Hurricane Aftermath

By Shawn Kennedy, MA, RN, AJN editor-in-chief

Well, Hurricane Irene has come and gone in the northeast United States. While it certainly destroyed property, downed power lines, and caused flooding, many are thinking that we escaped the worst, since Irene morphed from a hurricane into a tropical storm when it made landfall in Long Island, New York.

This is not to diminish the tragedy that it caused—in loss of life (CNN reports 25 Irene-related deaths)  and destruction of property.  And I sympathize with those who experienced flooding or lost power. Cooking, showering, and basic daily activities become major challenges and require ingenuity, creativity, and sometimes a touch of genius. While initially this merely seems inconvenient, after a few days it’s exhausting. I’m sure there will be many households without power for weeks, judging from some local news reports.

An important potential health hazard that wasn’t covered in depth on the news is walking or wading in flood waters in shorts and bare feet or flip-flops. Flood waters often contain contaminants from storm drains and sewers, including raw sewage (as one news reporter discovered only after he was covered in it). Debris, sharp objects, and even power lines may be hidden underwater, as well as ditches or drains (47-year-old postal worker Ronald Dawkins, from Orange, New Jersey, was killed when he tried to wade through rising water to a postal facility where he worked and stepped into a hidden drainage creek).

The Centers for Disease Control […]

2016-11-21T13:12:02-05:00August 29th, 2011|Nursing|0 Comments

Patient Privacy and Company Policy: What Nurses Should Know About Social Media

Should you be able to have an online discussion about hospital policies that aren’t working or are unfair? What if the point of your discussion is to improve working conditions or to troubleshoot and not to cast an uncomplimentary light on your employer? Right now, the answer is “good question.”

If you’re a nurse or health care worker of any sort, if you sometimes use one or more of the many available social media options (Facebook, blogging, Twitter, etc.), if you’re worried about what it’s OK for you to do or say online, if you have a job or are thinking of looking for one, we strongly suggest you take a look at this month’s iNurse column in AJN (quoted above).

In it, Megen Duffy, RN, aka blogger Not Nurse Ratched, considers such issues as the following:

  • hospital social media policies (always read them; some are surprisingly restrictive)
  • HIPAA and potential issues raised by blogging about aspects of work
  • the ways your social media history may be mined by HR departments at prospective employers
  • the reasons why she strongly believes that social media isn’t going away and has many potential benefits, despite various well-publicized pitfalls—and why nurses need to let their input be known so that social media policies will be sane and balanced

And, since this is social media, we hope you’ll let us know your thoughts, in the form of comments. Maybe Megen will even weigh in, if you […]

Killing Traditional Nursing Duties #1

By Shawn Kennedy, MA, RN, AJN editor-in-chief

We recently had a lot of feedback to a question we posted on our Facebook page: “We know old habits die hard and nursing has a lot of them. What old habits do you think we should kill? NPO after midnight? Routine temps on every patient?”

We got several good responses:

– Waking patients up at 4am for blood drawing, routine vital signs

– Measuring intake and output on every patient

– Taking routine temps

– Giving dorsogluteal IM injections

– Doing a skin prep for an IV by swabbing the site in a circular motion, inside to out (some manufacturers of products are instructing that skin prep be done by a scrubbing motion)

– Enemas before childbirth

– Double documenting

– Rushing to give medications right on time (which makes one prone to error)

– NPO after midnight

Choosing from the above, we then asked this: “Survey question #1: Do you routinely wake patients up at night to check their vital signs? If not, when would you?”

This question received many comments, from “Of course not” and “only when necessary” to “If a doc orders q 4 vs and you don’t do it and something happens to the patient, that would not be good for you AT ALL.” Also this: “Orders are orders which we must follow.”

Commenters cited several stories of recent postoperative patients (who, I agree, should have vital signs frequently monitored) who could have suffered grave consequences had the nurse not woken them […]

The Perception Treadmill: Has Nursing’s Status Really Gone Anywhere?

a Treadmill

By Margaret Gallagher, BSN, RN. Margaret is a cardiovascular nurse currently working in Georgia. Her last post for this blog was “Return on Investment: A Mother Makes Her Wishes Clear.”

Usually, it’s nice to share stories among friends you haven’t worked with in a while. However, I haven’t been able to let go of one such recent conversation.*

“You want to know what really burns me?” asked Lisa, a long-time nurse, as I sipped my coffee. “The rumors had been going around for a while that the residents get an incentive if the patients’ coag levels stay within therapeutic range. You know that John and I go way back; I decided to just flat out ask him.”

I listened attentively, expecting that Lisa and John’s friendship wouldn’t keep the attending MD from laughing her out of the ICU for this one.

Lisa glowed like an electric oven coil. “John told me it was true, and with a straight face! How dare they! All the residents do is click on ‘heparin protocol’ in the computer when the patient’s admitted. We draw the labs, follow the protocols, and titrate the drip around the clock until the patient is transferred, but they get the bonus. Does that stink or what?”

I couldn’t help but think back to my very first code. It was three states away and nearly three decades ago. For those who’ve never worked in a teaching […]

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