August 8, 2007, 8:34 pm

Change of Shift: Volume II, Number 4

A new year, a new logo!

Actually, my oldest daughter informed me that the old logo looked like, to put it gently…commode contents.

The new one is exciting! Bold! Futuristic!


I tried fifty different colors and at least one hundred combinations.

I had to have blue.

Now if I can just figure out how to curve the corners…….


Before we get to the submissions, it is a pleasure to welcome back our blogger buddy Jen, as she returns to blogging at Into the Unit. Jen is looking for information on grief/debriefing teams as she is starting one at her facility. We’re glad you’re back, Jen!


Geena over at Code Blog finds out her baby is a savant…at CPR! Remember, you saw it here first! Check out 8 Month Old Does CPR, Saves Gloworm. Oh and get your kleenex – you will laugh so hard you’ll cry! And when did Gabe get big enough to stand, let alone do CPR????

Emily learns a lesson in medications, but also handles her first interaction with doctors in a very professional manner. Find out What I Learned Today posted at Girl in Greenwood. Good job, Emily!!!

TC at Donorcycle discusses transplant coordination in This is Why We Do It. Not only does she review what conditions are considered for donation (you will be surprised), she lets us in on a success story from an unlikely source!


Speaking of kids – for nurses who have them and nurses who take care of them – Therapydoc discusses the need for support that we all have, even if we say we don’t. A thoughtful post called Intimate Opportunities posted at Everyone Needs Therapy. And I agree; there are certain times in life when everyone can benefit from therapy. (Oh, and you can check out Doc’s take on Oscar the Cat here!)

Pain is whatever the patient says it is. Or not. ER Murse expresses frustration over the abuse pain scales in this discussion of pain and the ER in A Vital Sign With Concerning Unintended Consequences posted at ER Murse. In a second contribution to this edition of Change of Shift, ER Murse describes horrific situation in Remote CPOE Error and the Relationship to Critical Thinking Nurses. Don’t let the technical title fool you. Your your heart will be in your throat.

This guy has to win the most frustrating patient of the year award. What happens when the patient fights you every step of the way? Wanderer deals with just such a situation in Right, My Bad at Lost on the Floor. Why do people call for help and then reject all efforts to help them. The eternally unanswered question…


If you missed this in Grand Rounds a week ago, catch this rerun of Yaakov Stern: Build Your Cognitive Reserve posted by Alvaro Fernandez at Brain Fitness Blog. Alvaro is not a nurse, but he writes about brains and nurses most definitely have them (Fifty doctors just thought of a joke to insert right here…you know you did! That’s okay, I thought of a few, myself!).

Violence. Lateral, backstabbing or just plain front-on rudeness – nurses are guilty as charged. Mother Jones looks at this from her unique perspective in Why Are Graduate Nurses on Today’s Menu? at Nurse Ratched’s Place. As the Purple One put it so succinctly: why do we scream at each other? (No, I don’t mean Barney…)

In NASCAR the green flag means go, the yellow flag means caution and the checkered flag means you won. Beware of the red flag because in the ER it signals the staff that things may not be what they seem. Check out Red Flags in ER at Madness: Tales of an Emergency Room Nurse.


Ever have one of those days where you thank God for electricity? Well there is a patient of ER Nursey’s who probably does! Find out why as ERnursey presents Bringing Back the Dead posted at ERnursey – Stories from an Emergency Room Nurse. And yep, you always remember the first time you provide, uh, electrical assistance!

Dean Moyer isn’t a nurse (or a doctor) but he does have a common sense take on spinal health. In The Truth About Herniated Discs (Part one of a two part series), Dean discusses research that shows a surprising lack of evidence that those pesky discs cause back pain. I don’t know a single nurse who has not had back issues, so check out his blog Rebuild Your Back for some great tips!

Over at Medscape Nurses, life in the ICU is not easy as Beka discusses the loss of many patients in the space of a week in 10 Deaths and Counting. It’s time for a vacation, and after reading Going Home, I’m ready to go with her! She even quotes Leo Buscaglia. You can see all the Medscape Nursing blogs at In Our Own Words.



My grandmother once told me that when she is in the hospital, “an ice chip is worth a million bucks”. Someday Nurse understands. She sees things from the patient’s viewpoint in Priorities posted at How I Spent My Nursing Education. Sounds like a great nurse in the making!

Thanks to Someday Nurse, I found a link to Ian’s blog over at ImpactED Nurse that she named “The Grossest Emergency Room Story EVER”. Ian simply calls it Oyster. He didn’t submit it, but it is the most…..unusual story I have ever heard and I’ve been around the block a few times. I’m taking the liberty of including it here. Make sure you have an empty stomach. You have been warned!!!!!

Emergiblog celebrated its second birthday this month! If you missed the post commemorating the event, it’s here!


Many, many thanks for all who have read and who support CoS through links and submissions!

Next edition, Change of Shift (August 23rd) will return once again to Nurse Ratched’s Place. Mother Jones is waiting for your contributions as we speak!

The ever wonderful Blog Carnival is a good way to submit or you can send them directly to Mother Jones at motherjonesrn at yahoo dot com.


  • […] Change of Shift is up at Emergiblog; complete with a with a shiny new logo.  Pretty nifty!  KimRN was kind enough to include my post, and said some nice things about me, too.  Never get enough of that. Thanks KimRN! […]

  • […] Contact the Webmaster Link to Article yahoo Change of Shift: Volume II, Number 4 » Posted at Emergiblog // The Life & […]

  • New Change of Shift… » PixelRN

    August 9, 2007 at 5:08 am

    […] …with a new a new logo. […]

  • […] out the latest Change of Shift, the nursing blog carnival, at Emergiblog. +Digg […]

  • […] All done – well pack your suitcase and head over to Kim’s for the new logo’d change of shift. […]

  • Dean Moyer

    August 9, 2007 at 9:24 am

    Great job as always, Kim. Thanks for including me. Also, nice new logo.

  • atyourcervix

    August 9, 2007 at 10:12 am

    I played with the new COS banner, and came up with a couple of different variations with curved corners. I couldn’t find your email address to send them to you. You can email me at if you’re interested in the variations I did!

    PS – great job on COS!

  • beajerry

    August 9, 2007 at 10:48 am

    Great job!

  • […] of Shift and More Off-Topic Nonsense A new Change of Shift has been posted. Go now and read it, or I shall be forced to publish some silly online […]

  • New Nurse Jane

    August 9, 2007 at 11:59 am

    The change of shift compilation is great reading. Thank you!

  • New Nurse Jane

    August 9, 2007 at 12:04 pm

    And nice banner! I can curve corners anytime…I acutally worked as a graphic artist in my former self. Just say the word!

  • therapydoc

    August 9, 2007 at 12:52 pm

    I really appreciate your including me! Thanks, this looks just great. I’m digging in.

  • […] latest Change of Shift is up at Emergiblog with a new blue logo and a fine line-up of posts for your viewing pleasure. And […]

  • AlisonH

    August 11, 2007 at 3:02 pm

    I have a question for you, as a patient, having just read Girl in Greenwood. When you check into the hospital, they require you leave your meds home and only take what they provide. Fine, except that, a few times in my two hospitalizations, those meds were slow to arrive, were forgotten, or, despite my asking multiple times on into the night, didn’t arrive at all, the last time I was in. Some problem with the pharmacy’s being out, I was told. So, what that says to me is ignore their instructions and bring my own, just in case, and let the hospital deal with it and tough if they don’t provide. I like breathing. Or, if theirs does finally show up after I’ve given up on them, quietly ditch theirs, because I’ve already taken my dose. Mind you, I would wait a good and long time for theirs first–and so far, I’ve left mine home altogether. What, from your perspective, should I be doing?

  • […] Change of Shift (nursing) […]

  • Marijke

    August 16, 2007 at 4:10 am

    I love your site! I just discovered it and it’s great. I’m an RN and have turned that into a freelance writing career so I’m on the Internet all day long, every day.
    I will definitely be back.

  • Jen

    August 16, 2007 at 6:23 pm

    Thanks for including my return and my request!

  • Carolena

    October 28, 2008 at 3:04 am

    Keep up the good work.

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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