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NURSING PERSPECTIVE: WHY I WORK IN CORRECTIONS The same personality types work well in both settings. Corrections nursing involves phenomenal nursing autonomy and uses many of the skills I honed in the ER: quick triage. multitasking. sorting out who is lying from who is sick. knowing which assessments are the mostimportant for
ESSENTIALS FOR NEW CLINICAL NURSING INSTRUCTORS Essentials for New Clinical Nursing Instructors, Especially Adjuncts. There are many things it’s helpful to know when you start work as a clinical instructor—and you might not get a lot of orientation first. By Maureen Shawn Kennedy, AJN editor-in-chief. “So you’ve accepted the contract for your first part-time clinical teaching TELLING PATIENTS ABOUT STAFFING LEVELS: TRANSPARENCY OR The situation above is an ethical conundrum because values are in conflict. On one hand, transparency is good and patients have a right to know about administrative factors affecting their care. On the other hand, care should stay focused on a patient’s problems, not the nurse’s. As the article excerpt above suggests, nurse staffingis a
PARTING THOUGHTS: 10 LESSONS LEARNED FROM FLORENCE Nightingale said, “Deed, not creed.”. 9. Don’t blame others for how things are, if you are not willing to change them yourself. Or at least solicit help from others to make needed changes. 10. Keep your standards high. Lack of time, fatigue, and ambivalence all HEALTH CARE WORK AND HYPOCHONDRIA: WHEN KNOWLEDGE EQUALS Hypochondria can also lead to multiple visits to the doctor and unnecessary tests and procedures, all of which tax our health care system greatly. So now, years later and working at AJN and recognizing that my health anxiety is still lingering, I decided to do something about it. While many classes focus on anxiety, the one I decided totake
PREVENTING VIOLENCE AGAINST NURSES Preventing Violence Against Nurses. When I graduated from nursing school, my first job was as an ED nurse at Bellevue Hospital in New York City. We’re talking about the 1970s, when drugs were plentiful and plenty of young people used them, especially hallucinogenic drugs like LSD and mescaline. Many times these patients were violent because NURSES RECONSIDER ACCEPTED WISDOM ABOUT TRANSFUSION Most of us have had the unhappy experience of replacing a patient’s perfectly good IV with a 19- or 20-gauge catheter in preparation fortransfusion.
CASE OF NURSE CHARGED WITH HOMICIDE FOR MEDICATION ERROR Every nurse’s nightmare. On February 1, Radonda Leanne Vaught, a former nurse at Vanderbilt University Medical Center in Nashville, was indicted and arrested for impaired adult abuse and reckless homicide. She is accused of inadvertently administering the wrong medication and causing a patient’s death in an incident in late 2017. WHAT'S A PRECEPTOR'S DUTY WHEN A NEW NURSE DOESN'T FIT THE Despite the challenges, it is inspiring to play an integral role in someone’s growth. I experience pride and joy watching my preceptees evolve from nervous trainees to skilled and compassionate novice nurses. While I am always seeking to build up the new graduate nurse I’m precepting, the ultimate goal is always patient safety. WHAT CAN NURSES DO TO INFLUENCE HEALTH IN The Nurses on Boards Coalition is an organization that highlights the importance of nurses serving in decision-making processes in our communities in order to improve health. The coalition’s goal is to have 10,000 nurses newly involved on community boards and in governance roles by 2020. Currently there are 5,338 nurses reported onboards
NURSING PERSPECTIVE: WHY I WORK IN CORRECTIONS The same personality types work well in both settings. Corrections nursing involves phenomenal nursing autonomy and uses many of the skills I honed in the ER: quick triage. multitasking. sorting out who is lying from who is sick. knowing which assessments are the mostimportant for
ESSENTIALS FOR NEW CLINICAL NURSING INSTRUCTORS Essentials for New Clinical Nursing Instructors, Especially Adjuncts. There are many things it’s helpful to know when you start work as a clinical instructor—and you might not get a lot of orientation first. By Maureen Shawn Kennedy, AJN editor-in-chief. “So you’ve accepted the contract for your first part-time clinical teaching TELLING PATIENTS ABOUT STAFFING LEVELS: TRANSPARENCY OR The situation above is an ethical conundrum because values are in conflict. On one hand, transparency is good and patients have a right to know about administrative factors affecting their care. On the other hand, care should stay focused on a patient’s problems, not the nurse’s. As the article excerpt above suggests, nurse staffingis a
PARTING THOUGHTS: 10 LESSONS LEARNED FROM FLORENCE Nightingale said, “Deed, not creed.”. 9. Don’t blame others for how things are, if you are not willing to change them yourself. Or at least solicit help from others to make needed changes. 10. Keep your standards high. Lack of time, fatigue, and ambivalence all HEALTH CARE WORK AND HYPOCHONDRIA: WHEN KNOWLEDGE EQUALS Hypochondria can also lead to multiple visits to the doctor and unnecessary tests and procedures, all of which tax our health care system greatly. So now, years later and working at AJN and recognizing that my health anxiety is still lingering, I decided to do something about it. While many classes focus on anxiety, the one I decided totake
PREVENTING VIOLENCE AGAINST NURSES Preventing Violence Against Nurses. When I graduated from nursing school, my first job was as an ED nurse at Bellevue Hospital in New York City. We’re talking about the 1970s, when drugs were plentiful and plenty of young people used them, especially hallucinogenic drugs like LSD and mescaline. Many times these patients were violent because NURSES RECONSIDER ACCEPTED WISDOM ABOUT TRANSFUSION Most of us have had the unhappy experience of replacing a patient’s perfectly good IV with a 19- or 20-gauge catheter in preparation fortransfusion.
CASE OF NURSE CHARGED WITH HOMICIDE FOR MEDICATION ERROR Every nurse’s nightmare. On February 1, Radonda Leanne Vaught, a former nurse at Vanderbilt University Medical Center in Nashville, was indicted and arrested for impaired adult abuse and reckless homicide. She is accused of inadvertently administering the wrong medication and causing a patient’s death in an incident in late 2017. WHAT'S A PRECEPTOR'S DUTY WHEN A NEW NURSE DOESN'T FIT THE Despite the challenges, it is inspiring to play an integral role in someone’s growth. I experience pride and joy watching my preceptees evolve from nervous trainees to skilled and compassionate novice nurses. While I am always seeking to build up the new graduate nurse I’m precepting, the ultimate goal is always patient safety. ACCEPTING PATIENTS' END-OF-LIFE DECISIONS CAN BE HARD AJN When it comes to end-of-life decisions, it may be hard for a nurse to accept to support only what the patient wants, but it’s also vitallyimportant.
END OF LIFE ARCHIVES Clara Barton 2016: From Civil War to the Red Cross to Today SUMMERTIME: REST, RELAX, AND WRITE AJN OFF THE CHARTS BLOG With summer stretching ahead, I hope many nurses will take some well-deserved time off—rejuvenating bodies and spirits, processing emotions that were put aside, and reflecting on the long and difficultpast year.
PARTING THOUGHTS: 10 LESSONS LEARNED FROM FLORENCE Nightingale said, “Deed, not creed.”. 9. Don’t blame others for how things are, if you are not willing to change them yourself. Or at least solicit help from others to make needed changes. 10. Keep your standards high. Lack of time, fatigue, and ambivalence all DRILLING INTO BONE: A NURSE’S GUIDE TO INTRAOSSEOUS Drilling into Bone: A Nurse’s Guide to Intraosseous Vascular Access. By Sylvia Foley, AJN senior editor. An example of a manual pediatric intraosseous needle insertion. Reprinted with permission from King C, et al. Textbook of Pediatric Emergency Procedures. 2nd ed. Philadelphia: Lippincott Williams and Wilkins; 2007. 'MEANINGFUL USE': WHAT’S IT ALL ABOUT, AND WHY SHOULD These new “meaningful use” rules are at the epicenter of “the how.”. What’s important for any nurse right now is that you find out what your organization is doing to develop EHRs and make sure nursing’s voice is represented in this process. We need to be part of the design in order to make it meaningful for use at the point ofcare.
PRESERVING INTEGRITY AND STAYING POWER AS A NURSE IN A Preserving Integrity and Staying Power as a Nurse in a Pandemic. We are in unprecedented times—uncertainty and fear are ever present and nurses are being called to serve others in ways that challenge our appraisal of benefit to our patients and risk to our families’ health and well-being. Many of us are experiencing varying degrees ofmoral
CHANGING CAREERS ARCHIVES Clara Barton 2016: From Civil War to the Red Cross to Today HELPING NEW NURSES FIND THEIR WAY: THE ART OF SAYING YES AJN’s Transition to Practice column is designed to help new nurses in their first year at the bedside. In this month’s column, “The Art of Saying Yes,” Amanda Anderson explains how as a new nurse she learned the benefits (to herself and her patients) of going the extra mile at work.She describes the surprising personal and professional benefits that come from “the times you choose to WHAT'S A PRECEPTOR'S DUTY WHEN A NEW NURSE DOESN'T FIT THE Despite the challenges, it is inspiring to play an integral role in someone’s growth. I experience pride and joy watching my preceptees evolve from nervous trainees to skilled and compassionate novice nurses. While I am always seeking to build up the new graduate nurse I’m precepting, the ultimate goal is always patient safety. WHAT CAN NURSES DO TO INFLUENCE HEALTH IN The Nurses on Boards Coalition is an organization that highlights the importance of nurses serving in decision-making processes in our communities in order to improve health. The coalition’s goal is to have 10,000 nurses newly involved on community boards and in governance roles by 2020. Currently there are 5,338 nurses reported onboards
NURSING PERSPECTIVE: WHY I WORK IN CORRECTIONS The same personality types work well in both settings. Corrections nursing involves phenomenal nursing autonomy and uses many of the skills I honed in the ER: quick triage. multitasking. sorting out who is lying from who is sick. knowing which assessments are the mostimportant for
ESSENTIALS FOR NEW CLINICAL NURSING INSTRUCTORS Essentials for New Clinical Nursing Instructors, Especially Adjuncts. There are many things it’s helpful to know when you start work as a clinical instructor—and you might not get a lot of orientation first. By Maureen Shawn Kennedy, AJN editor-in-chief. “So you’ve accepted the contract for your first part-time clinical teaching TELLING PATIENTS ABOUT STAFFING LEVELS: TRANSPARENCY OR The situation above is an ethical conundrum because values are in conflict. On one hand, transparency is good and patients have a right to know about administrative factors affecting their care. On the other hand, care should stay focused on a patient’s problems, not the nurse’s. As the article excerpt above suggests, nurse staffingis a
PARTING THOUGHTS: 10 LESSONS LEARNED FROM FLORENCE Nightingale said, “Deed, not creed.”. 9. Don’t blame others for how things are, if you are not willing to change them yourself. Or at least solicit help from others to make needed changes. 10. Keep your standards high. Lack of time, fatigue, and ambivalence all HEALTH CARE WORK AND HYPOCHONDRIA: WHEN KNOWLEDGE EQUALS Hypochondria can also lead to multiple visits to the doctor and unnecessary tests and procedures, all of which tax our health care system greatly. So now, years later and working at AJN and recognizing that my health anxiety is still lingering, I decided to do something about it. While many classes focus on anxiety, the one I decided totake
PREVENTING VIOLENCE AGAINST NURSES Preventing Violence Against Nurses. When I graduated from nursing school, my first job was as an ED nurse at Bellevue Hospital in New York City. We’re talking about the 1970s, when drugs were plentiful and plenty of young people used them, especially hallucinogenic drugs like LSD and mescaline. Many times these patients were violent because NURSES RECONSIDER ACCEPTED WISDOM ABOUT TRANSFUSION Most of us have had the unhappy experience of replacing a patient’s perfectly good IV with a 19- or 20-gauge catheter in preparation fortransfusion.
CASE OF NURSE CHARGED WITH HOMICIDE FOR MEDICATION ERROR Every nurse’s nightmare. On February 1, Radonda Leanne Vaught, a former nurse at Vanderbilt University Medical Center in Nashville, was indicted and arrested for impaired adult abuse and reckless homicide. She is accused of inadvertently administering the wrong medication and causing a patient’s death in an incident in late 2017. WHAT'S A PRECEPTOR'S DUTY WHEN A NEW NURSE DOESN'T FIT THE Despite the challenges, it is inspiring to play an integral role in someone’s growth. I experience pride and joy watching my preceptees evolve from nervous trainees to skilled and compassionate novice nurses. While I am always seeking to build up the new graduate nurse I’m precepting, the ultimate goal is always patient safety. WHAT CAN NURSES DO TO INFLUENCE HEALTH IN The Nurses on Boards Coalition is an organization that highlights the importance of nurses serving in decision-making processes in our communities in order to improve health. The coalition’s goal is to have 10,000 nurses newly involved on community boards and in governance roles by 2020. Currently there are 5,338 nurses reported onboards
NURSING PERSPECTIVE: WHY I WORK IN CORRECTIONS The same personality types work well in both settings. Corrections nursing involves phenomenal nursing autonomy and uses many of the skills I honed in the ER: quick triage. multitasking. sorting out who is lying from who is sick. knowing which assessments are the mostimportant for
ESSENTIALS FOR NEW CLINICAL NURSING INSTRUCTORS Essentials for New Clinical Nursing Instructors, Especially Adjuncts. There are many things it’s helpful to know when you start work as a clinical instructor—and you might not get a lot of orientation first. By Maureen Shawn Kennedy, AJN editor-in-chief. “So you’ve accepted the contract for your first part-time clinical teaching TELLING PATIENTS ABOUT STAFFING LEVELS: TRANSPARENCY OR The situation above is an ethical conundrum because values are in conflict. On one hand, transparency is good and patients have a right to know about administrative factors affecting their care. On the other hand, care should stay focused on a patient’s problems, not the nurse’s. As the article excerpt above suggests, nurse staffingis a
PARTING THOUGHTS: 10 LESSONS LEARNED FROM FLORENCE Nightingale said, “Deed, not creed.”. 9. Don’t blame others for how things are, if you are not willing to change them yourself. Or at least solicit help from others to make needed changes. 10. Keep your standards high. Lack of time, fatigue, and ambivalence all HEALTH CARE WORK AND HYPOCHONDRIA: WHEN KNOWLEDGE EQUALS Hypochondria can also lead to multiple visits to the doctor and unnecessary tests and procedures, all of which tax our health care system greatly. So now, years later and working at AJN and recognizing that my health anxiety is still lingering, I decided to do something about it. While many classes focus on anxiety, the one I decided totake
PREVENTING VIOLENCE AGAINST NURSES Preventing Violence Against Nurses. When I graduated from nursing school, my first job was as an ED nurse at Bellevue Hospital in New York City. We’re talking about the 1970s, when drugs were plentiful and plenty of young people used them, especially hallucinogenic drugs like LSD and mescaline. Many times these patients were violent because NURSES RECONSIDER ACCEPTED WISDOM ABOUT TRANSFUSION Most of us have had the unhappy experience of replacing a patient’s perfectly good IV with a 19- or 20-gauge catheter in preparation fortransfusion.
CASE OF NURSE CHARGED WITH HOMICIDE FOR MEDICATION ERROR Every nurse’s nightmare. On February 1, Radonda Leanne Vaught, a former nurse at Vanderbilt University Medical Center in Nashville, was indicted and arrested for impaired adult abuse and reckless homicide. She is accused of inadvertently administering the wrong medication and causing a patient’s death in an incident in late 2017. WHAT'S A PRECEPTOR'S DUTY WHEN A NEW NURSE DOESN'T FIT THE Despite the challenges, it is inspiring to play an integral role in someone’s growth. I experience pride and joy watching my preceptees evolve from nervous trainees to skilled and compassionate novice nurses. While I am always seeking to build up the new graduate nurse I’m precepting, the ultimate goal is always patient safety. ACCEPTING PATIENTS' END-OF-LIFE DECISIONS CAN BE HARD AJN When it comes to end-of-life decisions, it may be hard for a nurse to accept to support only what the patient wants, but it’s also vitallyimportant.
END OF LIFE ARCHIVES Clara Barton 2016: From Civil War to the Red Cross to Today SUMMERTIME: REST, RELAX, AND WRITE AJN OFF THE CHARTS BLOG With summer stretching ahead, I hope many nurses will take some well-deserved time off—rejuvenating bodies and spirits, processing emotions that were put aside, and reflecting on the long and difficultpast year.
PARTING THOUGHTS: 10 LESSONS LEARNED FROM FLORENCE Nightingale said, “Deed, not creed.”. 9. Don’t blame others for how things are, if you are not willing to change them yourself. Or at least solicit help from others to make needed changes. 10. Keep your standards high. Lack of time, fatigue, and ambivalence all DRILLING INTO BONE: A NURSE’S GUIDE TO INTRAOSSEOUS Drilling into Bone: A Nurse’s Guide to Intraosseous Vascular Access. By Sylvia Foley, AJN senior editor. An example of a manual pediatric intraosseous needle insertion. Reprinted with permission from King C, et al. Textbook of Pediatric Emergency Procedures. 2nd ed. Philadelphia: Lippincott Williams and Wilkins; 2007. 'MEANINGFUL USE': WHAT’S IT ALL ABOUT, AND WHY SHOULD These new “meaningful use” rules are at the epicenter of “the how.”. What’s important for any nurse right now is that you find out what your organization is doing to develop EHRs and make sure nursing’s voice is represented in this process. We need to be part of the design in order to make it meaningful for use at the point ofcare.
PRESERVING INTEGRITY AND STAYING POWER AS A NURSE IN A Preserving Integrity and Staying Power as a Nurse in a Pandemic. We are in unprecedented times—uncertainty and fear are ever present and nurses are being called to serve others in ways that challenge our appraisal of benefit to our patients and risk to our families’ health and well-being. Many of us are experiencing varying degrees ofmoral
CHANGING CAREERS ARCHIVES Clara Barton 2016: From Civil War to the Red Cross to Today HELPING NEW NURSES FIND THEIR WAY: THE ART OF SAYING YES AJN’s Transition to Practice column is designed to help new nurses in their first year at the bedside. In this month’s column, “The Art of Saying Yes,” Amanda Anderson explains how as a new nurse she learned the benefits (to herself and her patients) of going the extra mile at work.She describes the surprising personal and professional benefits that come from “the times you choose to WHAT'S A PRECEPTOR'S DUTY WHEN A NEW NURSE DOESN'T FIT THE Despite the challenges, it is inspiring to play an integral role in someone’s growth. I experience pride and joy watching my preceptees evolve from nervous trainees to skilled and compassionate novice nurses. While I am always seeking to build up the new graduate nurse I’m precepting, the ultimate goal is always patient safety. WHAT CAN NURSES DO TO INFLUENCE HEALTH IN The Nurses on Boards Coalition is an organization that highlights the importance of nurses serving in decision-making processes in our communities in order to improve health. The coalition’s goal is to have 10,000 nurses newly involved on community boards and in governance roles by 2020. Currently there are 5,338 nurses reported onboards
NURSING PERSPECTIVE: WHY I WORK IN CORRECTIONS The same personality types work well in both settings. Corrections nursing involves phenomenal nursing autonomy and uses many of the skills I honed in the ER: quick triage. multitasking. sorting out who is lying from who is sick. knowing which assessments are the mostimportant for
ESSENTIALS FOR NEW CLINICAL NURSING INSTRUCTORS Essentials for New Clinical Nursing Instructors, Especially Adjuncts. There are many things it’s helpful to know when you start work as a clinical instructor—and you might not get a lot of orientation first. By Maureen Shawn Kennedy, AJN editor-in-chief. “So you’ve accepted the contract for your first part-time clinical teaching TELLING PATIENTS ABOUT STAFFING LEVELS: TRANSPARENCY OR The situation above is an ethical conundrum because values are in conflict. On one hand, transparency is good and patients have a right to know about administrative factors affecting their care. On the other hand, care should stay focused on a patient’s problems, not the nurse’s. As the article excerpt above suggests, nurse staffingis a
PARTING THOUGHTS: 10 LESSONS LEARNED FROM FLORENCE Nightingale said, “Deed, not creed.”. 9. Don’t blame others for how things are, if you are not willing to change them yourself. Or at least solicit help from others to make needed changes. 10. Keep your standards high. Lack of time, fatigue, and ambivalence all HEALTH CARE WORK AND HYPOCHONDRIA: WHEN KNOWLEDGE EQUALS Hypochondria can also lead to multiple visits to the doctor and unnecessary tests and procedures, all of which tax our health care system greatly. So now, years later and working at AJN and recognizing that my health anxiety is still lingering, I decided to do something about it. While many classes focus on anxiety, the one I decided totake
PREVENTING VIOLENCE AGAINST NURSES Preventing Violence Against Nurses. When I graduated from nursing school, my first job was as an ED nurse at Bellevue Hospital in New York City. We’re talking about the 1970s, when drugs were plentiful and plenty of young people used them, especially hallucinogenic drugs like LSD and mescaline. Many times these patients were violent because NURSES RECONSIDER ACCEPTED WISDOM ABOUT TRANSFUSION Most of us have had the unhappy experience of replacing a patient’s perfectly good IV with a 19- or 20-gauge catheter in preparation fortransfusion.
CASE OF NURSE CHARGED WITH HOMICIDE FOR MEDICATION ERROR Every nurse’s nightmare. On February 1, Radonda Leanne Vaught, a former nurse at Vanderbilt University Medical Center in Nashville, was indicted and arrested for impaired adult abuse and reckless homicide. She is accused of inadvertently administering the wrong medication and causing a patient’s death in an incident in late 2017. WHAT'S A PRECEPTOR'S DUTY WHEN A NEW NURSE DOESN'T FIT THE Despite the challenges, it is inspiring to play an integral role in someone’s growth. I experience pride and joy watching my preceptees evolve from nervous trainees to skilled and compassionate novice nurses. While I am always seeking to build up the new graduate nurse I’m precepting, the ultimate goal is always patient safety. WHAT CAN NURSES DO TO INFLUENCE HEALTH IN The Nurses on Boards Coalition is an organization that highlights the importance of nurses serving in decision-making processes in our communities in order to improve health. The coalition’s goal is to have 10,000 nurses newly involved on community boards and in governance roles by 2020. Currently there are 5,338 nurses reported onboards
NURSING PERSPECTIVE: WHY I WORK IN CORRECTIONS The same personality types work well in both settings. Corrections nursing involves phenomenal nursing autonomy and uses many of the skills I honed in the ER: quick triage. multitasking. sorting out who is lying from who is sick. knowing which assessments are the mostimportant for
ESSENTIALS FOR NEW CLINICAL NURSING INSTRUCTORS Essentials for New Clinical Nursing Instructors, Especially Adjuncts. There are many things it’s helpful to know when you start work as a clinical instructor—and you might not get a lot of orientation first. By Maureen Shawn Kennedy, AJN editor-in-chief. “So you’ve accepted the contract for your first part-time clinical teaching TELLING PATIENTS ABOUT STAFFING LEVELS: TRANSPARENCY OR The situation above is an ethical conundrum because values are in conflict. On one hand, transparency is good and patients have a right to know about administrative factors affecting their care. On the other hand, care should stay focused on a patient’s problems, not the nurse’s. As the article excerpt above suggests, nurse staffingis a
PARTING THOUGHTS: 10 LESSONS LEARNED FROM FLORENCE Nightingale said, “Deed, not creed.”. 9. Don’t blame others for how things are, if you are not willing to change them yourself. Or at least solicit help from others to make needed changes. 10. Keep your standards high. Lack of time, fatigue, and ambivalence all HEALTH CARE WORK AND HYPOCHONDRIA: WHEN KNOWLEDGE EQUALS Hypochondria can also lead to multiple visits to the doctor and unnecessary tests and procedures, all of which tax our health care system greatly. So now, years later and working at AJN and recognizing that my health anxiety is still lingering, I decided to do something about it. While many classes focus on anxiety, the one I decided totake
PREVENTING VIOLENCE AGAINST NURSES Preventing Violence Against Nurses. When I graduated from nursing school, my first job was as an ED nurse at Bellevue Hospital in New York City. We’re talking about the 1970s, when drugs were plentiful and plenty of young people used them, especially hallucinogenic drugs like LSD and mescaline. Many times these patients were violent because NURSES RECONSIDER ACCEPTED WISDOM ABOUT TRANSFUSION Most of us have had the unhappy experience of replacing a patient’s perfectly good IV with a 19- or 20-gauge catheter in preparation fortransfusion.
CASE OF NURSE CHARGED WITH HOMICIDE FOR MEDICATION ERROR Every nurse’s nightmare. On February 1, Radonda Leanne Vaught, a former nurse at Vanderbilt University Medical Center in Nashville, was indicted and arrested for impaired adult abuse and reckless homicide. She is accused of inadvertently administering the wrong medication and causing a patient’s death in an incident in late 2017. WHAT'S A PRECEPTOR'S DUTY WHEN A NEW NURSE DOESN'T FIT THE Despite the challenges, it is inspiring to play an integral role in someone’s growth. I experience pride and joy watching my preceptees evolve from nervous trainees to skilled and compassionate novice nurses. While I am always seeking to build up the new graduate nurse I’m precepting, the ultimate goal is always patient safety. ACCEPTING PATIENTS' END-OF-LIFE DECISIONS CAN BE HARD AJN When it comes to end-of-life decisions, it may be hard for a nurse to accept to support only what the patient wants, but it’s also vitallyimportant.
END OF LIFE ARCHIVES Clara Barton 2016: From Civil War to the Red Cross to Today SUMMERTIME: REST, RELAX, AND WRITE AJN OFF THE CHARTS BLOG With summer stretching ahead, I hope many nurses will take some well-deserved time off—rejuvenating bodies and spirits, processing emotions that were put aside, and reflecting on the long and difficultpast year.
PARTING THOUGHTS: 10 LESSONS LEARNED FROM FLORENCE Nightingale said, “Deed, not creed.”. 9. Don’t blame others for how things are, if you are not willing to change them yourself. Or at least solicit help from others to make needed changes. 10. Keep your standards high. Lack of time, fatigue, and ambivalence all DRILLING INTO BONE: A NURSE’S GUIDE TO INTRAOSSEOUS Drilling into Bone: A Nurse’s Guide to Intraosseous Vascular Access. By Sylvia Foley, AJN senior editor. An example of a manual pediatric intraosseous needle insertion. Reprinted with permission from King C, et al. Textbook of Pediatric Emergency Procedures. 2nd ed. Philadelphia: Lippincott Williams and Wilkins; 2007. 'MEANINGFUL USE': WHAT’S IT ALL ABOUT, AND WHY SHOULD These new “meaningful use” rules are at the epicenter of “the how.”. What’s important for any nurse right now is that you find out what your organization is doing to develop EHRs and make sure nursing’s voice is represented in this process. We need to be part of the design in order to make it meaningful for use at the point ofcare.
PRESERVING INTEGRITY AND STAYING POWER AS A NURSE IN A Preserving Integrity and Staying Power as a Nurse in a Pandemic. We are in unprecedented times—uncertainty and fear are ever present and nurses are being called to serve others in ways that challenge our appraisal of benefit to our patients and risk to our families’ health and well-being. Many of us are experiencing varying degrees ofmoral
CHANGING CAREERS ARCHIVES Clara Barton 2016: From Civil War to the Red Cross to Today HELPING NEW NURSES FIND THEIR WAY: THE ART OF SAYING YES AJN’s Transition to Practice column is designed to help new nurses in their first year at the bedside. In this month’s column, “The Art of Saying Yes,” Amanda Anderson explains how as a new nurse she learned the benefits (to herself and her patients) of going the extra mile at work.She describes the surprising personal and professional benefits that come from “the times you choose to WHAT'S A PRECEPTOR'S DUTY WHEN A NEW NURSE DOESN'T FIT THE Despite the challenges, it is inspiring to play an integral role in someone’s growth. I experience pride and joy watching my preceptees evolve from nervous trainees to skilled and compassionate novice nurses. While I am always seeking to build up the new graduate nurse I’m precepting, the ultimate goal is always patient safety.OFF THE CHARTS
March 30, 2020, was the first day working at this clinic; it was the same day I was supposed to be returning from my honeymoon in Panama. That’s from our May Reflections essay, “Built for This,” which is free for the rest of May (along with the entire issue, in honor of Nurses Month).Written by Janey Kottler, a family nurse practitioner and clinical instructor, the essay is about NURSING PERSPECTIVE: WHY I WORK IN CORRECTIONS The same personality types work well in both settings. Corrections nursing involves phenomenal nursing autonomy and uses many of the skills I honed in the ER: quick triage. multitasking. sorting out who is lying from who is sick. knowing which assessments are the mostimportant for
WHAT CAN NURSES DO TO INFLUENCE HEALTH IN The Nurses on Boards Coalition is an organization that highlights the importance of nurses serving in decision-making processes in our communities in order to improve health. The coalition’s goal is to have 10,000 nurses newly involved on community boards and in governance roles by 2020. Currently there are 5,338 nurses reported onboards
ESSENTIALS FOR NEW CLINICAL NURSING INSTRUCTORS Essentials for New Clinical Nursing Instructors, Especially Adjuncts. There are many things it’s helpful to know when you start work as a clinical instructor—and you might not get a lot of orientation first. By Maureen Shawn Kennedy, AJN editor-in-chief. “So you’ve accepted the contract for your first part-time clinical teaching PARTING THOUGHTS: 10 LESSONS LEARNED FROM FLORENCE Nightingale said, “Deed, not creed.”. 9. Don’t blame others for how things are, if you are not willing to change them yourself. Or at least solicit help from others to make needed changes. 10. Keep your standards high. Lack of time, fatigue, and ambivalence all HEALTH CARE WORK AND HYPOCHONDRIA: WHEN KNOWLEDGE EQUALS Hypochondria can also lead to multiple visits to the doctor and unnecessary tests and procedures, all of which tax our health care system greatly. So now, years later and working at AJN and recognizing that my health anxiety is still lingering, I decided to do something about it. While many classes focus on anxiety, the one I decided totake
TELLING PATIENTS ABOUT STAFFING LEVELS: TRANSPARENCY OR The situation above is an ethical conundrum because values are in conflict. On one hand, transparency is good and patients have a right to know about administrative factors affecting their care. On the other hand, care should stay focused on a patient’s problems, not the nurse’s. As the article excerpt above suggests, nurse staffingis a
AN END TO INTERRUPTIONS: NURSES PREVENTING MEDICATION The nurses used simple methods like wearing a sash or a colored vest to alert others that they were not to be interrupted. According to the San Francisco Chronicle, the program has “resulted in a nearly 88 % drop in errors over 36 months at the nine Bay Area hospitals.”. I wish that the public would be brought into the equation as well. TIPS FOR NURSES TO COUNTER WORKPLACE NEGATIVITY “Negativity is a lot like cigarette smoke. If it’s around, you know it.” The 26th Annual Convention of the Academy of Medical-Surgical Nurses (AMSN) took place October 12-15 in Palm Springs, California. More than 1,100 nurses from across the country as well as Canada, Saudi Arabia, Puerto Rico, and the Bahamas came to network, attend educational sessions, and enjoy stimulating MORPHINE IN HOSPICE CARE: WHY FAMILY MEMBERS MAY RESIST While we nurses tend to see family resistance to morphine as irrational, their hesitation to give this important palliative drug may reflect something deeper about what the use of this drug in their terminally ill family member means to them. And this may be worth keeping in mind. Author Scott Janssen is a hospice social worker.OFF THE CHARTS
March 30, 2020, was the first day working at this clinic; it was the same day I was supposed to be returning from my honeymoon in Panama. That’s from our May Reflections essay, “Built for This,” which is free for the rest of May (along with the entire issue, in honor of Nurses Month).Written by Janey Kottler, a family nurse practitioner and clinical instructor, the essay is about NURSING PERSPECTIVE: WHY I WORK IN CORRECTIONS The same personality types work well in both settings. Corrections nursing involves phenomenal nursing autonomy and uses many of the skills I honed in the ER: quick triage. multitasking. sorting out who is lying from who is sick. knowing which assessments are the mostimportant for
WHAT CAN NURSES DO TO INFLUENCE HEALTH IN The Nurses on Boards Coalition is an organization that highlights the importance of nurses serving in decision-making processes in our communities in order to improve health. The coalition’s goal is to have 10,000 nurses newly involved on community boards and in governance roles by 2020. Currently there are 5,338 nurses reported onboards
ESSENTIALS FOR NEW CLINICAL NURSING INSTRUCTORS Essentials for New Clinical Nursing Instructors, Especially Adjuncts. There are many things it’s helpful to know when you start work as a clinical instructor—and you might not get a lot of orientation first. By Maureen Shawn Kennedy, AJN editor-in-chief. “So you’ve accepted the contract for your first part-time clinical teaching PARTING THOUGHTS: 10 LESSONS LEARNED FROM FLORENCE Nightingale said, “Deed, not creed.”. 9. Don’t blame others for how things are, if you are not willing to change them yourself. Or at least solicit help from others to make needed changes. 10. Keep your standards high. Lack of time, fatigue, and ambivalence all HEALTH CARE WORK AND HYPOCHONDRIA: WHEN KNOWLEDGE EQUALS Hypochondria can also lead to multiple visits to the doctor and unnecessary tests and procedures, all of which tax our health care system greatly. So now, years later and working at AJN and recognizing that my health anxiety is still lingering, I decided to do something about it. While many classes focus on anxiety, the one I decided totake
TELLING PATIENTS ABOUT STAFFING LEVELS: TRANSPARENCY OR The situation above is an ethical conundrum because values are in conflict. On one hand, transparency is good and patients have a right to know about administrative factors affecting their care. On the other hand, care should stay focused on a patient’s problems, not the nurse’s. As the article excerpt above suggests, nurse staffingis a
AN END TO INTERRUPTIONS: NURSES PREVENTING MEDICATION The nurses used simple methods like wearing a sash or a colored vest to alert others that they were not to be interrupted. According to the San Francisco Chronicle, the program has “resulted in a nearly 88 % drop in errors over 36 months at the nine Bay Area hospitals.”. I wish that the public would be brought into the equation as well. TIPS FOR NURSES TO COUNTER WORKPLACE NEGATIVITY “Negativity is a lot like cigarette smoke. If it’s around, you know it.” The 26th Annual Convention of the Academy of Medical-Surgical Nurses (AMSN) took place October 12-15 in Palm Springs, California. More than 1,100 nurses from across the country as well as Canada, Saudi Arabia, Puerto Rico, and the Bahamas came to network, attend educational sessions, and enjoy stimulating MORPHINE IN HOSPICE CARE: WHY FAMILY MEMBERS MAY RESIST While we nurses tend to see family resistance to morphine as irrational, their hesitation to give this important palliative drug may reflect something deeper about what the use of this drug in their terminally ill family member means to them. And this may be worth keeping in mind. Author Scott Janssen is a hospice social worker.OFF THE CHARTS
March 30, 2020, was the first day working at this clinic; it was the same day I was supposed to be returning from my honeymoon in Panama. That’s from our May Reflections essay, “Built for This,” which is free for the rest of May (along with the entire issue, in honor of Nurses Month).Written by Janey Kottler, a family nurse practitioner and clinical instructor, the essay is about SUMMERTIME: REST, RELAX, AND WRITE AJN OFF THE CHARTS BLOG With summer stretching ahead, I hope many nurses will take some well-deserved time off—rejuvenating bodies and spirits, processing emotions that were put aside, and reflecting on the long and difficultpast year.
CHANGING CAREERS ARCHIVES Clara Barton 2016: From Civil War to the Red Cross to Today PREVENTING VIOLENCE AGAINST NURSES Preventing Violence Against Nurses. When I graduated from nursing school, my first job was as an ED nurse at Bellevue Hospital in New York City. We’re talking about the 1970s, when drugs were plentiful and plenty of young people used them, especially hallucinogenic drugs like LSD and mescaline. Many times these patients were violent because "THEY CALL US DOCTOR, AND WE CALL THEM BY Just stumbled on a blog post written by a first-year resident who calls himself “Anonymous Doc.” He raises a good question about why nurses and doctors are referred to in such different ways: I don’t think I’ve talked about this before, but the doctor/nurse divide is weird. One of my intern friends called me the other night and said there’s a nurse he likes, and in theory wants to A DETAILED LOOK FOR NEW NURSES AT WHAT HAPPENS DURING A There’s an article in the July issue that I highly recommend to all new graduate RNs—or to anyone who is returning to acute care. The article, one of the offerings in our Transition to Practice column, which is geared to new nurses, is “Surviving Your First Code.”It offers a detailed look at what happens during a code and the various responsibilities of the resuscitation team. WHAT'S A PRECEPTOR'S DUTY WHEN A NEW NURSE DOESN'T FIT THE Despite the challenges, it is inspiring to play an integral role in someone’s growth. I experience pride and joy watching my preceptees evolve from nervous trainees to skilled and compassionate novice nurses. While I am always seeking to build up the new graduate nurse I’m precepting, the ultimate goal is always patient safety. MORPHINE IN HOSPICE CARE: WHY FAMILY MEMBERS MAY RESIST While we nurses tend to see family resistance to morphine as irrational, their hesitation to give this important palliative drug may reflect something deeper about what the use of this drug in their terminally ill family member means to them. And this may be worth keeping in mind. Author Scott Janssen is a hospice social worker. NAPPING ON THE NIGHT SHIFT: WHAT A PILOT STUDY REVEALED On the successful unit, a total of 153 30-minute naps were taken. A high level of sleepiness was present at the beginning of 44% of the naps. For more than half the naps, nurses reported achieving either light (43%) or deep (14%) sleep. Sleep inertia was rare. The average score of helpfulness of napping was high (7.3 on a 1-to-10 scale).COLOR ME WRONG
Color Me Wrong – Medication Errors and Color Coding. By Peggy McDaniel, BSN, RN. There has been a recent push by some manufacturers to promote color coding for product identification. Of course, even with the best intentions, these color-coded products have not reduced the incidence of medical errors and may actually promote errors.Skip to
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PREGNANCY AND COVID: WHAT WE NOW KNOW Meagan Garibay, RN, BSN, CIC, an infection preventionist at Comanche County Memorial Hospital in Lawton, Oklahoma, received the COVID vaccine in December 2020, when she was 35 weeks pregnant. Photo courtesy of WAVE 3 News. Few aspects of pregnancy and birth have been unaffected by the COVID pandemic. In the past year, pregnant people and their health care providers have had to alter everything from the way they assess risk to the manner in which care is accessed. Although little information about pregnancy and COVID was available early in the pandemic, emerging evidence is providing a clearer picture. As a result, in the past year recommendations have shifted—sometimes radically so—for both women and their health care providers. Based on the latest available research, this month in_AJN Reports_
we cover what we now know about COVID and maternal health, including guidance about risk and vaccination. HIGHER RISKS FOR PREGNANT PEOPLE WITH COVID. As the articles explains, research suggests pregnant people who have COVID are at higher risk of severe illness and death. There’s also been a noted increase in stillbirth, ruptured ectopic pregnancies, and maternal depression. A multinational cohort study, the results of which were published in_JAMA Pediatrics_
after we went to press, Corinne McSpedon, senior editor 2021-06-03T08:43:24-04:00June 3rd, 2021|COVID-19 ,infectious diseases
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WRITING AS ANOTHER TOOL FOR COPING AS A NURSE > “I recall wondering where this process had been all my life. Of > course, it had always been there. It simply hadn’t occurred to me > that writing could be such an effective tool for examining, > reflecting, processing, and learning.” ‘LIKE A GIRL PLAYING DRESS-UP IN A NURSE UNIFORM.’ by hannah olinger/unsplash At age 19, I graduated with an associate’s degree in nursing, passed my boards, and went to work in a regional hospital near my college, in the city where I grew up. My geographical radius was as puny as the range of my life experience. I feigned excitement about the new job, but I was overwhelmed. I knew I needed more of everything: experience, education, tools for coping. Eventually, I discovered one of the missing tools was writing. I entered every shift with anxiety, certain I would walk in on a patient or situation I was ill-equipped to handle. At night, I tossed with worry. When sleep came, dreams became nightmares of IVs running dry and patients coding. I had only myself to blame. As a teen, I wasn’t ready to decide what to do with my life. I knew nursing was a noble profession, and my parents nudged me toward a program that was economical, efficient, and allowed me to live at home. At age 17, I enteredGuest Author
2021-06-01T09:48:47-04:00June1st, 2021|Nursing ,
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CARING FOR CAREGIVERS—WE NEED MORE THAN SELF-CARE AND RESILIENCE Mural painted by critical care unit staff to honor patients who contracted COVID-19. The stars represent those who succumbed to the illness and the flowers those who were discharged from the hospital. Mural by the MedStar Montgomery ICU Team; photo by Cherri Walrath. SELF-CARE IS NOT A PANACEA. Since the start of the pandemic, _AJN_ has received many manuscripts and queries related to self-care and resilience to prevent burnout. It’s not surprising, given that this has been a harrowing year fornurses.
But while self-care and resilience are important, and such articles are needed, all the self-care in the world can’t fully address the root of the problem—the systemic issues that lead to burnout. At some point health care administration needs to step in and become part of the solution and offer staff the help they need. A CE feature in our May issue, “Providing Care for Caregivers DuringCOVID-19
,”
highlights one hospital system’s efforts to do just that. The Care for the Caregiver program, which existed prior to the pandemic, was created to support ‘second victims,’ defined by the Center for Patient Safety as “healthcare providers who are involved in an unanticipated adverse patient event, medical error and/or a patient related injury and become victimized in the sense that the provider istraumatized by the
Guest Author
2021-05-27T09:19:17-04:00May 27th, 2021|Nursing |0Comments
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AJN JUNE ISSUE: PSYCHEDELIC-ASSISTED THERAPY, PREVENTING NONVENTILATOR HOSPITAL-ACQUIRED PNEUMONIA, MORE > _“In addition to vaccine hesitancy, there is the question of > access. The pandemic has shone a bright spotlight on disparities in > access to both vaccines and health care.”—editor-in-chief Shawn > Kennedy in her editorial, “Moving Forward Together”> _
The
June issue
of _AJN_ is now live. Here’s what’s new. Some articles may be free only to subscribers. ORIGINAL RESEARCH: ORAL CARE AS PREVENTION FOR NONVENTILATOR HOSPITAL-ACQUIRED PNEUMONIA: A FOUR-UNIT CLUSTER RANDOMIZED STUDY The authors examined the effectiveness of a universal, standardized oral care protocol in preventing nonventilator hospital-acquired pneumonia in the acute care setting. CE: PSYCHEDELIC-ASSISTED THERAPY The authors discuss the growing interest in psychedelic therapies—such as LSD, MDMA, and psilocybin—for the treatment of mental health disorders, including trauma, depression, and addiction, as well as the potential role of nursing in this emerging field. QUESTION OF PRACTICE: PREVENTING SHOULDER INJURY RELATED TO VACCINEADMINISTRATION
How vaccinators can avoid this potential complication of improper needle placement by using appropriate injection technique. Diane Szulecki, editor 2021-05-24T09:39:31-04:00May 24th, 2021|Nursing |0Comments
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BUILT FOR THIS: ONE NP’S REVITALIZED PRACTICE > March 30, 2020, was the first day working at this clinic; it was the > same day I was supposed to be returning from my honeymoon in Panama.That’s
from our May _Reflections_ essay, “Built for This,”
which is free for the rest of May (along with the entire issue, in honor
of Nurses Month). Written by Janey Kottler, a family nurse practitioner and clinical instructor, the essay is about volunteering at a clinic on Chicago’s West Side, which was hard-hit by Covid-19. There she encountered families placed under impossible pressure and risk by the need to keep their jobs during the pandemic. > I think about the single mother and her two children I treated > recently. The mother is an essential worker at a grocery store and > utilizes her neighbor for childcare during work hours. The > family’s neighbors are elderly: the wife stays at home while her > husband is an essential worker, working on a factory line. They were > grateful to have an income throughout the pandemic until her husband > fell ill after COVID exposure at work. He has now inadvertently > exposed his wife and the children she babysits. Jacob Molyneux, senior editor/blog editor 2021-05-17T12:42:41-04:00May 17th, 2021|Nursing ,nursing career
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THE LEADING VOICE OF NURSING SINCE 1900Visit the _AJN _
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* Arnold Sanders on As Another June Is Forgotten, Some Notes on Nurses and Normandy * Fabien on But Where Are You Really From? * Hui-wen (Alina) Sato on How I Would Prepare My Child to Become a NurseRECENT POSTS
* Pregnancy and COVID: What We Now Know * Writing as Another Tool for Coping as a Nurse * Caring for Caregivers—We Need More Than Self-Care and Resilience * AJN June Issue: Psychedelic-Assisted Therapy, Preventing Nonventilator Hospital-Acquired Pneumonia, More * Built for This: One NP’s Revitalized PracticeAUTHORS
* Amanda Anderson, RN * Amy M. Collins, managing editor * Betsy Todd, MPH, RN * Corinne McSpedon, senior editor * Diane Szulecki, editor* Guest Author
* Hui-wen Sato, MSN, MPH, RN, CCRN * Jacob Molyneux, senior editor/blog editor * Julianna Paradisi, RN, OCN * Marcy Phipps, BSN, RN, CCRN, CFRN * Shawn Kennedy, MA, RN, FAAN, editor-in-chiefCONTENT DISCLAIMER
Views expressed on this blog are solely those of the authors or persons quoted and don’t necessarily reflect those of AJN or itsparent company.
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