October, 2010 Archive

October 28, 2010, 2:56 pm

Change of Shift: Vol. 5, Number 9

Welcome to Change of Shift!

After a Vegas-induced vacation, our nursing blog carnival is back!

There has been lots of activity in the blogosphere over the last four weeks, so let’s get right to the heart of it!


Editor’s Pick of the Week:

When is “nothing” the ultimate “something”? Suzanne Gordon has the answer in Nursing and the Perils of Success. And then check out her post on Teresa Brown’s New Book Critical Care for words in support of the bedside nurse.


When a parent is also a health care provider, it isn’t easy to separate the two roles. Laura at Adventures in Juggling knows both sides. Read her story in Boundaries.

Whoa – this post is so chock-full of topics, I plan to write three posts just based on it! Katie Morales at NursesNetwork.net gives us her Initial Observations on the Future of Nursing after viewing the IOM Brief on the Future of Nursing webcast. You have to read this!!!

Sometimes new nurses need some “tough love” to encourage their growth. But where is the line between that and “eating our young”? Wanderer takes this on in Culture of Coddling vs. Eating Young at Lost on the Floor.


Nurses view their patients holistically, so this post by Mona at The Tangled Neuron is perfect for nurses with patients (and families) dealing with Alzheimer’s. Mona looks at Nondrug Treatments for Alzheimer’s: A New Systematic Review.

Heather Kelly, of The Blog of the Interdisciplinary Nursing Quality Research Initiative (INQRI), introduces Guest Blogger: INQRI Grantee Susan Letvak. Ms. Letvak supports the Initiative on the Future of Nurse, but notes a very important omission.

And now for a little ER gallows humor! Take your Monster Mash home, Boris! Nurse Me is in da house with The Deathbed Crash!

The Millionaire Nurse Blog has a new contributor! Say hi to Julie, charge nurse of a 22 bed CCU/ICU in Florida with a huge interest in personal finance! Check out her post on Five Tips to Establish Credit. Welcome, Julie! : )


Toronto Emerg at Those Emergency Blues submits a chilling look at a Death in the Waiting Room, followed by an equally horrific description of a Code. I’m sitting here trying to get my breath back – I don’t think I took a breath reading either post.

Rita at Supporting Safer Healthcare knows that nurses are the backbone of hospice care, and shares some information about The Comfort of Hospice.

When you absolutely know something is wrong….a scary, inspiring story by one very courageous, persistent nurse. Check out Maha’s tale of Going Beyond Scope of Practice at Call Bells Make Me Nervous.

Over at Off the Charts, look at Finding a Job as a Nurse in a Digital Age – and Keeping It. Great links on the topic, including a link to Will at Drawing on Experience!


The Great Pumpkin has visited Hotel Rehab a bit early this year! Rehab RN notes his arrival in A Little Early Halloween Antics…

Sean Dent pens his own blog at My Strong Medicine, and he also blogs for Scrubs – The Leading Nurse Lifestyle Magazine. From his personal blog, a call to respect in Role Clarification and from Scrubs, Male Nurse Introductory Course 101.

Chris at The Man-Nurse Diaries delivers an Ode to Certified Nurse’s Aides, the unsung heroes of long-term care.


This was truly a fantastic edition – many thanks to all who contributed!

The next Change of Shift will be here on November 11th. Submissions can be sent via my contact button or Blog Carnival.

I’m looking forward to your submissions!

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October 27, 2010, 4:23 pm

It’s Not Good

Have coffee! Time to blog!

Seriously, there is actually coffee in that cup! 32,160 cups!

A Guinness World Record.

Brewed on site at BlogWorld/New Media Expo 10, by the folks at Gourmet Gift Baskets.

I think it represents about 6 months of my yearly consumption.


I’m putting Change of Shift together tonight, so if you have any last minute submissions, I’m “standing by” to take your order!


I am having a crisis.

I’m not sure if it’s an ethical crisis, a moral crisis, or an I’m-just-too-full-of-myself crisis.

But is is getting harder and harder to be an ER nurse.


I can’t detach.

I mean, it’s no skin off my nose if a patient with no discernible pathology calls 911 for the tenth time in four weeks and requests transport from the other end of the county. For narcotics.

It’s no skin off my nose if a patient that has been to five other emergency departments up and down the state in the last 48 hours presents to us. For narcotics.

It’s no skin off my nose if I a patient shows up so medicated they can’t walk straight. For narcotics.

I mean, really.

I should just assess ’em, push ’em, vital ’em and street ’em.



So why does it bother me? I get angry. Angry at the audacity of the abuse of the system in general, angry by the feeling I’m being manipulated, angry at the willingness to order narcotics on demand.

And tired of having to pretend that it’s all good.

It’s not good.

I’m not helping anyone.

I’m certainly not therapeutic in any way.

And I’m not stupid.

I’m aiding and perpetuating addictions.

On a daily basis.


There was a time I could smile and pretend that I didn’t see the holes in the stories or the flat out lies I would catch in the course of a conversation.

Pretend that I believed a patient could not remember the name of that….”oh dear what is it called….Daludad…Dileded…oh yes! Dilaudid! That’s it!”

Pretend that patients weren’t drug seeking, knowing they knew I knew.


Getting patients out of pain is one of the most rewarding aspects of emergency nursing. It’s as close as you can get to instant gratification – you medicate, the patient gets relief.

That isn’t what I’m talking about.

I’m talking obvious, blatant, in-your-face drug seeking that is becoming more obvious, more blatant and more in-your-face every day.

But the narcotics still flow.

And it’s getting harder and harder to be a part of that.

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October 18, 2010, 8:19 pm

Change of Shift Goes AWOL

ImageChef.com - Custom comment codes for MySpace, Hi5, Friendster and moreGreetings from…well…not Las Vegas!

That was last week, at the BlogWorld/New Media Expo 2010

As you may have noticed, Change of Shift is AWOL and the trip to Vegas was the reason.

Hence, the logo to the right.

I’ve decided to call this edition the vacation edition. Apparently what happens in Vegas results in exhausted carnival hosts who don’t get their carnivals posted!

(I can’t even blame it on a hangover. How sad is that?)

So, beginning on October 21, Change of Shift will resume publication. I’ll hold current submissions until then, and will accept submissions up until October 20th.

So send me your best! Use the Contact button at the top of this page, blogcarnival.com,  or you can even message me on Facebook and direct message me on Twitter!

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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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