Who You Calling ‘Just a Nurse’?

It makes my blood boil when I hear a nurse say, “I’m just a nurse.” Sure, I’ve heard some nurses say, “I’m a nurse,” and I’ve heard many qualify their position by specifying, “I’m a critical care nurse” or “I’m a dialysis nurse.” But all too often, especially when asked whether they work in a specialty area, I hear nurses say apologetically, “No, I’m just a regular nurse,” or “I’m just a floor nurse.”

So says AJN‘s interim editor-in-chief Shawn Kennedy in her May editorial. Now here at AJN we’d like to reassure you that we don’t believe that anyone’s blood can actually boil. THAT is not an evidence-based statement. But Shawn’s hyperbole is meant to drive home a point: this is a topic that should matter to nurses, whatever their education level or exact job description.

We hope you’ll take a moment to read Shawn’s editorial in full and then let us know here what you think.

Longish sidebar: AJN may be a little uptight and old-fashioned about checking the facts we publish and making sure our editors and copyeditors fix unclear or inaccurate or simply awkward language, structure, and use of sources; ferret out conflicts of interest in our writers; and generally keep the journal a place you know you can trust in a world of shifting sources driven by suspect motivations. But here on our more informal blog, we also really really like (and do not edit!) reader comments, even very casual comments punched out on a tiny smartphone keypad.

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In Long-Term Care, What’s Favoritism?

By Sheena Jones, an LPN who is in training to be an RN at Dutchess Community College, Poughkeepsie, NY

Is it really fair when we get the favoritism speech from our superiors when we supply residents who have no family or friends with hygiene supplies? When there are two roommates and one has family and friends who visit daily and bring her all that she could need or want and the other has nothing and no one? Am I wrong for getting a couple of supplies from the dollar store for her? We all know that the hygiene supplies in many facilities are watered down and cheap. Am I wrong for buying someone some socks when they have none? We can’t share supplies or clothing between patients, so do I let someone walk around with nothing? If these people were my family or friends I would want someone to make them comfortable. They can’t leave the facility to go shopping with family or friends, and many of them have lost most of their mental capacity and have no one to help them—but that does not mean that they should walk around less put together than someone with a family? Do we just let these residents go without?

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When Devices Do the Thinking for RNs, What Training Still Matters?

By Sheena Jones. (Sheena is an LPN in training to be an RN at Dutchess Community College, Poughkeepsie, NY.)

So I’m sitting at home on a rare day off and I get a phone call. It’s the supervisor trying to locate one of the many devices each staff member has to sign in and out at the beginning and end of each shift. The hospital I work for uses bar code scanners, wireless computers, PDAs, and Vocera badges. These things are supposed to reduce errors and in general make the jobs of staff members easier. Once I get to work I feel like I have to put on a utility belt to carry all of these devices.

With all of these machines to think for me, I wonder if all of the schooling I’m enduring to go from my LPN to RN is obsolete. Yes, compassion and empathy can’t be taught or replaced by technology. But sometimes it seems to me that a technology-savvy teenager could do much of this job, as long as she could stomach the visuals at the bedside. I remember studying night and day for an exam about calculating medication dosages, only to discover that the computers give the exact dosage and that drugs come from the pharmacy just as they should be given.

Maybe we are a little bit dependent on technology. You should see the mass panic when there is an electrical surge. Nurses often waste time finding computers on wheels (affectionately known as […]

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