My Strong Medicine

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

Archive for the ‘opinion’ Category

Nurses? Catty?

Posted by Sean on October 12, 2011

 

Nurses go clique-ety clique

Heard at the lunch table on campus the other day, “I sometimes miss working in the mill”.

This spawned quite the conversation, I must tell you. The conversation topic involved the ‘pulse’ of the nursing profession and its  sometimes palpable cut-throat atmosphere. I think you’ve heard it before. Nurses can be ‘catty’, and cliques seem to be a very common occurrence on nursing units.

“We need more men in nursing”

(I must say I wasn’t expecting this statement). When I inquired as to why we need more men in nursing, the response was not what I expected (or hoped).

“Most men confront you when there is conflict. They tell you how they feel right to your face. They speak their business and move on.” “Women do just the opposite”

Catty: Subtly cruel or malicious; spiteful (Free Dictionary)

As you can tell this was quite the venting session amongst a small group of nurses. It seems that a lot of nurses feel that the majority of nurses are following a horrible stereotype. Apparently most women can be quite mean?

As you can see I’m writing this blog post with a lot of question marks. I’m wondering just how true these opinions really are. Or should I say, how common are these feelings outside of my lil’ world of nursing?

I have to bashfully admit something though. I found great humor in this conversation. Mostly because I’ve heard this before. But more specifically, I found it highly entertaining that I was the only man in this conversation.

I for one think that there is a shred of truth to these thoughts, but I’m not so convinced that they are gender specific. I’ve met a lot of cruel men and women in my professional career thus far. I don’t think the ‘meanness’ trait has some strange exclusivity to the X chromosome. But it sure makes you wonder.

So folks, what do you think?

Are most nurses catty?

If they are, why? And what the heck can we do about it?

Nurses go clique-ety clique | Scrubs – The Leading Lifestyle Nursing Magazine Featuring Inspirational and Informational Nursing Articles

Posted in health, opinion | Tagged: , | 2 Comments »

The most powerful healing tool we use

Posted by Sean on October 7, 2011

 

The power of touch

The most powerful healing tool gets lost in the background to the buzzing, beeping, clicking and shuffling. The rhythms of a nursing unit set the pace of the day. An alarm sounding, a timer beeping, and a monitor blipping. Rush, rush, rush to the next task at hand, all the while treating our patients like another piece of equipment. I too am guilty of this sin. I get caught up in the moment. I worry about time. I am mindful of the roar.

Thankfully, I had the pleasure of getting back to the basics the other day at work. Due to staffing needs / wants and census changes at the drop of a hat I was floated to a neighboring unit to function as a nurse aide.

It’s no secret how I feel about that job and the angels that perform their duties on a daily basis (here and here) , so stepping into their shoes was a great opportunity to maintain my perspective.

I was reminded how powerful the art of ‘touch’ can be. During my shift, I lost count on how many bed baths I gave. Most of the bed baths were done at light speed by the end of the morning, but the first few of bed baths I was able to take my time.

During the bed bath I was able to chat with my patients, learn about them, talk with them about any and everything that was on their mind. I was also able to help alleviate many fears and concerns they were having about their hospital stay.

I can’t say I give the greatest bed baths. Heck, I’d be willing to admit I’m actually quite horrible at it (to this day I can never hold the darn hand towel correctly!). What I AM good at is having a soft hand and light touch. It’s a dying art in the present fast-paced world. But, having the ability to move a patient correctly, safely and gently holds more value to the patient than we care to admit.

One of the greatest compliments I got that day at work was from an elderly gentlemen who was making a slow recovery from a life-changing surgery recently. As I was cleaning up my ‘mess’ of dirty linens and tidying up his room he reached out his hand gesturing me to come closer. He took hold of my forearm ever so gently with his frail but firm hand and said, “Thank you. You did a good job”.

I gotta tell ya. I don’t think I’ve ever smiled longer.

I’m not sure he realized how powerful his touch was for me.

Another post from over at Scrubs. I sometimes forget how important the simplest gesture can be.

The power of touch | Scrubs – The Leading Lifestyle Nursing Magazine Featuring Inspirational and Informational Nursing Articles

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Thank you Thursday

Posted by Sean on October 6, 2011

The past 7 days, Thank You for:

Gainful employment – our economy is not easy.

Life truly is shorter than we can ever imagine, thank you for mine and my loved ones life.

Your coworkers truly do make the difference sometimes – heck all the time.

Death cannot be avoided, life shouldn’t be either.

Being stuck in traffic, not part of the auto accident that created it.

What are you thankful for this week?

Posted in opinion, words of wisdom | Tagged: | Leave a Comment »

Why do we always reach for medication?

Posted by Sean on September 28, 2011

Instead of allowing our bodies to strengthen, instead of nurturing our health, instead of improving the ‘fight’ of our immune system we seem to find more ways to find a shortcut to a healthier you. We debilitate our immune system and we coddle our bodies by reaching for the next best thing.

Maybe it’s the era in which I was raised?

Maybe it was the household where I was lucky enough to spend my youth?

Maybe it’s just me being stubborn and bull headed? (most likely)

I just feel that we should allow our bodies to take the hit. We don’t grow stronger by living in a bubble. We grow stronger by learning to defend ourselves. I’m talking about our immunity to illness and disease. This conversation brushes shoulders with the ‘Antibiotic resistance’ debate. No I don’t believe every child should be place on an antibiotic every time the get the sniffles.

I also don’t think we need to start prescribing a medication that is intended to alleviate symptoms of COPD and Asthma exacerbation for the common cold **

It’s a runny nose people! C’mon.

Intranasal ipratropium bromide for the common cold.

Cochrane Database Syst Rev.  2011; (7):CD008231 (ISSN: 1469-493X)

Albalawi ZH; Othman SS; Alfaleh K
Sheikh Abdullah S. Bahamdan Research Chair for Evidence-Based Health Care and Knowledge Translation, College of Medicine, King Saud University, P.O. Box 68639, Riyadh, Central, Saudi Arabia, 11537.

BACKGROUND: The common cold is one of the most common illnesses in humans and constitutes an economic burden both in terms of productivity and expenditure for treatment. There is no proven cure for the common cold and symptomatic relief is the mainstay of treatment. The use of intranasal ipratropium bromide (IB) has been addressed in several studies and might prove an effective treatment for the common cold.

OBJECTIVES: To determine the effect of IB versus placebo or no treatment on severity of rhinorrhoea and nasal congestion in children and adults with the common cold. Subjective overall improvement was another primary outcome and side effects were reported as a secondary outcome.

SEARCH STRATEGY: We searched the Cochrane Central Register of Controlled Trials (CENTRAL 2011, Issue 1) which contains the Acute Respiratory Infections Group’s Specialised Register, MEDLINE (1950 to January week 4, 2011), MEDLINE in-process and other non-indexed citations (February 2011), EMBASE (1974 to February 2011), AMED (1985 to February 2011), Biosis (1974 to February 2011) and LILACS (1985 to February 2011).

SELECTION CRITERIA: Randomised controlled trials (RCTs) comparing IB to placebo or no treatment in children and adults with the common cold.

DATA COLLECTION AND ANALYSIS: Two review authors independently extracted data and assessed trial quality. We used a standardised form to extract relevant data and we contacted trial authors for additional information.

MAIN RESULTS: Seven trials with a total of 2144 participants were included. Four studies (1959 participants) addressed subjective change in severity of rhinorrhoea. All studies were consistent in reporting statistically significant changes in favour of IB. Nasal congestion was reported in four studies and was found to have no significant change between the two groups. Two studies found a positive response in the IB group for the global assessment of overall improvement. Side effects were more frequent in the IB group, odds ratio (OR) 2.09 (95% confidence interval (CI) 1.40 to 3.11). Commonly encountered side effects included nasal dryness, blood tinged mucus and epistaxis.

AUTHORS’ CONCLUSIONS: For people with the common cold, the existing evidence, which has some limitations, suggests that IB is likely to be effective in ameliorating rhinorrhoea. IB had no effect on nasal congestion and its use was associated with more side effects compared to placebo or no treatment although these appeared to be well-tolerated and self-limiting. There is a need for larger, high-quality trials to determine the effectiveness of IB in relieving common cold symptoms.

Intranasal ipratropium bromide for the common cold| Medscape Reference Online

**  = Sorry folks, if you want to read the full article you have to sign up for the free account on Medscape (I would highly recommend it)

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The social media check-in app wars

Posted by Sean on September 23, 2011

Me thinks I see a copycat?

I’m a TV junkie. I was perusing the internets reading up on the fall season premieres when I stumbled across a new SoMe* app that promotes “"Connect with your friends around the shows you love". It’s called IntoNow:

image

Now, anyone that follows me around the SoMe circles knows I’m a big GetGlue fan:

image

After I read more about this IntoNow app, I’m getting an oh-so familiar feeling. As if I’ve seen or used something verrrrrrrry similar.

Here is the IntoNow description from iTunes:

Get more from TV! IntoNow is the best way to connect with your friends around the shows you love.
"I was amazed to the point where I was dumbfounded" — MG Siegler at TechCrunch
Great reviews from TechCrunch, Mashable, Reuters, All Things D, VentureBeat and many more…
IntoNow makes engaging with your favorite TV shows easy, social, and fun. Just tap the green button when your favorite show is on and IntoNow will identify the show and episode; provide all data and links associated with it; and help you share on Facebook and Twitter. IntoNow also helps you see which shows you have in common with your friends — including whether they’ve seen the latest episode — and alerts you whenever you and a friend are watching the same show at the same time. Use it to discover new shows, discuss your favorites with your friends, and learn more about whatever you’re into now!
Features:
- Identify live TV, or anything that’s run on TV in the last five years, from your television, computer or mobile device.
- Get full episode and cast information, as well as info on future airings.
- Receive notifications when your friends are watching the same episode or show.
- Comment on what your friends are watching in the app, or on Facebook and Twitter.
- One-click access to IMDb, Netflix, and iTunes so you can learn more or start watching right away.
- Add new friends using Facebook, Twitter, your address book, or “search by name.”

Aaaaaaand.. now check out the description of GetGlue on iTunes: (by the way GetGlue has been around since 2009)

GetGlue is a fun social network for entertainment. Check-in to what you are watching, reading and listening to. Connect with friends, discover new favorites, and unlock FREE stickers and discounts.
“The single most useful social networking tool I’ve encountered” – Wired
Positively reviewed by top press, including: L.A. Times, NY Post, Mashable, Gizmodo, and many more!
Features:
* Check-in to your favorite TV shows, movies, music, and more
* Earn rewards from over 40 major media companies
* See what your friends are currently watching, reading, or listening to
* Rate things to get awesome recommendations based on things you like
* Get filtered new releases and old favorites picked just for you
* Share the TV shows, movies, and music you like
Join more than 1.5 million other users who are sharing 9 million check-ins per month.
Watch a 60-second overview: http://www.youtube.com/watch?v=-P0tkjkSO20
Earn rewards from our current partners, including: 20th Century FOX, A&E, AMC, Animal Planet, CNN, Comedy Central, Discovery, Disney, Dreamworks, ESPN, FOX, Food Network, HBO, HGTV, MSNBC, MTV, NBC, PBS, Science Channel, Showtime, Sony Pictures, SPEED, Starz, SyFy, TBS, TLC, TNT, Travel Channel, truTV, USA, Universal Pictures, and other major entertainment companies.

If that wasn’t strangely odd enough check out the screenshots of the two apps:

imageimage

Me thinks there is a copycat?

SoMe = Social Media

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The Bo Jackson phenomena of nursing

Posted by Sean on September 19, 2011

 

Do “new nurses” scare you, too?

Lately I find myself becoming quite the cynic. I’m not a cynical nurse, I’m just discovering things throughout my ‘world’ that are cause for cynicism. Well, not everything in my world. Mostly the new nurses.

Now remember, I haven’t even been a nurse a decade yet! And here I am remembering the “good old days” of nursing. Scary. I know.

I guess what gets under my skin is I’m finding more and more ‘newer’ nurses who think they know everything. OR they think they’ve experienced everything simply because they’ve been a nurse ‘long enough’, to see the ‘same thing’ more than once. Complacency can infect all of us at one time or another. We get so comfortable with repetition that we find safety in it, and then we find braggadocio. I’ve been doing this for a mere seven years, and to this very day, I still learn something new, or appreciate a new concept every day.

I cannot shake the feeling that the ‘newer’ nurses scare me just a little. This hollow, yet inflated, ego is going to get them in trouble. So much trouble that I often wonder if their patients will suffer.

It was handed down to me in a very profound way that it’s our job, as nurses, to expect the unexpected. To think in terms of the ‘worst case scenario’. To prepare for the worst, but expect the best. To always have our ‘game’ face on, and to always play our ‘A’ game. I just don’t see that with these ‘newer’ nurses. Now, don’t get me wrong. I’ve seen plenty of awe-inspiring new nurses, that can and have put me and other experienced nurses to shame. I am humbled by their skills, I really am. But, I can’t remember the last time I felt humbled by a new nurse.

I’m not just talking about whom I’ve worked with shoulder-to-shoulder. I’m talking all facets of interaction (in-person & on-line). So it’s not just my small circle of the world.

Maybe I need a breather?

Maybe I need a change of scenery?

Maybe it’s not me at all?

I don’t know. What I do know is that it’s my responsibility to myself and my profession to continually challenge this new attitude. I’m not saying we need to ‘put’ anyone ‘in there place’, but we definitely need to educate and enlighten those that need it.

Am I alone on this, or have others come across this ‘Bo Jackson’ phenomena of ‘knowing everything’?

I’d love to hear your thoughts.

This was a post over at Scrubs. I was trying to figure out why I have come across so many new nurses who have this trait.

Do “new nurses” scare you, too? | Scrubs – The Leading Lifestyle Nursing Magazine Featuring Inspirational and Informational Nursing Articles

Posted in health, opinion | Tagged: , , | 3 Comments »

The real reason we nurses get bitter

Posted by Sean on September 17, 2011

Shrtstormtrooper shares a story over at New Nurse Insanity (link below) that encapsulates why we nurses develop short fuses. Fuses that lead to burnout, angst, anger and all kinds of negativity. Sometimes (some) nurses really need to check themselves before ‘reporting’ a fellow ‘fighter’ to their supervisor. Walk just a few steps in another co-workers shoes.. you might think twice about reporting someone for something you yourself probably forget or miss just as much, if not more than most nurses!

A high five to Shrtstormtrooper.

Priorities, seriously

So I got called into the Boss Man’s office this morning, because the floor wrote me up and he wanted to address the issue.
At this point, my feet hurt, I haven’t peed yet tonight, I didn’t get to eat anything, I have blood on my scrub pants…..

I have poop on my scrub pants…

I haven’t finished charting on that last arterial bleeder that came in….

and my coffee from 7pm is still sitting full on the counter next to my computer. It’s been a rough night.

 

I got written up because, in all the madness, I missed a skin tear on this patient. One skin tear, out of many. And actually, it wasn’t my patient to begin with,

New Nurse Insanity: The Adolescent Years | Priorities, seriously

Follow the link above to read the whole story. Be sure to leave a comment for her, let her know she’s not alone!

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A Marine is awarded the Medal of Honor

Posted by Sean on September 15, 2011

As a former Marine I often wonder how many of us realize how very few Medal of Honor awards have been bestowed upon a Marine? I like to think it’s because all Marine’s carry a high level of duty to others, and while Sgt. Meyer’s actions are honorable are far from unique to those band of brothers.

Thank you Sergeant, and a humble congratulations. I am sure your fellow brothers are equally thankful and proud.

Medal of Honor recipient highlights Marine’s valor as well as risks US troops faced under controversial rules of engagement

On Thursday, President Obama will award the Medal of Honor to Marine Sgt. Dakota Meyer.

Meyer will become the third living recipient–and first Marine–to be awarded the Medal of Honor for actions in Iraq or Afghanistan, the White House said. He is also the first living former Marine to receive the highest U.S. military honor since the Vietnam war, a Marine Corps press officer told The Envoy Wednesday.

The heroic conduct Meyer displayed in retrieving the bodies of four fellow Marines killed in battle occurred during a September 2009 battle in Kunar Province, Afghanistan. The rules of engagement for the conflict have caused controversy and some bitterness.

 

Meyer was serving as a member of a Marine Corps training team embedded with Afghan National Army forces in Gangjal, Afghanistan on September 8, 2009.

"A full moon was drenching the mountains in ghostly light as some 60 Afghan soldiers, 20 border police officers, 13 Marine and U.S. Army trainers and I set out for Ganjgal at 3 a.m. from the U.S. base in the Shakani District," McClatchy national security reporter Jonathan Landay, who was embedded with the unit at the time, reported in September 2009.

As the team came under insurgent fire and rocket attack, however, U.S. commanders repeatedly denied the request to provide air cover, under new rules of engagement designed to reduce civilian casualties.

"U.S. commanders, citing new rules to avoid civilian casualties, rejected repeated calls to unleash artillery rounds at attackers dug into the slopes and tree lines — despite being told repeatedly that they weren’t near the village," Landay reported. "We waited more than an hour for U.S. helicopters to arrive, despite earlier assurances that air cover would be five minutes away."

By the time helicopters arrived, four U.S. Marines had been killed, as well as eight Afghan troops and the US Marine commander’s Afghan interpreter.

"The Marines were cut down as they sought cover in a trench at the base of the village’s first layer cake-style stone house," Landay reported. "One Marine was bending over a second, tending his wounds, when both were killed, said Marine Cpl. Dakota Meyer, 21, of Greensburg, Ky., who retrieved their bodies."

Meyer, born in 1986, retired from the Marines in June 2010, and now lives in Kentucky.

The last living former Marine to receive the Medal of Honor was in 1973: "Now-retired [Marine] Sgt. Maj. Allan Kellogg . . . received the Medal from President Nixon at the White House on Oct 15, 1973," Military Times’ Dan Lamothe reported.

Medal of Honor recipient highlights Marine’s valor as well as risks US troops faced under controversial rules of engagement | The Envoy – Yahoo! News#

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Begin CPR…

Posted by Sean on September 8, 2011

Then you see this:

Serious Ink of the Day

Serious Ink of the Day: 81-year-old Joy Tomkins of Downham Market, Norfolk, wanted to make sure no one tried to bring her back from the dead, so she did what any normal grandmother of six would do: She had “Do Not Resuscitate” tattooed on her chest.

“I do not want to be half dead, I want to be fully dead,” said Tomkins, who suffers from arthritis, Reynard’s disease, and diabetes. “I’m afraid the medical profession will, with the best of intentions, keep me alive when I don’t want to be alive.”

Despite her wishes, a General Medical Council spokesman said Tomkins’ ink will likely be ignored. “Mrs Tomkins’ tattoo would not be enough information by itself for a doctor to make this decision on in an emergency.”

The tattoo, of course, is just a backup: Tomkins has a living will that says the exact same thing.

Serious Ink of the Day |The Daily What

Of course this is all speculation, but what if you went to start CPR. You exposed the sternum to find that tattoo. What exactly would you do? Yeah, I know. It’s not a binding legal document. But, how would you feel if you were proceeding with life-saving measures to discover that when this patient was of ‘sound mind’ she did not want to be resuscitated?

Of course I’m over-simplifying things!

But it sure does make you pause doesn’t it?

Posted in health, humor, opinion | Tagged: , , | 4 Comments »

Night Shi(f)t Blues

Posted by Sean on August 2, 2011

“ society does little to accommodate the shift worker” – I couldn’t agree more. Consider that when we normal folk are doing are ‘thing’ the shift worker is trying to get their rest and sleep. Why don’t you try ‘living’ when the world is sleeping.

I have the utmost respect for anyone working while all normal human beings are sleeping. It takes a very strong and resilient person.

The worst shift I ever worked was a 3-7:30 shift loading freight onto planes in Portland. Wet, windy, cold on the damp days, hot and windy when it was warm, and I had to walk uphill both ways to work. But at least there was time to deal with normal life that working night shift doesn’t give me.

My manager remarked to me that night-shifters tend to, “have a bit of chip on our shoulders, almost like the world owes you something.” Damn right I do. I’m up when most sane and rational people are asleep. I sleep when the rest of the world is doing there thing. If someone is loud, obnoxious when day shift sleeps, they can call the cops. Me? I’m outta luck.

So yes, I have a chip about it. The world wants 24-7 care, a 24-7 society, but does little to accommodate it. One of these needs has to give. Soon.

Night Shift Blues | Lost on the Floor

Here is J Doe’s take on the Wanderer’s rant

Shi(f)t Work

I don’t do much shift any more, but I just came off three 12 hour nights, and I am whacked, even with the strictly-not-sanctioned-nor-endorsed-by-management two-hour naps breaks taken in the so-called dead hours between 0200 and 0600. So I get it. One of my colleagues, whom the nursing gods have blessed with a D/E line and who probably has not worked past 2300 in ten years, constantly gripes about the night shift nap “perk.” She believes strongly — and will tell anyone in earshot — that the night crew, instead of taking their naps, ought to be doing all the scut work which never seems to be completed on days. Because they’re all lazy and worthless louts, et cetera.

Uh, no. And yeah, the world does owe shift workers something, even it’s the two-hour naps which in any case often can’t be taken because of patient acuity. There’s pretty good evidence that links shift work cardiovascular disease (among other afflictions), not to mention the obvious safety hazard of driving home bleary-eyed. Two hour naps, when you think about it, are pretty poor compensation for decreased life expectancy. And then there’s the usual disruptions to family and social life, sleeping patterns and the general feeling of malaise shift work brings. Obviously shift workers are cranky, and for good reason

So before complaining about the inadequacy/relative worth/attitude of the night shift, shut up. No, really. Shut up.

Shift work | Those Emergency Blues

Posted in health, opinion | Tagged: , , | 1 Comment »

 
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