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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......

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.......... 




Sunday, October 26, 2014

Save Those Ta Ta's and Feel Your Boobies.....Pass It On! #breastcancer #thinkpink #breastfriends


It is October and everything seems to be pink for breast cancer awareness, so why would we not talk about your boobies?  Time to get real girlfriend and save those Ta Ta's! Time to make sure you are doing your monthly breast self exam and doing it right. You have the power to stay ahead of breast cancer!

Early detection will save your life.  Be a breast-friend and buddy up to remind your BFF this month too!


Saturday, October 25, 2014

Be Still My Beating Heart , Look at Your Patient First #screamandshout #cardiacarrhythmia #ECG

Does your heart skip a beat? Palpitate or stop suddenly ( I hope not).....well you might just have some arrhythmia going on. What is an arrhythmia you ask? A fancy word for an abnormal beating of your heart due to some electrical or mechanical abnormality.

If you are a nurse and you are reading this, you may be just as bewildered as I was once about heart arrhythmia's.
I learned to always look at my patient first and formost, know normal sinus rhythm , and then learn from there.
Is your patient pink, warm, dry and talking to you.....then you are ok!
Is the patient moving in the bed? is he scratching his chest? well you might just have some artifact and you almost jumped on your patient and scared the living crap out of him. Look for the simple fixes first unless he is grey, blue, or a nice shade of purple with no pulse.....then you can shout OH Sh@# and get some help......lol
Those crazy monitors are not always right, just because it says he is in Vtach, is he?? maybe, maybe not!
Practice, practice, practice and it comes with time and experience. A few embarrassing moments aside and you will learn, it has happened to all of us, don't let any ER or critical care nurse tell you that they have not been fooled before by a patients cardiac rhythm before, they are lying if they tell you otherwise.

Now what if you are not medically inclined? how do you interpret this chart?  Best thing is to find out what kind of irregular problem you or your loved one has and learn as much about it as you can from your cardiac doctors or credible websites. Knowing all these different cardiac rhythms if you don't need to will just overwhelm you right now. Learning normal is a great way to learn what abnormal is. Start with the normal ECG components at the top and the anatomy of the heart itself, it is a fabulous organ.



Original document is located here http://www.docstoc.com/docs/48034809/Arrhythmia-Recognition



Here are some of the most common Arrhythmia's to remember and be aware of if you are a nurse. Know these first and then work on the harder blocks etc.
I will review those in another post...............until later, have a great day or night!

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