Block 2

Amanda Anderson, RN, BSN, CCRN, a native-Buffalonian-turned-New-Yorker, is celebrating her 6th Birthday as a MICU nurse this June. She’s currently shooting for two master’s degrees from Hunter Bellevue’s award-winning nursing school, writing with students and for herself, and dodging yellow cabs while speeding around the city on her little bike. Follow her musings here, via @12hourRN, and on her blog www.thisnursewonders.wordpress.com.

Each morning, I wake up running. A million thoughts, a million tasks; I usually get distracted in the middle of making a pot of coffee. Instagram, Facebook, NYTimes, Twitter. The last thing I can do is sit with my laptop to write. The voice of my story is buried – deep within a long list of thoughts, assignments and e-mails.

But some mornings, if I push past it all and glue myself
down, my story is there, singing its way into existence. Pieces of it, lines of it, waves of text and feeling and thought. Past the distraction of the newspaper landing on my doorstep, the plants asking me for water, last night’s dishes crowding the sink.

This morning, I’m following the fleeting voice of my story like Alice, running through Wonderland in search of that crazy cat. I’ve managed to get the coffee brewing, I’ve warded off my internet addiction for a moment, and here I am.

I’m thinking about a woman I met with yesterday, a grad student and professional nurse. This woman is much older than I, has a family, and a well-established nursing career here in New York. She is studying in a graduate program at Hunter, and our paths crossed last night because, for professional experience and a small pittance, I help graduate students write papers. Despite moderately solid writing, this student’s latest paper happened to garner extra attention from her professor. For plagiarism.

Health, Media Engagement

Nurses Respond to Educate Family Nurse Practitioners in Haiti

May 9, 2013

author: Editorial Staff

1 Comment

This post was written by Jennifer De Jesus a student in the Macaulay Honors College at Hunter and an avid movie watcher. She is also an employee of the Health Professions Education Center, which has one of the largest collection of health films in the New York City area.

photocredit: Promoting Health in Haiti

It has been three years and three days since the tragic 7.0 earthquake in Haiti claimed the lives of an estimated 316,000, injured 300,000 and left an overwhelming 1,000,000 homeless. The devastation only seemed to continue, as days and weeks following the earthquake only revealed an even more alarming and frightening reality.

Easily lost behind the constant coverage of the earthquake’s impact was one event that has shaped the lives of thousands of Haitians and is undermining great efforts to rebuild the country. Frontline’s “Battle for Haiti” focuses on the criminals that escaped Haiti’s National Penitentiary the night of the earthquake. The majority of these criminals were gang bosses and kidnappers, which were only jailed in the first place by an all-out military onslaught by the Haitian police and armed United Nations peacekeepers between 2004-2007. Now dispersed throughout Haiti, these criminals are once again creating an atmosphere of fear and violence in an already extremely difficult environment.

HealthCetera

A Nurse’s First Death: Remembering James

May 8, 2013

author: Editorial Staff

0 Comments

This guest post was written by Karen Hardin, MSN, RN, NE-BC, CNE, the director of the bachelor of science in nursing programs at Marian University, Indianapolis, IN. In 2012 she attended Telling Stories, Discovering Voice: A Writing Weekend for Nurses, offered by the CHMP’s program in Narrative Writing for Health Care Professionals.

Forty years ago this summer I graduated from a diploma nursing program at a large city hospital. I agreed to stay on as a nurse and was assigned to the female surgical unit. I was pulled, on my first day, to the male unit across the hall, which became my home for the next three years. I progressed from new graduate to charge nurse to head nurse within a year. Now, that hospital is moving to a state-of-the art facility, and that move, along with my 40th anniversary, have put me in mind of 1973, a year of many firsts for me: first job, first paycheck, first white uniform, first patient death.

First death: I knew James (not his real name) for only the last hour of his life. I’ve never forgotten him or the events of that day.

The day started with morning report from the night-shift charge nurse, Mac. We all called each other by last name, but we called her Mac. She sat at the head of the table in the nurses’ station at 7 AM. I, the only RN at the table, sat next to her. She’d started working there the year I was born.

Immediately after assignments were posted, I made my first set of rounds. James was in the second bed by the window in 16B, one of two four-bed rooms. He had been in the ICU until the night before. I took the clipboard from the foot of the bed and looked through his records: temperature, pulse, blood pressure, intake, and output. I introduced myself as the day-shift charge nurse. I did a quick head to toe. I checked his nasal canal. I checked the IV rate, solution, and site. I made sure that his abdominal dressing was dry and intact, his pedal pulses were present, and he was alert and oriented times three. I assessed the other three patients in the room and as I left, James asked me, “What do they call you around here, Little Mac?”

Policy

Nursing Student Calls For Interprofessional Collaboration

May 8, 2013

author: Editorial Staff

0 Comments

This is a reposted from Primary Care Progress. CHMP and Primary Care Progress are celebrating Nurses Week together modeling collaboration and team. That’s the way we like it!

Shocked by a tense interaction she witnessed between a nurse and a resident, this nursing student saw the urgent need for nursing and medical students to learn to work together and communicate with each other.

By Karrah Hurd

After six weeks in the accelerated bachelor of science in nursing program at the University of Rochester, I was already on clinical rotations in the hospital. I was learning clinical functions that my second-year medical school friends had no idea how to perform: catheterizations, wound dressing changes, how to calculate and administer medications. There’s just not enough time in the first two years.

On the other hand, in the nursing program, our heavy clinical schedule doesn’t provide us much time to perfect writing SOAP notes (or subjective/objective assessment and plan), for example, which medical students practice every day. It was clear that we were each acquiring distinct knowledge and skills that we could share with each other — if given the chance.

I was living with several medical students, so we had what I learned would be a rare opportunity to share our knowledge with each other. I taught them how to administer different medications for their voluntary flu clinics and calculate medications. They taught me how to write an awesome SOAP note, how to perform more specific subjective and objective assessments, and ways to remember complex pathology and physiology concepts. Working together, we learned from each other and came to appreciate the unique skills that each of us could bring to patient care. However, I quickly learned that this type of cooperation didn’t always carry over to the hospital.

Health, Media Engagement, Policy

A Case For Interprofessional Exchange In Family Medicine

May 7, 2013

author: Editorial Staff

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This is a repost from today’s Primary Care Progress. HealthCetera and Primary Care Progress are modeling that interprofessional exchange matters to advance the public’s health. We’re celebrating Nurses Week together.

The IOM’s 2010 report The Future of Nursing: Leading Change, Advancing Health called for “nurses [to] be full partners, with physicians and other health care professionals, in redesigning health care in the United States.” We need a culture of collaboration and interprofessionalism in education and practice. Here, an R.N. makes the case for interprofessionalism in family medicine in this post that originally ran in 2012 on STFM’s blog.

By Courtney Kasun, R.N., M.N.Sc.

One year ago, I began teaching in an interprofessional student clinic. The student clinic itself had been around for decades, staffed by students in our family medicine clerkship. However, after a recent campus-wide push for more interprofessional education across health care disciplines, we began adding nursing and pharmacy students to our clinic and having all the students see patients as an interprofessional team.

HealthCetera

Nursing Is Storytelling

May 7, 2013

author: Editorial Staff

3 Comments

This guest post is by nurse Amy

Health, Policy

The future of nursing in primary care. An interview with Virginia P. Tilden, PhD RN FAAN

May 6, 2013

author: Editorial Staff

1 Comment

This is a repost from Primary Care Progress and the first of our celebrating Nurses Week 2013.

photocredit: Primary Care Progress

The future of nursing in primary care
An interview with Virginia P. Tilden, Ph.D., R.N., F.A.A.N.
By Sonya Collins

Thank you for giving us an interview for National Nurses Week.

I’m very pleased to know that PCP is honoring National Nurses Week. And I hope in the future that it’s joined by a Team-Based Care Week that is all about doing the right thing for patients.

I love that idea. And how do you see the role of nurses in primary care evolving in the coming years? How do you see this role in ten years?

I see nurses in both staff and provider positions having a vital and expanding role and a responsibility for reinventing primary care now and in the years ahead.

In the staff role in traditional primary care practices, the RN typically does patient triage, telephone advice, and prescription management, sometimes including case management and chronic care management. Overall job satisfaction in this role typically is low, and burnout and turnover are high, such that medical assistants have tended to step into this staff role.

However, important reinvention of the RN staff role is happening now with exciting results. A recent ABIM Foundation study of innovative primary care practices found many RNs playing a different role. Care in these practices is typically team-based with RNs working at the top of their licenses as care coordinators, case managers, and systems specialists, resulting in much better patient care and higher morale for everyone, including physicians.