September, 2007 Archive

September 26, 2007, 10:53 am

Grand Rounds and a Jeff Scott Soto Concert – Life is Good!


I’ve been MIA for a few days.

I was remiss in not posting my Grand Rounds link yesterday, so I shall make amends here on Wednesday morning.

It’s the fourth anniversary of Grand Rounds! That is astonishing!

The host for the momentous event is Kevin, MD and as usual he did a beautiful job!


Part of the reason for my lack of posting (besides school and work and virtually no sleep for three days) is the fact that I saw this man in concert last night!

Jeff Scott Soto was here! I was thisclose – my knees were touching the stage! While I managed to maintain a certain level of decorum appropriate to my age, inside I was as stable as a bowl of Jello.

If you EVER get a chance to see this man perform, you have to take advantage of it! Heads up, Indiana, he’ll be performing at the Melodic 10th Anniversary concert in South Bend the first week in October.

There are no words to describe what a great time I had at this concert. I’m exhausted but I’m not sure why. I only danced for three hours.


By the way, the next Change of Shift (October 4th) will be hosted by Girlvet at Madness, Tales of an Emergency Room Nurse. I will forward submissions sent to me to Girlvet.

As always, you can use Blog Carnival or send your submissions directly to mj.finn at hotmail dot com.

Any stories by any bloggers by or about nurses or nursing are welcome!


I now have an English draft to re-write, a statistics test to take and some assessment skills to learn.

No one should have to do homework the day after a concert.

Who made these rules?

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September 20, 2007, 12:19 am

Change of Shift: Volume Two, Number 7


Welcome to this edition of Change of Shift!

While I have your attention, don’t forget to register at Nursing Voices for a chance to win an iPhone. Two lucky nurse bloggers will walk away with one of those beauties. In the interest of full disclosure, and because I mention the contest frequently, I am a moderator at Nursing Voices and I am not eligible. My Zoloft has been increased accordingly!


We have to start this edition with this gem of a story from Nurse William. I’ve been laughing for five minutes! Join me in merriment as you check out Mr. B’s Midnight Serenade. There are so many comments I want to make, but I don’t want to ruin the punchline! I can guarantee that when you are done, you’ll be saluting, too!

Max E Nurse might well be handsome but he rarely gets called “lovely” and no one brings him flowers. Find out why in You Don’t Buy Me Flowers at It Shouldn’t Happen in Health Care. While you are there, check out his Nurse Bloggers Lounge on Facebook! I wonder if he serves lattes and has WiFi…

Need a bit of an adrenaline rush this morning? Markie will get you going this week as he presents a challenge to his nursing colleagues in It’s a Dirty Job… . If we are the future of nursing, then I’m proud to go there with Mark! Check out his blog at Mark On The World.


Oh. My. God. If I didn’t trust Mother Jones with my life, I would swear this submission was a joke! I had to take a swig of Diet Pepsi so I wouldn’t choke on my veggie chips! You have to read it to believe it. Check out Ugly Nurses Need Not Apply
at Nurse Ratched’s Place. Just make sure you are NPO when you do…

The way to a man’s urine sample is through his….nose? Tele Nurse deals with just that situation in her very first submission to Change of Shift entitled Less Carbon, More Oxygen Please at her blog Heart Matters. Is it me or is something in the air this edition (sorry, bad pun)? Welcome, Tele Nurse!

Jo over at Coffee and Conversation in a Smoky Room checks back in after a hiatus with a great post on the differences between hospital and clinic nursing in, well, Clinic Nursing. Guess which one she likes better? Welcome back, Jo! Don’t be a stranger!


Wanderer takes a very serious (ha!) look at his philosophy of nursing in I Believe over at Lost on the Floor. Join him, won’t you? Ponder the meaning of poop. Better yet, find an administrator to ponder it for you. Oh, and Wanderer? Make that beer a Bud as that is Kasey Kahne’s new NASCAR sponsor. (Who says that doesn’t belong in the carnival? Kasey = cute, Kasey gets mentioned in CoS).

Do you work for Medicare? Well put on your runnin’ shoes because there is an ER nurse after you! Check out Those Rascals at Medicare Are at It Again. I’m right behind her, too. The craziness starts over at Madness: Tales of an Emergency Room Nurse!

Here’s a post I wish I had written. ER Murse makes a compelling argument in ED Patient Satisfaction Scores – Out of Balance. He states the problem but also has some ideas for a solution. If management only thought like nurses do…


John has an Uneasy Feeling about dealing with a certain type of patient. Perhaps you feel the same. Anybody have some experiences they can share or some insight on how they deal with these patients? You can comment over at Disappearing John.

For those of you who are thinking about becoming a nurse or wondering how to pay for the tuition you are already accruing, Scott presents Spotlight on a Nursing Major posted at College and Finance. A Change of Shift welcome to Scott!

Soon-to-be-student-nurse Faith was having a hard shift. Sometimes it’s the little things that get us to the breaking point. Commiserate with Faith on her blog The Oracle as she tells the Tale of the Stubborn Resus Cupboard. Let’s just say I’ve added the term “tag-team peed” to my personal lexicon. Then grab your tissues for the short but poignant Lost For Words.


Robert Bach, blogger extraordinaire and father of Hannah, our favorite girl at CoS, presents a song that shall remain with you all day (trust me!) in All through the Hospital posted at Kintropy In Action. You’ll be making up your own verses by the time you are done. Hey Robert, where did you get those medical smilies? And just because I can’t resist this smile, here is a photo of Hanna in the post Laugh Sparks (complete with audio!)

If you’ve ever wondered why I think women should go into OB/GYN nursing/medicine (and you did wonder that, right?), you can find out from NP Saves Lives who explains How a Nurse Practitioner Makes a Pap Smear Fun! at her blog The Nurse Practitioner’s Place.

The ER nurses are out in force this edition! ER Nursey takes us on a tour of A Typical Day in the ER and I’m going to go take a Flexeril because my back is aching just reading about her 12-hour-shift. She nails it. Big time. Her blog is ER Nursey- An Emergency Room Nurse Blog.


TherapyDoc has an interesting post on Paranoia over at Everyone Needs Therapy. Of course, the minute I read the signs and symptoms, I thought I had the disorder. Wasn’t that feeling of having every disease you study supposed to go away after nursing school?

From the Nursing Online Education Database, we have Jimmy Atkinson presenting the top 100 Web Resources for Medical Professionals and I am proud to say Emergiblog was included!

And that concludes our broadcast day! I’m showing my age with that statement! Many, many thanks to all who contributed, including those I was unable to accomodate. Remember, Change of Shift needs to be by nurses or about nurses. If you have information for nurses, we can work something out!

The next Change of Shift will be hosted here at Madness: Tales of an Emergency Room Nurse on October 4th.

Thanks for reading!

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September 19, 2007, 3:07 pm – Yes, You Read That Right


Nurse Jenkins chats happily with her fiance.

Head Nurse Robinson waits to pounce on her for making personal phone calls on company time.

They both are stylin’ in their newly starched white uniforms.

Nurse Jenkins has the better cap.

Head Nurse Robinson suffers from “embedded cephalgic syndrome”. She graduated from nursing school so long ago, her cap has grown into her head, where it sits to this day. They had to bury her with it.


There is now an online forum where a nurse can rate a physician online.

That’s right. I visited the site and nurses can rate physicians on the following points:

  • Communication and rapport
  • Competence and experience
  • Convenient, efficient and responsive
  • Likely to recommend to a patient
  • Treats staff with care and respect

Did you jump up and say, “Oh man, let me go register right this minute?”

I didn’t. Maybe I’m wrong, but I see this as just one more barrier to collegial nurse/physician relationships.


Here is a quote from the press release at Business Wire:

The NursesRateDoctors online platform where nurses can anonymously join the site and provide their insights on physicians will accumulate a vast knowledge base of information critical to helping a patient seeking a provider.

This bothers me. I do not believe a doctor has a right to judge my competence and experience as a registered nurse, why should I be able to rate, anonymously, a physician on the same criteria?

I can’t fault the goal of the site. It is to help patients make good decisions on who to choose for their medical care. The best way to do that is interview, visit and choose your doctor before you need him/her. In an emergency, you get the physician on-call anyway and by then it is too late. Is a patient going to say, “Oh, wait until I check before you send me to surgery for that rupturing aneurism! I want to make sure Dr. Godly is rated highly!”?

This is not the same as a patient rating a physician. If I have a good or bad experience with a doctor as a patient, I own that experience and I can pass it along to other patients, knowing that any other ratings I read are the personal beliefs of the other patients in the practice. I can choose to believe them or take them with the proverbial grain of salt.


There is a potential for abuse with this system or at least skewed ratings. Let me give you a personal example.

The trauma physician who cared for my sister after her accident is one of the biggest asses I’ve ever met in my three decades of nursing. His bedside manner sucks. The nurses can’t stand him (a few birdies told me). The other docs think he’s a twit (an MD birdie told me that).

But that night last May he made the decision not to perform bilateral amputations when my sister had nothing holding her feet to her legs but strips of skin.

A week ago she took twenty steps on her newly built left ankle. In a month she will be able to do the same on her right.

I can’t stand this man. But, if I’m ever a trauma patient I want him at my side.

As a nurse, if I go rate this doctor he gets a “0” on three out of the five criteria. So his rating from me would be skewed because even though he is competent, he is also low on the personality meter.



With, you have one set of professionals rating the competency of an entirely different set of professionals. “Doctors aren’t nurses, nurses aren’t doctors.” How many times do we hear this, read this, say this? If the name of this site were DoctorsRateNurses the outcry would be deafening.

Nurses have opinions on our physician colleagues. We have opinions on who knows the most, who is the nicest, who is the best with patients. Doctors have their opinions about which nurses they can trust, which nurses work and which nurses like to surf the internet for half the shift.

The operative word here is opinion. asks nurses, as professionals to rate physicians. Not our personal lay opinions. The whole point is that the ratings come from professional nurses, one of the most trusted of all groups in society.

In my opinion, asking nurses to rate physicians exploits that trust.


I have a hard time balancing nurses giving professional opinions of doctors against this clause in the “Terms of Service”:


I went over to register to see what would be available to me as an RN “member” when I found this in the “fine print” in a link at the bottom of the page. I chose not to register.

It’s basically “give your professional opinion as a nurse” but the site is not intended to give advice about doctors.

Am I missing something here?


This is just a bad idea no matter how you look at it. In the final analysis doctors are accountable to their patients, not nursing, just as nursing is not accountable to medicine, but to the patient.

Nursing has been fighting a long, hard battle to be seen as a true profession. Doctors and nurses are working together for the good of the patient and the patient benefits when the relationship between doctors and nurses is one of open communication.

NursesRateDoctors does nothing to advance any of this.

As a nursing professional, I am embarrassed by the concept.

Here is the link to I’m interested in how you feel about it.

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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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