Nursing

[Free, Printable Card] B positive: Compatible with Monday

by Nursetopia on September 12, 2016

Have a great Monday!

b_positive_nursetopia

You can download this card here and share some Monday love.

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A BSN Pinning Speech: Reflecting on Sacred Work

by Nursetopia on September 5, 2016

In honor of Labor Day, I was reflecting on my work and callings. As tiring as work can be at times, I cannot ever escape the sacredness of my work. A few months ago I was honored to speak at a colleague’s BSN Pinning Ceremony – Texas A&M University – Central Texas’s first RN-BSN pinning. What a humbling moment! Full of tradition, even after more than a decade since my own pinning, these ceremonies still evoke strong feelings and often a few tears. So what did I muster up to say to these already-nurses who had just completed their baccalaureates in nursing? Much of what I continuously reflect upon as “work.”

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Thank you so much. It is my distinct privilege to join you today for this momentous occasion. What an accomplishment. I’ve held by baccalaureate in nursing for 13 years now, and I still remember my pinning like it was yesterday. I remember the joy of upcoming graduation, the relief of completed coursework, the hopefulness of the future of my nursing career, and the anticipation of sleep. Lots of sleep. I do know what you’re feeling right now.

There is a major difference in my pinning 13 years ago, though, and your pinning today. You see, I wasn’t a registered nurse yet when I received my baccalaureate nursing pin. Each of you already hold your nursing license. Unlike me at the time, I thought I knew what I was getting myself into – being a nurse and all. I had no idea, really. When theory and precepted clinical rotations turn into autonomous nursing care and work, well, it’s something our distinguished faculty try their very best to prepare us for, but to fully understand it all, you have to live it.

And you have lived it. And you continue to do so. Some of you likely worked in the last 24 hours or are planning to in the next 24 hours. Because you’re nurses; you’re amazing like that. Multiple times every day, one simple phrase rings among millions of strangers…”I’m your nurse.” It seems simple enough, but those words hold power. Enveloped in three syllables is a promise. Even when it means “I’m the only one who can take this assignment right now,” or “Only eight more hours between me and the weekend,” it’s still a promise. A promise to analyze, problem-solve, prioritize, advocate, listen, encourage, treat, empathize, support, facilitate, and educate. It’s the ultimate confidentiality agreement leading to the beginning of an immediately intimate relationship. Very few statements match its power, and you hold it.

But you have previously held and wielded that phrase, serving as part of the longest-running, most trusted profession – nursing. So what does today change? What does earning you baccalaureate of science in nursing, your BSN degree, mean? What does it mean to your patients, workplace, community, public health, your discipline, to yourself? What does it mean?

According to the American Association of Colleges of Nursing, “Baccalaureate nursing programs encompass all of the course work taught in associate degree and diploma programs plus a more in-depth treatment of the physical and social sciences, nursing research, public and community health, nursing management, and the humanities. The additional course work enhances the student’s professional development, prepares the new nurse for a broader scope of practice, and provides the nurse with a better understanding of the cultural, political, economic, and social issues that affect patients and influence health care delivery. Throughout the last decade, policymakers and practice leaders have recognized that education makes a difference.” In 2010, the Robert Wood Johnson Foundation published a landmark report, The Future of Nursing, in which they detailed the U.S’s need to exponentially increase the number of BSN nurses to rapidly transform healthcare. But why? Because BSN nurses see things differently thanks to our broadened education, and it takes a better view to transform the one we have now of healthcare. With over 3.4 million nurses – by far the largest healthcare workforce in the U.S. – we are everywhere, which is a great thing because everywhere needs you. Whether it’s your neighborhood, church, school, Capitol Hill, the bedside or chairside, the boardroom, Industry, community groups…the nursing process will not fail you. Transform your world. You were prepared for this. Tonight is an indication of that.

I’d like to encourage you in two ways:

First, never stop learning. Now is as good a time as any to add that the Robert Wood Johnson Foundation Future of Nursing report also indicates the need to double the number of masters- and doctorally-prepared nurses. Relish today, yes, but know this is not the end. This is the beginning of your education. Yes, you can catch up on your sleep a bit first. My favorite nursing theorist is Hildegard Peplau. Yes, I have a favorite nursing theorist; if you don’t have a favorite nursing theorist, you should find one. It will help you realize that you’re in some pretty amazing company within the nursing profession. Peplau was the first nursing theorist to publish after Florence Nightingale, almost 100 years after Nightingale. 100 years! That’s a long time. Peplau was a staunch advocate for mental health care…and for nursing as a profession, with formal education. Her conceptual framework, Interpersonal Relations in Nursing, was finished in 1948, but it wasn’t published until 1952 because it was considered too revolutionary at the time for a nurse to publish without a physician co-author. At the age of 78, she said the following evergreen words that continuously spur me on in my own career: “Somewhere, somehow, at some time in the past, courageous nurses determined these skills, learned them, fought for the right to use them and taught them to other nurses. All nurses have an obligation to remember that part of nursing’s past and to keep their own skills in pace with new opportunities for nursing into the next century.” Never stop learning.

Second, never stop loving people. Yes, I said love. We rarely use that word in healthcare or in leadership; rather, we use words like “compassion.” That’s all over nursing. “Compassion” in its Latin form literally means “to love together with.” It gives rise to other concepts – empathy and altruism – that we also tout throughout nursing. But love of people undergirds it all. Nursing is a service discipline; you will never find a nursing role that does not focus on people. It is the very fiber of who we are.

Now, being nurses already, you know that people-work is hard-work. People! They are the very worst and the very best part of our care and work. They will drive you crazy; challenge your patience; make you cry hot, angry tears; and wish you never went into nursing. They will also trust you implicitly; soften your heart; teach you how to live; thank you for preserving their dignity; make you cry sweet, humble tears; and make you thankful for the care you get to provide every day. And that’s just one day! In all seriousness, loving people is the essence of care, and you have to take care of yourself in order to take care of everyone around you. People always talk about the impact nurses make on them, but we rarely discuss the fingerprints our patients make on us. We’re all shaped by them…incredibly genuine, broken, angry, joyful, amazing people.

Never stop learning. Never stop loving people. The nursing pins you’re receiving tonight are symbols of both – education and people – in many ways. Wear it with pride, and remember your past, ongoing, and future education as well as the people who have and continue to shape you in addition to the people you daily touch.

Never stop learning. Never stop loving people. Congratulations on this momentous milestone. Relish these feelings at this very moment; take note of them; remember them often to spur you on in transformative work. You are the future the Robert Wood Johnson Foundation report described. What a bright future you are! Thank you for this privilege; I am proud to call you colleagues!

4042125683_b7f25bbd67_o “Care” by Toshihiro Oimatsu, Flickr.com

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[Book Review] One in a Billion

by Nursetopia on August 18, 2016

OneInABillionOne in a Billion: The Story of Nic Volker and the Dawn of Genomic Medicine, authored by Mark Johnson and Kathleen Gallagher, is a true story of a boy with a never-before discovered disease after the finished Human Genome Project, leaving cardiac physiologists an opportunity to map the boy’s genome for sequence errors. In the writing vein of The Immortal Life of Henrietta Lacksit reads more like fiction and will keep your attention through the end.

I devoured this book in about six hours. It is masterfully written, includes brilliant views of science and medicine and patient/family perspectives, displays a prime example of Moore’s Law (of economics and rapidly developing technology), and is thought-provoking regarding ethics surrounding entire genome sequencing. It is enthralling at times like a mystery and heart-tugging to read of a mother’s unwavering love and advocacy of her son with the only recorded instance of the disease. I particularly loved how the mom’s Caring Bridge journal entries were woven throughout the story to give patient/family perspective alongside medical discussions.

With the ever-increasing need for nurses and all healthcare professionals to understand genetics and genomics, this is a lovely educational book that is also easy to pack for a weekend beach vacation. It really is that good!

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Healthcare Olympians: Experts Make it Look Easy

by Nursetopia on August 16, 2016

2407819953_40e22d8d97_o via nghiem vo, Flickr.com

The Olympics captivate me. I watch the screen in utter amazement as a pole vaulter launches 18+ feet in the air, people run 400 meters (once around the track) in under 50 seconds, seemingly-stationary rowers slice through the water at lightening speed, gymnasts tumble in dizzying patterns of flexibility and speed and power.

These athletes remind me a lot of healthcare professionals. Because they both make their work/care look easy. My specialty is leadership and clinical background is oncology, but I entered into the world of cardiovascular services administration this year. While I may not be a critical care expert, I am still a nurse and can understand some of what’s happening all around me as I keep budgets and processes and teams together. I never grow tired of watching these team members, though, because I am constantly thinking, “They make this look so easy.” It’s true. Watching a STEMI case from the control panel looks like a smooth, well-orchestrated, planned event. That’s because there are rock-star clinicians in the room who have worked their careers for the adrenaline-filled, life-saving moment. Similarly in the clinical area I am most familiar with, seeing nurses hang high-risk cytotoxic drugs all day long while providing unparalleled emotional support is astounding. It’s incredible to watch. Just like the Olympics.

How amazing that we get to call this our profession! We don’t wait four years to see this amazing work. We see it constantly each and every day, and it happens all throughout our nation and world. What heroes we have among us!

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A Taste of Excellence

by Nursetopia on August 14, 2016

TasteOfExcellence

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Does ‘Chance’ Favor You?

by Nursetopia on August 13, 2016

ThePreparedMind

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Heroic Hearts and PopcornI had the great pleasure of attending the 41st Oncology Nursing Society Congress, in beautiful San Antonio, Texas, last week. I always walk away from that conference feeling refreshed and renewed in my love of my nursing specialty. This year a new event – a film premiere, actually – added to the special moments of the Congress, honoring the very nurses who make the specialty great. The film Heroic Hearts was developed by TESARO, an oncology-focused biopharmaceutical company, to honor and recognize the critical role nurses play in oncology health care. Heroic Hearts featured three oncology nurses, highlighting moments of their work and care. One of the featured nurses, Sandy Black, RN, OCN, CNLC, was at the conference and film premiere; after the movie, I had a chance to talk more with her (after waiting a while because she had a clutch of viewers and colleagues gathered around her…yes, she is a very real celebrity now to oncology nurses!). Understandably, she said it was a little surreal seeing herself on the silver screen, and she was honored to be able to share insights into oncology nursing – something all viewers could easily relate to and celebrate.

The premiere was complete with Hollywood spotlights, popcorn, and of course – a massive movie screen. What was so great about Heroic Hearts is that in addition to the three featured nurses, participating conference attendees joined in on a red carpet activity days prior to the premiere, completing interviews that were edited and included in the film. Super cool. I laughed. I shed a few tears. I applauded with pride in my profession. I wasn’t the only one; everyone around me had a good time.

Heroic Hearts MovieWe do great work as oncology nurses, and it was refreshing to celebrate you…me…us in such a relaxing and inspirational way. This movie could easily be a fun way to celebrate Oncology Nursing Month all throughout May or Nurses Week May 6-12. Just don’t forget the popcorn. Or the tissues. Thank you, TESARO, for honoring us.

FTC Disclosure: I received remuneration for my post about Heroic Hearts. My opinions here and throughout my social media channels are my own.

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We all go through moments in life when we’re pretty sure we want the next step, the promotion, the additional responsibility, the praise. Whatever that thing is, we all experience it in some way over the course of a career. We think we know what’s next, and we run after it with everything within us.

And then we don’t get it.

We miss the mark, the promotion goes to a colleague, the praise is deferred, the next step is no longer in sight. It’s a rough spot when you’re living it; a crazy number of emotions flood into your life and work, and if you’re not careful, they can sweep you away into drowning, turbulent waters.

Sometimes, though, what we think we want isn’t actually what we want, and life does us a favor, or as I view it…God orders our steps along a much different path that perhaps shades us from the scorching sun we may not have even anticipated. It’s only in retrospect, however, that we can see the saving, the “oh my goodness…I’m so glad I missed all that” moment. I’m humming Garth Brooks’s Unanswered Prayers right now.

I think about this frequently as I move forward in my career because as I look back on my career, I can now easily see how my work and passions have shifted and how things would have or could have been dramatically different if I had chosen other paths or other work. For example, and I’ve written about this a few times, when I first became a nurse, I thought I was going to work in labor and delivery; it was only through a series of events that I became an oncology nurse, a nursing specialty that I now love deeply. I’m so thankful that what I thought was a tragedy at the time happened; I am who I am because of it.

And because of those past experiences, I am able to find the beauty in missing moments I thought I really wanted. And I move on, focusing on what is right around me…because there is always opportunity for improvement right in front of us if we look for it. It’s in those moments of working diligently to build the next steps for others around us that typically our next steps appear.

There’s an ironic beauty in it all.

Have you ever been through these unanswered prayers experiences? If so, how did you move forward when you were living those moments?

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I walk anywhere from three to four miles each day while at work. I normally have two pair of shoes for the day – heels and flats. I wear the heels to meetings and rounding in between meetings. The flats typically help me out later in the afternoon or when I know I’ll be criss-crossing the hospital campus all day. Trust me, four miles in high heels is an occupational hazard that initially left me looking like I was being tortured late in the day, barely able to walk.

Naturalizer @Work Venue Naturalizer @Work Venue

Shoe shopping is essential for me. I’m always on the lookout for versatile, professional, comfortable heels. They’re like unicorns. So, I was thrilled to learn about Naturalizer‘s @Work collection. The Venue caught my eye; it’s a 3″ heel high enough to go well with many of my work slacks, and it actually looks like a shoe I would wear with a Mary Jane-style strap. I went for the Venue in black, but it’s also available in a lovely navy blue. It’s great for healthcare walking as the luxe suede sock is antimicrobial, the bottom of the shoe is slip resistant, and cushioning and padding make the shoe all-day-wearable. It’s easy for these to become go-to shoes!

FTC Disclosure: I received complimentary @Work Venue shoes from Naturlizer. My opinions here and throughout my social media channels are my own.

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thanksSaying thank you to patients is fun. I love doing it. It’s a good thing I enjoy it – because it’s a necessity in healthcare today. Our patients are consumers; they have choices in their care, and they should be thanked for their business…yes, even if their business pays less or not at all – because one day it might or their word of mouth advertising may lead to one (or many) who might. In addition, saying thank you is considered a “must” in regards to patient satisfaction scores – HCAHPS and CGCAHPS. Perhaps your health system utilizes the AIDET principle? The “T” in that sweet-power-packed communication acronym is…you guessed it…thank you. And beyond the business and patient satisfaction score aspects, saying “please” and “thank you” is simply good manners, no matter if you’re blessed to live in a southern state or not.

When I thank patients or family members, more often than not, I express my gratitude with the following sentence: Thank you for allowing us to care for you. Somewhere the conversation may also include, It’s been our pleasure to serve you. 

Not only do theses comments express gratitude, but they also remind everyone around – including myself – of the service we’ve provided – our care. It’s a lovely note to end any conversation of thanks.

Do you tell patients and families thank you after caring for them? If so, how do you most often say it?

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