September 9, 2008, 3:57 pm

An Apple(quack) Grand Rounds!

I know, I know.

The actual theme of this week’s Grand Rounds over at is “The Sound of Music”.

But how could I resist a reason to use a photo of THE Apple on the blog?

After all, Dr. Cris writes about Apple and medical stuff, right?

And besides, I have a horrible confession to make.

“The Sound of Music” is not one of my favorite movies.

I’ve tried, really, I’ve tried.

Hubby says it’s because it doesn’t star Jeff Goldblum and/or Will Smith.

Yeah, right!


The next Change of Shift makes its appearance on September 18th at You can submit by using the (very handy) Blog Carnival link on the right sidebar or send your submissions to “emily at crzegrl dot net”. If you send them to me I will forward them on to Emily. Many thanks to Emily for hosting!


Don’t forget, the Healthcare Today contest for a blog makeover is still going on!

Submit healthcare articles from the web and vote for your favorites!


And now a word about mental health.


Kasey Kahne did not make the Chase for the Sprint Cup.

Depressing, to say the least. So close, yet so far.

Oh, all is not lost – he can still win races.

He just can’t win the Sprint Cup.

So…for the next ten races we can watch as Tony Stewart throws his temper tantrums, Kyle Busch displays his arrogance and Jimmy Johnson acts like the trophy is already his.

Not that I’m bitter, or anything.

The only bright spot is that Dale Earnhardt, Jr. is in the Chase and I have a secret crush on him I like him a little.

I’m still pretty sure I’m responsible for Kasey getting into the All Star race in May, sitting up all night and voting in a lonely hotel room in North Carolina.

Hey, a girl can dream can’t she?

September 6, 2008, 8:52 pm

If I Knew Then What I Know Now…

Holy cow!

I didn’t think my heart would hold out until the end of the game!!!!

Hardly a stellar performance, I must admit, but the IRISH WON!!!!!

I think I’m hoarse!

Time to go wash off the green body paint…

Just kidding….

But, in honor of the first of many Irish wins, I will continue the honored tradition of the last three years and proclaim my devotion to the hallowed halls of Our Lady of the Lake:

Cheer, cheer for old Notre Dame,wake up the echoes cheering her name!

Send a volley cheer on high, Shake down the thunder from the sky!

What though the odds be great or small, Old Notre Dame will win over all!

While her loyal sons are marching, Onward to victory!

(now if Kasey Kahne can just make the Chase for the Sprint Cup….)


Don’t forget the contest at Healthcare Today, where you can win a professional blog design and consultation!  The important parts of the contest are (1) submit posts and, this is important, (2) vote for the posts you are reading. It’s the voting that will put the best posts at the top, including your own!

This really is one place where you can vote now and vote often!


I was asked this question recently by Advance for Nurses:

“If I knew then what I know now, what would I do differently?”

I decided to look at my career as an RN for my answer.


First, I would have waited until I was a bit older to begin my nursing education.  I had virtually zero life experience when I began my career at age 20.  Nursing requires a maturity that, frankly, I did not possess in 1978.  I was not only wet-behind-the-ears, but my ears weren’t even fully developed.

I was fortunate in that my first job was with extremely supportive nurses who wrapped me up in a nurturing cocoon and helped me morph into an actual nurse.  The older nurses were helpful, understanding and even stern, but I actually learned how to be a nurse from them.

With the younger nurses, I shared marriages, babies, showers, luncheons and concerts.  At one time we had four babies born five months apart!  One would come back from maternity leave as the other was getting ready to go!

I stayed there ten years.

I guess you could say I matured on the job, or at least was on the right path.


Second, I would have been less timid in nursing school.

I would have sought after and placed myself in the most challenging assignments.

I would have milked every bit of knowledge from my nursing instructors until they ran dry.

I would have appreciated the time, and the importance of what I was learning and who was teaching it to me.


Third, and please, no flames here,  I would have gotten my BSN as my entry level degree.

It would have served two purposes.

  • That maturity I was talking about? I would have had two more years of life under my belt before hitting the road as an RN.
  • I would not be trying so hard to obtain a BSN now, at the age of 51, in order to obtain an MSN so that I can teach.

You see, back then I could never have imagined myself wanting to do anything but hospital nursing.  (Hell, there were times during the last 30 years that I would have killed to do anything but nursing.)  I’m proud of my ADN and I know that ADN programs produce great nurses. But…

A BSN obtained back when I was young and before encumbered with other responsibilities would have given me the foundation I am now, belatedly, trying to build and put me in a better position for graduate studies.


So that’s it.

If I had the wisdom of my fifty-something self in my twenty-year-old body, this is what I’d do differently.

Because if I knew then what I know now, I’d be well on my way to my MSN!

September 4, 2008, 9:30 pm

Time Flies: the Carnivals are in Town!

Change of Shift is up over at Nurse Ratched’s Place, with a pulp fiction theme! Where does Mother Jones get all those books?


Laurie over at A Chronic Dose has put together a huge Grand Rounds this week!

Her theme is education. I’ll be spending some time over there this weekend!

I’ll have the honor of hosting once again in October!

It will take me that long to think of a theme!


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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