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DiversityNursing Blog

8 Things To Know About Nurse Bullying

Posted by Pat Magrath

Tue, Apr 18, 2017 @ 03:34 PM

nurse-sitting-on-floor.jpgAs a website dedicated to Nurses to help keep you aware of employment and educational opportunities as well as provide information and a sense of community, we share this article with you about bullying in the Nursing profession. It’s sad to know this goes on in a professional work environment and can put a patient’s health and recovery at risk.
 
Some of this sounds like high school behavior, and like high school, people get hurt. Is this article helpful and informative to you? Please let us know. Thank you.

The nursing profession has consistently ranked No. 1 in Gallup's annual poll of Honesty and Ethical Standards in Professions for the past 15 years — which makes the rampant bullying and hazing that persists among nurses that much more surprising.

Judith Meissner, RN, MSN coined the phrase "nurses eat their young" in a 1986 article to describe the hostility young nurses face at the hands of their more experienced coworkers. In a follow-up article published 13 years later, Ms. Meissner said "students, new graduates and even experienced 'new hires'" still suffered intense bullying.

According to a 2017 blog post by Pittsburgh-based Select International Healthcare, roughly 85 percent of nurses have been abused by a fellow nurse and approximately one in three nurses have considered quitting the profession due to bullying.

Here are eight things to know about nurse bullying.

Download Tips On Dealing With Bullies

 www.beckershospitalreview.com

Topics: bullying, Workplace Bullying, Nurse bullying

We Need To Do Something More Radical Than Awareness Month For Autism

Posted by Pat Magrath

Mon, Apr 17, 2017 @ 11:06 AM

AutismAwareness.pngApril is National Autism Awareness Month. The Autism Society states “National Autism Awareness Month represents an excellent opportunity to promote autism awareness, autism acceptance and to draw attention to the tens of thousands facing an autism diagnosis each year.”

This article written by a mother of an 8-year old autistic boy moved me very much. While she welcomes and appreciates the efforts of making people aware of autism, she’s hoping people will be more open and tolerant to the behavior of autistic people. She gives a very clear view of what her day-to-day life is like and offers suggestions on how people can help when they witness a struggling parent. We’ve all seen toddlers throw a temper tantrum, but what do you do when you see an older child have one? 

The author suggests we practice “radical hospitality”. Read on to discover what this concept is. Please let us know if this article educated and inspired you.  

“Do you want to make a donation?”

“Excuse me?” I look up from my wallet, making sure that my son is still next to me. He is, but he seems agitated. We need to go.

The teenage cashier at the sporting goods store repeats the lines of his script: “April is Autism Awareness Month. Would you like to make a donation to Autism Speaks?”

“No . . . just the shinguards please. I’m in a hurry.”

I doubt the young man at the register realizes I’m in a hurry because I’m here with my severely autistic son, Finn, the tall 8-year-old who in the brief time we’ve been here ran full speed in the aisles, buried his face in the racks of workout gear, then tried to knock the soccer balls out of their bins. I think about saying something to the cashier, like “No donation — Sorry! Please just let me get my autistic son out of here before he tears apart your store!” I’m sure that would boost his awareness. But it would be rude, and beside the point.

Autism Awareness Month, now in its 13th year, does raise awareness, or at least boosts Web searches on autism. But awareness is different than recognition. Awareness doesn’t increase the number of places where parents like me can take our behaviorally challenged children, for example. My son can’t sit still in a movie theater for the length of a movie. He gets overstimulated in children’s museums. In most restaurants, his yelps and difficulty staying seated draw sharp looks. People want to eat in peace. I get that, but I don’t want to be a prisoner in my home either. And I can only spend so much time at the laundromat, where Finn can generally bang on the machines and push around the ancient carts without disturbing anyone.

Generations ago, you rarely saw people with severe developmental disabilities in public spaces. A child like Finn would likely have been separated from our family not long after birth and placed in a state-run institution, like the Walter E. Fernald Developmental Center, called the Massachusetts School for Idiotic and Feeble-Minded Children when it opened in the mid-1800s. I’m glad that didn’t happen, and not just because publicly run schools like the Fernald were closed after years of scandal and sometimes outright abuse. Having Finn in our lives has given us so many inexpressibly tender moments. When a dog passes us at Fresh Pond, and Finn presses his body into mine for comfort, or when he absently threads his fingers through mine as we walk down the street — I feel a surge of affection. “How much do I love you?” I ask. He lifts his hands in the air (at 8, he’s still nonverbal). “SO much!” I say. Sometimes, Finn is right there with me.

But then he isn’t. I still find it hard to read his moods and follow his lead, even when doing something as basic as running an errand. Awareness of autism doesn’t ease this challenge; I’m hyperaware, and yet still don’t know how to manage his tantrums. Our society has difficulty accommodating severely disabled children like mine, no longer toddlers, yet unable to feed or dress themselves, or even use the toilet. There are some private residential facilities, but they cost more than $200,000 a year. Even highly functional kids with autism don’t easily fit into society.

There are things people can do to make daily life better for children across the autism spectrum. If you see a mom struggling to contain an agitated child in the middle of a street or store, instead of staring mutely or averting your eyes, ask her, “Are you OK? Can I help?” Or even, “I think you’re doing a great job.” (I can no longer hide that my son behaves strangely for a boy his age. To be fully seen and still accepted is the greatest favor I’ve received from strangers.)

Or consider practicing radical hospitality. What’s radical hospitality? If your child has a classmate on the high-functioning end of the spectrum, invite that classmate to your child’s next birthday party. If you have friends or relatives with children on the spectrum, ask them how they’re doing, and then really listen to their response. Drop off a bottle of wine on their back porch if you know they’ve had a particularly rough week. Give to an organization that provides service dogs for autistic children, or volunteer as an autism buddy. If you run a store that’s big enough, create a space for a ball pit where autistic kids can play. You can, of course, wear a puzzle-shaped pin to show support, but that by itself is just paying lip service to the concept of “autism awareness.” Let’s all take the radical step of moving from awareness to actually helping families who are living with autism every day.

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Topics: autism, autism awareness month, autistic

Nurse Brings Smiles To Patients With His Dry-Erase Artwork

Posted by Pat Magrath

Thu, Apr 13, 2017 @ 11:53 AM

ht-erase-1-er-170412_4x3_992.jpgFor any of you who work with sick children, you know how emotionally and physically draining it is for your patients and their families. And… for you too. Anything that can bring comfort and a smile to everyone involved is more than welcome.
 
This article is about a very talented Nurse, who happens to be quite an artist as well. When he has a few minutes, he creates beautiful drawings that bring joy to all that see them. It might be a Disney character, a superhero, or a character from a book. It can take him a week or longer to finish each drawing, but I can imagine watching each drawing come to life, is exciting as well.

This nurse’s drawings are bringing cheer to his young patients at Cook Children’s Medical Center in Fort Worth, Texas.

Edgar Palomo, 27, makes dry-erase artwork on the hematology/oncology floor to lighten the mood for the kids.

“I've always wanted to help people, which led me to nursing,” Palomo, who has been working at Cook Children’s for four years, wrote to ABC News. “I never wanted to pursue anything in art, so doing the drawings helps me to combine the two together in a positive and therapeutic manner.”

He said he’s been doing the drawings for the unit and patients for three years.

“As word of mouth goes around, it's gotten more frequent,” he explained of his elaborate creations. “I take requests from patients, families and staff. It can be a popular movie at the time or it might be something related to a holiday.”

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Each drawing takes a few hours to complete, although Palomo said, “My job comes first.”

“I can usually only work on the drawings a little bit at a time when I have some free time,” he said. “And there is not always downtime. Therefore, a drawing can take one to two weeks, depending on how busy the unit is.”

Palomo is happy that his attempt to bring some cheerful color to the floor “can have such a positive impact on the kids.”

“Anything to bring a smile is worth doing,” he said.

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Topics: nurse art, hospital art

Some Ideas To Make Your Workplace Happier

Posted by Erica Bettencourt

Wed, Apr 12, 2017 @ 02:45 PM

941ed938c28d65c9372ec7bfb4612968.jpgSmiling is contagious and really the only thing Nurses are okay spreading around. Being happier during your shift usually results in it going by a little faster. I wanted to know how Nurses made their shifts a little more enjoyable. I did some research and here’s what I discovered.

Besides the small birthday get togethers in the break room, there are other easy things you can try that can really boost morale. 

Free Food
"If it's free, it's for me" my father-in-law always says. I agree, and what makes everyone happy? Free food. How do you get free food at work? One word… potluck. Each person brings in a food dish. 
When people bring in their old family recipes or their favorite comfort food, you'll end up with a bunch of dishes from different cultures that you've never tried before. Trying new things can be fun! 

You Win Some and You Lose Some
Some hospitals have sign up sheets for sports. Teams could play every sport from volleyball to basketball. We know playing sports inside a hospital is frowned upon. Even though the games are played outside of work, you can always talk some FRIENDLY team rivalry trash talk leading up to the big day. Some other game ideas that aren’t physical are card games and bingo. 

Play Dress Up
Working holidays gives Nurses a reason to dress up, and if appropriate, act a little goofy around their patients. Nurses have dressed up in everything from elves to clowns. There is a hospital that celebrates “Tutu Tuesdays” where everyone wears a tutu over their scrubs.  

Guess Who
Guessing games can be very interesting and an easy way to have a little fun. You can bring in pictures from when you were a kid, hang them on the cork board, and guess who's who. Another idea is bringing in pictures of your pets and guess who’s the owner. There is a lab department who hangs employee’s pet pictures in their blood bank area where other departments can see them. They create categories people can vote on. One category was, “Most likely to star in a Steven King movie”.

Be Thankful
I know when I'm thankful for things, it makes me feel good inside. Hospitals are putting up thank you boards or boards of recognition. One place has cardboard hands that you write on and pin to the board if you want to pat someone on the back for something good or helpful they did. It boosts people's morale and spirits. It also shows they’re all one big team and are there to help each other out. 

Nursing is not all fun and games. There are those hard shifts, the sad moments, and trying times. Try to stay positive and lean on each other to get through those times. Cherish the good times and celebrations! 

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Topics: fun at work, boost morale, Fun Nurses

Retired ICU Nurse Has Stories For Days

Posted by Erica Bettencourt

Mon, Apr 10, 2017 @ 02:58 PM

Trini.jpegJokester, Trini Moad Snow, was a Nurse for over 40 years. She's now retired at age 91 but, talks about her happy days at work and the path to her passion. Moad Snow recalls picking vegetables after high school so she could save up enough money for Nurse training and that one time when she cut off an executive's tie! If you're interested in more of Trini's stories continue reading below. 

When Trini Moad Snow retired, she decided to play a prank.

It was at a luncheon put on in 1992 by the staff of Mercy Medical Center, now Saint Alphonsus Medical Center in Nampa. Moad Snow, standing next to a hospital executive, pulled a pair of scissors out of her pocket and cut off the tie around his neck.

"I said, 'I never did like your ties,' and I cut it off!'" Moad Snow said, laughing.

"He said, 'You cut off my tie,'" she continued. "I said, 'I know, I don't like your ties.' I thought he was going to faint."

 

The people watching roared with laughter. Then, Moad Snow pulled out a box containing a nice, new tie and presented it to the executive, who gave her a hug.

"I get a card from him, every once in awhile," she said.

At 91, Moad Snow lives a laid-back life of retirement in Caldwell. She recalls tales from her nursing days that are usually tinged with humor and make her and her audience laugh. Moad Snow has the direct, matter-of-fact attitude you expect from a nurse, and her passion for her more-than-40-year-career is evident.

"I never did go to work unhappy," Moad Snow said. "I loved my work."

Moad Snow holds the distinction of having helped set up the first intensive care unit in Nampa at the Old Mercy Hospital, at a time when intensive care looked different from it looks like today. She saw the evolution of the nursing field from medical advancements to the style of uniforms.

Back in 1946, nurse training school cost Moad Snow a mere $75, a fact she likes to point out incredulously.

In today's dollars $75 is about $995, but that is still cheaper than a nursing student would pay for a semester's tuition at the College of Western Idaho, let alone three years of schooling.

 

To earn the money to train to be a nurse, Moad Snow, along with her friend Mickey Maybon, picked vegetables in the fields after graduating from Marsing High School. She swears she can still feel the cold lettuce in her hands as she packaged it for shipping.

When they finally earned enough money, they went into training at the old Sisters of Mercy hospital in Nampa.

Nursing was not at the top of Moad Snow's list of careers. She went to nursing school because Maybon convinced her to go. When she was almost finished with training, she had an interview set up in Seattle for an airline stewardess job. But a nun at the hospital turned her plans around.

"She said, 'Trini, you gotta give us a year. You owe us that,'" Moad Snow recalled.

She ended up working in the office of Dr. Warren B. Ross for the next eight years, then went to work at Old Mercy Hospital, an institution where she spent the rest of her career.

Moad Snow was a head nurse in the mid-1960s when she was walking down the hallway with two doctors who asked her if she likes to travel. They told her the hospital was setting up a new kind of unit that was becoming common all over the country, and she could go to New York to learn all about it.

"It wasn't really new; we took care of very ill patients out on the floor," Moad Snow explained. "But what was beginning to happen was they were beginning to group these patients into one area, and they called them 'intensive care units.'"

The new type of care would require nurses to have special training in things like the monitoring of patients' heart rhythms.

Moad Snow was told when she came back to Nampa that Old Mercy's intensive care unit would be fully set up and ready to go; all she would need to do was train the nurses. It didn't quite turn out that way.

 

"I came back, and I'll never forget ... I went home and cried that day," Moad Snow said.

One of the nuns at the hospital took her downstairs and showed her where she would set up the intensive care unit. She had two small rooms, and to wheel a patient out to the elevator to the surgical department she had to physically move her nurse's station desk.

Thankfully, that set-up was not permanent. Three months later, in September 1968, the Mercy Medical Center opened.

Although Saint Alphonsus is preparing to replace that facility this summer when it opens a new medical center nearby, the hospital was modern for its time, Moad Snow said, especially the ICU.

When the ICU was still in its early years, Moad Snow traveled to Russia to observe intensive medical care. She noticed they had a different policy than she was used to: Family members were allowed to stay nearby with the patient, as opposed to being kept at a distance. It broke all the rules Moad Snow learned, but it made such a difference in the patients' treatment and recovery.

When she got back to Idaho, Moad Snow tore up her rule book and let families visit patients in the ICU.

"It just made everything so much better," she added.

Moad Snow's career saw the application of new medical procedures.

She remembers the first time she watched a pacemaker get inserted. She thought the patient was going to die.

"And then when we got it connected and we saw that blip, and the patient's heart beating on the regular — it's pretty thrilling," Moad Snow said. "And I just couldn't get over how we could do things like that."

 

With all the changes, what hasn't changed about quality nursing is caring for patients, Moad Snow said.

"I still think there's a lot of care there. If you're a nurse, a good nurse, and you care about patients — I think they still have that," she said.

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Topics: ICU nurse, retired nurse

More Men Becoming Nurses

Posted by Erica Bettencourt

Fri, Apr 07, 2017 @ 04:18 PM

TMN-DN_0.jpgTwo men discuss their career paths in a female dominated work environment, Nursing. Brian Medley and Zain Rehman talk Nursing shortages, specialty options, salary, and more. Read below to find out more about the interview. 

Brian Medley, a nurse at Lurie Children's Hospital, and Zain Rehman, a nurse at Advocate Christ Medical Center Intensive Care Unit, talked about their career path.

Nursing has historically been a female-dominated field, but men are increasingly pursuing the career. The percentage of men in nursing is still small, only about 9 percent to 10 percent.

A nursing career holds many advantages for men, such as highly diverse patient care environments, career stability, and a competitive salary.

Resurrection University will host a "Thinking Out Loud" speaker series for men, by men.

"Men in Nursing" is a free event that brings together a panel of male nursing professionals to talk about what it's like to be a nurse in today's healthcare environment

EVENT DETAILS
WHEN: 10 a.m. to 2 p.m. Saturday
WHERE: Resurrection University, 1431 N. Claremont, Chicago

For more information, visit: www.resu.edu/meninnursing

IT'S A GOOD TIME TO BE A NURSE
Nurses are in high demand because of a current nursing shortage. Statistics from the World Health Organization show that the total number of nurses actively working in the U.S. health care field has decreased dramatically since 2000, therefore causing the demand for nurses to increase. Another reason for the shortage is that our country's aging population is generating a growing demand for services such as end-of-life and long-term care. The shortage of nurses crosses all specialties including faculty for nursing education program. That means graduating students can enter a job marketplace that is stacked in their favor. The job opportunities for nurses are expected to grow by 16 percent by 2025.

MANY TYPES OF NURSING SPECIALTY OPTIONS
The nursing field offers many different patient care environments, some of which may be particularly appealing to men, such as anesthesia, flight, emergency, or trauma nursing. Other nursing specialties in the field that male nurses may want to explore include middle management, nursing education, nurse practitioner, oncology, psychiatry, pediatrics, and administration. Nursing is not a one-size-fits-all profession; for both male and female nurses, the wide array of specialties makes it possible to pursue one's specific areas of interest in the field.

SALARIES FOR MALE NURSES IS HIGHLY COMPETITIVE

Nurses earn a good living. Nurses in Illinois earn an average salary of $60,000. That goes up for nurse practitioners and those with specialties such as anesthesiology. It's a relatively quick transition to make a comfortable salary. Opportunities for advancement happen more quickly in nursing than in some other fields.
Even in the female-dominated field of nursing, male nurses typically out-earn female nurses, as is the case across almost all occupations. Also the retirement benefits are often very appealing. It is also not uncommon for new nurses to be offered signing bonuses.

MALE NURSES IN DEMAND
Many hospitals desire a mix of genders and many men offer the physical strength needed for tasks such as moving patients and heavy equipment. Also, some male patients prefer male nurses when dealing with sensitive medical issues, such as prostate exams, catheters etc.

NURSES HAVE JOB STABILITY
Nursing will never go out of style, and they can't be replaced by machines. People will always need medical care no matter what happens in the economy. Nursing requires empathy, resilience, and a capacity for caring... and there's no gender restriction on that.

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Topics: male nurse, male nurses

A Nurse Scientist and An Engineer Create Heart App

Posted by Erica Bettencourt

Thu, Apr 06, 2017 @ 03:40 PM

heartapp.pngTwo professors at USF collaborated to work on improving self-care at home for patients with congestive heart failure. Another goal was to reduce their hospital readmissions. They knew most patients are living on their own after they get out of the hospital and it can be a challenge for patients to keep up with their regimen. They teamed up to create an app that could help them.
 
Learn all about it in the article below. Perhaps you have an idea that can help your patients and their families?

A nurse scientist and an engineer created a smartphone application for patients with heart failure — and the patients participating in a pilot study said they’re finding it useful in helping them make the right choices about their health, according to an article published online by the University of South Florida in Tampa.

Called HeartMapp and now copyrighted by USF, the device can be used on Android smartphones by patients with congestive heart failure.

Ponrathi Athilingam, PhD, assistant professor at the USF College of Nursing, and Miguel Labrador, PhD, professor in the Department of Computer Science and Engineering at the USF College of Engineering, created HeartMapp. Their goal was to improve patient self-care and reduce costly hospital readmissions.

“As a cardiology nurse of 25 years, I know that patients with heart failure, who must follow an intricate medication regimen and self-management practices at home to stay healthy and prevent getting admitted to the hospital, struggle with self-care,” Athilingam said in the article. “After patients leave the hospital, they are alone. However, they do have a phone as a companion. So, we developed this easy-to-use, patient-centered technology to help them keep their heart health on track.”

Monitoring vital signs

The app has six modules which help patients monitor their vital signs, perform breathing and walking exercises, take their medication, read educational information on heart health and see how they’re doing. The app also reminds them to check their weight and blood pressure in the morning and assess any symptoms.

Patients check the app to see if they’re in the green, yellow or red zone. The green zone means they’re doing fine, according to the article. “The red zone means they’re gravely ill and need to immediately go to the hospital,” Athilingam said in the article. “But the goal is to have patients note when they’re in the yellow zone so they can contact their physicians and work to get back to the green zone, she said.

Athilingam and Labrador are testing HeartMapp with nine patients from the USF health cardiology clinic, and USF hopes that will lead to making the app commercially available, according to the article.

The app creators also wrote several articles about small studies they’ve done regarding the app’s usage.  In one study, they surveyed 25 patients with congestive heart failure and 12 healthcare workers via questionnaires.  In that study published by the journal Applied Nursing Research, the authors, which included Athlingam and Labrador wrote that “patients reported moderate self-confidence in using HeartMapp.”

They also wrote in the abstract: “The healthcare members demonstrated high confidence in recommending HeartMapp to patients and in utilizing data from HeartMapp for clinical decision making.”

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Topics: smartphone applications, heart app, congestive heart failure

3 Things Patients Want from Nurses

Posted by Pat Magrath

Tue, Apr 04, 2017 @ 04:03 PM

hospice-palliative-care-2-1.jpgMost Nurses deal with patients every day, particularly in a hospital setting. You are on the go the moment you enter the hospital and often don’t have time to catch a breath, let alone grab a sandwich or take care of personal needs. Because you’re so busy, you may not have the time to really connect with each patient.

No one is blaming you. You’re most likely overwhelmed and focused on doing all the details your job entails. This article may be helpful in guiding you to understand what the patient is looking for from you. Let us know your thoughts.

To be successful in their role, nurses have a long list of skills and traits they must possess. Yet some days it can feel as if they need one more: mind-reading.

Patients aren’t usually the best at communicating what they want. This is somewhat understandable, however, since it’s intimidating to be in any unfamiliar situation, let alone one as stressful as a hospital stay.

1. Transparency

Most of your patients will have limited to no clinical knowledge, which means they might not even know what they don’t know. While they may not fully comprehend the complexities of every procedure or medication, the patient doesn’t want to be kept in the dark about their treatment. You certainly don’t want to overload them with terminology or the mechanics behind each medical device but you also want to keep them as informed as possible.

It’s reasonable to assume “ignorance is bliss” for patients (especially if their treatment is particularly overwhelming) but trying to protect patients by restricting what is communicated regarding their care prevents them from making the best decisions about their treatment.

Make sure the lines of communication are open between the care team and the patient as well as their family. If lab results indicate a change in the patient’s condition (be it minor or major, negative or positive) let the appropriate care team members know as soon as possible so they can inform the patient. If a procedure will be delayed, inform the patient and give them your best estimate of how long they will have to wait.

2. Respect

Every member of the hospital staff has a busy schedule from the moment they walk in the door each day to the moment they leave. Nurses have many patients for which they are responsible, so sometimes small courtesies can be sacrificed in the interest of efficiency. Though the nurse may not intend to offend a patient by quickly entering a room, checking their vitals and moving on, the patient may not realize the full scope of the nurse’s responsibilities and interpret this as disrespectful.

Nurses and other healthcare providers can do a few simple things to show respect to patients:

  • Knocking before entering a patient’s room
  • Introducing him or herself
  • Addressing the patient by his or her preferred name
  • Explaining the purpose of their visit
  • Ensuring the patient understands how to contact a nurse and navigate the hospital

Patients also want to be consulted on their condition and have their concerns acknowledged. While sometimes patients may feel it necessary to share information that isn’t necessarily relevant to their treatment, they’ll still appreciate you taking the time to listen to what they have to say. Plus, a minor complaint they happen to mention in passing might indicate a more serious issue that may have gone unnoticed had the patient not brought up the symptom.

3. An Invitation to be Involved

Inviting patients and their families to be actively involved in making decisions about the patient’s treatment is an important part of patient-centered care. Provide patients with helpful resources and tools and help guide them through the decision-making process. Patients want to feel as if they are truly a part of their care team and aren’t simply following orders over which they have no say.

Ensure the patient feels comfortable asking questions. Encouraging patients to ask questions allows them to feel more in control of their care and helps prevent potential treatment compliance issues due to misunderstandings.

Not only will this practice help patients, but research by U.S. Department of Health and Human Services’ Agency for Healthcare Research and Quality has also shown that engaging patients and their families had the following benefits for hospitals:

Ultimately, your goal as a nurse is to provide the best experience for your patients. You’re committed to administering high-quality care and being candid, showing respect and encouraging involvement can also help increase patient satisfaction.

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Topics: patient satisfaction

2017 Best Nursing Apps

Posted by Erica Bettencourt

Mon, Apr 03, 2017 @ 04:08 PM

appsfornurses.jpgNurses are on the move and they aren't carrying around medical books and a computer to help them when they need it. Wait, on second thought, that little smart phone in your pocket is just that, a computer, filled with apps catered to your needs. 
 
If you need definitions to medical terms, there's an app for that. There's also one that will keep you up to date on medical news and others that will provide you with information on specific diseases and medical cases. If you haven't looked into apps that can help you out in the Nursing field, here's a list of the best of the best. 

 

Nursing Central App1. Nursing Central

Unbound Medicine’s award-winning Nursing Central app is available on Android and iOS devices. Users are satisfied with its extensive drug and disease information. Nurses and students are able to work more efficiently thanks to Nursing Central providing detailed information on diseases, tests, drugs and procedures on the go.

What users are saying:

“This app is awesome! I love that it has all the necessary references. The search is great and pulls up the item in all the references…”

 

Rating: 4-star rating

Cost: Free

Available: Android and iTunes

Diseases Dictionary App2. Diseases Dictionary

A free Android and iOS app, Diseases Dictionary offers a long list of illnesses and conditions nurses are apt to encounter, along with symptoms and preferred treatments. Nurses and students can type in the symptom and a list of possible diseases will appear; this app provides comprehensive information about how to deal with symptoms/how to prevent the disease; and how to improve knowledge about diseases.

What users are saying:

“High informative. I recommend this app.” “A Must-Have app! What an educative app!”

Rating: 4-star rating

Cost: Free

Available: Google Play and iTunes

Black's Medical Dictionary App3. Black’s Medical Dictionary

For over a century, medical professionals have relied on Black’s Medical Dictionary. With over 5,000 definitions of medical terms, this app features a navigational display with rich media experience; user-friendly, intuitive interaction; and the ability to share with friends using social media features. Reviews are mixed, with some users complaining of the app’s $14.99 price tag.

Rating: 3-star rating

Cost: $14.99

Available: Google Play and iTunes

The Color Atlas of Family Medicine App4. The Color Atlas of Family Medicine

2,000 full-color photographs will help you visually diagnose common and uncommon conditions and diseases encountered in clinical practice. At $124.99, it’s not ideal for nurses on a budget — but satisfied users report that the app’s thorough explanations and color pictures are well worth the money.

What users are saying:

“Full of pictures and useful facts about diseases and treatments…I refer to it often in my practice.” “Great primarily outpatient reference.” “Very impressed with the app, good photo resolution when searching for specifics.” 

Rating: 5-star rating

Cost: $124.99

Available: Google Play and iTunes

Merck Manual App5. Merck Manual

The oldest continuously published textbook for English-speaking medical professionals, the Merck Manual is free on iTunes. This app includes “How to Do” videos on numerous outpatient procedures and physical examinations; quizzes that check knowledge of medical disorders, symptoms and treatments; interactive case simulations that test the ability to treat a specific patient over the disease course; and editorials written by top medical experts. Some users believe it is a must-have for nurses, but others feel it’s difficult to navigate.

What users are saying:

“I downloaded this new Merck Manuals reference when I saw it first available, and have the home user version too.” “Offline use and excellent interface!”

Rating: 4-star rating

Cost: Free

Available: Google Play and iTunes

MedPage Today App6. MedPage Today

Get up to date with the latest developments in the medical world with MedPage Today, MedPage is the leading source for breaking medical news, daily coverage of over 30 specialties, annual coverage of over 60 meetings and symposia and free CME and continuing education credits.

What users are saying:

“Very good app for doctors. Awesome and authentic information with reference.” “Best app for medical students, but needs more details.”

Rating: 4-star rating

Cost: Free

Available: Google Play and iTunes

Pedi STAT App7. Pedi STAT

Satisfied users on iTunes claim that Pedi STAT is the easiest medical app to use. Described as a rapid reference for RNs, paramedics, physicians and other healthcare professionals caring for pediatric patients in the emergency or critical care environment. The Google Play version costs $7.87.

What users are saying:

“Great resource for paramedic, CCP, or ER RN, use it frequently. “Awesome…use this app in clinical situations a lot.”

Rating: 4-star rating

Cost: $2.99

Available: Google Play and iTunes

NurseTabs: Fundamentals App8. NurseTabs: Fundamentals

The NurseTabs series offers a thorough overview of several important topics, with many concepts discussed in video form. App users will have access to over 120 skills and procedures separated by topic areas learned through fundamental nursing courses. After selecting a skill, you’re presented with the equipment needed to perform the procedure and a step-by-step of how to perform it safely. The app is $9.99, but in-app videos cost another $4.00 — a fact that does not please some users.

Rating: 4-star rating

Cost: $9.99

Available: Google Play and iTunes

NurseTabs: MedSurg App9. NurseTabs: MedSurg

Another valuable app in the NurseTabs series, MedSurg focuses on diseases and conditions. This app is suited for novice nurses and nursing students with over 340 common diseases and disorders that are separated by the body system. Once a disease/disorder is selected, nursing processes, managing client care and tons of other useful information is at your fingertips. Like Fundamentals, it costs $9.99. The two apps are available in bundle form for $19.99 on Google Play.

What users are saying:

“Good for students, but basic and vague for nursing…” “I am an LPN a charge nurse and I love this app. So easy to use. Every diagnosis u can think of is on the app…”

Rating: 4-star rating

Cost: $9.99

Available: Google Play and iTunes

Nurse's Pocket Guide App10. Nurse’s Pocket Guide

The Nurse’s Pocket Guide is constantly updated with new information on diagnosis and interventions. Each diagnosis listing includes a definition, related factors, defining characteristics, prioritized actions/interventions, NIC/NOC classifications and documentation of guidelines. The free app is available on iTunes and Google Play.

What users are saying:

“It’s a good app if you are willing to pay for (in-app purchases).”

Rating: 3-star rating

Cost: Free

Available: Google Play and iTunes

Voalte One App11: Voalte One

An HIPAA-compliant app, Voalte One provides exceptional communication for caregivers. It provides alarm and nurse alert notifications, text messaging on easy-to-use app. It also offers VoIP calling. This tool helps streamline communications in tough situations. It’s easy to use and provides a way to gather information immediately. 

Rating: 4-star rating

Cost: Free

Available: Android and iTunes

NursingCenter CEConnection App12. NursingCenter CEConnection

Earning continuing education credits can be a challenge, but NursingCenter CEConnection makes it easy. Thanks to this easily accessible app, you can view CE courses and complete them offline whether you’re at home, on your commute or on your shift. Once you return to a wifi connection, your assignments will automatically sync with your CE Planner account and access your certificate.

Rating: 3-star rating

Cost: Free

Available: Google Play and iTunes

Heather's Nursing Cheat Sheets App13. Heather’s Nursing Cheat Sheets

Download Heather’s Nursing Cheat Sheets on your Android device and get ready to access the detailed information you need, when you need it. The app has a temperature conversion chart, a neurological coma scale, and several other helpful cheat sheets. It is important to know that the information in this app is compiled from a variety of sources and you should always know your own facility’s protocols.

What users are saying:

“Amazing app! As a RN working bedside in the critical care setting, this is my quick go to tool…” “Great reference tool!” “Awesome! A student nurse’s dream!”

Rating: 5-star rating

Cost: $2.99

Available: Google Play

Davis's Drug Guide For Nurses App14. Davis’s Drug Guide For Nurses

With information on over 5,000 generic and brand name drugs, Davis’ Drug Guide is a great and comprehensive tool. With practical information on trade name and generic drugs, each focuses on safety and patient care, including information on dosing and administration, interactions, side effects and patient teaching. The app has numerous rave reviews on Google Play.

What users are saying:

“I love the website, but the app is frustrating because I cannot search medications…” “Fast, easy access to information without having to lug a book around…”

Rating: 4-star rating

Cost: Free

Available: Google Play and iTunes

Epocrates Rx App15. Epocrates Rx

Available on iTunes and Google Play, Epocrates Rx boasts high ratings on both platforms, and 1 out of every 2 physicians rely on Epocrates to enable better patient care. The app offers detailed information for a wide range of brand, generic, and over-the-counter medications. A one year Epocrates Plus subscription is available for $174.99.

What users are saying:

“Superb guidance.” 

Rating: 4-star rating

Cost: Free

Available: Google Play and iTunes

I.V. Drug Handbook App16. I.V. Drug Handbook

Published by McGraw-Hill, this useful Android app helps nurses successfully carry out one of the profession’s trickiest tasks. It features several helpful learning tools, including a ‘Favorites,’ ‘Recent’ and ‘Word of the day’ features to help you further enhance your vocabulary from an extensive library. The Google Play version is free, but offers in-app purchases.

What users are saying:

“Very ok.” “Stellar”

Rating: 3-star rating

Cost: $44.99

Available: Google Play and iTunes

NCLEX Flashcards App17. NCLEX Flashcards

Whether you’re currently in nursing school or could use a refresher, the NCLEX Flashcards app has over 1,600 practice questions, quizzes, mnemonics, and strategies. Bonus: If you purchase the mobile version, you’ll be granted access to the full-featured online version. The Google Play version is free, but offers in-app purchases.

What users are saying:

“Love it buy after 2 questions it stops, please fix!” “Excellent! Very helpful and it makes it easy to remember everything.” “Good app for NCLEX review…it does freeze at times.”

Rating: 4-star rating

Cost: $3.99

Available: Google Play and iTunes

Nursing Guide App 18. Nursing Guide App

Quantum X. Inc’s Nursing Guide App offers a range of information for nursing students and experienced nurses alike. Equipped with mnemonics, articles and tips and quotes, this app was created to share basic to complex information about the nursing field.

What users are saying:

“Very helpful.” “Excellent. More than expected.” “Does not give full info…”

Rating: 4-star rating

Cost: Free

Available: Google Play and iTunes

Critical Care ACLS Guide App19. Critical Care ACLS Guide

The Critical Care ACLS Guide is the smartphone age’s response to a classic, twenty-year-old booklet that made it easier for nurses to check doses and interpret EKGs. You can have immediate access to critical information loaded with rich content, detailed illustrations and features including quick navigation, expanded search capability, calculators and custom bookmarks.

What users are saying:

“Effective.” “Well designed to provide fast information.” “Better than expected for immediate needs.”

Rating: 4-star rating

Cost: $7.99

Available: Google Play and iTunes

NurseGrid App20. NurseGrid

Scheduling can be a hassle for nurses, but with iTunes’ NurseGrid, it doesn’t have to be. Used by over 200,000 nurses, the app allows for schedule management across several work sites. Because of this app’s user-friendly features, it only takes a few seconds to create your shift calendar for the next few months. You also have the opportunity to connect with other NurseGrid users who work in your department.

What users are saying:

“Nice app. I love how easy it is to add my work schedule and that my coworker can see my schedule.” “Sluggish, but a great app on iOS.” “It’s okay. It shows my shifts and is easy to add shifts…”

Rating: 3-star rating

Cost: Free

Available: Google Play and iTunes

Nursing Procedures App21. Nursing Procedures

Nursing Procedures focuses largely on providing nurses the best resources before they begin a procedure. Ranging from assessments to medication administration to code blue situations. As a bonus, you’ll get a Weekly Funny once a week that gives you a funny video, quote, picture or meme to cheer you up. The iTunes version is free.

What users are saying;

“Great app but please add more procedures to the midwifery aspect…” “Please add the requirements for the various procedures. That I think will help us a lot.” “Great app.” “It’s a great app. Easy to use and understand. Big ups.” 

Rating: N/A

Cost: $0.99

Available: Google Play and iTunes

Nurses First App22. Nurses First

The Nurses First app features daily nursing tips, fun facts, nurse quote section, Vines section and a giveaway section. Information is pulled from the top nurse blogs and fan sites; everything you need to know in one mobile app.

What users are saying:

“Perfect app for nurses. This one has it all.” “I keep opening this app, even while I’m at work…it just makes the day go well.” “I am so glad I downloaded the nurses first app. LUV it.”

Rating: 4-star rating

Cost: Free

Available: Google Play

IV Drip Rate Calculator App23. IV Drip Rate Calculator

Most features of the IV Drip Rate Calculator app are available on modern pumps, but modern pumps aren’t always available. With this app you can add a drug amount in mg, mcg, grams or units to a volume of fluid, select the dose ordered and the ml/house necessary to deliver that dose will display. Several satisfied users claim that the app has made their jobs easier.

What users are saying:

“Good math, would be better if you could scroll the screen to the next couple fields..” “Good for when I need to think faster while multi-tasking.”

Rating: 4-star rating

Cost: Free

Available: Google Play

IV Infusion Calculator App24. IV Infusion Calculator

This simple and straightforward iOS and Android app work whether you are using gravity or pumps. It will give you your answer in mL/hr, gtts/min and gtts/15 seconds. This app also includes an IV Push calculator and a Fluid Rate calculator. The Pro upgrade to the app costs $0.99.

What users are saying:

“Very useful and covers all types of calculations I use.” “I use this app every week.”

Rating: 3-star rating

Cost: Free

Available: Google Play and iTunes

Nursing Reference Center App25. Nursing Reference Center

Amp up your nursing skills with Nursing Reference Center. The app provides relevant clinical resources to nurses, directly at point-of-care and offers the best available and most recent clinical evidence from thousands of full-text documents. Note: to use the NRC app, you must obtain an access key.

What users are saying:

“Wonderful resource for nursing staff.”

Rating: 4-star rating

Cost: Free

Available: Google Play and iTunes

Lippincott Nursing Advisor App26. Lippincott Nursing Advisor

Quick answers for pressing medical questions are available on the iOS Lippincott Nursing Advisor app. Although many facilities offer free use of the app, some users must make in-app purchases. You’ll have access to regularly updated clinical content by a team of nurses and clinical subject matter experts as well as the ability to add your own protocols and notes.

What users are saying:

“Time saver. I bought this app mainly to benefit my Lippincott account was such a huge pain…this however has saved me time and headache and I can get it on my phone as well.”

Rating: 3-star rating

Cost: Free

Available: Google Play and iTunes

Wellbeing For Nurses App27. Wellbeing For Nurses

Stress and fatigue make it a challenge for nurses to stay healthy. Wellbeing For Nurses Magazine aims to combat this with a useful app. You’ll have access to monthly doses of in-depth articles that focus on the fields of health, happiness, and well-being.

What users are saying;

“Perfect…” and “A good one.”

Rating: 4-star rating

Cost: Free

Available: Google Play

Intensive Care Medicine App28. Intensive Care Medicine

Stay up to date on the latest research with the Intensive Care Medicine app. Google Play users appreciate the free app’s advanced search and article saving capabilities. This app comes from the Intensive Care Medicine journal that continually publishes review articles, original papers, and education articles written by leading members of the medical community.

What users are saying:

“Very nice, but should allow members to use their individual subscriptions to access.”

Rating: 4-star rating

Cost: Free

Available: Google Play and iTunes

Organs 3D App29. Organs 3D

Brush up on your anatomy with Organs 3D, which has tens of thousands of positive reviews on Google Play. The nursing app features 3D models, video, audio lectures, quizzes and text to create a rich learning experience for users.

What users are saying:

“I liked it. It gives brief explanation of most internal organs.” “Graphics quality is very low…” “Five stars. This is exactly what I’ve been looking for great 3D image!”

Rating: 4-star rating

Cost: Free

Available: Google Play and iTunes

Nursing Jokes App30. Nursing Jokes

Nursing is a notoriously stressful profession, and sometimes, what you need most is a lighthearted break from the anxiety. Look to Nursing Jokes on Android for some necessary humor to get you through long shifts.

What users are saying:

“Repetitive. Not enough content and not all that funny.” “Good, funny jokes.”

Rating: 3-star rating

Cost: Free

Available: Google Play

Medibabble Translator App31. MediBabble Translator

MediBabble is a professional-grade app that provides medical interpretation for healthcare workers and nurses. This app aims to improve safety and efficiency nurses can provide to non-English speaking patients. It aims to allow users to communicate faster, on the go, with those who do not speak English.

What users are saying:

“Very useful…” and “Amazing for gathering information!” Users say the app is “very good for asking patients questions and describing their conditions…”

Rating: 3-star rating

Cost: Free

Available: iTunes

IDdx Infectious Diseases App32. IDdx: Infectious Diseases

This app allows users to search by description and lists a number of infectious diseases that could relate to it. It lists symptoms and conditions of diseases to allow for fast recognition and diagnostic support. The searchable component of this app helps users to quickly find vivid images and information so that fast response time is possible. It displays pictures for diagnostics and support for emergency situations.

What users are saying:

“Very fine reference especially with multiple sources integration…” and “Using patient systems was effective for a precise conclusion.”

Rating: 4-star rating

Cost: Free

Available: Android and iTunes

Skyscape Medical Library App33. Skyscape Medical Library

The SML app is a tool to support diagnostics for physicians and nurses. It pulls from 400 resources from various associations to make finding information easy. Searches by keyword are easy and highly effective. A total everything-you-need tool, this app makes it easy to find key information whenever it becomes immediately necessary and you’re on the go.

What users are saying:

“It’s a go-to app for medical information…”

Rating: 4-star rating

Cost: Free

Available: Android and iTunes

Eponyms App34. Eponyms

Eponyms features hundreds of common and obscure medical eponyms for easy searching and verification. It allows users to quickly look up the meaning of a term, no matter how obscure or unique it is, to find out what it refers to. This makes finding information faster than trying to navigate complex medical conditions by limited names.

What users are saying:

“Excellent. Very thorough.” And “”Really nice app, very helpful, but needs more eponyms added…”

Rating: 4-star rating

Cost: Free

Available: Android and iTunes

 

  • Nursing Central app is available through the Amazon store and is compatible on some Android devices.
  • Ratings are based on the current app version for either Google Play or iTunes stores. Ratings are current at the time of publishing.
  • For clarity, ratings have rounded to the whole number. Please visit the app store to review the current ratings.
  • Some apps may require you to purchase. Some additional costs may also incur after initial payment. Please refer to the app’s terms of service agreement before purchasing.
  • Some apps may require you to sign up before using.
  • Some free apps may have in-app advertising or purchases.
  • Please refer to the app’s compatibility requirements as they may not work on all devices.

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Topics: nursing apps

The Nurse Who Admits Patients to Hospice Care

Posted by Pat Magrath

Thu, Mar 30, 2017 @ 03:39 PM

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Are you a Hospice Nurse or have you thought about becoming one? Perhaps you’d like to understand what this job entails. This article is written by a Hospice Admissions Nurse and she explains her role very honestly. She’ll tell you what her days and nights are like. The questions she’s asked by families and patients.
 
She emphasizes the importance of doing what the patient wants. She’ll ask how they want to live their final days. What they’d like to see and do. I appreciate her candor and would love to hear your comments.

Pamela Moss Blais, 55
Hospice Admissions Nurse
Norfolk, Virginia

As a hospice admissions nurse my job is to explain the process to new patients. I’m the very first face they see as they embark on their journey. That’s what I call it, a “journey.” Since I admit patients I don’t carry a caseload. I meet them once and then they float out of my life.

I was an ER nurse for 18 years. I saw patients who were resuscitated whether or not it was ethically correct. I saw families get hope when there was clearly none.

In hospice, the family is your patient. They’re truly living their darkest days. For many of them, this admissions meeting is an overwhelming process. Every emotion that they have inside of them that maybe even hasn’t ever surfaced might come to the top. But I don’t want families to cry.

During that first meeting I don’t say: “So this is what we do for people who are dying.” I say: “Hospice is not about dying. It is about living the remainder of your life how you want to. Not how I want you to, not how your husband, wife, daughters, or sons want you to, and not how the doctor wants you to, but how you want to.”

If you think about the last time you went to the doctor, he probably said, “Okay, this is what I think. These are the tests I want to run.” Nobody asks you, “What do you think? Does this sound reasonable? Do you want to do it?” Nobody tells patients how their quality of life is going to go down the toilet when they get chemo. So it’s sometimes hard for patients to wrap their head around the idea that everything is their choice now, they’re driving the ship. That’s the mission of hospice.

I encourage my patients to live because I want them to know: This is not about assuming the sick role. This is about getting up every day, taking a shower, getting dressed — if you can do that — eating, going out with your family — whatever it is you want to do. I recently met with a patient who was a plane enthusiast. He wanted to go to some Top Gun show in Delaware. I encouraged him to go …

I believe that the people who are most successful at hospice are good observers. They can read vibes and figure out the situation before they say a word. Sometimes I meet with patients in the hospital. Sometimes they’re in a nursing home. Often they are in their home. Before I even begin to discuss hospice, I try to figure out the patient’s faith. Do they even have a faith? I don’t ask directly … I do some detective work. If I’m at their house I look for crosses or iconography. I’ve seen people from all walks of life: Jewish, Buddhist, Jehovah Witness, Wiccan.

I think hard about my physical presentation. I don’t want anything too flashy or festive. Today I have on blush and lipstick and a little bit of eyeliner, but it’s very conservative. So is my dress. I make sure there’s no cleavage exposed or anything that would offend. I’m Jewish, but I don’t wear any religious jewelry. When I see someone dressed in scrubs that have Froot Loops on them or something, I say to myself, “Really? You look like you are in pajamas.”

My dad a pediatric allergist/immunologist in Norfolk. I used to go with him to the children’s hospital to watch. But the pivotal moment came the summer just before I graduated college, this was during the Carter administration. I was sitting by the local pool and overheard some women talking about all the cuts to education and how they might lose their jobs. I had studied special education and taught art at camp for mentally challenged kids, and I loved it. But would I have a job?

Then my brother who is a year older than me broke his neck when he was body surfing in the sea. He was 25 and home for the weekend from college. He suggested that I become a nurse, I spent so much time caring for him.

The other night I admitted a woman who has metastatic bladder cancer. I was instructing the family to give medicine, but I could tell they were nervous. They said they knew how to do it, but the mother was refusing. You could sense the stiffness and the fear in the room. And once I showed them how to do it, it was like an immediate Aha! Immediate relief. Because they realized, I can do that. I did that. These little tiny steps are big.

There’s so much information that has to be explained, I have to use my words very carefully. I want them to know there is a light. I want them to see that and feel it when I do my mission.

Sometimes the family members will ask, “Well, what do I say to my mom? I can’t say, ‘Hey how was your day?’ I can’t ask questions about the future.” I say, “Talk about the past. Talk about stories, trips you went on together. Ask them to tell you stories you have never heard. Talk about fun times. That’s how you comfort your loved ones when you don’t know what to say.”

There was a patient I admitted who had two daughters who work in the health-care field. They said something like, “I checked her blood pressure.” I said, “Why did you do that? I don’t want you to feel you have to assume the role of a nurse. I want you to be the daughter.”

I want to know when I leave the house or the hospital or the nursing home that the family and the facility staff feels okay. Not great. Because they’re not going to feel great. But that they feel okay with the situation and that if anything happens, they’re going to reach out to us and we’re going to be there. If you sense a problem, even if it’s tiny, even if you’re not sure it’s a problem, call us. We would rather you call us 20 times a day with a little tiny problem than let it escalate.

I spend a lot of my time alone in my car, traveling to see patients. Sometimes I’m putting in over 100 miles a day, driving all over Virginia. On an eight-hour shift, I usually process two admissions. On a 12-hour shift, I can do three.

I’ve been in the trenches. I’ve worked in labor and delivery, I’ve worked in the pediatric ICU, I’ve worked in Medserv, I’ve worked in home health, I’ve worked for a cardiologist in an office setting. I worked in the ER. You can’t be a nurse unless you care about people. It’s exhausting in every way. Spiritually, psychologically, emotionally. Nursing has been my life. This is the unfortunate thing about nursing. I love nursing, but it’s extremely hard to find a work-life balance.

I’ve been a nurse for 25 years and I don’t even make $40 an hour. You’re on your feet for 12 to 14 hours a day, and rarely do you get a lunch or even a bathroom break. Most nurses work their entire career and never get a break. When people say,”There’s such a nursing shortage,” this is why. It’s a struggle for the nursing profession as a whole and they still haven’t figured it out.

My hospice-admissions job is the first I’ve ever had where I actually can say, “Y’know, I’m hungry. I’m going to go to a WaWa and get a cheesesteak.” But still, the only thing that gets me through the work week is that I’m off Fridays, Saturdays and Sundays.

I work Monday through Thursday, 40 hours — on paper. When I come home at night, I start in on the homework. Each admission is two to three hours of paperwork. That’s the killer. I spend the night buried in paperwork.

The company I work for is trying to rethink the flow of the documentation, but some of this stuff is based on federal requirements, the Medicare/Medicaid requirements, and all the insurance companies follow federal guidelines. They’re not going to rework the wheel. These things have to be done right if we want to get reimbursed. There’s no shortcut.

But I cannot work 12 hour shifts anymore. I have a daughter in college and a 15 year old who I rarely see during the week. I told my boss, I need to be home at dinner time so I can get organized, so I can talk to my daughter. She’s a teenager. She needs her mother.

We struggled to be parents. I had seven pregnancies but I only have two children. Being a mother is still my dream. I don’t want other people doing my job. Our other daughter was very sick a couple years ago. That was actually why I left the ER. And I told my husband, “You might put your job before us. But I’m never going to do it. I’ll be working at McDonald’s before I put my job before my family.” Luckily right now, my boss understands the struggle.

A lot of nurses feel like they don’t have value. I will admit it’s hard when you feel worthless. I’ve tried to make an impact with every job I’ve ever done but rarely got accolades. A couple of weeks ago, I really thought about leaving hospice. I’m tired. I’m fed up.

And then all of a sudden, people are telling me I do a good job. People have started copying the way I put my notes in. I got a little promotion and was asked to be a mentor. It’s been hard for me to accept it. It’s just so odd after so many years trying to climb the ranks in health care. I called my husband and said, “Something suspicious is going on.” People are complimenting me. Why all of a sudden now? I took it as a sign that, for now, I will stay in hospice. Maybe I’m truly having an impact.

Sometimes, I’m taking care of people who are my age or younger. Imagine being robbed of your life during your 50s. You have every right to be the angriest person in the world. You’re going to die, you see it. The end of the tunnel — you can see it. I can’t see the end of my tunnel. I’m not dying. These people know it’s coming. It might not be next month, but it’s going to be in the next six months. If you were told today you had six months to live, just think how differently you would look at your life … That gives me perspective. I regularly think, “Is my life really that bad? I’m having a bad day, but is it that bad? Am I this person? Am I dying?”

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Topics: hospice, hospice nurse

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