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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......

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.

Thursday, November 27, 2014

Happy Thanksgiving: What I Am Thankful For.... An ER Nurses Version #nurse #ernurse





Nurses are thankful for many things, but they seem to have a strange way of showing there gratitude sometimes. Only another ER nurse that has been in the trenches day after day (or night after night) understands the gratitude shown by another ER nurse. We are an odd breed of nursing creature, we are.
Humor helps us cope with the stress, chaos, drama, unrelenting flood of patients, death and dying, and our own misfortunes too. We have a dark side of humor that most laypeople just don't understand. Believe me, most of the time we are laughing with you and would never wish to hurt your feelings by laughing at your pain or loss. Laughter is a coping mechanism for healthcare providers.
When you hear laughing and joy in the Emergency Department, don't get upset and think the staff is just goofing off, not doing their jobs and have forgotten about you or your loved one.
Laughter is a good thing, it means the nursing staff is able to destress a minute,cope with the situation at hand, and they might be distressing together as a team.
You want your nurse to be happy.

This Thanksgiving I am so very thankful to be a nurse, for listening to my mother when she talked some sense into me at age 16. I wanted to be a veterinarian, but I don't do well taking care of sick animals (makes me cry) lol. So she suggested nursing instead since I was already working as a junior volunteer at a local hospital. Since 1979, I have loved being in the healthcare field, very thankful for such great nurses that took the time to show me their tips and actually believe in me.

Here is a list of other things that ER nurses can be thankful for:

  • Great co-workers, nurses, nurses assistants and ancillary staff all included- we all work together for the common goal. 
  • When you actually have a great manager that listens to you, believes in you, and is fair all around, not unwilling to roll up his/her sleeves and work along side their staff to get the job done.
  • Educators that educate, consistently making sure staff is up to date on certifications, new policies, new procedures etc. Not just making pretty bulletin boards (pet peeve), also willing to work in staffing when needed.
  • Equipment that works
  • EKG machines that print clear readings on the first try
  • A well stocked supply room (yes I am reaching here)
  • Benefit plan that fits your family needs -- they are not all perfect, but at least we have them
  • No Psych pts on your shift...lol
  • Sober patients are always nice
  • Nice big juicy veins- and the ability to hit your iv on the first stick all day
  • QBT---quality butt time....lol when we have an unusual night
  • Laughter with great friends
I can think of so many more things to wish for, but that might be another blog post.....
Tell me what your most thankful things are about being a nurse, I would love to hear them. 






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This Thanksgiving What I am UnThankful For....ER Nurse Version



Working in the ER changes you as a nurse, sadly the chaos, tragedy, stress and constant living on the edge carves away at your inner being. Many nurses working in this environment for many years become cynical, hardened, and pretty much burnt to a crisp. These nurses begin to think about other fields of work to try, but learn that they are used to a certain lifestyle and pay. Without going back to school or changing professions completely they feel stuck in a dead end job.
They also make their co-workers around them miserable, the team player is no more. Vocal and verbally negative, they complain constantly about everything from their own health to their patients (the very patients that they are there to care for).
Working with a "negative Nancy or Ned" is one of my most "unthankful" things, it drains me and makes me sad.
If you are that unhappy with your job, you need to find a new one ...fast.
I come to work in a great mood, happy to have a job and after many years still love my job. Yes some days are more stressful than others, but all in all the patient is why we are there to work. Whether it is a negative nurse, doctor, or even part of the ancillary staff, that person can pull everyone down and make the work environment unhealthy emotionally for everybody, then the patients ultimately suffer.

Here is a list of Un-Thankful things:

  • Negative Nellies (or Neds) - get your head out of your butt
  • Uncooperative staff (that complain about every new change- even if it is good)
  • Co-workers that consistently call in sick (and you know your health is worse than theirs)
  • Constant complainers- something is always wrong with them- always sick or have a problem
  • Nurse Bullies (Horizontal Violence) - nobody has time for that 
  • Gossipers (mind your own business and let me do my job)
  • Nosey Nosela's -- we all seem to have one or two that need to know it all (and tell it all)
  • Superheros that know it all (but really don't) these nurses scare me- nobody knows it all
  • Loners-- those that will not ask for help ( it is ok now to ask for help!)
I will stop there, I think you get the drift......lol , you all know what I am talking about if you are a nurse. 


Working in an environment such as the ER does not have to change you into such a cynical burnt out cinder. You are the key to your own happiness, accept gratitude for your career as a caregiver in such a fast paced role. Embrace your own wellness and take care of you, that is the most important thing you can do for your patients and coworkers. 
New nurses and nursing students, the time is now for you to be the change. One nurse at a time, one day at a time we can change the face of negative nursing environments and un-thankful lists. Happy, healthy nurses create a patient that is on the road to wellness. 

Stay tuned for my Most Thankful ER Nurse list ,coming up tomorrow.......... 




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