Friday, April 14, 2017

When Nurse Practitioners Step Forward

Nurse practitioners have been in the news in early 2017, and for very good reason; the time for nurse practitioners (NPs) and advanced practice registered nurses (APRNs) to step forward has come, and the world is taking notice.

In defining NPs, the American Association of Nurse Practitioners (AANP) states the following on their website:
“Nurse Practitioners (NPs) have been providing primary, acute and specialty healthcare to patients of all ages and walks of life for nearly half a century. NPs assess patients, order and interpret diagnostic tests, make diagnoses, and initiate and manage treatment plans – including prescribing medications. They are the healthcare providers of choice for millions of patients.”

While nurse practitioners have historically worked under the supervision of physicians, a growing movement to grant NPs complete autonomy and a broader scope of practice has taken hold, and it appears that critical mass has been achieved vis-à-vis nurse practitioners’ 21st-century coming of age. 

READ MORE  of this great
guest article from Keith Carlson RN, BSN, NC-BC on

99 Top Nursing Blogs has complied a really nice list of nursing bloggers and has honored many of us as "Top 99 Nurse Bloggers of 2017." I am always humbled and honored to be in such great company and share with you because this list is complex and well annotated. I found some new favorites and so will you. Check out these blogs. Thanks!!!!

Friday, March 24, 2017

Please Support The National Nurse Act of 2017

Nurses were once again voted the Most Trusted Professionals in the 2016 Gallup Poll. This marked the 15th year in a row that nurses have topped the list. It’s indeed an honor to call ourselves nurses and to be able to impart our knowledge on our patients to improve their quality of life and health status.

Today we face uncertainties with the new administration who promises to “repeal and replace” the Affordable Care Act as soon as possible. We need to stand strong together in a bipartisan effort to ensure Americans continue to receive the very best health care. This starts with prevention and nurses are in a unique position to lead the way. With chronic conditions on the rise that continue to bankrupt our federal and personal healthcare dollars, educating patients about their life style, health issues, chronic illness conditions and how to PREVENT complications become even more important today.

Nurses Advance Wellness
As nurses we have long been charged with the responsibility of patient education. Now more than ever before we need to advocate for our patients, ourselves and the health status of our country. The American Nurses Association too recognizes the important role nurses serve in advancing wellness and at the beginning of 2017 kicked off its “Healthy Nurse, Healthy Nation” campaign. The vision is to create a healthier nation by maintaining the well being of America’s 3.6 million nurses.

Dream Becomes Grass Roots Effort
In 2005, a nurse educator and patient advocate from Oregon named Teri Mills MS, RN, CNE had a dream and wrote an Op-ed in the New York Times calling for unification of the nursing profession in America with a National Nurse. In early 2015, the National Nurse Act (HR 379) was introduced in the House of Representatives by Reps. Eddie Bernice Johnson (a nurse) (D-TX) and Peter King (R-NY). The Senate companion bill (S 1205) was co-led by Senators Jeff Merkley (D-OR) and Shelley Moore Capito (R-WV). The beauty of this non-controversial legislation is that it required NO additional funding for implementation.

The National Nurse Act of 2015 received strong bi-partisan co-sponsor support from 97 Representatives and 5 Senators in addition to 119 nursing organizations including the American Nurses Association, the National Federation of Nurses, and the Federation of Healthcare Professionals. Five state legislative bodies (MA, OR, NJ, NY and VT) overwhelmingly passed resolutions urging Congress to enact this bill.

National Nurse Act of 2017 Introduced
Twelve years later the legislation that grew from that grass roots effort known as H.R. 1651 The National Nurse Act of 2017 was reintroduced to the 2017 Congress. This legislation designates the Chief Nurse Officer of the U.S. Public Health Service as the National Nurse for Public Health to raise visibility and increase public and nursing support for health promotion and disease prevention.

The CNO/National Nurse for Public Health would:
  1. Function alongside of the Surgeon General and focus on priorities of promoting health, improving health literacy, and decreasing health disparities
  2. Serve as a visible national spokesperson for engaging nurses in Leadership, Policy and Prevention efforts
  3. Encourage health professionals work and/or volunteer with community programs to improve health
  4. Provide guidance and leadership for activities that will increase public safety and emergency preparedness

The National Nurse Act of 2015 came very close to passing. It is hoped 2017 will be year it passes so that the office of the Chief Nursing Officer/National Nurse for Public Health will be better able to guide the nursing profession in promoting, protecting and advancing the nation’s health.

YOU Can Help
A small action on your part can go a long way in helping to bring the National Nurse Act to fruition. Please take a moment to contact your elected officials and request that they sign on NOW to support and co sponsor HR 1651. To create the change we want and need, it is imperative that nurses stand together to advocate for health promotion and prevention via a National Nurse for Public Health.

Disclaimer: Kathy Quan serves on the Advocacy Team of the National Nursing Network Organization

Friday, March 17, 2017

How a Patient Ends Up on Isolation Precautions: In Five Simple Steps

A guest post

You enter your unit and receive morning report. Mr. Z, a 68-year-old gentleman with diagnosis cellulitis of the left leg was previously on standard precautions at the time you clocked out yesterday evening. You notice that he now has an isolation cart parked outside of his room with a large sign indicating contact precautions are needed. Yesterday you spent hours in his room wearing only gloves, yet now you are being asked to don a protective gown over your clothing. What changed in twelve hours that warranted this?

Image credit: Koldunov

After reviewing Mr. Z’s chart you recognize the familiar acronym: MRSA, or Methicillin Resistant Staphylococcus Aureus.

What does this mean? What exactly is MRSA and why does Mr. Z have this diagnosis when yesterday he did not?
Quite simply, all humans harbor bacteria. Bacteria lives on our skin, in our gut, and even in our blood and mucus membranes! Most of these bacteria are harmless, part of normal human flora. Sometimes, however, an unwanted or dangerous bacteria enters our system which leads us to develop an infection. Most bacteria are susceptible to broad range antibiotics, such as levofloxacin, ciprofloxacin or sulfamethoxazole. These are common antibiotics your doctor may prescribe if you come to the hospital with a urinary tract infection, skin infection, or sore threat.

Over time, some strains of bacteria have become resistant to certain common antibiotics. You may have heard of some of these common healthcare associated infections: MRSA, C-Diff (Clostridium Difficile) and VRE (Vancomycin Resistant Enterococcus) are some of the most common.

So back to Mr. Z…
How did he end up with MRSA overnight? Here is a breakdown:
  1. When Mr. Z came into the hospital he had a diagnosis of cellulitis, or an infection of the skin. Cultures were obtained in the emergency room and sent to the laboratory for processing.
  2. From there, the laboratory grew these cultures in a petri dish in the incubator for a day. They then were able to look under the microscope and identify that the bacteria infecting his skin was staphylococcus aureus.
  3. From there, with this information, they spent the following two days testing the bacteria’s response to the most commonly use antibiotic (methicillin) as well as other antibiotics. This is known as testing for sensitivities (hence the test name you may have heard used: culture and sensitivity).
  4. Once the initial sensitivity testing was complete, it was easy for the lab to identify Mr. Z’s infection as MRSA.
  5. The lab then notified the nurse caring for Mr. Z at the time of the completion of testing, and the nurse ensured that all contact precautions were put in place at that moment.
So, what happens from here?
First of all, don’t fret. The average nurse is unlikely to contract an antibiotic resistant infection from a patient if standard precautions were appropriately used. Since Mr. Z has MRSA, he will need to be treated with another antibiotic that the bacteria showed sensitivity to. He may also need a longer course than normal, depending on his response to therapy. This will be decided upon by the attending physician or infectious disease specialist. Your job, as the patient’s nurse, is to make sure the patient receives all prescribed treatment and monitor for further complications from here onward.

You also will now play an essential role for this patient with an antibiotic resistant infection. As the main healthcare professional in contact with this patient as they are receiving treatment, it is imperative to follow strict contact precautions (disposable gown and gloves are the standard requirement for MRSA infected patients at this time) not only to prevent yourself from contracting the infection, but even more importantly to protect other patients you come into contact with from becoming infected. When proper precautions are taken, you can stop the spread of these potentially deadly bacteria.

This post comes from Marina Matsiukhova at We specialize in creating NCLEX-RN practice tests, our other resource is, which helps CNAs prepare for their certification.

Wednesday, March 15, 2017

The Effects of Working on Your Feet All Day

A guest post from Bobbie Brown

Even though numerous studies show extensive periods of standing and walking have significant adverse effects on the body, it is not uncommon for nurses to find themselves working 10 to 12 hour days.

Your muscles, joints, tendons, feet, and spine all react differently to long hours on your feet and physical ailments can easily manifest such as neck pain, hip pain, and cramping of muscles; while foot conditions such as corns, calluses, bunions, ingrown toe nails, plantar fasciitis, and foot neuroma (a swollen or thickened nerve in the ball of your foot), can become exasperated causing intense prolonged pain.

What's Really Happening?

So, what is really happening when we work on our feet all day? The weight of our body is being supported by our bones, muscles, and joints. Each step we take the body is distributing the weight between the hips, knees, ankles and feet. The joints and lubrication in these areas provide cushioning but over time pressure and tearing occur resulting in knee and leg pain.

The spine is designed to maintain an efficient, natural gait cycle when tasked with supporting the body’s weight throughout the day. But not unlike a tree’s branches twisting and turning in response to the harshness of its environment, the spine can take on an unnatural structure resulting in poor posture and causing pain and stiffness in the neck and aching muscles in the lower back area with overuse.

Additionally, the circulatory system can manifest ailments such as varicose veins due to prolonged periods on your feet. Varicose veins occur when your legs take on added weight and pressure causing veins to become dilated and overfilled with blood. They take on a bluish-purple color and can be extremely painful and unsightly in the lower leg region.
We’ve all heard the saying, “health is wealth”, which makes it all that more interesting how tempting it is to ignore our bodies signals of overuse. All too often physical pain is regarded as part of the job and for several of us part of everyday life. Our ability to infuse our work with our love and dedication is admirable but we shouldn’t do this at the cost of our own health. There are ways to better care for ourselves so we are in tip top shape to care for others.

Tips for Working on Your Feet All Day

1. Take Sitting Breaks
First, avoid standing for long periods of time by taking breaks sitting down. Sitting breaks will allow the body a chance to rest, the joints and lubricants can experience less tearing and pressure when the weight is removed at regular intervals. If this seems impossible due to the demanding nature of your job, set daily goals for yourself and fit the sitting breaks in wherever possible. Aim for about 10 to 15 minutes of rest for every 4 to 5 hours or work.

2. Add Stretching to Your Routine
Second, incorporate stretching into your day. Yoga poses are great for stretching the muscles and are easy to do in most places. The downward dog pose is best for stretching the legs, hamstrings, while decompressing the spine. The warrior pose, another great Yoga pose, is also great for strengthening the legs and hips. Yoga poses work so well because they keep muscles warm and loose, while increasing blood flow.

3. Choose Footwear Designed to Support Your Feet
Lastly, invest in supportive footwear designed for all day wear. There are many to choose from and great brands like Klogs Footwear specialize in the prevention of fatigue and foot pain by using contoured arch support and microfiber footbeds for added comfort. If you are managing foot ailments such as bunions or hammertoes, Drew Shoes feature wider width shoes as well as shoes with stretch material which accommodates for foot conditions like hammertoes or toes rubbing against the shoe. Vionic shoes are a great choice for those suffering from foot neuroma as well as plantar fasciitis. Or if you already have a favorite shoe and just need added support or have flat feet, add an insole. There are many great insoles on the market such as Spenco Insoles and Orthaheel Insoles.

It’s not always easy to put goals into practice but if you can implement a few of the above suggestions into your routine, the health benefits far outweigh any reason you may find to keep things status quo.

About the Author:
Bobbie Brown writes on a variety of topics relating to foot health and foot conditions with a focus on bringing awareness to the importance of proper foot care. She is the co-founder of - an orthopedic shoe store. Visit their blog for more information and additional articles.


Thursday, March 9, 2017

BREAKING NEWS: ANA Opposes New Healthcare Bill

BREAKING NEWS: Nurses Oppose Healthcare Bill

The American Nurses Association has officially opposed the new healthcare bill, The American Health Care Act. In a letter written to the committee members and copied to prominent leaders in the House and Senate, President Pamela F Cipriano PhD, RN FAAN, outlined the reasons the ANA is opposing the new health care bill. Not the least of which it "threatens health care affordability, access, and delivery for individuals across the nation."

Nurses are the most trusted profession and as such we need UNITE to stand up and advocate for ourselves,  as well as our patients. Affordable healthcare that provides all Americans access to preventative as well as therapeutic measures is a must! Cipriano goes on to say:
"Nurses work in virtually every health care setting, providing expert, compassionate care for people throughout all stages of life. As the organization representing the nation’s largest group of health care professionals and its most trusted profession, ANA asks Congress to keep our patients’ access to affordable, quality care foremost in their discussions over how to improve our nation’s health care system. ANA stands ready to work with Congress as a constructive voice and positive force for improving health care delivery, coverage, and affordability for the American people."

We are NOT a Third World Country. We need affordable health care insurance. Please contact your elected officials TODAY to encourage their opposition. There is NO TIME to procrastinate on this essential issue. (photo: LA Times)


ALL you have to do is make a phone call.  Here's some information on calling your legislators and finding their direct phone numbers.  Most likely they won't even answer and you'll get a voice mail box.  It only takes about 2 minutes tops. And believe me I've stuttered and stammered through it, but the important issue is you make your voice heard!!!

Here's a sample script to make it easy for you: "Hello, my name is _______. I am a nurse [give your credentials] and I am calling to tell you I am opposed to the AHCA [American Health Care Act] as it is written. I am one of your constituents and I implore you to stand up and advocate for the people you work for. We MUST do better than this! Thank you." 

Send an email as well with the same information. Use Twitter to contact them. 

You can also get the addresses to the committee from the ANA letter and send a letter of your own. The louder our collective voices, the better the chance of getting a plan that can work.

Thursday, February 16, 2017

What Healthcare Professionals Can Do About the Opioid Epidemic

A Guest Post from Daphne Stanford

It’s sobering to put these drug facts into perspective: according to the American Association of Colleges of Nursing, a 2015 White House press release stated, “Opioids are a class of prescription pain medications that includes hydrocodone, oxycodone, morphine, and methadone. Heroin belongs to the same class of drugs, and four in five heroin users started out by misusing prescription opioid pain medications.”

Seeing all those drugs placed into the same category as heroin really makes the imperative abundantly clear: we must treat these substances for what they are: extremely addictive and destructive drugs, not painkillers. They should only be considered worthy of a prescription as a last resort; even then, they should be handled with extreme caution. According to Bradley University, 78 people in the United States die from an opioid overdose every day. This is true despite the fact that Americans have not reported increased levels of pain; moreover, the sales of prescription opioids nearly quadrupled between 1999 and 2014.

Significantly, because of the recently passed Comprehensive Addiction and Recovery Act, nurse practitioners will now be legally allowed to administer drugs like buprenorphine for withdrawals, as well as naloxone, an overdose-reversing drug. This expansion to include nurse practitioners in those allowed to prescribe buprenorphine is a huge step forward since, historically, only physicians have been allowed to prescribe it.

Requiring any healthcare professionals who prescribe opioids to take a certain amout of continuing education about the drugs would be an excellent requirement; so far, however, only a handful of states have implemented this guideline.

In addition to improved access to life-saving medication, opioid addiction prevention and education efforts will also be expanded—among both patients and medical professionals. According to Frontline, drugs now kill more Americans than cars, and twelve states in 2012 had more opioid prescriptions than people. Take Baltimore as an example: from 2013 to 2015, deaths from fentanyl overdoses increased 600 percent—apparently mirroring a trend in other East Coast cities. As a result, the city’s health commissioner, Leana Wen, prescribed the antidote naloxone, which halts overdoses, to all residents.

Encouragingly, Science Magazine reports some clinical studies suggest that marijuana may have medical value for difficult-to-treat pain conditions:
California, which in 1996 became the first U.S. state to legalize medical marijuana, led the way with its Center for Medicinal Cannabis Research, which has done several placebo-controlled studies on pain… The first, published in 2008, found that smoking marijuana reduced pain caused by nerve damage in 38 patients, with minimal side effects. The second, published in 2013, found that vaporized cannabis, even in low doses, relieved pain in a similar group of patients who hadn’t responded to traditional medications, including opioid analgesics.

Though this research is probably not surprising to many, it’s frustrating how little of it seems to have been widely publicized. However, out of sixty peer-reviewed studies from 1990-2014, 68 percent of the results proved favorable to marijuana use to treat conditions such as ALS and Multiple Sclerosis.

The fact that one out of every fifteen people who abuse or misuse prescription painkillers will try heroin seems to suggest that opioids are much more of a ‘gateway drug’ than marijuana ever will be. To consider a few other statistics, the University of New England reports opiate abuse and addiction cost the U.S. 484 billion dollars, every year. Addicts are also responsible for 50% of major crimes.

Furthermore, although the U.S. only makes up 4.6 percent of the world’s population, it consumes 80 percent of its opioids and 99 percent of its hydrocodone, the opiate that is in Vicodin. Lastly, people in rural counties are nearly twice as likely to overdose on prescription painkillers as people in big cities.

What can we do, then, to reverse these trends? The Hazelden Betty Ford Foundation has put forth a series of recommended actions that include evidence-based solutions including comprehensive education and prevention like limits on medications and a ban on direct marketing of opioids. The Betty Ford Center’s Pain Management Program takes a comprehensive approach based on reshaping how the brain reacts to pain, utilizing non-opioid interventions. They also support the integration of community-based recovery and telehealth-based resources to help give patients a chance at full recovery.

Encouragingly, according to Dr. Ted Cicero, professor of psychiatry at Washington University, many doctors have become wary of prescribing opioids after considering the bad publicity surrounding opioid abuse. In late August of this year, the U.S. Surgeon General, Dr. Vivek Murphy, sent U.S. doctors a letter urging them to educate themselves about opioids, screen patients for opioid abuse, and treat addiction as a chronic illness, rather than a moral failing.

Let’s remember that an effective response to the opioid epidemic requires a comprehensive, multi-pronged approach from all fronts. Rather than be left entirely up to the patient, recovery from addiction involves doctors and nurses, counselors, friends, family, and community members. Only together, with the help of education and science-based treatment, can we heal from this problem, as a nation.

Daphne Stanford hosts "The Poetry Show!" on KRBX, her local community radio station, every Sunday at 5 p.m. A writer of poetry, nonfiction, and lyric essays, her favorite pastimes include hiking, bicycling, and good conversation with friends and family. Follow her on Twitter @TPS_on_KRBX.

Read more from Daphne:

Thanks Daphne!

Tuesday, February 14, 2017

Happy Valentine's Day!

When considering gifts for nurses....

If you have a nurse in your life, consider something outside the box. Something in the realm of  a new stethoscope, new scrubs, compression socks, lab coats, etc.

Be sure to combine them with a special card, a few flowers, chocolates, dinner date plans for her/his next day off,  or your own special brand of love and ideas. 

Other welcome ideas can include a spa day, full body or foot massage, or even just a day without the normal chores.

Enjoy! And make memories with your loved ones.  

Thursday, January 19, 2017

Ramifications of Loss of Affordable Care Act (Obamacare)

By Ted Chan, Founder & CEO of CareDash

Millions of Americans might be about to lose health care, potentially triggering a crisis at medical facilities across the nation. The GOP now controls the executive and legislative branches of the federal government. They will likely make good on their promise to repeal the Affordable Care Act (also known as Obamacare.) While Republican lawmakers have consistently promised to “repeal and replace” the law that insured 22 million, so far Congress has offered no plan for insuring those who can’t afford insurance or can’t get covered because of pre-existing conditions.. We anticipate this will have major ramifications for caregivers, and significantly impact the work experience.

Difficult Decisions When Providing Care for Uninsured
Hospitals cannot turn away patients solely because they lack insurance coverage. The Emergency Medical Treatment and Labor Act (EMTLA) is a federal law mandating the provision of stabilizing treatment in emergency situations and to women in labor. Hospitals that don’t comply can lose Medicaid funding.

Providers are not, however, required to offer anything beyond stabilizing care. No law mandates cancer treatment, extensive diagnostic services for non-emergent medical issues, or other potentially life-saving treatment. The Affordable Care Act provides coverage for preventative care, but that mandate may also soon disappear.

This leaves providers to interpret the law and assess what ethical care demands. Provide too much care to an uninsured patient and you may bankrupt your hospital. Offer too little care, and you could lose Medicaid funding. This dilemma doesn't even take into account that providers are treating human beings. The stress—and bad publicity—of turning away someone in need can be overwhelming.

High Costs of Unpaid Care
The EMTLA is an unfunded mandate. One recent study found that half of hospital bills go unpaid. Compliance with the law, particularly in poor and disenfranchised areas, can cost hospitals millions. Providers may try to make up for this loss by limiting unreimbursed care only to emergencies, and never providing extra care when the law does not require it.

No provider went through years of school to view their patients as paychecks, but the realities of unreimbursed care can fundamentally alter the patient-provider relationship. Health care professionals may find themselves assessing whether a patient can pay before they recommend treatment, or may adjust their care recommendations based on perceptions about a patient's finances. Research shows that the uninsured receive fewer health interventions and stay for shorter periods in hospitals.

Worse Health for Patients and Lower Morale for Health Care Providers
When patients lose insurance coverage, they turn to emergency rooms for treatment. This consistently results in lower quality care. Rather than the ongoing monitoring and communication that marks a healthy doctor-patient relationship, patients seeking care in the emergency room receive only stabilizing treatment. They don’t form relationships with doctors and nurses who understand their lifestyles and needs, and they're unlikely to receive preventative care, weight loss counseling, advice about nutrition, and other medical information that can empower good health.

The cost is high. The uninsured have a 39 percent higher mortality rate. There’s simply no way to quantify the emotional toll on families, friends, and communities of this tragic outcome.

Opponents of government programs to increase health care coverage, including the ACA, argue that the programs are too expensive. Cutting these programs merely shifts the burden. When hospital bills go unpaid, taxpayers and local governments are often forced to pick up the tab. The question is not whether health care coverage should be paid for; it’s who pays. No one benefits when the poorest among us are denied care.

Ted Chan created CareDash to address the need for transparency and improve the quality of healthcare information available for all Americans.


Thanks Ted. We also need to consider the vast number of jobs to be LOST by eliminating the ACA. Just another ramification. Please contact your elected officials immediately!


Tuesday, January 10, 2017

Seven Things You Should Know about ATI TEAS (TEAS VI) VS. TEAS V

A Guest Post by Katie Meir

The official TEAS test entered its 6th edition and is called the "ATI TEAS." If you are starting to research the TEAS exam, or preparing for your upcoming exam, you must be aware of the differences between the old and new versions. While, some schools still accept TEAS V results, you can no longer take it. So, what should you take into consideration before taking this exam?

1. What is the TEAS exam?
The TEAS is a nursing entrance exam with four sections: English and Language Usage, Reading, Math, and Science. Most nursing programs will either require you to take the TEAS before submitting your application or will invite you to take the test once you have passed the preliminary rounds of the application process. ATI TEAS includes changes in both format and content. Therefore, in order to outperform your competition, use updated preparation materials.

2. What is the test format?
The TEAS is a multiple-choice test. Each section has its own time limit and breaks are allowed between the sections. Check with your test center in advance to help you better prepare for your test day. The test includes 170 questions, only 150 of which are graded. However, you cannot know which questions count and which do not.

3. How is the Reading section formatted?
On the ATI TEAS, the Reading section consists of 53 questions to be answered in 64 minutes. This section includes three main topics: key ideas and details, craft and structure, and integration of knowledge and ideas. This section examines your ability to read and interpret text, identify arguments and key themes, and draw conclusion.

4. How is the Math section formatted?
The new TEAS Math section includes 36 questions with a 54-minute time limit. The most important change is that calculators are permitted on the ATI TEAS. The math section includes two topics: number & algebra and measurement & date. You’re required to demonstrate various abilities and knowledge of arithmetic, ratios, proportions, algebra, data presentation analysis, etc.

5. How is the Science section formatted?
The Science section is notoriously difficult for many. 53 questions must be answered in 63 minutes. The three main topics are human anatomy & physiology, life & physical sciences, and scientific reasoning. The main focus is on anatomy & physiology. While you prepare for the Science section, you should focus on understating the functions of different body systems.

6. How is the English section formatted?
In the English section, there are only 28 minutes to answer 28 questions. To answer questions accurately, a solid understanding of grammar is required. In addition, you’ll need to demonstrate your abilities in spelling, punctuation, sentence structure, and word meaning.

7. How would it be best to prepare?
Now that you are aware of the differences between the two versions, search for material that may be beneficial to your preparations. Look for transparency and clarity, and try to evaluate how much you can benefit from it and how relevant it is to your test prep. Free resources might help, but if you really want to outperform your competition, you should consider using some paid resources. Invest now in your future. Good luck!

Katie Meir is a product manager at TestPrep-Online and a TEAS specialist.
TestPrep-Online offers exclusive PrepPacks™ for a wide variety of tests for students from kindergarten through graduate school and has helped thousands of test takers reach their academic goals through using online PrepPacks™.

Great information. Thanks Katie!