June, 2010 Archive

June 29, 2010, 11:28 am

Change of Shift Begins Year Five: Where Do We Go From Here?

The patient looks like a Cyberman from “Doctor Who”!

Funny, I don’t remember the Doctor ever having a nurse for his traveling companion…

The cap rocks.

The shoes look like Barbie slippers!



You’ve never seen “Doctor Who”??

It’s only been on TV for forty-seven years!

It’s not a medical show, it’s sci-fi and The Doctor is a Time Lord who time-travels in a police call box (aka the TARDIS) that’s bigger on the inside than the outside…

Seriously, you have to see it.

BBC America. Saturdays. 9 Eastern, 6 Pacific.


Thanks to Keith at Digital Doorway for hosting the last edition of Change of Shift and including gorgeous pics of New Mexico!

The July 9th edition of CoS will be hosted here at Emergiblog with submissions accepted up until July 8th at 11am PDT.

This also marks the beginning of Change of Shift’s fifth year!

And I need your feedback.

What do you like about the CoS format?

What would you change?


To start, I have two areas where I need your opinion:

1. Do we continue to include link lists in CoS editions?

Those who have hosted CoS know that there are a lot of “junk” submissions of link lists that have nothing to do with nursing at all. Everything from “50 Ways to Leave Your Blubber” to “10 Victoria’s Secret Items You Can Wear to Work”.  Those go into the SPAM pile.

But…we also get many lists of links may be of interest to nurses, by nurses and from sites that are nursing related. Often, they are related to a business. While never totally comfortable using them (I prefer actual blogs), I’d check them out and if I found the links interesting, I’d include them in the edition.

But when Jacob Molyneux, editor of AJN’s Off the Charts, brought up the issue of whether the inclusion of these lists/posts reduces the value of the independent nurse bloggers and questioned their inclusion in CoS, I began to wonder if their use should be re-evaluated.

So…what say you?

Keep including them (at the host’s discretion) or drop them all together?

2. Submissions – nurse bloggers, where are you?

Okay, let’s be honest here.

Submissions from the individual nurse blogger have declined. Where I used to get at least 12 submissions for an edition, I now get four or five.  I know a lot of our blogging colleagues have dropped their posting frequency or are taking a hiatus. Heck, I am just now coming out of a slump myself.

Those of you who have been surprised to find yourself in CoS these last few editions, well let’s just say a little birdie was submitting for you. Okay, it was me. There’s good stuff out there and I want to make sure it ends up in CoS.


Why have the submissions dropped? Is it a lack of publicizing, a lack of being able to find out who is hosting?

A lack of time?

Or, god forbid….

A lack of interest?

What say you?

Should CoS stay as it is, with submissions as they come (or don’t as the case may be)? Or should it become a selection chosen by whomever is hosting that week? In other words, if you are hosting, you find and include posts from nurse bloggers you would like to showcase. Is that better?


Change of Shift has always felt like my “baby” and I want to make sure it is an asset to nursing on the web.

Who better to give feedback than you, my fellow nurse bloggers!

All opinions welcome, and I’ll share the results in a future post.


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June 23, 2010, 1:36 pm

An Open Letter to the ANA

To the American Nurses Association,

I am a member of the American Nurses Association and a dedicated supporter of HR 4601 The National Nurse Act.

For the life of me, I cannot understand ANA’s reluctance to endorse the National Nurse Act.

The infrastructure already exists, in fact the position already exists. The Act seeks to have the Chief Nursing Officer of the US Public Health Service designated as the National Nurse.

There is nothing political about this – the nominating procedure for the position does not change. It is not a presidential appointment, nor is it a Cabinet position.

And it costs nothing to implement – it’s already funded. It takes no resources away from other nursing initiatives; it competes with no other nursing organization.

But more importantly, it gives the public a visible nurse leader as our health care delivery system transitions to one that focuses on health and the prevention of disease.

And yet, the ANA does not endorse the Chief Nurse Officer of the US Public Health Service being known as the National Nurse.



I sit here holding a copy of the ANA Social Policy Statement for Nursing (Second Edition).  The Office of National Nurse promotes every aspect of our social policy.

From the ANA  “Definition of Nursing”:

Nursing is the protection, promotion and optimization of health and abilities, prevention of illness and injury…(p.6)

From the ANA “Knowledge Base for Nursing Practice”:

Nurses partner with individuals, families, communities, and populations to address issues such as…healthcare systems and their relationships with access to and quality of healthcare…the environment and prevention of disease (p. 7)

From the ANA “Values and Assumptions of Nursing’s Social Contract”:

Public policy and the healthcare delivery system influence the health and well-being of society and professional nursing (p.3)

These are the very foundation of the National Nurse Act.

Imagine the impact of a focus on disease prevention and health promotion at the national level. Imagine the Medical Reserve Corps gearing up with nurses who volunteer in their own communities – think of the impact on health disparities, on social inequities. Imagine patient education on a national scale.

Imagine the public understanding what nursing is…what we do.


HR 4601 was introduced on February 4th. Fifteen members of Congress support it. Four state legislatures are on board and over 100 organizations and prominent individuals are supporting it.

But not the ANA.

I want to know why.

No cost, no politics and an existing infrastructure ready to go…what more do you want?

Because from where I sit, the National Nurse Act seems to blend beautifully with the ANA.

So, speaking as a card-carrying-dues-paying member of the ANA, we need to get onboard.

We need to support HR 4601 The National Nurse Act.

Thank you.

Kim McAllister, RN, BSN


(Further information can be found at The National Nurse.)


American Nurses Association (2003). Nursing’s social policy statement (2nd ed.). Silver Spring, MD: nursebooks.org.

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June 10, 2010, 3:05 pm

Mid-Blog Crisis

Capping Day!

A joyous occasion!

So…why are half the women ticked off?

(Did they realize their cap looks like used gauze?)

And the one getting capped? There is one of those in every class.


Change of Shift is up at first-time-host NursesNetwork.com! Katie did a great job of putting the edition together, many thanks to all who submitted (and those who are surprised to find that a little birdie submitted for you!).

The next edition is at Digital Doorway with Keith. Submissions can be sent to “nursekeith at gmail dot com”.


Emergiblog has been on a pseudo-hiatus.

It wasn’t intentional. I was having a mid-blog crisis.

All of a sudden, I seemed to have lost my “voice”.

It wasn’t blog burnout.

The ideas were there.

So…why did it feel like I needed four gallons of BlogLytely to get a single post initiated?


The crisis stems from what I want Emergiblog to be. Or what I think it should be. Or what I think it is supposed to be.

I feel like I’m “supposed” to write about serious nursing topics; perhaps that came from being exposed to so many new nursing experiences in my BSN program. Maybe it came from thinking Emergiblog would be seen as a type of serious professional writing by grad schools.

(Trust me, it wasn’t.)

Every post felt like it should to be in APA format, with research and references.


Then I graduated with my BSN.

Imagine me as Wile E. Coyote over there and the Road Runner as graduate school.

Not getting accepted was my “gravity lesson”.

It made me question every thing about myself. My career, my goals, my ability to write…especially my ability to write.  The one asset I thought I had wasn’t good enough to get me where I wanted to go.

It spilled over into the blog. I started to over-think everything I wanted to post. Was it good, was it bad, was it appropriate, was it silly, was it stupid, was it….perfect?


Well, it’s all that and more!!!!!! (Except for the “perfect” part…)

It’s just taken me a little while to figure that out, and I think I’ve gotten my “voice” back.

But it makes me wonder…

Many of us have been blogging for 3, 4 or 5 years.

Have you had a “mid-blog crisis”? Have you lost your “voice”?

How did you get it back?

All I know is thinking I was blog toast had me pretty anxious.

Blogging is a huge part of my life.

I’m not ready to go gentle into that good last post.

Not for a long, long time.

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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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