tag:blogger.com,1999:blog-139319342009-04-21T08:06:27.804-07:00Join us as we unravel real life mysteries using forensic science and legal studies to ensure that clinicians, legal authorities, and other responsible parties are prepared to identify and report victims of crime, collect and preserve evidence, evaluate issues of competence, as well as protect the rights and health of victims and perpetrators of crime.J Johnson MDhttp://www.blogger.com/profile/18005305888813243457noreply@blogger.comBlogger455125tag:blogger.com,1999:blog-13931934.post-7950048636064607672009-03-01T11:24:00.000-08:002009-03-01T11:25:18.782-08:00

This is a test.

J Johnson MDhttp://www.blogger.com/profile/18005305888813243457noreply@blogger.com0tag:blogger.com,1999:blog-13931934.post-88372509039136757452009-02-18T19:22:00.000-08:002009-02-18T19:23:11.070-08:00

Testing.

J Johnson MDhttp://www.blogger.com/profile/18005305888813243457noreply@blogger.com0tag:blogger.com,1999:blog-13931934.post-18762323702607328812009-02-18T07:43:00.001-08:002009-02-18T07:43:18.993-08:00

I read in the blog some discussion of informed consent. As a consumerof medical services I rarely get much out of the informed consentdocuments, and will admit that I rarely read them in much detail.Granted, if we were talking about more than just a general doctor'svisit I would take a little more notice.I have also participated on several research studies and have written anumber of IRB

J Johnson MDhttp://www.blogger.com/profile/18005305888813243457noreply@blogger.com0tag:blogger.com,1999:blog-13931934.post-56832159994126582982009-02-12T12:16:00.001-08:002009-02-12T12:16:29.616-08:00

Benadryl is a medication that most peoplewould consider safe because it's given over the counter on a regularbasis. All the comments made about this medication and the tragicoccurrences resulting from overdose is a very serious issue that needsto be looked at. This is the first i've heard of adolescents smokingbenedryl to get high, because it is a cheap and easily accessible drug.It becomes very

J Johnson MDhttp://www.blogger.com/profile/18005305888813243457noreply@blogger.com0tag:blogger.com,1999:blog-13931934.post-59747629728727697782009-02-11T11:36:00.001-08:002009-02-11T11:36:41.533-08:00

At this time I own/operate a drug testing business and we currently have a program through the court system to prevent juveniles from serving "adult" sentences if there are drugs involved. I live in eastern KY and I'm sure if you watch the news you have seen we are the RX drug capital of the US. Anyway, these kids are stealing their parents narcotics and snorting them or selling them. The parents

J Johnson MDhttp://www.blogger.com/profile/18005305888813243457noreply@blogger.com0tag:blogger.com,1999:blog-13931934.post-7315160142028019252009-02-11T07:31:00.001-08:002009-02-11T07:31:47.999-08:00

In regards to forensic science, a DVT can have an affect on the cause of death. If a thrombi is not discovered and treated in time it will continue to flow through the artery and finally make its way to the heart which may results in a possible death. If a coroner is trying to decide the cause of death, if they come across the thrombi, they will most likely have found the cause of death for the

J Johnson MDhttp://www.blogger.com/profile/18005305888813243457noreply@blogger.com0tag:blogger.com,1999:blog-13931934.post-20027485629222340972009-02-11T07:27:00.001-08:002009-02-11T07:27:46.617-08:00

In terms of forensic pathology, keeping on eye on chronic inflammation can help during an autopsy that is done on a deceased person. If cause of death is to be determined it could possible be traced back to a chronic inflammation due to prolonged exposure to potentially toxic agents. An example of this would be exposure to silica which when inhaled can result in inflammatory lung disease called

J Johnson MDhttp://www.blogger.com/profile/18005305888813243457noreply@blogger.com0tag:blogger.com,1999:blog-13931934.post-41974520170497346632009-02-09T06:34:00.001-08:002009-02-09T06:34:43.259-08:00

In this day and time patients have to be their own advocate. Many take whatever the doctor prescribes and doesn't even ask questions. When they are admitted to the hospital they possibly have no idea of what they are taking or why they are taking it. I guess working in the medical field my eyes have opened up and I realize that doctors are not perfect. They are overworked with a high patient load

J Johnson MDhttp://www.blogger.com/profile/18005305888813243457noreply@blogger.com0tag:blogger.com,1999:blog-13931934.post-52417310221841623452009-02-09T06:18:00.001-08:002009-02-09T06:18:55.752-08:00

Reading articles like the Benadryl article scare me. Society appears to be very flippant about the use of medications for other that what they are intended. Articles abound from ISMP. One that comes to mind recently had to do with a Fentanyl patch. The grandmother was watching a young girl who was complaining of pain. Grandma had some "leftover" Fentanyl patches and placed one on the

J Johnson MDhttp://www.blogger.com/profile/18005305888813243457noreply@blogger.com0tag:blogger.com,1999:blog-13931934.post-19848635218275157012009-02-09T06:09:00.001-08:002009-02-09T06:09:01.395-08:00

I'm sure this is a hot topic among may people. I have to admit as an ER nurse who has seen children who have been physically and sexually abused the thought of having to provide humane care to these animals disgusts me. However, as a nurse we are taught we must heal and teach. I try to treat all patients with dignity no matter what they may have done, but I also believe that with any nursing

J Johnson MDhttp://www.blogger.com/profile/18005305888813243457noreply@blogger.com0tag:blogger.com,1999:blog-13931934.post-34988616874161816962009-02-06T04:52:00.001-08:002009-02-06T04:52:15.949-08:00

An increase in potential narcotics diversions were occurring within our Emergency Department after an influx of Agency nurses. What was happening; pain meds were being administered without corresponding orders and single dose vials were being used as multidose vials. We discovered that orders were not being written when crucial conversations took place between practitioner and nurse. Nurses were

J Johnson MDhttp://www.blogger.com/profile/18005305888813243457noreply@blogger.com0tag:blogger.com,1999:blog-13931934.post-24975279914985630542009-02-06T04:13:00.001-08:002009-02-06T04:28:16.909-08:00

I find the articles regarding informed consent exceedingly interesting. It was a subject that was recently brought to my attention regarding Radiography Techs and consent for IV contrast. For years, RT's were able to witness consent, then all of a sudden they could not. Being the only RN in a busy Imaging Department, this became a huge burden. I did some research recently and found articles from

J Johnson MDhttp://www.blogger.com/profile/18005305888813243457noreply@blogger.com0tag:blogger.com,1999:blog-13931934.post-89459889266830670412009-02-02T13:05:00.001-08:002009-02-02T13:05:22.953-08:00

I work in a Liver Failure Clinic and have end stage liver failure patients. I perform paracentesis procedures to remove fluid from some of these patients peritoneum. The patients are in pain need fluid taken of their peritoneum NOW so they can breathe. The patient has to be able to make decisions to sign the consent.  We inform the patient they may need blood if a vessel was punctured. We tell

J Johnson MDhttp://www.blogger.com/profile/18005305888813243457noreply@blogger.com0tag:blogger.com,1999:blog-13931934.post-52783243513426333912009-02-02T12:46:00.001-08:002009-02-02T12:57:33.557-08:00

I have worked in a Forensic Mental Hospital. I am sure your are speaking about other correctional facilities. In the Forensic Mental Hospital all of the patients are monitored differently that other patients with very strict rules. Only large strong young men can be the attendants because often the patients are "taken down' But again this is because they are mentally ill criminals who have a

J Johnson MDhttp://www.blogger.com/profile/18005305888813243457noreply@blogger.com0tag:blogger.com,1999:blog-13931934.post-86673835302992787232009-02-02T09:24:00.001-08:002009-02-02T14:47:00.217-08:00

I am a Clinician at a small community hospital.  I was covering the ED during an illness of a coworker and received a phone call asking for assistance. I went to the department to find that an intubated patient was not responding well to Propofol and the MD did not want to titrate higher but wanted to add a paralytic agent instead. I requested trying pressor support first with increased titration

J Johnson MDhttp://www.blogger.com/profile/18005305888813243457noreply@blogger.com0tag:blogger.com,1999:blog-13931934.post-22436991079574356772009-01-22T12:24:00.001-08:002009-01-22T12:24:39.413-08:00

I appreciate the introduction into forensic nursing.  Upon reading Dr. J. Johnson’s articles and researching, it has become apparent that the need for forensic nursing education is an imperative part of our role as nurses.  Health care providers’ are at times the first line of defense.  With training, we are able to identify both victims and perpetrators of crime.  We should have the assessment

J Johnson MDhttp://www.blogger.com/profile/18005305888813243457noreply@blogger.com0tag:blogger.com,1999:blog-13931934.post-75522950641515265532009-01-22T12:03:00.001-08:002009-01-22T12:03:06.128-08:00

In regards to the article Informed Consent:  Is it really understood? Thursday, July 10,2008.  I appreciated the topic and readings which brought forth important education issues that must be addressed to the patient prior to any procedure or treatment.  As professionals to understand the treatment or procedure being performed in order to assist the patient with questions he or she may have.  In

J Johnson MDhttp://www.blogger.com/profile/18005305888813243457noreply@blogger.com0tag:blogger.com,1999:blog-13931934.post-54272047062858797782009-01-11T09:50:00.000-08:002009-01-11T09:54:54.472-08:00

I do agree that physicians are obligated to try to relieve the pain to there fullest power, however, one person may continue to experience pain and the physician should not always be held liable. It is the responsibility of the physician to do all that is in their power, but sometimes despite attempts at pain relief, some patients who have been addicted to drugs in the past end up with chronic

J Johnson MDhttp://www.blogger.com/profile/18005305888813243457noreply@blogger.com0tag:blogger.com,1999:blog-13931934.post-60679188492620192112009-01-09T05:53:00.000-08:002009-01-09T06:07:30.833-08:00

It is my understanding that chelation therapy is a safe and effective method for drawing out toxins and heavy metals. There are screening protocols in place to insure that the patient is in good health. During the therapy, blood pressure and lab values are checked, if indicated. Although the article doesn't give the cause of death, it is hard to believe it was caused by chelation therapy.

J Johnson MDhttp://www.blogger.com/profile/18005305888813243457noreply@blogger.com0tag:blogger.com,1999:blog-13931934.post-64298026703874067512008-12-30T07:01:00.001-08:002008-12-30T07:01:55.717-08:00

As a long time employee of the ED, this chapter really perked me up. This entire Forensic Nursing course taught by Dr. J Johnson has made a tremendous impact, I think, as I tend to turn a jaundiced eye toward an ever-increasing number of cases that before might have slipped under the wire. Of particular interest was the list of potentialities in Box 53-1: a. Domestic violence, abuse, or neglect (

J Johnson MDhttp://www.blogger.com/profile/18005305888813243457noreply@blogger.com0tag:blogger.com,1999:blog-13931934.post-60954791315423673662008-12-30T06:48:00.001-08:002008-12-30T06:48:08.437-08:00

JACHO has developed a checklist to prevent sentinel events from occurring in the hospital setting. I have not encountered these before and found them particularly noteworthy: a. Screening tools are available for personnel in clinics, the ED, inpatient, geriatric, or critical care units to identify patients who have been abused or neglected. b. All personnel are trained in the use of specified

J Johnson MDhttp://www.blogger.com/profile/18005305888813243457noreply@blogger.com0tag:blogger.com,1999:blog-13931934.post-1997267264217524072008-12-30T06:37:00.001-08:002008-12-30T06:37:58.899-08:00

This chapter started with a wonderful summary of some of the issues that forensic nurses had to contend with in correctional facilities. These nurses are not concerned about the crime that was committed because that has nothing to do with how the patient is to be treated. The same holds true for a psychiatric patient. The ED seems to be the only area where the entire story of the person is

J Johnson MDhttp://www.blogger.com/profile/18005305888813243457noreply@blogger.com0tag:blogger.com,1999:blog-13931934.post-80985321883371869462008-12-30T06:34:00.001-08:002008-12-30T06:34:59.246-08:00

I personally feel this is an important issue that is frequently swept aside in many critical incident situations. I have been both an EMT and an RN for many years, but have had very few debriefing sessions. Several occasions were warranted, such as a when an entire family perished in an MVC on Christmas Day, co-workers who were killed on their way into work, a colleague who successfully overdosed

J Johnson MDhttp://www.blogger.com/profile/18005305888813243457noreply@blogger.com0tag:blogger.com,1999:blog-13931934.post-57389321281484799892008-12-30T06:07:00.001-08:002008-12-30T06:07:33.225-08:00

For some reason, I found this section to be rather poignant, as I had not given it much thought. Perhaps as a care provider, I had naturally assumed that I was just supposed to take on the responsibilities and not flinch. After reading the text, however, I feel vindicated and actually relieved that it is "alright" to grieve. During my career, I have actually been chastised by my supervisor for

J Johnson MDhttp://www.blogger.com/profile/18005305888813243457noreply@blogger.com0tag:blogger.com,1999:blog-13931934.post-13609909606358110962008-12-30T06:00:00.001-08:002008-12-30T06:00:45.008-08:00

a. A fact witness testifies to direct observations made. b. He or she does not offer expert opinions or draw conclusions from reports but may offer opinion and certainly clarify information. c. In order to become an expert witness, the nurses has to answer questions regarding training, experience and specialized knowledge. A curriculum vita is helpful. d. The nurse specialist must have expertise,

J Johnson MDhttp://www.blogger.com/profile/18005305888813243457noreply@blogger.com0