May, 2008 Archive

May 13, 2008, 9:14 am

It’s a Groovy Day for Grand Rounds!

Whoa, is this channeling the ’70s or what?

Well, it is a “groovy” way of announcing that this week’s Grand Rounds is being hosted by David over at Health Business Blog!

And finally, after many weeks of screwing up deadlines and forgetting it was Tuesday, Emergiblog actually has a post in this week! Yeah!!!!!

Now, if you’ll all join me in singing the theme for the Partridge Family…

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Change of Shift

Our very own Dr. Emer will be hosting Change of Shift this Thursday over at Parallel Universes. Get your posts in at “doc.emer at gmail dot com”. Many thanks to Dr. Emer for being our third physician host!

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May 10, 2008, 11:43 am

Nursing: The Next Generation

Well, another Nurses Week has passed without me wearing my cap! This year it was only because I did not work through the week, thank goodness!

I would wear it tonight, but for the fact that my hairdresser decided that a mullet would be the thing for summer and decided I should have one. Stand back, Billy Ray Cyrus! Okay, it isn’t that bad, but I’m not a happy camper.

I did want to thank all those who read and commented on my Nurses Week post from February! Some great comments were left this week by both new and current readers! You can find them here.

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I spent last weekend up at the University of Portland, watching my oldest daughter receive her Masters of Arts in Teaching. It was a very intense year and I am extremely proud of her.

Portland is such a beautiful campus. We figured out that 15 family members have graduated with their BA or MA from the University, with more family members entering this fall.

Who knows, perhaps this is where I will receive my MSN, provided I get my BSN before I’m 100!

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I was also fortunate enough watch the University of Portland School of Nursing graduate one hundred and seventy nine new nurses with their BSN degree and six with their MSN as Clinical Nurse Leaders.

I didn’t know a single one of them, but I felt as proud as the mother of one of the MSN recipients who sat in front of me.

It was an impressive sight.

I literally had goosebumps as the entire School of Nursing stood and applauded until their last classmate had walked across the stage.

The enthusiasm of these men and women, the pride with which they accepted their diplomas - this is what makes me want to become a nursing educator. It’s the same attitude I find in the blogs of nursing students. It’s what spurred me to go back for my BSN - the excitement of learning, the appreciation for the opportunity to be a nurse.

Sometimes it is easy to lose track of those things in the day-to-day environment of the hospital.

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So to the new nursing class(es) of 2008, I would say:

* Your first year will be the most difficult as you acclimate to your new role as a professional nurse. Hang in there! Keep your focus on why you went into nursing to begin with.

* Keep your eyes and ears open. Watch the nurses around you. You will be surrounded by role models. Take the best of what see and incorporate it into your own practice. It may be hard to believe, but by the time the next class enters the profession YOU will be the role model they look up to.

* Ask questions. Ask a lot of them. Keep asking “Why?”. This will keep you learning every day. I still do it after 30 years. Don’t take symptoms or lab values or behavior at face value. Find out “why”.

* Don’t let yourself get cynical or burnt out. Don’t work so much that you are exhausted on your days off. Work what you need to work to get by - keep overtime to a minimum. Yes, the money is nice but so is your mental health. Nursing is hard, demanding work. You need your “downtime” to recharge.

* Speaking of cynical or burnt out, you will work with nurses who suffer from both. Don’t let their attitude bring you down. (And I hereby apologize to all those nurses who had to work with me when I was suffering from both those maladies). You will feel the same on occasion, but keep in mind that “this, too, shall pass”. It does.

* You are professional nurses! Don’t let anyone treat you like a housemaid, a slave, an underling, or anything other than the educated, professional people that you are. Don’t accept the status quo. Don’t accept that things “have always been done this way”. Don’t accept stupid water bottles with hospital logos on them.

* Please, please remember that you practice nursing and not medicine. The professions are complimentary, not identical. Should a patient refer to you as “Doctor”, let them know you are a registered nurse. Act like the consummate professional, and you will find that the doctors will treat you accordingly. Those who don’t have a problem. You do not.

* Tell everyone what you do! Promote the profession! Encourage young people to consider nursing. Explain the difference between nursing and medicine to those who are confused.

And finally, there will be days when you leave work exhausted, emotionally drained and aching from head to toe, wondering “What the hell was I thinking?”

On those days remember that you made a difference in someone’s life.

Because you are a nurse.

Congratulations to the Nursing Class of 2008. I’m proud to call you “colleague”.

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May 1, 2008, 8:44 am

Change of Shift, a Cup of Coffee and a Tale of Judge Judy

cos

…is up over at Life in the NHS. Julie has done a great job, so be sure to check it out! Two weeks from now our host is Dr. Emer at Parallel Universes, so submissions can be sent to “doc (period) emer at gmail dot com” or via Blog Carnival.

Doc Gurley took the reins for Grand Rounds this week, and I’ll be needing a second cup of coffee for reading this morning. Oh, I am so looking forward to summer vacation when I can wake up on Tuesday mornings and read the entire Grand Rounds. It’s like curling up with a good book!

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judgejudy

We all have secret guilty pleasures in our lives.

Watching Judge Judy is mine. I love the way she cuts through the feces to get to the facts.

But da judge was out of her mind the other night.

She told the mother of a 17-year-old girl that she should have taken her to the emergency department for urinary tract infection symptoms, and taken time off work to do so.

Girl has recurrent infections, so her mother told her to drink water and cranberry juice and they would to to the doctor in the morning.

Girl is not happy with this set-up so she tells boyfriend’s mother her tummy hurts and boyfriend’s mother takes Girl to the emergency department and then sues the mother for the $1600 bill (ER, ER doc and meds). Boyfriend’s mom signs the consent papers, apparently. Mother never authorized the visit, and did not take her daughter because she knew the ER was expensive and they did not have the money.

Of course, there are other factors involved - no one with any brains ever gets to stand in front of Judge Judy, anyway.

But….

Judy, Judy, Judy - how can a lady as smart as you not understand that you don’t go to ERs for urinary tract infections when they are recurrent AND you have a doctor you can see within hours?

Now every single person who saw that segment thinks that symtoms of a UTI with a history of recurrent UTIs is a reason for an ER visit.

Sorry, Judge. You may have gone to law school but it sure did not give you any common sense when it comes to the appropriate use of an emergency department.

Ya blew it.

Read »


About Me

My name is Kim, and I'm a nurse in the San Francisco Bay area. I've been a nurse for 28 years; I graduated in 1978 with my ADN. My experience is predominately Emergency and Critical Care, but I also worked in Psychiatry and did pediatric telephone triage. I made the decision to be a nurse back in 1966 at the age of nine...

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