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

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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.

2015-07-25 12.56.57

2015-07-01 13.31.37

Big news about me. Closing a door and losing an old friend.

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69H

Big changes for me and my social media life. As of yesterday my relationship with Scrubs Magazine was officially terminated. I am no longer a part of the magazine and I no longer am a part of the Scrubs Beat YouTube channel that was created over a year ago.

The Sean Dent Show that was part of Scrubs Beat will cease to continue.

It’s a weird feeling. I’ve been involved with Scrubs Magazine since its creation back in 2009. Full-time blogger for them up until last year when I took on the YouTube show. The past year I continued to blog for them on a part-time basis. All of which has now run its course.

Let’s just call it …..

creative differences“?

I won’t speak negatively about my former contracted employer. I will admit I’m not too happy about it. And I’ll just leave it at that. No need to look back, I’m not going that way.

I learned a lot about me and my blogging over the past 6 years with them. I’ve developed some good habits and skills. Heck at some point someone called me a columnist. I guess it’s time to own the title.

The videos were another animal. I was starting to get the hang of it. I was starting to get used to seeing me and my face on the screen. I just might keep doing it with my own channel.

The arduous task now is cleaning out my closet, figuratively speaking. I now have to painstakingly go through all my social media sites to correct and/or edit my links, my descriptions and cited works.

[yep, I’m feelin’ a bit salty about this whole thing… sorry… personal feelings are creeping in]

I’ll continue to blog, that will never change. I’m a blogger. Always have been, always will be.

The other challenge I have is my Facebook Fan Page:

screenshotOver 1500 fans?! Which is freakin awesome. Do I keep up the page? Do I slowly let it fade away? What do I do with all the fans?

Hmm.. decisions, decisions.

I want to keep it going. I’m having fun with it, and heck I’ve met so many amazing, friendly and witty fans/nurses. The big question will be to what capacity. It was always tied to Scrubs Beat with the videos of course. (by the way.. yes I’ll be changing the cover photo)

Lots of changes going on.

Anyone know of any sponsors looking for an Acute Nurse Practitioner who is an experienced blogger?

[heh heh]

2015-07-01 13.31.37

It’s OK to cry..

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479911945_ef2d760078_bContrary to what might be taught or suggested, it’s OK to cry with your patients. The idea of transference is a topic that is covered in entry-level nursing school. It’s widely suggested that showing emotions or allowing the emotions of others to influence you might be counterproductive to your delivery of care, or may sway your decision making.

In Episode 10 of my Podcast The Nurse Niche we talk about transference and how it’s not a bad thing. In fact it might be the best thing about nursing.

Podcast transcription:

The podcast feed is live on iTunes. The next step is to create a separate website. I’m still doing this on the fly recording my thoughts as they come I think eventually I’ll start asking for feedback and/or suggestions and/or gonna have guests come on although I don’t know who that will be, when that will be, how that’s gonna happen but it sure sounds like a great idea doesn’t it? I mean everybody else does it. Interesting last couple shifts for me at work this is always difficult part as a provider is wanting to share your “war stories” but you have to follow the big fat hippo to make sure that you not violating anyone’s privacy.

Today’s episode is inspired by events that happened during my last rotation of shifts.Talk a little bit about transference and good old-fashioned crying. Showing your emotions. Nursing 101 states were not supposed to have any kind of transference. Not supposed to show your emotions you not to have any emotions for your families for your patience and what I mean by emotions is you’re not host to side with them you’re not supposed to be angry with them you not supposed to what’s the word I’m looking for magnify their emotions in some way shape or by you crying they cry more by you getting angry they get more angry so on and so forth I’ve always had a huge problem with this thought process the idea transference is a bad thing in some way can ask any nurse out there worth their weight in water is that transference is gonna happen will happen and should happen feel show your emotions or don’t feel any emotions while caring for another human being during such a trying and challenging time then you might want to pick a different job always one then want to support the idea of trying with your patients but you should maintain your composure you have to maintain or stay within your role you don’t become the blubbering fool you don’t lose him bodily control with the arms waving in the screaming in the downplaying and things like that but there is absolutely nothing wrong with shedding tears with your fellow human being we deal in life and death said again we deal in life death last time I checked life and death is full of emotions a wide spectrum of feels what’s really wrong with that I think it’s it shows a lot of empathy and apathy if you shed a tear or hold the patient’s hand or give a family of hog during that moment they make those tough decisions I think it not only helps the families and the patients if they are cognizant unaware of it what heck it helps you to self-preservation something that we nurses are really really bad we got that selfless thing down pat taking care of others to ad nausea med exhaustion taking care of our patients taking care of our families taking care of our patients families taking care of everything but ourselves do you need to become an emotional wreck with no control and having no composure absolutely not you still need to be a source and a resource for those families those friends those patients they look to you for guidance they look to you for what to do next but every so often that family at patient kitchen the fields hit you in a place in your heart and your emotions they hell I don’t think you knew existed so that happened to me this past week got caught off guard I normally maintain steadfast composure but I quote unquote lost any and all the family friends and nurses who around got to witness it now admitted I I thought a little embarrassed I thought a little vulnerable I thought to myself will were no what happened here to stop this so of course I use my one and only defense mechanism that I have and I turned in the humor which I broke the the mood in lighting the light in the in the year of it but ultimately it was a very interesting and educational experience for myself as practitioner as a provider as a nurse one of my ramblings as they always are is that it’s okay and care how far along you are in your career as a nurse curcumin doing this 30 years or three days emotions are a good thing maintain composure me stay within your role as a nurse but don’t be afraid don’t be embarrassed to show emotions to holdout that he had to give that to show that showed that tear all of it is a good thing I for one and can admit wholeheartedly that every time that my family friends patients while network show some sort of emotions that I have to Doolittle to self talk to tell myself what I should or should not be doing and how I should be doing it but ultimately the emotions always take over it’s a matter of keeping it in control this is a fair warning that these emotions are to come out of nowhere and they are going to continue regardless of what job you do there any continue every day every week every month every year so it’s your job as a nurse to make sure you can handle it as part of the job once again that we talk about not everyone can do this job it’s not about it’s not just about the education and skill in the acquisition but it’s being able to handle the emotional turmoil and roller coaster and that happens working as a nurse that’s it nothing more nothing less as always thanks for tuning in I always love hearing your thoughts drop me a comment on any and all social media circles try me on twitter at I am afraid you can find me on Facebook my personal account Sean Dent. you can find it on my fan page I am Sean Dent. Or just Google me.  thanks for tuning in.

 

I’m trying to transcribe 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 Podcasts that ‘read’ a little weird – bear with me.

Be sure to subscribe on iTunes!

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Preceptor guidance

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Episode 7 Preceptor guidance on my Podcast: The Nurse Niche

Do Nurse preceptors get the appropriate guidance needed to effectively teach and train their orientee?
The vicious circle of throwing the Nurse into the pool, making them ‘sink or swim’ is applicable across the spectrum of the Nursing profession.

The topic was prompted by this conversation I had with a fellow Nurse (@nicurnmama) on Twitter a while back:

What do you think? What has been your experience? As an orientee? As a preceptor?

Oh! Wait! Did I mention I’m on iTunes now? My Podcast is on iTunes! I know, all official an’ stuff. Be sure to subscribe!!

My Podcast on Spreaker: https://www.spreaker.com/show/the-nurse-niches-tracks

My Podcast on YouTube: https://www.youtube.com/channel/UCvVWDWRcANBddCepNUZXCpQ

As always, love to hear your thoughts. Hit me up on any of my social media outlets.2015-05-31 14.05.22

2015-05-31 14.05.22

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Travel tip: Wear compression socks… err I mean TED hose

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Apparently I piqued a lot of Nurse’s interest today with this Instagram Post:

I’ve been wearing compression socks for a couple years now. I was introduced to them through CrossFit (big surprise). I wore them during workouts, then I started to wear them after workouts (for recovery). I discovered how great they made me feel after a rough workout. After some trial and error, I found wearing them overnight helped me immensely with recovery.

Then I stumbled upon a video of a U.S.A Olympian wearing them during her flights when she traveled. So, I decided to try it, and it was wonderful! I started to wear them no matter how far the distance of my travel. Each time I wore the compression socks, my feet and legs would feel great as opposed to that ‘dead legged’ feeling and of course the dependent edema that would come along with long hours of stationary sitting.

One thing lead to another and I think I might have accidentally wore them one day at work (also due to a rough CrossFit workout). And the results were astonishing at how good I felt after a 10-12+ hour shift of being on my feet. It was like  I had discovered the holy grail, some crazy secret.

Only then did I realize this was no new secret. We nurses knew all along how great compression forces were on our lower limbs…

*LIGHT BULB MOMENT*

Uhm… helloooohh. Can you say TED hose?

Needless to say, it’s no secret. And the benefits of wearing a pair of these babies is endless. So during my road trip this weekend I wore them. And I decided to share my recommendation and my Facebook Fan Page sort of lit-up:

So, here are my suggestions for purchasing some compression gear. Keep in mind, I buy my for dual purposes. Both at work and at the gym.  You can purchase them from virtually anyone on the internet, you only have to do a quick search.

http://www.insolesandbeyond.com/collections/cep-compression

http://www.spunperformance.com/ProductDetails.asp?ProductCode=UCSB-0001

http://www.hylete.com/womens/socks.html

http://shop.reebok.com/us/product/men-reebok-crossfit-compression-knee-sock-accessories/DH225

http://store.skins.net/usa/womens-compression/recovery/essentials-compression-socks-recovery

http://www.roguefitness.com/rogue-compression-socks-1

Of note, some of these are $$ pricey. You can find better deals through Amazon, Zappos or even try Ebay. You only limited by the amount of time you put into researching. You can also find some good buys at your local stores, or your local uniform shop. FYI, the socks in the pic are from SKINS.

If you find a good find, be sure to share! Oh, and while you’re at it, go like my Facebook page.. I’d greatly appreciate the love.

https://www.facebook.com/IamSeanDent

2015-07-12 09.14.13

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Playing nice in the sandbox…

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Well, the jig is up. My Podcast is now public. Let’s see where this goes.

In this episode I talk about team dynamics. “Playing nice in the sandbox” means you don’t have to like one another, but all team members will need to express mutual respect and accept each others contribution to the overall care of the patient.

My next step is figuring out where/when/how to get this Podcast onto iTunes. I just realized I have a couple options on how to publish the RSS feed so I need to figure out what’s the most ideal. I’m a lil nervous to see it on iTunes…. :)

Remember, I’m always interested in hearing your thoughts, leave a comment!

2015-05-31 14.05.22

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Remember that recurrent thought I was talking about? Well, I started a Podcast

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So a while back I posted this cryptic blog post:

Ever have an idea in your head that you just can’t let go of? Just won’t leave your brain. Keeps knocking on your subconscious.  Keeps buzzing around your skull like that mosquito in the bedroom.

I’m having one of those ideas. It’s an idea I’ve had for a while. An idea that still seems a bit crazy to me, but I just can’t let go of it.

Stay tuned folks. As if I don’t already have enough on my plate. I think I might be trying something new. (Is that vague enough for ya… don’t ya hate those type of posts?)

Not unless someone can tell me how to get rid of this damn mosquito in my head?

http://mystrongmedicine.com/2015/06/22/so-a-recurrent-thought/

That recurrent thought?

Whelp. I started a Podcast. As if I don’t have enough going on right? This Podcast is my lil pet project. I have the Scrubs Mag column, and I have my YouTube video log The Sean Dent Show on Scrubs Beat. This will be the trifecta for all things in my world related to Nursing.

(Not to mention my full time CRNP job, I’m an NP student clinical advisor, oh and I coach CrossFit and Weightlifting… and I’m squeezing in a blog post or two on my own personal blog)

Yeah,  I know. I’m crazy. But I’ve always been about the #work, now it’s the #hustle (thank you Gary Vee)

I have absolutely no idea what I’m doing regarding the operation and function of Podcasting, but I’m figuring it out. It seems there is a cornucopia of information out there on the interwebs about starting and running a Podcast. I’m sticking to the basic of  basics. Me, my iPhone and the web. Period.

It’s called The Nurse Niche

Description: The Nurse Niche. All things Nursing Podcast by Sean Dent. I’m an Acute Care Nurse Practi​tioner. Scrubs Mag blog columnist. Scrubs Beat YouTube V-logger #nurselife

I have NO idea where this will go. It may fizzle and burn out quickly, but I had to give it a try. I’ve recorded 5 short episodes so far and have posted them. I thought the name had a nice ‘jingle’ to it, although I still can’t decide the proper pronunciation of the word ‘Niche’. Is it NiCH or Neesh?

I’ve set it up on Spreaker: https://www.spreaker.com/page#!/show/the-nurse-niches-tracks

The next step will be setting it up on iTunes (if I can figure it out)

It can be viewed and shared on YouTube and Sound Cloud. Let me know what you think…

2015-05-31 14.05.22