March, 2008 Archive

March 21, 2008, 4:24 pm

It’s Not the Eye Alone That Gives You Sight


This explains everything!

I could never understand why some people run to the ED for every little thing.

Now I know!

They are running from a flying pink bloated virus that causes a variety of symptoms.

The guy in the front has a kidney stone so he’s running the fastest.

The woman has abdominal pain and the young girl behind her thinks she has an STD and that 0430 on a Sunday morning is the perfect time to check it out!

The stud muffin on the right has a groin injury from soccer and the guy on the left has urinary retention.

But, the man on the golf cart thinks he should be seen first and he’ll run ’em all down to make it to triage, only to find out that an infected toenail does not place him at the front of the pack.

Of course, they are actually running to their cars, from which they will not be able to extricate themselves without assistance of three ED staff members.

Which begs the eternal question: how do these people get into the car if they can’t get out of the car?


Ah… is not only Good Friday, but it is also my spring break! No assignments. No responsibilities. No housework (take that, Hubby!).

Time to sit here at Seattle’s Best with a 20 oz. non-fat, caramel latte with whip and a hot asagio cheese sourdough pretzel. Time to actually blog. Ahhhhhhhhhh………


Speaking of school, I’ve got enough for 9 units next semester. I want to do twelve, so I have three weeks to find another 1000 dollars. I’ve checked the couch cushions and under the seats of my car, the crumb-laden bottom of my purse and the “change box” that holds all our spare change. Now I just need $998.50. Do I rock, or what?

My class this semester is “Theoretical Foundations of Nursing Practice” and I am loving every minute of it. My original nursing classes (thirty years ago) were based on the Roy Adaptation Model, and I find it fascinating to look at the amount of research that has been done on nursing theory. Some wonderful theories have been put forth, and I learn more and more each day as I apply them to my various nursing eperiences.

Yeah, I’m a nerd.


I’m so nerdy I want to discuss nursing theory with my colleagues. So, I ask a newly graduated BSN what theory her program was based on. She can’t tell me. I ask what she thought of Jean Watson’s Theory of Human Caring. She couldn’t remember what it was about.


So I asked one of my colleagues who works as a clinical instructor for the same program what nursing theory (or theories) the program was based on. She had no idea.


WTF (pardon the language) was going on here??

I sure as heck knew who Sr. Callista Roy was when I was going through my original nursing program and I can still discuss the Adaptation Model thirty years later.


Now, I’m not trying to say I’m a brainiac. I’m not. In fact, the 1970s saw an explosion in nursing theory, yet I was exposed to only one of them. So, while I knew my theory of practice, I could not begin to discuss any others until now.


For the simple reason, and I have to thank my professor at the University of Wisconsin, Green Bay BSN/LINC program (Dr. Sylvia Kubsch) for this insight: entry level nursing programs much teach with an eye toward the NCLEX exam. My program, as we are all registered nurses, does not.


Why would this matter?

Well, think back to your nursing program. Would “overload” be the right word? Were you so intent on learning the skills and how to actually function as a nurse that any “theory” you might learn got pushed to the wayside while you were educated on how to “be” a nurse?

How are you supposed to understand and delve into nursing theory with no practical experience from which to draw an understanding?

You can’t.

Now, when I read about a theory, I have an educated opinion on its merits because I can see it through the eyes of thirty years of practice. Of course, I don’t believe it takes that long to develop enough expertise to appreciate nursing theory, but it requires some time.

You have to understand nursing theory to know why, although we work IN the medical model in hospitals and clinics, we are not OF the medical model. To be able to stand up to a physician/pharmacist/physical therapist/psychologist with with an educational background that commands respect.

Can you see where I’m heading here?

Now, before we all get our feathers fluffed up to defend our nursing education, please remember that I am an ADN graduate and have proudly practiced as an RN, ADN for three decades.

In fact, I believe there is a place for an ADN (and a diploma grad) in the nursing profession. A very important place.

In my next post, I’ll tell you what that is.

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March 19, 2008, 11:10 pm

Change of Shift, Vol. 2, Number 19


Welcome to Change of Shift! This week is really eclectic, with old friends and new faces discussing nursing and topics of interest to nurses.

First of all, an announcement to any and all San Francisco Bay Area bloggers! Shane is coming out to the west coast in April and we would love to have a blogger get-together. The date is April 2, 2007 and the location is to be decided. If you are interested in a casual get-to-know-each-other meeting, just email me that you are interested and I will get the confirmed information to you.

And now the feature attraction:


Hepatic douche. Do I have to say anything else? Wait ’till you see the uniform required! This could only come from our Mother Jones at Nurse Ratched’s Place as she looks at nursing during Hard Times.

Sometimes being a nurse is just…nice and folks appreciate you for what you do. Keith at Digital Doorway tells of his experience in A Brief and Pleasant Exchange.

Intelinurse passed her certification for TNCC (Trauma Nurse Core Curriculum) offered by the Emergency Nurses Association. She was exposed to more than just trauma and discusses the benefits of networking with other ER nurses in “I Can See Clearly Now” A Plug For TNCC posted at It’s A Nursing Thing (and thanks for the reminder that I need to recert!)


Max E. Nurse may not be certifiably crazy, but he comes close and that makes him a perfect addition to Change of Shift! He sends an amusing example of life as a nurse practitioner (and his sense of humor) in Review of the Week posted at It Shouldn’t Happen in Healthcare.

NurseConnect, a regular advertiser on Emergiblog, has a couple of very good nurse bloggers. Kathy blogs on Nursing Dynamics and Clinical Issues. Her latest post is entitled Guilty About Calling in Sick? Think Again. (Did you know the ANA Code of Ethics backs us up on this?) Laura posts on Career Transitions and Other Nurse Topics, with her latest entitled The Mounting Nurse Shortage: Are We Losing Ground? Did our salaries really peak last year? While you are at NurseConnect, look around! I joined; it’s a pretty dynamic place to connect with other nurses!

I’m about ready to spend close to $5000 for next semester’s tuition, so I was quite happy to see this submission from Neelakantha at the Nursing Online Education Data Base. Check out the 101 Little Known Scholarships for Nurses posted at Nursing Online Education Database.


This is an absolute gem that was sent to me by Amy Hummel. I’ve never listenened to NPR (National Public Radio) in my life! I knew, however, there was a show called “All Things Considered”. Well, they gave their listeners a chance to tell the story of any obsolete skills they might have. One of the callers was a registered nurse who discusses the ancient art of cap folding. Is this right up my alley or what?

Change of Shift welcomes RN Central (“the place to learn about nursing online”) as Amy. S. Quinn submits their first contribution entitled How to: Get Better, Cheaper Health Care Without Insurance (25 Tips, Tricks and Resources), written by Christina Laun.

Too much TV makes you fat. Or does it? Sandy Szwarc, RN at Junkfood Science takes us through Another Study From the Alternative Universe That is the War on Obesity. I was surprised at the results. Let’s just say that the hour I just spent watching (oops, I mean not watching) American Idol will not affect the way my pants fit in the morning…..


I received an email from CrazyRN2be who asked me to let everyone know about a new forum for nursing students called It’s a new forum and can use your support so go take a look, especially if you are a nursing student or thinking about becoming one!

This post isn’t exactly about nursing, but with my youngest is graduating from high school in two months, the moral to the story resonates with me. If you’ve are raising an adolescent, it will resonate with you, too. I have not seen this movie; my daugher has. Therapydoc presents a synopsis and analysis of Juno posted at Everyone Needs Therapy.

Well here’s a submission from an unexpected source! Charles H. Green is a speaker and executive educator. His blog, Trust Matters can be found at Trusted Advisor Associates. In this story, the nurse is his sister and the debate is expertise vs. caring. Check out Who(m) Do You Trust? What would you have done?


Check out this great news from the National Nurse web site: the National Physician Alliance has endorsed turning the Chief Nursing Officer of the USPHS into our “National Nurse”. Way to go NPA and thanks for the endorsement!

Beka, who writes for Medscape Nursing in their “In Our Own Words” blog, takes on the Organ Transplant Tourism, and yes it is as creepy as it sounds! How do we increase the number of donors in this country? She’d love to hear your ideas!

A Second Life for Nursing? Mike from Nursing, Health and Wellness is exploring the virtual world of Second Life as a nurse! Is this a way the web can help the future of nursing?


And that’s it for this edition of Change of Shift! Next week, the inimitable Mother Jones will be hosting at Nurse Ratched’s Place and you can send her submissions via Blog Carnival or via “motherjonesrn at yahoo dot com”.

Thanks for visiting!

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March 13, 2008, 10:27 am

Whoa – Time to Vote!!!

logo awards

Well, THIS was a surprise!

The Emergiblog logo was nominated for an award!

You can vote for the Emergiblog logo in the Health and Self-Development Blog Logo section here at Logo Design Love Awards.

The Emergiblog logo was designed by Mark Otto, a web and graphics designer who resides in the Silicon Valley, so we are practically neighbors! Mark worked on Emergiblog through my web-guy Shane and although Mark and I have never met, I would love for him to get credit for working on what has become a very large part of my life.

So….please vote for the Emergiblog logo and help me give thanks to Mark!

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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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