September, 2009 Archive

September 30, 2009, 8:47 pm

Change of Shift: Vol. 4, Number 7

OffwhitelogoWelcome to the latest version of Change of Shift, the nursing blog carnival!

Lots of topics this week: H1N1 is on a lot of minds these days, there are a couple of posts for new grads and it looks like one particular blogger is going to have to re-evaluate her opinion on a certain Showtime show (cough!).

So, let’s get started!

*****

New blogger, first post! Meet RNtoBe as she encounters the “policy vs. practice” in Back to the Grind and is shocked to discover that they teach residents that babies are “sterile”. It’s a hoot!

Beka at In Our Own Words: Medscape Nurses wants to know if you are Ready for the H1N1 (Swine) Flu? Will you be getting the vaccination? Is your hospital prepared? And if want to know what the CDC is tracking, here is their H1N1 Situation Update.

Do you think the H1N1 vaccine should be a condition of employment? Some nurses are protesting this possibility. Cara Matthews reports that Protesters Rally Against Swine Flu Vaccine posted at Politics on the Hudson.

*****

Mother Jones at Nurse Ratched’s Place is all about vintage uniforms, but right now she has partnered with Scrubs Gallery in a “Uniform of the Future” contest! First prize is a $100 gift card from Scrubs Gallery! Details at You’ve Come a Long Way, Baby!

When I read that author (and blogger!) Suzanne Gordon, a major nursing advocate, believes that “Nurse Jackie” is a realistic portrayal of the profession I realized – after I picked up my jaw – that I should, you know, actually watch it and not condemn it from bits of previews. Suzanne makes her case at Nurse Jackie Ends Tonight. (and if you haven’t read “From Silence to Voice” or “Nursing Against the Odds”, go to amazon.com and get them. Should be required reading in every nursing school.)

Barbara at Florence dot com discusses an important contribution to patient safety from an unlikely source in Trolling for Patient Safety in Social Media.

*****

Sean at My Strong Medicine has a great message he’d like to pass along, you know, From One Nurse to Another. Ever felt like saying this to anyone?Anything you’d like to add?

Wendy Jones from NursesPTO looks at nurses’ reading habits in Are You an Apathetic Nurse?. Jennifer can only take sooo much and she tells us My Pet Peeves About Patients. Rachael is not a nurse, but she hires them and in Finding A Nursing Job she gives some hints to new grads on how to stand out from the crowd.

Susan White at RN Central sends in a list of 100 Incredible, Cutting-Edge Lectures for Medical Professionals. It is, truly, an incredible list and I spent some time viewing a couple of the lectures. You have to see the one with the animated cell; it’s breathtaking.

*****

The campaign for a National Nurse is going strong, and now Diana Mason over at AJN’s blog Off the Charts wonders Why Doesn’t the U.S. Have an Office of the National Nurse? Why, indeed!

RehabRN certainly knows how to Vacate for a Vacation! When two days off just isn’t enough…..

It’s easy to criticize, but how many of us take the time to acknowledge a job well done? Mark at Medic 999 did exactly that following a call for an elderly patient (he even gave the staff a copy of the post!) in It’s a Shame It’s So Rare.

*****

Have you heard about The Waiting Room? A film maker follows the life and times of patients and staff at Highland Hospital, in Oakland, California. Watching over the throng is Nurse CJ. She makes an appearance in many of the videos. If I’m ever in an ER, I want this nurse watching over me.

Patrick at the Travel Nursing Blog talks about how to get your focus back when nursing gets to be too much in You Take the Good, You Take the Bad and There You Have… Be sure to read check out the links at the end of the post! (And Patrick, I now have the theme from “Facts of Life” in my head. There will be payback…)

I’m taking a class on health aging so this post really hit home. Alvaro at SharpBrains notes “…not enough attention seems focused on ensuring healthcare systems’ preparedness to deal with cognitive health issues…” He asks: Alzheimer’s Disease: is our Healthcare System Ready?

NurseConnect blogger Laura wonders at the comforting effect of a soft object in Embracing the Heart Pillow. I distinctly remember the nurses putting much effort into these for their pre-op heart patients. Blogger Kathy also addresses new grads, who may be discouraged as they look for their first job, she says New Grads Take Heart!

********************

And that my friends, ends this edition of Change of Shift! And….it’s right back here again in two weeks so keep those submissions coming in! Wow – this time in two weeks I’ll be sitting in Las Vegas at the BlogWorld/New Media Expo 09!  It’s not too late to join us, you know! Email me if you want details on how to register!

So… the next CoS will be coming at you straight from the heart of Vegas.  Hey, maybe you can write about a “gamble” you took in your career that really paid off! It’s good I’ll be working on CoS, it will keep me from hitting the slots!

Many thanks to those who submitted and, as always, thanks for reading!

Share this:
Share this page via Email Share this page via Stumble Upon Share this page via Digg this Share this page via Facebook Share this page via Twitter

Read »

September 25, 2009, 10:33 am

Blog Fog

busywaitingroomHoly cow, this nurse looks like she is swamped!

I can relate!

Whatever force got me to commit to six night shifts in eight days and a public health rotation on my days off must have gotten me at a weak moment!

This has to be the longest I’ve gone without blogging.

Between work, school and sleep, I have neglected my poor blog!

And I’ve also been remiss in my duties! The last Change of Shift was hosted by Mark at Medic 999, Ramona at Suture for a Living did the honors last week at Grand Rounds and this week it was Colin Son taking the reins at Residency Notes…

…and I forgot to link to all of them until now!

That is just unacceptable.

It’s pretty bad when my blogging time is affected.

But have no fear – Change of Shift is back here at Emergiblog next week and submissions are most welcome! Nurses – get those blogging fingers flying and let us know what is up! I’ll be introducing a new nurse blogger and I’m sure our old favorites (no, I did not just call you old) will be joining in! Just go through Blog Carnival or click the “Contact” button above.

Neither rain, nor snow, nor me losing my mind will keep Change of Shift from going up when scheduled!

Now it’s time to read 10 articles on school-based clinics!

I’m trying to contain my excitement.

Share this:
Share this page via Email Share this page via Stumble Upon Share this page via Digg this Share this page via Facebook Share this page via Twitter

Read »

September 14, 2009, 7:53 am

And Then There’s Fraud…

beforehand lotionWell, I lead a double life but it isn’t out dancing in formal wear!

“There is time for only fleeting thoughts about that dance you’ll attend during off duty hours.”

There isn’t even time for that.

Besides, who attends a dance during on duty hours?

Well, I guess the most important thing is that our hands are “soft, smooth and free from redness” because “your patients like it and your date expects it”.

Oh yeah?

The day they use a hand sanitizer thirty times in a shift and wash their hands another twenty, they can talk to me about soft hands.

********************

OffwhitelogoDon’t forget Change of Shift is up this Thursday at Medic 999. Mark is awaiting your submissions.

Use Blog Carnival or send them to mglencorse at yahoo dot co dot uk”.

Many thanks to Mark for hosting the nurses this edition!

********************

My husband won’t watch football with me because I tend to get hyped up and throw things at the TV when I get upset.

That explains why there were Notre Dame pom poms and a Cleveland Browns jersey at the base of the set this weekend.

I also like to talk back at the President when he is speaking on TV. Usually it’s things like “Say WHAT?” or “Give me a break!” “Get. A. Clue!” is usually a good one. This last speech, the one to Congress about health care, was no exception. My first comment came a bit into the speech when I noted a few times that “I haven’t heard a single thing I disagree with yet” and “he’s right on that point”.

I was afraid hubby was going to need smelling salts.

But I’m like, “let’s hear how he is going to pay for this…let’s hear him out”.

And then I heard it.

And then he lost me.

*****

There were two comments that I could not let go. I looked them up in the text of the speech to make sure I had heard them correctly.

“…we’ve estimated that most of this plan can be paid for by finding savings within the existing health care system – a system that is currently full of waste and abuse.”

“The only thing this plan would eliminate is the hundreds of billions of dollars in waste and fraud…”

Hundreds of billions of dollars? Billions? With a capital “B”?

Waste. Abuse. Fraud.

This means that in order to pay to the proposed health care reform, we have to find enough waste, abuse and fraud to cover expenses.

*****

But I have some questions.

What is the definition of “waste”? To the extent that “waste” means inefficient bureaucratic practices that use up monetary resources, I can get on board with that.

Abuse? What kind of abuse? Using the system inefficiently, like calling an ambulance for a stubbed toe? Remember, the President is using the term “abuse” to represent a potential income stream for the new system, so it would have to encompass behaviors that spend money that should not be spent. Money is spent on patient care, so is he talking about patients abusing the system?

And then there’s fraud…

That’s a crime, folks.

Hundreds of billions of dollars in waste and fraud?

The President must think that there are an awful lot of criminals in the health care system.

So what’s my point?

*****

My point is this: funding for the new proposed health care system (see “most of this plan…”, above) is based on finding waste, abuse and fraud.

What happens when all the waste is taken out, all the abusers are stopped, the fraudsters jailed and the system needs more funding? Does that not make it imperative that we keep finding waste and abuse and fraud? Does that not mean that what constitutes waste, abuse and fraud must be constantly expanded to make up for rising costs?

This can’t be good.

I am in total agreement that our system can be streamlined, big time.

And maybe we could find enough money in waste, abuse and fraud to make it pay for itself, but I doubt it.

If we could do that, wouldn’t we have done it already with Medicaid and Medicare? The budgets for both are getting slashed on a regular basis. Drop the waste, abuse and fraud in those programs and then come back and tell me how much better their budgets are.

If we can’t do it in an existing government-provided system, how on earth do you expect us to believe it can be done on a larger scale?

 

 

Share this:
Share this page via Email Share this page via Stumble Upon Share this page via Digg this Share this page via Facebook Share this page via Twitter

Read »

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...

Continue reading »

Find Me On...
Twitter     Technorati

Subscribe to Emergiblog
Office of the National Nurse

Zippy Was Here


Healthcare Blogger Code of Ethics

  • Perspective
  • Confidentiality
  • Disclosure
  • Reliability
  • Courtesy

medbloggercode.com

I Support the Public Library of Science

Dr. Val
Johnson & Johnson
Johnson & Johnson Health Channel
Webicina
Nursing and Web 2.0



Health blogs

Medicine Blogs - Blog Catalog Blog Directory

Alltop. Seriously?! I got in?

Health Blogs - Blog Rankings