Memorial Day Weekend: Thanks to the Nurses Who Lost Their Lives While Serving

Vietnam Women’s Memorial, courtesy of Kay Schwebke

AJN wishes all of our U.S. readers (and everyone else too) a safe, restful Memorial Day weekend, whether you are driving to the shore or the hills, staying put and having a barbeque, finishing a dissertation, running a 10K, working all weekend in the emergency department, gardening, or binge-watching episodes of a TV show on Netflix (you know who you are).

But let’s not forget the meaning of this pause to express gratitude to all soldiers and nurses who lost their lives in service to this country, and to their families. I still remember the Memorial Day parade that started downtown in our small New England town and passed our house almost a mile later, the rolling sound of the drums getting nearer for a long time, the old guys in various uniforms passing by, a few nurses in uniform among them.

We’d join the kids circling behind on bicycles as the parade went along the final stretch to the cemetery across from my grandparents’ house, turned slowly in, and marched on until it came to a stop near the center. A hush would fall then in the cemetery with its tall trees. There were no cell phone cameras then. There was nothing to break the quiet. No one was sending or getting texts. No one had earbuds in.

Even as kids we knew it meant something, that silence, and we knew enough to respect it, no matter what we […]

MERS: A Lucid Overview of What Nurses Need to Know

By Jacob Molyneux, AJN senior editor

Coronaviruses derive their name from the fact that under electron microscopic examination, each virion is surrounded by a "corona," or halo. This is due to the presence of viral spike peplomers emanating from each proteinaceous envelope. CDC image by: Cynthia Goldsmith/Maureen Metcalfe/Azaibi Tamin Coronaviruses derive their name from the fact that under electron microscopic examination, each virion is surrounded by a ‘corona,’ or halo. CDC image by Cynthia Goldsmith/Maureen Metcalfe/Azaibi Tamin

In recent weeks, there have been a number of news stories following the first U.S. cases of Middle East respiratory syndrome (MERS-CoV) and the first transmission of the virus that occurred on U.S. soil. This novel coronavirus (the common cold is a coronavirus; so is SARS) can cause respiratory failure and death. So far, the number of identified cases are relatively few, though the numbers are growing. Disease surveillance has been aggressive since the first case was identified in Saudi Arabia.

Back in January, before the U.S. had seen its first cases, infection prevention specialist Betsy Todd provided a clear, engaging overview of MERS in […]

Pioneering Spirits, Kept Promises: Critical Care Nurses in Denver

By Shawn Kennedy, AJN editor-in-chief

In Denver for the annual National Teaching Institute of the American Association of Critical-Care Nurses (AACN), I’m once again overwhelmed by the size and breadth of the meeting. It’s not just the attendance, though it drew over 7,000 nurses. Perhaps it’s the Colorado Convention Center, which seems to go on forever. (Fittingly, there’s a mammoth blue bear two stories high peering in one of the glass walls.)

Big Blue Bear, Colorado Convention Center, Denver Big Blue Bear, Colorado Convention Center, Denver

While trying to find my way to a session, I met a nurse who was there with her mother. Mom’s a Boston ER nurse and her daughter is a critical care nurse in New Hampshire. Every year they do a mother-daughter trip to either this meeting or the Emergency Nurses Association meeting. Kudos to them!

Sociologist, inspirational speaker, and comedian Bertice Berry mc’d the opening session, quickly warming up the audience. A highlight was the presentation of AACN’s Pioneering Spirit awards to Loretta Ford (founder, along with physician Henry Silver, of the first NP program in 1965), Carrie Lenburg (pioneer in nontraditional and distance learning), and Lucian Leape (a physician who spearheaded the movement to reduce medical errors).

Some quotes from these feisty folks who had major impacts on […]

Noise in the ICU: Terminology, Health Effects, Reduction Strategies, and What We Don’t Know

By Jacob Molyneux, AJN senior editor

Noise isolation headphones to use in loud environments via Wikimedia Commons

I woke up this morning, as I do every morning now, to the sound of pile driving at a large construction site a block and half away on the Gowanus Canal. It shakes the earth and reminds me of the forges of evil Sauron in one of the Lord of the Rings movies. I once had a dog lose a good bit of hair when there was a pile driver for several months in the lot behind another apartment in Brooklyn.

The negative physical and emotional effects of excessive noise get an occasional mention lately in health reporting, but in New York City or along the remotest forest lane, the forces of quiet can seem to be in rapid retreat before an army of leaf blowers, all-terrain vehicles, diabolically amped-up motorcycles, huge TV sets, garbage trucks, helicopters, and the like.

Lest I sound like a total crank (I do have useful noise-cancelling headphones plus an Android app that offers such choices as white noise, brown noise, burbling creek, steady rain, crickets, and soothing wave sounds), there’s a reason for the preamble. Florence Nightingale herself called unnecessary noise “the most cruel absence of care which can be inflicted either on sick or well,” as is pointed out by the University of Washington researchers who wrote the latest installment of our column Critical Analysis, Critical Care.

Remembering Nurses Who Go Above and Beyond as Volunteers

By Shawn Kennedy, AJN editor-in-chief

A severely dehydrated patient receives iv fluids from Kari Jones, MD, as she is carried by a family member from triage to a tent at the Bercy CTC. Photo courtesy of Samaritan’s Purse. A severely dehydrated patient receives IV fluids from Kari Jones, MD, as she is carried by a family member from triage to a tent at the Bercy CTC. Photo courtesy of Samaritan’s Purse.

So another Nurses Week winds down and many nurses have been acknowledged for the fine work they do. But I think more recognition should be given to nurses who go above and beyond their usual nursing work and volunteer to help those in dire circumstances. This month in AJN, one of the two CE articles is called “Responding to the Cholera Epidemic in Haiti.” It details the work of one organization and its nurses. Here’s the overview:

While Haiti was still recovering from the January 12, 2010, magnitude-7 earthquake, an outbreak of cholera spread throughout the nation, soon reaching epidemic proportions. Working through the faith-based nongovernmental organization Samaritan’s Purse, an NP, an epidemiologist, and a physician joined the effort to prevent the spread of disease and treat those affected. Here they describe the prevention and intervention campaigns their organization initiated, how they prepared for each, and the essential elements of their operations.

The article provides essential information about such topics as setting up cholera treatment centers, assessment, rehydration priorities, prevention, enlisting […]

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