Nursefriendly.com: bedside nursing

Showing posts with label bedside nursing. Show all posts

Friday, July 8, 2011

When Nurse Make Mistakes (Theresa Brown, RN) - NYTimes.com

By THERESA BROWN, R.N.
This year, a Seattle nurse named Kim Hiatt committed suicide. Ms. Hiatt’s death came nearly seven months after she had given an unintended overdose to an infant heart patient, a medical error that was said to have contributed to the child’s death days later.
Ms. Hiatt had been a nurse for 27 years and had often cared for the 8-month-old girl during the child’s stay in the pediatric intensive care unit of her hospital. She had probably drawn up the right dose of the drug hundreds of times in her career. But once, she made a life-changing error. A baby died, and she was suspended, then fired from a profession she loved. And now she’s dead.

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Monday, June 20, 2011

Top Ten Reasons I Went Into Nursing, Nurse Jokes, Healthcare Humor

10. I love to wear white support hose.
9. I get a kick out of arrogant doctors.
8. It's more challenging than brain surgery.
7. I get free latex gloves.
6. The scrubs are so flattering to my figure.
5. The world doesn't need any more lawyers.
4. I actually like vending machine food.
3. Somebody has to train the residents.
2. I get to spend the holidays with my friends... at work.
1. I always wanted to say, "This won't hurt a bit."
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Monday, June 13, 2011

With nurse shortage looming, America needs shot in the arm - Washington Times

By Claire Courchane

-

The Washington Times

8:38 p.m.,

At a time when many Americans are in desperate need of a job, the field of nursing will soon be in desperate need of Americans.

The economic downturn of the past few years has temporarily eased the nation’s shortage of nurses, but university nursing schools say they are struggling to keep up with what is expected to be soaring demand and chronic shortfalls in years to come.

Employment services routinely list nursing as one of the hot hiring professions of the next decade, but supply never seems to catch up with demand - even as the national unemployment rate tops 9 percent.

via washingtontimes.com

Saturday, May 14, 2011

Silent Treatment Study, silenttreatmentstudy.com #rnchat #nursing #nurses

Research and regulatory bodies have long confirmed that poor communication in healthcare is harmful at best and deadly at worst.

In the 2005 study, Silence Kills, VitalSmarts and the AACN found that 84 percent of healthcare professionals observe colleagues take dangerous shortcuts when working with patients and yet less than 10 percent speak up about their concerns.

Since that time, the healthcare community has turned to safety tools and checklists to reduce unintentional slips and errors. And yet, a new study called The Silent Treatment has found that the effectiveness of safety tools is undercut by undiscussables. Every day, healthcare professionals are making calculated decisions to not speak up—even when safety tools alert them to potential harm.

The Silent Treatment reveals that despite the safety interventions taken in the last decade, silence still kills. Safety tools do not compensate for crucial conversations failures in the hospital.

via silenttreatmentstudy.com

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Tuesday, May 10, 2011

Circle of Life, by Jeff Reichardt RN, BSN, CNOR, CRNFA, CSA

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I am tired.
I work so hard.
But, lately, I have been especially overworked.
My career has many stresses in it that are inescapable.
When I started it, I knew I would not get rich.
I knew that this career was a difficult one.
I knew that respect from my fellow professionals was hard won.
I knew that this profession had an image problem with the public.
But I felt that I could make a difference.
I felt that I could be a positive influence on my chosen career.
I was wide-eyed and naive, I'll admit, but part of me wishes that reality was different.
Part of me wishes that I could take all of the positives I have received and cancel out all of the negatives.
As for the positives. I am thankful that I was able to give a life back to an 18 year old who is just now learning how to live with being a quadraplegic.
I feel honored to have been asked to share in the bedside prayer for a brain dead 12 year old victim of an accidental gunshot wound. That his family, in their grief, thought to include me, his caregiver, in their grieving process.
For those experiences, I am grateful.
For the physicians who took the extra time to ask for my thoughts about the care of OUR patient. I am grateful as well.
For the families of hundreds of patients who stopped me in the hall to say thanks, I now say thank you.
I say thank you because I am leaving bedside nursing.
I am tired of the politicking.
I am tired of the back-stabbing.
I am so tired of the kinds of people who bolster their own pitiful egos by debasing someone else's. This group is not at all limited to physicians, although some nurses would like to say so.
I am tired of feeling guilty when I turn down a request from my manager to stay late for "another emergency". (The fifth one this week.)
I am tired of not receiving the respect I deserve, from my co-workers especially, as they should be keenly aware of what it takes, mentally, physically and emotionally to perform this, my chosen career.
I am tired of hearing about the shortage of nurses.
I think it's a wonder that there are any left to practice when you consider my above negative statements.
I know I am burned out. It's a shame too. I consider myself to be a good bedside nurse.
I worry about the next trauma victim, and their family as well.
Who will take the time (or will they?) to address the total family's needs ?
Who will sit and hold the hands of the parents who have just signed the organ procurement papers on their brain dead child, and now hope that, in their grief, some good will come ?
Who will take care of the body of the infant that just died in the ICN ?
It won't be me...
I am tired...
I hurt...
I am not alone, but it doesn't help...
I feel empty inside...
I can no longer do this to myself or my family...
I'm leaving what I love, but how can I?
The truth is I can't.
So, you see,
I am refreshed.
I still work hard.
But, lately, I have been eager to work.
My career has many stresses in it that are inescapable.
When I started it, I knew I would not get rich financially.
But my rewards have been many, and much more than money can buy.
I knew that this career was a difficult one.
But I have always enjoyed a challenge.
I knew that respect from my fellow professionals was hard won.
But I forgot that respect was a two way street.
I knew that this profession had an image problem with the public.
But, for a long time, I was just as much a part of the problem as the people that I had come to disdain.
I realize now that I HAVE made a difference.
I am no longer wide-eyed and naive.
I am seasoned and a little wiser.
And , YES, the positives DO outweigh the negatives.
So, to all the patients, the families, the doctors and all my fellow workers, let me say thank you.
I can't leave bedside nursing.
I need to be there for the next trauma victim and their family.
I need to hold the hands of the parents of that brain dead child.
And yes, I DO need to take care of the body of that child that died in the ICN.
It's GOT to be me !
I am refreshed...
I am now whole...
I have not been alone...
I am fulfilled...
I owe it all to my wife and children...
They have reminded me that this is what life is all about.
It's about joy, pain, courage and sorrow.
It's about taking care of each other. Meeting each others needs.
It's about renewing life and dignifying death.
But most of all, it's about being human. With all our faults and frailties...
all our strengths and weaknesses....
with all our capacities for kindness and compassion....
all our hopes and dreams...
In the end, we still carry on. Some say it's through God's will. I don't know...
For me, it's because I cannot turn my back on my fellow MAN. It's as simple as that.
For, if we turn our backs on our fellows, we greatly diminish ourselves...
Jeff Reichardt RN, BSN, CNOR, CRNFA, CSA
Cincinnati, Ohio
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Saturday, May 7, 2011

Cool ways that Nurses Week will be celebrated in 2011, Scrubsmag.com

Minnesota
Pediatric Home Service (PHS), based in Roseville, Minn., is a home care agency that provides specialized services to children with complex medical conditions. As you can imagine, planning events for nurses who are out on home visits all day long is difficult, but the folks at PHS have found some simple ways to honor their nurses and make them feel appreciated. Throughout the week, nurses who come into the company’s head office will engage in a scavenger hunt, with the clues being rhymes that include tidbits of educational information and the prize being a little token—last year it was a pacifier. At the end of the week, nurses and staff are invited to connect and interact with each other as they enjoy a treat at an ice cream social.

via scrubsmag.com

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During National Nurses Week, we should focus on nursing shortage | The Progressive

By Suzanne Gordon, May 6, 2011

May 6-12 is National Nurses Week. Don’t believe the hype that the nursing shortage is over.

After warning of a shortage for years, American hospitals now claim that we have plenty of nurses at the bedside.

Hospital administrators are essentially saying that the bad economy is coercing more nurses to stay on the job. Since some nurses’ husbands or wives have lost their jobs in other sectors, nurses are hanging on to their own jobs and delaying retirement.

via progressive.org

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Thursday, May 5, 2011

A Nurse Is More, by Richard G. Shuster, Nursing Poems, Inspirational Stories

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A Nurse Is More, Why?
Though nobody, can say why, for sure,
Nurse's desire, for service, is pure.
Not for themselves, it has to be for others.
A life dedicated, to their sisters and their brothers.
A Nurse Is More, How?
Through reserves, of strength, care and love,
Nurses take their lead, from the power above.
Above and beyond, their duty comes first.
Their patient's needs paramount, before even hunger and thirst.
A Nurse Is More, When?
When we need them the most, at our times of ill,
Nurses come through, with their care and goodwill.
When we feel we can't go on, and wish, to give up the ghost.
That's when our Nurses, give it their most.
A Nurse Is More, Where?
In the hospital, the battlefield, the clinic and hospice,
Nurses are there, in the ER, the OR, the workplace, and medical office.
Where we are, to go for our care, thankfully, we find Nurses there.
Aging, sick, fearful, weary, we turn to Nurses, and know they care.
A Nurse Is More,
A Nurse Is More, much more than all we've said, or all we can say,
other than, to acknowledge the Nurses, who so brighten our day.
In gratitude, we thank Nurses, their willingness to serve, we find so
appealing,bringing to us, their comfort, wisdom, compassion and healing.
Richard G. Shuster
05/10/99
Author Mini-bio
For those requesting permission for reprint use, of the poem "A Nurse Is More", the following is a brief mini-bio, of the author.
Richard G. Shuster, is a Quality Assurance professional, in the bio-medical research industry. He lives in the Reno, NV area, with his spouse, Jeannine E. Shuster, R.N., employed by the VAMC-Reno.
Email: rgsjesshuster@sierra.net or rshuster@sierrabiomedical.com

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On the Job by Anita Bruzzese: 6 Ways to Handle Criticism at Work

"If something is bothering the boss, you've got to find out what it is," she says. "That's why it's so important that you ask questions, trying to narrow down exactly what is the problem. Don't let the boss talk about past issues because there's nothing you can do about that. Keep him focused on what must be done in the future."
Rosenberg, author of From Rage to Resolution, (iUniverse, $23.95), offers more tips when dealing with criticism at work:
• Control your body language. Don't clench your teeth or fists or cross your arms while listening. Try to sit next to the boss if he's offering feedback such as in a performance review. This sets a more friendly, equitable tone.
• Don't become defensive. Justifying yourself is a waste of time, as is trying to blame someone else.
• Focus on the problem. When the speaker is done, ask questions and then rephrase the issue: "As I understand it, you are concerned about (this problem) and you would like me to (state solution). Is that correct?"

via onthejob.45things.com

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Rita Batchley (thenursesnurse) on Twitter

Rita Batchley

@thenursesnurse

Rita Batchley is the nurses' nurse for healthcare heroes. She is an author, RN and activist for healthcare reform.

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thenursesnurse Rita Batchley

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@MilitaryRN instructors can be humiliating to the students when they need to learn through humility not humiliation

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thenursesnurse Rita Batchley

The Nurses Nurse wants to know why nurses can be so unkind to student nurses. We all lacked experience at one time or another.

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thenursesnurse Rita Batchley

The Nurses Nurse wants to no why nurses can be so unkind to student nurses.

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thenursesnurse Rita Batchley

The Forgotten Nurses http://ht.ly/4MqAT

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thenursesnurse Rita Batchley

As chief nurse rep and delegate for the California's Nurse Association, she advocates for fellow nurses http://thenursesnurse.com/

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Notes of a Student Nurse: A Dose of Reality « Off the Charts

It’s been said before that we are our own worst enemies, our own worst critics. I can’t imagine a time when these phrases are truer than during nursing school. Little more than a year ago, when I was starting my prerequisites for admission to the BSN nursing program, I was giddy with excitement. Images of what life would be like played in my head like episodes of Grey’s Anatomy, or, on a day I was feeling a bit more goofy, reruns of Scrubs.

I took any opportunity I had to share with friends, family—even new apartment neighbors—that I was well on my way to nursing school with the confident smile of a person destined to save the world, one patient at a time. I scoured discussion boards and nursing student forums late into the night, anticipating the day that I, too, would have something profound to contribute.

I laughed off those who warned me that the path was difficult and ridden with challenges. There was no bridge I couldn’t cross, no task I couldn’t do, and no test I couldn’t pass with flying colors. The world was mine. Now, I’m living those moments as a first semester nursing student—but a funny thing happened on the way to the present, a thing I will lovingly refer to as reality.

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Sunday, May 1, 2011

What Nurses Wish You Knew - Philadelphia Magazine - phillymag.com

No matter what health-care reform winds up looking like, one thing’s certain: Nurses will play a bigger role than ever, taking over duties from doctors, moving out of hospitals and into the community, looking after frail aging boomers, leading the push to keep costs down and improve outcomes. So this seemed the perfect time for a consult with the people who really run health care in Philadelphia. As one nurse told us, “Doctors only think they’re the quarterbacks.” Here’s what nurses had to say about their work, their patients, life and death, and those little white caps they used to wear.
1 // It’s okay to buzz // Really. Go ahead. Room too cold? Need a pillow? Got a question about your meds? Use the buzzer; that’s why they put it there. “My 82-year-old mother was just in the hospital for a stroke,” says Presbyterian Hospital’s Michael Becker, “and she said, ‘I can only hit the buzzer two times a day.’ I asked, ‘Why is that?’ and she said, ‘Because they’re going to get tired of seeing me.’ I said, “No, no, Mom, it doesn’t work that way.’” If somebody’s pushing the buzzer all the time, nurses know there’s a deeper issue and work to address it.
2 // You don’t have to be afraid // Nurses understand that patients often don’t speak up because they feel vulnerable. But when we don’t voice our thoughts, they have no way of knowing what needs improvement—until the patient-satisfaction survey arrives after the fact. And they hate finding out there was something they could have fixed if they’d known about it. “It’s natural to be fearful,” says Pennsylvania Hospital’s Mary Del Guidice, “because you’re lying in bed with all these faces looking down at you. But don’t be afraid of us.”

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Friday, April 29, 2011

Nurses Long Work Hours, Scheduling Can Increase Patient Mortality

A new study has found that patient deaths from pneumonia and acute myocardial infarction were significantly more likely in hospitals where nurses reported schedules with long work hours. The finding was just one of several revelations from a study of nurses' work schedules, patient outcomes, and staffing led by University of Maryland School of Nursing researchers in collaboration with researchers at the Johns Hopkins University School of Medicine.

The study is the latest in ongoing research on nurse scheduling and staffing funded by the National Council of State Boards of Nursing. In the current study, Alison Trinkoff, ScD, MPH, RN, FAAN, professor at the School, and co-authors Meg Johantgen, PhD, RN; Carla Storr, PhD, MPH, RN; Yulan Liang, PhD; Ayse Gurses, PhD;and Kihye Han, MD, RN shifted their focus from the effects on nurses in previous studies to patient well-being.

The team linked patient outcome and staffing information from 71 acute-care hospitals in two representative states (Illinois and North Carolina) with the survey responses of 633 randomly selected nurses who worked in these hospitals. Their findings are published in "Nurses' Work Schedule Characteristics, Nurse Staffing, and Patient Mortality," in the January/February issue of the journal Nursing Research. Most U.S. hospitals use 12-hour nursing shifts exclusively, as opposed to eight-hour shifts, a trend begun during nursing shortages nationwide in the 1980s. "Although many nurses like these schedules because of the compressed nature of the workweek, the long schedule?as well as shift work in general?lead to sleep deprivation," says Trinkoff.

via infectioncontroltoday.com

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Tough Demands on Nurses Adversely Affect Patients

Better working conditions and better staffing of nurses can significantly improve the care of patients with serious conditions, according to the latest nurse labor study by the University of Maryland School of Nursing.

Several troubling trends in patient outcomes surfaced as researchers analyzed survey data from 633 nurses in 71 hospitals in North Carolina and Illinois concerning patient outcomes, says lead investigator Alison Trinkoff, ScD, FAAN.

For example, pneumonia deaths were significantly more likely in hospitals where nurses reported increased psychological demands and more adverse work schedules. Trinkoff says they measured high psychological demands by very fast work, lack of time to complete work, excessive required work, being slowed by delays from other workers, and frequent interruptions. Another trend was that patients were more likely to develop deep vein thrombosis after surgery in hospitals where nurses reported high psychological demands. Staffing also was controlled in the analysis, so that the effects occurred independent of staffing.

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Confessions of a Psych Nurse, Nursetogether.com

By: Angela Brooks

A Nurse Confesses: There is no way to work on a psych ward of a mental hospital and not learn something about life; I have met some of the strangest and most original individuals. When people find out where I work, and have worked for almost 22 years, their mouths hangs open in awe. Most of the time the phrase, "I don't know how you do it" is mentioned, as they shake their heads.

I confess there are things about working in a mental health institution that I do not like, and there are times when I have to bite my tongue and keep my lips glued together because I become so agitated. I thought I would list for you my dislikes and explain later what I have learned. Deep breath…here I go.

I dislike when someone comes into the hospital just so they can get a check (aka crazy check) when they are clearly healthy but truly too damn lazy to work.

I dislike when someone is purely and simply mean spirited and uses their diagnosis of being mentally ill as an excuse to cling to.

via nursetogether.com

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Thursday, April 28, 2011

New Jersey Collaborating Center for Nursing

The New Jersey Collaborating Center for Nursing is a primary source for data-based evidence to formulate reliable health policy that has a positive impact on nursing care, nursing education, and patient outcomes. The Center serves as a catalyst for the implementation of innovative practice and education models.
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Collaborating Nurses

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Sunday, April 24, 2011

Nurse as Writer, Writer as Nurse Theresa Laurel Brown, BA, MA, PhD, BSN, RN, OCN®

Nurse as Writer, Writer as Nurse

Theresa Laurel Brown, BA, MA, PhD, BSN, RN, OCN^®

The first column I ever wrote for The New York Times, called “Perhaps Death Is Proud, More Reason to Savor Life,” generated a firestorm of attention. Literary agents sent me e-mails, my piece hit The New York Times “most e-mailed” list, and within three days I’d been offered a book contract with a major publisher.

The column described a sudden and grisly cardiac arrest where a patient with lung cancer exsanguinated. I felt happy and lucky when The New York Times accepted it. I thought the piece would come out and my friends would read it, and that’s where the endeavor would end. Instead, from that one piece, I ended up becoming a professional writer about nursing. My book, Critical Care: A New Nurse Faces Death, Life, and Everything in Between (HarperCollins), was published in June 2010 and comes out in paperback in April 2011. In addition, I am a regular contributor to The New York Times’ Well blog.

Whenever I talk about my two careers, people often ask the same questions. I have answered some of those recurring questions here, in part, because that is what interests other nurses, but also because those questions get at the heart of how I combine these two very different jobs.

via ons.metapress.com

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Friday, April 22, 2011

Nurse's suicide follows tragedy | Seattle Times Newspaper

By Carol M. Ostrom

Seattle Times health reporter

Related

Crisis help
Don't wait to seek help if you're in crisis.
In King County, call: 206-461-3222 (TTY/TDD 206-461-3219).

Outside King County, call 800-273-TALK (8255).

The suicide of a nurse who accidentally gave an infant a fatal overdose last year at Seattle Children's hospital has closed an investigation but opened wounds for her friends and family members, as they struggle to comprehend a second tragedy.

Kimberly Hiatt, 50, a longtime critical-care nurse at Children's, took her own life April 3. As a result, the state's Nursing Commission last week closed its investigation of her actions in the Sept. 19 death of Kaia Zautner, a critically ill infant who died in part from complications from an overdose of calcium chloride.

After the infant's death, the hospital put Hiatt on administrative leave and soon dismissed her. In the months following, she battled to keep her nursing license in the hopes of continuing the work she loved, despite having made the deadly mistake, friends and family members said.

To satisfy state disciplinary authorities, she agreed to pay a fine and to undergo a four-year probationary period during which she would be supervised at any future nursing job when she gave medication, along with other conditions, said Sharon Crum of Issaquah, Hiatt's mother.

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Clinical One-Travel Nursing Jobs | Nurse Staffing | Per Diem Jobs -

Clinical One is a travel nursing, per diem, and healthcare staffing company specializing in the placement of nurses in travel nursing jobs throughout the United States. We recruit select nurses and healthcare professionals for short-term contract jobs, per diem, permanent placement, and travel nursing jobs including:

Registered Nurses (RN)

Nurse Practitioners (NP)

Physician Assistants (PA)

Case Managers

Certified Nursing Assistants (CNA)

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Thursday, April 21, 2011

Hand sanitizers: don't kill MRSA or E. coli, says FDA - Health Key

Hey, hand sanitizers. You can only do so much – and preventing MRSA infection isn’t one of those things -- so stop over-promising! That was the gist of warning letters from the Food and Drug Administration to four makers of the popular products.
Apparently, the manufacturers of Staphaseptic, Safe4Hours, Dr. Tichenor’s and CleanWell products had suggested that various gels, protectants and what-not could protect against infection with methicillin-resistant Staphylococcus aureus bacteria. The FDA takes issue with that.
It wasn’t too enamored with claims about preventing infection from E. coli or the flu either.
The letter to one of the companies, which claimed their product kills 99.9% of MRSA, gives the general tone: “Below is an analysis of the regulatory status of Staphaseptic First Aid Antiseptic/Pain Relieving Gel which includes excerpts of the violative labeling and the specific new drug and misbranding charges. Note that this is not an all inclusive description of all violative labeling for your OTC drug product.”

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Friday, July 8, 2011

Monday, June 20, 2011

10. I love to wear white support hose.

Monday, June 13, 2011

Saturday, May 14, 2011

Tuesday, May 10, 2011

I am tired. I work so hard.

Saturday, May 7, 2011

Thursday, May 5, 2011

A Nurse Is More, Why? Though nobody, can say why, for sure, Nurse's desire, for service, is pure. Not for themselves, it has to be for others. A life dedicated, to their sisters and their brothers.

Rita Batchley

Sunday, May 1, 2011

Friday, April 29, 2011

Thursday, April 28, 2011

Sunday, April 24, 2011

Friday, April 22, 2011

Thursday, April 21, 2011

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About Andrew Lopez, RN, Nursefriendly.com

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I am tired.
I work so hard.

A Nurse Is More, Why?
Though nobody, can say why, for sure,
Nurse's desire, for service, is pure.
Not for themselves, it has to be for others.
A life dedicated, to their sisters and their brothers.