Category Archives: Nurse Consulting

Are Healthcare Workers Forgetting Good Patient Care

I remember most recently having a bad reaction to zinc when I took it on an empty stomach (yes learned that lesson) and passing out with blood pressure and blood sugar bottoming out.  I felt better on the ambulance ride to the hospital after some IV fluids.  The paramedics stayed with me until they had a room to take me to for an exam.  But the nurse then said since I was feeling better, I can get up off the stretcher and wait in the regular waiting room.  They sent an orderly to walk me to the waiting room.  I had my purse, winter coat, boots in one hand and my work bag in the other hand.  The orderly did not offer to get a wheelchair to help me considering I had just passed out an hour ago.  I thought to myself at that moment boy he is rude as he walked 20 feet ahead never looking back to see if I was okay and two, never offered to help carry anything.  My husband arrived minutes later and was appalled at the treatment of a patient this way.

Now at this moment, I still have not been seen for any lab work or by a doctor.  When I finally got into a room two hours later, the doctor did not come in for another hour and a half.  When he came in, he was there a whole 2 minutes and said we are going to send you for some chest x-rays, lab work, EKG and put you on a heart monitor and watch you for 23 hours.  I said wait, I had a bad reaction to a medication how do you derive at all this in a 2 minutes checkup? The best part is where they make you wait for 23 hours is an open room with many other patients looking at you from across the hall.   This triage area does not have curtains, it is a holding area.  I grabbed my things and said I will see my regular doctor thank you very much.

I cannot understand legally or ethically how patients can be treated this way.  Is there not a policy in hospitals that they must follow to give better patient-centered care? As in the Colorado model, it states there should be a management leader looking out for the rest of the team to be sure that patients are being informed of things and being involved in their care as opposed to left alone for hours at a time and not a single explanation of care and why it is being ordered (Goode, Fink, Krugman, Oman, & Traditi, 2010).

References

Goode, C. J., Fink, R. M., Krugman, M., Oman, K. S., & Traditi, L. K. (2010, August 10). The Colorado patient-centered interprofessional evidence-based practice model: A framework for transformation. Worldviews on Evidence-Based Nursing, 96-105.

Is There Still a Nursing Shortage

It seems that the nursing shortage has been an issue since I was going to school.  I remember at one point I received a one year full scholarship to go to nursing school my first year; then the 2nd year I received a letter that stated the President decided the nursing shortage was over and cut my full scholarship for the second year, forcing me to get student loans. That is enough to make you mad! But now as I practice as a nurse, I see that there is still a shortage of nurses in many fields (Moore, 2015). For instance in the hospital what I see is that they do not hire too many nurses because if they have too many on the unit and they don’t float them to another unit, they will send them home without pay because there is not sufficient work. When my son was in the Neonatal Intensive Care Unit, I had to walk past high risk antepartum, one day the lights were dim, and there was no one around. I got a bit concerned that something had happened.  There was a sign that said, “unit closed.” When I inquired, someone stated that the unit was closed because the patient census was down.  Of course two days later, it reopened.

I see that nurses are overworked because of the shortage as well.  The shortage is only getting worse as the years go by because the baby boomers are soon going to be retiring and there are no new nurses to take their place (“Focus on Education,” 2010). There are also articles that speak about new nurses graduating, but their minimal level of education required will be the bachelor’s level plus all the clinical involved with that level.  There are entrance exams to some nursing schools, making it difficult for the student to pass.  Of course, education should be taken to the next level due to the more complex illnesses and family dynamics that we have today.

In order to not continuously have a shortage, employers need to realize that yes there is a shortage and hiring more staff to help the current nurses and not over tap them will be more productive in the long run.  The medical cases are getting more complex these days for patients in the hospital, therefore making it important for nurses to have a higher level of education. The colleges have to start sending representatives to the high schools to start recruiting future nurses so that when they graduate, we can add more nurses to the profession.  Recruiters need to present the pros and cons of being a nurse and look for candidates that will be a good fit for the nursing profession.

References

Moore, M. (2015). The nursing shortage and the doctor shortage are two very different things. Retrieved from http://www.washingtonpost.com/news/to-your-health/wp/2015/06/05/the-nursing-shortage-and-the-doctor-shortage-are-two-very-different-things/

The future of nursing: Focus on education. (2010). Retrieved from http://nursejournal.org/articles/the-future-of-nursing-infographic/

Rosie Moore, RN, DNP

Visit my Website to learn more www.rosiemoore27.com
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The Need for Nurses in Schools

For many families that have children in elementary through high school level with special needs for medications, it has become a question as to whether or not the school that they are zoned for has a school nurse. Many schools in Florida do not have nurses on staff (Florida Association of School Nurses website, n.d.).   In one article by the Orlando Sentinel, it notes that not all Orange County public schools have a nurse, in fact, their ratio out of 182 schools in Orange County, showed only 34 had nurses. One Orange County school mentioned that they have an RN and she helps a lot because it frees up the teacher to focus on her classroom instead of the child that is sick. The article went on to say that some tasks are delegated by the RN to non-clinical personnel, for instance, an assistant principal or secretary when the nurse is not in the school (Roth, 2011).

In my opinion, although parents of children administer injectables like epinephrine for allergic reactions or insulin, they are the parents that have been taught to watch for certain symptoms in their child that they see day in and day out.  They have a working knowledge of the situation should it arise. The school personnel, may be taught when to administer medications like epinephrine or insulin, but if they have never used it, or administered it, how can they safely administer it? Will they know what symptoms to look for if there is a reaction?

In the state of Delaware, every school is required to have a registered nurse.  Some schools that have them receive the funding through the school system grants, or in the community (Roth, 2011).  I most recently went to a school that is private with an estimated tuition rate of $14,000 per year and service preschoolers through high school. The school has a large arts program and a population of about 2000 kids, each child receives an IPad upon admission to use for homework.  They stated that they did not have a school nurse, if a child warranted medical treatment of medications or breathing treatments, this would not be the school for the child.  I found it rather sad to see that value was placed more on the material things of an IPad (which I know can help advance a student) but really the computers work just fine; having a registered nurse to help in times of kids needing treatment, or a school teacher needing treatment is much more valuable to me.

References

Florida Association of School Nurses website. (n.d.). https://fasn.nursingnetwork.com/page/18381-school-nurses-save-money-

Roth, L. (2011, September 26). A nurse in every school? Not in Florida not even close. Orlando Sentinel. Retrieved from http://articles.orlandosentinel.com/2011-09-26/business/os-fewer-school-nurses-florida-20110925_1_school-nurses-practical-nurses-students-with-chronic-illnesses

Rosie Moore, RN, DNP

Visit my Website to learn more www.rosiemoore27.com
Follow me on Facebook https://www.facebook.com/rosiesnursecorner/

Should APN’s Have a Higher Standard of Education?

Many people in the healthcare field ask if an advanced practice nurse should have a higher standard of education?  in my opinion, yes, an advanced practice nurse should have a higher standard of education.  They are the leaders that are setting examples for the new nurses coming on board.  If we do not improve the profession, then anyone can say they want to be a nurse but not have the right criteria to be a nurse.  Nurses are taking care of people’s health and in some instances the patients are critical; they should have a level of education that is higher.

Advanced practice nurses that are teaching our new nurses coming into the profession,  definitely need to be at a higher level.  If they are not teaching, then they are in management or conducting research.  A great way that they can practice their speaking in impacting our nursing laws is starting locally with the Florida Nurse’s Association.  There is a local chapter in many cities and they speak about nursing issues that are both at a local and national level. They have the ability through the association to bring it for review; in our state, for instance, they can bring the concern to Tallahassee so that they can get it resolved or even brought up nationally to Washington.  If as nurses we do not get involved in healthcare, then what will happen is we will allow politicians who are not involved in the day to day care of patients, to make decisions that too often are not good choices for our healthcare system.

Rosie Moore, RN, DNP

Visit my Website to learn more www.rosiemoore27.com

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What is a Nurse Consultant

Nurse consultants are a nurse who identifies problems and develop solutions to them.  Once the problem is identified, then a workable solution can be developed.  Patients and their families can be coached through these problems.

Nurse consultants offer medical education to patients, family, and healthcare professionals.  The nurse consultant can create customized care plans for the patient in order to promote wellness.

Nurse consultants provide and develop new ways to ensure that a patient’s well being and safety are met.  They also provide an insider’s view on medical issues to legal professionals.

If you would like more information on having a nurse consultant for an evaluation of your needs, please contact:

Rosie Moore 407-760-1662 info@windermerebabyand family.com

Rosie Moore, RN, DNP

Visit my Website to learn more www.rosiemoore27.com
Follow me on Facebook https://www.facebook.com/rosiesnursecorner