ABSTRACT
Many factors should be considered by persons thinking about a move from midlevel to top-level nursing administration. A number of different programs exist, all of which involve mentoring with the chief nurse executive for a time. The seven-month VA program is described, which trains for the positions of Associate Chief for Education, Supervisor, Nursing Home Care Unit and Assistant Chief Nurse. Key steps include 1) developing a clear understanding of the proposed role, 2) getting personal affairs in order and 3) considering the fiscal implications.
Subject(s)
Career Mobility , Nurse Administrators , Hospitals, Veterans , Humans , Nurse Administrators/education , United States , United States Department of Veterans Affairs , WorkforceSubject(s)
Cerebral Infarction/drug therapy , Dysarthria/etiology , Hand , Hematoma, Subdural/etiology , Paresthesia/etiology , Thrombocytopenia/therapy , Aged , Aspirin/adverse effects , Cerebral Infarction/complications , Cerebral Infarction/diagnostic imaging , Female , Hematoma, Subdural/chemically induced , Humans , Thrombocytopenia/blood , Thrombocytopenia/complications , Tomography, X-Ray Computed , Warfarin/adverse effectsABSTRACT
Dermal cylindroma is a rare tumor of the cutaneous appendage system, which can undergo aggressive malignant transformation. Clinically this change can manifest as ulceration. The histological features of malignant degeneration are well defined. When these changes occur, prompt excisional biosy or reexcision with clear surgical margins is indicated.
