Amidst Nursing’s Daily Challenges, a Longing for Enduring Meaning

Early ideals, current reality.

I recently co-facilitated a breakout session at a national nursing conference in which we had the participants reflect upon life experiences that sparked their initial desire to go into nursing.

Some knew from a very early age that they were drawn to providing care for others. Others, like myself, were second-career nurses who had spent time in other professions before making our way into nursing.

We spent time talking about our early idealism about the profession and the various experiences or issues that have challenged our ideals over time. I was struck by the deep and broad range of emotions in the room: pride, frustration, hope, discouragement, cynicism, and longing.

‘An almost palpable ache.’

It is the longing that stood out to me the most.

The nurses I met in that room, and nurses I meet everywhere, certainly express longing for better staffing, improved systems that facilitate smoother workflow, and a supportive work environment. But these are all longings that tie into one deeper longing, which is a longing for enduring meaning in our day-to-day work—as hard as some days may be—and a […]

Nurses Week: A Time to Reflect on the Incredible Work Nurses Do

The Nurses Week theme this year as set by the ANA, “4 Million Reasons to Celebrate,” points to our numbers. I appreciate the concept, but I’m not in love with this theme—I don’t think our numbers are what make us worth celebrating.

What really matters.

What we should celebrate is nurses’ continued commitment, day after day, to making people’s lives better. Sometimes, that takes effort that goes above and beyond. That’s the focus of my May editorial, “The Unwavering Courage of Nurses.” It’s also depicted in the May issue cover photo (for background, read “On the Cover“): nurses literally running for their lives and the lives of their patient, just ahead of flames from the deadliest fire in California’s history. And it’s what makes some Red Cross nurses so special: see this article by Debby Dailey and Linda MacIntyre (listen to the podcast of my conversation with the authors, too).

I think Nurses Week is important, not so much for the public who, judging by their votes in the most recent Gallup poll, already think highly of us (a good reminder for […]

Is the Current Nurse Manager Role Attractive to Millennials and Gen Xers?

Image by TeroVesalainen from Pixabay

A perennially challenging role.

I’ve always found the role of nurse manager to be the most difficult one in health care. Crushed between staff nurses begging for enough resources to do the job and administrators pressing for cost containment, nurse managers often find it hard to make any progress at all.

This job comes with 24-hour responsibility, often (incredibly) for more than one unit. This can mean taking responsibility for, say, 50 patients, and 80 or more staff. Just managing payroll for so many people (as many managers still have to do) can take half the pay period! And all this for the princely salary of . . . less than what many of their senior staff nurses are making.

Redesigning the nurse manager role includes greater role flexibility.

Those of us who’ve been in nursing for decades simply accepted that, if you wanted to move up the nursing career ladder, you would have to accept all of the above. Younger generations of nurses, though, see things differently. […]

2019-03-15T10:09:41-04:00March 13th, 2019|Nursing, nursing career|0 Comments

Case of Nurse Charged with Homicide for Medication Error Raises Concerns

Every nurse’s nightmare.

On February 1, Radonda Leanne Vaught, a former nurse at Vanderbilt University Medical Center in Nashville, was indicted and arrested for impaired adult abuse and reckless homicide. She is accused of inadvertently administering the wrong medication and causing a patient’s death in an incident in late 2017.

This is every nurse’s nightmare.

According to the CMS report from its investigation, Vaught administered IV vecuronium (a neuromuscular blocking agent that causes paralysis and is often used during surgery) instead of IV Versed (a sedating agent) to an anxious patient undergoing a diagnostic scan. The patient stopped breathing, suffered brain damage, and subsequently died. Vaught was charged with recklessness because she overrode the automated medication dispensing system and didn’t follow standard procedures in properly checking the drug name or in monitoring the patient after administering the medication.

What the CMS report says.

The CMS report, which includes interviews with Vaught as well as witnesses and safety officers at the hospital, notes the following information about Vaught’s actions while she was in the medication system searching for the medication:

“[Vaught]. . . was talking to [an] Orientee while he/she was searching the ADC for the Versed and had typed in the first 2 letters of Versed which are VE and […]

Being a Bully and Being Bullied

‘Didn’t you learn that in school?’

Have you ever worked with a nasty colleague who knew everything? A nurse that the patients loved and showered with thank you cards and notes but was despised by coworkers? Unfortunately, I knew that person all too well. That bully nurse was me. It’s been nearly ten years since I received a wake-up call from another nurse and my then health care organization, making clear that I needed to change or risk heading further down a destructive path.

A few years into my nursing career—I can now admit—I thought I knew everything; the operative word here is thought. ‘Mary,’ a good colleague and still a friend today, would tell me, “I like you. I just can’t stand working with you.”

A kind person, Mary would never elaborate on my faults. In hindsight, it’s obvious to me what Mary was referring to. I could smell the blood of weaker individuals in the clinical setting and I was deliberately inconsiderate. I never raised my voice, but could be curt and make snide remarks: “Why are you bothering me now?” “Didn’t you learn that in school?”

None of the people I bullied stood up to me, so I continued. I really don’t fully understand it today. Was I power hungry? Possibly. Whatever the case, this way […]

2019-01-30T14:36:02-05:00January 30th, 2019|Nursing, nursing career|1 Comment
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