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airwaynurse

Critical Care, Flight Nursing

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  1. airwaynurse

    Great Nurse = Great Leader???

    How many times have you experienced the ramifications of this perceived axiom? The nursing profession is replete with casualties of this faulty premise. An excellent nurse/clinician is thrust into leadership with the rationale that "you are such a great nurse you'll be a great leader!" They are then thrust into the arena with little or no preparation, training, or support. When the ill-prepared house of cards falls there is utter dismay because it fell and the "great nurse" may even lose that title as well. The whispering "maybe so and so wasn't such a good nurse after all" fills the atmosphere of the organization. The search for another "great nurse" begins as the cycle continues to wreak havoc on work teams and projects. Contrary to what most people seem to believe, leadership skills are taught more than they are caught. Like most skills, there is careful study, intentional preparation, and practical application involved in the development of a leader. Let's take a look at these three ideas and how they can help to develop leadership skills. For me, personally speaking, you cannot go wrong by employing Biblical principles to anything in life that you are doing. Having said that, just a couple of principles come to mind: 1) The Golden Rule: Treat people as you would like to be treated (Luke 6:31). This is a great place to start no matter where you are or what you are doing. An excellent foundation for interaction with all humans no matter when, where or in what context is wrapped up in this principle. 2) The Servant Leader: "If anyone desires to be first, he shall be last of all and servant of all." (Mark 9:35). So much could be said about this principle! History is filled with examples of "Servant Leaders." Gerard Thom (c. 1040-1120), the founder of the Hospitallers, male nurse, the servant leader is one such example. Others include; James Derham (c. 1757-1802), the first African-American to practice medicine in the US. He bought his freedom working as a nurse! Study leadership and study leaders, both good and bad. Intentional preparation is linked to a careful study by self-reflection: what you hope to accomplish as you serve others. Set aside time to prepare for your leadership development and be intentional. A great friend and mentor to me over the years has been Dr. George Manning, psychology professor and author of, The Art of Leadership (ISBN-13: 978-0078029080). I highly recommend this text for anyone with leadership aspirations. A character study of good leaders that are around you or leaders that you have had is an excellent source of intentional preparation too. Remember that there are lessons to be learned from bad leaders too. Learn from their mistakes, even if they are sure that they have never made any. I have been influenced by and learned much from several excellent leaders over the past 30 years, but I have also seen many fail and fall hard because of the application of the premise that titles this article. Much is learned from these leaders as well. Practical application is simply putting into practice the things that you are studying, learning and teaching about leadership as you go. No matter where you are in life you are leading others in some way or another. The issue is: are you doing it intentionally because of your study and practice of leadership or is it unintentional, just because you are a great nurse? Nursing leaders I have personally seen this "great nurse =great leader" model many times over the years and it is a sad disservice to unprepared leaders being developed by unprepared leaders. Years ago, a great nurse friend of mine was hired by our company as a flight nurse. She was an "excellent" critical care nurse. Before she could get her bearings as a flight nurse and how that all worked, she was put in charge as the base supervisor; the leader of seven highly autonomous clinicians that were experienced in critical care flight operations. It was an extremely difficult time for her because no one prepared her for the leadership aspects of her non-clinical duties. With some mentoring and coaching by several seasoned veterans and a willingness to learn and study leadership she weathered the storm and became successful, but there were times when she was almost written off as a nurse failure. This phenomenon happens way too often in healthcare in general and nursing in particular. We need to break this pattern. Intentional action is required. Finally, let me encourage the new and the old, the novice and the expert: Lead right where you are! People are looking for leadership everywhere. Remember to serve others and you will lead others. It is also extremely helpful to be a good follower, but that is another article for another day. What has your experience shown you in these matters? Please feel free to share your personal insights with others; ask questions, share knowledge! Nurse on!
  2. airwaynurse

    Great Nurse = Great Leader???

    Snarky Fact check: The first person (HouTx) did share, with examples from their personal experiences, as had been my hope in writing the article from the start. My "article" as you say, was written from my 30 years of personal experience, not anyone else's experience. As is quite often the case, my worldview permeated my writing (it doesmy spoken word too) and viewpoint (like everyone's does at times). The second "guide" shared nothing except an example of the "platinum rule." Otherwise, llg's "sharing" was a critique of the frame of reference of the "article" beginning with the first sentence: "I have a problem with the 'golden rule'....." and ending with branding the content as "simple platitudes." Evidently that is what the Guides are for? To make sure that you (the rank OP) know what they think of the content of your "article"? Not much share in that.... Maybe Mulder was right after all! "Sometimes the need to mess with their heads outweighs the millstone of humiliation." or as Inigo Montoya said in the Princess Bride: "You keep using that word, I do not think it means what you think it means."
  3. airwaynurse

    Great Nurse = Great Leader???

    Yep.... REALLY see phony diatribes about my ability to believe as I like.....sure does make others mad and offended when I do doesn't it. BIBLE CONTRADICTIONS ANSWERED -- Biblical Errors Mistakes Difficulties Discrepancies Countered Really indeed!
  4. airwaynurse

    Great Nurse = Great Leader???

    Slight enigma present, right after saying, "I was with you until you started quoting the Bible. I think your reference material should be a little more current." You state that you are not bashing! Wow! Seems like you started with the "anti-Christian crap." There is no greater EBP than the Bible. Thanks for stopping by.
  5. airwaynurse

    Great Nurse = Great Leader???

    llg, Webster's defines snarky as "being crotchety, snappish; sarcastic, impertinent, or irreverent in tone or manner." Platitude, by definition, is "the quality or state of being dull or insipid. A banal, trite, or stale remark." As far as the snark goes: I cited my references; Luke 6:31 and Mark 9:35 (The Bible). You cited no reference. Just the facts. I knew where my two "platitudes" came from not sure about yours. Don't take it too personally. We are both entitled to our worldview/belief system. But I certainly won't call you names when I do not agree with your opinion on a matter. Its just not Christian..... Maybe Mulder was right after all! "Sometimes the need to mess with their heads outweighs the millstone of humiliation." or as Inigo Montoya said in the Princess Bride: "You keep using that word, I do not think it means what you think it means." NURSE ON! Thanks for sharing your thoughts and beliefs with us.
  6. airwaynurse

    Great Nurse = Great Leader???

    llg, I guess that my worldview got in the way of your understanding. Treating people how you would like to be treated is simply this: showing respect, kindness, love and compassion to other humans. That is grounded in Imago Dei, the belief that all humans are created in the image of God. It is a Judeo-Christian idea. That was my point in bringing it up. Worldview shows up In everything. It seems to me the "platinum rule" would essentially lead to the "inmates running the asylum." A leader shouldn't check with the led to make sure they approve of how they lead. The other glaring problem with the "platinum rule" is that the opportunity for consistency is thwarted. Everyone gets different treatment. I couldn't agree more with your comment (at least part a): "The best leaders know how to use multiple approaches and can tailor their approach to the individual situation." but, part b is really a non-sequitar. Boundaries are everywhere, no one is immune to them. As far as "simple platitudes" goes, mine were spoken first by Jesus, yours, on the other hand......
  7. Gomer and Scottaprn: I agreed with most of the pearls you shared. Helpful stuff. Off the top of my head let me say: There is such an intuitive component to what we do as nurses! The down side is that it takes a great deal of experience to get reliable intuitive sensitivity. "Great deal" is so different from one nurse to another. There are many variables at work in obtaining experience. We are all so different..... Strive for excellence! Study, train, mentor, and be mentored. Thirst and hunger for it, your patients will require that kind of commitment. Sometimes they will need it more that other times. EMS guys, especially "crusty old paramedics," are great resources and should be respected for what they do (and how long they have done it). They are not all the same, but some of the most brilliant and astute clinicians that I know and have worked with, in both ED, Ground and Helicopter EMS settings, are not "justa paramedic." Use those resources with great care and benefit. Get involved in after action reviews or debriefs as needed, they are extremely valuable for improvement in future actions. AARs also foster team cohesion... If it is your day to go (die) you can't stay; if it is not your day, you cannot go! It won't always make sense! Life is not fair...... Do your best, be vigilant, tenacious and passionate about what you do! You have a calling! NURSE ON!
  8. airwaynurse

    You just can't make "This Stuff" up.....

    Ratlady! Thanks for your kind words, thanks for your service! Congratulations on the BSN program, too! Kind regards and best of luck to you! The New BAMC facility was built about the time I left San Antonio....it is a great facility! Nurse On!
  9. airwaynurse

    You just can't make "This Stuff" up.....

    Nicktexas, You should probably read more carefully. The confusion that you seem to be having with my article is that what you find so "strange" is not in the article at all. Attention to detail will help you sort through what I "self described" in the article. I'm glad that you know "a lot of 18D," me too and some of the operators that I knew gave the ultimate sacrifice. In either case, mine or yours, the population size represented is infinitesimal. Go with the big picture story of the article: non-medical soldier turns into an RN in sort of an accidental fashion over the course of many years and experiences. He then shares his love of nursing and the journey with other nurses on this site. Go with that brother and be careful with Wikipedia, it cannot replace real, in-person, experience of any kind. Go with what you know experientially not just what you have been told. Airborne! All the way....
  10. airwaynurse

    67 Medications Every New ER Nurse Must Master!

    Enjoyed this article Michael! Nuts and bolts stuff. Training and preparation is the key to any successful endeavor. I always taught new critical care nurses, flight nurses and paramedics (don't ever sell paramedics short) to further subdivide the list into the Advanced Life Support medications (especially the push meds), the medications that can quickly lead to untoward effects (such as death, etc.) by their improper usage; sodium nitroprusside/nipride or propofol immediately come to mind. All of the airway/intubation drugs should be locked in your compendium stone cold; etomidate, succinylcholine, rocuronium, etc. The difference between polarizing and non-depolarizing agents is tantamount to their application as well. In the ED it is very important to know the EMS drugs in use in your area as well....it helps connect the dots. Your article also brought to mind one of my favorite sayings from over 20 years of training and instruction of clinicians at all levels: "Pathophysiology covers a multitude of sins!" Good, solid knowledge of pathophysiology is essential and intentional. You have to keep studying and learning until you nurse no more.....your patients require this type of commitment from their nurses. It is so sad to see many nurses that have no desire to dig into the great depths of pathophysiology. Alas, the gap between a JOB and a CALLING is certainly abysmal. Nurse on brother! Thanks... See one, Do one, Teach one!
  11. airwaynurse

    Code Blue: Where Do I Stand?

    I really enjoyed this article and the perspective of a young, "up and coming" nurse. The compassion present in the narrative seems genuine (Nursing must be your calling, LOL) and the quest for improvement is loud and clear, as well as heartfelt. I applaud these qualities in you! From a somewhat, "crusty" CCRN, Flight Nurse and 20+ years as an instructor in BLS, ACLS, PALS and NRP (formerly NALS) perspective let me offer these few guidelines: 1) Training should be taken seriously at all times, especially when training is taking place. 2) Repetitive simulation is effective for serious training to succeed. 3) When the "real thing" happens you will only be as good as your training and experience permit. 4) Never "blow off" hands-on skills thinking that you already know them! 5) Teach and encourage your colleagues! 6) Apply diligence to being prepared through training (what if scenarios) 7) If IT IS your day to go, you cannot stay; if it is NOT your day, you must go. Check out the poem by Rudyard Kipling: "IF" (don't be offended by the last line, He's talking to his son). If you can keep your head when all about you Are losing theirs and blaming it on you; If you can trust yourself when all men doubt you, But make allowance for their doubting too; ..... Thanks for sharing! Much more could be said. NURSE ON!
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