DancingNurse-Ed

Registered Nurse. Nurse Educator. DNP Student. 🐨

It is in the quiet moments, when we choose to just sit, to listen, that we find our rhythm. Tune in. When the time slows to a stop for that mere moment. Find your flow and follow your path.
Sean Abplanalp
(Yikes). You’re still a relatively new RN, or maybe everyone else scampers like mice when the choice to be in charge is decided - and today you found yourself stuck on the other end of the assignment sheet; what happens next?

1. Stay calm. Remember it’s only 12 hours.

2. Think of it like triage; Plan around the most critical cases, and take into account the nurses who will be able to handle it safely.

3. Set up a cheat sheet. Separate the critical cases/ admissions coming/ open beds/transfers/downgrades/upgrades/telemetry/tasks: code cart, Pyxis or Omnicell count, glucometer check/supervisor’s name &beeper #

4. Be fair with the assignment - Avoid engaging in favoritism. Remember how it feels when you’re on the wrong receiving end (it sucks). You want them to have a good day, do what you can to start it off with good morale. If you’ve got a per diem, registry nurse, or float nurse, any of which have never worked on your unit before; avoid giving them the biggest train wreck patient, just because they’re “not one of your own nurses.” Think of how terrifying it was when you’ve had to float to a foreign unit, and got trapped with the worst cases, all because the cliquey nurses wanted to palm them off. It’s not nice, or the best idea; consider patient safety - the nurse will also likely need your help all day, given they’re in a new environment, or perhaps not used to cases like that. Distinguish this from favoritism. It’s not preferential treatment - It’s nurse safety, and it’s patient safety. Be fair with breaks. (Check if everyone is actually taking their break. Chaos prevents breaks and sometimes it’s forgotten).

5. Have a quickie staff meeting - Include the nursing assistants, let them know the plan for the day; i.e., which patients are the most unstable, which are likely jumpers, confused, restrained. Communication is the key to prevention.

6.Make your own rounds, several times a day. Ensure your colleagues know you’re there to support them, and help where you can.

7. Be mindful of the nurses/nursing assistants who say “I’m okay” and may actually need more help than the ones complaining a lot. Offer assistance with IV’s, turning and cleaning patients, answer call bells, assist with admissions, discharges and transfers. Ensure each nurse & nursing assistant receives some sort of assist, even if it’s to give them a few minutes break from a frustrating patient or family.

8. If the unit census is high, and you need to assign yourself to patients, try to take the ones that are low maintenance (or at least the ones whom start out they way). This isn’t the time to prove you can handle your own unstable patients and be in charge. Your time is better utilized managing the flow of the unit, and being free to assist all the other nurses.

9. Listen to everyone’s concerns, always consider things from their perspective, and do what you can to help their day run a little better, but don’t take on the unit’s problems, or gossipy cliques - it’s far too stressful, and likely won’t be solved in just one day. Let them be. There will always be someone who instigates foolishness, someone who finds fault in everyone, someone who is always annoyed, someone who doesn’t do their work, someone who battles everyone, someone who tries to one-up everyone, someone who hides in the supply closet.

10. If you feel the staffing is insufficient, speak up to the nursing supervisor. If you’re a unionized hospital, fill out the paperwork that reports the staff’s concerns with patient safety. Don’t be afraid to stand up for you and your colleagues. You’re the patient’s as well as the nurse’s advocate.

10.25. Never let anyone bully you into doing things “their way,”or manipulating you into changing an assignment to suit them. It’s impossible to please everyone, the best you can do is to be fair to everyone.

yoiness:

© Irina Tuminene

Yulia Manjeles, “Requiem”, Boris Eifman Ballet

(via ele-bee)

3 weeks today, until the start of a new job! Change is rejuvenation 👍

azuritereaction:

alexob:

AmoeBAND became a 2012 IDEA Award Finalist by innovating every possible aspect of the plaster (band aid).

The design revisions were:  

- Strategic cut-outs shape to fit fingers in such a way that it is easy to bend them and not disrupt the bandage.

- An intelligent dressing material allows you to regularly check wounds from the outside, without upsetting the healing process.“According to research, the when an infection of a wound is detected, the pH value is between 6.5 and 8.5. AmoeBAND’s indicator cross turns purple, alerting the user needs to change it immediately.

- Since the bandage material used exudes a leather-like feel, availability in different skin-tones helps it blend in, without overly highlighting the injury.

- The packaging has been redesigned to a matchbox style and includes Braille instructions.

Hat tip to designers Tay Pek-Khai, Hsu Hao-Ming, Tsai Cheng-Yu, Chen Kuei-Yuan, Chen Yi-Ting, Lai Jen-Hao, Ho Chia-Ying, Chen Ying-shan, Weng Yu-Ching, and Chung Kuo-Ting

it’s always funny when people improve on something and you look at the innovations and it’s like so fucking obvious what needed to be changed, but yet no one seemingly thought of it until then, yourself included

(via nursefocker)

"You think about Mr. Ailey stepping out on that precipice and you look at the Company now: we’re sitting in this wonderful center for dance and we’ve been named by Congress as cultural ambassadors to the world, all because of the vision of this young black man. It’s incredible.” —Artistic Director Robert Battle

[Linda Celeste Sims and Glenn Allen Sims in Alvin Ailey’s ‘Revelations.’ Photo by Paul Kolnik]

The most fundamental tools of understanding; kindness, and compassion toward our bedside nurses & patients, is sometimes lost in the shuffle of administration’s concern to speed track medical and nursing care. What’s evident is that workers are expected to treat and street, juggle unsafe patient assignments - all the while covering breaks for fellow nurses, squeeze in time consuming in-services, while keeping one watchful eye on unstable patients, mentor new nurses without the proper supportive resources, and somehow provide high quality care. It comes as no surprise to any nurse, doctor, physician assistant, NP, LPN, or nursing assistant on the front line of care, when a colleague is exhausted to the point of burning out - yet administration sets unrealistic standards that seem to have neglected the most valuable components; the foundations of care and service. What’s needed, are perhaps leaders with a clear vision, an inherent character and courage to stand for what they know to be the right thing, the heart to follow through with what they profess, a solid understanding of the daily struggles of the workers on the front line, a caring and flexible mind that listens to the thoughts of those actually delivering the care, the kindness that recognizes some days it’s just not possible to be on point, the compassion of what it may potentially mean to be a patient or family caught in the middle of daily conflict, and a keen remembrance & respect of what it means to be a resident doctor, physician assistant, nurse practitioner, bedside nurse, or nursing assistant. What will it take to remember this?
Nurse X
To hold our tongues when everyone is gossiping, to smile without hostility at people and institutions, to compensate for the shortage of love in the world with more love in small, private matters; to be more faithful in our work, to show greater patience, to forgo the cheap revenge obtainable from mockery and criticism: all these are things we can do.
Hermann Hesse 

(via abiding-in-peace)

laboratoryequipment:

Thousands of Ebola Vaccines Available SoonThousands of doses of experimental Ebola vaccines should be available in the coming months and could eventually be given to health care workers and other people at high risk of the deadly disease, the World Health Organization says.No vaccine has yet been proved to be safe or effective in humans, says Marie-Paule Kieny, assistant director-general at WHO, who spoke at a press conference in Geneva that was later shared by email. Testing must first be done to ensure they are not harmful to people, some of which has already begun, she says.Read more: http://www.laboratoryequipment.com/news/2014/09/thousands-ebola-vaccines-available-soon

laboratoryequipment:

Thousands of Ebola Vaccines Available Soon

Thousands of doses of experimental Ebola vaccines should be available in the coming months and could eventually be given to health care workers and other people at high risk of the deadly disease, the World Health Organization says.

No vaccine has yet been proved to be safe or effective in humans, says Marie-Paule Kieny, assistant director-general at WHO, who spoke at a press conference in Geneva that was later shared by email. Testing must first be done to ensure they are not harmful to people, some of which has already begun, she says.

Read more: http://www.laboratoryequipment.com/news/2014/09/thousands-ebola-vaccines-available-soon

(via nursingisinmyblood)

Take a lover who looks at you like maybe you are magic.
Frida Kahlo (via chialyn)

(via chialyn)

Hi I think we should be friends because i just a saw you posted about On The Town and then I noticed your blog name dancingnurse-ed. So I'm assuming that may mean you're a broadway fan & a dancer & a nurse & possibly an emergency room nurse or nurse educator. Which would be absolutely crazy of all of the above were true about you because that's basically who I am. A broadway fan & a dancer (for 23 years) & a nurse in the emergency department but also prn with nursing education.
dancingnurse-ed dancingnurse-ed Said:

4 out of 5 ;) Nice to meet you 👋

Asker Anonymous Asks:
Hi! So I stumbled upon your blog and actually my best friend is in her first year of nursing. I was wondering if you have any tips or anything that would help her get through her experience as I can tell she's overwhelmed and stressed with school. Thanks! x
dancingnurse-ed dancingnurse-ed Said:

Hi,

I think it’s kind of wonderful that you’re looking for ways to help your friend during this immensely stressful time - genuine support is invaluable. It’s hard to articulate why it’s so overwhelming, and I’m not sure I have any better ideas than what she may already be doing, (but I can try).

Perhaps what makes it so frustrating is the combination of stressors; the surprise of competitiveness in a profession you wouldn’t expect it would exist in, analytical and critical thinking, exams which confound even the strongest of students, grades that seem to go out the window, facing the unpredictable during lab, or clinicals - where they feel consistently ineffectual, and the understanding of the vulnerability of human lives they will be responsible for. And, perhaps, a daily battle with confidence (usually not ending well).

- What may help your friend is isolating a strength. Why’s this important? In the thousand things she may think she is doing wrong every day, amid all the criticisms; it’s important to recognize what’s surfacing as a strength, unique to her. Examples; the ability to connect with patients, or maybe a photographic memory - pharmacology knowledge where they can just spit out the medications, class, side effects without looking it up, good documentation, etc. Students spend so much time thinking about, and working on what they are failing at, it’s imperative to also remember the things that they actually do well, particularly when times are tough.

- Also, integrate outside experience - previous learning and work experiences are all valuable, no matter how unrelated they may seem. It’s the discipline and focus learned that helps guide study and practice.

- Does she have a network of support at school? Is she able to communicate her frustrations and needs to her professors? Sometimes this is difficult, particularly for introverted students. There always seems to be swarms of students around the instructors, it’s hard to catch them without an entourage. Perhaps she can make an appointment with one of them to talk through how she’s doing.

- A reflective journal is something that works for some students - an outlet for articulating thought, in lieu of actually talking to people. (It is also pretty interesting to look back on this along the journey).

Additionally here is a recent post on surviving nursing school;

http://dancingnurse-ed.tumblr.com/post/98224856748/nursing-school-a-survival-guide


If I am truly honest, I probably cannot pinpoint what makes nursing school so overwhelming, all I know is when I was there, I felt incompetent 95% of the time, but it was the occasional surfacing of the 5% spark of understanding, & hope that I could maybe do this, as well as an unrelenting discipline that prevented me from quitting.

Every so often, I am asked by non-nursing friends why the pinning ceremony is considered more important than the actual degree graduation ceremony - they both are important - the achievement of a degree, and overcoming obstacles to get there, for all students in any program (not just nursing) is a beautiful moment, intensely satisfying and important for reasons that are relevant to each person and area of study.
Perhaps in nursing it is because it’s an intimate gathering; the journey of tears, physical and emotional strain have resulted in us actually becoming a nurse - at that point we’ve realized a once thought impossible dream, and much like the graduating oath of a doctor, we’ve taken a pledge to honor and care for each patient, no matter their walk in life. Perhaps just focusing on that as a goal is what may help your friend through.

If your friend would like to talk through her fears a little more, I may not have the answers, but I can provide a little understanding - she can write to me here privately.
Thank you for writing,
Michelle

Deserted library on a Sunday is a bit spooky 👻🙈 (Contemplating philosophy of science and nursing) #philosophy #nursing #science