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| Helping you become a better nurse. | Issue 496: Nov 14, 2012 |
NewsletterSpotlightDiscuss US Politics. Not sure about a government policy or law? Not sure which candidate to vote for? Is ObamaCare for you? Want to discuss the latest Supreme Court case? This is the place to discuss anything about politics. It's open to Democrats, Republicans, Independents, Green Party, Libertarians - everyone! Online DegreesAdvance your career today! We have highly respected and accredited universities offering RN to BSN, LPN to RN, LPN to BSN, Forensic Nursing programs and much more. Financial aid available to those who qualify. . Relax. Let Jobs Come to You!Create your personal Job Alert to notify you by email of new jobs posted that match your search preferences. It only takes a few moments to create one now and never miss a new opportunity! Break Room |
Nov 7 - Nov 13 Hottest Topics
What Makes a Great Nurse
I believe one of the most important qualities of being a good nurse is having compassion. A nurse with compassion is one who truly cares about her patients well-being and outcome. This nurse treats her patients as she would expect any other nurse to treat herself or own loved ones. Read
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What to do about refusing Dr. orders?I am being told I will lose by job if I refuse to follow a doctor's order. The doctor ordered a PICC line on a patient just because she might need it for Amiodrome. She was post op open heart and had not been on any drips requiring central placement for over 12 hours. She still had a cordes in that was going to be removed. The patient was currently on saline drip only. She also had veins for a PIV. I did not feel the PICC line was appropriate. When I raised my concerns, I was told to put it in anyway. I was told I could be fired for insubordination if I refused to follow the doctor's order. Because of this, I placed the line. Other nurses have been told the same thing. We are being told that we cannot say no to this doctor even if we feel the ordered treatment is inappropriate. I can not afford to lose my job or my license. Any suggestions on how to proceed would be most welcome. Read Why did you become a nurse?We all have our reasons to why we wanted to become a nurse. Why not share them? What made you go into nursing school? What was your motivation in your quest to become a nurse? Read
Angels Children's (Part 2: Little Miguel)Previously on Angels: A new nurse Jen in a large pediatric hospital meets Hanh, a mysterious co-worker. She gets lost one night in the "cursed corridor" and has a frightening experience. Was it her imagination? Or, is the corridor truly cursed? Read Shared GovernanceWe have shared governance at the medical center where I work. We have monthly hour-long shared governance meetings on our unit and then our ideas move up the chain of command to (hopefully) become practice, hence the purpose of shared governance. However, we have chronically low turn out at our monthly meetings and therefore are struggling to get things done. Any ideas on how we could increase the attendance at our meetings? Read The Nursing Niche
Assessments every shift?I'd like to do full physical assessments on all my patients, but I am naive to think that's possible? Do you do them each shift? I know that a lot of times you can assess a patient without being obvious so just because I might not see the nurse take off the patient's socks and feel their pedal pulses doesn't mean they didn't do it. However, I have seen patients come in wearing blue jeans and never take their jeans off when the shift changes. So, I KNOW they didn't even glance at the patient's back side, etc. Read Different Types Of Elder AbuseElder abuse is a growing problem in society and nurses must be knowledgeable about this topic. The intended purpose of this article is to define and discuss the different types of abuse that can be perpetrated against the vulnerable elderly population. Read Thinking about making the switch to home health...I've been a nurse in med-surg for nearly 3 years now. I work 12hr night shifts 3 days a week at a small hospital. I recently just had my 3rd child and I'm thinking I need a little more structure at home. I'm looking for an 8-5 job, a job that allows me to do hw with my children and have dinner with my children and put them to bed. A job that will allow some flexibility to squeeze in a school activity in between pts. I love m/s but I'm sad that it doesn't give me the family structure that my children need at this crucial time in their life. Am I being unrealistic thinking that a Case Manager position in home healthcare will give me what I'm looking for? Read Mammogram Interpretation Agreement Varies by Finding
Agreement between community-based radiologists and an expert radiology panel for interpreting mammograms is high for cancer cases and obvious findings, but is low for subtle and asymmetric lesions, calcifications, asymmetric densities, and architectural distortions, according to a study published in the November issue of the Journal of the American College of Radiology. Read Sucide lies: is it CYA or blaming?I had a pt this evening who was suicidal. Blatantly suicidal. He was found in his home with a gun drinking and saying he wants to end it. So he went to the Psych lock down part of the ED and when they attempted to medically clear him there by doing his labwork, they were all out of wack. His sodium was critical, liver enzymes all sky high, glucose in the 40's. Needless to say he was promptly sent to the medical side to be treated. We were short techs to sit and watch him for a 1:1 so the nursing supervisior sent a tech to us to sit with him, just in case. Well since he was the only pt I had the charge RN pulled the sitter to work the entire dept because we were short techs. I didn't complain but to cover my butt I charted that he was "within the sight of the nurses station, appears calm and cooperative, contracts of safety, charge RN aware"... Read LTC-I want report and count at beginning of my shiftI am new at this new LTC. When I arrive, the nurses from the other shift don't want to give report and count narcotics. They are busy increasing their "socialization skills" with the other nurses and staff instead. I am glad that people are friendly, but I don't have time to chit chat. I need to get started with my shift as soon as I arrive. Any suggestions on what to say? Read
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When I was in nursing school, one thing I always remember hearing the instructors say is straight A's are not what makes a good nurse. There's nothing wrong with getting straight A's of course, but it takes a lot more than that to truly be a good nurse. 
There are some people who knew nursing was for them from the get-go. Then there are those who realized it a bit later in life. Whether you found it by accident or were born with it, you know it's where you belong, and you can't see yourself doing anything else. It might be all sorts of stressful, all kinds of crazy, and decisively depressing most of the time, but it's your place. At the end of a lengthy and sometimes crushing day, you may feel defeated and drained, both mentally and physically, but that's how it goes. You win some, you lose some, you have good days and bad days. It comes with the profession. When someone asks who you are, you reply, "A nurse". It's not what you do, it's who you are.