Change of Shift |Volume 6 Edition 1

placeit(1)Welcome to the first edition of the ‘reborn’ Change of Shift (blog carnival). For those of you who aren’t familiar with what the Change of Shift is (or was) or are not familiar with a  Blog Carnival please check out the following link:

The (revived) Change of Shift: Nursing blog carnival

The newly reborn Change of Shift will also include posts beyond just the blog article. Find a comfy seat, put on your reading glasses and sit back and relax. Welcome to the Change of Shift V1 E1.

I’m doing these in completely random order. I found most of these blogs as a stumbled upon them in my social media travels.

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When the SHIfT hits the fan

theNursePath

Brought to you by Ian Miller a fellow old-dog Nurse blogger of many years over at The Nurse Path. He talks about ‘that’ shift we have all had, but throws a twist. He’s giving you suggestions on how to get through them productively. Do you have your ‘superhero’ pose?

https://twitter.com/TheNursePath

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Nurse Mentoring Adds Value to Leadership Programs

The Nursing Show

From long time nurse Podcasting legend Jamie Davis. He discusses the concept of building leadership skills within our profession as well as sharpening the nurse mentor role to help thwart the unending nurse bullying that unfortunately is still present in our profession. He echoes my sentiments of building each other up instead of breaking each other down. Kudos Jamie!

A second blog post from Jamie:

Nurse Practitioner State Practice Barriers Coming Down

You know I had to include this one! A brief post of the state of affairs concerning the legislative efforts of lobbying for Nurse Practitioner full practice authority. Worth the read.

https://twitter.com/podmedic

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Measuring a Nurse’s Career Through BLS

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From the infamous Nurse Blogger Julianna Paradisi who posts a blog over at AJN Off the Charts blog. From the new nurse to the seasoned nurse it’s a skill we continue to re-master over and over again. You’ll never view your BLS certification or recertification the same.

https://twitter.com/AmJNurs

https://twitter.com/jparadisirn

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10 Reasons Why Being a Nurse is Not Easy

Nurseslabs

Over at Nurselabs Jeini Relova blogs reaffirms that not everyone can do our job. The human condition and the end of life is not something everyone can handle with poise and altruism.

https://twitter.com/nurseslabs

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My First Clinical Day

Mighty Nurse Megan

Mighty Nurse Megan (by the way, love that moniker) talks about her first Clinical day. Who remembers that? Regardless of how long ago that day existed in your career, we all remember it well. The good and the bad. Things move pretty fast in the world of Nursing, we all find that out one way or another.

https://twitter.com/mightynursemeg

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Ain’t the Way to Die

If you’ve seen anything that Dr. Zubin Damania (ZDoggMD) has done on the internet, it’s always a golden ticket. This particular post hit home for me, working in the ICU I deal with End of Life decisions on almost a daily basis. His post and emotionally charged video says things that we as healthcare professionals have been thinking and feeling for years, but puts it in ‘cool’ terms so that everyone can relate.

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When the nurse says …..

This satirical blog is choc-full of laughs. This blog posts talks about what the nurse says. What the nurse says ≠ what the nurse means ≠ what the patient hears. Down right hilarious. Don’t miss out on the other blog posts in this series:

http://www.gomerblog.com/2015/08/when-the-doctor-says/

http://www.gomerblog.com/2015/08/when-the-patient-says/

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Nurse on Overdrive

The Nurse Keith Show

Another old-dog Nurse Blogger (yes, I’m an old-dog Nurse Blogger), Keith Carlson talks about something near and dear to my heart – self care. Nurses do a great job at fixing other people and other things, but we’re horrible at tending to ourselves.

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How to Get the Most Out of Your Nursing Orientation

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Over at Becoming a Nurse, Amy gives six great tips for that horrid transition from the nursing school student, to new-nursing-grad-soon-to-be-RN. The jump over this proverbial line is a tough one. (Hint – time management is important)

https://twitter.com/becomingrn

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Jeniffer’s Terminal Condition

Nurse Beth

From my fellow seasoned Nurse Blogger Beth Hawkes over at NurseCode. I’m not going to spoil this one. You need to read the blog post, it’s not what you think. Not at all. It surprised me in such a delightful way. Seeing as I’m suffering from this same condition. Kudos Beth.

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The obligatory non-traditional blog submission from our friends over at the Tumblr blog #whatshouldwecallnursing :

When I come into work and see the crash cart outside my patient’s room.

Just go see it for yourself. This blog is always good for a chuckle.

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Lastly, I blog post that has received quite a bit of buzz:

The Diet Coke incident- A mass exodus of bedside nurses.

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Have you ever had a family member place a food ‘order’ with you, their family member’s nurse? As if they were not at a hospital, but at a restaurant? Ever question how appropriate this behavior is or is not? Well the nurse behind the blog named: Florence is dead. It’s time for a new nursing paradigm has decided to throw some kindle into this low burning fire. It’s been quite the talk of the town, so much that she had to write a follow up post. I’d love to hear your thoughts on this one!

Post-script to ‘the Diet Coke Incident’:

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Well, that’s all she wrote gang! As of the late afternoon of August 31st the Change of Shift V1 E1 is in the books. If there are any last-minute submissions I’ll be glad to add them in during the next couple of days.

As a reminder: Submit all posts to my podcast email address: thenurseniche@gmail.com

Until next month… have fun out there!

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Change of Shift |Volume 6 Edition 1 originally posted on My Strong Medicine

Calling all Nurses! Calling all Nurse Bloggers!!! #thechangeofshift

 

Do you know any Nurse Bloggers out there? Any great blog posts? Do they share great content?

How about new Nurse Bloggers out there looking to get their voice heard?

How about just content you think other Nurses out there on the internets needs to read? Instagram? Vine? Submit it!!!

Send in your last minute submissions for the 1st Edition of the newly revived ‘The Change of Shift’ blog carnival! I’ll release it the first week of September!!!

Submit all posts to my podcast email address: thenurseniche@gmail.com

Looking forward to how this will grow.

Just in case you don’t know what I’m talking about:

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The (revived) Change of Shift: Nursing blog carnival:

http://mystrongmedicine.com/2015/08/17/the-revived-chang-of-shift-nursing-blog-carnival/

The (revived) Change of Shift: Nursing blog carnival

placeit(1)So, a blog carnival for nurses. “What’s a blog carnival?” Never heard of one ehh? Well here’s the skinny:

Blog Carnival: A blog (post)article that contains links to other articles covering a specific topic. Most blog carnivals are hosted by a rotating list of frequent contributors to the carnival, and serve to both generate new posts by contributors and highlight new bloggers posting matter in that subject area.

As I mentioned earlier, I’m reviving a retired blog carnival, Change of Shift.

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It was hosted by a wonderful blogger named Kim on her now retired blog, Emergiblog.

Here was the original post and mission statement of the Change of Shift: (taken from her blog)

“Change of Shift” is intended to be a blog about nurses and for nurses, but all are welcome to submit! This includes nursing students of all ages and in all stages of their programs!

Are you a doctor or a medical student with a funny nurse story, some constructive criticism or advice on how to interact with physicians? Submit your story!

Are you a patient with an anecdote about your experience with nursing or nurses? Share them with us!

The rules are simple:

  • All submissions will be posted, including rants and criticism. We’re nurses, we can take it. Passionate, but polite is the way to go!
  • If you post to Grand Rounds that week, the submission to Change of Shift must be a different post.
  • Keep the nursing perspective at Grand Rounds strong, in fact, make it stronger if you can by submitting each week.
  • All known HIPAA privacy rules apply.
  • If you are blogging about your own experience as a patient, make sure your story does not reveal any information about other patients you came into contact with during your stay/visit/experience.
  • If you are blogging about a relative, be sure to get their permission to do so, if possible.
  • All submissions must be in by 5:00 pm on the Wednesday before the “carnival” is posted.
  • Be sure to put “Change of Shift” in the subject line so the host doesn’t miss it or if it accidentally gets puts it in the “bulk” folder, the host will find it.
  • Posts containing rude or foul language or inappropriate material for general consumption (you know what I mean) will be purged.
  • No post consisting of “lists” of web sites, books, movies, videos, podcasts, You Tubes, Tweets, blogs, drugs, diseases, or anything else will be included.

Way back in the day (before Twitter, Facebook, Google+, Instagram and others), this was THE place to be if you were a Nurse with a blog. It was a great place to meet other nurses, other medical professionals and anyone  else who ‘blogged’ about anything healthcare related. It’s where I forged some friendships that have lasted over the past 8+ years. (which is a millennia in the Social Media world)

The interest in blog carnivals slowly died off as the micro-blog and ‘status update’ took over the Internets. Thus the Change of Shift was retired in September of 2011.

I’m reckonin’ to change that.

4 years to the date of the final edition, The Change of Shift will be reborn, starting September 2015.

It’s going to start small. Just me wranglin’ up the posts and creating the edition. I’m planning on making it a bit more modern. It will include more than just blog posts. I’m looking for video submissions, video blogs, Instagram posts, Vine posts and any other sort of social media content that would be pertinent to the same original theme of all things about Nursing for Nurses.

Here are the new guidelines: (borrowing from the original rules)

  • All submissions will be posted, including rants and criticism. We’re nurses, we can take it. Passionate, but polite is the way to go!
  • If you post to Grand Rounds that week, the submission to Change of Shift must be a different post.
  • Keep the nursing perspective at Grand Rounds strong, in fact, make it stronger if you can by submitting each week.
  • All known HIPAA privacy rules apply.
  • If you are blogging about your own experience as a patient, make sure your story does not reveal any information about other patients you came into contact with during your stay/visit/experience.
  • If you are blogging about a relative, be sure to get their permission to do so, if possible.
  • All submissions must be in by 5:00 pm on the Wednesday before the “carnival” is posted.
  • Be sure to put “Change of Shift” in the subject line so the host  Sean doesn’t miss it or if it accidentally gets puts it in the “bulk” folder, the host will find it.
  • Posts containing rude or foul language or inappropriate material for general consumption (you know what I mean) will be purged.
  • No post consisting of “lists” looking to promote others: web sites, books, movies, videos, podcasts, You Tubes, Tweets, blogs, drugs, diseases, or anything else. It will not be included. (some call this link-baiting)
  • All types of media will be accepted as long as it says within the previous guidelines.
  • Video submissions should be of quality information, not quantity.
  • All submissions must be in by the 20th of each month by 5pm EST.

For now, submit all posts to my podcast email address: thenurseniche@gmail.com

I think  this will be good for all the Nurses and Nurse bloggers out there looking to get their voice heard. Pass this along to any and every nurse that could be interested. In the meantime check out the final edition of the original Change of Shift: Change of Shift – September, 2011

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The Change of Shift… don’t call it a come back! (Calling all my fellow Nurse Bloggers)

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Psssttt….

For all my old-dog nurse bloggers. Do ya remember this? Do ya miss it?

http://www.emergiblog.com/change-of-shift

I do.

If you share in my pain, leave me a comment below. The Change of Shift might have a new home here.

Stay tuned…

#nurselife

P.S. Pass this along to all the Nurse Bloggers out there! How about reviving the Blog Carnival?

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The 2-year itch in Nursing…

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When do you start to feel like you know what you are doing?…

“Usually around year two”

This is a conversation we’ve all had. I remember hearing this conversation when I was a student. I remember having this conversation as a new nurse. Aaaannndd I remember having this conversation as the seasoned nurse.

The irony is… the statement possesses a fair amount of truth.

At the two year mark your world of nursing goes through this weird paradigm shift. You act differently, you move differently, you think differently…..

You ‘Nurse’ differently…

And well.. you become a different nurse.

Dare I say you HTFU (I’ll let you look this one up).

You grow a thicker set of skin.

You become more confident in your skills, knowledge and abilities.

You question yourself less.

You show up to the fight with brass knuckles instead of kid gloves.

You find your voice.

You stop coddling and start empowering.

You lead instead of follow.

And it doesn’t just happen at the two year mark, it happens gradually. It’s an insidious and strong change that cements into your psyche as a nurse. You’re digging your feet into the sand looking to stake your claim. All while staying humble and centered.

You grow.

The irony? You never even know it happens because you’re too busy doing your job.

Are you curious as to WHEN this happens? This metamorphosis reveals itself the first time you say ‘No’ to a request… and you’re comfortable with answering No. You discover the ‘guilt-free’ version of your nurse-self.

Welcome to the party.

146H

 

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The perfect job. Does it exist?

113HMany nurses talk about the infamous unicorn in our profession, the ‘Perfect Job’. Does it exist? Where is it located? What would it look like? Is it a magical building where they hide all the properly staffed floors, on-time shift changers and well stocked supplies?

Some will spend their entire career looking for that perfect job.

Or should we be looking for the job that’s ‘Perfect” for you?

Check out my latest Podcast: The Nurse Niche – Episode 11 The perfect job 

Here’s the transcript: (may or may not have grammar errors)

Greetings everyone welcome back to the nurse niche I’m your host Sean today’s topic the perfect job everyone is looking for the unicorn looking for the perfect job that is perfect for them perfect for their life perfect for their scenario blah blah blah Loblaw and I mean everyone you have seasoned nurses you have new nurses everyone wants the perfect job my guess is that everybody wants the perfect job because everyone has experienced the not so perfect job we could define not so perfect with everything from the job itself a benefit or lack there of benefits location your coworkers your boss you name it you could list anything and everything that was not so perfect about whatever job you have or have I have some bad news unfortunately the perfect job does not exist you can however make a job as perfect as you want it to be now I say perfect I mean perfect as in everything that you want you get there’s no drawbacks there is nothing negative about all-encompassing word your job sadly there will always be some portion related to your job that is not gonna be perfect and I shouldn’t say sadly because it there was such a thing as a perfect job for everybody then I’m I’m guessing that jobs would change great in order to find everything that you want you have to live in the world of percentages or you have to live in the minimalist world it could be worse and I don’t say that because you know there it is an out there simply saying that you have to accept certain portion certain aspects of job whether that be the commutes or the coworkers or the supervisor or manager or the location to pay there’s always been a be a portion of the job that you’re just going to have to accept but don’t get me wrong accepting it doesn’t mean you have to like it you can absolutely try and change things impact things motivates things to move to a different direction and let’s be honest and not to be able to magically have a new boss appear you Nokia magically have your your employer what you can influence of the portions of the job that you don’t find ideal your pay for one you can look towards different positions you can look towards incentives you look towards furthering your education is always something that you define don’t go looking for the perfect job look for the job that’s perfect for you I remember this concept of the job is perfect for you is fluid to change as your career unfolds to change as you grow in your profession it’s obviously going to change every time you have a life event that changes what’s going on in your life for instance I had a perfect job for job is perfect for me but but the commute was long and involved and I had to relocate a job that you drove 70 miles for one way while it was an awesome job the commute really defined the idea of perfect for me make a list of all the things that are important to you that you can or cannot live without make a list of things that you must refuse to accept and that you can or cannot live without and I would suggest the point system figure out which job is perfect for you at that moment in time for you and your family because honestly what you’re working a job the job is going to impact a person what so there is no perfect job there only as a job that is perfect for you and your perfect job is probably not gonna be my perfect job good luck out there as always thanks for listening you can find me on iTunes the nurse each podcast you can follow me on pretty much every social media Avenue out there always happy to hear feedback always happy to hear how I’m doing

I’m auto-transcribing my Podcasts for everyone who doesn’t listen, but there are grammar errors. The errors are small and hidden so while I’m getting the hang of this you might read some Podcast transcripts that ‘read’ a little weird – bear with me.

Be sure to subscribe on iTunes!

113H

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113H

I remember ‘taking a blood pressure’ was really hard…

2015-07-25 12.56.57I volunteered at a School Open House recently where I helped with free Blood Pressure screening. It was a good time. Kids running around like kids do. Parents visiting and teachers doing there best to corral the madness.

I had an epiphany during that entertaining morning. Blood pressure measurement isn’t something that I really have to ‘concentrate’ on. It doesn’t require much self-talk. I just simply do it. Hand me the cuff, sphygmomanometer and stethoscope and I’m good to go.

But I remember quite vividly how stressful taking a blood pressure used to be. Back when I started this journey. I remember practicing on my friends, practicing on my classmates.

  • Where does the cuff go?
  • Which direction does the tubing go?
  • What about that little valve-thingy.. which way do I rotate it to inflate and deflate the cuff?
  • What about my stethoscope! Where do I place the metal head (yeah.. couldn’t remember the word diaphragm)
  • And, and the needle as it goes up… how far do I pump up the cuff? 180? 220? is there such a thing as too much? Or too little??
  • What’s that sound called again… the Korotkoff sound thingy?
  • When do I hear the sound? When does the sound disappear?
  • Wait.. which one is sytolic? Which is diastolic?

As you can see the list goes on and on. Stress can be quite the enemy if you let it.

My point?

Growth. The amount of growing one does in our profession. We start small and we develop one skill at a time. Master one skill and tackle a new one.

When I started this profession I got stomach ulcers performing blood pressure measurements and now I’m charged with managing the overall care delivery of the sickest of patients. I place central lines, intubate patients, manage mechanical ventilators and pull patients from the brink of death.

I’m here to tell you that anything is possible, you just have to want to learn and work for it. I’m living proof.

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