January, 2011 Archive

January 21, 2011, 11:42 am

Change of Shift: Volume 5, No. 15

Welcome to Change of Shift!

This is a miniature edition!

The quantity is tiny, the quality is superb!

Grab some coffee, kick back

Change of Shift is in da house!


Editor’s Pick: At the AJN Off the Charts blog, Juliana Paradisi pens a fantastic post on privacy, both personal and for patients, in Nurses, Hospitals and Social Media: It Depends What Business You’re In.

Oh, SNAP! The Muse, RN, gives a new meaning to “left” and “right” in her post RNs…Skilled or Unskilled. Choose your path, my colleagues, there is no room for compromise in this debate.

Meet new blogger and first time Change of Shift contributor Andrea, author of journeytothefarm.com. Andrea is an OB nurse who traded suburbia for life on the farm and has penned a beautiful post on nursing and The Cycle of Life. Welcome to the blogosphere, Andrea, and welcome to Change of Shift!


Do people hear what we say or do they “hear what they see”? How much does the image we present affect the advice we give our patients? IsntSheLovlei wonders just that in? Do As I Say Not As I Do? posted at The Dog Ate My Care Plan….

I found this post at EDNurseasauras, Still in the Trenches. “TyRANTasauras Regina” hits it out of the park in A Comment on Drug Seeking Behavior. This is how we know. This. Is. It. Exactly.

Our paychecks got a little larger recently and Dr. Dean at The Millionaire Nurse Blog has a great idea on where that “found” money should go. See a Painless Way To Increase Your Retirement Savings. I made the call!


Change of Shift will return here in two weeks, so get your submissions in for the next edition! Use Blog Carnival or the Contact button at the top of this page.

Thanks for reading!

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January 6, 2011, 10:41 pm

Change of Shift: Volume 5, No. 14

Happy New Year!

Welcome to the first 2011 edition of Change of Shift, the bi-weekly nursing blog carnival!

CoS took both a Thanksgiving and a Christmas break, and is now ready to dive back into the blogosphere and bring the most interesting nursing blogs together.

Change of Shift is what you make it, so please be sure to submit your posts! Just click the contact button at the top of the page or submit them through Blog Carnival. If you find a post on another blog that you think should be included, submit that one, too!

Let’s get started!


This is so the Editor’s Pick of the new year! The Muse, RN reminds us that there is …No “I” in “Team”, and believe me, it’s not what you think!!!

But…but then she follows it up with…gasp…Nursing Documentation is Stupid! Now, I live to document; my charts are works of art. But I like Muse’s proposal… as long as I have my narrative space!

Ewwwwww! Working night shift, I don’t run into this…IsntSheLovlei describes her Pet Peeve: Cafeteria Cooties posted at The Dog Ate My Care Plan….


Check out Choosing AJN’s Med-Surg Books of the Year, reported by Julie Zerwic, PhD, RN on the AJN blog, Off the Charts.

Katie Morales at NursesNetwork.com notes that a mistake can result in some rather surprising outcomes in To Err Divine?.

Insights in Nursing is up this week, and the topic is Lie Detecting Nurses. Hosted by Jamie Davis, panelists are nurse practitioner Terri Schmitt and nurse (and) blogger Rob Fraser.

Running Wildly shares a patient she will never forget in Pediatrics. While the patient may be too young, the mom will always remember her kindness.


RehabRN says “good-bye” in So Long, Skippy.

Over at Code Blog, Gina continues her Interview series with correctional nurse Lorry Schoenly.

The 2010 Truth About Nursing Awards are up! Check out the Ten Best and Ten Worst portrayals of nurses (plus honorable mentions) and the “I’m Saving the World, So It’s Okay If I Trample Nurses Along the Way!” award. Truth About Nursing is also having their first annual conference in April in New Orleans and I would kill to go!


Nurse K is back at Crass-Pollination with a description of a pediatric Blood Draw as only she can tell it!

From At Your CervixPrecipitous Birth (now that is how it’s done!)

Staying on the topic of childbirth, When it comes to VBACs and TOLACs, Julia finds there is Not Such A Balanced Picture…, at This Won’t Hurt A Bit.


Thanks for reading!

And, as always, many thanks to those who submitted and to those who just realized they “submitted”! 🙂

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2:27 pm

Tomorrow…Is Another Day!

Scarlett O’Hara, RN says goodbye to Rhett Butler, MD and that wimpy orderly Ashley Wilkes from the porch of Tara Medical Center.

She didn’t get the order for morphine that she wanted, but no matter. She won’t think about it now.

She’ll worry about it tomorrow.

Because tomorrow…

Is another day!

I’m the proud owner of the 60th anniversary boxed set of “Gone With the Wind”.

LOVE that movie!

Can’t stand that mousy, measly, mush-mouthed Ashley Wilkes.


I’m loving my new ad up in the right corner! That is the RN Pocket Guide by Informed Publishing. I bought the app, and I know why it’s one of the top 10 grossing medical apps on iTunes!

For the new RN, there are assessment guidelines and enough information to get comfortably through a shift. For a seasoned vet (waving!) there are calculators and guidelines to areas that may be out of your specialty. I appreciate the pediatric calculators and drug information the most.

Hospitals are using the app on their iPads (hey Boss, if you are reading, can WE have iPads???) and nursing schools are using the app as a text. Nursing students – it’s a great study aid.

Check it out and let me know what you think!

(Oh, and P.S. – if you are an Android user, it is called “Nursing Essentials” and is available wherever you find apps for that other platform!)


I am at some sort of crossroads. Not quite sure where to go next with this career of mine.

For three years I was gunning full-bore, all-out, head down, get-out-of-my-way-I’m-comin’-through….to a BSN and….BAM!

I hit the wall.

I got the degree and I’m extremely proud of it, but I was living in a fantasy world, thinking that I would segue seamlessly into a life of paid academia.

It didn’t happen.

Unfortunately I didn’t have a Plan B in place, so I spent the last six months moping around in a sort of limbo. Not really knowing what I wanted to do and questioning whether my original goals were even realistic.

Well, I may have spent the New Year with Rod Serling and the Twilight Zone Marathon, but apparently Mr. Reality paid a visit and hit me upside the head, because now I know what I’m going to do:

  • I’ll start my MSN through the program at Cal State, Dominguez Hills. The program at UCSF is too expensive and I am too poor to pay it and too rich for financial aid (that’s called “middle class” :D).Don’t want student loans.
  • I need to work, and the money is in staff nursing. For example, the People’s Republic of California (sorry…) is hiring nurses to do health facility inspections. Working full time with them would mean a $30,000 a year drop in pay, and I only work 3/5 time now! Which means…
  • I will stay at the bedside with my MSN (and later my PhD). I can’t afford the pay drop that comes with moving to education or research. Perhaps I can teach part time; I know the need for nursing professors is acute.
  • After the MSN, I will see what my options are for the PhD, perhaps at that point I will consider a DNP – who knows? There may be opportunities open that are not even a twinkle in anyone’s eye right now…

So this makes me feel like I have a solid base underneath me again. I missed classes, I missed writing, I missed researching…

And I missed blogging!

The pickin’s have been slim here lately – thanks for hanging in with me.

Just had to recharge this ol’ battery!

Speaking of battery – I better get working on Change of Shift…..

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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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