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The ER Beast | Love Your Nursing Life | Bobbi McCarthy

May 3rd, 2012 by Bobbi McCarthy, RN
Bobby McCarthy

Author, Bobbi McCarthy

I usually write an inspiration to nurses on my blog and who knows maybe that is what this will end up being, but I feel the need to write about my experience yesterday and the decision that is solidified for me. I work in the ER, in case you hadn’t gathered that from my blog already, and have done so for the last 11 years. The ER can be a roaring beast that devours all in its path…or at times can be a gentle beast that lets those working there stay alive to come back another day.

Yesterday was one of those days that just makes you want to find a corner to cry in. We had 2 nurses call out—so we were short staffed from 7am -7pm and the patients just kept coming. Our supervisory staff were all off to conferences so there was no physical help available from them. The rest of the hospital was dealing with their own issues and had no nurses to spare…(which makes me think of the Seinfeld episode where Elaine is in the public bathroom and asks the women next to her if she could spare a square…and sure enough the woman says NO!) Any way…

Our amazing team that worked yesterday pulled together and we got the job done and we did it very well! BUT for 12 hours we didn’t get a break…we ate sandwiches, sent to us from our cafeteria, on the run. We had full rooms and a full waiting room all day long so there was no break to be had when a patient was discharged…just another patient put in the bed. We had a serious trauma come in, in the midst of the day…so that takes 2 nurses, a tech and a doc out of the mix for an hour… and again the nursing team, techs, docs and secretary all did an amazing job keeping up with all the patients, the orders and the chaos!

I have stayed in the ER for several reasons, the energy of it, the staff, the schedule isn’t bad, I am really good at ER nursing, most other types of nursing seem boring in comparison, and complacency. For me, this type of nursing seems to be losing its appeal. What I don’t love anymore is the chaos…controlled chaos is one thing but the chaos of yesterday, and the all too frequency of those days, is another…and for this 45 year old nurse I’ve about reached my limit.

The self-care routine that I have been doing has allowed me to stay sane while working and has allowed me to feel less burned out with nursing all together…but what if yesterday is the wave of our future in the ER…Our hospital is building a new hospital in another town, merging another hospital…and this ER is going to remain open but with no beds to admit patients to…so the ER will be full at all times with critical patients that need to be transferred to the new hospital for admission (and we all know how long that takes!) Call outs are ongoing as is not being able to find anyone to come in… and on and on it goes…

For now I will be increasing my self-care in order to remain where I am until another plan unfolds…and I do have a plan—praise God!!

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What Makes Things Funny? Social Security Trust Fund. Vinegar.

May 3rd, 2012 by Pattie Lockard

Ladies and gentlemen, let's give it up for our new co-host, Shayne Mason.

Let’s give a warm welcome to our new co-host RN Shayne Mason. We are so glad to have him with us and just to show our appreciation we had all kinds of studio chaos waiting for him. Three in-studio guests, advice from our retired co-host Maggie McDermott, technical difficulties and more. Shayne took it like a pro! Not to mention he brings to the show a wealth of medical expertise and, of course, a grand sense of humor.

Shayne holds an RN, BRN, NP, is an instructor at USF (University of San Francisco) and a psych nurse at a clinic in San Francisco’s Tenderloin neighborhood. That psych background will come in handy!

Terri Tate

Terri Tate

On the show this week is RN, humorist, author Terri Tate. What makes all the wrong things funny? Terri Tate will tell you. Terri claims that humor saved her life. Most people wouldn’t find two bouts of disfiguring oral cancer, 30 plus hours of surgery, 7 weeks of radiation, endless complications and a 2% chance of survival all that funny. Terri wasn’t laughing the whole time but claims that her sense of humor never completely deserted her. Nineteen years after treatment—alive and laughing, Terri talks about her remarkable path and her new book, As Is.

Cameron Harris

Cameron Harris

Wiz kid Cameron Harris is stops by for a visit. Some of you may remember Cameron, at the ripe old age of sixteen, started a podcast company (Harwood Podcast Network) that now boasts over 900 different shows. The line up includes IN RANGE Cameron’s show with his advice about how to live a healthy active life with Type 1 Diabetes. Cameron himself was diagnosed at the age of eight.

Also with us is D.C. Correspondent and National Nurses United Legislative Advocate Donna Smith. Donna gives a great answer to the question–why don’t we see the following headlines in the media?

NNU's Donna Smith

  • “For Profit Healthcare Poses Threat to Medicare, Federal Deficit, and Overall Economy in Coming Decades”
  • “Social Security Trust Fund Even Larger Than It Was Last Year”
  • “Growing Wealth Inequity Will Lead to Social Security Imbalance Later This Century”

And of course…Lynn Ruth Miller talks about her mother’s use of vinegar in her award winning segment, In My Day. Casey and Shayne take some email questions, and at the end of the show Casey takes Shayne’s blood pressure to see if he is stable! Viola….he’s still alive!

Now you can advertise your business with Nurse Talk for as little as $500 for six months! Unbeatable we say.
If you want to spend more..that’s o.k too. Contact pattie@nursetalksite.com.

Have you heard about the iTriage Thank a Nurse Contest? Would you like to thank a nurse for the impact he or she has made on your life? Visit the iTriage Facebook page to make a nomination.

Check out our new strategic partner, iTriage

Upload a picture of a nurse you’d like to thank with a story describing why he or she deserves to be recognized. The winning nurse and nominator will both win a $75 Massage Envy gift card and a $100 Scrubs & Beyond gift card for the winning nurse. Go to www.facebook.com/iTriage.

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

We dedicate this show to Casey’s father Robert S. Hobbs who passed away April 25, 2012.

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Nurses Strike Sutter, Protest Closures, Reductions in Face of $4 Billon Profit

May 2nd, 2012 by National Nurses United

Bay Area Sutter RNs Begin One-Day Strike
Hospital Giant Seeks Massive Cuts Despite $4 Billion in Profits
Nurses to Also Protest Sutter Plans to Close Hospitals, Cut Care

Registered nurses are on strike today at eight hospitals that are part of the wealthy Sutter corporate chain to protest Wall Street-type demands for more than 100 sweeping reductions in patient care and nurses’ standards and workplace conditions.

The nurses, members of the California Nurses Association, National Nurses United, offered to call off the strike if Sutter agreed to withdraw the concession demands.

Some 4,500 RNs, as well as respiratory and radiology techs, are affected by the walkout at Alta Bates Summit Medical Center facilities in Berkeley and Oakland, Mills-Peninsula Health Services hospitals in Burlingame and San Mateo, Eden Medical Center in Castro Valley, San Leandro Hospital, Sutter Delta in Antioch, Sutter Solano in Vallejo, Novato Community Hospital, and Sutter Lakeside.

Despite making over $4 billion in profits since 2007, and paying its chief executive Pat Fry $4.7 million a year (or $2,260 per hour), Sutter is demanding big cuts for its RNs, many of which would pose risks to patient safety. Among Sutter’s demands are proposals that would effectively force nurses to work when sick, dangerously exposing already fragile patients to infection and further complications; thousands of dollars in increased costs to nurses for health coverage for themselves and their families; forcing many nurses to work in hospital units for which they do not have clinical expertise, posing a risk to patients, and huge cuts for nurses who work part time schedules.

Among Sutter’s demands are proposals that would effectively force nurses to work when sick, dangerously exposing already fragile patients to infection and further complications; thousands of dollars in increased costs to nurses for health coverage for themselves and their families; forcing many nurses to work in hospital units for which they do not have clinical expertise, posing a risk to patients, and huge cuts for nurses who work part time schedules.

Some 4,500 RNs are affected by the planned walkout which scheduled for Alta Bates Summit Medical Center facilities in Berkeley and Oakland, Mills-Peninsula Health Services hospitals in Burlingame and San Mateo, Eden Medical Center in Castro Valley, San Leandro Hospital, Sutter Delta in Antioch, Sutter Solano in Vallejo, Novato Community Hospital, and Sutter Lakeside.

Radiology and respiratory technicians will also be on strike Tuesday.

In addition to the concession demands, the strikers will protest Sutter’s reductions in patient care services throughout the region, including moves to:

· Close San Leandro hospital, abandoning tens of thousands of patients who depend on the hospital for emergency and in-patient care. The closure announcement is expected May 1.

· End breast cancer screening for women with disabilities and most bone marrow transplant services for cancer patients at Alta Bates Summit in Oakland and Berkeley.

· Close a pulmonary sub-acute unit at Herrick Hospital in Berkeley which serves patients with long term, severe incapacities, some of whom have been there for years.
· Stop providing psychiatric services under contract with Sacramento County for more than 225 Sacramento children.

· Close specialized pediatric care, acute rehabilitation, dialysis, and skilled nursing care services at Mills and Peninsula hospitals in Burlingame and San Mateo.

· Close home health services and limit acute-care hospital stays in Lakeport.

· Close acute rehabilitation services, skilled nursing care, and psychiatric services, and substantially downgrade nursery care for sick children at Eden Hospital in Castro Valley.

· Sharply cut psychiatric care at Herrick Hospital in Berkeley.

· Close a birthing center at Sutter Auburn Faith, forcing new mothers and families to travel up to 100 miles for obstetrics care, while giving a $1 million gift to the Sacramento Kings.

· Close pediatric, psychiatric, lactation, and transitional care services in Santa Rosa.

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Love Letters | There Is a Person and a Life Behind The Old Face

May 1st, 2012 by Angil Tarach-Ritchey RN, GCM

I’m a registered nurse with a 30-year passion for senior care and advocacy. For the last 8 years I have owned and directed Visiting Angels, a private duty homecare agency in Ann Arbor, Michigan. It is my honor and privilege to work with seniors and their families in my community.

My love of the elderly began when I started to work as an aide in a nursing home when I was 17. There are many patients I still remember and think about 30 years later.

One of them was a lady–I’ll call her “Ann”–who couldn’t speak or do anything for herself. She quietly lay in bed day after day. Ann never had a visitor, so I knew nothing about her.

One evening our assignment was to clean our residents’ closets and drawers. While I was working in Ann’s room, I found a box. In it were no less than 30 letters and cards. I sat on the floor and started to read them, tears falling from my eyes. They were love letters from a husband to his wife. Never had I known, or even heard about, such profound and amazing love. This woman, lying there alone, seemingly unloved, had actually shared a fairy tale love, rare and amazing, with an adoring spouse.

It was through these letters that I got to know a patient who couldn’t tell me anything about herself. Learning about her life allowed me to have a special relationship with her. As far as I knew, her deceased husband was all she had, and now I felt more responsibility to care for her, for him.

From time to time I would read his letters to her. I don’t know whether Ann could understand–or even hear–anything I said, but I felt that her spirit heard and understood.

My three-decade passion has been based on empathy. Can you imagine being in Ann’s shoes? Can you understand what it must be like to have lived a fairy tale life with a best friend, experience a love like no other, only to lose that person and decline to the point where you’re alone and unable to care for yourself?

Ann’s is not just one story. It’s one of countless numbers of stories. There are thousands of elders living in nursing homes, alone and unable to care for themselves. What kind of care do they get when their healthcare workers know nothing about them, and don’t even think about what their lives were like before they ended up, helpless, in a nursing home?

I know from my own experience that patients like Ann are not even talked to or treated with the compassion that is essential to providing good care. Instead, they’re just work to be done rather than care to be given.

It is up to us as a society to understand that there is a person and a life Behind the Old Face.

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One Foot in Front of the Other | Alzheimer’s in the First Person | Barbara Taylor Vaughan

April 29th, 2012 by Barbara Taylor Vaughan

 

Every day is becoming harder and harder with mom and her Alzheimer’s. People told me as her disease advanced that I would have days that seemed endless…today was one of those days. Mom is forgetting how to walk, I will be walking with her, her using her walker and me assisting her, and she will stop and say, “How do I do this?” It takes everything to keep her upright. Today, we both fell….her backwards, on top of me…we weren’t hurt…but, it could of been so much worse.

Some days it is her mind, other days it is her not being able to walk, or pick up things. We are going to the hospital tomorrow for her to be x-rayed, and some other issues checked out on her…every day it is getting harder and harder — Melissa Vaughan

At the hospital yesterday the doctor had a long talk with me. I told him about not remembering how to walk sometimes, that is what caused Missy and me to fall the other day, I was walking and just didn’t remember how to anymore. He told me about how Alzheimer’s can change your mind. How you can do things…not only your memory. Missy and I talked about it, about how she cannot lift me, to take me to the bathroom, or to a chair.

Barbara Taylor Vaughan

I told her, maybe I could just wear diapers now and sit in my bed, and when Mike comes home, maybe move me to a chair a couple of times a day…I just do not want to go to a nursing home yet. Missy told me not to worry, that we would work something out, but twice today, I could not remember to walk…I am scared of what is to come, I am scared for Missy having to make the decision of when I have to go. I am scared, I love my room, my bed, my home. I don’t want to sleep in a place with strangers. I want to stay home, I told Missy I would try and be good, I promised her I would try extra hard tomorrow.

I am going to bed now, and I am going to pray for GOD to make me remember how to walk, I want to be good. I want to be good.

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Nurse Talk Joins the Walk for A Cure for Multiple Sclerosis

April 26th, 2012 by Nurse Talk

Nurse Talk joined the team Walk or Grow Wings last Saturday in Santa Rosa, California to walk for a cure for MS. Inspired by the people in our lives with Multiple Sclerosis, the team raised over $9000 under the enthusiastic and able leadership of Karen Krueger. Thank you to everyone who donated, walked or volunteered. If you are so moved, you can still donate. A shout out to Missy and Barbara Vaughan you were with us in spirit.

Sweetheart of the Nurse Talk staff, Austyn Leigh with team captain Karen Krueger

MS Walk Santa Rosa Wall of Hope

Stop MS! All ages came out to walk in support of 2.5 million people worldwide afflicted with Multiple Sclerosis.

Walk or Grow Wings team name is in tribute to Kim McIlnay.

The team name Walk or Grow Wings was chosen as a tribute to  Kim McIlnay, a physician diagnosed in 2007 who inspired Karen for Walk MS Sacramento in 2010 with the original Team Walk or Grow Wings.

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Nurse Talk Resident Funny Lady, Lynn Ruth, Wows The Judges on Britain’s Got Talent

April 26th, 2012 by Nurse Talk

You can listen to more Lynn Ruth on Nurse Talk’s In My Day segment.

Posted in Blog, Funnies, Must See Video | No Comments »

Stay Tuned for our Regularly Scheduled Programming

April 26th, 2012 by Nurse Talk

Dear Friends and Family,

Due to the grave illness of host Casey’s father we were unable to tape our show this week. Please hang with us while we give you one more rerun. We thank and appreciate each and every one of our listeners, friends sponsors and others for making Nurse Talk possible.

Nurse Talk joined the team Walk or Grow Wings last Saturday in Santa Rosa, California to walk for a cure for MS. Inspired by the people in our lives with Multiple Sclerosis, the team raised over $9000 under the enthusiastic and able leadership of Karen Krueger. Thank you to everyone who donated, walked or volunteered. If you are so moved, you can still donate.

Sweetheart of the Nurse Talk staff, Austyn Leigh with team captain Karen Krueger

We have lots of great topics and discussions going on on our blog and Facebook pages. Stroke patient, Joyce Hoffman has been telling it like it is from the patient’s perspective. Do you know how your patients see you or what a lasting difference your care can make? And, we’ve got current events from National Nurses United. Nurses, Robin Hood and the band of merry women and men, and scores of friends are strapping on their boots and preparing to head to Chicago for a protest Friday, May 18 during the Staff Nurse Assembly.

WE WILL be back next week with current issues, our fantastic new co-host Shayne Mason, and some wild and crazy entertainment. In the meantime enjoy our resident comedian Lynn Ruth Miller as she wows the judges (all but one) on Britain’s Got Talent.

Karen Higgins, RN

ON this week’s Best of Nurse Talk Casey and Dan chat with Boston RN Karen Higgins. Karen is past president of Massachusetts Nurses Association and one of three co-presidents for National Nurses United. Karen shares her views on the continuing need for single payer health care in our country, the urgency regarding nurse-patient ratios and other important issues that affect all of us.

Kira Reginato

AND some great advice about taking care of your parents or other elderly loved ones. Kira Reginato joins us. Kira is the president of Living Ideas for Elders and is the host of her own radio show on KSRO, The Elder Care Show in Santa Rosa, California.

You can listen and laugh every week on Saturdays at 11 am in the Boston area on station WWZN 1510AM or live stream at www.revolutionboston.com in the San Francisco Bay area on KNEW 960AM or live stream at www.960knew.com. Check out the iHeartRadio app for free and live custom radio. You can also download and listen to any show anytime here at NurseTalkSite.com or on iTunes. Like us on Facebook, and you can listen there too. Until next time remember “laughter is the best medicine!”

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