My Strong Medicine

The adventures of a male nurse navigating through life, staying fit, surviving the journey.

Archive for June, 2011

Are quieter hospitals safer?

Posted by Sean on June 11, 2011

This was another retrospective study that can raise some eyebrows, but it doesn’t do a good job relating direct cause and effect. Still interesting to say the least.

Hip and knee replacement surgery is riskier in hospitals that carry out fewer operations, researchers have found. People are more likely to get blood clots or die at quieter hospitals, compared with hospitals that perform the operations regularly.

According to the American Academy of Orthopaedic Surgeons, around 800,000 hip and knee replacement surgeries are performed in the United States each year. A joint replacement can help people with severe arthritis move around more easily and have less pain, but it involves major surgery and things can sometimes go wrong.

In the study, which looked at the medical records of around 30,000 people, hospitals that performed more than 200 hip or knee replacements each year had better results. Patients treated in hospitals that performed fewer operations ran a higher risk of getting a blood clot or dying within a year of surgery.

In hospitals that performed 25 or fewer hip replacements a year, 4 in 100 people died within a year of their operation. In hospitals performing more than 200, the death rate was less than 1 in 100….

……

Hip and knee surgery riskier at quieter hospitals | Consumer Reports

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Be sure to care for the one person that matters the most.

Posted by Sean on June 10, 2011

A great blog post by Lisa (be sure to follow her on Twitter: @NursingCenter) on the importance of nurses learning to take care of themselves better.

Time for you

June 8, 2011 08:22 by  Lisa Bonsall, MSN, RN, CRNP

Many of us nurses put the needs of others before our own. We often take care of patients and families, as well as our own family and friends, sometimes even strangers, before we take any time to care for ourselves. I know I may be generalizing here, but enough has been written about this topic  (see below for some articles and links) for me to know that I’m not the only one who has noticed this. On that note, I’d like to share some inspirational words from some of our fellow nurses…

Over at her blog, Nursetopia, Joni shares the story of her personal health journey in Working Towards Health: One Year Later and Enduring Onward. “So, today is a lovely day – a reminder of where I have been, what I have accomplished, and where I am going. It all started with one day.” Way to go Joni!

Sean from My Strong Medicine is a second-career nurse and athletic trainer who is passionate about nursing and personal health.  From his bio: “Health is the true treasure and measure of wealth.”  Thank you for inspiring me with your posts and tweets Sean!

I’ve also enjoyed reading the words of Gail M. Pfeifer, RN, MA, news director from the American Journal of Nursing. In AJN’s eNewsletter Gail sometimes carves out a special section “Your Space – Taking Care of You” and shares her tips for committing to a healthier lifestyle. In the January 2011 issue, she wrote “Like other nurses I’ve met, I tend to put my own needs and creative desires behind the needs of others. This can be a wonderful thing to do—at times. Taking care of ourselves, however, can sharpen our altruism and make caring for others much easier.”

By the way, it was a study shared in AJN that first got me thinking about this topic – Journal Watch: Reducing Fatigue Among Nurses. In this particular study, researchers used an intervention which included education on fatigue and loss of sleep, strategies for increasing the quality of sleep and staying alert, and modified scheduling of shifts, to decrease fatigue in full-time nurses. The result? Decreased fatigue and better sleep led to fewer errors.

Here are some related articles and editorials from our journals. Some are a few years old, but definitely worth the read!

Resilience
Nursing 2011

Emotional Climate and Self-care

Holistic Nursing Practice
Where Is the Team?
Journal of Hospice and Palliative Nursing
Work Life Balance: Myth or Reality?
Journal of Trauma Nursing

Time for you | Nursing Center

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Being a part of the (Social Media) revolution

Posted by Sean on June 10, 2011

 

 

This video was too awesome not to share.

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Takeout Friday!

Posted by Sean on June 10, 2011

Steply Takeout Friday!

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Non-physician providers in the ICU

Posted by Sean on June 10, 2011

While this study is only retrospective and mortality rate was the only measure, it does contribute to this needed conversation about PA’s and NP’s care.

 

ICU Outcomes No Different Without Physician Staffing | National Nursing News

With ICUs facing staff shortages that are predicted to worsen in the future, a recent study suggests that non-physician providers can help address these deficits.
The study by physicians from Beth Israel Medical Center and Columbia University Medical Center in New York City found no significant differences in hospital mortality or other patient outcomes between high-acuity, adult ICUs staffed by nurse practitioners and physician assistants when compared with those staffed by intensivists or other physicians.
The study included a retrospective review of 590 daytime (7 a.m. to 7 p.m.) admissions to two ICUs at one hospital. Nurse practitioners and physician assistants staffed one of the ICUs during the day, with attending physician coverage overnight. In the other ICU, medical residents were present around the clock.
In addition to patient mortality, the researchers found no significant difference between the two ICUs in ICU length of stay and hospital length of stay. Discharge to a skilled care facility, as opposed to home, also was similar after adjusting for other factors.
The researchers noted that as “the number of ICU beds and demand for intensivists increase, alternative solutions are needed to provide coverage for critically ill patients.”
“Staffing models including daytime use of non-physician providers appear to be a safe and effective alternative to the traditional house staff-based team in a high-acuity, adult ICU,” they concluded
The article appears in the June issue of Chest, the peer-reviewed journal of the American College of Chest Physicians.

View the data at http://chestjournal.chestpubs.org/content/139/6/1347.abstract.

ICU Outcomes No Different Without Physician Staffing | National Nursing News

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Annual check-up.

Posted by Sean on June 10, 2011

Steply Annual check-up.

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I’m learning to live more in the now

Posted by Sean on June 10, 2011

 

Being more than a nurse

Ever since I took the leap into this wonderful profession I have been caught up in the ‘next thing’ or the ‘next step’ in my career. If I wasn’t finding a better job that ‘fit’ my wants and needs I was out exploring the oh-so new world of nursing. I became a ‘sponge’ for any and everything I could experience. Those first couple years I was just getting my footing, trying to figure out what I didn’t want out of my new found career.

Once I found my niche, or my passion (Critical Care) I wanted to find the ‘next best thing’ in my specialty. I then leaped forward at becoming a certified nurse (CCRN). I took a lil’ time to breath but then jumped right back into the ‘next’ game by pursuing my Bachelor’s degree. The BSN lead me to where I am now pursing my Masters degree as an Acute Care Nurse Practitioner. I think I always knew I would be a Nurse Practitioner some day, it was never a mater of if, but when.

Personal reflection can be quite educational. We get so caught up in the race to better ourselves and our situation that we literally DO stop ‘seeing the forest for the trees’. The details do matter, but are they really the only thing that matters?

So here it is 6 years later and I’m still playing the ‘next’ game. I’ve been so caught up playing that exhausting game that I’ve missed out on a lot of the ‘now’. I always came up with the excuse that I needed to ‘focus’ on my career (and my studies). I had to study for this, or research that. I look back now and think to myself, ‘boy did I sound like a broken record’.

I walled myself off from all the ‘now’ things to focus on the ‘next’ thing.

I’m not sure what happened, or what changed (I really wish I could put my finger on it), but I decided this summer I would stop playing so hard at the ‘next’ game and slowly reintegrate myself into the ‘now’.

I’ve missed too many family gatherings (birthday parties, holidays, etc.). I’ve passed on too many social outings. I’ve spent one too much time at being the perfect ‘student’ that I’ve failed miserably at being everything else (in my humble opinion). I’m trying to find (and regain) that balance.

I’m reaching out to old friends, spending more time with my wife and my family, and just trying to be a ‘sponge’ for life around me. How great can a career be, and how rewarding can this ‘calling’ become if I miss out on everything else that life has to offer? I’m forcing myself to take a small step away from being the bookworm and to concentrate more on my life.

I guess I’m being so reflective because I do not want to have any more regrets. I’d rather regret getting that B grade in a class (instead of an A), than regret not spending some quality time with the people that make my life worthwhile, or worse, lose touch with them.

I want my life to be more than just the sum of its parts, and as simple as it sounds, I’m learning to be more than a nurse.

Being more than a nurse | Scrubs Magazine

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The repair progress continues.

Posted by Sean on June 9, 2011

Steply The repair progress continues.

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Recovery from Exercise

Posted by Sean on June 8, 2011

Twitter / @JasonFerruggia

Be sure to follow this man. He is a wealth of knowledge and skill.

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This. Is. So. Happening. Thank you Dairy Queen.

Posted by Sean on June 8, 2011

Steply This. Is. So. Happening. Thank you Dairy Queen.

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