Florence's Nightingale

Photo

Fri, 01 Jun 2012 23:10:37 -0400

malformalady: thedailywhat: Case For Sunscreen of the Day: This...

Fri, 01 Jun 2012 21:11:14 -0400

thedailywhat:

Case For Sunscreen of the Day: This man is 69 years old. He drove a truck for 28 years.The premature aging from sun damage to the left side of his face is extensive enough to warrant a feature in the New England Journal of Medicine.

5 P's of Rounding

Thu, 31 May 2012 23:55:50 -0400

One of the ways to improve patient satisfaction is hourly rounding. Each hour, the nurse should enter the patient’s room and assess for the5 P’s:

Position - does the patient need to be turned? Are they in the right position for their specific disease process? Can they reach the call button/lights/remote without danger of falling?
Pain - assess for pain every hour -> quality, radiates anywhere, severity, time
Potty - does the patient need to go to the restroom? Need to be changed? Do they have a foley? If so is it in the correct position? Kinks? Need to be emptied?
Possessions - does the patient have the things they are supposed to? Are they in reach? Are cell phones charging in sockets designated for pumps or other equipment?
Pump - Do the IV bags need to be changes? Lines? Is it charging? Ringing alarms of pumps can be distracting to the patient and the staff.

Leadership Day One

Thu, 31 May 2012 22:05:34 -0400

I just completed my first day of Leadership. Here are some thoughts before I take a bath and get some work done:

I’m going to do research for an in-service on “soft” bedside shift reports to convince the nursing director whether or not to implement the practice. Look for updates here.
They want me to work the night shift for my Capstone preceptorship (insert crazy gif here of a woman screaming or passing out with terror)
I thought nurses were incredibly hard workers, but I was floored today to see how INSANE the job of a nurse manager is—this woman spent all day jumping from meeting to meeting while spending any transit time putting out fires and all the while staying completely calm and poised. I have a lot to learn.

Thoughts? Does your site do warm hand-offs?

Ruptured Blood VesselColour-enhanced image of red blood cells...

Thu, 31 May 2012 21:59:34 -0400

Ruptured Blood Vessel

Colour-enhanced image of red blood cells leaking out of a ruptured blood vessel. This is due to a mutation in the ephrin-B2 gene that causes the blood vessels to be more fragile than normal leading to an increased rate of haemorrhaging. The fragility is due to the inadequate coverage of the vessel by smooth muscle cells. This kind of leaky blood vessel is frequently found in tumours and in certain other human diseases.

Credit: Anne Weston/LRI/CRUK

(via Wellcome Images)

"Complaining is stupid. Either act or forget."

Thu, 31 May 2012 21:57:15 -0400

“Complaining is stupid. Either act or forget.”

- Stefan Sagmeister (via kari-shma)

fuckyeahmedicalstuff: Calcific aortic stenosis: a calcified...

Thu, 31 May 2012 21:56:53 -0400

fuckyeahmedicalstuff:

Calcific aortic stenosis: a calcified stenotic tricuspid valve.

baffledinbrooklyn: Ignaz Semmelweis (July 1, 1818 - August 13,...

Wed, 30 May 2012 19:57:34 -0400

baffledinbrooklyn:

Ignaz Semmelweis (July 1, 1818 - August 13, 1865)

An early pioneer of aseptic procedures. When he proposed hand washing to prevent infection in OB procedures he was shunned and ostracized by the medical community. He was commited to an asylum where he later died of septicemia.

articulomortis: Cross-section

Tue, 29 May 2012 23:54:42 -0400

articulomortis:

Cross-section

"I remember being so scared of seeing patients once because I felt like I was only a doctor on paper...."

Tue, 29 May 2012 16:27:51 -0400

“I remember being so scared of seeing patients once because I felt like I was only a doctor on paper. I felt like a fraud, thinking, ‘These people do not want my care. What could I do for them?’ But then one day it will all sink in. You will realize that the body is just a giant machine and when something break, it manifests in predictable ways. Once you recognize those patterns, you will feel more comfortable doing what you need to do.”

- A doctor reassures me about overcoming the anxiety of taking on more responsibility in a patient’s care. (via medicalstate)

Patient Education: Inhaled Medication Instructional Videos

Mon, 28 May 2012 12:42:15 -0400

Patient Education: Inhaled Medication Instructional Videos:

cranquis:

A series of videos to help asthmatic patients learn to properly use any of their inhalers.

(Part of the reason I’m posting this is so that I can refer back to it quickly for my patients, using the TinyURL that I created for the LOOOONG actual website name: http://tinyurl.com/inhaler-videos. Feel free to pass that along to your asthmatic patients/friends!)

Life in The ER: Something that has recently annoyed me

Sun, 27 May 2012 18:56:18 -0400

Life in The ER: Something that has recently annoyed me:

ermedicine:

Lately I’ve been getting a quite a few messages from pre-med students asking me if I was a nurse. While I’m not a nurse, I respect the hell out of every nurse that I work with in the ER.

What’s actually startled me is some of the attitudes I’ve been receiving when people I assume I’m a nurse. A…

Medicine standing up for nursing—definitely have to reblog.

Thanks for respect and support. Our fields our different, but one isn’t more important or “smarter” or hard working than the other.

The goal is the same: to heal and help people. Doctors should always stand up for nurses, and nurses for doctors. We are on the same team after all.

dailymedical: Irritable Bowel Syndrome Linked to Gut Bacteria...

Sat, 26 May 2012 19:02:26 -0400

dailymedical:

Irritable Bowel Syndrome Linked to Gut Bacteria Growth

If you are suffering from Irritable Bowel Syndrome (IBS), you can thank your guts. An overgrowth of gut bacteria has been linked to causing IBS.

thebiomedicalblog: Donor heart.

Sat, 26 May 2012 19:01:58 -0400

thebiomedicalblog:

Donor heart.

Signs & Symptoms of hyperkalemia

Thu, 24 May 2012 18:53:55 -0400

nurse-with-a-smile:

M - Muscle weakness

U - Urine: oliguria, anuria

R - Respiratory distress

D - Decreased cardiac contractility

E - ECG changes

R - reflexes: hyperreflexia or areflexia (flaccid)

nurse-with-a-smile: i heart guts one of my fav websites.

Thu, 24 May 2012 18:51:19 -0400

nurse-with-a-smile:

i heart guts

one of my fav websites.

"Be brave. Take risks. Nothing can substitute experience."

Wed, 23 May 2012 22:03:48 -0400

“Be brave. Take risks. Nothing can substitute experience.”

- Paulo Coelho (via kari-shma)

Photo

Tue, 22 May 2012 22:32:19 -0400

Fuck yeah, medical stuff!: Treatments for cerebral palsy and other astounding news.

Tue, 22 May 2012 22:28:56 -0400

Fuck yeah, medical stuff!: Treatments for cerebral palsy and other astounding news.:

fuckyeahmedicalstuff:

In the last few months there’s been a spate of studies about cerebral palsy, some of which will blow your mind—in a good way. Max’s cerebral palsy is part of who he is, but if there were any way to diminish it and make his life easier, of course I’d want to. These studies give me hope—for Max and…

Percent of U.S. Teens with Diabetes is on the Rise

Mon, 21 May 2012 12:52:44 -0400

Percent of U.S. Teens with Diabetes is on the Rise