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Welcome to my blog about health, nursing, caring, kindness and positive change. Our world is full of such negative influences and bad choices, today is the day to make a positive change both physically and mentally in your life.
ERNursesCare is a blog incorporating my nearly 30 years of experience in the healthcare field with my passion for helping others, I want it to encourage others with injury prevention, healthy living, hard hitting choices, hot topics and various ramblings from my unique sense of humor. Come along and enjoy your journey......

Saturday, February 28, 2015

I Am Not The Nut Job Lady In Room 13, Lets Focus on Our HumanPatients #ptcenteredcare #ernurses



What is Wrong With Me?
Sweat beads on my forehead, my heart is racing, all ready for the next round of EMS patients that are soon to arrive  to my trauma bay. It has been a long night so far and we are tired, I have not eaten or peed in 8 hours, but a family has been involved in a crash on the interstate and their van was fully engulfed in flames. I hate crispy critters, the smell of burning flesh stays on your mind for days. The call bell is ringing again.....ding....ding....ding....ding, that "crazy nut job lady" in room 13 wants a snack.......again. She is waiting on psychiatric placement due to depression and suicidal ideations and I can so totally relate to her, since I have depression myself, I could be her, she is somebody's mom.
Adults, children, infants no matter, their faces don't really matter, we call them by their condition,complaint or problem, we give them funny code names and laugh at each one: The "gunshot wound guy" in T1, "the skull fracture kid" in T2, "Code Tooth" dental pain chick in room 4, the confused mamaw UTI in room 1, " the nut job in room 13"...........wait, what is wrong with me?

I could be anyone of these people, my family has been these people, these people are human beings!!
These people have names, they are someones father, mother, child and grandmother. I am a mother, a daughter and a wife to someone. I am a human being too, would I like to be called "the nut job lady" in room 13.....NO!






Patient and Family Centered Care
In the world of healthcare speak we talk about patient centered care, many methods, models and hours of research have been spent on this topic. Patient-centered care supports active involvement of patients and their families in the design of new care models and in decision-making about individual options for treatment. The IOM (Institute of Medicine) defines patient-centered care as: "Providing care that is respectful of and responsive to individual patient preferences, needs, and values, and ensuring that patient values guide all clinical decisions." (from Wikipedia)
In the emergency department our focus has to be centered around the patient, they are our focus, but that patient is also a person, with a family, a life outside, a job, pets, children etc. Focusing on the person as a whole is imperative to complete care. Patient and family centered care is a better approach to healthcare that integrates all the players in the game. It encourages a collaboration of healthcare with patient and family as a whole.

Leaning The Hard Way
I have learned the hard way that listening to the patient and their family will not only save you as the nurse time, it will save you embarrassment in front of the family when they are right and you are ultimately wrong because you did not listen. I have been the family member sitting at the bedside myself, my husband has multiple health issues so we have been in and out of many doctors offices, emergency departments, clinics, intensive cares etc. Feeling scared and alone with a 4 month old infant in a baby carrier , we found ourselves 3 hours away from home at a huge teaching hospital, our world turned upside down when a post-op infection took over my husband's (of less than a year)
body. I learned very quickly that there was no patient-family centered care there, nobody seemed to listen to me until I grew a set of brass "kaunas" and let them know that I was a nurse, this was my husband and I demanded something be done NOW! I hated to act like a totally B@$%, but he was dying in front of my eyes.
Learning from others mistakes has made me a much better nurse today, I listen to the person and his/her family now, even if they just want to tell me about their children, pets or where the best place to draw blood might be.



Setting The Bar- Leading By Example 
It is so easy to fall into the norm of everyday work and act just like your co-workers, I am just as guilty I admit. Nurses in the ER develop a different style of coping mechanism I think, I use humor to help me get thru my shift and just get home. It in no way is a personal attack on anyone, our humor is not very respectful at times, I will admit. When faced with such horrific realities of death, destruction and violence we want a way to turn off the negative and be positive. It is hard to just keep smiling when your patient just called you names or cursed you because they have to wait to long or did not get the narcotics they desired.
Hard as it might be to focus on each patient as an individual person, worthy of your time and care, they all deserve care that is respectful. Communication is a key tool, involving the family and patient in what is going on helps to relieve stress and decrease anxiety.
You can set the bar high and lead by example, other nurses watch how you interact with your patients, families and other healthcare team members. Even well seasoned nurses like myself can learn valued lessons that lets us focus on our "human" patients, not the "nut job lady in room 13".





This post was written as part of the Nurse Blog Carnival. More posts on this topic can be found at Big Red Carpet Nursing. Find out how to participate, click the box below and join us!


. Nurse Blog Carnival






Friday, February 6, 2015

Wear Red For Awareness #goredforwomen #hearthealth




According to the American Heart Association, one in three women dies of heart disease or stroke each year. To help fight the high rate of heart-related deaths, every February the American Heart Association directs their attention to awareness days and campaigns that teach the general public about the importance of adopting behaviors that lead to improved heart health. February 6 is National Wear Red Day and the health professionals from NurseWise – a multilingual nurse triage and health education provider – are encouraging Americans of all ages and genders to wear red in support of the American Heart Association’s quest to decrease avoidable heart issues.
"At NurseWise we believe in and continuously promote health education and empowerment," said Kim Tuck, RN, President and Chief Executive Officer at NurseWise. "In the United States, heart disease is the leading cause of death for women. We encourage everyone to wear red on Friday, February 6, to increase awareness about heart health and behaviors that can easily be adopted to reduce the chance of developing heart disease, stroke and other serious heart conditions."

To help you remember, the nurses at NurseWise have created a set of health tips in honor of National Wear Red Day using the acronym “HEART.”
H – Have heart awareness. Know your status! Make, schedule and KEEP routine appointments with your medical provider to stay abreast of your specific heart-health status and to learn warning signs that might indicate the need for specialized medications, lifestyle changes or testing. Knowing your heart stats and family predispositions for diseases of the heart is the first step in achieving more informed and improved heart health.
E – Exercise regularly. Your heart is a muscle, and just like the rest of the muscles in your body, it needs regular exercise to operate at its best. Start small by adding a short, slow-paced 10- or 15-minute walk to your day at least twice a week. Ask your medial professional for exercise recommendations based on your health status.
A – Always side with safe over sorry. You know your body better than anyone. If you start noticing an irregular-heartbeat, shortness of breath, dizziness, frequent headaches, impaired vision, tingling in your left arm or short memory lapses, see a medical professional immediately. Never hesitate to see a doctor if you notice a change in the way you feel or notice an abnormality in your breathing or heart rate. Seeing a medical provider could save your life and uncover budding health conditions before they become serious health conditions.
R – Rest is essential. Getting seven to eight hours of sleep on a regular basis is essential to your health. Despite your busy schedule and long list of things to do, if you aren’t getting proper rest, you will stifle your body’s ability to repair itself during the sleep cycle. Find a sleep routine that works to help you get to sleep at a set time every day so your body can perform its natural healing processes.
T – Take time to decompress. Stress is a leading factor that contributes to conditions like high-blood pressure and stroke. Explore exercise and breathing techniques to help you find calm even in the midst of a busy workplace and personal schedule. If stress ever becomes overwhelming or your feel like you’re going to do something to hurt yourself or someone else, please call 9-1-1 right away to speak with someone who can get you the help you need. There’s no need to ashamed of stress. Every animal and human experiences it in some form, because stress is a natural function of the body. How you treat stress is what makes the difference in your quality of mental and physical health. There are techniques, medications and homeopathic remedies that can help you find the balance you need to keep your heart and body functioning at their best.
For more information about National Wear Red Day, please visit: https://www.goredforwomen.org/home/get-involved/national-wear-red-day/

About NurseWise
NurseWise is a wholly owned subsidiary of Centene Corporation that is in the business of providing multilingual telehealth (nurse triage and health education) services. For more information, please visit our website at www.nursewise.com or contact us at info@nursewise.com.


Thursday, January 29, 2015

A Prestigious List :Top Blogs 2014 #nurses #nursebloggers #healthcare

I am a bit late with this Prestigious list of Top Blogs, but these colleagues of mine are awesome all year round, not just in 2014, they have been stellar for many years!

Awesome Sauce!! This is a list of some of the best of the best nurse bloggers from all walks of life! I am so blessed to be included on this list in such fabulous company. Congratulations to all the incredible writers, authors and bloggers on this list, be sure to visit each one. There is a wealth of information and talent here, WTG friends!!
This list of top nursing blogs was compiled based on Facebook likes, frequency of postings, and number of followers. Many of the following blogs are top hits when conducting online searches and can also be followed on Twitter, Pinterest, and Google+. This list has been divided into sections for the reader’s convenience: general nursing, registered nurse, nurse practitioner, nursing student, nursing career, and women’s health.

GENERAL NURSING

    1. Confident Voices – Beth Boynton is a national speaker, professional coach, facilitator, and medical improv trainer. She writes this blog founded on respectful communication for nurses, physicians, patient advocates, and support staff to encourage safe, respectful work cultures.
      Highlight: National Council of State Boards of Nursing Website Has Some Great Teaching Tools re: Social Media
    2. Disruptive Women in Healthcare – This blog targets challenging and inspirational concepts in the current healthcare field. There are over 100 individuals that actively contribute to this blog including elected officials, healthcare workers, patient advocates, researchers, and economists.
      Highlight: The Hospital Discharge Race: Is Sooner Always Better?
    3. Diversity Nursing – Diversity Nursing offers a variety of articles on all topics pertinent to nursing including health and wellness and career tips. This blog also includes a job board and a forum for open discussion amongst nurses and student nurses.
      Highlight: Nurses Among Most Influential People in Healthcare
    4. ER Nurses Care – Written by emergency room nurse Leslie Block, this blog uses her passion for nursing to demonstrate caring and compassion through her posts focusing on healthy living, injury prevention, and various current trending topics in healthcare.
      Highlight: Cardiac Arrest vs. Heart Attack: Do You Know The Difference?
    5. Living Sublime Wellness – Elizabeth Scala MSN/MBA, RN is a motivational speaker who focuses her writing on encouraging nurses to make the necessary changes in healthcare by facilitating out-of-the box critical thinking.
      Highlight: Ode to the Bus Driver
    6. Not Nurse Ratched – A nurse and freelance writer, Megen Duffy blogs about all things nursing while using her humor to lighten the mood as necessary. Duffy’s blog is highly followed online and on Facebook likely due to her down to earth writing style.
      Highlight: Tips for CNAs and New Nurses and Students (Oh My)
    7. Nurse Barb’s Daily Dose – Barb Dehn, RN, MS, NP is committed to deciphering convoluted health information in order to assist individuals in achieving optimal health and wellness. Nurse Barb’s Daily Dose contains articles pertaining to women’s health, parenting, caregiving, healthy living, and medical conditions.
      Highlight: Menopause: Frequently Asked Questions
    8. Nursetopia – Nursetopia features timely articles on all pertinent topics in healthcare. This blog inspires nurses by highlighting and displaying the positive influence nurses have on the healthcare culture.
      Highlight: Give Grace to Grow
    9. rtConnections – Renee Thompson is a motivational speaker and the author of  Do No Harm” Applies to nurses too! Strategies to protect and bully-proof yourself at work.Thompson gears her presentations toward clinical competence and bullying within the workplace and works to enhance effective communication within a healthy organization.
      Highlight: What Does It Take for Nurses to Believe They are Heroes?
    10. The Nursing Show -The Nursing Show is not your typical blog. It is filled with hundreds of short podcasts and easy to read articles pertaining various nursing topics geared toward nurses of all skill levels. All nurses are sure to find topics of interest in this diverse, educational blog.
      Highlight: Nurses Lead the Way for Organ Donation, End of Life Support

REGISTERED NURSES

    1. According to Nurse Kateri – Kateri, RN, BSN, started this blog while on a personal journey to discover herself and now uses it to detail her personal experiences as they pertain to health and happiness. This blog features narratives relating to her career in pediatrics and pediatric intensive care.
      Highlight: Nurse
    2. JParadisi RN’s Blog – Julianna Paradisi, RN is an accomplished artist and an oncology nurse who incorporates art into patient care. This blog focuses on the same while featuring some of her personal pieces of art as they relate to her writing.
      Highlight: Where Science, Humanity, and Art Converge
    3. Nurse Eye Roll – Nurse Eye Roll was established by a newly seasoned nurse wishing to provide encouragement, inspiration, support, and laughter to student nurses. Nursing school is tough and Nurse Eye Roll is there to offer tips and suggestions about navigating the path toward graduation and successful board examination.
      Highlight: Orienting a Struggling New Grad
    4. The Nerdy Nurse – Brittany Wilson, RN, BSN is a nursing informatics nurse who prides herself by incorporating technology into healthcare in order to improve and streamline patient care. This blog is found on various lists of top nursing blogs and is highly followed on social media. For more information, see what is nursing informatics?
      Highlight: 3 Resolutions Every Nurse Should Make

NURSE PRACTITIONER

  1. Barefoot Nurse – Barefoot Nurse reviews real life experiences as they occur through the eyes of an advance practice nurse. Kelly Arashin, the author behind this blog, is unique in her profession because she is a dually board certified nurse practitioner in acute and critical care and a clinical nurse specialist.
    Highlight: Not a Physician, Not a Nurse…What?
  2. My Strong Medicine – Sean Dent is an acute care nurse practitioner by day and weightlifter and coach by night. This blog was originally designed to share his experiences as a nurse but now it contains more commentaries on his personal life, his love for CrossFit and weightlifting.
    Highlight: Advice to My Pre-Nursing Self
  3. NP Business Blog – Nurse practitioners whom are in private, independent practice are breaking the mold of traditional NP employment status and are often found without the available resources to answer common questions. Barbara C. Phillips developed this blog as a means for NPs to offer support to others in all avenues of business NPs may be involved in.
    Highlight: 7 Reasons Not to Start a Healthcare Practice
  4. NP Odyssey – In existence since 2009, this blog contains a wealth of valuable information and insight including what it takes to become a nurse practitioner and the challenges NPs frequently encounter. This blog also incorporates articles pertaining to recent headlines in healthcare and how they pertain to NP practice.
    Highlight: New Grad RN and NP Jobs: Spread Your Wings
  5. The NP Mom -Brett Badgley Snodgross is a family nurse practitioner with a passion for pain management and palliative care. She writes informative, easy to read articles related to common concerns she sees in her practice ranging from dieting to hypertension to allergies and beyond.
    Highlight: Weight Loss 101 – The Making of a Healthy Life – WATER!

NURSING STUDENT

  1. A Journey Through Nursing School and Beyond – This blog takes the reader through the entire process of climbing the ladder through nursing education. The author began this blog as a certified nurse assistant, became a LPN, then an RN, and is currently seeking a master’s degree in nursing education. Most entries are brief and include an update on coursework although others offer valuable tips and tricks of the nursing trade.
    Highlight: Test Taking Tips for Nursing School
  2. Adrienne, Student Nurse – Adrienne, RN is passionate about the way nurses and nursing students use social media in their professional lives. Adrienne, Student Nurse is written with the goal of telling the story of being a student nurse in an effort to motivate others to accept the challenge of becoming a nurse.
    Highlight: Charting Lingo
  3. Becoming a RN – Follow Amy on her journey through nursing school through her blog where she recounts her trials, tribulations, and triumphs. This blog includes insight on navigating through the various challenges presented by nursing school and inspires nursing students to prevail.
    Highlight: My Most Effective Study Tool

NURSING CAREER

  1. Digital Doorway – Keith Carlson, RN utilizes his blog, Digital Doorway, to coach nurses so they may feel fulfilled in their nursing careers. One of the most well known bloggers in healthcare, Carlson blogs about career opportunities, social media in healthcare, and burnout prevention.
    Highlight: Is The Nurse’s Glass Half Full?
  2. Innovative Nurse – Kevin Ross, RN is the ‘Innovative Nurse’ behind this blog. Ross writes about numerous areas of career nursing such as time management, salary, mobile apps, networking, and workplace happiness in the healthcare arena.
    Highlight: Why You Need to Take the Phrase “Just A Nurse” Out of Your Vocabulary
  3. International Nurse Support – International Nurse Support provides nurses with the necessary strategies to be confident in their positions while empowering them to climb the profession’s ladder as they progress in their career. This blog is owned by Joyce Fiodembo, however guest bloggers are featured frequently.
    Highlight: Handling the “Write-Up” You Do Not Deserve
  4. Off the Charts – Off the Charts is the online publication of the well renowned American Journal of Nursing. While this blog lacks the personal touch many other blogs convey, Off the Charts presents up to date research data provided in an easy to read format. Various bloggers are often featured on this blog including many other bloggers in this list.
    Highlight: Ebola: A Nurse Epidemiologist Puts the Outbreak in Perspective
  5. The Nursing Site Blog – Kathy Quan, RN, BNS, PHN, has been a nurse for greater than 30 years and utilizes this blog as a means to share her extensive knowledge with fellow nurses. Quan is the author of five books including The Everything New Nurse Book which helps new nurses transition from nursing school to bedside nursing.
    Highlight: Use Common Sense with Social Media
  6. Your Career Nursing – Tina Lanciault, RN helps her readers find their niche in nursing by writing about alternative nursing careers. Your Nursing Career contains articles related to online learning, networking, lifestyles, product reviews, and entrepreneurship.
    Highlight: Nursing Certification

WOMEN’S HEALTH

    1. At Your Cervix – At Your Cervix is written by a newly graduated nurse midwife and nicely portrays the trials and tribulations a new nurse midwife may encounter in practice. The blog contains educational articles that pertain to women’s health as well as commentaries based on the situations she came across over the course of the bloggers first year in practice.
      Highlight: What I Wished I Learned About in School
    2. Mimi Secor – Mimi Secor is an accomplished family nurse practitioner with over 30 years experience in women’s health. Outside of her private practice, Mimi Secor is a public speaker and nurse consultant who prides herself in promoting quality care in women’s health.
      Highlight: STIs in the Aging Population: What? I thought only my teenager could get that!
About the author:
5
Jamie Bond has been a registered nurse since 2002 and returned to the college scene in 2012 to become a Family Nurse Practitioner. She has a passion for all things nursing, especially the care of the at–risk population. Jamie has first hand experience navigating the complicated, multifaceted field of nursing. A married mother of two school-aged sons, Jamie enjoys spending her spare time cheering on her kids at their various activities.
Check out their site for more great nursing information
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Thursday, January 8, 2015

What Can You Do To Stop The Flu #flu #wellness

Simple.......Wash Your Hands!
Stay Home if you are sick...... Please!
The ER is not the place to go if you have the flu! You are just filling up the waiting rooms, exposing others that might be at risk for worsening illness.
The flu is a virus and we all know that viral illness's are miserable but we really can't fix them in the ER. Sorry to say that you just have to suck it up buttercup and move on.
The flu can treated just fine at home, unless you have complications such as pneumonia or worsening problems.
If you have a fever, don't rush to the ER, for Pete's sake take some over the counter medicine and treat your fever. Use your brain!








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Tuesday, December 16, 2014

Anaphylaxis And It's Effects On The Body

Anaphylaxis is an acute allergic reaction that affects the entire body. If you have ever experienced a life threatening allergic reaction to something, you remember how scared you were I am sure. Anaphylaxis is bad, an emergent condition that needs emergency care immediately or the person will die! Call 911! Emergency care providers are trained to care for these type of events. Driving yourself or your family member to the hospital yourself is not smart. You will delay care and possibly cause their death. Wait for EMS! 


The Effects of Anaphylaxis on the Body
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Thursday, December 11, 2014

Interesting........Career Paths for RN's #nursing #RN #careers {infographic}



Interesting information provided from Nursing@Simmons about nurses and career paths. Do you have plans to advance your nursing career, or are you happy at your present level of education? I myself have been seriously contemplating the vision of a MSN eventually. You are never to old to learn or better yourself, it will make a difference in how you feel about yourself and your patient care. 
In the Future of Nursing report External link published by the Institute of Medicine, it is recommended that health care facilities throughout the United States increase the proportion of nurses with a BSN to 80 percent and double the number of nurses with a DNP by the year 2020. Research External link shows that nurses who are prepared at baccalaureate and graduate degree levels are linked to lower readmission rates, shorter lengths of patient stay, and lower mortality rates in health care facilities.
What does the job market look like for RNs who are looking to advance their careers?
We tackle this question in our latest infographic, “Career Paths for RNs,” where we look in-depth at the three higher education paths RNs can choose from to advance their careers — Bachelor of Science in Nursing,Master of Science in Nursing, and Doctor of Nursing Practice.
For each career path, we outline the various in-demand specialties, salaries, and job outlook.

Thank you to Nursing@Simmons and Carly Dell for this great infographic and information. 



Brought to you by Nursing@Simmons: Nursing Career Paths








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Friday, December 5, 2014

Fever, Your Guide To Taking Care Of It At Home #parenting101

Fever, seems to be the most common complaint of parents in the middle of the night as I work my weekender shifts. The children can range from very ill to very playful. Parents can be very well educated and some not so much at all (sad but true). Lots of education needs to be done about fever, parents for some reason just freak out if their child is running a fever......ekkkkkkk.

By all means if your child is not breathing, in distress, having a seizure, blue in color or unconscious --Please call 911!!! Do not try and drive to the ER!

Most often if a child is brought to the Emergency Department for a fever, the parent has really not tried to do anything at home to first bring the fever down. They just drop everything and rush to the ER...OMG!!
Caution: Now if your infant child is less than 90 days old and is running a temperature greater than say 100.5 rectally (yes in the bum bum- rectal is most accurate) or your Peds doctor will tell you a specific temperature to call for. Please attempt to call your doctor first! They want to be called before you rush to the ER!
Infants less than 90 days old with a high fever is a medical emergency, these little ones still have mommas antibodies floating around from birth. They should not have fevers that high. Be prepared if you take an infant that small to the ER with a high fever that he/she will get a full septic work up which may include blood work , catherized urine specimen's(most sterile collection), xray's, lumbar puncture(spinal tap looking for ?meningitis) , IV with antibiotics amoung the most common things ordered by an ED physician.
Even in older children a call to the Peds doctor first can save you stress, time and the very expensive cost of an ER visit. Not to mention the germ exposure to your other family members.

Many cooling methods can be performed before you visit your local ED or even your doctors office.
First of all, give your kids some medication for fever. Acetaminophen (Tylenol) or Ibuprofen (Motrin: if they are over 6 months of age) is made for just that reason, they are fever reducers and pain relievers. You are not going to overdose or kill your child by giving these medications. You can even given them together in appropriate situations, they are metabolized in different areas of the body (kidneys and liver) so it is perfectly ok if your pediatric doctor or the ED doctor tells you to give the medications together for one dose to reduce a high fever, then alternate the medications from then on.

A Fever is the body's defense mechanism for fighting off some kind of process going on, such as viral or bacterial infection. It is ok for your child to have a fever (don't flip out on me now). Fever in the body's natural reaction to a stress reaction going on inside the body. It is trying to fix the problem in its own natural response.

Febrile seizures most often will occur in children that might be prone to these (due to a problem with the temperature thermoregulation). A febrile seizure occur due to a sudden rapid rise in the temperature.
These types of seizures like any seizure activity is scary for us as parents. Keeping your child safe from harming themselves during the event is imperative. Keep the child on their side, away from objects they might hit and do not try and put anything into a seizing child's mouth. Most children outgrow febrile type seizures.

Children can burn up a lot of fluids when they run fever, hydration is important. Don't worry so much about trying to feed them, just make sure they are drinking fluids such as water, electrolyte solutions (Pedialyte/ Ricelyte), coconut water, juices, clear sodas( if that's all they will drink- especially older kids) Popsicles etc.
Avoid dairy products please,unless you want to see the clabbered milk again.....yuck, dairy tends to just make them vomit. I will never forget the time my husband gave my feverish 1yr old daughter a whole bottle of milk just before I got home from working a 12 hour night shift. She proceeded to cover me in hot milk vomit as soon as I tried to pick her up.......lovely it was.

The info-graphic below has some great info about fever, please educate yourself.

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