About Shawn Kennedy, MA, RN, FAAN, editor-in-chief (emerita)

Editor-in-chief, (emerita), AJN

Hospital Visiting Policies in the Days of COVID-19

Last month, I watched a YouTube video with two physicians, ZdoggMD (Zubin Damania) and Vinay Prasad, both active on social media, discussing Prasad’s perspective that allowing patients “to die alone is a human rights violation.” He argued that clinicians should not accept blanket rules from administrators and believes there are ways around what seems to have been standard practice in hospitals during the COVID-19 pandemic.

So when we asked on AJN’s Facebook page (December 13), “Should hospitals allow patients with Covid-19 to have visitors?”, I was surprised that the comments were split. Many respondents supported the need for patients to be able to have loved ones with them, but many others felt visitors shouldn’t be allowed because PPE was scarce or because visitors didn’t follow rules and, as one commenter noted, “We don’t have time to be the PPE police.”

No one should die alone.

Nurses have been assisting patients to connect with family members by tablets or mobile phones, or in many cases filling in as surrogate family at the time of death. A colleague told me that in her ICU, nurses decided no one would die alone and made sure that one member of the staff was there with the patient. And while this was comforting to many families, I […]

As we pause for the holidays…

Finding Ways to Be Thankful

As we near Thanksgiving, I increasingly find myself looking for positive things—things to help diminish the sadness over the mounting COVID-19 deaths…

So begins my editorial in the November issue of AJN.

As a former ED nurse, I recall working many Thanksgivings. Though I missed holiday dinners with my family, the stark reality of what my patients and their families were dealing with always put things into perspective.

This year, though I won’t be working, I will still be missing my family on Thanksgiving. My husband and I usually host a large dinner, which we’ve cancelled this year in following recommendations to avoid such gatherings. I know many others are doing the same. […]

Time to Take a Walk

via Wikimedia Commons

“We are bombarded with political ads on television, radio, and social media, and receive an onslaught of annoying robocalls on our phones. And no doubt after the elections are over, we’ll be subjected to endless analyses of the results. I find this constant ‘news awareness’ stressful.”

I wrote these words two years ago for the editorial, “Finding a Peaceful Place,” in the December 2018 issue. I could have written them today, or actually, any day these past few months.

The simple medicine of taking a walk, in the forest or not.

But I also wrote about a way that I find helps me tune out and relieve stress—the simple act of taking a walk. This year, because of the pandemic, my walks have mostly been confined to a few miles around my suburban neighborhood; I don’t think it qualifies as ‘forest bathing,’ but it still refreshes me. Seeing the pure joy of my dog to be out and about is a delight. […]

Emergency in the ED: Treating Hemorrhagic Shock

Emergency nursing isn’t all drama and adrenaline.

As any ED nurse knows, most of what a nurse sees in the ED is not what would classify as real emergencies—the kind of exciting, life-threatening situations that might have actually been the reason they chose emergency nursing. That’s how it was for me, and getting hired as a new grad to work at New York City’s Bellevue Hospital, one of the country’s premier emergency services, was a dream come true.

However, I quickly learned that most of the people who came through our doors did not have exciting, life-threatening emergencies but rather the more humdrum “urgencies” of life—gastroenteritis, a sudden high fever, a small laceration that needed a few sutures, sprains, and minor fractures. Minor, comparatively speaking, but certainly not minor to the patient, and all requiring attentive care. (For a vivid and poignant inside view of emergency nursing today, see the photo essay in the September issue; the essay is based on Carolyn Jones’s new film, In Case of Emergency, to be released this week for Emergency Nurses Week.)

When the ED doors slam open.

But then there were those sudden life-or-death emergencies that raised everyone’s adrenaline levels—a patient bleeding out was one of the more dramatic scenes. They […]

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