RN Resiliency: Humor, Hounds, and Holistic Medicine

‘Even my hair is tired.’

If you’ve been faced with death, trauma, significant stressors, and losses, you’ve had to be resilient. And boy, did I choose a career with all of the above. I started my nursing career during the AIDS epidemic, and later moved to active duty Air Force nursing, travel nursing, polytrauma, rehab, chronic pain, spinal cord injury, working with the homeless, mental health, and lastly COVID-19. After 27 years of this, even my hair is tired. But I’ve never been so proud to pick this career—it is a calling. As Nurses Month begins, I tear up thinking there aren’t enough words to express my gratitude.

During COVID, understaffing, hourly policy changes, increased workloads and responsibilities, an increase in mental health disorders, the political climate, and anti-science rhetoric only added to the stressors. I had to look hard to find the gold, because every day you could definitely find the rust. I often asked myself, “How can I keep a healthy attitude, a warm heart, continuous focus, and a genuine nurse smile?” The answer for me has been my humor, hounds, and holistic medicine approaches.

Humor as stress relief.

This realization started when I landed in the ED after a period of not taking care of myself after learning my patient died by suicide. […]

2022-05-04T09:28:13-04:00May 4th, 2022|Nursing, nursing career|1 Comment
Read More

How to Support the Nurse in Your Life, May 2022

Photo by Dương Nhân from Pexels

A few years ago, I wrote a blog post directed towards friends and family members of nurses, entitled “How to Support the Nurse in Your Life.” While the ideas in that post still hold up today, so much in nursing has changed, the COVID pandemic being the obvious main factor. With nurses in more need of support than ever, I find it important to revisit this idea of helping friends and families supporting the nurses in their lives at this unique point in time.

1. Listen to what the nurse is actually distressed about in the moment, and stay with them there.

In normal, non-pandemic times, nurses already have many people, situations, and issues to tend to in addition to the actual patient. There are so many unique aspects of the nurse role that challenge us, all of them rolled into a tangled ball in the course of a 12-hour shift. If we are distressed about one particular aspect, please stay with us in your focus on the actual issue at hand so we have time and space to unpack it without all the other competing stressors vying for all our attention.

For example, we might be upset one day […]

2022-05-02T09:19:45-04:00May 2nd, 2022|Nursing|2 Comments
Read More

Use of an App for Improved Documentation During a Code

A code or rapid response announced over the hospital PA system typically leads to a flurry of activity and a swarm of people responding to the patient’s needs. Many steps of the ACLS algorithm happen rapidly and concurrently, and can be difficult to track with accurate timestamps by the person assigned the role of scribe.

Clear and accurate documentation is critical for post-event analysis to demonstrate the team did everything according to standards and determine if things could have gone better. Many facilities use a code sheet kept on or near the crash cart and others use real-time charting in the EHR. Often the details are written on scrap paper and added to a document later. All of these methods are cumbersome and can lead to inaccurate data collection.

Using an app for documentation during code events.

This month’s Cultivating Quality article, “Improving Accuracy in Documenting Cardiopulmonary Arrest Events,” describes the use at one hospital (Beth Israel Deaconess Medical Center in Boston) of a handheld electronic device for code documentation that makes it simpler and more organized to capture this information.

The project took place on four medical–surgical pilot units, where nurses were trained in the use of a documentation app for live cardiopulmonary arrest events. The American Heart Association’s

2022-06-15T14:10:43-04:00April 21st, 2022|Nursing|0 Comments
Read More

Should Medical Errors Result in Jail Time?

Image via PxHere

On March 25, Tennessee nurse RaDonda Vaught was convicted of criminally negligent homicide and negligent abuse of an impaired adult for a 2019 medication error that resulted in the death of a patient. We covered this story as it first unfolded three years ago. In fact, the most recent update on our blog, published in March 2019, reported that state health officials had considered the circumstances surrounding the error and declined to take any action.

Outrage from multiple nursing and health care organizations.

Subsequently, however, the Tennessee board of nursing revoked Vaught’s license and the decision was taken to charge her after all. In the past weeks, Vaught’s conviction has sent shock waves through the health care professional community, and many organizations have spoken against the verdict:

From the statement by the American Nurses Association:

“Health care delivery is highly complex. It is inevitable that mistakes will happen, and systems will fail. … The non-intentional acts of Individual nurses like RaDonda Vaught should not be criminalized to ensure patient safety.”

From the statement of the American Association of Critical-Care Nurses:

“Decades of safety research, including the Institute of Medicine’s pioneering report To Err Is Human, has demonstrated that a […]

2022-04-07T10:34:01-04:00April 7th, 2022|Nursing, nursing career|1 Comment
Read More

Column Spotlight: Learning to Be Strip Savvy When Reading ECGs

“In my experience, many nurses working outside of critical care haven’t had a lot of training in reading and understanding basic ECGs.”

Have you ever learned something new and thought to yourself, how did I miss this? Why didn’t I know about this sooner?

Now more than ever people are finding information by searching for it on their own. The days of reading a print journal cover to cover are, for the most part, behind us. Many readers find articles by searching for a specific topic of interest. While this approach can be useful, you risk missing out on all that rich content in a journal issue you didn’t know that you needed to know.

One of AJN’s great features is our broad coverage of nursing topics.

We intentionally put together each issue to bring nurses the information they need to stay on the top of their professional game. For this reason, I like to highlight our columns here every now and then. (See, for example, my spotlight on our Nursing Research, Step by Step column).

Another great column nurses might be missing out on is Strip Savvy, written by Nicole Kupchik and Joel Green. This month’s installment, “A Case of an Asymptomatic Older […]

2022-02-02T10:18:08-05:00February 2nd, 2022|Nursing|0 Comments
Read More

Comment ground rules

1. Please be respectful.
2. We moderate all comments.

Content disclaimer

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.
Go to Top