« Nurse-zine #473

allnurses.com Nurse-zine #474

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allnurses.com's Weekly Tips, News, and Rants Issue 474 : Jun 13, 2012

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Spotlight

Nursing Activism & Healthcare Politics

Jun 6 - Jun 12 Hottest Topics

What FNP program did you attend and did you like it?

I want to enroll in an FNP program. I have 15 years of pedi and nicu experience currently. I want to get the opinions of colleagues that have gone this route on their schools. What did you and did you NOT like about your programs?

Do a nurse a favor?

Do a favor and it will bite you when you least expect it.

allnurses.com Cartoon

Down to Sleep

I remember when you first came to our ward. You're young. That's the first thing everyone always sees about our patients under fifty, and you're no exception. You quickly won everyone's respect as a good officer: confident, optimistic, dry sense of humor, a smile for everyone who entered your room. You were quick to joke with us, your nurses and medics, your fellow officers and enlistees alike, and we were quickly willing to return the favor. Not many patients come to us diagnosed with cancer and in the mood to smile, so you were a relief to our ward.

Why I won't accompany my mother to the ER anymore

My mom was in the ER the other day (for a rule out PE) and before I could hold her mouth shut the words were out at the very friendly ER nurse: "sonny I'm a very tough stick since my veins are rolling and disappearing, so you might wanna get the anesthesiologist if you don't know what you are doing". So I tried telling her to let the nurses do their job...

Bad day... looks like it's everything I dreamed it would be.

Is this typical?? I am not used to this! I told my manager to put me back on night shift, where I was supposed to go in the first place, but it doesn't sound much better. One nurse for 54 residents, and probably two aides. If you're lucky. I'm not sure how many aides they have on night shift, to be honest, but I'm willing to bet it's two, at the most.

Finding your own clinical instructors?

I am almost completed with my MSN in nursing education through Walden University. They are starting up an FNP (also adult/gerontology) program in the fall. I'm extremely interested, but not sure if it's the norm to have to locate your own preceptors??? What is everyone's experience from what they have found or done?

How do you handle patient information on security sign in sheets?

Working home health care in an urban area, I often have to sign in with security when entering a building. The forms often request time in, time out, my name, my company name (no problems so far) and then the resident's name and apartment number. Those fields make me profoundly uncomfortable from a patient privacy standpoint. It feels very HIPAA-violationy. These forms are quite often left unsecured on a clipboard on a counter accessible to anyone walking in, not behind a desk with a security officer.

Task Force Questions Use of Vitamin D, Calcium Supplements

Current evidence is insufficient to support the use of vitamin D and calcium supplements to protect against cancer or osteoporotic fractures, according to a draft recommendation issued by the U.S. Preventive Services Task Force (USPSTF).

I understand

Middle aged lady presented to our ER triage walking with a slight limp and complaint of low back pain with pain in her left leg for 2 days. I inquired as to whether she had injured it somehow to which she replied "No, I have had this before and my doctor told me it was my psychotic nerve". Smiling, I said ... I understand. We will see what we can do to help you.

Stupid things that nurses say

I'm going to pick on myself for a moment. I have to admit that sometimes I blurt things out without truly thinking about it. Today I said something ( without thinking) to a patient that was purely stupid...

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