BarefootNurse on list of 30 BEST NURSING BLOGS OF 2014

BarefootNurse Blog named 1 of 30 Best Nursing Blogs
Nurse Practitioner category


Thank you!

Always a lesson in every situation...

I haven't blogged in some time. I would like to think it's due to the fact that I am so busy with juggling several jobs, raising a teenage daughter, planning a wedding (and getting married!), assisting my new in-laws with their move and other, numerous time-sucking things I have been doing this summer. But perhaps it is laziness in part; not taking time to put my thoughts down on issues that matter to me. Well, today that changed - well at least in part. These are not my words, but those of a friend and fellow blogger. I had to share simply because I was struck by the emotion of the words (the story was not new to me) and the renewal of the call many of us have answered in following a career in healthcare.

I invite you his blog and read about Pip, the flying squirrel.

Because of Pip: Taking Action

The NTI countdown begins

So we are just days away from undoubtedly the largest gathering of nurses - the AACN's NTI conference in Boston, MA.

I have to admit, I have been slow to get excited for this conference; especially since the bombing occurred. Glued to the TV for days as the events of the attack unfolded, I was shocked and horrified and angry that yet again a senseless tragedy occurred on American soil. Relief poured over me when details emerged and the suspects were caught.

As many of my nursing colleagues have thought about I'm sure, I have prayed for not just the victims but the numerous nurses, paramedics, physicians, and other healthcare providers impacted by this act of terrorism. No doubt we will hear more this week from these frontline providers that worked tireless to save lives.

This is my first time presenting at NTI. Part of me is terrified. But I am starting to feel a tiny bit of excitement build deep within me...I am after all presenting on something I feel very patient about.

Over the past week or so I have given much thought about this trip to Boston...specifically NTI. I was reminded by someone very dear to me that it is a time to recharge my nursing batteries with many strong and powerful nurses. He's right. Nurses are strong and overcome crises and struggles everyday to care for patients and ensure the best possible outcomes. We are passionate and forward moving.

It turns out that Boston is a great place for NTI this year. Nurses and other providers always rise to the occasion and remain strong and resolute. So has Boston.

Yeah, I think I'm ready.

Boston Strong                                 Nurses Strong

Patient safety lessons from Starbuck's

Anyone who knows me, would agree that saying I like coffee is an understatement. In fact, coffee is truly one of my life's pleasures. Right up there with anything chocolate and the beach. A good cup-a-joe, anytime of the day - hot or iced, frappuccino or espresso, I'm guaranteed to love it.

So what does my love of coffee, Starbuck's and healthcare have in common? Probably very little at first glance; besides the fact that coffee is the fuel of healthcare providers and clinicians everywhere...we may be able to learn something from the highly rated java-giants.

A typical shift day for me begins with a trip to the local Starbuck's for my usual special latte for one last jolt of caffeine to get through my unpredictable day. No matter what time I visit, I am always greeted by a friendly voice in the drive-thru that identifies themselves first and says something like "Good morning or welcome, my name is so-and-so, how may I help you today?" WOW! It always impresses me...really. Every day. All the time. No matter the person taking my order. I respond the same...."Good Morning! (It's contagious you know) I'll have...I won't bore you with my special coffee needs" And here's the best part...wait for it.....the friendly barista READs BACK & VERIFIES my ORDER! (RBVO) Ta-Da! Yes, they verify what they heard you say. Amazing. And if it is wrong they correct it on the spot and you get the wrong drink in addition to the corrected order. Now granted, no one is going to die or be injured with the wrong coffee-drink, but that is not the point.

In our clinical practice settings we give and receive orders or diagnostic results or other patient-related communication all the time and it is extremely easy to misinterpret or transcribe them incorrectly. The difference is, we can't take back the wrong treatment, medication or diagnostic result and it can most definitely harm the patient. I give telephones quite frequently and I am surprised at how many times they are not read back & verified. I often ask them to repeat the order back to me or I repeat it myself.

If Starbuck's thinks it is important enough to Read, Back & Verify your Order (RBVO) shouldn't it be important enough to us where the stakes are much higher? Incidentally, those of use that work in the acute care (hospital setting) know that CMS and The Joint Commission already think so...this was a National Patient Safety Goal for many years; it is now part of the Provision of Care Standards and yes a hospital can actually be penalized for not demonstrating evidence that a verbal or telephone order was RBV.

Startbuck's greets their customers with kindness and reads back their orders to maintain a high level of customer service and satisfaction, not because people will die. Clinicians and providers at every level should make reading back and verifying communications a natural part of their practice and a priority for patient safety.

Reaching out one story at a time...CodeSTEMI Series Unveiled

Lights, camera, action...CodeSTEMI series premiered at EMSToday in Baltimore, MD.

Despite sophisticated systems of care, numerous education outreach programs and the focus on being heart smart, cardio-embolic events remain the number one killers among men and women. As EMS and hospital systems across the country continue to build collaborative systems of care that aim at improving timely recognition and intervention of cardiovascular events such as STEMI and cardiac arrests, one trio is documenting the journey for various emergency medical systems across the nation. The result... an incredible documentary-style collection of real life stories of successes and challenges in developing high-performing cardiac systems of care. The first episode premiered last night at a special viewing sponsored by PhysioControl at the EMSToday Expo Showroom. The response was positive, leaving viewers anxious for more.

I encourage you to check out the first full episode: Rural STEMI System of Care: Sioux Falls

The CodeSTEMI team:

Host: Tom Bouthillet, Fire Captain/Paramedic
Executive Producer: Ted Setla
Second Camera: Chris Eldridge

CodeSTEMI TV

Live from Las Vegas... EMS World Expo!

This is the first time I have ever attended a large scale EMS conference (I understand that EMS World Expo is the largest in North America) and it has been incredibly fascinating networking and meeting people from not only the United States but Europe and Canada. As an advanced practice nurse in Emergency & Critical Care I have a different perspective than that of my pre-hospital counterparts, but what I have truly come to appreciate this week is the need for continued focus for the collaborative and integrative approach to care between pre-hospital and hospital personnel and organizations. And not just with direct patient care management, but with quality improvement, patient outcomes and community outreach initiatives.

We as healthcare professionals tend to stay close to our own kind but it is important to branch out and seek knowledge and learning opportunities from other disciplines as we are all working to the same end and have an important role to play. Getting a different perspective on issues or perhaps solutions can improve system processes and ultimately improve patient outcomes. I met some interesting people that share the same challenges and obstacles in their systems of care thousands of miles away and even on different continents; a great reminder that we are all doing the same work and trying to improve care delivery and patient survival. I am a huge proponent of working smarter not necessarily harder; we have a lot to learn to from each other if we just listen.

Check out some helpful links:

EMS World EXPO
EMS 12-Lead Blog