Nursing

Murphy’s Laws of Nursing Leadership & Management

by Nursetopia on October 16, 2014

Oye VeyHeard the phrase “anything that can go wrong, will go wrong”? Yep, Murphy’s Law is prevalent in nursing leadership and management just as it is in other areas of nursing and health care. Here are a few gold-standard Murphy’s Laws for nurse managers and leaders.

1. The day you’ve set aside and diligently blocked from meetings will be the day a stomach virus sweeps through the unit, causing severe short-staffing to the point of needing your clinical assistance for direct patient care. Good job blocking that calendar, and best wishes for “catching up!”

2. Your boss is guaranteed to call you on the one day you leave the office early. And he’ll need some numbers for a report within the hour.

3. The “Can-I-Have-5-Minutes?” conversation will take over your next scheduled meeting – that you lead – and end up with at least three action items to complete.

4. A patient will request to speak with you right as you realize you have yet to empty your bladder during the day.

5. The moment you are fully staffed, at least two team members indicate they need leaves of absence.

6. The probability of Joint Commission showing up for your organization’s unannounced survey increases with the number of days remaining until you leave for your long-awaited vacation.

7. The week after you ask team members to purge storage closets will be the one week of the decade in which something from that storage closet will be requested.

8. Minutes before your budget is due you will remember an ancillary expense that could potentially lead to a major variance.

9. The copy machine will jam and run out of toner as you try to print your presentation for the multidisciplinary board.

10. The candidate you love for the open position will be screened out of the HR system via a glitch, leading to weeks of attempted correction.

Creating these just makes me laugh. Leadership is a trip. In so many great ways.

What other Murphy’s Laws do you have in nursing leadership and management?

 

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Send Nina Pham, RN, A Note of Encouragement

by Nursetopia on October 15, 2014

Ebola is the word of the day, month, year. Honestly, before a few weeks ago, I knew very little about the disease. My, how that has changed.

As a Texas nurse, I’ve thought about healthcare professional colleagues throughout the state often over the last month. I have incredible statewide colleagues. Really. I’ve thought about the Dallas healthcare team as they took care of one of the most high-profile patients of the year. And, I’ve thought about them all as now two of their own – our own – Nina Pham, RN, and a second, yet to be identified nurse, have tested positive for Ebola.

Anyone and everyone who has ever been on the frontlines of care knows how difficult healthcare is under “normal” circumstances. It’s everyday, invisible heroics.

I keep placing myself in the other nurses’ shoes – contemplating potential thoughts and feelings during a shift. What an internal dichotomy. It’s mainly Nina Pham, RN, though, whom I have thought of lately. Reports have indicated she is spending time reading and resting; that sounds nice, for sure. But not in an isolation room that is in the proverbial spotlight of the developed world. What is she thinking? What is she reading? What will life be like after her discharge as she is on the road to recovery? How does it feel to have close colleagues care for her now? What do her day-to-day moments look like? Is she steering clear of the free-flowing media? Does she know so many people are thinking of her?

THR Facebook PostAfter a Facebook update from Texas Health Presbyterian Hospital yesterday, I realized I don’t have to wonder about that last question. I can actually tell her I’m thinking of her via the hospital’s “send an email to a patient” feature. I love that. I absolutely sent her a quick note.

It’s no surprise to regular Nursetopia readers that I am an avid advocate for notes of encouragement. Because I believe there is more good in this world, this seems like a perfect opportunity for the healthcare profession to support Nina.

If you’re thinking of Nina and want to encourage her, stop what you’re doing, and send her a note now. Help brighten her day and her spirits. As soon as the second nurse is named, we can all do the same for her, as well.

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Slowing the Nurse Pace

by Nursetopia on October 7, 2014

I learned the nurse pace from years of working on the unit. It’s about twice as fast as a regular stroll, and it will leave you behind without notice. It is a stride that says “calm” and “let’s go, go, go!” all at the same time. It typically doesn’t alarm others because, relatively, all the nurses are pacing one another; it’s ordinary.

Even after years of being off the floor, I can’t shake the nurse pace. Especially in the mornings, at the early beginnings of my day, if I’m moving, I’m moving; I try not to get frustrated with others, but I absolutely will walk in front of you – not alongside you – if you cannot keep up. Sometimes people even ask what’s the rush. It takes mental strength to slow my pace and try to act cool about it.

I’m not the only one.

Have you ever noticed this about much of our profession? Are we just accustomed to going non-stop that our entire life tempo changes?

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A Great Nurse Changes Everything

by Nursetopia on August 7, 2014

Nothing can replace the amazingness of a great nurse. Nothing.

He steps right in to fill the gaps and seemingly knows exactly what to do.

Even when she is not completely sure what’s going on or has never moved through the work before, she leans back on the nursing process, analyzes the situation, looks for gaps, and pulls resources together to provide care in a timely and empathetic manner.

He makes rough waters calm.

She changes the culture of an environment within moments.

Great nurses are expected. I assure you, though, they do not just happen.

A great nurse changes everything.

 

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Stop and Honor Your Informer Nurse Superhero

by Nursetopia on August 5, 2014

TheInformerShe pulled two siloed departments together to develop efficiencies for patients and the healthcare system. He saw an opportunity to standardize items across providers, reducing inventory and saving finances. She knows there’s a better way to complete that process, and she reaches out to colleagues to hear how others are winning in care. He is the go-to electronic medical record user and can develop any report to make your audit sing in record time. She has a completely different use for social media – one that makes executives want to unblock sites just to see what happens when she starts talking about health care.

These people are one-in-the-same. They are Informer Superheroes, and they save the day all. the. time. What better way to say ‘thank you’ than to nominate your Informer Superhero for Mosby’s fourth annual Superheroes of Nursing Informer category?

The fourth annual Superheroes of Nursing contest seeks to recognize excellence in the nursing industry as a reflection of the type of excellence that Mosby’s Nursing Suite products instill in nurses. Anyone and everyone is invited to nominate nurses who excel at certain aspects of their jobs – patient care, education, standards and regulations, time management and technology innovation. Each of these core qualities are tied to superhero roles, and the categories for the winners – the Protector, Educator, the Informer and the Validator.

The Informer category is currently open for nominations. It closes on August 15th, so nominate your Superhero today!

Nominations are accepted at ElsevierHeroes.com and Mosby’s Suite Facebook page. The four winners will be announced via Facebook in September. The winners will also be honored at the ANCC National Magnet Conference® October 8-10, 2014 in Dallas, Texas.

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Clinical Nurse Leaders, or CNLs, are becoming more and more prevalent within the nursing profession. Rightly so; these colleagues are making waves in the industry, saving lives and money. Here’s a little more about Clinical Nurse Leaders: The Air Traffic Controllers of Patient Care.

 

USF-MSN_ClinicalNurseLeaderInfographic

Disclosure: This article is sponsored by University of San Francisco Online Master of Science in Nursing

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Educator SuperheroShe saved you with just-in-time teaching on that new drain. He swept in and made sure you knew all about the changes in the blood administration policy. She stayed right by your side, ever-so-secretly encouraging you during your first time through the new procedure technique. He printed the evidence synopsis for your practice question and helped roll out the team education so everyone else could see the evidence (and gap) in order to improve patient care.

These people are one-in-the-same. They are Educator Superheroes, and they save the day all. the. time. What better way to say ‘thank you’ than to nominate your Educator Superhero for Mosby’s fourth annual Superheroes of Nursing Educator category?

The fourth annual Superheroes of Nursing contest seeks to recognize excellence in the nursing industry as a reflection of the type of excellence that Mosby’s Nursing Suite products instill in nurses. Anyone and everyone is invited to nominate nurses who excel at certain aspects of their jobs – patient care, education, standards and regulations, time management and technology innovation. Each of these core qualities are tied to superhero roles, and the categories for the winners – the Protector, Educator, the Informer and the Validator.

The Educator category is currently open for nominations. It closes on July 15th, so nominate your Superhero today!

Nominations are accepted at ElsevierHeroes.com and Mosby’s Suite Facebook page. The four winners will be announced via Facebook in September. The winners will also be honored at the ANCC National Magnet Conference® October 8-10, 2014 in Dallas, Texas.

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NursetopiaMashupCroppedI’m forever saving articles, hoarding items in my RSS feed, favoring tweets, and emailing myself with items to look up. I’m never short of reading material, and many times I am overloaded with information that is just collecting electronic dust. This week I cleaned out my inbox and other online warehouses. Here’s some of the eclectic information I reviewed recently:

Am I the only one that does this? Surely not. What great reading is lurking in the electronic piles you keep?

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She rescued you by prepping weekly Joint Commission audits for you. He saved they day and knew exactly what you needed to meet OSHA requirements. She quoted CPT codes and regulations for nursing visits faster than you could say “revenue cycle.” He had every bit of the medication reconciliation policy researched and documented for the practice council meeting. She explained the clinical practice guidelines behind the new procedure technique.

TheValidatorThese people are one-in-the-same. They are Nurse Validator Superheroes, and they save the day all. the. time. They look like rule-followers, and yes, yes they are that (and thank heavens for that!), but they are so, so, so, soooo much more! They are the ones we run to when we need to know what to do and how to do it from a real person – a professional who proves himself or herself on dotting those i’s and crossing all the t’s. And our healthcare system and patient care is all the better because of their awesomeness. What better way to say ‘thank you’ than to nominate your Validator Superhero for Mosby’s fourth annual Superheroes of Nursing Educator category?

The fourth annual Superheroes of Nursing contest seeks to recognize excellence in the nursing industry as a reflection of the type of excellence that Mosby’s Nursing Suite products instill in nurses. Anyone and everyone is invited to nominate nurses who excel at certain aspects of their jobs – patient care, education, standards and regulations, time management and technology innovation. Each of these core qualities are tied to superhero roles, and the categories for the winners – the Protector, Educator, the Informer and the Validator.

The Validator category is currently open for nominations. It closes on June 15th, so nominate your Superhero today!

Nominations are accepted at ElsevierHeroes.com and Mosby’s Suite Facebook page. The four winners will be announced via Facebook in September. The winners will also be honored at the ANCC National Magnet Conference® October 8-10, 2014 in Dallas, Texas.

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Here’s to Nurses [video]

by Nursetopia on May 30, 2014

Elsevier originally created the Here’s to Nurses video to celebrate Nurses Week 2014. Bright and full of crazy stats only nurses won’t find astonishing – I love this video. So even though Nurses Week has come and gone, it’s still a great time to honor the nurses in your life.

Here’s to nurses!!

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