My Strong Medicine

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

Archive for August, 2011

Any Android Users? You May Want to Check Your Device

Posted by Sean on August 13, 2011

Are any of you using the Amazon Kindle App?

Image001

Those of you who said no, you may wanna check your phone. It seems that somehow, either Android or Amazon has pushed their way onto your device.

Someone I know has an Android. They noticed this AM that there was a Kindle app that had been ‘updated’.

She has never opened, used or even knew the darn thing existed. After numerous attempts, It seems that this app and a couple others are apps on an Android device that you cannot remove??

Hmm..

Love the safety and security of open source ehh?

Posted in random | 2 Comments »

The ‘nursing’ sandbox

Posted by Sean on August 13, 2011

We all have to learn to play well with others. Over at Scrubs Magazine I talk about the team concept.

Playing well in the sandbox

I don’t know if it’s just a nursing ‘thing’, or other career choices emphasize and utilize the team work concept repeatedly. I have encountered it and seen it at ever level of my training and nursing education. From my diploma program, through my BSN education and now currently in my Master’s Acute Care Nurse Practitioner program. Working well with others is a quality that educators require.

I guess it should be no surprise considering what we do on a daily basis. We are the coordinators of care, the wranglers, and the sieve where almost all of our patients’ care is poured and filtered. So if we can’t navigate the didactic of the team concept, our patients are in trouble.

As students we are put through the rigors of group projects. The majority of my projects have applied to research projects, but they sure haven’t been limited to just that subject.

Sometimes you get to pick and choose your group and group members, other times you get the luck of the draw and are assigned to a group. This equates to working conditions if you think about it. You sometimes get to choose whom you work with and where, while other times you can be ‘pulled’ to a foreign or neighboring unit.

The group didactic can be quite enjoyable and simple, or miserable and complex. I’ve experienced both during my time as a nurse in both the academic and professional setting. One thing is for sure, the only thing you ever have control over is your own thoughts and actions. No matter what you may want or need from someone else, in the end you have to figure out how to make it work so that it benefits everyone.

There will be personality conflicts, scheduling differences, work ethic challenges, deadline stressors, and of course the occasional ‘what the heck happened’ moments (I sometimes call that the curve-ball syndrome). Regardless of the situation, the only way things work out is when everyone knows their part, does their part, and communicates their part effectively, efficiently and equally.

I don’t know about you, but every time I work within a group a learn a little bit more about my self. More about my strengths, my weaknesses, and of course my habits. I have subconscious tendencies that are both a help and a hindrance to me and the group. And I’m still trying to sharpen my communication skills to this day!

I haven’t met a nurse that looks forward to group projects. I think we all approach group projects the same way we encounter ‘change’ – we’re not big fans of it, but we know it’s inevitable.

I also look at it this way. Remember how I gave the comparison of getting assigned to groups and getting to work where you want? Well that comparison is synonymous with our patient assignments aren’t they? We sometimes get to choose the assignment we want or know is going to be good, and other times we have to bite the bullet and take that assignment that we know is going to put us through the ringer. Does that mean we provide less care?

Not in my opinion.

Playing well in the sandbox | Scrubs Magazine

Posted in health | Tagged: , , , | Leave a Comment »

RIP Paul Meier : Research Randomization Advocate

Posted by Sean on August 13, 2011

Paul Meier, a leading medical statistician who had a major influence on how the federal government assesses and makes decisions about new treatments that can affect the lives of millions, died on Sunday at his home in Manhattan. He was 87.

The cause was complications of a stroke, his daughter Diane Meier said.

As early as the mid-1950s, Dr. Meier was one of the first and most vocal proponents of what is called “randomization.”

Under the protocol, researchers randomly assign one group of patients to receive an experimental treatment and another to receive the standard treatment. In that way, the researchers try to avoid unintentionally skewing the results by choosing, for example, the healthier or younger patients to receive the new treatment.

If the number of subjects is large enough, the two groups will be the same in every respect except the treatment they receive. Such randomized controlled trials are considered the most rigorous way to conduct a study and the best way to gather convincing evidence of a treatment’s effects.

Before randomization, the science of clinical trials was imprecise. Researchers, for example, would give a new treatment to patients who they thought might benefit and compare the outcomes to those of previous patients who were not treated, a method that could introduce serious bias.

The Food and Drug Administration requires randomized trials before approving new drugs, and the National Institutes of Health spend large parts of their budget conducting randomized clinical trials.

Not many people can understand the importance of this very simple but extremely important aspect of medical treatment research.

RIP Paul, and thank you.

Posted in random | 2 Comments »

A High Five Needed

Posted by Sean on August 13, 2011

Media_http29mediatumb_caagz

So.
Yeah.
I couldn’t pass this up. I had to share it.
Since it is so true.

Posted in random | 2 Comments »

The change of shift ‘dump’

Posted by Sean on August 12, 2011

So, anyone else ever feel that guilt after you give shift report. Thinking that you may have ‘dumped’ on your co-worker? Here’s a post on Scrubs talking about how I hope I’m not doing that.

End of shift guilt

As a per diem nurse my time management skills slip a bit. When you work on a regular basis, you of course create ‘rituals’ that I think we all can relate to. It’s the rituals and the ‘reflexive’ nature of our responsibilities that I sometimes lack.

This absence or lack-there-of always leads to what I call ‘shift spill-over’. I end up leaving tasks for the next shift inadvertently. I do my best to not ‘dump’ on anyone, so I make it a point to wrap up as much as I can before I officially clock out and leave.

The other day was one of those ‘off’ days for me. I just couldn’t stay in front of the 8-ball with my patients. Everything from ventilator weaning and extubation to med changes and of course the traditional admit and discharge right around the change of shift sure didn’t help.

On my way home, I began to wonder if I’m the only one that has that end of shift guilt? I mean it’s not something that was ‘taught’ during nursing school. And it surely wasn’t mentioned in ANY of my hospital orientations. Yet, every shift I work I’m circling through my head all the tasks that I didn’t get done and have to pass on to the next nurse.

I know, I know… nursing is a 24 hour-a-day job. (One of the many nursing pearls I teach and have been taught)

I guess I always remember what it feels like to get ‘dumped’ on. I’ve taken shift report from some pretty horrible nurses. Nurses who failed to chart meds from the beginning of their shift (8 or 12 hrs.). I’ve cleaned up messes in patients rooms that were made at the beginning of their shift or even a previous shift. I’ve gotten my rear-end chewed out by a distraught family member because they weren’t called and updated properly on something I wasn’t even present for! And yes, I’ve had many physicians question my integrity because a med error was made or a med was missed on a previous shift.

*sigh*

I know I’m not dumping on anyone (at least I don’t think I am), but I can’t shake the feeling of it. Call me crazy, but that end of shift guilt keeps me on my toes throughout my shift. The last thing I want to do is let down a fellow co-worker.

I can’t say I’ve been approached or accused of ‘dumping’ – but that doesn’t mean the oncoming shift nurse didn’t feel that way.

One thing is for sure, I’d like to think I’m a fairly decent bedside nurse. It’s the nurses who don’t have even a shred of this guilt that scare me.

End of shift guilt | Scrubs Magazine

Posted in health | Tagged: , , | Leave a Comment »

Are all calories created equal??

Posted by Sean on August 12, 2011

A calorie is not a calorie: end of story. The whole argument is essentially one of laziness and ignorance. Our latest dietary iconoclasts accept one set of facts, but refuse to accept another set of facts (yes, it’s a fact that you can make your body more or less efficient, that a calorie is not a calorie, so to speak). A calorie is not a calorie is a direct consequence of the accepted facts. Maybe we’re not taught to think logically anymore, to understand cause-and-effect because truthfully, the conclusion that a calorie is not a calorie could be reached by any four-year-old who’s learned to play connect-the-dots.

This is a great article on the old debate about the quality of a calorie – with some scientific sustenance!

Posted in random | Leave a Comment »

Tempest TV- Tempest Free Running Academy GRAND OPENING

Posted by Sean on August 11, 2011

One of these days I would love to go there.
I can’t say I’m a parkour athlete in any way, but I’m a huge follower and fan.

Posted in random | Leave a Comment »

Family Feud: Name something you pass around

Posted by Sean on August 11, 2011

OMG!

This was too good not to share.

Posted in random | Leave a Comment »

A Tattoo Infection

Posted by Sean on August 11, 2011

Clinicians treating a nagging skin infection in a person who has recently been tattooed should consider Mycobacterium haemophilum as a possible cause, researchers suggested.

A healthy 44-year-old Washington man who received a tattoo on his left forearm developed numerous nodular pustules in the area of the tattoo, which did not resolve completely for nine months despite multiple courses of antibiotics for pyogenic infection, according to Meagan Kay, DVM, of Public Health — Seattle and King County, and colleagues.

Once M. haemophilum was identified as the culprit, the lesions resolved over about five months with a three-drug regimen directed at the organism, the researchers reported in the September issue of Emerging Infectious Diseases.

Although M. haemophilum infection typically affects immunocompromised individuals and is rarely associated with tattooing, clinicians should consider the pathogen when treating a skin infection near a tattoo, and should alert the laboratory doing the testing about the possibility, Kay and colleagues wrote.

GRRRREAT.

And here I am planning for my next tattoo once I graduate from NP school. Sheesh.

Posted in random | 2 Comments »

Apparently Hollywood Has Run Out of Original Ideas

Posted by Sean on August 9, 2011

Lionsgate has announced plans to remake Dirty Dancing, the 1987 classic film that starred Jennifer Grey and the late Patrick Swayze.

Geesh.

Is nothing sacred anymore? I mean really? Why would they even try to remake this one?

Yes, call me nostalgic. I still remember how this movie impacted so many during my younger years.

I can’t understand why they think this type of lightning could ever strike twice?

Dear ole’ Patrick will be turning over in his grave. Sorry buddy.

Posted in random | 2 Comments »

 
Follow

Get every new post delivered to your Inbox.