Tuesday, December 8, 2015

Reflecting on a nursing moment :)

As I was doing rounds/taking vitals/ toileting, my very mobile knee replacement patient asked to use the bathroom. I obliged but I noticed she had some difficulty in moving which was new for her but we both thought it was due to "stiffness." She was independent with supervision so I left her and told her to call when she was done. She did but when I returned she was on the phone with her daughter saying she needed her neb treatment and was telling her daughter that one day she would not be here. I overheard the conversation and told her know that I would let the nurse know about the neb as soon as we returned her to bed. Again upon transfer I found her to be very weak but I thought it was due to her needing her neb treatment. We quickly transferred to bed, we set up her space to her liking and I immediately informed the nurse about the neb. And told the nurse I was going to lunch, by the time I heated up my lunch a code was called on my patient.


In this situation I was still in school, and a tech. I was the first to notice the symptoms but did not recognize them as symptoms. Of course as a tech I did all that I could do but I later learned that knee replacement was a risk factor for PE. SOB weakness and feelings of impending doom were also symptoms of a PE. Although they are vague symptoms as I practiced as a nurse, I am always overly cautious of patients that say they have any one of the above symptoms because of how quickly the patient deteriorates

Friday, November 13, 2015

ART vs SCIENCE

As we all are aware, Nursing is a profession guided by evidence. Improvements are continuous and must be tested and demonstrated through the scientific method. The purpose of evidence based practice is to provide a better explanation and more workable solutions to problems. However, one may say that Nursing is an art that requires exclusive devotion and relying solely on scientific literature takes away from the Nurses ability to hone into his/her craft by being alert and responsive to the needs of his/her patient and therefore not always used in practice.

“Art and literature are essential to help us deal with and live in a world transformed by science and technology” (Darbyshire, 1999).


Can you recognize the development of your craft?
Do you believe there is a divide in nursing as a science and nursing as an art?
Has the science of Nursing caused harm or helped the profession advance? 

~Mothernurse

https://www.youtube.com/watch?v=xQyQqZ5tLoo&feature=youtu.be

Tuesday, November 10, 2015

Letting go


Letting go

It’s a process to let go. It is a difficult process. It is an overwhelming process. You have perfected your life, your schedule, your routines, and your environment. Then a person comes along who alters everything you know to be true.

You wake up knowing the plan for the day. You have an idea of what can make your day crazy but this person does not. They do not have the experience to conceptualize hazards along the way so they end up making careless mistakes and creating stress for you as you know you can do it quickly, and easily.

 

Even though it is quick and easy, does this person develop into a person who can critically and independently think? Short term results in quick task completion. Long term results in an inexperienced person who will one day care for you.

So was it worth it to not let go?

What’s the difference between a mom and a preceptor or a mom and an educator?
~Mothernurse

Wednesday, October 14, 2015

A New Me!

Hello all!!!

Its been a while.

 There was a moment when my passion for nursing decreased and my focus was redirected to my second daughter. She is now 8 months old and since then have taken on a new role in the world of nursing. With this new role I am able to see the world of nursing in a new light. My new role encompasses leading, devloping, and supporting nurses who have recently earned their degree. This role is outcomes based and has no specific tasks. This is exciting because I am in the position to literally witness the Novice to Expert theory and equally frustrating at best. The long term results is what keeps me motivated in my career and in my role as a parent.

I struggled with my decsicion to take on this role and someone important to me said "dont you want to be amazing?" My initial answer was no I want my children to be amazing but then I thought who will model what is "amazing" to them. I could only come up with myself especially because I am the same sex parent.


To all of my Nurse Mom's remember to be there for yourself as well as your children because with the peak evolution of the profession in front of us, we will be  key in demostrating what a parent can become and cultivating an engaged generation of nurses who will eventually change healthcare.

~MotherNurse

Sunday, August 3, 2014

A little bit of change :)

A little about myself: Growing up I always wanted to be a pediatrician or a teacher but nursing seemed easier to a newly graduated high school student that just wanted to hurry up and grow up. So nursing it was. I then changed my goal to a pediatric RN until my pediatric clinical rotation. There I fell in love with the drug addicted babies and wept for their unfortunate circumstance. I was given the task by my instructor to insert a NG tube in a five month baby that nearly brought me to tears. It was then I decided that although I had a great love for the pediatric population I also became quickly emotionally attached to them which could not be a good thing to pursue this particular specialty. Then that day when you come to work and your tolerance is low and your patience is short and here you are on the busy telemetry floor you frequent. You are receiving report from four separate nurses indicating the patient load should have been split from the beginning. Each nurse unable to complete minor yet compiling tasks. … and also had a night that tested their patience so frustration is displaced to you as you are trying to prepare for the 12 hr day ahead of you. Now as you start your day you realize each patient’s night was just as hectic as each of the nurses… You see 2 of your patients both could equal about 1500 lbs together both non compliant in care, both completely dependent of nursing staff and both requiring constant pain management. Then suddenly the nursing super visor calls and sends you to the pediatric floor. Panic suddenly ensues as you recall those moments in nursing school. Anticipation is building not knowing what to expect. You have someone open the doors to the locked unit and you realize you have entered a magical place where the nurse’s smile, the ratio is low and the patients are small. A seven year old child gets to see their favorite characters. Batman, Spiderman, and Flash are regulars visiting the patients, taking pictures and signing autographs. What a nice relief from the usual fast pace hustle of the adult medical floor. Change is not always bad. ~MotherNurse

Clinical Quotes

The first days of clinical for a brand new nursing student can be described similarly no matter the school or demographic. I will use the word “nerve wracking” describe that feeling. To have never stepped foot in a hospital or to have never stepped foot in a hospital in the role of a nurse takes away a sense of control that is a common need of this profession’s personality. As the semester moves forward confidence grows as well. As a celebration to yet another successful semester with a wonderful group of students I have compiled a list of quotes that demonstrates growth within the group and unique experiences this particular group faced.

Each and every time I read these quotes I smile a bit as I remember the moments shared that have built an unmistakable bond be myself and 6 young ladies aspiring to becoming nurses.

  It was a change of life baby”

“I look everywhere for an AED machine, It’s kind of psychotic”

“What makes it a nurse purse?” “You put nurse stuff in it” “Oh, how much does it cost?” “$30” “Omg but I am a student”

“I am finally coming to the light”

“Do I have a jello heart?”

“I had to breathe life into the fish”

“Zinc, it totally sexes you up”

“Every week we come to clinical I feel like I am going on a blind date”

“I am loosing control; days of being on top of things are over”

“He liked it when I touched him”

“Smells like lemon, no it smells like bubbles. OMG am I having a stroke?”

“Whoever finds Dr. Broccoli wins”

~MotherNurse

Monday, June 9, 2014

Human Becoming

I know sometimes we get lost in the daily struggles of patient care but in order to consider what we do as a profession we must be guided by proven theories. If you as a nurse ever wondered how theory can relate to practice here is a breakdown of a mid range theory by Rosemarie Parse called the human becoming theory. ***************************** The human Becoming Theory by Rosemarie Rizzo Parse is a theory that is unique to nursing. This theory guides nurses to focus on quality of life as it is described and lived. It presents an alternative to the conventional and biomedical approaches and is a combination of the psychological, social, and spiritual approaches of other theories. The human becoming theory values quality of life from each person’s perspective regardless of culture, religion or diagnosis. It should be the goal of nurses to be able to apply this theory in everyday practice in order to provide holistic care because that is what makes nursing different from other medical professionals and helps define nursing as a profession. This theory exclusively focuses on perspectives on what quality of life from the patient’s point of view. The nurse guides ideas, thoughts and perspectives. Through guidance the nurse helps the patients explore options without making or persuading the patient do what medical experts say is best. Over the past few decades the nursing profession has begun a transformation process where more and more nurses embrace theories and frameworks in order to fortify their unique contribution to the health care system. Transformation is gradual and incremental. With Parse’s theory of human becoming, nursing has been and is becoming transformed from the traditional medical science practice to a basic science practice. Nursing practice takes on a new identity when guided by the human becoming theory. The uniqueness of the profession lies in what nurses know about human beings and health as a guide to what they do says Rosemarie Parse.

Her theory is just as relevant now as what it was during the time it was written due to the continuing progression of the profession. As the nursing profession evolves so will her theory. It is important for nurses to understand humans in order to continue separating nursing from other medical professions. A person is more than the sum of its parts…. The environment and the person are inseparable. Nursing is a human science and an art that uses an abstract body of knowledge to help people. With this theory the nurse is able to create a stronger nurse-patient relationship because he/she is not focused on “fixing” problems, but is able to view the patient as a whole person living through experiences in his/her environment . . . . The overall aim of the human becoming theory is to improve the quality of life for patients and their family. Everyone experiences some type of traumatic events where they must move on and/or confront life struggles. One challenging experience is a spinal cord injury. Unfortunately for the spinal cord injury patient, they must cope with the realization that one incident can cause severe limitations that will change their life forever. They must adapt and learn to live their life differently. Also, they must come to terms with their new reality. For a person that suffers from a spinal cord injury; independence does not mean doing everything for one’s self but having control over their own decisions in order to be a functional person in his or her environment. In order for the patient to gain independence they must overcome physical, emotional and spiritual limitations during period’s uncertainty. While in the midst of the periods of uncertainty they must invent new possibilities for their future. It would be the nurse’s job to guide the patient through theses different stages according to the Human Becoming theory. ~Mothernurse