A Detailed Look for New Nurses at What Happens During a Code

Photo by Ashley Gilbertson / The New York Times / Redux.

There’s an article in the July issue that I highly recommend to all new graduate RNs—or to anyone who is returning to acute care. The article, one of the offerings in our Transition to Practice column, which is geared to new nurses, is “Surviving Your First Code.” It offers a detailed look at what happens during a code and the various responsibilities of the resuscitation team.

You never forget your first code.

I clearly remember my first code—and I bet every nurse does as well. I had seen cardiac arrests before, but that was when I was a nurse’s aide and my job during a code was essentially to get out of the way. It’s very different when you are a nurse and play a role.

It was my fourth day as a new graduate nurse working in the ED. We heard the sirens coming from a long way off. When the ambulance arrived, the stretcher came crashing through the ED doors with the paramedics yelling that the patient had just arrested as they arrived.

My role that day was to be the crash cart nurse, so I put myself in […]

2019-07-18T07:54:28-04:00July 18th, 2019|new nurses, Nursing|0 Comments
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May I Hug You? Supporting Personal Boundaries in the Health Care Setting

Touch as affirmation.

Illustration by Julianna Paradisi

“May I hug you?”

My patient and I had just finished a rather lengthy conversation, the kind of authentic communication that reaffirms the humanity connecting us all—the number one reason I love being a nurse. Sitting in a chair across from me, she reached out her hand for me to shake. I sensed she felt the same connection I did, but was too shy to ask for more.

“May I hug you?” I asked.

Tears formed in her eyes as she stood and we hugged. The circle was complete.

Not everyone is comfortable being touched.

I’m a hugger. I connect easily with patients and throughout my career have given and received more spontaneous hugs than I can hope to count. Lately though, for a variety of reasons, I’ve begun to ask permission before hugging a patient.

Foremost, I’ve developed a stronger advocacy towards the right to personal boundaries. I am not you is a good thing to remember when meeting anyone for the first time, whether they are a patient, coworker, or a child. Not everyone is comfortable being touched.

‘Handshake free zones.’

A while ago, I met a new resident while visiting a patient in her hospital room. After introducing ourselves, […]

2019-07-15T10:44:45-04:00July 15th, 2019|Nursing, Patients|1 Comment
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Bringing the Faces of Addiction—and Recovery—to Schools

Nancy Labov, RN, CADC. Photos courtesy of Nancy Labov.

A nurse speaks from experience.

In nursing school, Nancy Labov felt a kinship with the patients she encountered during a rotation on a rehabilitation unit. She realized that she wanted to spend her career caring for patients like them. Their struggles with addiction struck a chord: alcoholism ran in her family, and she, too, had a substance abuse problem, though she was in denial about it at the time.

In her mid-20s, Labov got sober; she has maintained her sobriety ever since. She’s also persisted in her mission to help people recover from addiction. As an RN and a certified alcohol and drug counselor, she has spent the past three decades working on rehab and detox units across the country.

Labov is also the founder of Alumni in Recovery (AIR)—a nonprofit through which young adults in recovery give talks at schools in the communities they grew up in. As she discusses in the July Profile in AJN, “Helping Students See the Realities of Addiction and Recovery,” the New Jersey-based volunteer organization fights stigma by opening a dialogue about addiction and showing teens a young, local, and relatable face of recovery.

A peer-to-peer approach is key.

“How do we […]

2019-07-11T08:55:16-04:00July 11th, 2019|Nursing, nursing stories, Public health|2 Comments
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Are You Checking for Ticks?

” . . . cases of tick-borne diseases [in the U.S.] increased more than twofold between 2004 and 2017. . . .Tick-borne diseases now make up more than three-quarters of all vector-borne disease reports.”

I live in a small town dotted with grassy and wooded areas, brush, and plenty of mammalian wildlife, so the possibility of contact with ticks is present even on a walk to the compost bin or train station.

I’ve become really good at tick identification and removal, but I can’t claim any special expertise in recognizing the early signs of tick-borne diseases.

CDC warns of tick-borne rickettsial disease increase.

For that information, we have help this month from Centers for Disease Control and Prevention (CDC) staff, who steer readers to new resources in the Update from the CDC column in AJN’s July issue, “Increase in Reports of Tick-Borne Rickettsial Diseases in the United States.”

Alison Binder and Paige Armstrong tell us about the CDC’s new online training toolkit and learning module, both designed to raise awareness about tick-borne rickettsial diseases. […]

2019-07-08T09:03:50-04:00July 8th, 2019|environmental health, infectious diseases, Nursing, Public health|2 Comments
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‘Batman Has No Superpowers’: Inspiring Nurses as Leaders and Healers

“Leadership is about inviting people on a mission to do something extraordinary together.”

by Augustin Ruiz, via Flickr

This year’s Quality and Innovations Conference, presented by the American Nurses Association in April, included an offbeat presentation on ‘Superhero Leadership: How Everyday People Can Have an Extraordinary Impact.’ At this opening session, filmmaker Brett Culp shared a short film, stories, and advice, offering a perspective on leadership that managed to be both inspiring and poignant.

Using everyday skills as forces for good.

Culp may be best known for his 2013 documentary, Legends of the Knight (www.WeAreBatman.com), in which he relates the true stories of children and adults “who were inspired to become real-life heroes because of their love of Batman.” Batman has no superpowers, and therefore he can inspire others to use their own everyday skills and strengths as forces for good. The filmmaker suggests that nurses, too, should “embrace [our] inner superhero” when needed.

Culp emphasized that in his many travels he has seen that “the world is filled with good people,” and that most people want to make a difference at work and for their communities.

Leaders ‘hold space’ for what could be.

Culp believes that a pivotal role in the process of change is the person who steps up first, “creating space” for others to join them in their efforts.

This is a central job of leaders, he says—to […]

2019-08-01T09:56:36-04:00July 5th, 2019|career, Nursing|0 Comments
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Views expressed on the blog are solely those of the authors or persons quoted. They do not necessarily reflect AJN’s views or those of Wolters Kluwer Health/Lippincott Williams and Wilkins.
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