Newest Blogroll link on My Strong Medicine: This Nursing Journey

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Introducing Amber and her blog “This Nursing Journey”. I stumbled upon Amber and her awesome story-telling blog many months ago and I have been a dedicated reader since my first visit. Here’s a lil’ bit about amber from her blog site:

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Via This Nursing Journey

Amber’s blog is all about her adventures in nursing school. She puts a very intimate accent on her stories, which is what I truly enjoy. You can tell from her words how excited and nervous she is during her journey to becoming a nurse. Her passion is something I tell her she needs to keep and defend. We need more individuals like Amber entering our profession.

Here are some of her words in a recent blog post:

So we left the boy in the capable hands of the FOUR S1s that had ended up in the room somehow (lol!) and my partner and I went to our post-conference downstairs to talk to another instructor about what we liked, what we didn’t like, and if it was a good learning experience for us or not. We completed a questionnaire/survey, and then we were free to go! In all, we were there a little over 3.5 hours, but it went by SOOO fast. Insane! I can’t imagine what it’ll be like in a real ICU with more than 1 patient that I’m having to take care of…makes me excited to be in the ICU in upcoming semesters. :)

All in all I really enjoyed the experience, and I wish were had more of them in a semester! And I can’t wait until my S1 semester when I get to do that one over again, only as an S1!

Also…now it’s Saturday. You know what that means?? I only have one more pharm quiz, my HESI next week, and then FINALS the week after that and I’ll be DONE DONE DONE!!!

via Adult Simulation Lab

She’s also on Twitter: 

Be sure to pay her a visit, say hi, and tell her I sent ya!

 

National Nurses Week 2013: May 6 – May 12

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DELIVERING QUALITY AND INNOVATION IN PATIENT CARE

Often described as an art and a science, nursing is a profession that embraces dedicated people with varied interests, strengths and passions because of the many opportunities the profession offers. As nurses, we work in emergency rooms, school based clinics, and homeless shelters, to name a few. We have many roles – from staff nurse to educator to nurse practitioner and nurse researcher – and serve all of them with passion for the profession and with a strong commitment to patient safety.

Background
National Nurses Week is celebrated annually from May 6, also known as National Nurses Day, through May 12, the birthday of Florence Nightingale, the founder of modern nursing.

Via ANA 

This comes directly from the American Nurses Association website. Be sure to thank a nurse and recognize them for their efforts and their profession.

This year’s them “Delivering Quality and Innovation in Patient Care”:

(From the ANA’s website as well)

Nurses are always developing innovations and improving the quality of care in various ways. Sometimes innovative thinking helps one patient overcome a troublesome symptom. Other times, initiatives aimed at quality improvement and clinical practice innovation can benefit millions of patients system-wide.

ANA is highlighting nurses’ quality and innovation contributions in health care for National Nurses Week 2013 (see this article in The American Nurse for more detail), and is offering a webinar on how innovations in processes, technologies and best practices lead to improved patient outcomes.

Enhancing Quality to Improve Patient Outcomes

The Nursing Quality Database: 1 Million RNs and Counting

ANA is improving patient safety and outcomes through the National Database of Nursing Quality Indicators® (NDNQI®), a program of ANA’s National Center for Nursing Quality®. More than 1,900 hospitals employing 1 million nurses – one-third of all U.S. RNs – participate in the performance database. Hospitals compare their performance, then devise and implement more effective nursing care strategies to improve patient outcomes.

Hospitals that won the 2012 NDNQI® Award for Outstanding Nursing Quality™  reduced patient fall rates and decreased hospital-acquired infections, among other improvements.

2012 NDNQI® research findings on the quality of care indicate:

  • Hospital units with low RN turnover where RNs also rate their work environments highly have fewer negative and costly outcomes, such as pressure ulcers.
  • RNs on units with more nursing care hours per patient and lower job turnover gave higher ratings to their unit’s quality of care.

Benefits of Nursing Services More Broadly Recognized

Other nursing advancements in quality care include:

  • Care coordination, a core component of nursing, helps patients understand their care plan, self-manage their condition, take medications properly, obtain equipment, and get referrals. Now care coordination is commanding more attention as a way to improve value, efficiency, and patient outcomes and satisfaction.
  • Up to 20 percent of Medicare patients are re-admitted to hospitals, often because of inadequate care coordination. But now Medicare is paying for certain care coordination services for the first time, recognizing that the quality of transitional care provided by RNs is crucial to reducing re-admissions.

Innovation: Researching New Ideas to Improve Patient Care

Nurses find better ways to care for patients and improve outcomes through research and evidence-based practices. Nurses serving as “innovation advisers” to the Centers for Medicare and Medicaid Services proposed these improvements:

  • A new role of “attending” nurse to promote continuity of care over a patient’s stay
  • A model predicting the likelihood of hospital re-admissions and interventions to address  causes

The American Nurses Foundation, ANA’s philanthropic arm, makes grants to nurse researchers for innovative exploration of health care issues. Studies include:

  • Analyzing coping strategies for nurses who are victims of workplace bullying
  • Evaluating how loneliness affects the health of older adults with chronic illness

Nurses’ Innovative Solutions That Make a Difference

The Edge Runners – RNs recognized by the American Academy of Nursing for contributions to  care strategies and health policy – are innovators. Their projects often lead to changes in the health care system and clinical practices and become permanent solutions to vexing problems.

For example, Edge Runners from the University of Pennsylvania School of Nursing developed these solutions to help older Americans remain healthier and more independent:

  • Living Independently for Elders has adapted a chronic care model to provide care to seniors in their own homes rather than a nursing home
  • Transitional Care Model, led by RNs, assists seniors with health risks during and after hospitalization, with the aim of reducing re-admissions

New Ways to Provide Care to More Patients

Nurses are integral participants in collaborative multi-professional models of care designed to improve patient outcomes and reduce costs, such as accountable care organizations and medical homes.

The Affordable Care Act is spurring creation of such performance-based models, and the Institute of Medicine’s Future of Nursing report calls for the full contribution of nurses’ skills and knowledge to transform health care.

 

 


 APRNs: Increasing the Reach

Advanced practice registered nurses (APRNs) are operating more independent practices, creating an emerging health care trend and providing primary care to more patients.  About 100,000 APRNs directly bill Medicare for services provided to 30 percent of beneficiaries.

APRNs are increasingly serving all populations through retail-based health clinics. These clinics treat minor illnesses and provide services such as screenings and diagnostics. Retail clinics have grown from 202 in 2006 to 1,355 in 2011, with projections to reach 2,854 by 2018.


 

Of course I especially like how they saved the best for last (yes, I have a biased opinion) when referring to Advanced Practice Nurses.

What cool activities do you have planned for this year’s Nurses Week?

The light at the end of the tunnel. I did it!!

 
It’s been an amazing journey. I’m still having a hard time absorbing the concept that graduate school is over and that I can now say I have a Master’s level education in Nursing.
 
The entire day yesterday was a wonderful experience. Both my parents and my in-laws were able to share this occasion with my wife and I. We all travelled the 70+ miles to attend the ceremonies. Due to the late time of the day, we all pre-arranged to stay overnight in town. So we could have the traditional post-ceremony dinner without the worry of traveling such a far distance.
 
It was a beautiful ending of a long and enduring adventure. I couldn’t think of a better way to celebrate it than with the very people who helped make this entire process possible.
Without their love, support, understanding and tolerance I would not have been able to walk across that stage last night. From the bottom of my heart and soul I hope they understand how much it all means to me.
 
Even with the hiccups of big-city traffic and the ridiculous parking-roullette that you just expect to play, our experience ‘down town’ was pleasant. I was thankful that no one got lost, there no vehicular accidents and we made all of our scheduled events on time.
 
I especially want to thank my family for suffering through the actual graduation ceremony. You would think after having done this ‘dance’ on 3 other occasions, that I would have caught on to the concept of how ‘LOOOOONG’ the graduation ceremony and procession really is. Even WITH guest speakers that are engaging, brief and to the point,  the event is somewhat torturous. Sitting in one place for greater than two hours listening to people talk and watching person after person walk across the stage is not something anyone would call ‘enjoyable’. 
Don’t get me wrong, I wouldn’t have changed anything, and I don’t regret attending or asking my family to be with me. I just wish there was a better way to pull it off.
Whew..
 
To top things off, the waitress we had during our dinner was a breath of fresh air. She kindly delivered my dessert on this plate to congratulate me on my graduation:
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It’s pretty tough to see it due to the bad lighting, but you can see the words congratulations & 2013 written on the plate as well as a picture of a cap with a tassel. All of which were drawn in chocolate!! Which I kindly ate.
 
I think I’ll take one more day to let it sink in, then it’s on to the next step. I have a house to sell, packing to complete, a move to make, successfully study and pass my boards, before finally starting my new job!!!
Things are just happening so fast… 
 
=)

Attempting, Finding & Maintaining Balance

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Attempting Balance

My life has metamorphosed over the past decade. I went from simply preaching, to practicing what I preach. My journey, while challenging like many others, has become a complete circle and now that circle will needed to grow.

For the longest time I was just a great bullhorn. I barked the mantra “Do as I say, not as a do”. As a Certified Athletic Trainer I didn’t have the time or the energy to stay physically healthy, and my emotional health was in the gutter since I wasn’t entirely happy with my life. I enjoyed my work, but I was missing so much.

When I found nursing (or should I say it found me) I knew I had found the emotional link I was longing for. I was actually mentally, emotionally and intellectually challenged on a daily basis. Something I didn’t know actually existed. I enjoyed my work, I enjoyed the work I actually did, and it financially provided a new-found security I had only dreamed about. I was finally earning a living. The icing on the cake and the additional gift my career of nursing has given me is the soul-touching and soulmate discovery of my beautiful wife. Without nursing’s intervention I would have never met, courted and married my best friend. 

But I was still only preaching. I still wasn’t finding my balance. I was not physically well, or should I say I was not optimally well. The balance I wanted to achieve was both the yin and the yang. 

It took another handful of years, but I reached optimal physical health through better eating, better exercising and just better living. I was healthy and physically strong.

Finding Balance

As my years as a nurse progressed, I found I desired more. I wanted more. I wanted to do more. So I dove back into the academic world. I followed the logical steps. First I finished my bachelor studies in nursing. Upon completion I immediately entered my graduate studies. As my grad studies progressed I worked towards a new goal of becoming an Acute Care Nurse Practitioner.

During my time as a grad student I still strove to improve my physical well being. I wanted to be more fit. I wanted to tackle my weaknesses and I wanted to find better balance by eliminating as many chinks in my armor as I could muster.

CrossFit was the answer I was looking for. I found my strength. I found a passion in my physical fitness. I found balance in my strength and I found more strength with my balance.

My circle was almost complete.

Maintaining Balance

As I close the chapter on my graduate studies, I find myself on the cusp of closing the circle.

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I have only to pass through a couple more doors and my professional goals will have been achieved. I can then begin to balance in totality. The next step is to find some semblence of this balance I have been working towards. With my new career, comes a new home, a new set of responsibilities, a new schedule, quite simply a new life. The life I have been working toward.

Now to find out how to balance my work and my play (CrossFit). It seems that my indomitable will and desire need only fit the pieces together to find my balance.   

“After a long day of work, if I had to do something heavy or intense, previously I would get it done … but now, I’m not sure how much benefit there is in doing something just to do it,” he explains. “I wanted to avoid ‘spinning the wheels’ in training, so recently I have just hit workouts that I feel I would be able to do effectively. I’m achieving more in the long run, saving the intense, heavy days for when I’m a little more rested.”

This mentality makes sense for his profession, too.

“Sometimes I do have to tailor my workout to cases I have coming up … a toasted grip and (unsteady) arms make for shaky hands in the OR, especially for micro-vascular cases,” Martin says. “So the balance takes place in working out when I can, and accepting when other priorities like patient care come first.”

Via As Prescribed: Gary Martin II | CrossFit Games

If others can find the time to balance their own physical health while caring for the ill, then so can I.

I have to take care of me, so that I can take care of others.

I need only find my balance. 

 

Image sources Google:  “balance”

 

 

A working nurse and CrossFit: What’s more grueling?

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You would think by I’d be used  to being on my feet all day long. There are days I don’t sit down, and there are days that I don’t remember standing still. What doesn’t make complete sense to me is how I feel after my shift.

My lower back is stiff. I have to work the kinks out of my knees and my hips. My whole body just feels beat up. 

Weird

Here’s the irony. I am also a CrossFitter. We tend to self-mutilate ourselves every time we do a workout (sort of humorous, but slightly true). If it isn’t the sore muscles, aching joints or tender to touch body parts, it’s the “I got hit by a truck” feeling after a workout. Or better yet I come home having hands like this:

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What I can’t completely wrap my head around is that fact that there are days when recovering from a long shift at work is tougher than recovering from a grueling CrossFit workout?

Maybe I AM getting old?

Weird

And the sexy nurse stereotype strikes again…

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I’ve discussed the aggravating ‘sexy nurse’ stereotype many, many times before. I cannot believe how much staying power this darn thing has.

The above picture was from Pinterest. I decided to search the term ‘nurse’.

*sigh*

Racism at the bedside: “Nurse Sues, Says Hospital Allowed Racist Dad’s Demand”

I’m just catching wind of this headline this evening while I was watching the evening news and watching some of my DVR’d shows. After hearing about this I decided to let Google show me what the heck is going on: Nurse sues hospital over…

Here’s what CNN had to say:

A nurse is suing a hospital, claiming it agreed to man’s request that no African-Americans care for his baby.

The lawsuit accuses managers at Hurley Medical Center in Flint of reassigning Tonya Battle, who has worked at the facility for 25 years, based on the color of her skin.

The man approached Battle, while she was caring for his child in the hospital’s neonatal intensive care unit, asking to speak to her supervisor, according to the complaint filed in January by Battle’s attorney.

And according to Huffington Post:

A nurse’s skin color is the subject of a recent lawsuit filed against a Michigan hospital accused of racial discrimination.

According to the suit, Tonya Battle was barred from treating an infant patient at Hurley Medical Center because she is African American, WNEM TV 5 reports.

In the complaint, obtained by the local TV station, Battle claims that the newborn’s father showed her supervisor “a swastika of some kind” and asked that no black people be involved in his child’s care.

And two other news sources:

Black Nurse Barred From Handling White Baby

Nurse Sues, Says Hospital Allowed Racist Dad’s Demand

As a currently practicing Registered Nurse, I’m have a really hard time with this. I mean at first blush this is overt racism. Forget here-say and ‘he-said-she-said’. According to the news reports I’ve watched and read, there was actually a sign posted in the vicinity of this particular patient’s room that explicitly used words that refused the care of anyone of african-american decent.

I’m…

I’m just appalled.

I’m speechless right now.

I’ll blog about this again, I just have to let this marinate a bit first. I know all too well not to type or post anything when your emotions are in overdrive.

Whew…

Care to weigh in?

Nurse Bullying Q & A: Dealing with an Overt Bully | RTConnections

Nurse bullying is nothing new. Most nurses (unfortunately) have at least half a dozen stories they can share about their experiences with bullying in the workplace. I crossed paths with a fellow nurse via Twitter recently who has a very strong passion for extinguishing the flames of workplace bullying in the nursing community. Her name is Renee Thompson. She’s so passionate about it that she wrote a book about it called “Do No Harm”. She also runs and owns the organization RTConnections

Ironically I found this article mentioning her company which I thought was pretty cool : Health Care Report | Pittsburgh

Here is a great video as part of her Q & A web-series on nurse bullying where she answers questions from nurses about how to handle workplace bullying:

 

Via Nurse Bullying Q & A: Dealing with an Overt Bully – YouTube

This is a great video. She not only discusses the types of bullying but steps you can take to address and eliminate it!

I LOVED the quick and dirty definition of the two types of bullying:

Overt = I slap you in the face

Covert = I tickle your face with a feather, and you slap your own face

Be sure to follow the included links, Renee’s worth it!! 

Great work Renee.