May, 2007 Archive

May 15, 2007, 9:12 am

Grand Rounds and Comin’ Down

nurses

Grand Rounds is up today at Medical Humanites Blog.

It looks like a good one, I’ll be reading later today.

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Thanks to everyone who took time to send me a note of sympathy over the passing of my brother-in-law.  He was the manager of a large trauma unit and the outpouring from both his hospital and my sister’s hospital has been overwhelming.

In view of my sister’s privacy, I won’t go into details of the location of the accident, but let’s just say it made the papers and it is an absolute miracle that my sister survived. Her injuries were orthopedic in nature and while they will require multiple surgeries over the next couple of years, she is alive and coming to terms with what happened.

If you ever can come to terms with the death of your spouse.

Have I ever said that shock is a wonderful thing?  Not physiologic, but mental…..

At any rate, she has a huge support system in place so I was able to come home after 36 hours.

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I’m not really up to myself this week and my colleagues at Nursing Jobs.org pitched in.  Do check them out.  Mother Jones, Labor Nurse and Guest Blogger Teri Mills from National Nurse.org will be handling the Nursing Jobs.org blog columns this week.

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This week is also the week for Change of Shift, and it will be over at Nurse Ratched’s Place on Thursday.  Submission deadline was the 13th, so I have no doubt Mother Jones is cooking up a good edition over there!

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Thanks again for all your prayers and support.

 

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May 12, 2007, 11:01 pm

In the Valley of the Shadow….

Hi guys.

Emergiblog will be on hiatus for a few days – my brother-in-law was killed in a head-on accident tonight and my sister will be undergoing surgery. She was the passenger in the car and her ankles were shattered. They live three hours away and I’ll be with my family for the next few days.

I guess a car crossed the center divider at freeway speed.

Life is so fragile. At 1600 today we were all laughing and having fun at my daughter’s bridal shower. Three hours later, this happened.

My brother-in-law was the manager of a trauma unit.

Any and all prayers you can send up for my sister and her kids would be greatly appreciated.

Thank you.

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May 11, 2007, 11:55 pm

Flo’s Pledge: Deal or No Deal?

mom

Now this is rich.

You invite your doctor to dinner.

You serve a beautiful five-course meal with homemade apple pie for dessert.

Perhaps you even serve it a la mode.

As you sit around the table enjoying your after-dinner coffee, your doctor begins to speak to you.

As a friend.

About…

Laxatives?

And then he can’t figure out why he never gets invited back.

Nothing insults a hostess like telling her her gourmet meal was likely to constipate everyone at the table.

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And nothing will kick you in the derriere like being demoted in the Truth Laid Bear ecosystem.

Yes, I stand before you a Maurading Marsupial, ending many months of residing amongst the Large Mammals of the blogosphere.

How could this happen? All my stats are up. My links are up. My ego is waaaaaay down.

Oh well. At least I now have a pouch – I think. Very handy for toting around my MacBookPro.

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I think that everyone would agree that the Florence Nightingale Pledge is a wee bit dated.

Do you think we should change it?

That is the question asked by Infinia Foresight, a consulting company interested in how nurses would change the pledge to reflect the evolution of what it means to be a nurse.

Or…would you change it at all?

Here is the original pledge. It’s the one I recited at graduation and you probably did, too:

  • I solemnly pledge myself before God and in the presence of this assembly,to pass my life in purity and to practice my profession faithfully.
  • I will abstain from whatever is deleterious and mischievous, and will not take or knowingly administer any harmful drug.
  • I will do all in my power to maintain and elevate the standard of my profession, and will hold in confidence all personal matters committed to my keeping and all family affairs coming to my knowledge in the practice of my calling.
  • With loyalty will I endeavor to aid the physician in his work, and devote myself to the welfare of those committed to my care.

Now here’s my take on what a change would look like:

  • I solemnly pledge myself before God and in the presence of this assembly, to pass my life in caring for others and to practice my profession faithfully.
  • I will advocate for the patient to the best of my ability, and will not take or knowingly administer any harmful drug.
  • I will do all in my power to maintain and elevate the standard of my profession, and will hold in confidence all personal matters committed to my keeping and all family affairs coming to my knowledge in the practice of my calling.
  • With loyalty will I endeavor to work with my physician colleagues and devote myself to the welfare of those committed to my care.

(The purity part had to go. Keeping it in would disquality ninety-five percent of the profession, yours truly included.)

So basically, I added “caring for others”, stuck in patient advocacy and focused on physicans as colleagues as opposed to bosses.

Otherwise it was still pretty relevant.

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But what do you think?

You can weigh in with your opinions at Infinia Foresight and view the various revisions on their Flickr page (including mine).

It is interesting to see how different nurses view their role based on what they would change in the pledge.

Head on over and lend your opinion/revision to the discussion!

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About Me

My name is Kim, and I'm a nurse in the San Francisco Bay area. I've been a nurse for 33 years; I graduated in 1978 with my ADN. My experience is predominately Emergency and Critical Care, and I have also worked in Psychiatry and Pediatrics. I made the decision to be a nurse back in 1966 at the age of nine...

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