Finding a Job as a Nurse In a Digital Age — and Keeping It

Will at Drawing on Experience manages to post a new comic almost every day. A regular theme is the progress of his career—having finished his accelerated nursing program, he’s now looking for a job. To the left is a thumbnail of a recent drawing he did about one of the more annoying aspects of the process (click the image to visit his blog and see a larger version).

A nurse returns to work at age 68 and finds her biggest challenge is computers.Of course, this isn’t the first downturn we’ve had in the U.S. economy; as AJN clinical editor Christine Moffa wrote back in May, newly minted nurses have struggled to find work before. Once you actually do get a job as a nurse, there’s the small matter of doing it for the first time. Or for the second or third time—but as if it’s the first time, at least in some respects. The October Reflections essay, “Paper Chart Nurse,” gives another perspective on the ways computers have changed the lives of nurses. It’s by an oncology nurse who returned to practice two years ago, at age 66. Her struggles with adapting to using an electronic medical record system were at times profoundly discouraging; she just wasn’t as proficient as the younger nurses at computer use, despite all her skills and experience. Have a look and please, tell us what you think.—JM, senior editor

No Explanation Required: A Preceptor’s Tale

By Marcy Phipps, RN, whose essay, “The Soul on the Head of a Pin,” appeared in the May issue of AJN. She has also contributed a number of thought-provoking posts to this blog (here’s the most recent).

I’ve been precepting a new ICU nurse intern, which I generally enjoy doing. The only downside (from the preceptor’s perspective) is that I’m obliged to call ahead and request “unstable” assignments. This is meant to enhance the clinical aspect of the internship, and it definitely does.  Considering that I work in a trauma center, though, reserving the sickest patient in the unit feels a bit like ordering up a large serving of chaos. And although I can request the assignment, I can’t predict what will be learned.

Our most recent patient was a new admission with a traumatic brain injury. At the start of our shift he had a grim neuro prognosis and was hemodynamically unstable. His condition deteriorated throughout the day and he was eventually diagnosed as brain-dead. His family chose to donate his organs.

Taking care of an organ donor is difficult. Brain-dead patients are inherently unstable, yet certain parameters must be maintained to ensure adequate organ perfusion. It’s tedious and meticulous.  It also requires a shift of perspective—ironically, even though the patient is legally […]

A Nurse Cartoonist Worth Checking Out

Drawing on Experience is a blog run by a student who’s been completing an accelerated BSN program in nursing and who illustrates his education and personal life with remarkably subtle and witty cartoons. Hat tip to a recent Change of Shift blog roundup at Emergiblog for letting us know about his work. It would be wrong to reproduce this artist’s work here without permission, and he might not like it, so I’m just including a really really tiny version of a recent cartoon illustrating his induction into the nursing honor society. It links back to his original Web site, where you can see this and many other cartoons in full, legible size (and of course, upon request, we’ll gladly remove the thumbnail image here!).

What makes this artist’s work so much fun? The tongue-in-cheek, martial-arts-disciple-and-wise-man narrative? The humility and sense of pleasure in life’s ironies and challenges? The quality of line? The attention to apparently trivial details? The way his mini-narratives play with genre conventions? At any rate, it’s a welcome addition to the nursosphere; I don’t see any contact info on this artist’s blog, but we hope he’ll find time to continue (and consider letting us publish one of his drawings on the blog or in AJN).—JM, senior editor/blog editor

I Simulate, Therefore I Am…

One after another, the student nurses pump the hand sanitizer dispenser and approach the bedside. They turn the patient’s name band to check his birth date and full name and say, in that singsong manner typical of young adults, “Good morning, Mr. Johnson, I’m your nurse today. How are you feeling?” The patient is a manikin called SimMan, short for simulation man, and I’m his voice. Hidden behind a one-way mirror, I also control SimMan’s physiological responses to the students’ interventions. My goal is to replicate the essential aspects of a clinical situation in order to prepare the students to encounter them in a living patient.

That’s the start of the September Reflections essay, written by a nursing instructor who experiences a curious role reversal as he plays the patient in a simulation exercise. Read the rest of it here, and let us know what you think.—JM, senior editor/blog editor

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A Nurse So Cold

Al is weak, frail, and most important, scared. At 55 years of age, after 34 years providing care, she finds herself in a major medical center— on her back, staring at ceiling tiles. The woman who’s always had skin as pure as a china doll now ironically has a porcelain hip. She’s just 36 hours out from a total hip replacement, and she knows something is wrong. She feels her heart pounding, she can hear the beating in her ears, feel the pulsing on her pillow. She rings the call bell to ask for the nurse to check her. An hour comes and goes, and no one comes to her room.

That’s from the August Reflections essay, titled “Miss Orienting Nurse.” The author is Linda Pellico, an assistant professor at the Yale School of Nursing, who tells of her chagrin at witnessing rote care provided to a hospitalized friend by a former student of hers. We hope you’ll read the essay and let us know your own experiences as a nurse or patient—or both. How many of us will someday have to rely on such cold and distant figures as the nurse and MD portrayed in this essay?-JM, senior editor

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