February Contributing Editor
Valerie G.A. Grossman, RN
Valerie210@aol.com
[Best viewed with Netscape Navigator or Microsoft Internet Explorer]
February can be a cold and bitter month for those still in the throes of winter. Yet, the focus of this issue is Spring Head, with topics related to fresh ideas, fresh starts, looking toward the spring season, and new adventures in telephone nursing practice.
Winter can be a stressful time for telenurses who handle an heavy workload of telephone calls from patients with the flu and colds from November to March.
TeleNurses! Take a moment to readjust yourself and "spring" out of that chair, copy this newsletter, and hand it to a nurse who needs something to help them make it through the shift, the day, or the month.
Lets all work toward making 1997 a great year for TeleNursing!
by: Ruth Johnson RN
February 1997 marks the first anniversary of my career in telehealth nursing. The news of the position I created as Internet Resource Nurse has been slowly filtering through the nursing community both on and off the web. Every health care professional I have talked to is intrigued by what I am doing but skeptical about the future of this type of nursing. I think many people in the health care field still are nervous of technology, thinking it will eliminate jobs. I see it as a revolving circle, where one position is deleted another is created. Many nurses are still locked into the idea that *somewhere* there will be a hospital for them to work in. I believe that is a thing of the past. We must literally go where the people are, instead of expecting them to come to us. More and more people are discovering how convenient it is just to phone and ask the nurse. Especially in remote areas. Eventually I believe there will be a "community health nurse" available via E-mail in every place. It would not be possible to get "Closer to Home" with out actually moving in with the people. In a way, the nurse would be there, 24 hours a day.
Caring for the needs of people electronically was not in my career path at all. This took me by surprise and every day it changes. This type of nursing is not for every nurse but many are doing it without being aware of it. The poison information "help" line. The nurse who does follow up calls on patients discharged from hospital. The hospice nurse who phones to see how the family is "doing." These nurses are all practicing telehealth nursing.
The only way a nursing school can prepare nurses for jobs like this is to teach flexibility, openness and creativity. Hardly what the focus was 20+ years ago. On the Internet I have to use different assessment skills and none of them tactile, visual or auditory. One of the first questions I was E-mailed gives a good example of the unique challenge of internet nursing.
Subject: Header: Hiccough
Message: How are you nurse!
I have a newborn.
She born at 1996 2. 12. 8 O'clock night.
Then she sometime hiccough. I don't knowledge.
Please what it is correct or not.
Thank-you
On first glance this looks too easy. We all know newborns hiccough and this is normal. But...looking closer at the e-mail address (and using my trusty little Internet handbook) this person was sending this message from South Korea. Having been to that country, I know that not every baby is born in hospital so this babe might be at home. It is obvious from the typed message that English is not this persons' first language and is most likely using a translation text. Is he/she getting the right word when they are asking about hiccoughs or could this baby be having seizure activity? Interestingly, this message came through to me when the babe would have been about 12 hours old but BEFORE the actual birthtime according to my local time. You must expand your mind and use all your skills and knowledge base for this type of nursing!
After one year of being online and over 150 E-mail interactions, no one has abused my service even though it is free. I have had no rude messages. No one has sent anything pornographic in content to the nurse. There still is a belief out in the "real world" that the Internet it mostly porn. Nothing like that has come up on my screen.. One would have to go looking for it.
This communication medium has allowed me to reach a segment of the population that Childbirth Educators have been trying to reach for years;
Who? The partners of women who are sexually active/pregnant..Young men!
When? Preconception or early pregnancy
Where? In a locale where they are comfortable.
Approximately 80% of questions asked the nurse are from men. This is probably because there are more men than women on the Internet. I am comfortable with this because it has allowed me to do some MAJOR health education. I believe it is the anonymity of the service that makes it so appealing to the men. I really stress that what anyone E-mails to me will not be posted in any way on the Internet.
Much the same as every other nurse, I basically provide three main services via the Internet:
Besides my work on the Lifestart Multimedia website as the Internet Resource Nurse, I also co-facilitate a NetCourse for nurses that was designed by Peter Ramme, a nurse from Southern California. I have never met Peter but I took this course via the internet last spring. Most of the nurses signed on so far are from North America although we have many from other countries interested. This course is completely electronic and self paced. Once completed the participant has a good working knowledge of what can be done on and through the Internet with a focus on nursing/health resources.
Looking ahead: My services are barely scratching the surface of what could be done for health education and promotion via the Internet. I have heard from a midwife that also answers questions via E-mail. Last year she had over 600 posts and has had to limit herself to 6 a day. She posts the answers on her site. There is also one or two Lactation consultants and some physicians and dentists offering similar services.There is much much more happening on the web in other nursing specialties along with Perinatal Health.
I have been told I am years ahead of my time but I don't think so. You only have to get "out there" to realize telehealth nursing via the Internet and other electronic mediums is not just an idea...it's a reality and we are all apart of it.
===========
The author of this article is Ruth Johnson RN, a Perinatal Health Consultant and Internet Resource Nurse. You can reach her directly via email at rjohnson@bc.sympatico.ca or check out the ASK RUTH section at Lifestart Multimedia.
[Note from Editor: Ruth adds in a letter to TNT that what she does is recognized by the Registered Nurses Association of British Columbia as professional nursing practice -- and that the Practice Consultants have been most interested and supportive!]
Lifestart Multimedia is at:http://www.lifestart.com
Peter Ramme's Website is at: http://www.callamer.com/itc/nurse/
Ask-The-Midwife is at: http://www.parentsplace.com/cgi-bin/objects/midwife/mail-frm.html
Ask the Lactation Consultant: http://www.parentsplace.com/readroom/breastfeeding/mail-frm.html
By Valerie G.A. Grossman RN
In today's health care arena, an essential survival tool for each and every nurse to have on stand-by is a dynamic resume and/or curriculum vita (CV) just waiting to win the attention of a prospective employer. When written properly, these tools are easy to maintain for use at a moment's notice.
What is the difference between a resume and a CV? A resume is a personal summary of one or two pages outlining an individual's educational and experiential qualifications. The candidate's strongest qualities are emphasized and highlighted. Typically, a resume is the first contact a prospective employer will have with you. A curriculum vita is a comprehensive biographical account of three or more pages. Typically, a specific request will be made for a candidate's CV. An individual's resume should include a notation that a CV is available for review upon request.
Whether we invest in the services of a professional writer or we choose to create our own winning resume/CV, it is helpful to imagine ourselves in the position of the manager receiving our job correspondence. Today's manager has less time to complete a greater number of responsibilities. Even the best written resume or CV is likely to receive an average of 10 seconds of the reader's attention. Think for a moment, the circumstances surrounding a manager reviewing a stack of resumes and CVs.
The information contained in your resume is vital. Keep in mind that the only purpose of a resume is to obtain an interview, and refrain from cluttering your resume with information that is best saved for the interview.
Remember these important points:
Gain the attention of the reader and make your resume provoke their interest to the point where they call you in for an interview. This should be done by honestly presenting yourself, emphasizing your good points, and minimizing your weak points. A resume or CV is the ultimate example of a marketing letter. Invest the time and energy to create a product that will yield the results you desire.
Contributing editor Valerie Grossman can be reached via email at: Valerie210@aol.com
Herman, J. (1996). Insider's Guide to Book Editors, Publishers, and Literary Agents. Ca: Prima Publishing
Pfeiffer, W. (1994). Technical writing: A practical approach. New York, NY: MacMillan Publishing Co.
Telephone Nurses are famous for giving advice, but are they as good about *heeding* it?
Food for a good research study!?
All nurses should celebrate our profession, including telenurses. Start planning now for your special events, and feel free to share your best ideas with TNT.
Care. Caring is the real power in nursing. It gives you the right and the strength to demand the best for yourself, your profession and your clients.
The response to being named in malpractice cases should not be to begin practicing defensive care, but, rather, to continue practicing good care. Quality patient care is the best approach to managing risks, preventing adverse events, and defending any claim.
Dear TNT
I work at a Telephone Triage line out of hospital in WI. I've been doing telephone triage for 1 1/2 yrs. We use a computerized protocol system as well as several resource books and a computer program that is like having all of our resource books on a disk. Our service is called Nurse On Line and we use Healthline Computer Products for our protocols and our service is free to the community.We also have what is called Clinical Advisor which has information based on categories. The categories are adult, Peds, OB/GYN, and medications. This is helpful when we may need to send information to the caller for their future reference.
I really enjoy my job and have never felt more confident. I have done telephone triage in a clinic setting and did not enjoy it as much there seemed to be too much room for error. Our telephone transactions are recorded and we keep the recorded transactions for 10 yrs for the purpose of any litigation in the future. Most of the nurses have 5 yrs of clinical experience especially in areas of critical care, emergency room, pediatrics and obstetrics.
My teamleader brought back your web address from a conference in Boston. I was wondering we are considering and need more information on telecommuting, where an RN works out of his/her home. I am specifically looking as to what works and what does not work. We are possibly looking into home based telephone triage for night shift only and I was asked to ask other nurses these questions for my department.
I just read and printed the Jan issue of TNT and found the information very interesting especially the publication and position statements regarding the Nursing Education 's Agenda for the 21st Century. Also I enjoyed the article that is named Telemedicine Its Place on the Information Highway.
Please, anyone respond if you have any information about this subject of telecommuting. We would also like to know what is out there that deals with paper vs computer breakdown cost on any existing programs in this field.
Responses can be sent to my e-mail address: lolatwnmom@aol.com
Thanks,
Cheryl K RN
Waukesha, WI
Dear Cheryl,
I hope you receive many responses from TNT readers, and that you share the best ones back with us. Have included information in this issues related to telecommuting, and hope it answers some of your questions.
Sincerely,
K Webster BSN RN
Editor, TNT
[To send a letter to TNT, send email to tnt@katsden.com and start the message with "Dear TNT". The editor will confirm your email address and confirm your request to publish. The editor reserves the right to reject letters inappropriate to the topic and spirit of telephone nursing].
Bill Gates wrote in his book, The Road Ahead, "In the years ahead, millions of additional people will telecommute at least part-time, using the information highway."
According to the American Information User Survey, the total number of telecommuters in the U.S., defined as employees or contractors who work at home one or more days per month during normal business hours, was estimated to be 8.1 million as of September 1995. One forecast puts telecommuters at over 20 million by the year 2000.
But what is telecommuting? According to Jack Nilles, telecommuting is "moving the work to the workers instead of moving the workers to work; periodic work out of the central office, one or more days per week either at home or in a telework center." He also goes on to say that "telecommuters are generally employees of some organization, as contrasted to people with home-based businesses".
Many nursing call centers are considering or have implemented telecommuting, especially to cover high volume or peak seasons. Having triage nurses take calls from home is sometimes important to provide much needed coverage. At the same time this approach decentralizes the nursing call center, raising new questions about quality assurance and legal issues. For many health care organizations, this is their first sojourn into the area of telecommuting.
Regardless of the profession, the following are issues and opportunities to be looked at, gathered from resources all over the World Wide Web:
There are resources aplenty on the Internet dealing with the topic of working at home via a computer connection to work.
The Pacific Bell's Telecommuting Guide is an excellent online resource, with sections including:
1) Selection of telecommuters
2) Work space requirements
3) How to implement with help on how to create a proposal, policy, agreement, screening of applicants, evaluation criteria and more. Not to be missed!
URL is at: http://www.pacbell.com/products/business/general/telecommuting/tcguide/tc-2.html
The Smart Valley Telecommuting Guide is a resource with six chapters jammed with information about the how-to's of telecommuting. They also have a version in Adobe Acrobat PDF format, 826K in size.
*To download the entire 826K PDF file on telecommuting, click here.
*To obtain the Adobe Acrobat reader: http://www.adobe.com/prodindex/acrobat/main.html
*HTML version: http://www.svi.org/PROJECTS/TCOMMUTE/TCGUIDE/HTMLVERS/tcg1.html
*Smart Valley URL: http://www.svi.org/PROJECTS/TCOMMUTE/TCGUIDE/
Telecommute America was the first nationwide public awareness, information and education program focusing on the benefits of telecommuting and non-traditional work environments. It was held the week of October 23-27, 1995. This web site continues to maintain the events information pages, and is a good resource for general information and contacts.
URL is at: http://www.att.com/Telecommute_America/
JALA International was incorporated in California in 1982 but our history goes back to the early 1970s when they helped to establish the world's first telework center. Their web page includes information about their telework services, projects, and some common telework questions and answers.
URL is at: http://www.well.com/user/jala/
The International Telework Association is a web page of the Telecommuting Advisory Council or TAC, a non-profit organization dedicated to promoting the economic, social and environmental benefits of telecommuting. They share information about the telecommuting program and policy design, development of the U.S. telecommuting sector, implementation of telecommuting programs and telecommuting research. TAC's 4th Annual International Conference will be held June 29 - July 2, 1997 at the Hyatt Regency - Crystal City, VA.
Conference information is available via voice: 602-759-7883, fax: 602-759-6799
or E-Mail: 71713.217@compuserve.com
URL is at: http://www.telecommute.org/index.html
The following articles may be of interest to telephone nurses and can be found easily through your medical and health librarian at your organization. If you don't have a resource for articles, visit Healthgate on the web, where you can search Medline and order articles directly for a fee.
HealthGate is at: http://www.healthgate.com/
For the full listing of US Health Observances, check out:
http://nhic-nt.health.org/nho97a.htm
The Center for Reproductive Law & Policy has an outstanding web site focusing on Women of the World, the formal laws and policies affecting their reproductive lives. Countries include Brazil, China, Germany, India, Nigeria and the US.
The URL is at: http://www.echonyc.com/~jmkm/wotw/
The HISA or Health Informatics Society of Australia an organisation devoted to the promotion of information technology in health care. In addition to information about their conferences, you can find backissues of Informatics in Healthcare Australia at this website.
The URL is at: http://www.hisavic.aus.net/index.htm
Carol Stock JD MN RN presents interactive one day workshops for telephone nurses. Carol is an attorney, adjunct professor at Seattle Pacific University, and a wonderful speaker -- in addition to having experience as a family nurse practitioner prior to her law pratice. She will be presenting two different workshops during the next few months.
KEY to workshop type:
TRIAGE: Telephone Triage, Avoiding Legal and Practice Obstacles
GUIDELINES: How to Design and Write Telephone Nursing Guidelines
Where/When:
Portland Oregon on March 18, 1997 GUIDELINES
Seattle Washington on March 19, 1997 GUIDELINES
Cleveland Ohio on March 27, 1997 GUIDELINES
Columbus Ohio on March 28, 1997 GUIDELINES
Atlanta GA on April 1, 1997 TRIAGE
Columbus SC on April 2, 1997 GUIDELINES
Charlotte NC on April 3, 1997 GUIDELINES
Research Triangle Park NC on April 4, 1997 GUIDELINES
Richmond VA on April 8, 1997 GUIDELINES
Arlington VA on April 9, 1997 GUIDELINES
San Antonio TX on April 21, 1997 TRIAGE
San Antonio TX on April 22, 1997 GUIDELINES
Houston TX on April 24, 1997 TRIAGE
Houston TX on April 25, 1997 GUIDELINES
Lafayette LA on April 29, 1997 GUIDELINES
New Orleans LA on May 2, 1997 TRIAGE
Dallas TX on May 21, 1997 TRIAGE
Dallas TX on May 22, 1997 GUIDELINES
Intended audience: Telephone nurses, nurse managers, providers, clinicians and other health professionals interested in telephone nursing. Geared toward persons with a basic or intermediate level of telephone nursing experience and to facilities with little or no policy or guideline development in place.
Cost:$145 per person. Check for changes or rates for multiple registrations
Approved for contact hours by the Washington State Nurses Assocation
Contact: Carol Stock and Associates
POB 31114, Seattle WA 98103, phone/fax (206) 789-0909 PST
[confirm all dates and costs through Carol Stock and Associates]
What: A coalition of Medical Groups provide a conference for Ambulatory Care Nurses every year. The institutions that sponsor this are: Kaiser Permenente, Sharp Health Care, University of California of San Diego, and the Veterans Administration Hospitals.
Where: Hanalei Hotel in San Diego CA
When: May 1 and 2, 1997
Notes: It is two days and features general sessions and work shops that will have telephone advice break out sessions and associated features.
Contact: Questions can be answered by calling Ruth Ann Obregon at 610-641-4137.
When: May 3, 1997 Saturday 8:00-4:30
Who: Sponsored by The Children's Hospital After Hours Care Program Denver, CO 80218
Featured Speaker: Bart Schmitt, MD, Keynote Address "Office Telephone Triage: The Basics"
All inquiries for brochures should go to:
The Children's Hospital, Nursing Education/Conferences Department
Telephone: 303-861-6150 or 303-861-6123
[Some conference information is obtained directly from the Web. The editor of TNT is not responsible for any errors related to conference detail and all information should be confirmed with conference directors]
The word is out that a new specialty Nursing organization is forming devoted entirely to telephonic nursing. You can confirm this rumor as TRUE. You can expect to see leaders in the field taking part in its formation and that telephone triage nurses will be included. More information will be forthcoming when details are available.
Mythical Viruses
The Computer Virus Myth website is the perfect place to visit when feeling paranoid, especially for those new to computers and the Internet. Although viruses and trojans can be destructive to your computer data, many stories about them are hoaxes, and are propagated by newbies who are unaware of their origin. Famous hoaxes include "the Deeyenda Maddick virus" (now SAY this virus aloud and get a CLUE), the "PKZ300B Trojan/virus" (overblown and rare threat), and others. The GOODTIMES virus (a fake) is covered under their "Penpal Greetings" section.
Do yourself a favor, check out this web page -- before you propagate a hoax story....which can be as bad as sharing a real virus!
The URL is at: http://www.kumite.com/myths/home.htm
24 Carat Epitaph
Yes, there really is a Plan Your Epitaph Day. It is actually an international observance featured in Chase's Calendar of Events and occurs twice a year: November 2 to coincide with the Day of the Dead [Dia de los Muertos], and April 6 to coincide with the Ching Ming Festival, the Chinese version of All Souls' Day. This website features some notable gravestone epitaphs and snappy things to have people say at your funeral. The webmaster is Lance Hardie, creator of Plan Your Epitaph Day, last seen at work on a book titled How to Write Your Own Epitaph -- and Live Long Enough to Enjoy It.
My epitaph?
"Remember me as you pass by;
Life is quick and all things die.
But I'll be back and once more be.
Pretty good for something free!"
Elvis Has Left the Building
The Fifties Web is dedicated to those born or living during the years 1950 to 1959. That includes ME and many of YOU. Get on your coonskin caps, hula hoops and pop-it necklaces and I'll meet you in the bombshelter with Kookie, Clarabelle and Hoss. Don't forget the bubblegum.
Fifties Web is at: http://www.fiftiesweb.com/
[Written by K Webster BSN RN or tnt@katsden.com]
Informed Access Systems is an innovative health care management company specializing in telephone triage. We are rapidly expanding and have several positions open to qualified RNs interested in high quality patient care in a non-traditional setting. Our company offers career opportunities to nurses seeking a chance to excel and positively impact the health care delivery system. We value our nurses' diverse educational backgrounds, experiences, and collective dedication to offering progressive health care solutions. Flexible hours, opportunities for advancement, excellent benefits and competitive pay contribute to our progressive work environment.
Telephone Triage Coordinator, salaried position, for new Medical Call Center in Winfield IL, 27 miles west of downtown Chicago. Previous experience in telephone triage nursing preferred. Require current Illinois nursing license, BSN with three years recent clinical experience, preference to applicants with emergency, ambulatory care, pediatric or critical care experience. Should have experience in hiring, training staff, and functioning in a lead position. Personal computer and typing skills required. Knowledge of NHES software a plus. Responsibility for leadership to telephone triage RN staff by coordinating daily activities as well as responding to health related telephone inquiries.
Seeking an exciting nursing opportunity? Our downtown Seattle company is rapidly growing and we're seeking experienced nurses to join our dynamic nursing team! We combine the clinical expertise of RNs with state of the art telecommunications to provide health care information and options that educate consumers in making healthcare decisions. Come and thrive where your nursing skills re respected and appreciated!
Come and ski Utah while working for a busy and rapidly expanding 24 hour call center.
{All employment opportunities have been submitted directly to TNT for inclusion. Please check with the manager or recruiter listed for all details and job requirements.]
Review Previous Issues of TNT
August 1996 - Introductory Issue
The Web Page
The Telephone Triage Nursing Web Site is at http://www.katsden.com/telenurse/index.html
Submissions of interest to Telephone Nurses in all occupations and environments. Preferred material is from Registered Nurses, Physicians and other health care professionals currently involved in the specialty.
Require all submissions by the 10th of the month for next issue inclusion.
==Colorado==
We are seeking highly skilled RN's with:
* Colorado RN license in good standing
* Minimum 3 years recent clinical experience
* Superior communication skills
* Team player attitude
If you have a desire to work in a friendly environment, please send resume to:
Informed Access Systems, Inc., Attn: Nurse Recruiter, 310 Interlocken Parkway, Broomfield, CO 80021
Phone (303) 466-9500, FAX (303) 443-3909
==Florida, South West==
Call Center Executive Director: location is within South West Florida and responsibilities include managing a regional call center that processes incoming calls for several hospital systems and subsidaries. BS required and a MS is preferred. A knowledge of clinical systems and managed care are a must; as is a minimum of three years in managing a multi county and multi facility demand management call center. A familiarity with NHES software is a plus!.
Triage Nurses: Location in South West Florida. A minimum of two years nursing, triage, emergency room, or physician office experience is required. In addition, a BSN is preferred but not required. Experience
in triage, medical sales, marketing or telemarketing is a definite plus. Nursing Triage Supervisor: BSN is a plus and a minimum of three years ( 5 years preferred ) experience is required. Location in South West Florida. Familarity with NHES software and call center training is a
definite plus.
Send all responses to: Marketing Consultant, 2920 Chancery Lane, Clearwater, Fl. 34619. Please include present salary and availability for interviews, and relocation preferences.
==Illinois==
Inquires to: Mary McDonough, voice (630) 682-1600 X2237 or fax (630) 260-2652
==Mississippi==
Telephone Resource Representative (RN) responsible for marketing services to potential clients through telephone inquiries facilitating referral to associated physicians and hospital services.
Minimum qualifications: Bachelor's degree in Nursing, 5 years experience in diversified clinical role, eligible for licensure by Mississippi State Board of Nursing.
Position: Full-time, 8:30AM to 5:00PM, Monday through Friday.
Contact: Myrna Stinson, Teleservices Coordinator at (601) 973-1694
==Pennsylvania==
Nurses to help us expand to 24 hours!!...
Brandywine Hospital is currently seeking nurses with sound clinical judgement and excellent communication skills to be a part of our community phone service. "THE PROFESSIONALS". Qualified candidates must possess an current PA RN license, plus a minimum of 3 years of acute care experience. The following schedules are available : (weekend rotation required): FT/PT 11PM - 7AM, PT 5 - 11P.
Brandywine Hospital offers an excellent salary, excellent benefits for full-time, and the chance to join a personal and professional working environment. Interested candidates please call:
Employment Coordinator at: (610) 383-8234 or send resume to:
Brandywine Hospital & Trauma Center , 201 Reeceville Rd, Coatesville, PA 19320-1536.
==Washington State==
We are recruiting nurses who:
* Have a minimum of 5 years recent clinical experience with emphasis on
triage, med/surg, chronic disease, OB, and patient education
*have good computer and typing skills
*current WA license.
*Can work flexible schedules/shifts including eves/nocs/wknds.
*Possess excellent customer service skills
We offer competitive salary and benefits, shift/wknd diff, 40lK, stock options. FT/PT all shifts available. Non-smoking corporate environment, EOE If you are interested in learning more about this terrific opportunity and meet the qual's...
Send resume to CareWise/Nurse, 701 5th Ave. , Ste 2500, Seattle, WA 98104-7015 or fax (206) 479-1125
==Utah==
IHC TeleHealth Services is part of Intermountain Health Care (IHC), which is widely known for its community based health information, triage/referral service. IHC TeleHealth Services has expanded into facilitating personal health management across the health care
continuum for IHC Health Plan members in Utah, Idaho and Wyoming, while maintaining
our community service line. IHC TeleHealth Services answers between 1100-1400 calls per
day.
We are currently hiring RNs for full and part time evening positions. Both these positions are benefit eligible. Minimum qualifications include a current Utah RN license with a minimum of 3 years high acuity nursing experience. Must enjoy
working with people on the telephone. Must be able to sit for extended periods of time and
talk while typing with few errors.
Send all inquires via E-mail to aajcall@ihc.com or call Jan at 801-978-4045.
Please include your name and phone numbers where you can be reached.
Can't Get Enough on Telephone Nursing?
September 1996 - Featuring: OB Telephone Nursing
October 1996 - Hospice and Telephone Nursing
November 1996 - Telephone Nursing and Seniors
December 1996 - Special Holiday Issue
January 1997 - New Year, New Approaches [Telenursing/Telemedicine]
Next months topic:
Marching Forward
WANTED!
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