Discussion for LPN/LVNs

Quiz – LPN/LVN – Mod 5

Quiz Scores of 80% or higher are needed in order to complete the lesson.

Quiz – LPN/LVN – Mod 4

Quiz Scores of 80% or higher are needed in order to complete the lesson.

Quiz – LPN/LVM – Mod 3

Quiz Scores of 80% or higher are needed in order to complete the lesson.

Quiz – LPN/LVN – Mod 2

Quiz Scores of 80% or higher are needed in order to complete the lesson.

Quiz – LPN/LVN – Mod 1

Quiz Scores of 80% or higher are needed in order to complete the lesson.


Exciting New Course: Strategies for Entrepreneurial Nurses

SEN-2017-entrepreneurial-nurses-prof-edProf-Ed is excited to launch a new training program chock-full of strategies, processes and techniques for establishing yourself in a boutique nursing practice.

Are you tired of “clocking in” for an institution? Hate begging for time off and getting cheated out of holidays you were supposed to spend with your family? Ever dream of “being your own boss?” What if you could set your own schedule and block out time off when you needed it? What if your work could be targeted for the specific types of patients you want to work with? Can you imagine work that isn’t 3/4 paperwork and meetings and 1/4 patient care, but more time spent doing what you really want to do…taking care of people?

Strategies for Entrepreneurial Nurses is a 5-module program that will answer many questions you would face in determining whether you wish to pursue an independent nurse practice, and if so, how to go about setting one up efficiently.

Written using as an example a “healthy feet” Routine Foot Care practice, the ideas, strategies, checklists, etc. could be used for any nursing care modality. Module Titles are:

Module 1: A New World for Entrepreneurial Nurses – a discussion of the evolving need for non-traditional health care and how nurses can take advantage of a growing population segment.

Module 2: Setting up Your Practice – discussion, illustrations, photographs, checklists and more to help you in your planning, licensing and budgeting process.

Module 3: New Marketing Strategies – tried and true techniques for creating referral networks in your community, including winning over medical practitioners who need support for routine “healthy” care, creating physician extenders which allow them to focus on patients with greater needs.

Module 4: Growing Your Business – effective internal and external marketing techniques which will help you attract your desired patient demographic.

Module 5: Resources for Entrepreneurial Nurses – suggestions on how to find good vendors, examples of collateral materials with proven track records, sample forms, and much more.

As a bonus, the purchase of this course includes 2 hours of consultation with our experts who have years of setting up successful and flourishing boutique businesses. You tell us what area of expertise you need and we will be happy to speak with you about your unique potential.

The course is live and available now. Click here to learn more Strategies for Entrepreneurial Nurses.

Nurses–Make Your Hands Happy!


The primary cause for deeply dehydrated hands comes from washing and the immediate application of alcohol-based sanitizers. This is part of the job, BUT you can take steps to help alleviate the worst conditions.


While some facilities/practices prohibit the application of emollients (lotions or creams) on the floor, taking a moment to rehydrate your skin on your personal breaks will help tremendously. Choose products that will 1) add moisture (water) back 2) prevent moisture loss (see ingredient list below.)

According to OSHA, employees must be allowed to wear protective equipment such as glove liners to prevent injury. Look for cotton glove liners to slip on under your exam glove. They will absorb excess perspiration, part of the reason, the skin leaches natural oils.


Give your hands a deeply hydrating slather of a good water-based cream or lotion, then slip on a pair of gloves or mitts designed to penetrate the moisture. These can be heated. There are soy-based mitts that can be warmed just for this treatment available in your drug store.

Purchase a small paraffin bath – on your clean hands, apply your moisture cream, then dip your hands into the paraffin bath three times to build up a light coating of the paraffin, then slip your hands into plastic bags to keep the paraffin from getting on everything. Allow the wax to fully cool—by which time the lotion will have penetrated your skin and given a nice hydration treatment. (Note if you share the paraffin bath with others, we suggest dipping out a portion with a small paper cup, rather dipping.)


Rather than listing a product, here are some ingredients to look for. If your hands are dry…they are dehydrated…they need water, not oils. So look for moisturizers with a first ingredient of WATER….not an oil or petroleum-based product.

Other ingredients that will help are: Urea or uric acid – helps bind moisture to the cells in the epidermal layer. Another “binding” agent is hyaluronic acid (HA) which has the miraculous chemistry of being able to bind up to 1000 x its own molecular weight in water.

Also look for exfoliative ingredients such as AHAs – alpha hydroxy acids–good ones are lactic acid or malic acid; or BHAs – beta hydroxy acids such as citric acid or salicylic acid.

You also need an occlusive ingredient to lock it all in place – a botanical-based emollient such as shea butter, coconut oil or any distilled oils that sound like they’d be good on a salad will be good for your skin: safflower oil, avocado oil, wheat germ oil, etc.

Mixing your own products is a shot-gun approach—better to get properly formulated products, avoiding non-essential ingredients such as fragrance, dyes, and unneeded waxes.

The biggest repair you can invoke – is to avoid over-immersion in water and its leaching effects in the first place.

FCNs Must Test for PAD

Foot-care-trained nurses are quick to spot troubling symptoms in their patients’ lower limbs and feet

Peripheral artery disease (PAD), sometimes called Peripheral Vascular Disease (PVD), is a disease in which plaque may build up in the arteries outside the heart that carry blood to the head, organs, and limbs. This plaque is made up of fat, cholesterol, calcium, fibrous tissue, and other substances in the blood. When it builds up in the arteries, the condition is called atherosclerosis. Unless prevented or treated, plaque can narrow the flow of blood in the arteries.

This limits the flow of oxygen to organs and other parts of the body which can ultimately lead to death of a patient. It can happen in any organ but is more often in the legs. (PAD can also be from other causes than atherosclerosis.)

According to the CDC, PAD can be asymptomatic, causing a dangerous situation for sufferers as it can lead to coronary artery disease and cerebrovascular disease, which could lead to a heart attack or stroke. For this reason, patients with risk factors should be tested for PAD to allow early diagnosis of the disease, if it is present.

Risk Factors for PAD are:    

Foot exams reveal symptoms of PAD

 Smoking
 High blood pressure
 Atherosclerosis
 Diabetes
 High cholesterol
 Older than age 60

Foot Care Nurses must be fully educated about this disease. Studies show that about half the cases remain unrecognized, allowing a high risk of ischemic events in the future of these patients. Therefore, if a patient has pain, numbness, aching, or heaviness in the leg muscles (possibly claudication) with exertion which is relieved with rest, it’s time for a complete exam and to test of PAD.

Check for these symptoms:
 Weak or absent pulses in the legs or feet
 Sores or wounds on the toes, feet, or legs that heal slowly, poorly, or not at all
 A pale or bluish color to the skin
 A lower temperature in one leg compared to the other leg
 Poor nail growth on the toes and decreased hair growth on the legs
 Erectile dysfunction, especially among men who have diabetes
 Muscle atrophy
 Hair loss and smooth shiny skin

Diagnosis of PAD
In patients with these symptoms, the ankle-brachial index (ABI) is indicated. It’s a simple and quick, non-invasive test that measures the blood pressure in the ankles and compares it with the blood pressure in the arms at rest and after exercise. If the ABI is <0.9, the patient must be immediately referred to a vascular specialist. This physician will prescribe imaging tests such as a Doppler ultrasound, magnetic resonance angiography (MRA), and computed tomographic (CT) angiography. These tests provide additional information in diagnosing PAD.

Conclusion: Foot Care Nurses with knowledge of PAD can save lives through responsible practices. If a patient 1) has symptoms that indicate PAD or 2) has the risk factors for PAD, the FCN must conduct an ABI. This test will determine potentials for the presence of PAD and whether he or she should be referred to a specialist.

September is Pain Awareness Month

Did you know…

Gout is one of the fastest growing arthritic illnesses in the United States.

It is very painful and is difficult to treat. Caused by the imbalance of uric acid in the joints, one of the most affected joints in Gout is the hallux. Foot Care Nurses will see patients who have this form of arthritis. In many cases it can be successfully managed through dietary changes.

FCNs must know the dietary changes that will manage this disease and then educate their gout-suffering patients on these tactics. The most effective dietary change is reducing the amount of uric acid levels; this will reduce the number of attacks.

The Arthritic Foundation has an excellent blog titled “What Role Does Diet Play in Gout Management”

A second great informational blog is titled “Making Smart Meat Choices if you have Gout”

These blogs are written for the consumer but are excellent education for Foot Care Nurses to pass on to their suffering patients.


New Course: Foot Care with Electric Files

Nurses who provide foot care for their patients need electric filing skills.

Tending to your patients requires manual dexterity–and a smart nurse will use all the tools available. Hand-held rotary devices (aka electric files or e-files) are just one of those tools…but they have many benefits.

Benefits of Electric Files

First and most logically, perhaps, is that any time you are reducing the thickness of a thickened nail or taking down excess callus, using a specialized abrasive will be faster. Targeting a specific area with a properly braced abrasive can allow quick, yet comfortable, reduction of excess nail or callus.

New Course Offered: Foot Care with Electric Files

Something you might not have thought of, is that taking down callus or thickened nails can be safer with an electric file. There is the opportunity for injury with any hand-held implement–whether a hand-held file or an electric machine–but it is easier to safely confine the abrasive surface to the desired area if the hand is still, rather than moving back and forth with manual debridement.

Another benefit to an electric file is the longevity of your career. Repetitive movement stress on your shoulder, elbow, wrists, etc. can be reduced greatly by using an electric file.

Electric File Training

Learning to safely use an electric file is first, learning about your machine and the bits or burrs, and secondly, learning a safe way to practice. One of the best things to do is to take a training course that breaks down the machine, its parts and the burrs, and then practice on yourself. You will quickly learn what the “ouch” factor is if you abrade your own callused area too long and heat it up! Professional Education’s course not only teaches you all the moving parts, but it also shows you some practice techniques you can set up for yourself. The videos embedded in the course show a couple of grips to hold the hand piece as well as demonstrate several specific tasks the electric file can help you safely, quickly perform.

Click here to read more about this course.