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I've been an RN for twelve years; I've worked in med/surg, ICU, as a nurse manager and now I'm back to bedside in the Emergency Department. From the patriarchal systems that place us and our patients at risk to not having enough time to pee, each episode covers what it's like to be a nurse in the hospital today. I'm your host, an ED RN and I hope you'll stick around to listen.
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On today’s episode we’re going to talk about talking to doctors. For the new nurse, this can be intimidating, for the experienced nurse this can be exhausting, but for most every nurse who’s been around for longer than a minute, this is the source of many a tale told at many an after-work happy hour that is only funny in hindsight. Because being ye…
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On today’s episode we’re going to talk about Nurses’ Week; also known, by me, as the week in which anyone with decision-making authority in healthcare spaces chooses to hand out candy and pizza instead of enacting policies to decrease workplace violence, increase pay, or in any way contribute in a meaningful way to the prevention of long-term menta…
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On today's episode we're going to talk about EMTALA (Emergency Medical Treatment and Active Labor Law), the Supreme Court and abortion. For legal abortion care in all 50 States (yes, ALL 50 States): PlanCPills.org Mayday.Health Sources used in this episode: PBS NewsHour American College of Obstetricians and Gynecologists American College of Emergen…
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This is part two of the burnt to a crisp series and now that we know how burnout contributes to poor patient outcomes (not to mention our own mental and physical wellbeing), let’s find out just how burnt we all are. Should be fun. TW: some mention of people deleting themselves in this episode Receipts: The MBI tool for burnout (what I can find for …
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This is the 50th episode of this podcast and we're going to celebrate by talking about one of my favorite subjects: nurse burn out. Statistically speaking, many of us are already burned out and 250% of us will be burnt out by the time we decide to quit nursing; why is burnout a problem, and what should we do about it? let’s find out. Receipt: 31.5%…
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On today's episode, we're going to talk about business. Not the first thing you think of when you think healthcare or nursing, but in fact business kind of runs what we do. On a day-to-day basis. And for a lot of us, it can ruin our lives and those of our patients. So let's talk about it. Receipts: Healthcare is big business... ...and not-for-profi…
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On today’s episode we’re going to talk about working the holidays. Again. Between the increase in acutely ill patients and the decrease in staff and general resource availability, how could I not be persuaded to show up to work when the rest of the world gets to sleep in. At least the part that’s not heading to my hospital... The WHO shows 25% incr…
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On today’s episode we’re going to talk about engaging in a power struggle at work. With so many opportunities to be reminded of the fact that you hold almost no decision making ability over anything, it can be natural to hold on to what small scraps of power you are given; but is this the best use of your time and energy? The answer may surprise yo…
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On today’s episode we’re going to talk about how everybody’s everything is the most important thing. Or, to be more specific, we breakdown the Fallacy of Isolated Importance, a thought distortion that gives certain people the confidence to try and tell you what your job is based solely on the one thing THEY want to happen despite multiple other com…
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On this episode we’re going to talk about how in my rush to ensure I don’t permanently fuck up my back performing the many physical requirements of this job, I accidentally joined a crossfit-style gym. RNs have a higher than average rate of workplace injury and illness Hilarious CDC article about preventing back injuries in healthcare workers made …
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The War on Drugs is and always was a tool of oppression targeting communities of color and the opioid crisis is the result of rich people trying to get even richer. Adjust your prejudices accordingly. Sources: A seminar detailing The War On Drugs from content experts and scholars TJC report on drug diversion in healthcare NPR article detailing ways…
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The bonus plan. It's the only surefire way to make the money that more closely resembles what your labor is actually worth, you simply have to work a shit ton more. The obvious upsides are you make more money, the hospital is better staffed, everybody seems to win. But what are the downsides? Let's discuss. The mental health effects of voluntary vs…
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As the famous movie quote goes, there's a difference between mostly dead and all dead. As a nurse, knowing what to do when someone who is mostly dead arrives in your ED is called ACLS; let's talk about it. American Heart Associations ACLS algorithms Traumatic cardiac arrest survival rates study UpToDate ACLS info…
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My path was simple: start out in med/surg, go to ICU, then become a nurse manager, then director, then ACNO, then CNO, then choke to death on an energy bar alone in my office on a weekend, an unfinished spreadsheet my only witness and friend. And yet, at 40 years old, I'm back to bedside in the Emergency Department. How did this happen? And why am …
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The thing about being a nurse is sometimes we don't take our lunch break, but the thing is lunch is the basement. We should be taking lunch breaks, breakfast breaks and nearly-end-of-shift breaks. Less work, more breaks! References: This excellent paper by Stefan D. Arias on how breaks prevent burnout: https://scholarworks.uttyler.edu/cgi/viewconte…
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Being a patient in the ED is hard and it can be frustrating when it seems like you've been waiting a long time. So what's really going on? Why does it take so long? What are these nurses even doing over there? Here are some answers, plus some tips on how you can have a better experience waiting your turn.…
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With everything we as nurses are already expected to do, why is it that every other thing is also considered our responsibility? Why are staffing models based on the idea that we will have adequate supplies and support from other departments despite the fact that national shortages and understaffing of every department have become the norm? I, for …
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Being a nurse means if you make a mistake at work, someone could die. We can do everything in our power to prevent mistakes and yet, since To Err Is Human, we also understand that they are inevitable. Since the felony conviction of RaDonda Vaught, nurses are left wondering if the risks are worth it to us. So let's discuss.…
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A Nurses' Week Sonnet: I do not like these nurses' weeks, I think your cheap cold pizza reeks, I do not need a free lunch box, I do not think you give two fox, I want more money and if you laugh, I hear traveling pays three times what you do so who's laughing now motherfuckers? Happy (belated) Nurses' Week!…
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Raise your hand if you've never, in your nursing career, been yelled at by a physician. Zero hands detected. When every nurse you know has a story about being dressed down by a doc, it stops being anecdote; it's endemic. References from this episode: Women are seven times more likely to be misdiagnosed during a heart attack 90% of female docs have …
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Content Warning: suicide. Being nurses places us at increased risk for a number of things, not the least of which is a lifetime of mental health struggles that have a direct link to the work that we do. Let's talk about it. Resources: - National Suicide Prevention Lifeline: 1-800-273-TALK(8255); - Safe Call Now: 206-459-3020 (crisis referral for pu…
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On this episode I'm talking about what I make as a bedside RN in the Emergency Department because when we don't talk about our pay the only people who benefit are not us. Talk about what you make, negotiate for a higher rate with every new job offer and listen to this episode for more. References: It is illegal for employers to forbid you from talk…
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It's time to talk about workplace violence and the fact that, as nurses, we are four times more likely to experience it than any other profession. You don't need a bunch of statistics to tell you how dangerous our work is, but I brought them anyway (links to receipts are below). References: OSHA guidelines for preventing workplace violence: https:/…
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