January 21, 2009, 8:44 pm

Change of Shift: Vol. 3, Number Fifteen

Welcome back to Emergiblog, for the post-inaugural edition of Change of Shift!

If you didn’t get a chance to check out this week’s Grand Rounds, hosted by Dr. Val of Getting Better With Dr. Val and presented at MedPage Today, be sure to do so!

As is the custom on Emergiblog, since the “theme” is nursing, I’ll present the submissions themselves as the theme of the edition.

Also, the schedule for Change of Shift is now posted through 2009, so if you would like to host an edition, please shoot me an email (see Contact button above) and I’ll be happy to schedule you in!

Note: An important message follows this week’s submissions.


There are so many nurse blogs I am discovering for the first time. Although Shrtstormtrooper (gotta watch the spelling on that one!) has been blogging for over a year, I have just discovered this great blog from a blogger with “no verbal filter”. The Diving Bell and the Butterfly is a post written by our colleague after reading the book of the same name. The post will give you a lump in your throat, and is found at New Nurse Insanity: Fundus Chop!

Keith at Digital Doorway is concer. A new television show. “The United States of Tara” follows a main character with Dissociative Identity Disorder (aka: Multiple Personality Disorder). Will it lead to understanding or be used solely for humor? Keith muses over how mental health has been treated in the media and he doesn’t sound too optimistic about this latest foray into the arena.

Marijked is a nurse of many talents, and this week she is wondering Do You Have a Living Will? The post can be found on her Senior Support blog, along with a link to a survey she would love to have you complete. It takes less than a few minutes – I took it today!


Long time Emergiblog supporter/sponsor (thanks, guys!), NurseConnect has submitted three posts for Change of Shift this week.

In Career Transitions and Other Nurse Topics, Nurse Laura takes on Ratios and Reform. Are ratios enough to keep nurses at the bedside? Are there other aspects of care that need to be addressed? A though provoking post; weigh in with how you feel about ratios.

Nurse Kathy, in Nursing Dynamics and Clinical Issues, discusses The New Generation of Nurse. I have only one thing to say: I LOVE THIS POST! Being at the age I am now, I am so into giving back to the profession and my daughter will be one of the new generation in 3 1/2 years. Thanks Kathy, you have great insight into what the future of nursing needs, people like YOU!

NurseConnect also invites guest bloggers to weigh in on nursing issues, and this time the Nursing Guest Blog is written by Karen Siroky, the Director of RN.com. Karen asks What Does Specialization Mean to Nursing? It is a great post and has given me an idea for a post of my own. So, what do you think?


Now for the important announcement.

Or, more like an important discussion.

These were the only nurse related posts I received.

Oh, there were about 2/3 more. All from Blog Carnival, and not a single one from a true blogger let aloneΒ  nurse-related in any way. I try to be inclusive of everyone I can but enough is enough.

I was going to go out and find great nursing posts and include them in this edition (and I KNOW you are all out there!) but I wanted to get some feedback. What do you think should happen in a case where the majority of submissions have nothing to do with nursing?

  • If nursing-related posts are few, should the host go “looking” for some great posts by or about nurses?
  • If you run across a great post on another blog, would you be comfortable submitting it for the blogger?
  • If you are a blogger yourself, would you be comfortable having your blog post included in Change of Shift?Β  Would you prefer the post-er ask your permission?


I’ll be honest. I see “Change of Shift” as our (nurses) “baby”. Well, our “baby” has reached adolescence and is having an identity crisis.

IMO, we need to keep CoS as nurse-focused as possible.

That means we need as many nurses as possible to submit their posts, or have their posts submitted.


I need your ideas.

Do we need more aggressive marketing? Should we issue personal invites to submit? Should hosts be able to just “put in” posts that they think are great? Should we have a “Blog of the Week” selection, by the host?


Don’t MAKE me come OUT there…

Just kidding.

Change of Shift will be as good as the nurses who contribute. Nurse bloggers rock, ergo “Change of Shift” should rock.

So, all comments welcome!

Hit me with your best shot!


  • Trauma Junkie
    Trauma Junkie

    January 21, 2009 at 8:58 pm


    I enjoyed this edition of CoS.

    I know what you mean re: BlogCarnival and unrelated submissions, as I’ve received A LOT of spam posts for A Source of Inspiration that have to do with going to IT school and whatnot.

    I’m not a nurse, but I think that combing the web for great nursing-related posts when the majority of submissions don’t meet the guidelines, is a great idea. It doesn’t really matter whether they were submitted posts or not, but how they reflect on the nursing community.

    I also believe it should be up to the host’s discretion as to which posts are included (even if they are nursing-related). Carnival posts read much better with a theme, and sometimes a post doesn’t fit in…but would be great for a future edition.

  • Marijke

    January 22, 2009 at 4:12 am

    Hi Kim,

    1- thanks for including the survey post. I would love it if everyone could take the time to fill it out. I’m aiming for 1000 responses!

    2- I agree with you about the lack of real subs vs those that have nothing to do with the topic. I stopped doing my chronic pain and pregnancy carnivals (two different, not one about pain and pregnancy!) because of the totally inappropriate submissions.

    I think if a nurse sees a post that would qualify for the CoS, there wouldn’t be anything wrong with contacting the blogger to see if he or she would like to have the blog submitted.

    I know I’ll do better to have a post ready for thenext one. Thanks for the kick in the behind. πŸ™‚

  • RehabRN

    January 22, 2009 at 4:50 am


    I’d submit, but then again, I never think I have the *right* post.

    Now that I know you’ll be trolling hither and yon for people, I’ll be more inclined to submit.

    I think the other bloggers such as myself should be more inclined to post about CoS prior and perhaps that would get someone thinking and writing. I’ve got the little widget on the sidebar, but alas, it doesn’t talk to people about submitting!

    A little viral marketing never hurt anyone!

    BTW pick a date and I’d be happy to host again (and beat the bushes if need be!).

  • Trauma Junkie
    Trauma Junkie

    January 22, 2009 at 5:10 am

    Oh, forgot to mention…

    I think it is fine for one blogger to submit another blogger’s post. When I first started learning of carnivals, I thought this was actually how it happened, which is why I never submitted– I thought others were supposed to submit my posts.

    I don’t think the submitter should have to ask the blogger’s permission, because they published it on the internet for everyone to see and as long as a link and proper credit is given, I don’t see the prob.

  • Strong One
    Strong One

    January 22, 2009 at 6:05 am

    I apologized for not getting my submission in on time. I have no excuse, other than laziness, since I have CoS on my calendar! Grr.
    I think all above suggestions are worth exploring. I too want to keep Cos as our ‘nurses’ baby. I think good communication between the host, the submitter, and the blog writer would help enhance and maybe even take Cos to the next level of ‘maturity’ that I think you/we are hoping for.
    I’m game for any and all! Let me know how I can help!
    Sorry again for my laziness. πŸ™‚

  • Change of Shift | CoS » My Strong Medicine
    Change of Shift | CoS » My Strong Medicine

    January 22, 2009 at 6:30 am

    […] latest installment of Change of Shift is up over at Emergiblog with none other than the creator of this amazing nursing blog carnival Kim! CoS is back home for […]

  • Jane

    January 22, 2009 at 8:26 am

    Hi! I think that the host of CoS should be able to submit a post without permission from the author. I will submit more posts, I always “want” to but never think it is good enough, that is why I think it should be ok to just submit without permission. This post is definately going to motivate me to submit more and write more! πŸ™‚ I think that the word is out and we as nurses should just get it together and start submitting!

  • Mother Jones, RN
    Mother Jones, RN

    January 22, 2009 at 3:38 pm

    Hi Kim:

    I got blasted with spam when I hosted the Christmas edition of CoS. Curious George and I panned every spam post. They were crap, excuse my language.

    I always email and ask the author if I can use their post for CoS. I’ve never had anyone tell me no. Some people have also given me permission ahead of time to use anything I see on their blog. Things usually work out, but now people aren’t sending in their posts like the use to. I am no exception. We need to start gearing up again.

    (Sorry I didn’t send you anything this week. I’ve been tied up at work. Bad nurse. Bad!)

  • Victoria Powell
    Victoria Powell

    January 22, 2009 at 4:05 pm

    I am new to Twitter which is where I learned about CoS and other blog carnivals. I have not submitted because I didn’t realize I could, I don’t know what makes for a post worth submitting, and I am still learning the ropes around here.

    I would also like CoS to remain nurse related. I think it would be fine to submit posts of others, but I think you should at least alert them to the fact that you did so. Maybe others do not know that this exists (like me) and if their post was submitted they might like to participate on a regular basis.

    Looking forward to more.

  • […] of Shift, the blog carnival of all things nursing, has a new edition available for your reading pleasure over at Emergiblog. Kim, the blogger extraordinaire who birthed Change of […]

  • Irishdoc

    January 22, 2009 at 10:50 pm

    It is your baby and you should probably keep it the way you like it. As a blogger (back from the dead) I have been picked up and reposted by others and it has never bothered me. When we write we send it out to the cruel world to be judged and hope not to find ourselves wanting.

  • Kim

    January 23, 2009 at 8:19 am

    I just wanted to say that I really appreciate the CoS carnival, and without it I wouldn’t have found so many great nurse blogs to follow!

    I am not a nurse yet, so I can’t contribute, but reading the posts is so incredibly helpful to someone considering the profession or getting ready to enter nursing school.

    It will be a good year and a half before I am even in school, and longer before I can contribute, but I cannot wait to get there. I intend to blog the crap out of my experience, if you’ll pardon my language. πŸ™‚

  • Harald

    January 23, 2009 at 2:03 pm

    Looking forward to reading more of your posts! Looks like you life a fascinating life in the ER! Just stumbled across your blog on Dr. Wes’s blog. Thanks for sharing your thoughts and interesting life.

  • NPs Save Lives
    NPs Save Lives

    January 24, 2009 at 12:43 pm

    I think that COS should remain nursing based. I don’t submit often enough myself and sometimes I forget (sorry!). I think that if you read a post and think it’s worthy to include, do so and let the author know that it’s been submitted. It’s flattery in the highest! I do think that more will submit if they think that they are good enough. I look forward to my first time in March!

  • geena

    January 24, 2009 at 4:47 pm

    I absolutely think that the host could go looking for posts to include. I’ve done that for Grand Rounds once or twice and no one has minded, and I wouldn’t really care if they minded. πŸ™‚

    If you don’t want your stuff out there, don’t put it out there!

    There are a lot of great nurse bloggers that do not submit anything to CoS, probably (in my case at least) due to laziness.

  • Writer’s Block Jan 24 | Rebuild Your Back
    Writer’s Block Jan 24 | Rebuild Your Back

    January 24, 2009 at 5:01 pm

    […] Change of Shift is up and hosted once again by Kim at Emergiblog. In addition to the regular posts she is conducting a poll this time, so if you’re a nurse blogger let her know what you think. […]

  • disappearingjohn

    January 24, 2009 at 8:18 pm

    Well, late as usual to the game…

    I believe CoS should remain nurse (and nursing student) based. I completely agree with not including the SPAM posts, and even some of the barely nursing related half-advertising posts I got when I hosted (low, those years ago)

    Maybe a shout out to your distribution list a few dayss before CoS to wake up us old, keep forgetting bloggers to submit some posts. I know school and the new job have me running like crazy, and I usually remember about CoS when I get your email telling me it is up..

  • […] over at the Emergiblog has pulled together this week’s change of shift.  As always, Kim does an excellent job of gathering the best Nursing blog posts from the week and […]

  • Elaine

    January 26, 2009 at 7:34 pm


    Late as usual, and I’m sorry I haven’t submitted a post in a while. Honestly I haven’t posted much on my own blog as a result of the holidays. Perhaps this one was just low on posts. I have a post ready for submission for the next CoS, so look for it!

    Always enjoying CoS, Elaine.

  • Joanne

    January 28, 2009 at 3:47 pm

    Hi Kim, NurseConnect loves being part of CoS and there is no other nurse blog like it. I think if there are blogs that you see that you want included (or who ever is the host) should submit it. I don’t think it would need the permission of the blogger. But a courtesy e-mail would probably be good. I’m sure the blogger would be very appreciative to be included in a blog like CoS.

    – Joanne

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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