~

Welcome to my blog about health, nursing, caring, kindness and positive change. Our world is full of such negative influences and bad choices, today is the day to make a positive change both physically and mentally in your life.
ERNursesCare is a blog incorporating my nearly 30 years of experience in the healthcare field with my passion for helping others, I want it to encourage others with injury prevention, healthy living, hard hitting choices, hot topics and various ramblings from my unique sense of humor. Come along and enjoy your journey......

Saturday, February 28, 2015

I Am Not The Nut Job Lady In Room 13, Lets Focus on Our HumanPatients #ptcenteredcare #ernurses



What is Wrong With Me?
Sweat beads on my forehead, my heart is racing, all ready for the next round of EMS patients that are soon to arrive  to my trauma bay. It has been a long night so far and we are tired, I have not eaten or peed in 8 hours, but a family has been involved in a crash on the interstate and their van was fully engulfed in flames. I hate crispy critters, the smell of burning flesh stays on your mind for days. The call bell is ringing again.....ding....ding....ding....ding, that "crazy nut job lady" in room 13 wants a snack.......again. She is waiting on psychiatric placement due to depression and suicidal ideations and I can so totally relate to her, since I have depression myself, I could be her, she is somebody's mom.
Adults, children, infants no matter, their faces don't really matter, we call them by their condition,complaint or problem, we give them funny code names and laugh at each one: The "gunshot wound guy" in T1, "the skull fracture kid" in T2, "Code Tooth" dental pain chick in room 4, the confused mamaw UTI in room 1, " the nut job in room 13"...........wait, what is wrong with me?

I could be anyone of these people, my family has been these people, these people are human beings!!
These people have names, they are someones father, mother, child and grandmother. I am a mother, a daughter and a wife to someone. I am a human being too, would I like to be called "the nut job lady" in room 13.....NO!






Patient and Family Centered Care
In the world of healthcare speak we talk about patient centered care, many methods, models and hours of research have been spent on this topic. Patient-centered care supports active involvement of patients and their families in the design of new care models and in decision-making about individual options for treatment. The IOM (Institute of Medicine) defines patient-centered care as: "Providing care that is respectful of and responsive to individual patient preferences, needs, and values, and ensuring that patient values guide all clinical decisions." (from Wikipedia)
In the emergency department our focus has to be centered around the patient, they are our focus, but that patient is also a person, with a family, a life outside, a job, pets, children etc. Focusing on the person as a whole is imperative to complete care. Patient and family centered care is a better approach to healthcare that integrates all the players in the game. It encourages a collaboration of healthcare with patient and family as a whole.

Leaning The Hard Way
I have learned the hard way that listening to the patient and their family will not only save you as the nurse time, it will save you embarrassment in front of the family when they are right and you are ultimately wrong because you did not listen. I have been the family member sitting at the bedside myself, my husband has multiple health issues so we have been in and out of many doctors offices, emergency departments, clinics, intensive cares etc. Feeling scared and alone with a 4 month old infant in a baby carrier , we found ourselves 3 hours away from home at a huge teaching hospital, our world turned upside down when a post-op infection took over my husband's (of less than a year)
body. I learned very quickly that there was no patient-family centered care there, nobody seemed to listen to me until I grew a set of brass "kaunas" and let them know that I was a nurse, this was my husband and I demanded something be done NOW! I hated to act like a totally B@$%, but he was dying in front of my eyes.
Learning from others mistakes has made me a much better nurse today, I listen to the person and his/her family now, even if they just want to tell me about their children, pets or where the best place to draw blood might be.



Setting The Bar- Leading By Example 
It is so easy to fall into the norm of everyday work and act just like your co-workers, I am just as guilty I admit. Nurses in the ER develop a different style of coping mechanism I think, I use humor to help me get thru my shift and just get home. It in no way is a personal attack on anyone, our humor is not very respectful at times, I will admit. When faced with such horrific realities of death, destruction and violence we want a way to turn off the negative and be positive. It is hard to just keep smiling when your patient just called you names or cursed you because they have to wait to long or did not get the narcotics they desired.
Hard as it might be to focus on each patient as an individual person, worthy of your time and care, they all deserve care that is respectful. Communication is a key tool, involving the family and patient in what is going on helps to relieve stress and decrease anxiety.
You can set the bar high and lead by example, other nurses watch how you interact with your patients, families and other healthcare team members. Even well seasoned nurses like myself can learn valued lessons that lets us focus on our "human" patients, not the "nut job lady in room 13".





This post was written as part of the Nurse Blog Carnival. More posts on this topic can be found at Big Red Carpet Nursing. Find out how to participate, click the box below and join us!


. Nurse Blog Carnival






Friday, February 6, 2015

Wear Red For Awareness #goredforwomen #hearthealth




According to the American Heart Association, one in three women dies of heart disease or stroke each year. To help fight the high rate of heart-related deaths, every February the American Heart Association directs their attention to awareness days and campaigns that teach the general public about the importance of adopting behaviors that lead to improved heart health. February 6 is National Wear Red Day and the health professionals from NurseWise – a multilingual nurse triage and health education provider – are encouraging Americans of all ages and genders to wear red in support of the American Heart Association’s quest to decrease avoidable heart issues.
"At NurseWise we believe in and continuously promote health education and empowerment," said Kim Tuck, RN, President and Chief Executive Officer at NurseWise. "In the United States, heart disease is the leading cause of death for women. We encourage everyone to wear red on Friday, February 6, to increase awareness about heart health and behaviors that can easily be adopted to reduce the chance of developing heart disease, stroke and other serious heart conditions."

To help you remember, the nurses at NurseWise have created a set of health tips in honor of National Wear Red Day using the acronym “HEART.”
H – Have heart awareness. Know your status! Make, schedule and KEEP routine appointments with your medical provider to stay abreast of your specific heart-health status and to learn warning signs that might indicate the need for specialized medications, lifestyle changes or testing. Knowing your heart stats and family predispositions for diseases of the heart is the first step in achieving more informed and improved heart health.
E – Exercise regularly. Your heart is a muscle, and just like the rest of the muscles in your body, it needs regular exercise to operate at its best. Start small by adding a short, slow-paced 10- or 15-minute walk to your day at least twice a week. Ask your medial professional for exercise recommendations based on your health status.
A – Always side with safe over sorry. You know your body better than anyone. If you start noticing an irregular-heartbeat, shortness of breath, dizziness, frequent headaches, impaired vision, tingling in your left arm or short memory lapses, see a medical professional immediately. Never hesitate to see a doctor if you notice a change in the way you feel or notice an abnormality in your breathing or heart rate. Seeing a medical provider could save your life and uncover budding health conditions before they become serious health conditions.
R – Rest is essential. Getting seven to eight hours of sleep on a regular basis is essential to your health. Despite your busy schedule and long list of things to do, if you aren’t getting proper rest, you will stifle your body’s ability to repair itself during the sleep cycle. Find a sleep routine that works to help you get to sleep at a set time every day so your body can perform its natural healing processes.
T – Take time to decompress. Stress is a leading factor that contributes to conditions like high-blood pressure and stroke. Explore exercise and breathing techniques to help you find calm even in the midst of a busy workplace and personal schedule. If stress ever becomes overwhelming or your feel like you’re going to do something to hurt yourself or someone else, please call 9-1-1 right away to speak with someone who can get you the help you need. There’s no need to ashamed of stress. Every animal and human experiences it in some form, because stress is a natural function of the body. How you treat stress is what makes the difference in your quality of mental and physical health. There are techniques, medications and homeopathic remedies that can help you find the balance you need to keep your heart and body functioning at their best.
For more information about National Wear Red Day, please visit: https://www.goredforwomen.org/home/get-involved/national-wear-red-day/

About NurseWise
NurseWise is a wholly owned subsidiary of Centene Corporation that is in the business of providing multilingual telehealth (nurse triage and health education) services. For more information, please visit our website at www.nursewise.com or contact us at info@nursewise.com.


LinkWithin

Related Posts Plugin for WordPress, Blogger...

Care to Share!