Nurse Talk Blog Archive

In My Day…Safety Was YOUR responsibility | Lynn Ruth Miller

January 31st, 2012 by Lynn Ruth Miller
Lynn Ruth Miller

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In my day, safety was your responsibility. We didn’t have laws to take care of us. No seat belts or warning beeps. Either you held on, or you went through the windshield. But that was easier too, because we didn’t have double-paned glass.

When I was a kid, I could jump on my bike without worrying about helmets or shin guards. If I fell off, mama put an ice pack on my head and told me to stop complaining.

We didn’t bother with little lights on our shoes either, when we walked around at night. If someone jumped out of the bushes you just nodded and looked the other way because he was probably going to the bathroom. It was always a he. Trust me on that one.

I never thought of using mace or pepper spray to protect us. If someone scared us, we screamed and there was always a neighbor with a loaded gun. In my day, neighbors really did take care of each other. We used to give strangers at the bus stop rides and sometimes we even invited them over for dinner. But they had to eat what we gave ‘em. One guy said he was a vegan and my mother put on a mask. We didn’t know what vegan meant. It sounded like an STD. We trusted people even when they complained. I guess you had to be there.

But nowadays I dont leave my house without my lipstick, my Lipitor and my Taser.

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Send the Flowers | Alzheimer’s in the First Person | Barbara Taylor Vaughan

January 31st, 2012 by Barbara Taylor Vaughan

I have been thinking a lot about death and funerals today. Missy’s best friend’s father died, and also her first boss at her first real job after college. I listened to her order flowers for each of them, and talk to their family members on the phone last night and today. She is going to both visitations and funerals in the next couple of days.

I thought about all the funerals I have been to in my life. A lot of people now put in the paper that they request no flowers, a donation to their favorite organization. I still always send flowers…I cant help it, I just know that all of the funerals I have ever been too, or involved with, that we always went around looking at the flowers, “Oh yes, those are from so and so, aren’t they beautiful?”, or, “Look at those roses, they are from so and so…oh how the deceased loved roses.” I always think too, walking into a funeral home and seeing the flowers just makes me smile. It’s kinda like…once you are in a room full of beautiful flowers…celebrating a life, anyway. I just like flowers.

My father died on Christmas Eve, and way back then the funeral was held the day after Christmas. My father was my hero, and it was a terrible winter when he died, lots of snow, and I remember being at the funeral home and thinking, “He won’t have any flowers, because people won’t see his death notice because of the holiday. The florists were closed for the Christmas holidays…” I was so happy as I sat in the funeral home before visitation and the flowers started arriving, one florist said he was called at home to please come in to make arrangements for [my father]. Another florist told me he drove back from another city to make all the arrangements. I was thrilled to go and read all the cards on the flowers. I remember crying as I read the cards, and my mother hugging me.

So just to let you know, if you put in the paper not to send flowers…sorry, I can not grant you your wish, it’s just still one thing that I want to do for you and your family…flowers, and a card…and oh, how I love gardenias.

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Kaiser RNs One-Day Sympathy Strike to Support Other Kaiser Caregivers Today

January 31st, 2012 by California Nurses Association

Rallies Tuesday, 12 Noon, Kaiser Oakland, Kaiser South Sacramento

Kaiser Nurses Show Support of Striking Co-workers, Patients and the Community

OAKLAND—Registered nurses and nurse practitioners at Kaiser Permanente hospitals and clinics across Northern and Central California will honor the picket lines Tuesday in sympathy and solidarity with other frontline Kaiser staff who will hold a one-day strike Tuesday to protest Kaiser demands for substantial cuts in healthcare coverage, retirement benefits and inadequate staffing for mental health services.

RNs will complete final sympathy strike preparations Monday 3:30 p.m. at the Oakland headquarters of the California Nurses Association/National Nurses United, which represents 17,000 Kaiser RNs.

Media Availability Today:
California Nurses Association, 2000 Franklin Street, Oakland, 3:30 p.m.

Tuesday Schedule:
Picketing Begins: Tuesday, January 31, 7 a.m., Kaiser Permanente Facilities
Rallies: Tuesday, January 31, 12 Noon
Kaiser Oakland: 3801 Howe St., Oakland
Kaiser South Sacramento: 6500 Bruceville Rd., Sacramento

RNs will be supporting mental health clinicians, clinical psychologists, licensed social workers and opticians.

The nurses say they understand the concerns of their co-workers about the erosion of services that affect the quality of patient care, especially in mental health, as described in the report Care Delayed, Care Denied. It asserts that Kaiser has frequently failed to comply with California laws aimed at protecting patients’ timely access to appropriate services despite receiving more than $10 billion annually from Medicare to provide a full range of services, including mental healthcare.

“It is disappointing that Kaiser is refusing to bargain for sufficient staffing for mental health services, and a secure retirement and accessible health coverage for its frontline caregivers despite its record profits,” said Zenei Cortez, RN, CNA Co-President, who works at Kaiser South San Francisco. “We will continue to honor the basic tenets of nursing and stand in support of our colleagues, our patients, and communities.”

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Take Five: Simple Strategies with BIG Results for Overwhelmed Nurses

January 27th, 2012 by Laura Wisniewski, RN

Does your life feel like a tug-of-war? Nurses continuously juggle the demands of their personal and professional lives. At work, they provide high touch-high tech care for sick and dying patients. In addition, many nurses perform ‘double duty’—caring for friends and family members when not at work. Being pulled in so many directions can seem overwhelming. Learn how to manage stress and regain your balance by taking a few small steps each day.

Kayla is a nurse on a busy telemetry unit; she is married, has two school-aged children and helps care for her aging mother. Today she agreed to work another double shift to cover a last minute call-in. Kayla slammed the phone down after arguing with her husband Mike—he resents Kayla choosing her job over the needs of their family. Kayla was already feeling inadequate when her friend Terry excitedly announced, “I passed my certification exam.” Although Kayla bought a review book six months ago, she hasn’t started studying yet. She worries, “I hate not being there for my family… I am falling behind in my career and I never have time for myself.” Kayla felt a wave of nervous tension in the pit of her stomach. Tom, the patient care technician, interrupted Kayla’s thoughts, “Mr. Rodriguez is having chest pain.” Kayla mindfully refocused her attention to her work taking slow deep breaths on the way to Mr. Rodriguez’s room.

1. Take five deep breaths: to elicit the relaxation response

Deep breathing is a simple stress management technique that can be practiced almost anywhere. It can help quiet your mind, release tension, and decrease the symptoms of stress by eliciting the relaxation response. The relaxation response is the opposite of the ‘fight or flight’ stress response.
Take five slow deep breaths, whenever you begin to feel stressed. Breathe in through your nose and out through your mouth. Your abdomen should expand when you breathe in and flatten when you breathe out. Focus on your breathing until you feel calmer.
Integrate deep breathing exercises into your daily routine to decrease your stress symptoms before they occur.

2. Spend five minutes in nature: to experience mindfulness

Stress can promote automatic thinking or mindlessness. After a busy shift at work, have you ever arrived home without remembering the drive? This is a classic example of mindlessness—performing a task while preoccupied with other thoughts. Being distracted during patient care can lead to serious omissions and errors. In contrast, mindfulness is the ability to focus your attention fully in the moment.

A simple exercise for developing mindfulness is to spend five minutes in nature every day. Find time to go outdoors before work, on a break or after work. Be present in the moment and engage your senses. What do you see, hear, smell, or feel? During this exercise, do not think about the past or worry about the future—experience now. In addition to becoming more mindful, you have just taken a mini-break from the stress in your life.

3. Pause five seconds before responding: to avoid over committing

How often do you agree to help only to regret it later? Due to their helpful caring nature, most nurses have difficulty saying “no” to the requests of others. This can lead to fatigue and resentment from over committing. Learning to say no to out of balance requests frees you to say yes to your own needs.
Before agreeing to work an extra shift, babysit your friend’s children or bake cupcakes for the entire third grade, pause five seconds before responding. Five seconds is long enough to gather your thoughts. If you are willing and able to help—say yes. If agreeing is over doing—say no. If you are uncertain, a possible response is, “Let me think about it and get back to you.” If you are pressed for an answer before reaching a decision, it is generally safer to say no—you can always say yes later.

4. Record five thoughts or ideas: to process your emotions

Journaling is a simple yet underutilized stress management tool and path to self-discovery. A journal is more than a diary to record events—it is safe a place to process your emotions. Nurses are held to the highest moral, ethical and legal standards. In addition, they regularly witness the emotional and physical suffering of others. Nurses have a lot of daily stress to process.
Commit to recording five thoughts or ideas in a journal each day. Allow your thoughts to naturally flow onto the paper. Do not judge your handwriting or your feelings. Your feelings are your feelings—they are not right or wrong. Discover patterns of thought and behavior as you write. Periodically re-read your journal entries—you will be amazed at your progress and insights.

5. Read five pages a day: to promote life-long learning

All major goals can be broken down into smaller steps. Kayla could prepare for her certification exam by reading five pages from her review book a day. Reading is the fastest and least expensive method of becoming an expert in your nursing specialty. Imagine the knowledge you would gain by reading five pages from nursing journals or books each day.

Commitment to life-long learning is essential to the professional development of a nurse. The rate of change in health care is constantly accelerating. In order to remain relevant and keep pace with new technologies, techniques and trends—nurses must stay informed. Reading from a variety of fields can inspire creative solutions for the challenges facing the nursing profession. Readers are leaders.

Utilize the simple strategies of taking five deep breaths, spending five minutes in nature, pausing five seconds before responding, recording five thoughts or ideas and reading five pages each day to produce big results in your life and career.

This article was shared with us by NurseTogether.com.
Based in Charlotte, NC, NurseTogether.com is one of the fastest-growing, free online professional communities for nurses. Specializing in unique nursing lifestyle, career and professional development information, NurseTogether.com’s mission is to empower the nursing community through top-quality original content from experts, interactive web-based social media tools, and value-added services through key strategic partnerships in a variety of nursing and lifestyle disciplines.

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Oh, What a Day | Alzheimer’s in the First Person | Barbara Taylor Vaughan

January 26th, 2012 by Barbara Taylor Vaughan
Barbara's husband and daughter Missy

Barbara's husband and daughter Missy at the Illinois State Fair

Oh what a day, a day to just relax…very rainy and dark here in Newburgh Indiana.

Last night I had a bad Alzheimer’s night. I was very tired this morning, so I knew it had been a long night. Missy told me I was upset over not being able to see my husband. I have been thinking a lot about him lately. Missy said I was crying saying, “I know you are not telling me that he is gone.”

Missy does not smoke, no one does in our house, but a friend told her that sometimes smells help Alzheimer’s patients. My husband smoked, a lot, so Missy told me that last night she lit a cigarette and smoked a little of it to get the smell in my room. She then told me that my husband was in the bathroom shaving, he always smoked while he shaved…she said she told me, “Don’t you smell his cigarette smoke?” That calmed me and I went to sleep.

She showed me the video today. So sad. I am just a another person in my body…the same in looks, but my mind is not my own. I wish I could explain how scary this is. I never was a drinker, but it must be kind of like a drinker’s blackout…with little memory the next day. I told Missy that I do not want to see any more video, that she can continue to video, that maybe in the future it will help someone else, but I do not want to see anymore.

I am glad to be back to myself today, happy, listening to music, and thankful.

Missy looks tired today, but she hugged me extra long this morning when I got up, and kissed my forehead twice, and told me loved me more than usual today. If you knew how she hates to smell cigarette smoke, and how she doesn’t let anyone smoke in our house…makes me love her more and more and more.

For me, she will do anything…I knew that.

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RN Mary Morrison on Public Sector Health Care Cuts in Fresno | National Nurses United Sponsored Segment | January 28-29, 2012 | Show 434

January 25th, 2012 by Nurse Talk

The assault on public healthcare workers continues—things are heating up in Fresno, California with major cuts proposed by that county’s Board of Supervisors. RN Mary Morrison joins us to talk about the proposed cuts and the potentially devastating impact on yet another community.

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Rob Horgan on USF Master’s in Nursing, RN Mary Morrison on cuts in Fresno, RN, MSN Karyn Buxman on What’s So Funny About Diabetes? | January 28-29, 2012 | Show 434

January 25th, 2012 by Nurse Talk

We talk with Rob Horgan. Rob is a recruiter for the University of San Francisco School of Nursing and Health Professions. Rob joins Casey and Dan in studio to share about the Master of Nursing Program USF offers at their Santa Rosa, California campus.

And as the assault on public healthcare workers continues—things are heating up in Fresno, California with major cuts proposed by that county’s Board of Supervisors. RN Mary Morrison joins us to talk about the proposed cuts and the potentially devastating impact on yet another community.

And later we visit with one of our favorite people Karyn Buxman RN, MSN. Karyn is a humorist who really does employ humor in the healing process. She’s here this week to talk about her new book “What’s So Funny About Diabetes.”

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Presidential Hopefuls. Nursing Master’s. Frying in Fresno. What’s So Funny?

January 25th, 2012 by Pattie Lockard

Dan and Casey say they have really made an effort to stay away from the presidential primary but sometimes it’s hard. Roll clips of two presidential hopefuls with one having more hope than the other! We’re just sayin’—one of these men might need to look into “anger management.” Just sayin’. Check it out…on the show this week.

AND we talk with Rob Horgan. Rob is a recruiter for the University of San Francisco School of Nursing and Health Professions. “As nurses” Casey comments, “we just happen to think USF’s nursing program is among the best in the country.” Rob joins Casey and Dan in studio (true) to share about the Master of Nursing Program USF offers at their Santa Rosa, California campus. We just found out a few months ago they had a Santa Rosa, California campus. P.S. Rob, if you are out there, thanks for being such a good sport and boy, are you quick on your feet!

Check this out! We share a great video that is up on a site called ProtestINTheUSA.org. The video titled “A Nightmare On Wall Street” depicts an imagined encounter between a Wall Street banker and the victims of financial misdeed. Oh, the horror!

And as the assault on public healthcare workers continues—things are heating up in Fresno, California with major cuts proposed by that county’s Board of Supervisors. RN Mary Morrison joins us to talk about the proposed cuts and the potentially devastating impact on yet another community.

Available now on Amazon

And later we’ll visit with one of our favorite people RN, MSN, Karyn Buxman. Karyn has been on the show before. You might remember her as a great nurse and public speaker—as well as a humorist who really does employ humor in the healing process. Her mission: To improve global health through laughter and help heal the humor-impaired! She’s here this week to talk about her new book “What’s So Funny About Diabetes.”

MYTH: Popping your knuckles will give you arthritis? True or False? The answer is planted somewhere in the text of this blog post. Find out!

And remember you can listen and laugh every week in the Boston area on station WWZN 1510AM every Saturday at 11 am EST or live stream at www.revolutionboston.com and in the San Francisco Bay area Sundays at 2PM PST on KNEW 960AM or live stream at www.960knew.com. Check out the iHeartRadio app for free and live custom radio. You can alsodownload and listen to any show anytime here at NurseTalkSite.com or on iTunes. Like us on Facebook, and you can listen there too.

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