Why clinicians are not on social media

This is so true.

Eric Levi

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This is a recurring question I get asked by patients, communication officers and other doctors. Why are clinicians not on social media? What are the barriers to getting clinicians on to Social media?

Many of the reasons and excuses can be summed up to these 3 F’s:

1. False understanding of the purpose of Social Media

Many clinicians think that it’s a frivolous waste of time with selfies and food photos. Others think that it’s about marketing and self-promotion. Some others think that it’s a place where patients slam you and rate you.

Those things are not the primary use of social media in health care. Social Media is my medium of education, my personal network of learning. As a surgeon, I engage with other surgeons, and clinicians who are not within my specialty. I learn lots from anaesthetists, Family Practitioners, paramedics, nurses, Speech Pathologists and other craft groups. We…

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I like wearing scrubs but…

I like wearing scrubs but not when it’s freezing outside! I have to wear sweatpants from my apartment to the garage just to make sure my legs don’t turn fire ice and break off. So icy cold.

Blizzard of 2015: Sleeping overnight at the hospital

Fortunately so far I was usually home when a storm hits. But not this time. On Sunday, the news started to spread that there was going to be 20-30 inches of snow across NYC and Long Island from Monday until Tuesday midnight. And I was scheduled for both Monday and Tuesday.

So I got myself ready… Just in case I was going to stay over. Another pair of scrubs, toothbrush, toothpaste, other toiletries, and pajamas.

I went to work Monday. Watching the news, I saw the weather get worse. I probably would make it home but my small car probably wouldn’t be able to make it back to work. My nurse manager asked if I was going to stay. I said yes– I just need a sleeping area. She said she would arrange one, don’t worry.

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After work, I went to the cafeteria. They were nice enough to give out sandwiches, cookies and water for those staying over. Many of my coworkers came in early the night before. Dedication!

I went back to my car to drop off my lunch supplies and pick up my bags. I was considering sleeping in the car but by the time I got to my car, I thought it was way too cold. I headed back inside.

When I was working the night shift, we put sleeping mats in the shower because we didn’t have anywhere else to store them. I thought that the shower was pretty useless and nobody was ever going to use it. Funny how I ended up using it that night. I just wish I brought my sandals!

I slept on a mat in the conference room. It wasn’t too bad, except that the ground was hard so I had to reposition myself every few minutes haha. I put my phone on airplane mode to conserve battery.

It was actually kinda nice not to have to travel to and from work. Extra sleep time 😃 It was nice to wake up and find out that four other nurses also stayed overnight. One patient care assistant (PCA) worked the 3-11, slept, then 7am-3pm. Another PCA did 11pm and ended at noon. Another one did 3pm-7am. Thank goodness for them!! 😀

They offered a $2.50 credit for breakfast. So that was nice.

But we started with 7 nurses when we usually work with 10 so it was a rough start to the morning. Most of us started with a triple! As the morning came, two more nurses came in so it felt a lot better.

Anyways I am glad that there was a mandate for no cars on the roads overnight so the trucks could plow most of the snow away. And I am glad that I didn’t have to drive through bad weather by staying inside.

We don’t have mandatory overnight stays so we don’t get paid to sleepover. I believe that at some other hospitals that in a state of emergency that they do this to keep enough staff on duty. Do you think that nurses should get paid to sleep overnight or during the day or that it’s a waste of money to do so? Or does short staffing cause unsafe patient situations? What is more important?

What It’s Really Like to Care for a Dying Parent

It’s really tough to decide the best course of action for someone who is dying, especially in our society where life, any sign of life, is prized, and not necessarily the quality of life. It’s truly difficult to make a decision for someone’s life especially if you love them.

But the better question is, would you want to live in that fashion?

Talk about death decisions with your loved ones so they know what to do in case something happens. This will save time and grief among the family and friends. The health care proxy doesn’t have to be guilted into making that hard decision that no one is willing to make.

As for organ donation, if someone willingly signed up to be an organ donor, I would assume any organ is ok as long as it’s usable and that I don’t look completely mutilated after the process. I mean, in the end an organ is an organ. If it can help save another life and I’m already dead, why not help out someone else?

TIME

xojane

There are two things that movies consistently get wrong: sex and death.

Just like no real-life sex scene has ever involved seamless, body-fluid-free sex (I, for one, seem to consistently get stuck in my skinny jeans while covertly trying to take them off), very few deaths are the simple, dignified situations we see portrayed on screen. Death, real death, is a messy, confusing process for everyone involved.

A few months ago I wrote an article for xoJane about my mother, who was diagnosed with terminal brain cancer. At the time she had plateaued. Roughly three weeks ago, however, that changed.

Determined to walk, she hauled herself out of bed — and promptly fractured her pelvis. At the time, she was still receiving treatment — now she’s in hospice. As terrible as it was before, this is worse. She is completely bedridden and has a catheter. Despite everyone’s best efforts…

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CCRN: How to Pass The First Time

I passed the CCRN last week! Yay!!! The CCRN is a certification exam for critical care nurses. It basically verifies your knowledge about critical care concepts after working 1750 hours in the last two years. The benefit of getting the CCRN means getting a pay raise or a bonus. Or intellectually, it solidifies your basics. But if you’re reading this, you probably already know that. You have the more important question — how do I pass the CCRN?

Before I studied, I also searched the internet for the best way to study for this difficult exam. There were two things that stood out to me.

  1. Listen to Laura Gasparis’ videos.
  2. Do all of the questions from PASS CCRN®.

I got all of the material from a friend, from another friend.

I listened to all of the videos and wrote down notes the first time around so I wouldn’t have to listen to it again. It meant I had to pause the video sometimes to write notes. There were 6 videos about 2 hours long. So roughly 12 hours. I did 2 videos each week while working full time. It took 3 weeks to complete.

Then I did all of the questions from Pass CCRN. Don’t read the book. Doing the questions will inadvertently make you go through the important concepts and details. I gave myself the goal to complete either a complete section (for shorter, easier sections) or a certain number of questions each day. Cardiac (20%), pulmonary (18%), and ethical (20%) are the most heavily weighted sections. For the cardiac and pulmonary sections, it initially took me about 2-3 hours to complete 30 questions because I would read the rationale and write a flashcard for the material. There are over 300 questions on cardiac alone, and there’s a good reason for it.

I felt the most important things about cardiac are:

  • The different medications (pressors, vasodilators, diuretics, beta blockers, calcium channel blockers, ACE inhibitors, ARBs), how it works, side effects, and how it affects afterload, preload, and contractility (which comprises of stroke volume (SV)).
  • How does SV and heart rate (HR) affect cardiac output (CO)?
  • In different disease states, what is lacking, and what do you need to fix the problem?
  • How does the intra-aortic balloon pump (IABP) help? Complications?
  • What does the pulmonary artery measure, what do those values mean, and what do you do when you see a value out of wack? What are physical assessments would you find?
  • What are the different types of murmurs, where do you listen, what typically causes stenosis vs regurgitation?
  • Different types of chest pain, MI.
  • 12 lead EKG — this took some time for me since at work it’s only required to know how to read a lead II EKG. But since I started studying, I’d look at 12 lead EKGs at work and it’s kinda fun.

For pulmonary:

  • ABG interpretation (compensated vs uncompensated; what would breathing too fast or too slow cause? How would you treat different values?)
  • Ventilator settings – which ones affect respiratory rate? What does PEEP do? How does that relate to the V/Q ratio?

As I did the questions, I used a flashcard program called Anki. It’s a fantastic memorization tool using the concept of spaced repetition. And the best part is that it’s free to download on the computer or laptop and to use over the internet. It’s $25 to download on your iPhone or Android but it’s worth it.

Basically, I did the questions on one side of the screen, and had Anki opened on the other side. Anything I didn’t know or wanted to review, I either copy and pasted questions or answers, or paraphrased the concepts. It’s easy to put too many things to memorize on one card and that’s the last thing you want to do. When you’re reviewing the card, you don’t want to think, “oh I got half of the card correct… so do I choose that I got it right or wrong?” You want to be decisive and pick whether or not you got it correct.

I have the flashcards that I created for the CCRN that is easy for you to download, although you should probably create your own or edit mine to make it easier for you. Comment below or email me if you’re interested!

And good luck in your endeavor.

Just 89 out of 150 questions to pass. So you can do it! 25 are for research. Only 125 actually count. You have up to 3 hours to take the exam.

The exam is $225 if you’re a member of AACN. You’ll go to goamp.com to see the test sites and register for the exam. You’ll get 3 months to take the exam. Once you pick, you can change the test date once for free. Majority of the test sites are in the HR Block. How nice of them!

I took mine in Astoria, NY. I was the only one and it was quiet. Good experience.

Anyways, go for it. 😃

How to Memorize Anything

I wish I knew about this program when I was in nursing school — it would’ve made memorizing anything possible. But it’s been a couple years out and I learned about this amazing program.

It’s called Anki.

It’s flashcards. On steroids.anki

And the best part is that it’s free to download. Unless you decide to download it on your phone (iPhone / Android).

You know how you cram everything in for an exam, only to forget in a few hours or days later? Yeah, that won’t happen anymore.

This flashcard system is based on science of how people remember and forget things. It uses a spaced repetition system so that the card shows up right before you’re about to forget the information on that card.

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The great part about these flashcards is that you won’t have to review every single card every single day to remember. It spaces itself out depending on how well you’ve remembered the card. You will look at the card, decide on an answer, click on the card and see the answer. You will choose whether or not you got the question wrong (leading you to seeing the card sooner), or right. You can pick how easy or difficult it was for you to remember the answer. If it was easy, then the card will show up days later. If it was difficult, the card will show up sooner. If it was ‘just right’, then the card will continue down its algorithm.

While initially the Anki was created to remember languages, it can also be used to memorize nursing concepts. I used it personally to study for the CCRN, the certification exam for critical care nurses. So I know that this works.

It may look seemingly difficult but it’s actually easy to use.

You have to commit to it, and Anki will be there for you.

Don’t hit nurses

People should not think that it’s ok to hit anyone, especially nurses. Even if you’re mentally crazy or angry or whatever you’re feeling, it doesn’t give you the right to hit nurses. Violence is not ok and should not be tolerated. Hospital administrations should support nurses and those closest to the patients.

http://www.scientificamerican.com/article/epidemic-of-violence-against-health-care-workers-plagues-hospitals/?WT.mc_id=SA_HLTH_20150106