CoV-2 came from wildlife, as did all other zoonotic infections, so how does the virus spilling back to wildlife change anything in terms of public health protocol? But if one has decided that from here on there will be no effort to break transmission chains because it is too costly for the privileged few in society, then excuses for that laissez-faire attitude will always be found.

And that does not bode well for the near- and medium-term future of the human species on planet Earth.

(Follow the link for more than 100 references and sources)

[allthecanadianpolitics]

Nurses in British Columbia officially have a new deal with their provincial government employers.

The ratified collective agreement, shared Thursday, includes key commitments to more than 13 per cent in wage increases over three years, and in a Canadian first, minimum nurse-to-patient staffing ratios.

The deal is retroactive to April 1, 2022, and will expire March 31, 2025.

“The agreement also includes significant improvements in job flexibility and access to leaves, as well as investments in workplace health and safety,” reads a news release from the BC Nurses’ Union (BCNU).

“New contract language will also advance the principles of diversity, equity and inclusivity to ensure all BCNU members are welcome in their workplace.” [...]

Continue Reading.

Tagging: @politicsofcanada

[oliviaphleb]

Check Out Top Phlebotomy Jobs in Raleigh, NC: Your Guide to a Thriving Career in Healthcare

Explore Top⁤ Phlebotomy ⁣Jobs in⁤ Raleigh, NC: Your Guide to a Thriving Career in Healthcare

If you’re ⁢exploring a career in ‌the healthcare sector, phlebotomy could be a rewarding path. Not ⁣only do phlebotomists play a critical role in patient care, but there’s also a growing demand for their services in cities⁤ like Raleigh, NC. This guide will delve into phlebotomy⁢ jobs, the benefits ⁣they offer, how to land your desired position, and tips for excelling in ‌this vital role.

What​ is Phlebotomy?

Phlebotomy is the practice of drawing blood for medical​ testing, transfusions, or donations. Trained phlebotomists ‌collect samples while ensuring ‍patient comfort ⁢and safety. This role is essential in hospitals, clinics, laboratories, and blood donation centers.

Job Outlook​ for Phlebotomists in⁢ Raleigh, NC

The job outlook for phlebotomists in Raleigh is ‍quite⁣ promising. According to projections ⁣from the U.S. Bureau of Labor Statistics (BLS), ⁣employment for phlebotomists is expected‌ to grow​ by 11% ⁣from 2020 to 2030, faster than the average for all occupations.

Key Phlebotomy Employers ‌in ⁤Raleigh

Company

Type of Facility

Website

Duke Raleigh Hospital

Hospital

dukehealth.org/raleigh

WakeMed Health & Hospitals

Healthcare System

wakemed.org

Cary Medical Center

Community Hospital

carymed.com

LabCorp

Diagnostic Lab

labcorp.com

Types of Phlebotomy Jobs Available

When searching for phlebotomy⁢ jobs in Raleigh, you will ​find a variety of roles that might suit your skills and interests. Here are some common job titles:

Hospital Phlebotomist

Clinic Phlebotomist

Mobile Phlebotomist

Laboratory Phlebotomist

Blood Donation Specialist

Salary ‍Expectations for Phlebotomists⁤ in Raleigh

The salary of​ phlebotomists can vary based on experience, ⁢credentials, and workplace.‌ Here’s a quick ​overview of the average salaries for phlebotomists in Raleigh:

Experience Level

Average Salary

Entry-Level

$28,000 – $35,000

Mid-Career

$35,000 – $45,000

Experienced

$45,000 – $60,000+

Benefits of Being a Phlebotomist

Phlebotomy offers several unique benefits, which include:

Job Security: ‌ With a growing demand​ for healthcare professionals, job security is strong.

Flexibility: Many phlebotomists work in ⁣flexible environments and schedules, making it easier to balance work and personal‍ life.

Rewarding Work: Helping others and making a direct impact on ⁢patient care can be greatly fulfilling.

Career Advancement Opportunities: Phlebotomists can advance their careers by specializing in other healthcare fields, such‌ as laboratory ​technology or nursing.

How to Get Started in Phlebotomy

Starting ​your career in phlebotomy involves ‍several important steps:

Complete a Phlebotomy​ Training Program: It’s crucial to enroll in an accredited training program that meets state requirements.

Obtain​ Certification: Although not always required, certification from bodies like the American Society for Clinical Pathology (ASCP) can enhance job prospects.

Gain⁤ Clinical Experience: Many programs offer ‌hands-on training that includes drawing blood⁢ and patient interactions.

Apply for‍ Jobs: Utilize online job boards, healthcare networks, ‌and local hospitals to find available positions.

Tips for Excelling in Your‍ Phlebotomy Career

To thrive in your phlebotomy career, consider the following tips:

Practice Good Communication: Always communicate clearly with patients to ease their anxiety and ensure‍ a smooth blood draw.

Stay​ Updated‌ on Best Practices: Continuous learning through seminars ⁤and workshops can keep ⁣your skills ⁣sharp.

Develop a Steady Hand: Precision is key​ in phlebotomy. Regular practice will improve your skills.

Network with‌ Other Professionals: Join professional networks and ‍attend conferences to build relationships in the field.

Case Study: Success Story of a⁢ Local Phlebotomist

Meet Jessica, a Raleigh-based phlebotomist‌ who has successfully carved out her niche in the healthcare sector. After completing ​her training program and obtaining her ASCP certification,​ Jessica started working at Duke Raleigh Hospital. Her dedication to patient care and continuous ​learning has led‌ her to become the lead phlebotomist in her department.

Jessica shares, “Phlebotomy allows me to connect⁣ with people and play a ⁣vital ⁣role in​ their health journey. The ⁢constant learning and opportunities for‍ growth are what keep me passionate about my career.”

Conclusion

Embarking on a phlebotomy career in ⁤Raleigh, NC, can lead to‌ a fulfilling ​and steady job in the healthcare industry. ‌With ample⁤ opportunities, competitive ⁢salaries, and the chance to positively impact patient care, phlebotomy is an excellent choice for those looking to make a difference. Take the first ‌step⁢ today by enrolling‍ in a training program‍ and exploring ‍the thriving job market!

https://phlebotomytechnicianschools.org/check-out-top-phlebotomy-jobs-in-raleigh-nc-your-guide-to-a-thriving-career-in-healthcare/

[uniathena7]

Top 10 In-Demand Courses to Pursue in 2024

As you approach graduation or have just stepped into the world beyond academics, the road ahead is filled with exciting opportunities — and critical decisions. Choosing a career path is no small feat; it’s a defining moment that shapes your professional journey.

A great way to navigate your options is to explore the most in-demand skills in today’s job market and align them with courses that prepare you for these roles. Whether you’re looking to build technical expertise or strengthen your soft skills, the right program can make all the difference.

Let’s explore the top 10 courses designed to help you stay ahead in 2024 and beyond.

1. Business Communication Course

Business communication is more than just exchanging information — it’s the cornerstone of effective collaboration and success in any organization. While MBAs continue to be highly sought after, a specialized Diploma in Business Communication equips you with essential skills such as interpersonal communication, negotiation, and professional writing.

These skills are invaluable for roles like business analyst, consultant, and corporate trainer, where clear and persuasive communication can drive outcomes.

2. Diploma in Environmental Health and Safety Management

With climate change becoming an urgent global challenge, industries are increasingly hiring professionals to ensure environmental compliance and workplace safety. Environmental Health and Safety (EHS) Management courses teach you to manage industrial waste, prevent environmental damage, and create safer work environments.

This diploma is particularly suited for those passionate about sustainability and eager to contribute to global efforts to combat climate change. South Sudan, with its vast natural resources, can benefit immensely from skilled EHS professionals who safeguard the environment while promoting industrial growth.

3. Digital Marketing Course Online

The digital landscape is reshaping how businesses operate, making digital marketing a must-have skill in 2024. This course covers everything from search engine optimization (SEO) to social media marketing, content creation, and data analytics.

For businesses in South Sudan looking to expand their reach, digital marketing professionals are key players in creating impactful online strategies. The course is perfect for anyone aiming to transform brands, build a digital presence, and engage with audiences effectively.

4. Healthcare Management Program

Healthcare isn’t just about doctors and nurses; it’s also about efficient management behind the scenes. A Diploma in Healthcare Management focuses on administrative skills like budgeting, strategic planning, and operations management.

South Sudan’s growing healthcare sector can benefit from well-trained managers to ensure hospitals and clinics run smoothly, delivering essential services to communities. This program is ideal for those who want to make an impact in healthcare without being on the clinical frontlines.

5. Project Management Course Online

Project management remains one of the most versatile skills across industries. Whether it’s construction, IT, or business operations, leaders with the ability to plan, execute, and manage projects are in high demand.

An online diploma in Project Management introduces you to critical concepts like risk management, budgeting, and team leadership. These skills are particularly valuable in South Sudan, where infrastructure development and community projects are pivotal to the nation’s growth.

6. Artificial Intelligence and Machine Learning Course

Artificial Intelligence (AI) is revolutionizing industries, and learning about AI and Machine Learning (ML) ensures you’re future-ready. These technologies streamline processes, improve efficiency, and provide actionable insights.

AI’s applications extend to fields like banking, cybersecurity, healthcare, and even agriculture — a sector vital to South Sudan’s economy. Gaining expertise in AI and ML can lead to roles like data scientist, AI specialist, or software engineer.

7. Diploma in Procurement & Contract Management

This course is perfect for professionals involved in legal, procurement, or contract roles. It focuses on areas like drafting contracts, negotiation, and regulatory compliance.

With an Executive Diploma in Procurement & Contract Management, you can pursue roles such as contract manager or legal advisor. For South Sudan, where development projects often involve international collaborations, this expertise is invaluable.

8. Data Science and Analytics Course

Every business generates data, but it’s the data analysts and scientists who extract actionable insights from it. A Data Science and Analytics course teaches you to work with tools like Python, R, and SQL to interpret data and support decision-making.

For industries in South Sudan, including agriculture, trade, and energy, data science can optimize operations and drive innovation. Aspiring data professionals need a blend of technical knowledge and problem-solving skills, both of which this course offers.

9. Diploma in Finance and Accounting

Businesses thrive on financial expertise, making finance and accounting a core skill for 2024. Whether it’s budgeting, investment strategies, or tax planning, professionals trained in this field are indispensable.

In South Sudan, where businesses are growing alongside the economy, a Diploma in Finance and Accounting prepares you to support financial health and sustainability for organizations across sectors.

10. HR Management Course

If you’re a people person who enjoys fostering talent and creating positive work environments, Human Resources (HR) Management is for you. This course covers hiring, training, employee engagement, and conflict resolution.

In South Sudan’s evolving job market, HR professionals are crucial for supporting businesses in talent acquisition and retention. With a strong focus on both soft and technical skills, this program helps you become a trusted leader in any organization.

Bonus Tips for Future-Proofing Your Career

Embrace emerging technologies like AI and blockchain.

Build a balance of technical and soft skills — both are essential for career success.

Explore opportunities to gain certifications and diplomas through online platforms like UniAthena, where you can learn at your own pace and prepare for global opportunities.

Why These Courses Matter for South Sudan

South Sudan is a nation on the rise, with immense potential across sectors like agriculture, energy, healthcare, and infrastructure. Investing in the right skills ensures you’re not only employable but also a contributor to the country’s development. Whether you’re helping businesses go digital, managing healthcare facilities, or ensuring environmental sustainability, your expertise can drive meaningful change in South Sudan.

Make your next step count by exploring these courses, upskilling yourself, and preparing for a future filled with opportunities.

[marylcna]

Open Your Future: A Complete Guide to CNA Certification Schools and Career Opportunities

Unlock Your Future: A Complete Guide‌ to ‍CNA Certification Schools and‍ Career Opportunities

Are ​you considering a⁣ career in healthcare? Becoming a Certified Nursing Assistant (CNA) can be an excellent entry point.‍ This comprehensive guide will explore the ins and outs⁤ of CNA certification schools, career opportunities, and the invaluable skills you’ll develop along​ the way. Whether⁤ you’re ​a recent high school graduate or looking for ​a career change, CNAs are in high demand, providing essential support in hospitals, ⁤nursing homes, ⁤and other⁣ healthcare facilities.

What is a​ Certified Nursing Assistant (CNA)?

A Certified Nursing Assistant (CNA) plays a crucial role in patient care, assisting with daily activities and ensuring comfort⁢ and safety for patients. Reasons to become a CNA include:

Short training programs

Job stability in the healthcare field

Opportunities for advancement

Why Choose CNA Certification Schools?

CNA certification schools provide the necessary‌ training and education⁤ required to⁣ succeed in this profession. Here’s why enrolling ⁢in a‌ CNA‌ certification program ⁤is beneficial:

Quality Education and Training

A good CNA‌ program gives​ students practical skills and ‍theoretical knowledge through hands-on experience. Look for schools that offer:

Qualified instructors with real-world experience

State-approved curriculum

Clinical⁤ placement opportunities

Flexible Learning⁤ Options

Many CNA certification schools provide⁣ both in-person and online learning options, allowing students to select the format that best suits their ‌needs. Traditional classroom settings foster hands-on communication, while online courses may offer greater flexibility.

What to Look for in ⁣CNA Certification Schools

When ⁢selecting a CNA certification school, consider the following‌ factors:

Accreditation: Ensure the ⁤program is accredited and ​recognized by state⁢ health departments.

Cost: Compare different schools and programs; financial aid ⁢may also be available.

Location: Consider proximity ​to home or workplace for ease of attendance.

Job​ Placement Assistance: ⁤Many schools offer job placement services⁣ to ​help graduates find employment.

Typical Coursework in CNA Programs

A CNA ⁤training program usually involves both classroom instruction and⁤ hands-on practical training. Here’s a glimpse at common subjects covered:

Basic nursing skills

Patient care and safety

Human anatomy and physiology

Communication​ skills in healthcare

Infection control procedures

CNA Certification Process

The following steps outline ⁢the⁢ certification process:

Complete a state-approved CNA training program.

Pass the CNA competency exam consisting of written and skills evaluation.

Obtain state certification through your state’s board of nursing.

Career Opportunities for CNAs

The demand ‌for CNAs continues⁣ to grow as the‍ healthcare industry expands. Below are various ⁣career paths for certified nursing assistants:

Job Title

Work ⁣Settings

Average ⁢Salary

Hospital CNA

Hospitals

$33,000

Nursing⁤ Home CNA

Nursing Homes

$30,000

Home Health Aide

Home Care

$28,000

Pediatric CNA

Pediatric Facilities

$34,000

Clinical Assistant

Outpatient Clinics

$32,000

Benefits of⁢ Being a CNA

Consider these advantages when weighing your career choices:

Job Satisfaction: Helping‌ patients improves ‌their quality of life.

Career Advancement: CNAs can further ​their⁢ education ⁤to become LPNs or RNs.

Flexible Schedules: Many facilities offer shift work that allows ⁣for work-life balance.

Practical Tips for Aspiring CNAs

Here ⁤are some practical tips to ⁣help you successfully navigate your CNA journey:

Research multiple schools and the courses they offer.

Attend open houses or info sessions to gauge the school’s ⁤environment.

Connect with current students and alumni for insights⁣ on their experiences.

Prepare for exams by utilizing ⁤study guides and practice tests.

Conclusion

Becoming a Certified​ Nursing‌ Assistant is an opportunity to unlock a fulfilling career in healthcare. With a range of certification schools to choose from, it’s essential‌ to conduct thorough research⁤ and choose a⁢ program that meets your​ needs. The skills and experience gained​ as a CNA will set ⁣the foundation for a meaningful and prosperous career, whether you’re working directly⁢ with ​patients ‍or pursuing further education in ​nursing. Start your journey ⁢today and seize the myriad of ⁤opportunities waiting for you in the healthcare field!

https://www.cnacertificationschools.net/open-your-future-a-complete-guide-to-cna-certification-schools-and-career-opportunities/

[shriramnursingcollege]

“Shriram Nursing College: India’s Best Choice”

Choosing a nursing college is a crucial step for aspiring nurses. With numerous options available, Shriram Nursing College in Bankner stands out as a premier institution offering a range of nursing programs, including ANM, GNM, BSc Nursing, Post BSc Nursing, and MSc Nursing. This blog post explores the various aspects that make Shriram Nursing College the best choice for nursing education in India.

## High Patient Care Standards

At Shriram Nursing College, the commitment to maintaining high patient care standards is fundamental. The curriculum emphasizes the importance of delivering compassionate and competent care to patients. By integrating theoretical knowledge with practical training, students are prepared to provide quality healthcare in diverse settings, including hospitals, clinics, and community health centers. This focus ensures that graduates are not only skilled practitioners but also empathetic caregivers who prioritize patient well-being.

## Guide and Oversee Staff

Effective nursing leadership is essential in today’s healthcare environment. Shriram Nursing College prepares students to guide and oversee nursing staff efficiently. The programs incorporate leadership training, helping students develop the skills necessary for managing teams and fostering a collaborative work environment. Graduates are equipped to take on supervisory roles, ensuring that their teams provide the best possible care to patients while maintaining a positive workplace culture.

## Manage Nursing Unit Operations

Managing nursing unit operations is a critical responsibility for nurse leaders. Shriram Nursing College provides training in various aspects of nursing management, including resource allocation, scheduling, and patient flow management. By understanding how to streamline operations, graduates can improve efficiency and enhance the quality of care in their units. This skill set is invaluable in preparing future nurse managers and administrators to handle the complexities of healthcare delivery.

## Uphold Workplace Health Protocols

Adhering to workplace health protocols is vital for maintaining safety in healthcare environments. At Shriram Nursing College, students learn the importance of following established health and safety guidelines. The curriculum covers infection control practices, emergency response protocols, and workplace safety standards. By upholding these protocols, graduates contribute to a safe environment for both patients and healthcare workers, reducing the risk of health-related incidents.

## Efficiently Supervise Departmental Tasks

Nurses often juggle multiple responsibilities, and effective supervision of departmental tasks is essential. Shriram Nursing College trains its students in time management and organizational skills, enabling them to oversee various tasks efficiently. This training is crucial for ensuring that all aspects of patient care are addressed promptly, thereby enhancing the overall patient experience. Graduates emerge as skilled multitaskers capable of handling the demands of fast-paced healthcare settings.

## Mentor and Coordinate Nursing Staff

Mentorship plays a vital role in nursing education and practice. Shriram Nursing College emphasizes the importance of mentoring and coordinating nursing staff. Students are trained to provide guidance to their peers and junior nurses, fostering a supportive and collaborative environment. This approach not only enhances the professional development of new nurses but also promotes teamwork, ultimately benefiting patient care outcomes.

## Oversee All Nursing Services

Graduates from Shriram Nursing College are well-prepared to oversee all nursing services within healthcare facilities. The comprehensive curriculum covers administrative tasks, budgeting, and regulatory compliance. By understanding the various facets of nursing service management, graduates can ensure that their departments operate smoothly and effectively, meeting the diverse needs of patients and healthcare providers alike.

## Improve Community Health Programs

Nurses have a significant impact on public health, and Shriram Nursing College prepares its students to contribute to community health programs. The college encourages students to engage in initiatives that promote wellness and address health disparities in the community. By participating in outreach programs, graduates can improve health outcomes and raise awareness about preventive care, ultimately fostering healthier communities.

/media/798ed4ecb5fb5ab6b3f686b02aceb805

### FAQs

**1. What courses are offered at Shriram Nursing College?**

Shriram Nursing College offers a range of nursing courses, including Auxiliary Nurse Midwifery (ANM), General Nursing and Midwifery (GNM), Bachelor of Science in Nursing (BSc Nursing), Post BSc Nursing, and Master of Science in Nursing (MSc Nursing). These programs are designed to equip students with the knowledge and skills required for successful nursing careers, making it a top choice for aspiring nurses.

**2. How does Shriram Nursing College ensure high patient care standards?**

At Shriram Nursing College, high patient care standards are upheld through a rigorous curriculum that emphasizes ethical practice and compassionate care. Students are trained to prioritize patient safety and well-being, preparing them for various healthcare settings where they can deliver high-quality nursing care.

**3. What leadership skills do students develop at Shriram Nursing College?**

Students at Shriram Nursing College develop essential leadership skills, including team management, communication, and conflict resolution. These skills are integral to guiding nursing staff and ensuring effective collaboration within healthcare teams, ultimately leading to improved patient outcomes.

**4. Can graduates work in community health after studying at Shriram Nursing College?**

Yes, graduates from Shriram Nursing College are well-prepared to work in community health settings. The college emphasizes the importance of public health initiatives, equipping students with the knowledge and skills needed to engage in programs that promote health and well-being in the community.

**5. How does Shriram Nursing College contribute to nursing education in India?**

Shriram Nursing College contributes to nursing education in India by providing high-quality training and a comprehensive curriculum. The college focuses on both theoretical knowledge and practical skills, ensuring that graduates are well-equipped to meet the demands of the healthcare sector and deliver exceptional patient care.

### Conclusion

In conclusion, Shriram Nursing College in Bankner stands out as India’s best choice for nursing education. With a focus on high patient care standards, effective leadership training, and community health engagement, the college prepares its graduates to excel in various nursing roles. Choosing Shriram Nursing College means investing in a future of excellence in healthcare, where you can make a real difference in the lives of patients and communities.

## Stay Informed: Like, Share, and Subscribe to Shri Ram Nursing College’s YouTube Channel!

Looking to learn more about nursing education and healthcare? Don’t miss out! Subscribe to the **Shri Ram Nursing College YouTube channel** for the latest insights, tutorials, and expert advice in the field of nursing. Whether you’re a student, a healthcare professional, or simply interested in the healthcare industry, our channel provides valuable information that will keep you updated. Like, share, and subscribe to join our community and stay ahead in your nursing career!

[careforcetraining]

A Comprehensive Guide to CFT (Care Force Training) Care and CFT Courses

When working in the healthcare or social care sectors, proper training is essential not only for safety but for the well-being of both staff and service users. Care Force Training (CFT) plays a significant role in delivering high-quality courses that equip individuals with the knowledge and skills to handle challenging situations, provide compassionate care, and maintain professional standards. In this article, we’ll dive into CFT care and CFT courses, helping you understand what they entail, who can benefit from them, and why they are crucial for your career development or workplace compliance.

Introduction to CFT Care and CFT Courses

The health and social care sectors are environments where compassion, professionalism, and skill come together to ensure the safety and well-being of vulnerable individuals. Care Force Training (CFT) offers specialised courses designed to empower professionals with the tools they need to navigate these challenging environments effectively. CFT care focuses on practical skills that can be applied in everyday care situations, ensuring that professionals provide compassionate and compliant care.

But why is training so crucial? Think of it as building a strong foundation—without it, you can’t hope to support the weight of responsibility that comes with the job. CFT courses provide that strong base of knowledge, equipping you to face the challenges of your role with confidence.

What Is CFT (Care Force Training) Care?

CFT care refers to the approach and training provided by Care Force Training, a specialised provider of courses designed for health and social care professionals. The focus is on building the right competencies to handle sensitive situations, such as caring for individuals with complex needs or managing workplace risks like violence and aggression. CFT training ensures that workers not only understand how to carry out their duties but can also do so in a way that promotes the safety and dignity of those in their care.

Why CFT Care Matters in the Health and Social Care Industry

In sectors where you are working closely with vulnerable individuals, the stakes are high. Mistakes or untrained responses can lead to serious consequences, both for the service users and the staff involved. CFT care emphasises compassionate, safe, and legally compliant practices. Training through CFT helps professionals mitigate risks, improve the quality of care, and meet the strict requirements set by health and social care regulators.

Who Should Take CFT Courses?

Anyone working in health or social care can benefit from CFT courses. Whether you’re a frontline worker providing direct care or in a managerial position, there are CFT courses tailored to meet your needs. Specifically, CFT training is ideal for:

Care workers: Ensuring they understand how to handle challenging situations.

Managers: Learning how to implement best practices and training in their teams.

Nurses: Acquiring specific skills for dealing with vulnerable patients.

Support workers: Gaining the confidence to provide compassionate care.

If you’re part of a team that works in mental health, residential care, or community support, CFT courses could help elevate your practice.

Key Components of CFT Training

CFT courses focus on several core components that make the training both practical and insightful:

Compassionate care: Learning how to offer care that preserves the dignity and respect of individuals.

Risk management: Understanding how to manage risks, including physical and emotional challenges.

Communication skills: Improving how you communicate with service users and colleagues.

Legal compliance: Ensuring you meet all regulatory requirements and workplace policies.

These core areas of focus help professionals perform their roles effectively while maintaining high ethical standards.

Types of CFT Courses Available

There are various types of CFT courses available, each tailored to specific roles and responsibilities within the health and social care industry. Some of the most common courses include:

CFT Care Awareness: A general course designed to introduce key concepts of compassionate care.

CFT Conflict Resolution: Designed to help staff manage conflicts in the workplace, especially in high-stress environments.

CFT Moving and Handling: Practical training for safely moving individuals with mobility issues.

CFT Restraint Training: Focuses on safely managing aggressive behaviours, while ensuring the safety of both staff and service users.

Each course provides hands-on training to ensure that individuals can apply their skills in real-life scenarios.

The Importance of CFT Courses in Meeting Industry Standards

Health and social care are highly regulated industries. Organisations must meet stringent regulations set by bodies like the Care Quality Commission (CQC) and Health and Safety Executive (HSE). By undertaking CFT courses, individuals and organisations can ensure compliance with these regulations, helping to avoid penalties and improving overall care quality.

This also leads to better inspections and reviews, which can boost the reputation of the care provider.

How CFT Care Promotes Better Workplace Safety

One of the primary goals of CFT care is to promote workplace safety. Health and social care workers often find themselves in potentially hazardous situations. For example, care workers might face aggression from distressed individuals, or nurses might have to lift patients who need mobility support. CFT care teaches safe methods for handling these situations, reducing the likelihood of injury to both staff and service users.

Training also helps staff feel more confident and capable in their roles, which contributes to a safer and more supportive working environment.

Practical Skills Gained Through CFT Courses

CFT courses equip you with practical skills that can be applied immediately in your role. Some of the key skills you can expect to gain include:

Conflict resolution: Knowing how to defuse situations before they escalate.

Compassionate communication: Ensuring that your interactions are respectful and caring.

Safe handling of individuals: Techniques for moving patients without causing injury.

Risk assessment: Understanding how to assess and mitigate risks in the workplace.

These skills not only improve your own practice but also contribute to the overall safety and effectiveness of your workplace.

Benefits of CFT Courses for Career Development

Investing in CFT courses can significantly boost your career prospects. In the competitive world of health and social care, having up-to-date training shows employers that you are committed to maintaining high standards of care. It also makes you a more valuable member of your team, potentially opening doors to promotions or specialised roles.

Whether you're just starting out in your career or looking to advance, CFT courses provide the knowledge and skills needed to take the next step.

How to Choose the Right CFT Course for You

With various CFT courses available, how do you know which one is right for you? Consider the following factors:

Your role: Are you a manager or a frontline worker? Choose a course tailored to your specific responsibilities.

Your experience: Are you new to the industry, or do you already have some training?

Your goals: What do you hope to achieve by taking a CFT course? Whether it's career progression or improving your current practice, choose a course that aligns with your goals.

By taking these factors into account, you can find a CFT course that meets your needs.

What to Expect During CFT Training

CFT training is hands-on and practical. You can expect a mixture of classroom-based learning and real-world scenarios. Trainers often use role-play exercises to simulate situations you might encounter in your workplace. This ensures that you not only understand the theory but also have the practical skills to apply what you’ve learned.

Courses typically last a few days, depending on the subject matter, and most providers offer both in-person and online training options.

How to Apply CFT Care in Real-Life Scenarios

Applying what you've learned during CFT care training is crucial. Whether it's handling a difficult conversation with a service user or managing a potentially violent situation, the skills you gain from CFT courses are designed to be applied in real life.

For example, conflict resolution techniques can help calm an upset individual, while risk assessment training ensures you can spot and address potential hazards before they lead to accidents.

How CFT Courses Ensure Compliance with Government Policies

Government regulations around health and social care are constantly evolving. CFT courses ensure that you stay up to date with the latest policies and best practices, helping you maintain compliance. This is crucial not only for avoiding legal penalties but also for ensuring the safety and well-being of the individuals in your care.

CFT courses cover topics such as safeguarding, mental capacity, and infection control, all of which are essential for meeting government standards.

Conclusion: Investing in CFT Care for Professional Growth

In the ever-demanding world of health and social care, proper training is not just an option—it's a necessity. CFT care and CFT courses provide the knowledge, skills, and confidence you need to excel in your role. Whether you’re looking to improve your practice, ensure workplace safety, or comply with industry regulations, CFT training is an investment in both your career and the people you care for.

FAQs

1. What is CFT care?

CFT care refers to the training and practices provided by Care Force Training to ensure compassionate, safe, and compliant care in the health and social care industry.

2. Who can benefit from CFT courses?

CFT courses are ideal for anyone working in health and social care, from frontline workers to managers and support staff.

3. How long do CFT courses take?

CFT courses typically last between one and three days, depending on the subject matter.

4. Are CFT courses mandatory for health and social care workers?

While not always mandatory, many organisations require CFT training to ensure staff meet industry standards and regulations.

5. How can I apply for CFT courses?

You can apply for CFT courses through the official Care Force Training website or by contacting accredited training providers.

[westcoastfirstaidtraining]

Improve Your Abilities with the Perth Advanced First Aid Course

For those looking to expand their emergency response capabilities, the Advanced First Aid Course in Perth offered by West Coast First Aid is an excellent choice. This course provides in-depth training on handling a wide range of medical emergencies, ensuring that participants are prepared to respond effectively in critical situations. Whether for workplace compliance, personal development, or community safety, this advanced course equips you with the skills needed to provide comprehensive care until professional help arrives.

Why Take an Advanced First Aid Course?

First aid training is crucial for anyone who may encounter medical emergencies, whether at work, home, or in the community. Here are some compelling reasons to consider taking an advanced course:

Comprehensive Training: The course covers advanced resuscitation techniques, managing severe injuries, and handling complex medical emergencies, making it ideal for those who want to go beyond basic first aid skills.

Professional Requirements: Many workplaces and industries require advanced first aid certification to meet safety standards. Completing this course ensures that you are compliant and ready to act in emergencies.

Confidence in High-Stress Situations: The more training you receive, the better equipped you are to remain calm and effective when faced with a crisis. This course helps build the confidence needed to manage serious situations with precision.

What You’ll Learn in the Advanced First Aid Course

The Advanced First Aid Course in Perth is structured to provide a thorough understanding of emergency response. Here’s an overview of what the course includes:

Advanced Resuscitation Techniques: Build on basic CPR skills with advanced methods, including the use of oxygen therapy and Automated External Defibrillators (AEDs) to support patients in cardiac arrest.

Trauma Management: Learn how to handle severe injuries such as fractures, head and spinal injuries, and major wounds. The course includes techniques for immobilization and managing shock.

Medical Emergency Response: Understand how to treat common medical emergencies like heart attacks, strokes, asthma attacks, and allergic reactions. You'll learn how to stabilize patients until paramedics arrive.

Infection Control and Safety: Master the principles of infection control to ensure safe and effective care, including managing bloodborne pathogens and maintaining a safe environment during first aid delivery.

Practical Scenario Training: Gain hands-on experience through realistic emergency scenarios that simulate real-life situations. This allows you to practice your skills and build the confidence to act decisively.

Who Should Enroll in the Advanced First Aid Course?

This course is suited for individuals in a variety of roles, such as:

Healthcare Professionals: Nurses, paramedics, and allied health professionals seeking advanced first aid skills as part of their continuing education.

Workplace Safety Officers: Those responsible for workplace health and safety, especially in industries like construction, manufacturing, and mining.

Outdoor Guides and Adventure Leaders: People leading activities in remote areas where access to immediate medical care may be limited.

Sports Coaches and Fitness Trainers: Coaches and trainers who need to ensure the safety of their teams and clients during physical activities.

Why Choose West Coast First Aid for Your Training?

Selecting the right training provider is key to gaining valuable skills and knowledge. Here’s why West Coast First Aid stands out as a top choice in Perth:

Experienced Instructors: West Coast First Aid’s instructors are experts with a wealth of experience in emergency response, offering practical insights and hands-on guidance throughout the course.

Nationally Recognized Certification: After completing the course, participants receive a nationally accredited certification in HLTAID014 – Provide Advanced First Aid, which is widely recognized across Australia.

Convenient Course Options: With flexible class schedules, including weekday and weekend options, West Coast First Aid makes it easy to find a course that fits into your busy schedule.

Interactive Learning Environment: The training emphasizes a practical approach, ensuring that participants have plenty of opportunities to practice their skills in a supportive, engaging environment.

Sign Up for Advanced First Aid Training in Perth

Investing in advanced first aid training means you’ll be ready to handle any emergency that comes your way. Whether you’re looking to meet workplace requirements or simply want to be better prepared for unexpected situations, this course is a valuable step toward being a skilled first responder.

[allcnaprograms]

Charge Your Skills: The Ultimate Refresher Course for CNAs

**Title: Recharge Your Skills: The Ultimate Refresher Course for CNAs**

**Introduction:** As a Certified Nursing Assistant (CNA), your job is demanding and requires a high level ‌of skills and expertise. However, just like ⁢any other⁢ profession, it’s essential to continuously update and refresh your skills to provide the best care for your patients. ⁢In this article, we will explore the ultimate refresher course for CNAs that will help you recharge your skills ‌and ⁤stay⁤ at the top of ⁤your game.

**The Importance of Refreshing Your CNA Skills:** As a ⁣CNA, your​ role is crucial in providing direct care to patients in various healthcare settings. By updating and refining your skills, you can​ improve patient outcomes, enhance ⁣your career prospects, and increase ​your job satisfaction. Here are some reasons​ why refreshing ​your CNA skills is essential:

– Stay updated with the ​latest techniques and best practices in⁢ patient care. – Enhance your communication and teamwork skills. – ‍Improve ‌your ability to handle complex medical situations. – Boost your confidence and professionalism in the workplace.

**The Ultimate Refresher⁢ Course for CNAs:** Now⁣ that you understand the importance of refreshing your skills as a‍ CNA, let’s explore the ultimate refresher course that can help you stay ahead⁤ in your career:

**1. Online Continuing Education Courses:** Online courses are a convenient⁤ way to refresh ⁢your CNA skills without disrupting your⁣ work schedule. Look for accredited programs that offer courses on topics such as infection control, patient safety, and medication administration.

**2. Hands-On Workshops and Seminars:** Attending hands-on workshops and seminars can provide ​you with practical experience and allow you to interact with other healthcare professionals. Look for workshops that focus on ‌skills such as wound care, CPR, and vital sign monitoring.

**3. Simulation Training:** Simulation training allows you to practice your skills in a realistic healthcare setting⁣ without the pressure of dealing with real patients. This type of training can be invaluable in helping you retain and improve your abilities as a CNA.

**4. Mentorship Programs:** Joining a mentorship program ‍where you can shadow experienced CNAs ⁢can provide you with valuable insights and guidance. Learning from seasoned professionals can help you refine your skills and gain confidence in your⁢ abilities.

**Benefits of ‍Refreshing Your CNA Skills:** Refreshing your CNA skills can have numerous benefits, both for your professional development ‍and for⁤ the quality of care you provide to your patients. Some benefits include:

– Increased job satisfaction and confidence. – Enhanced‍ career advancement opportunities. – Improved ‍patient outcomes and satisfaction. – Strengthened communication and⁤ teamwork skills.

**Practical Tips for Refreshing Your CNA ⁣Skills:** Here are some practical ⁢tips to help you make the most of your refresher course:

– Set specific​ goals for what you want to achieve. – Take advantage‌ of ‍online resources and training modules. – Practice your skills regularly​ to⁣ maintain​ proficiency. – Seek feedback from colleagues and supervisors to improve your performance.

**Conclusion:** refreshing your CNA skills is vital for maintaining high standards of care and professional‌ growth. By enrolling in a refresher course and actively⁢ seeking opportunities to update your skills, you can enhance your career prospects and ‍provide better⁣ care for your patients. Remember, learning is a continuous process, ​and investing in your skills as a CNA will benefit both you and ‌those you care for.

By following‌ the tips and suggestions outlined in this ​article, you can⁢ recharge your skills as a CNA‌ and become⁢ a more effective and competent⁣ healthcare professional. Good luck ⁤on your ⁣journey to self-improvement and excellence in patient​ care!

https://allcnaprograms.com/charge-your-skills-the-ultimate-refresher-course-for-cnas/

[relayrobotics]

The Future of Service Robots in Society - Relay Robotics

Robots are becoming a more essential part of our daily lives as technology develops. Our lives, workplaces, and social interactions are being revolutionized by service robots, which are made to carry out human-beneficial jobs. With advancements driven by leading Service Robot Companies, these robots have the potential to completely transform industries such as healthcare, education, hospitality, and household tasks.

Current Applications of Service Robots

Service robots are already making a significant impact in various sectors. In healthcare, robots like Robear and RIBA assist nurses in lifting and moving patients, reducing the risk of injuries. Educational robots, such as Dash and Dot, engage children in interactive learning experiences, enhancing their cognitive skills. In the hospitality industry, robots like Relay and Pepper provide customer service, streamlining check-in processes and improving guest experiences. Domestic robots, like Roomba and Neato, simplify household chores, freeing up time for more leisure activities.

Emerging Trends in Service Robotics, Glimpse into the Future

Several emerging trends will shape the future of service robots:

Artificial Intelligence (AI): Advancements in AI will enable robots to learn from experience, adapt to new situations, and interact more naturally with humans.

Internet of Things (IoT): Integration with IoT devices will allow robots to seamlessly interact with smart home systems, enhancing their functionality.

Human-Robot Interaction (HRI): Improved HRI will facilitate more intuitive communication between humans and robots.

Autonomous Navigation: Robots will become increasingly adept at navigating complex environments, reducing the need for human intervention.

Future Possibilities for Exploring the Role of Service Robots 

As service robots continue to evolve, we can expect:

Personal Assistant Robots: Robots will become personalized companions, assisting individuals with daily tasks, scheduling, and health monitoring.

Elderly Care: Robots will provide critical support for aging populations, offering mobility assistance, medication reminders, and social interaction.

Disaster Response: Robots will play a vital role in search and rescue operations, navigating hazardous environments and providing critical aid.

Environmental Sustainability: Robots will help monitor and mitigate environmental issues, such as pollution and climate change.

Challenges and Concerns in The Integrations

While service robots hold tremendous potential, there are challenges to address:

Job Displacement: The automation of tasks may lead to job losses in certain sectors.

Safety and Security: Ensuring robot safety and preventing potential hacking or data breaches is crucial.

Ethics and Responsibility: Establishing guidelines for robot decision-making and accountability is essential.

Social Acceptance: Overcoming social and cultural barriers to robot adoption will require education and awareness.

Closing Remarks

The future of service robots in society is promising, with potential applications across various industries. As technology advances, we must address the challenges and concerns associated with robot integration. By embracing the benefits of service robots, we can create a more efficient, productive, and compassionate society. Relay Robotics is leading the way in transforming industries with cutting-edge robotic solutions. Discover how our innovative service robots can enhance your business operations — visit us today and explore the future of automation.

[arya152]

Smart Safety Solutions: LoRa Panic Button with Confirmation

If you’ve ever used the metro system, you’re likely familiar with the RFID-enabled metro card for station entry. This NFC RFID technology has revolutionized metro transportation and significantly impacted various industries, including workplaces, where RFID-enabled cards are prevalent. This technology continues to transform our daily lives.

In the realm of automated buildings, NFC RFID technology is crucial for streamlining task management and improving service quality. The Mutelcor NFC RFID – LoRa Button exemplifies this advancement with its combination of NFC / RFID Technology for gathering information about an individual using the device, together with LoRa Technology to send this information to a centralized data collection point using low power allowing a long battery life. This results in capabilities in task tracking, attendance management and people-calling. Let’s explore how this technology and the Mutelcor NFC RFID – LoRa Button function.

LoRa Technology

LoRa (Long-Range) is a wireless communication technology operating on unlicensed sub-gigahertz radio frequencies. It is designed for long-range transmissions with minimal power consumption, making it ideal for Internet of Things (IoT) applications. This technology facilitates extended coverage and efficient data transmission in various environments.

Mutelcor NFC RFID – LoRa Button

The Mutelcor NFC RFID – LoRaButton utilizes NFC and RFID technology to enhance operational efficiency. It combines the possibility of sending a LoRa message on button press with an optional activation of the built-in NFC RFID reader which can provide additional information about who pressed the button. The device can be configured in a flexible way allowing many different use cases by switching on or off the NFC RFID reader on a per button basis.

For instance, in a hospital, the device has 2 buttons, one of which can be defined as a “patient button”. This can be pressed by anyone, for example to call a nurse. The second button can only be pressed by a nurse, who must authenticate herself with her NFC RFID tag, which could be his already existing badge.

Key Features of the Mutelcor NFC RFID – LoRa Button

NFC RFID Tag Reading on Button Press: It reads and processes NFC RFID tags, sending the Tag’s ID along in the LoRa message.

Extended Battery Life: Equipped with two AA Lithium batteries, the device offers 5 years of battery life, reducing maintenance frequency.

Dust- and Waterproof (IP67) Option: Available in an IP67-rated version, providing durability against dust and water ingress.

Regular Heartbeat and Battery Status Updates: Provides periodic updates on battery status through heartbeat signals, enabling timely maintenance.

Secure Data Transmission: Utilizes advanced encryption protocols to ensure data integrity and secure communication.

Local Feedback with Buzzer: Includes an integrated buzzer that delivers immediate auditory feedback upon button activation.

Plug & Play Integration: Facilitates easy installation with a JavaScript decoder and full payload documentation, ensuring straightforward integration and setup.

 Use Case Applications of Mutelcor NFC RFID – LoRa Button

Museums

In museums, the button enhances security and facility management. It allows visitors or staff to call security, maintenance, or facility management with a single press. Security guards can check in, and the button can also be used to call for fire and ambulance services. Additionally, it ensures the cleanliness of public restrooms by allowing users to request and confirm cleaning tasks.

Smart Cities

In smart cities, the button plays a crucial role in maintaining public facilities. It can be installed in public restrooms and offices, where users can request and confirm cleaning services, ensuring hygiene standards are met. The button is also vital in emergency situations, enabling quick calls for fire and ambulance services, thus contributing to efficient city management.

Smart Industries

Within smart industries, the button is essential for operational efficiency. It allows workers to request and confirm the supply of materials and the cleaning of restrooms, ensuring that tasks are completed promptly. Security guards can use the button to check in, adding an extra layer of safety and accountability in industrial settings.

Smart Retail

In smart retail environments, the button facilitates better customer service and inventory management. Staff can use the button to call for assistance or request and confirm the restocking of products, ensuring shelves are always full and customers receive timely help.

Universities

In educational institutions, the button serves multiple purposes. It can be used to call for fire and ambulance services in emergencies, log attendance, and request and confirm the cleaning of restrooms. This ensures a safe, clean, and well-organized learning environment.

Smart Homes

In smart homes, the button integrates seamlessly with automation systems. It can control smart lights, manage other home automation tasks, and even request janitor services, making everyday living more convenient and efficient.

Hospitals

In hospitals, the button is invaluable for streamlining clinical processes. It can automate tasks such as material procurement, the hygienic processing of hospital beds, and the cleaning and transportation of lab samples. The button also supports a wireless nurse call system, enables the confirmation of alerts, and allows for the request and confirmation of restroom cleaning.

Spa and Fitness Areas

In spa and fitness areas, the button enhances the customer experience by allowing clients to call for personnel or coaches and make customized requests for restroom cleaning. This ensures a clean and well-managed environment for relaxation and fitness.

Smart Logistics

In smart logistics, the button aids in the efficient management of operations. It can be used to request and confirm the loading or unloading of vehicles, ensuring that logistical tasks are carried out smoothly and on time.

Retirement & Old Homes

In retirement and old homes, the button is a vital tool for resident care. It allows for time tracking, the confirmation of medication intake (with alerts for missed doses), and the request for new drugs. The button also supports a wireless nurse call system, ensuring that residents receive the care they need promptly.

Housekeeping

For housekeeping, the button simplifies task management. It allows staff to confirm the cleaning of specific locations, make customized cleaning requests, and call for maintenance support when needed, ensuring that all areas are kept in top condition.

Security

In security applications, the button is crucial for maintaining safety and order. It allows for time tracking, check-ins for security guards, and the activation or deactivation of alarm systems. The button also enables the confirmation or disarming of alarms and can be used to call for additional support when necessary.

Facility Management (Cinemas, Theaters, Operas, etc.)

In facilities like cinemas, theaters and operas, the button is essential for safety and maintenance. It can be used to call for fire and ambulance services, ensuring quick responses to emergencies and maintaining a safe environment for all.

Airports

In airports, the button supports various facility management tasks. It allows for the confirmation of gate cleaning, calls for public toilet cleaners, and the provision of transport aid for disabled persons. The button also enables the reporting of unattended luggage, contributing to the safety and cleanliness of the airport.

Ports & Shipyards

In ports and shipyards, the button ensures cleanliness and safety. It allows for the confirmation of ship area cleaning, calls for public toilet cleaners, and provides transport aid for disabled persons. The button is also used to call for fire and ambulance services, ensuring quick responses to emergencies.

Railway & Metro Stations

At railway and metro stations, the button plays a key role in maintaining cleanliness and safety. It allows for the confirmation of platform cleaning, calls for public toilet cleaners and provides transport aid for disabled persons. The button also enables the reporting of unattended luggage, enhancing overall security.

Office Buildings

In office buildings, the button facilitates smooth operations by allowing employees to call for janitors or IT helpdesk support. It can also be used to call for fire and ambulance services and confirm the handling of support requests, ensuring a well-maintained and safe workplace.

Public Restrooms

In public restrooms, the button ensures that hygiene standards are maintained by allowing users to request and confirm the refill of sanitary products and call for toilet cleaners. This helps in maintaining a clean and user-friendly environment.

Hotels & Restaurants

In hotels and restaurants, the button improves service quality by allowing guests to call for waiters, request to place an order or get the bill, and confirm that service requests have been handled. This enhances the overall guest and dining experience.

Banks

At bank service counters, the button enhances customer service and security. It allows staff to call security guards and request fire and ambulance services, ensuring that customers are assisted quickly and safely.

Educational Institutions

In educational institutions, the button enhances safety and service management. It allows for calls to security guards, confirms that requests have been handled, and enables quick calls for fire and ambulance services. The button also supports attendance logs, contributing to a well-organized and secure learning environment.

Conclusion

The Mutelcor NFC RFID – LoRa Button represents a first-of-its-kind wireless device that combines the ability to send a LoRa message with authentication using an NFC RFID tag at the touch of a button for improved operational efficiency across various sectors. Its versatile applications, key features, and robust specifications make it an invaluable tool for enhancing service deliveries and managing emergencies in Museums, Cinemas, Theatres, Operas, Airports, Railways, Hospitals, Retirement homes and Smart cities environments.

Contact Us

Phone: +49 203 7299 60 70

Fax: +49 203 7299 60 71

E-Mail: business@mutelcor.com

Web: www.mutelcor.com

[preparefirstaidtraining]

Learning CPR Courses Winnipeg - Lifesaving Training Winnipeg

  Cardiopulmonary resuscitation (CPR) is an essential life-saving technique that everyone should know. Being trained in CPR allows you to act quickly and decisively if someone goes into cardiac arrest, helping to save their life before emergency responders arrive. Luckily, there are many options for CPR courses and training available right here in Winnipeg. Whether you need CPR Courses Winnipeg for work or just want to be prepared to help in an emergency, signing up for a class can give you the skills and confidence to make a difference.

Why CPR Training Matters

Knowing CPR can mean the difference between life and death for someone experiencing sudden cardiac arrest. Their heart stops beating properly, and they are unable to breathe - every minute that CPR and defibrillation are delayed decreases their chance of survival by 7-10%. Most people who experience out-of-hospital cardiac arrest do not receive any bystander CPR, drastically reducing their odds.

When you get trained in CPR, you have the power to change that statistic and be the one to act in those critical first moments until help can arrive. Practicing on mannequins allows you to build muscle memory so you can step in instinctively if needed. Plus, being CPR Courses Winnipeg meets job requirements for many healthcare professionals, lifeguards, teachers, childcare workers, and more.

Choose From a Variety of Course Options

Luckily Winnipeg offers many options when it comes to CPR Training Winnipeg, from basic courses for the general public to healthcare provider certification. Here is an overview of some top providers offering classes in Winnipeg and surrounding areas:

Winnipeg Fire Paramedic Service

Offers CPR/AED certification courses for adult, child and infant CPR

Weeknight or Saturday sessions available at convenience fire halls

Red Cross Training Partners

Comprehensive training in different levels of CPR/AED, first aid kit Winnipeg, swimming safety

Official Red Cross certification upon completion

Custom classes available for workplace groups

CPR Winnipeg

Specializes solely in CPR Training Winnipeg for all ages and skill levels

Flexible class options include weeknight, Saturday and private sessions

Access Support Services

CPR courses offered monthly along with first aid and other programs

Taught by experienced paramedics and nurses

Healthcare provider level certifications

What Will You Learn?

While specific class components vary slightly between providers, in general you can expect CPR Courses Winnipeg to include instruction in:

Understanding the chain of survival and actions to take in an emergency

Checking for consciousness/normal breathing

Calling for emergency help

Proper hand placement and compression technique

Using pocket masks or bags for rescue breaths

Operating an automated external defibrillator (AED)

Safely moving a person into recovery position

Special considerations for infants, children and pregnant women

Debriefing emergency response steps

Staying up to date with the latest research and guidelines, most courses now teach compression-only CPR for adult cardiac arrest. Practice time will let you work on providing high-quality chest compressions to circulate oxygenated blood until advanced help can take over or the person begins breathing again. For infants and children, a combination of compressions and breaths is still recommended. Expect hands-on training with mannequins during in-person classes.

Why Choose In-Person vs Online Training?

While online CPR Courses Winnipeg is convenient, in-person training offers significant benefits for building practical skills. The ability to ask questions and get coaching from an instructor in real-time can improve technique. You also gain confidence responding to realistic emergency scenarios using training mannequins.

However, reputable online courses do allow you to work through the cognitive learning at your own pace and provide videos modelling proper CPR form. Hybrid courses with online theory and in-person skills sessions are another option to look for.

Tips for Making the Most of Your Course

To get the most value out of your CPR class, keep these tips in mind:

Show up well-rested and ready to fully participate

Ask lots of questions and clarify anything you do not understand

Repeat key skills like chest compressions out loud or in your head to help memorize

Visualize yourself responding confidently in hypothetical emergencies

Schedule a refresher class every 1-2 years to stay sharp on your technique

Further build experience volunteering with emergency response groups whenever possible

Trust the CPR Training Experts in Winnipeg

When every second counts for someone in distress, having the right training gives you the power to take lifesaving action. With many convenient options for CPR Courses Winnipeg and training facilities right in Winnipeg, there is no reason to delay developing this essential skill. Investing a few hours of your time now in a certification class can mean you are prepared when faced with any cardiac emergency needing a competent first responder. Sign up for CPR training today - you could help save your loved one, neighbor, coworker or complete stranger.

[awsomebloggersblog]

Job Opening For RN - Nursing Resource Pool- FT nights Intuitive Health Services Job title: RN - Nursing Resource Pool- FT nights Job description: Sentara Martha Jefferson Hospital is hiring an RN for our Central Float Pool! This is a Full Time, night shift position (12 hours)Sign on Bonus and Premium Differentials available!The Central Float Pool at Sentara Martha Jefferson is hospital specific and includes floating to units with additional need due to either acuity or staffing. Primarily assigned to IMCU or Medical/Surgical units, this unit offers training and precepting on the ICU and ED for Registered Nurses (RN) who wish to move into these more critical care areas. This Central Float Pool is ideal for those who enjoy variety or are interested in learning new skills. Due to the advanced level of practice, 2 years of acute care nursing experience is preferred. New Grad RN Candidates with a background in hospital based acute care may also be considered.Requirements: RN License- Required BSN or MSN preferred. Degree or Diploma from an accredited registered nursing program- required. Students in the process of completing a registered nursing program with previous experience in acute care clinical roles may be considered. 2 years of experience- Preferred Critical Care experience- Preferred BLS within 90 days of hire. ACLS within 1 year of hire. As a Registered Nurse with Sentara, you can excel in your career. There are many different specialties where you can perform and grow your nursing skills in areas of interest to you. If you desire, there are promotional opportunities into leadership or to advance your level of care in a variety of settings. This position's primary duties include assessing/admitting patients, rounding checks, giving medications, talking with family members, and being responsible for the overall care of your patients. You will find that teamwork is exceptional, with everyone working together to ensure the best care for our patients. Sentara employees strive to make our communities healthier places to live.Benefits: We’re setting the standard for medical excellence within a vibrant, creative, and highly productive workplace. For more information about our employee benefits,Benefits: Sentara offers an attractive array of full-time benefits to include Medical, Dental, Vision, Paid Time Off, Sick, Tuition Reimbursement, a 401k/403B, Performance Plus Bonus, Career Advancement Opportunities, Work Perks Free Parking and so much more!Enhanced Benefits to support you and your family include: Paid Parental Leave, Adoption/Infertility/Surrogacy Reimbursement, Family Caregiver Leave, and Emergency Back-up Care. Enhanced benefits to promote your well-being and secure your financial future include; The Sentara Student Debt Program, Emergency Savings Account and a Floating holiday.Registered Nurses to chat with a RecruiterMonday-Thursday2PM-3PM ESTBe a part of an excellent healthcare organization that cares about our People, Quality, Patient Safety, Service, and Integrity. Join a team that has a mission to improve health every day and a vision to be the healthcare choice of the communities that we serve!Who We Are:Sentara Martha Jefferson Hospital is a 176-bed facility that focuses on consistently setting the standard for clinical quality and personalized healthcare services. Our hospital offers specialized care in Cancer Care, Heart and Vascular, Neurology, Orthopedics, and Maternity.Where We Are:Our beautiful campus is located in the rolling foothills in the Pantops area of Charlottesville Virginia. Conveniently located, only a short drive from the hustle and bustle of Charlottesville’s vibrant downtown, our location provides ample free parking, lovely walking trails and stunning views of the surrounding mountains, lakes, rivers, woodlands, and vineyards.

Main Campus Hospital Main Campus Outpatient Surgery Center Free Standing ED (North of the city) Outpatient Care Center (Downtown location) Charlottesville is renowned for its historic sites, beautiful parks and waterways, family-friendly activities, vibrant arts and culture, excellent shopping opportunities, guided tours, and accessible experiences for all visitors.What Makes this Team Special:Since our founding more than 100 years ago, Martha Jefferson has constantly evolved to meet the diverse healthcare needs of patients, and we are committed to delivering a distinctive combination of cutting-edge technology along with our Caring Tradition, the promise of personalized care tailored to the needs of each individual patient.Our Recognitions Magnet designation for Nursing Excellence (4x)​ American College of Cardiology – Excellence in heart attack care (10x)​ US News Award – Top Maternity Care Hospitals​ CMS 5 Star Hospital​ Practice Green Health - Partner for Change Award Talroo-NursingKeywords: Critical Care, ICU, ED, Float Pool, RN, MedSurg,IMCU #Magnetblueridge, #SMJH Apply for the job RN - Nursing Resource Pool- FT nights https://intuitivehealthservices.com/register

[oliviaphleb]

Checking out the World of Phlebotomists: Where Do These Medical Professionals Work?

# Exploring ​the World of Phlebotomists: Where⁢ Do These Medical Professionals Work?

Phlebotomists play a crucial role in the healthcare industry by‌ performing the essential task of drawing blood from patients for various medical purposes. If you’re considering a career in phlebotomy​ or are simply curious about where⁣ these medical ⁣professionals work,‌ you’ve come to the right place. In this article, we’ll delve into the diverse settings⁤ where phlebotomists can be⁤ found, from​ hospitals to research facilities and beyond.

## Understanding the Role of a Phlebotomist

Before we explore where phlebotomists work, let’s first understand their role in the healthcare system. A ‌phlebotomist‌ is a trained healthcare professional responsible for drawing blood from patients for medical testing, transfusions, research, or donations. They must have a keen eye⁢ for detail, excellent bedside manner, and the ability to‍ work efficiently and accurately to ensure patient safety and comfort.

## Where Do Phlebotomists Work?

Phlebotomists can ​be found working in various settings, including:

### 1. Hospitals ⁣and Clinics Hospitals and ‍clinics are among the most common workplaces ‍for phlebotomists. In these settings, phlebotomists may draw blood from a diverse range of patients, including those undergoing⁤ routine tests, surgeries, or treatments.

### 2. Blood Donation Centers Blood donation centers ⁢rely on phlebotomists to collect blood from voluntary donors. Phlebotomists at these centers ensure ​that the donation process​ is safe and comfortable for donors while following strict⁣ protocols for blood collection and handling.

### 3. Laboratories Phlebotomists ‍in laboratories play a crucial role⁤ in processing blood samples for testing. They must label, store, and transport specimens ⁣accurately to ensure the reliability of ⁢test results and maintain patient ⁤confidentiality.

### 4. Research Facilities Phlebotomists working ⁢in research facilities may collect blood samples for clinical‌ trials,​ epidemiological studies, or other research purposes. Their expertise in blood collection and handling is essential to the ​success of these research projects.

### 5. Nursing Homes and Assisted Living Facilities Phlebotomists may also work in nursing homes and assisted living facilities to provide on-site blood testing for elderly or homebound patients. This helps healthcare providers⁢ monitor the health⁢ status of⁣ residents without⁣ the need for frequent hospital visits.

### 6. Home Healthcare Services Some phlebotomists offer mobile phlebotomy services, where they travel to patients’ homes to ⁣collect blood samples for testing. This option is convenient for patients who have‌ mobility ​issues or difficulty accessing healthcare facilities.

## Benefits and Practical ‍Tips for Phlebotomists

### Benefits: – Rewarding career helping patients and healthcare providers – Job stability and growth opportunities in the healthcare industry – Flexibility in choosing work ⁣settings and schedules

### Practical Tips: – Stay updated on the latest phlebotomy‌ techniques ‍and best practices – ⁢Develop strong communication and ‍interpersonal skills to connect with patients – Prioritize patient safety and confidentiality in every blood draw

## Case Study: Emily’s Journey as a ⁤Phlebotomist

Emily always had a passion ⁤for helping others and decided to pursue a career ⁢in phlebotomy. After completing her training and earning certification, she landed a job‌ at a local hospital. Emily found fulfillment ‍in her work, knowing that her skillful blood draws ⁤contributed to accurate diagnoses and improved patient outcomes.

## Firsthand Experience: A Day in‍ the Life of a Phlebotomist

As a phlebotomist, you start your day by reviewing the blood draw orders and preparing your equipment. You greet each​ patient with a warm smile, explaining the procedure and ensuring their comfort. With precision and care, you draw blood samples, label ⁣them correctly, and send them off for testing. Your attention ​to detail and compassionate approach make a difference in⁣ every‍ patient encounter.

## Conclusion

Phlebotomists play an essential role in the healthcare system, working⁤ in diverse settings to collect blood samples for medical purposes. ⁤Whether in hospitals, clinics, research facilities, or home healthcare services, phlebotomists⁤ carry out their duties with professionalism and compassion. If you’re considering a career in phlebotomy, explore the various work options available and embark on a rewarding journey in the world of healthcare.

Remember, phlebotomy is not just about drawing blood; it’s about making a positive impact on patients’ lives every day. So, if you have a passion for helping ​others⁣ and a knack for precision, consider becoming a phlebotomist and exploring the vast opportunities in this ‌rewarding field.

https://phlebotomytechnicianschools.org/checking-out-the-world-of-phlebotomists-where-do-these-medical-professionals-work/