RobbiRN's Nursing Blog

RobbiRN, RN Pro 8,465 Views

I work in an ER on the coast of Florida, dance, write, and go to the beach nearly every day off to soak up the healing energy of the ocean.

"You're the Best Doctor."

Doreen came from church. Before anyone says anything, I already know. It's 11:18 on a Sunday morning. Her dress is a striking blend of rich primary colors. Deep blue, bright yellow, candy apple red...

An allnurses Fix On Healthcare

In his excellent book, "America's Bitter Pill," Steven Brill asks: "Do I wish that the National Labor Board had ruled in 1943 that health insurance benefits did, in fact, count as wages and,...

Knaves, Fools, and the Pitfalls of Micromanagement

In his brilliant little poem, "The Right Kind of People," Edwin Markham beautifully portrays the power of expectations. A traveler approaches a prophet sitting at a city gate and asks what kind of...

A Tale of Two Deaths

There is a story in Japanese folklore that goes back into an era in which they practiced "Ubasute," the abandonment of the elderly. When there were too many mouths to feed and not enough food to go...

Insulted: Medical decisions are controlled by non-medical people.

A doctor I've work with in the ER for several years listened intently as I shared my observation that we are increasingly driven by pre-set protocols for nearly every major illness. "It seems that...

Nursing Intuition, Part 1: The Visitor is . . . Dying!

Nursing Intuition, Part 1: "The Visitor is . . . Dying!" "How much damage to the car?" We're in the ER. EMS has just dropped off a young female driver following a motor vehicle crash. "I'd say...

Confronting Doctors with Wrong Orders

Confronting Doctors with Wrong Orders We are standing at the counter of the nurse's station in the ER when I tell Dr. Hanson that his patient in 18 is asking for pain medication. ...

Case Study: "Her face pulled to the left."

It's 11:34 a.m. The triage complaint is listed as possible stroke, with dizziness and facial droop listed as secondary complaints. A fifty-six-year-old female still in her street clothes is partially...

Just Wrong: Three Simple Fallacies

Several articles have been published in past the few years listing various myths about nurses. Some are silly, like "all nurses marry doctors" or "all nurses are women." Some might be more believable...

Taming Naso-Gastric Tube (NGT) Torture

The dreaded NG tube. Hated by most patients and many practitioners who have to insert them, NG tubes are great candidates for the top spot in the "most detested procedure" column. Several of my...

I Broke Rule # 1

"We just intubated him a few minutes ago. He was a restrained driver in a partial rollover. There were several witnesses who saw him driving erratically. They thought he might have passed out because...

Nursing Intuition, Part 2: The Seizure Girl

"This is Rescue 89. We're inbound to your facility with an eighteen-year-old female, postictal following a witnessed grand mal seizure. We've established a saline lock and have her on oxygen at two...

The Nurse at the Bedside

Let me introduce myself. I'm the nurse, the one at the bedside. It's a place I've occupied for twenty-four years. There are millions like me. You might see me as an underachiever, someone who didn't...

Projecting Optimism: Creating Positive Outcomes

Mr. Aldred is relatively calm as I start an IV and draw some blood for his labs. His chest pain started two hours ago while he was watching TV, eating some chips, and drinking a diet coke. There had...


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