Precepting: Revisiting Ground Rules with My New Grad RN

A return to precepting.

By Suzanne D. Williams/Unsplash

There is no question that precepting new grad RNs requires a lot of extra thought, time, and energy for bedside nurses also looking to take care of our patients and their family members. But even as an introvert who finds it challenging to talk nearly nonstop for an entire 12-hour shift, I have in the past still enjoyed precepting. I’ve found it deeply rewarding to watch someone under my mentorship grow in skill and confidence as a young nurse.

When the pandemic hit and sent my young children home for distance learning, I took a break from precepting, as my capacity for additional mentoring at work had shrunk significantly.

Now that my children are back on their school campus, I am preparing to precept a new grad who is part of a cohort that went through nursing school during a pandemic with considerable limitations to their clinical experiences. As I dust off my own preceptor hat, I have found myself revisiting what I want to lay out as a foundation for my new preceptee. […]

What Nurses Need to Know About Cybersecurity and Patient Health

Ransomware attacks are well recognized as causing an increasing number of disruptions to health care services as well as steep economic losses, but their impact on patient health outcomes has been less easy to determine.

A suspected ransomware death.

A report published recently in the Wall Street Journal details the potentially fatal effects of cyberattacks. “A Hospital Hit by Hackers, a Baby in Distress: The Case of the First Alleged Ransomware Death” (subscription may be required) describes a lawsuit contending that a child born at an Alabama hospital in 2019 during an eight-day cyberattack subsequently died because the building’s disabled computer systems prevented staff from properly caring for the infant.

A Becker Hospital Review post last week further highlights the reported links between cyberattacks and patient outcomes. It describes the above lawsuit, as well as findings from studies by the Ponemon Institute and the Cybersecurity and Infrastructure Security Agency, that suggest a link between such attacks and increased mortality rates.

Caption: Medical devices and applications connect to the Internet of Medical Things in a variety of ways, including via USB connectors, Wi-Fi, sensors, LTE wireless data connection, and other wireless technology such as Bluetooth. Reprinted with permission from Al-Turjman F, et al. Intelligence in the Internet […]

2021-10-11T10:51:32-04:00October 11th, 2021|Nursing|0 Comments

Alleviating Some Pressure for Acute Care Nurses

Holding huddles during a shift helped to keep nurses informed of hospital-wide and unit-based updates and allowed staff to express their concerns and ask questions. Photo by James Derek Dwyer / Beth Israel Deaconess Medical Center.

It’s well-known that nurses are facing relentless pressure and challenges due to the COVID-19 pandemic, and it doesn’t seem to be resolving anytime soon. While we know that short-staffing is a huge problem and needs to be addressed, hospitals also need to adopt strategies in the here and now to alleviate some of these stressors. AJN recently published several articles detailing the creation and employment of such strategies.

One such article, “Supporting Frontline Staff During the COVID-19 Pandemic,” can be found in our September issue. In the article, nurse leaders from Beth Israel Deaconess Medical Center in Boston describe the challenges nursing staff faced during the COVID-19 surge in the spring of 2020 and the actions taken to support them. […]

2021-10-07T09:50:09-04:00October 7th, 2021|Nursing, safe staffing|0 Comments

Asleep at the Wheel: Night Shift and Drowsy Driving

‘The most exhausting year of my life.’

Photo by Jan Baborák/ Unsplash

In my 25-year-plus nursing career, I’ve had the opportunity to work every shift—days, nights, evenings, 8-hour and 12-hour shifts. Without a doubt, my least favorite was 12-hour night shifts, as I am more of a morning person than night person.

When I was a new graduate, it was hard finding a job on the day shift, since it’s typically more popular and there are fewer openings for inexperienced nurses. Because of this, I accepted a position working from 7 pm to 7 am.

It was the most exhausting year of my life. No matter what I tried, I couldn’t sleep well during the day, and by the end of the 12 hours I was wiped out. Although I was lucky enough to live only a few miles from the hospital, I found it difficult to stay awake for the whole ride home. I would catch myself trying to keep my eyelids from closing, and a few times I briefly fell asleep at red lights.

Close calls on the roads.

I am grateful that nothing bad ever happened during my sleep-deprived journeys. I have a friend who wasn’t as lucky and totaled her car one morning on the […]

2021-10-04T11:15:27-04:00October 4th, 2021|Nursing|0 Comments

Caring for Transgender and Gender Diverse Patients: A Primer

“You must be Olivia! I’m Sara, and I’m going to be your nurse this afternoon.”

The patient looked up, taking a deep breath before speaking. “Actually . . . can you call me Ethan? I’ve been going by Ethan for the past six months, and I use he/they pronouns.” He watched Sara anxiously.

Sara stopped short for a moment, unsure what to do, seeing the name “Olivia” very clearly in the EHR. But she noticed how nervous the patient was, and she wanted to put him—them?—at ease.

Photo by Zackary Drucker/The Gender Spectrum Collection.

Providing informed, affirming care for transgender and gender diverse (TGD) patients can seem complex, especially for novice nurses. As authors Caitlin Marie Nye and Amanda […]

2021-09-29T08:59:27-04:00September 29th, 2021|new nurses, Nursing|0 Comments
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