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Education

“Community College Attitude”

By | Education | 6 Comments

Today, I had a nursing student text me, obviously upset. (Yes, I have given several nursing students my phone number. I mentor people, ok? lol)  Apparently, the whole Staff/Rod of Asclepius/Caduceus subject came up.  The Caduceus was originally depicted on their class shirts, and someone wanted to change the symbol because it was ‘wrong’. Apparently, a ridiculously pretentious neurologist told the class that they should change the symbol, because the error indicated a ‘community college attitude’. This is going to take me a few paragraphs, and perhaps a drink.  Stay with me.

WW

  • The error actually came about because of the US Army Medical Corps, who began using it in 1902.  It is also the symbol of the Navy Hospital Corps, of which I am a proud lifetime member.  So, neurologist…. since the closest you have ever come to a uniform was the one your prep school wore, kindly stuff it.  For real. We, the Navy Hospital Corps are extremely proud of our symbol; which because of its long use, has become a medical symbol.  The symbol for ‘STOP’ is fairly new too.  That doesn’t make it invalid.  It was first used in 1915.  Please fail to stop at a few dozen and explain to the police officer that the symbol is too new to be valid. Also, it was changed a ton of times between 1915 and 1966 until a law standardized its use.  So the age of a symbol does not make it valid, and we can make our own traditions in the modern age.  Also, stuff it again.
    Caduceus Medical Symbol

    Caduceus Medical Symbol…And the Staff.

  • I am going to clarify the term ‘community college attitude’.  Does that mean a ‘dumb’ attitude? Or does it mean a ‘permanently wrong attitude’? Or maybe a ‘completely uneducated’ attitude? “A ‘totally out of touch with the world’ attitude?  We have enough problems in nursing without physicians throwing their two cents in to fire up an argument. I highly doubt that you, Sir have ever been aware of the educational level of a nurse who saved your behind. It probably wasn’t your first priority when you were ordering ten times too much potassium, or failing to order INR’s on your warfarin-prescribed patient.  You were most likely too busy wiping off the cold sweat to ask her where she went to school. While we may or may not need a single level of practice entry, we certainly do NOT need your insults.
  • Nursing students: You have larger priorities than a symbol.  Your class T-shirt will be long dust, and you will be short staffed and operating in a dangerous environment in no time.  While you are chewing over the relative merits of ancient symbols, your classmates and contemporaries are doing something that actually matters.  That is, bringing unity to a profession of rugged individualists; going to safe staffing rallies; signing petitions; calling and writing their representatives.  You know…useful stuff.  You just get back to your comparative mythology.  

 

Oh, and as we know….I love Physicians.  Except that one. Don’t let anyone give you another reason for division.

 

Love,

 

Janie

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Let’s talk about…… Nurse Practitioners and Double Standards

By | Education, Healthcare Policy | 6 Comments
finalflyer

Click this picture to register for our event in DC after the safe staffing rally.

Let’s say you are a medical student. You go to ISYS (I Stole Your Stethoscope) University. You pay your tuition and attend your classes.   You are expected to show up for your clinical experiences on time or early, prepared, and ready to go. Your school arranges them, and Physicians are compensated for your instruction. Then you are in Residency and you are paid to work and learn. And the facility actually bills for your time, and the Supervising Physician bills for hers.

Now let’s say you are a Nurse Practitioner student. You go to SMYS University. You pay your tuition and attend your classes. You are expected to spend untold hours locating a Provider to precept you, and possibly begging them to have you. You may be completely unable to find one; in which case, you will automatically fail. If you find one, awesome! If not, doom! Total crapshoot.

What is the difference here?Investment-in-Healthcare

The Supervising Physician is paid to teach.  The Supervising NP is not.  We have single handedly solved the mystery surrounding the difficulty of finding NP preceptors. It took us thirty seconds.

It is possible that we need to change this model.  We need NP’s. They are good, solid critical thinkers, and excellent within their scope of practice. Hospitals can afford to better staff their services when NPs are part of the provider pool. They are a lifesaver in a financial sense.  There are good outcomes with Nurse Practitioners as well as Physicians.  NP’s make a difference here and abroad. We can see they are especially necessary when events like the #JuniorDoctors strike happen.  Physicians and NP’s are both absolutely essential.

Both Physicians and NP’s are constantly pressured to see more patients, document more stuff, take less time, and make more money for their organizations. This is not a scenario in which it is optimal for anyone to take on a student.  However, the Physician will be paid to do it, so there is some incentive. The NP has to do it out of the kindness of his heart; and take on liability and extra work for the privilege.  I am all about students.  I do my best to give them a great experience, and if I were in that situation, I might not take students either.  No incentive, added liability and extra work? What could go wrong?

This seems to be a symptom of the disease pervasive in nursing….. “Dumped Upon” Syndrome.  This happens because it is the status quo, nobody else wants it to change, and we are allowing it to happen.  We want to help, our hearts are in the right place, and we take on ridiculous amounts of work for no added compensation.np

Because we are a profession of Martyrs.

Perhaps together we can fix this mess.

 

Love,

Janie

 

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Bangladesh News!

By | Advocacy, Education, Good Works, International Nursing | 4 Comments

I am amazingly excited! I got to speak to Dr Kislu Kabir today.  We have started to hammer out details for the trip, and so far we have talked about the following:

  • He wants 12-20 people and students are welcome.
  • Our main mission in Bangladesh will be education.  Nursing is quite primitive in this country, and their “Minister of Health” (Not the real title, it is essentially the equivalent of our surgeon general) is interested in expanding nursing practice and education.  This is a wonderful opportunity to improve healthcare globally.  Documentation is one of the topics we will teach, as well as some infection control concerns, and hands-on nursing skills.  Specifics are forthcoming.
  • The Bangladeshi Government has contracted with the local police force to escort us from the hospital to our lodgings and back.  They want to make sure we aren’t subject to pickpocketing or the like.
  • Dr Kabir agrees that All nurses are welcome, and nurse educators are ESPECIALLY welcome.  If you are an educator and feel like a mission trip is not in your future, this one is specifically perfect for you!
  • We are building an ongoing connection with this region.  This is our first trip.1923508_1700940056862109_231069368571631479_n

 

Have you made your profile on HireNurses yet? Don’t assume you cannot afford it.  We feel like we will get quite a bit of support, and we want the very best nurses for the people of Bangladesh.

You.  

 

 

Love,HireNurses.com logo

Janie

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Two $500 Nursing Scholarships: Show Me Your Stethoscope & HireNurses.com Nursing Scholarship Information

By | Education, Good Works | 2 Comments

12744676_1702227376733377_4176681824061151448_nShow Me Your Stethoscope and HireNurses.com have come together to offer 2 $500 Scholarships to Nursing Students – one for brand new nurses entering the profession – and another for Nurses who have decided to return to school and continue in their education. As two organizations founded by nurses and having attended nursing school ourselves – we can attest that it was one of the hardest and most rewarding accomplishments in our lives. We want to support the next generation of nurses by providing 2 $500 scholarships to help a current nursing student while in nursing school. This nursing scholarship is open to all nursing students: from starting their nursing career as an LPN or RN to pursuing your bachelors, masters or doctorate or PhD in nursing!

 

Show Me Your Stethoscope & HireNurses.com Nursing Scholarship Information:

 

ToSMYS + HireNurses.com partnership logo Apply:
1. Create your profile on HireNurses.com – must include a picture and a brief “About Me” explaining your background in nursing and 3 references.
2. “Like” Show Me Your Stethoscope Facebook Page. <-click
2. Send 300-400 Word Essay via email to SMYSHNScholarship@gmail.com telling us why you are choosing to be a nurse and how this scholarship will help in pursuing your nursing degree.

 

Qualifications:
1. Enrolled Nursing Student in an accredited Nursing University for 2016-2017 School Year
2. In Good Standing at your Nursing School
3. U.S Citizen or Legal Resident
4. This nursing scholarship is open to all nursing students: starting their nursing career to pursuing your bachelors, masters or doctorate or PhD in nursing!
5. All profiles on HireNurses.com will be reviewed to make sure they include: 1. Picture 2. About Me Section and 3. Three References (under my account page just enter email address of reference and they can provide simple character reference).
6. Verified you are an active member of the Show Me Your Stethoscope Facebook Group

Award:
1. 2 $500 Nursing Scholarships to be awarded October 2016 – (After verifying Student is in good standing at their College)
2. Deadline to Apply: Midnight June 30, 2016
3. Nursing Students who wins scholarship will be featured on HireNurses.com and Show Me Your Stethoscope! Picture and Featured Article!

The nursing scholarship can be used in any way to support you while in nursing school, from books, to rent, to tuition, to childcare, ext – our nursing scholarship will be awarded directly to the nursing student to use at their discretion.
So – get started – create your profile on HireNurses.com, Like Show Me Your Stethoscope Facebook Page and send your essay to SMYSHNScholarship@gmail.com

Sincerely,
Janie Harvey Garner RN,  Founder of Show Me Your Stethoscope Foundation
Jalil Johnson RN, BSN, MSN, ANP
National Director,Show Me Your Stethoscope Foundation
&
Rebecca Love RN, MSN, ANP, Founder of HireNurses.com
Patricia Love BA, RN Co-Founder HireNurses.com

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Narcan 2 – Nursey McNurseyJudgeyPants….. The sequel.

By | Advocacy, Education, Healthcare Policy | 7 Comments

 

I had to give this one its own name.  It is alive and well.  We are not just debating this on SMYS, it is everywhere. 

Narcan, Sold over the counter with education by the pharmacist.  This is for people to purchase if they have opiate addicts in their lives who may be in danger of overdosing andnarcan3 dying.  Only 27 pharmacies in Ohio are currently selling it because all Pharmacists must be signed off by a Physician to give the necessary administration education for narcan to the purchaser. Instructions have to be given because of the short half life and the absolutely DESPERATE need for the patient to seek medical attention immediately.  This is, as I have said before, nothing but a second chance.  It is a pause button, if you will.  We have given them a single chance to live.  The only thing they have to do is seek medical care.

So, you might say, “They won’t.”  

Noncompliant patients are noncompliant patients.  We deal with them every single day.  

  • Diabetics continue to eat badly and not take their meds.
  • Hypertensives continue to not take their medications and eat too much salt.
  • CHF patients sometimes don’t take their lasix.
  • COPD patients continue to smoke with oxygen hanging out of their noses.

And we still help them. We give them insulin, we give them lisinopril, we diurese them, we counsel them about diet, exercise, smoking, and medication compliance.

But, because they are an addict,  we do not feel like they need access to lifesaving medication? Do you realize that you are denying an obese type 2 diabetic insulin here? 

Oh wait. You mostly can't.

Oh wait. You mostly can’t.

It is the same thing.  Their life choices may have caused their issue.  The COPD patient who did not quit smoking should not DIE because you decided it was their fault.

When Hurricane Katrina happened, I watched a newsclip of a nurse at the superdome shouting at the crowd, while attending to a person slumped in a wheelchair.  I was in tears. She was shouting “I need REGULAR INSULIN.”

There was an emergency, and she gave medication that did not even belong to that patient, without an order, to a patient in crisis.  <I am not advocating giving medication without an order> Would you do anything different in an emergency?

So WHY are you so concerned about family members procuring narcan to save their family members who are at risk of opiate overdose?

These are illnesses.  They are diseases.  Any of them could have been caused by their life choices.  But we care for them narcan4

We are so careful to make sure we control that blood glucose level, maintain optimal oxygenation, and keep track of those inputs and outputs.  How about we also care whether addicts die in a dirty room with a needle hanging out of their arm, 3 minutes too far away from help for it to matter? When we can just hit them with narcan, since all the the side effects of narcan are less serious and less permanent than an anoxic brain injury.

So Care, Nurse.  Keep caring. Keep saving lives.  Keep wishing for your patients to take responsibility for their health. Keep educating.

Without your McNurseyJudgeyPants.

Love,

 

Janie

 

 

 

 

 

 

 

 

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