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Music in My Heart

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Music in My Heart's Latest Activity

  1. Efficiency, mostly. If it's one individual, then I can see addressing it with them... if there are several, I'd opt for a blanket warning... and then hold each and every person responsible from then on. I don't understand why. Personally, if I received this e-mail and it did not apply to me, I'd promptly ignore it and not give it a second thought. I don't see the instructor's actions as being juvenile and I think it's appropriate to address the warning to the entire group so as to prevent others from adopting the inappropriate standards that some students already have.
  2. Music in My Heart

    MAGNET Designation

    Kind of like endless certifications for nurses...
  3. Music in My Heart

    Open Fracture During CPR

    It was pretty creepy but, thankfully, (a) this wasn't a wee one and (b) it didn't grow (much)
  4. Music in My Heart

    Open Fracture During CPR

    Ultimately, the same as most.
  5. Music in My Heart

    ACLS as a student?

    It wasn't until my second ACLS recertification that it all started to make sense. The difference: Repetition and experience. If you can afford to take a face-to-face ACLS class, taught by an experienced provider, I would take it. An online 'class' has no benefit whatsoever for a student nurse or new grad. For a salty nurse who's just looking to keep the certs valid, online is fine. An inexperienced person, regardless of nursing tenure, *needs* the face-to-face time and the opportunity to hear war stories which is where the learning happens. The algorithms are trivial -- the application is variable. For example, two things that I've learned in real life: (1) figure out if there's a colostomy bag before you start pumping the chest and prepare accordingly... (2) be aware that you can end up with an open wound in the chest during compressions... I know these from personal experience, not from a book, and yet they both make me a better (or at least cleaner and safer) nurse.
  6. Music in My Heart

    MAGNET Designation

    The positive and negative characteristics of my facility have little to do with its Magnet status. I agree with PFMB, the single biggest predictor of nurse satisfaction is the presence/absence of a strong, high-quality union... not just a union, but an effective union. Overall, I think Magnet is worthless, in and of itself. Hospital management can and do have effective shared-governance practices without having Magnet. Likewise, if the hospital's sole motivation for Magnet is another stamp to put on their website, no meaningful changes will occur. What matters is the attitude and the culture, not the designation, and the two sometimes have no correlation to each other.
  7. Music in My Heart

    Open Fracture During CPR

    During a recent code, during the rhythm check, a small wound was noted on the patient's chest -- it appeared to be an open fracture. The MD said that the patient had had a sternotomy in the past and that the staples had probably abraded through the skin. Either way, it kind of freaked us out. Has anybody else ever encountered this? As compressions continued, the concern was for an exposure to the compressors; which risk was mitigated by placing a folded towel over the chest. Another war story added to the collection.
  8. Music in My Heart

    Pharmacology Flashcards

    I still track this thread so you can always post here... my PM inbox is often full. I'm glad that you're finding these cards to be helpful. When I made the decision to share them, it was with the hope that others would benefit from them and thereby pay dividends on the effort that I expended in making them. I have given some thought to making alternative formats... perhaps PDF files of each card so that they could be carried around on a phone. I also use a program called Flashcard Buddy on my Android and I've been tinkering with an automated way to convert them to a flashcard file. The biggest obstacle is the formatting and use of characters and coloring... The PDF thing would be easy enough to do although it would be hundreds of files and I'm not sure how useful that would be. Regardless, best wishes for success in pharm, nursing school, and beyond. Nursing is still one of the best decisions I've made.
  9. Music in My Heart

    Pharmacology Flashcards

    Once I made them, I would pick a unit and go through it every day or two and separate the cards into learned and not-learned decks -- I continued to study the not-learned decks up until the final -- and would occasionally review the learned deck, too. Nearly every day... multiple times per day... and especially at night in bed before falling asleep.
  10. I don't think students are in a position to easily toss around the term, "unprofessional" given that they're not professionals themselves. There is a faction of nursing which parallels the military and religious orders, and in both of those, this letter would be tame. I see nothing objectionable in this letter and certainly nothing about which to be shocked. You're making a mountain out of mole-hill, IMO.
  11. Music in My Heart

    Tolerance and acceptace of gay nurses and patients

    Setting aside the specific case of akulahawk, who I know only though interactions on this site, and who seems to be quite a fine human being, I perceive the term "very straight" to conceal a bias... it's an aggrandizement of certain brands of manliness... the rugged individualist, the macho tough guy, the 'tough-as-nails' Drill Instructor type, the Marlboro man (before he wasted away with lung cancer)... the quintessential alpha male. The bias is the linkage of those cultural personas with sexual orientation... as though to be badass, Chuck Norris type, means that one is also straight... that gays can't be tough guys, manly men, firefighters, bouncers, etc. This is the kind of bias that I recognized in myself awhile back. Gay and straight are binary, mutually exclusive conditions. People who flaunt their sexuality, or who manifest certain traits or characteristics that our culture considers to typify manliness or womanliness, are no more or less gay/straight than those whose orientation is externally ambiguous.
  12. Music in My Heart

    So how does it feel like to be a male nurse

    For sure. ED nursing is the consummate team sport.
  13. Music in My Heart

    So how does it feel like to be a male nurse

    I think forklift is a more apt analogy.
  14. Music in My Heart

    Tolerance and acceptace of gay nurses and patients

    For what it's worth, I see a big difference between "tolerance" and "acceptance." Tolerance means merely that I won't seek to push you out of the group; acceptance means that I welcome you into the group. Bigots can be tolerant while remaining unaccepting. Tolerance is the bare minimum to be demanded but is hardly worth celebrating. "I am he as you are he as you are me and we are all together"
  15. Music in My Heart

    So how does it feel like to be a male nurse

    I'll pass commenting on how it feels to be a male nurse but I can tell you that it feels great to have a job pulling down a solid six-figure income in a very stable field.
  16. Music in My Heart

    When will infusion complete?

    BTW, a good way to get comfortable with elapsed time is playing with Excel's number formats. Excel stores a time value as a decimal number which can be converted to a fraction with a denominator of 24 (as in, 24 hours = 1 day). The format can be changed to display however you wish though the underlying whole-number value does not change. Excel will also convert between fractions and decimals for you. Part of numeracy comes from simply 'playing' with numbers and equations and, with calculators, spreadsheets, and Google, it's never been easier. For example, type "35 minutes in hours" in the Google search box

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