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Archive for October, 2009

TALLAHASSEE, Fla. – According to the Associated Press, a new state law designed mainly to crack down on Medicaid fraud, is having unexpected consequences by keeping some health care professionals from getting or keeping their licenses at a time when the state is suffering a shortage.

Nursing jobs and health care workers affected by Florida fraud law

Nursing jobs and healthcare workers affected by Florida law designed to crackdown on fraud

A little-noticed provision in the 160-page measure is preventing doctors, nurses, pharmacists, lab technicians and others licensed by the state from working in Florida if they have old felony convictions for fraud or drugs.

The law, which went into effect July 1, prohibits applicants who’ve had such convictions – even if unrelated to Medicaid or other government programs – from getting new or renewed licenses until at least 15 years after they’ve completed their sentences, including probation. The ban also applies to no contest pleas and cases where judges have withheld findings of guilt. More than 30 license applications have been denied or withdrawn because of the law.

Here’s the irony: The provision covers only those who have violated Florida or federal laws. Applicants convicted of the same crimes in other states can still be licensed in Florida.

“To favor people who commit their crimes out of state doesn’t make any sense,” said Anna Small, legislative counsel for the Florida Nurses Association. Read full story.

Nurses Forum offers information about nursing jobs, travel nursing, forensic nursing, forums, a directory of nursing schools in the United States plus continuing education and career opportunities.

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The Senate Finance Committee has approved a $829 billion health care reform bill on a 14-9 vote, with Maine Sen. Olympia Snowe the only Republican who voted “yes.”

Olympia Snowe votes yes on senate finance bill

Olympia Snowe was the only Republican to vote yes on senate health care bill

The vote moves President Barack Obama’s goal of overhauling the nation’s health care system one step closer to reality.

The bill would require all Americans to own health insurance or pay a fine of up to $1,500 per family. It doesn’t require employers to offer health coverage – as the House version of the bill does – and would create health-care co-operatives for purchasing insurance, not the publicly run health insurance option many liberals hoped for.

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liposuctionA 37-year-old nurse and mother of three is on life-support after going to a Weston, Fla. Med Spa for a routine liposuction reports the Ft. Lauderdale Sun-Sentinel.

The attorney for the physician who performed the procedure at Weston Medspa said Rohie Kah-Orukotan, a nurse, did not suffer complications until the end of the procedure.

“She went in for a routine  liposuction performed by (Dr. Omar J. Brito Marin) without any complications until the very end, at which time Dr. Brito immediately administered emergency care and called 911,” attorney Brian Bieber told the Sun-Sentinel. “Paramedics arrived; they noted all emergency procedures put into place were proper.”

State officials told the newspaper that the privately owned clinic is not licensed to perform liposuctions under general anesthesia. It could perform a scaled down version of a liposuction procedure while a patient is awake, however. Bieber said he didn’t know which type of procedure Brito performed. State records show Brito is not a board certified plastic surgeon and has a background in occupational medicine.

Kah-Orukotan remained unconscious, with no brain activity, Wednesday at a Florida branch of the Cleveland Clinic, where her family is agonizing over whether to keep her on life support, the family’s attorney said. It’s been five days since Kah-Orukotan had the procedure.

Medspas across the country offer cosmetic procedures like botox, laser hair removal  and lighter versions of liposuction known as laser liposuction or Smartlipo for fat removal. Under the care of a licensed physician, these procedures are relatively safe.

Laser liposuction is still considered a surgical procedure and must be done by a qualified doctor.  If a patient is going to use general ansthesia, then the patient needs to have surgical procedures like liposuction done where there are emergency facilities  to handle complications.

Even local anesthesia such as the use of lidocaine can cause complications. If an overdose of lidocaine is given,  the patient can have seizures.

Under state rules, medical offices do not have to be licensed to perform laser iposuctions or some other procedures  that use only local anesthesia. It’s unclear which type of liposuction Kah-Orukotan had.

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