Tuesday, October 23, 2007

Nuggets for October 23

Here are the latest nuggets from the internet this week:

Disaboom
This new site, launched this month and founded by an MD who has C7 tetraplegia, has a discussion board and resources for people with disabilities.

DisabilityInfo.gov
A one-stop shop for disability information from the US federal government.

National Council for Support of Disability Issues
According to their mission statement, this organization "help advance public attitudes, awareness, respect, consideration and advance the success of people with all types of disabilities."

The Able Crew
A site for kids which discusses disabilities.

NCIL.org
The home page for the National Council on Independent Living.

Thursday, October 18, 2007

Nuggets for October 18

Here are a few interesting tidbits I've encountered on the internet this week.



While I was working on my post for Wednesday I found an article written by a patient about WoundVAC therapy



Another wound therapy related site of interest: http://www.worldwidewounds.com/



Surgical Materials Testing Laboratory is a UK site which discusses a variety of issues related to wound care and products used to treat wounds.

Saturday, October 13, 2007

Rehab nugget

I haven't yet perused much this week for my regularly scheduled Nuggets section, but here's one I just found about what rehab doctors do. From my perspective as a rehab nurse, we are so lucky to have really good rehab docs working with us. I've never sat down and discussed how our docs ended up at Saintarama, but it sure makes me wonder. Hope you enjoy this post!

What the heck is a rehab doc? (from ValJonesMD)

Thursday, October 4, 2007

From the e-mail and snail mail boxes

I usually give my e-mail newsletters a passing glance, but a couple of links in my ADVANCE for Nurses e-mail today were pretty good.

Professional vulnerability
This editorial discusses the "who can call themselves a nurse" issue. I've heard some of it before, but this is a good read nevertheless.

A clean exchange
This article discusses the fine art of the handoff. As a new nurse, this was a good article and made me think.

From the snail mail box:

I subscribe to AJN, which is a great publication if you haven't read it lately. I find at least two good articles in there every month. October's issue is no different. One of the more interesting articles this month (a CE article) discusses motivational interviewing. It's more outpatient than inpatient, but I think it has tips that are valuable, even in the inpatient setting. I also thought that the article about insulin management, Rethinking Sliding-Scale Insulin, although, geared toward ICU nurses, has great tips for the rest of us on the floors. At least, I'll have something interesting to discuss with the endocrinologist when he's on the floor next time. (We have a very, very wonderful one at Saintarama. He's the best!)

More next time...enjoy! I'm off to be computer geek for the rest of my day off, since I'm back on at the Hotel Rehab tomorrow. Ciao!

Monday, October 1, 2007

Heard on our unit...

"Remember that DNR. I've changed my mind. I want to be resuscitated."

This is what one of my patients on Saturday told the MD yesterday when he actually came in to talk to him about the DNR he wanted me to take as a verbal order. G. told me about this today. I just about fell over on that one....what?

"He's C-diff positive."

Not Mr. Z., since his results are still out, but Mr. K. my recent amputee patient won the prize (not our fault) and got his very own room. We now get to gown and glove to see him, and wash our hands each and every time we go in the room. Silence may be golden, but then again, so is C-diff.

"48 (blood sugar) is in the ballpark."

Famous words of a non-Saintarama diabetologist who only had the nurses calling him q2-4 hours re: his 19 year old IDDM patient's blood sugars. This kid came to us straight from the land of tubes and wires (ICU) with his own PRN vent.

I'd don't know about you, but I don't want to play in that ballpark, thank you very much!

"I don't like that antibiotic."

My patient, Mr. T. (yes, I took him back this week after a week of vacation from him on my team) after I gave him his Cipro two hours post corn flakes and milk. At 1020 he has emesis of about 200cc. At least, I didn't see the pill in there. The best news is that his Cipro will be over after his 2100 dose tomorrow. Note to self: give him his Cipro as soon as I can get it.

"Can I have lots of ice? I like ice."

We must have the best tasting ice on the planet, or we have some people who really love it. I heard this over and over today.

I had a pretty good day today. I had a brand new patient (another BKA) come in early enough that I was able to stay over a bit to help the evening shift. I got her assessed (found 2-4 small PUs) and set up in the room and helped J. get the care plans in the computer, since she took my team. The secretary was still around, so she helped with the rest. I still managed to get out just before 1700. Hooray.

More fun and excitement (and surely, ice) tomorrow. Stay tuned!