Archive for February, 2009

JOHN GOKONGWEI’S Keynote Speech at Ad Congress

Posted by admin on February 25, 2009
Business / 1 Comment

21 NOVEMBER 2007

“Before I begin, I want to say please bear with me, an  81-year-old man who just flew in from San Francisco 36 hours ago and is still suffering from jet lag.  However, I hope I will be able to say what you want to hear.  Ladies and gentlemen, good evening.   Thank you very much for having me here tonight to open the Ad Congress.  I know how important this event is for our marketing and advertising colleagues.  My people get very excited and go into a panic, every other year,  at this time.  I would like to talk about my life, entrepreneurship, and globalization.  I would like to talk about how we can become a  great nation.  You may wonder how one is connected to the other, but I promise  that, as there is truth in advertising, the connection will come.

Let me begin with a story I have told many times.  My own. I was born to a rich Chinese-Filipino family.  I spent my childhood in Cebu where my father owned a chain of movie houses, including the first air-conditioned one outside Manila.  I was the eldest of six children and lived in a big house in Cebu’s Forbes Park.  A chauffeur drove me to school everyday as I went to San Carlos University, then and still one of the country’s top schools.  I topped my classes and had many friends.  I would bring them to watch movies for free at my father’s movie houses.  When I was 13, my father died suddenly of complications due to typhoid.  Everything I enjoyed vanished instantly.  My father’s  empire was built on credit.  When he died, we lost everything, our big house, our cars, our business to the banks.

I felt angry at the world for taking away my father, and for taking away all that I enjoyed before.  When the free movies disappeared, I also lost half my friends.  On the day I had to walk two miles to school for the very first time, I cried to my mother, a widow at 32.  But she said: ‘You should feel lucky.  Some people have no shoes to walk to school.  What can you do?  Your father died with 10 centavos in his pocket.’

So, what can I do?  I worked.

My mother sent my siblings to China where living standards were lower.  She and I stayed in Cebu to work, and we sent them money regularly.  My mother sold her jewelry.  When that ran out, we sold roasted peanuts in the backyard of our much-smaller home.  When that wasn’t enough, I opened a small stall in a palengke.

I chose one among several palengkes a few miles outside the city because there were fewer goods available for the people there.  I woke up at five o’clock every morning for the long bicycle ride to the palengke with my basket of goods.

There, I set up a table about three feet by two feet in size. I laid out my goods, soap, candles, and thread, and kept selling until everything was bought.  Why these goods?  Because these were hard times and this was a poor village, so people wanted and needed the basics: soap to keep them clean, candles to light the night, and thread to sew their clothes.

I was surrounded by other vendors, all of them much older.  Many of them could be my grandparents.  And they knew the ways of the palengke far more than a boy of 15, especially one who had never worked before.

But being young had its advantages. I did not tire as easily, and I  moved more quickly. I was also more aggressive. After each day, I would make about 20 pesos in profit! There was enough to feed my siblings and still enough to pour back into the business.   The pesos I made in the palengke were the pesos that went into building the business I have today.

After this experience, I told myself, ‘If I can compete with people so much older than me, if I can support my whole family at 15, I can do anything!’

Looking back, I wonder, what would have happened if my father had not left my family with nothing?  Would I have become the man I am?  Who knows?

The important thing to know is that life will always deal us a few bad cards.  But we have to play those cards the best we can.   And WE can play to win!

This was one lesson I picked up when I was a teenager. It has been my guiding principle ever since.  And I have had 66 years to practice self-determination.  When I wanted something, the best person to depend on was myself.

And so I continued to work.  In 1943, I expanded and began trading goods between Cebu and Manila.  From Cebu, I would transport tires on a small boat called a batel.  After traveling for five days to Lucena, I would load them into a truck for the six- hour trip to Manila.  I would end up sitting on top of my goods so they would not be stolen! In  Manila, I would then purchase other goods from the earnings I made from the tires, to sell in Cebu.

Then, when WWII ended, I saw the opportunity for trading goods in post-war Philippines.  I was 20 years old.  With my brother Henry, I put up Amasia Trading which imported onions, flour, used clothing, old newspapers and magazines, and fruits from the United States.  In 1948, my mother and I got my siblings back from China.  I also converted a two-story building in Cebu to serve as our home, office, and warehouse all at the same time.  The whole family began helping out with the business.

In 1957, at age 31, I spotted an opportunity in corn-starch manufacturing.  But I was going to compete with Ludo and Luym, the richest group in Cebu and the biggest cornstarch manufacturers. I borrowed money to finance the project. The first bank I approached made me wait for two hours, only to refuse my loan.  The second one, China Bank, approved a P500,000-peso clean loan for me.  Years later, the banker who extended that loan, Dr. Albino Sycip said that he saw something special in me. Today, I still wonder what that was, but I still thank Dr.Sycip to this day.  Upon launching our first product, Panda corn starch, a price war ensued.  After the smoke cleared, Universal Corn Products was still left standing.  It is the foundation upon which JG Summit Holdings now stands.  Interestingly, the price war also forced the closure of a third cornstarch company, and one of their chemists was Lucio Tan, who always kids me that I caused him to lose his job.  I always reply that if it were not for me, he will not be one of the richest  men in the Philippines today.

When my business grew, and it was time for me to bring in more people, my family, the professionals, the consultants, more employees.  I knew that I had to be there to teach them what I knew.

When dad died at age 34, he did not leave a succession plan.  From that, I learned that one must teach people to take over a business at any time.  The values of hard work that I learned from my father, I taught to my children.  They started doing jobs here and there even when they were still in high school.  Six years ago, I announced my retirement and handed the reins to my youngest brother James and only son Lance. But my children tease me because I still go to the office every day and make myself useful.  I just hired my first Executive Assistant and moved into a bigger and nicer office.

Building a business to the size of JG Summit was not easy.  Many challenges were thrown my way.  I could have walked away from them, keeping the business small, but safe.  Instead, I chose to fight.  But this did not mean I won each time.

By 1976, at age 50, we had built significant businesses in food products anchored by a branded coffee called Blend 45, and agro-industrial products under the Robina Farms brand.  That year, I faced one of my biggest challenges, and lost. And my loss was highly publicized, too.  But I still believe that this was one of my defining moments.

In that decade, not many business opportunities were available due to the political and economic  environment. Many Filipinos were already sending their money out of the country. As a Filipino, I felt that our money must be invested here. I decided to purchase shares in San Miguel, then one of the Philippines ‘ biggest corporations.  By 1976, I had acquired enough shares to sit on its board.

The media called me an upstart.  ‘Who is Gokongwei and why is he  doing all those terrible things to San Miguel?’ ran one headline of the day.  In another article, I was described as a pygmy going up against the powers-that- be.  The San Miguel board of directors itself even paid for an ad in all the country’s top newspapers telling the public why I should not be on the board.

On the day of reckoning, shareholders quickly filled up the auditorium to witness the battle.  My brother James and I had prepared for many hours for this debate.  We were nervous and excited at the same time.

In the end, I did not get the board seat because of the Supreme Court Ruling.  But I was able to prove to others and to myself, that I was willing to put up a fight.  I succeeded because I overcame my fear, and tried.  I believe this battle helped define who I am today.  In a twist to this story, I was invited to sit on the board of Anscor and San Miguel Hong Kong 5 years later.  Lose some, win some.

Since then, I’ve become known as a serious player in the business world, but the challenges haven’t stopped coming.

Let me tell you about the three most recent challenges.  In all three, conventional wisdom bet against us.  See, we set up businesses against market  Goliaths in very high-capital industries: airline, telecoms, and beverage.

Challenge No. 1: In 1996, we decided to start an airline.  At the time, the dominant airline in the country was PAL, and if you wanted to travel cheaply, you did not fly.  You went by sea or by land.

However, my son Lance and I had a vision for Cebu Pacific:  We wanted every Filipino to fly.

Inspired by the low-cost carrier models in the United States, we believed that an airline based on the no-frills concept would work here.  No hot meals.  No newspaper. Mono-class seating. Operating with a single aircraft type. Faster turn around time.  It all worked, thus enabling Cebu Pacific to pass on savings to the consumer.

How did we do this?  By sticking to our philosophy of ‘low cost,  great value.’

And we stick to that philosophy to this day. Cebu Pacific offers incentives. Customers can avail themselves of a tiered pricing scheme, with promotional seats for as low a P1. The earlier you book, the cheaper your ticket.

CebuPacific also made it convenient for passengers by making online booking available.   This year, 1.25 million flights will be booked through our website.   This reduced our distribution costs dramatically.

Low cost. Great value.

When we started 11 years ago, Cebu Pacific flew only 360,000 passengers, with 24 daily flights to 3 destinations.   This year, we expect to fly more than five million passengers, with over 120 daily flights to 20 local destinations and 12 Asian cities.   Today, we are the largest in terms of domestic flights, routes and destinations.

We also have the youngest fleet in the region after acquiring new Airbus 319s and 320s.  In January, new ATR planes will arrive.   These are smaller planes that can land on smaller air strips like those in Palawan and Caticlan.  Now you don’t have to take a two-hour ride by mini-bus to get to the beach.

Largely because of Cebu Pacific, the average Filipino can now afford to fly.  In 2005, 1 out of 12 Filipinos flew within a year.

In 2012, by continuing to offer low fares, we hope to reduce that ratio to 1 out of 6.  We want to see more and more Filipinos see their country and the world!

Challenge No. 2: In 2003, we established Digitel Mobile  Philippines, Inc. and developed a brand for the mobile phone business called Sun Cellular.  Prior to the launch of the brand, we were actually involved in a transaction to purchase PLDT shares of the majority shareholder.

The question in everyone’s mind was how we could measure up to the two telecom giants.  They were entrenched and we were late by eight years!  PLDT held the landline monopoly for quite a while, and was first in the mobile phone industry.  Globe was a younger company, but it launched digital mobile technology here.

But being a late player had its advantages.  We could now build our platform from a broader perspective.  We worked with more advanced technologies and intelligent systems not available ten years ago.  We chose our suppliers based on the most cost-efficient  hardware and software.  Being a Johnny-come- lately allowed us to create and launch more innovative products, more quickly.

All these provided us with the opportunity to give the consumers a choice that would rock their world.  The concept was simple.  We would offer Filipinos to call and text as much as they want for a fixed monthly fee.  For P250 a month, they could get in touch with anyone within the Sun network at any time. This means great savings of as much as 2/3 of their regular phone bill!  Suddenly, we gained traction.  Within one year of its introduction, Sun hit one million customers.

Once again, the paradigm shifts - this time in the telecom  industry.  Sun’s 24/7 Call and Text unlimited changed the landscape of mobile-phone usage.

Today, we have over 4 million subscribers and 2000 cell sites  around the archipelago.  In a country where 97% of the market is pre-paid, we believe we have hit on the right strategy.

Sun Cellular is a  Johnny-come- lately, but it’s doing all right.  It is a third player, but a significant one, in an industry where  Cassandras believed a third player would perish.   And as we have done in the realm of air travel, so have we done in the telecom world:  We have changed the marketplace.

In the end, it is all about making life better for the consumer by giving them choices.

Challenge No. 3: In 2004, we launched C2, the green tea drink that would change the face of the local beverage industry — then, a playground of cola companies.  Iced tea was just a sugary brown drink served bottomless in restaurants.  For many years, hardly was there any significant product innovation in the beverage business. Admittedly, we had little experience in this area.  Universal Robina Corporation is the leader in snack foods but our only background in beverage was instant coffee.  Moreover, we would be entering the playground of huge multinationals.  We decided to play anyway.

It all began when I was in China in 2003 and noticed the immense popularity of bottled iced tea.  I thought that this product would have huge potential here.  We knew that the Philippines was not a traditional tea-drinking country since more familiar to consumers were colas in returnable glass bottles.  But precisely, this made the market ready for a different kind of beverage.  One that refreshes yet gives the health benefits of green tea.  We positioned it as a ’spa’ in a bottle.  A drink that cools and cleans, thus, C2 was born.

C2 immediately caught on with consumers.  When we launched C2 in 2004, we sold 100,000 bottles in the first month.  Three years later, Filipinos drink around 30 million bottles of C2 per month. Indeed, C2 is in a good place.

With CebuPacific, Sun Cellular, and C2, the JG Summit team took control of its destiny.  And we did so in industries where old giants had set the rules of the game.  It’s not that we did not fear the giants.  We knew we could have been crushed at the word go.  So we just made sure we came prepared with great products and great strategies. We ended up changing the rules of the game instead.

There goes the principle of self-determination, again.  I tell you, it works for individuals as it does for companies.  And as I firmly believe, it works for nations.

I have always wondered, like many of us, why we Filipinos have not lived up to our potential.  We have proven we can. Manny Pacquiao and Efren Bata Reyes in sports. Lea Salonga and the UP Madrigal Singers in performing arts.  Monique Lhuillier and Rafe Totenco in fashion.  And these are just the names made famous by the media.   There are many more who may not be celebrities but who have gained respect on the world stage.

But to be a truly great nation, we must also excel as entrepreneurs before the world. We must create Filipino brands for the global market place.

If we want to be philosophical, we can say that, with a world-class brand, we create pride for our nation.  If we want to be practical, we can say that, with brands that succeed in the world, we create more jobs for our people, right here.

Then, we are able to take part in what’s really important - giving our people a big opportunity to raise their standards of living, giving them a real chance to improve their lives.

We can do it.    Our neighbors have done it.    So can we.

In the last 54 years, Korea worked hard to rebuild itself after a world war and a civil war  destroyed it. From an agricultural  economy in 1945, it shifted to light industry, consumer products, and heavy industry in the ’80s.  At the turn of the 21st century, the Korean government focused on making Korea the world’s leading IT nation.  It did this by grabbing market share in key sectors like semiconductors, robotics, and biotechnology.

Today, one remarkable Korean brand has made it to the list of Top 100 Global Brands: Samsung.  Less than a decade ago, Samsung meant nothing to consumers. By focusing on quality, design, and innovation, Samsung improved its products and its image.  Today, it has surpassed the Japanese brand Sony.  Now another Korean brand, LG Collins, is following in the footsteps of Samsung.  It has also broken into the Top 100 Global Brands list.

What about China?  Who would have thought that only 30 years after opening itself up to a market economy, China would become the world’s fourth largest economy?  Goods made in China are still thought of as cheap. Yet any brands around the world outsource their manufacturing to this country.  China’s own brands, like Lenovo, Haier, Chery QQ, and Huawei are fast gaining ground as well. I have no doubt they will be the next big electronics, technology and car brands in the world.

Lee Kwan Yu’s book  ‘From Third World to First’ captures Singapore’s aspiration to join the First World.  According to the book, Singapore was a trading post that the British developed as a nodal point in its maritime empire. The racial riots there made its officials determined to build a ‘multiracial society that would give equality to all citizens, regardless of race, language or religion.’

When Singapore was asked to leave the Malaysian Federation of States in 1965, Lee Kwan Yew developed strategies that he executed with single-mindedness despite their being unpopular.  He and his cabinet started to build a nation by establishing the basics: building infrastructure,  establishing an army, weeding out corruption, providing mass housing, building a financial center.  Forty short years after, Singapore has been transformed into the richest South East Asian country today, with a per capita income of US$32,000.

These days, Singapore is transforming itself once more.  This time it wants to be the creative hub in Asia, maybe even the world.  More and more, it is attracting the best minds from all over the world in filmmaking, biotechnology, media, and finance.  Meantime, Singaporeans have also created world-class brands: Banyan Tree in the hospitality industry, Singapore Airlines in the Airline industry and Singapore Telecoms in the telco industry.

I often wonder:  Why can’t the Philippines, or a Filipino, do this?

Fifty years after independence, we have yet to create a truly global brand. We cannot say the Philippines is too small because it has 86 million people.  Switzerland, with 9 million people, created Nestle.  Sweden, also with 9 million people, created Ericsson.  Finland, even smaller with five million people, created Nokia.  All three are major global brands, among others.

Yes, our country is well-known for its labor, as we continue to export people around the world. And after India, we are grabbing a bigger chunk of the pie in the call-center and business-process-outsourcing industries. But by and large, the Philippines has no big industrial base, and Filipinos do not create world-class products.

We should not be afraid to try, even if we are laughed at.  Japan, laughed at for its cars, produced Toyota.  Korea, for its electronics, produced Samsung.  Meanwhile, the Philippines’ biggest companies 50 years ago, majority of which are multinational corporations such as Coca-Cola, Procter and Gamble, and Unilever Philippines for example, are still the biggest companies today.  There are very few big, local challengers.

But already, hats off to Filipino entrepreneurs making strides to globalize their brands.

Goldilocks has had much success in the Unites States and Canada, where half of its customers are non-Filipinos. Coffee-chain Figaro may be a small player in the coffee world today, but it is making the leap to the big time.  Two Filipinas, Bea Valdez and Tina Ocampo, are now selling  their Philippine-made jewelry and bags all over the world.  Their labels are now at Barney’s and Bergdorf’s in the U.S. and in many other high-end shops in Asia, Europe, and the Middle East .

When we started our own foray outside the Philippines 30 years ago, it wasn’t a walk in the park.  Set up a small factory in Hong Kong to manufacture Jack and Jill potato chips there.  Today,  we are all over Asia.  We have the number-one-potato- chips brand in Malaysia and Singapore.  We are the leading biscuit manufacturer in Thailand, and a significant player in the candy market  in Indonesia.  Our Aces cereal brand is a market leader in many parts of China.  C2 is now doing very well in Vietnam, selling over 3 million bottles a month there, after only 6 months in the market.  Soon, we will launch C2 in other South East Asian markets.

I am 81 today.  But I do not forget the little boy that I was in the palengke in Cebu.  I still believe  in family.  I still want to make good.  I still don’t mind going up against those older and better than me.  I still believe hard work will not fail me.  And I still believe in people willing to think the same way.

Through the years, the market place has expanded:  between cities, between countries, between  continents.  I want to urge you all here to think bigger.  Why serve 86 million when you can sell to four billion Asians?  And that’s just to start you off.  Because there is still the world beyond Asia.  When you go back to your offices, think of ways to sell and market your products and services to the world.  Create world-class brands.

You can if you really tried.  I did.  As a boy, I sold peanuts from  my backyard.  Today, I sell  snacks to the world.

I want to see other Filipinos do the same.

Thank you and good evening once again.’

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What Do Really Nurses Do?

Posted by admin on February 23, 2009
Fitness and Health / No Comments

Suzanne Gordon

Topics in Advanced Practice Nursing eJournal.  2006;6(1) (c)2006

A Vow of Silence?


Several weeks ago, I was invited to speak to a group of undergraduate students who had been asked to read my new book, Nursing Against the Odds, for their history of science class at Harvard University. During the hour-and-a-half discussion, one question that kept popping up was: “What do nurses really do?” As I left the room, I pondered, as I often do, why the public has so little understanding of the consequential nature of nursing practice. Clearly, it’s because of traditional stereotypes about nursing. But it’s also because nurses have been socialized to be silent about their work or to talk about it in ways that fail to reverse these traditional stereotypes.

When I ask nurses to describe their work, many respond: “Oh it’s too hard to talk about. It’s too diffuse, too vague, too indefinable.” But I have written thousands of pages about nursing and I am not a writer of fiction. I’ve been able to write about nursing because I’ve observed nurses at work and asked them a lot of questions about their practice.

What Nurses Do.

Here is what I think nurses do.   Using their considerable knowledge, they protect patients from the risks and consequences of illness, disability, and infirmity, as well as from the risks and consequences of the treatment of illness. They also protect patients from the risks that occur when illness and vulnerability make it difficult, impossible, or even lethal for patients to perform the activities of daily living — ordinary acts like breathing, turning, going to the toilet, coughing, or swallowing.

Even the most emotional work nurses do is a form of rescue. When nurses construct a relationship with patients or their families, they are rescuing patients from social isolation, terror, or the stigma of illness or helping family members cope with their loved ones’ illnesses.

What do nurses do? They save lives, prevent complications, prevent suffering, and save money.

Why do nurses have a hard time explaining such compelling facts and acts? Sioban Nelson and I have argued in a recent article in the American Journal of Nursing,[1] it’s because they’ve been educated and socialized to focus on their virtues rather than their knowledge and their concrete everyday practice.   They’ve been taught to wear their hearts and not their brains on their sleeves as they memorize and then rehearse the virtue script of modern nursing.

If you analyze the words and images of campaigns used to recruit nurses into the profession or listen carefully to the stories nurses tell about their work, nurses may not use the available research to fully explain why what they do is so critical to patient outcomes.   Although many studies, conducted by nursing, medical, and public health researchers, have documented the links between nursing care and lower rates of nosocomial infections, falls, pressure ulcers, deep vein thrombosis, pulmonary embolism, and deaths, most promotional campaigns and many stories nurses themselves tell about their work ignore these data.

Instead, nurses focus on their honesty and trustworthiness, their holism and humanism, their compassion, and their caring.  The problem is that when they focus on caring, they often sentimentalize and trivialize the complex skills they must acquire through education and experience.  They often fail to explain that caring is a learned skill and not simply a result of hormones or individual inclination.   After all, knowing when to talk to a patient about a difficult issue, when to provide sensitive information, when to move in close to hold a hand or move away at a respectful distance all are complex decisions a nurse makes.   To make these decisions, nurses use equally complex skills and knowledge they have mastered. But all too often nurses make these skills and knowledge invisible or describe nursing practice in terms that are far too limited.

Nurses are still talking about themselves — or allowing themselves to be talked about — in the most highly gendered, almost religious terms and allowing themselves to be portrayed with the most highly gendered, almost religious images.   Indeed, as Nelson and I argue, with the best intentions in the world, many modern nursing organizations and nurses reproduce and reinforce traditional images of nursing as self-sacrificing, devotional, altruistic, anonymous, and silent work.[1] Just think of one of the jingles in the recent Johnson & Johnson image campaign:

You’re always there when someone needs you
You work your magic quietly
You’re not in it for the glory
The care you give comes naturally.

Historical Images of Nursing and Nurses.

Unfortunately, like those above, many of the images and words nurses mobilize reflect the religious origins of the profession. Nurses in religious orders were socialized to sacrifice every shred of their individual identity, to be obedient members of an anonymous mass. Religious nurses were taught not to claim credit for their work and accomplishments but were instead supposed to view themselves as divine instruments who willingly assigned the credit for their accomplishments to God, the Bishop, the Abbot, or the Mother Superior.

Most importantly, these images reflect a time when nurses were taught to Say Little and Do Much because to talk about a good deed was to turn it into a bad one — to exhibit the sin of pride.   What nurses could accept were compliments for their deferential behavior and angelic virtues.   What they  could talk about was self-sacrifice and devotion and the outside agents they served.

If you look closely at the history of the problem of nursing visibility, you see that this religious depiction of nursing was not only a relic of the origins of nursing in Christian penitential practice but was also a legacy of the 19th century movement to professionalize nursing.   In the 19th century, religious and social reformers like  Florence Nightingale adapted the religious template to help women who wanted and/or needed to work outside of the home find purposeful paid work.   In a society where gender roles were very rigid and people prized modesty and innocence, reformers needed to make it safe for female nurses to work in public spaces with strangers — mostly strange men.

Nurse reformers helped respectable women affect this passage by borrowing religious images, costumes, language, and metaphors. The nun’s cornette was transformed into the nurse’s cap.   In English-speaking countries, nurses were called “sisters.”

Nurse reformers tried to desexualize nurses just as nuns (women who weren’t really women) had been desexualized before them.   Nursing students wore ugly uniforms, were not allowed to marry, and were sheltered in cloister-like dormitories in or near the hospital.   Nurses were said to be self-sacrificing and morally superior and would thus create order out of the chaos of the 19th century hospital.

Focusing on nurses’ virtues also helped nurses in their long battle with medicine for what became, in the 19th century, the highly contested terrain of the hospital.    Before the 19th century, very few doctors had ever set foot in a hospital. In the 19th century, scientifically oriented doctors were moving into the hospital in greater numbers and wanted to control the hospital.   They were not pleased to see a group of women who wanted authority and education competing for a sphere of influence (even a separate female sphere) inside the hospital.

Doctors were happy to have trained nurses but only if they were their servants. They wanted nurses to know what to do and how to do it but not why they were doing it.   They didn’t want anyone to know if a nurse had acquired scientific, medical, or technical mastery.   Because nursing at this time was feminized, women with no political, legal, economic, or social power had to make a deal with medicine, and the deal was that nurses could have virtues but not knowledge.

In the 19th century, nursing was thus constructed as self-sacrificing, anonymous, devotional, altruistic work.   While this was a functional bargain to make over a century ago, this template reigns today in spite of the fact that things have changed dramatically for women — which is why it’s time for a change.

Now Is the Time for Change

I believe the public knows that nurses are kind, caring, and compassionate and that they provide patients with more information than doctors do. People don’t know, however, that nurses have medical knowledge, participate in medical cures, and have technological know-how. I believe nurses can advance knowledge of their profession if they amplify their caring stories and include anecdotes that help us understand that doctors don’t do all the curing.

The public needs to know that nurses — regular, ordinary bedside nurses, not just nurse practitioners or advanced practice nurses — are constantly participating in the act of medical diagnosis, prescription, and treatment and thus make a real difference in medical outcomes.   Nurses can help the public understand that nursing is a package of medical, technical, caring, nursing know-how — that nurses save lives, prevent suffering, and save money. If nurses wear not only their hearts, but also their brains on their sleeves, perhaps the public, like those students at Harvard, will finally understand what nurses know and do.

References

1.      Gordon S, Nelson S. An end to angels. Am J Nurs. 2005;105:62-69.

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Safe Harbor Peer Review

Posted by admin on February 16, 2009
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“Safe Harbor” (”Request for Peer Review”) can only apply to nurses in both staff and supervisory positions when the nurse believes an assignment may place patients at risk of  harm, thus violating the nurse’s duty to the patient.  Safe Harbor provides a means by which a nurse can protect his/her nursing license from board action as well as have nursing peers in the same practice setting review the requested assignment.  New Incident-based (Rule 217.19) and Safe Harbor (217.20) peer review rules.  Nursing associations that represent LVNs, RNs and advanced practice nurses as members may also have information about Safe harbor Peer Review for their members and other nurses.

The BON has no authority over employment issues, but nurses does have a civil recourse in matters where nurse’s decision to invoke Safe harbor was made in “good faith”, but negative employment action occured as a result of the nurse request.  A nurse also has a “whistleblower” protections when the nurse reports a facility, physician, or other entity for violations of laws relating to patient care and/or illegal acts, such as fraud  [ NPA 301.4025, rule 217.20(i)]

Become familiar with the laws that govern your nursing practice.  A sound knowledge base regarding the rules and statutes will help your protect your patients as well as your nursing practice.

For inquiries to the Texas Board of Nursing e mail your questions  or inquiries to webmasters@bon.state.tx.us or visit the Frequently Asked Questions Section of the Board’s web site (http://www.bon.state.tx.us/olv/faqs-licensing.html)

This is a reprint from Texas Board of Nursing Bulletin, vol 39, No 4, p.9

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EKG Review Site

Posted by admin on February 16, 2009
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Here is a good site I found for EKG review.  If you go to the Table of Contents page, scroll down and you will find the rhythms to click on and then it will show you the strip, the identification criteria, causes and treatment.  If you can not pull it up for a reason, please let me know.

Link:  http://www.rnceus.com/course_left.asp?exam_id=16

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Posted by admin on February 04, 2009
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