Abdominal pain is one of the leading causes of hospital visits in the US. To be able to treat the pain, health professionals should first identify the cause of the pain. Since there are a number of organs in the abdominal cavity, knowledge on the different prgans and locations is important for an effective assessment an fast treatment.
From Nursing Top Student.com, provider of study aids for nursing students, comes this feature on abdominal pain assessment which includes a review on the anatomy and physiology of the abdominal organs. The tip includes relevant information for student nurses in the form of audio, video and pdf readily available in online media players. It also has download links that student nurses can use to save the study tools in their portable media players. Nursing students who often have busy schedules can access these study tools at their convenience.
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Visit the site regularly for updates and more sneak peaks of what Nursing Top Student has to offer to full members.
Filed under Blog, RN tips, site updates by on Apr 6th, 2010. Comment.
The Gatekeeper blog wrote a recent article about an encounter he had while working as a paramedic and picking up a patient at a local nursing home. The article on the Gatekeeper blog is entitled “Paramedic vs. Nurse.”
I wrote a response to the paramedic vs nurse article over at the MedicCast podcast blog focusing on the key differences in the two approaches to patient care and the basic training nurses and EMS providers receive while in school.
Squabbles with EMS
Have any of you had a “run in” with EMS providers over patient care or prep for EMS transport to or from a long term care facility? If you have something to share about these experiences I welcome your comments here or over at the MedicCast blog.
As a person who is both a paramedic and a nurse, I am constantly aware of the ways the two disciplines complement each other in the ways I treat my patients. I am also cognizant of the complaints from both sides. I think they spring from confusion about the operational procedures for both disciplines and a general lack of communication between facilities and EMS agencies.
MedicCast Podcast about EMS, EMTs, and Paramedics
If you’d like to learn more about things from the EMT or paramedic’s perspective, check out the MedicCast EMS podcast at MedicCast.com/blog. You can also subscribe directly to the MedicCast in iTunes or get the MedicCast at the Zune Marketplace, both for free!
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Filed under RN on the side, RN tips by on Mar 18th, 2010. Comment.
With tattoos becoming more and more noticeable, the question is being debated about whether having a tattoo affects patient care. One Missouri nursing school recently implemented a policy that stated that all tattoos must be able to be hidden by the standard student nurse uniform requirements outlined by the school.
Some students planning to attend are upset with the policy which they contend infringes on their person rights to self expression. They argue that the Missouri Southern State University policy intended to ensure their graduates can get jobs in hospitals with “no visible tattoos” policy is not in line with other regional schools or even some local hospital policies.
Do A Nurse’s Visible Tattoos Impact Care?
I tweeted about this – (Twitter.com/podmedic) – and boy did I dig up a can of worms!
In response to my tweets, I was called “backward,” “oppressive,” and urged to stand up for the nurse’s or student’s rights to express themselves. I did discover that other nursing schools have similar policies and that this one just appears to have made the news because of it’s recent addition to the school’s policies.
Of course, I was the person who stirred the pot, but I wanted to see if this really was a big issue?
I don’t believe that a tattoo affects a person’s ability to learn the skills and knowledge that make you a good nurse. That’s insane!
But . . . is this about the nurse or about professionalism in nursing?
Good Patient Care – Versus – Nurse’s Rights
One tenet hammered into us when I was in nursing school was that it wasn’t about me, it was about the patient. As a nurse, I needed to appreciate what would help that particular patient move along the path to healing and facilitate that healing. When educating the patient, I was to put myself in their shoes and make sure they really understood what I was trying to say. That included recognizing and removing obstacles to their understanding or healing.
Like it or not there is an underlying public perception among many people about tattoos. That perception is changing but certainly not for all people.
The place to stand up for that right to self expression and someone else’s disapproval is certainly not in the patient care arena. That makes it about you and not about the patient.
If your tattoos cause the patient to have a preconceived notion about your ability to care for them, it may be wrong but it also may impact care. Right or wrong, your visible tattoo may affect the patient’s willingness to call on you for assistance, listen attentively while you explain interventions and treatments, and ultimately hinder their care.
If you think that is the patient’s problem and not yours – you are in the wrong profession!
Being Different is Your Right – Having a Nursing Job Isn’t
I support your right to self expression and even welcome it. I don’t have any tattoos but I probably would if I were younger. I will defend your right to look however you want in public – piercings, tattoos, pink hair, skimpy outfits, or baggy pants with your underwear showing. Be different and draw the stares of the people around you. I’m an internet celebrity with my own style of entertainment on my shows and I get it!
Here’s where I draw the line, though.
Don’t come crying to me when you can’t get a job because they are judging you. You chose to look different or what some might call unprofessional, as a personal form of expression. There are rules about what is acceptable in society. If you don’t want to play by those rules and live outside them, great, but don’t complain when your CHOICE to stand outside those rules removes certain opportunities from your grasp.
If you want to run a marathon and choose to do it in a cocktail dress and high heels, I say, “Go for it, Dude!” Just don’t bitch to me about how unfair it is that everyone else showed up in running shoes and shorts.
Yes, you look great but you aren’t going to win the race!
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As Craig Ferguson would say, “I look forward to your letters.” Leave your comments. I want to hear what you have to say!
Filed under RN tips, nurse career guide, nursing education, nursing news by on Nov 9th, 2009. 20 Comments.
With the continuous growing gap between nurse patient ratios, nurses, are left with no choice but to multitask. They may be successful in performing all of the tasks during the shift but the quality of service may be compromised and even put the patient at risk.
Multitasking is known as doing two or three tasks at once, but in some cases, what nurses are doing sequential tasking. It is lining up a number of tasks in mind with no assurance that everything will be remembered in order. More complicated tasks take more time to be processed by the brain.
This means that not all tasks waiting to be done will be remembered at the same time that it needs to be completed. Several hours after the shift could be the time that jobs forgotten would suddenly turn up.
For nurses who regularly multitask or sequential task, the issue is not to improve these skills but to develop new ways on how put things into order without too much stress on the brain and do it in a systematic manner.
The following are some tips on how nurses can organize their daily tasks:
Make a list of tasks
Put all tasks on a list and cross them out as each one gets done. This way, duties are not forgotten and things are more organized. As long as it is listed, everything will surely get done and having an overview of all tasks will give an idea on how long it would take to get it completed and let the nurse manage his/her time better.
Do not interrupt
Studies have shown that nurses who are not interrupted during administering medications decreased the incidence of medication errors. If a nurse works without interruptions, they get their tasks done faster and they become more efficient because their attention is undivided.
Delegate tasks
Instead of trying to do everything, nurses should learn when to say no to a task and delegate simple and routine jobs to nursing assistants or technicians who are qualified to perform it. As long as the persons that the nurse delegates to are fit and able to perform the task, then there’s nothing wrong in asking for a little help. In delegating activities, the nurse, however, should keep in mind that only the task is delegated but not the accountability so it is important that the nurse educate the delegated individual to report anything that goes wrong.
Concentrate on the task at hand
As was said in the studies mentioned earlier, shifts in focus results to more lost time. Instead of thinking of the next task while doing one, nurses should know to keep concentrating on what they are doing at the moment and think of the next task later. This way, they wouldn’t have the feeling that they are always on the rush and the quality of their work is better because they are more focused.
Filed under RN tips by on Oct 1st, 2009. Comment.

Taking vital signs is a usual routine for nurses and student nurses. In an 8-hour shift, vital signs are taken at least twice and is regarded as the indicator of the patient’s health status.
After collecting the data, interpreting it, determining what is normal and what is not, and concluding that the patient is stable, what’s next?
Actually, you can do more during that brief period of time than just inflating a BP cuff and counting beats and breaths. Using this time for a variety of assessments is a good use of a nurse’s time.
During that time, use your other senses to gather more information. Look at the facial expression and position. Grimacing and splinting of a body part indicates feelings of discomfort. Listen to your patient. Different audible breath sounds can tell a lot about the respiratory status of a patient. Moaning or groaning is another indication of discomfort.
Talk to your patient. Subjective data is just as important as objective data. Ask your patient how he is feeling. If he is in pain, use the pain scale to rate the intensity of pain. Even if his BP, RR, PR, and temperature are in normal range, being in pain does not make him stable and is a problem that needs intervention. Engaging in conversation gives you the opportunity to establish rapport and gain trust.
Vital signs are important data in identifying client needs, but being nurses dedicated to patient care,we should see the patient as a whole. Even in the simple things, no matter how routine they already are, we should always remember that our goal is to provide quality patient care.
Learn more about vital signs and nurses in this episode of the Nursing Show podcast
Filed under RN tips by on Jun 29th, 2009. Comment.
As National Nurses Week 2009 ends, it’s time for us to return to the real world where no one celebrates nursing.
Wait a minute!
Why do we have to stop celebrating nursing just because the official week is over? It makes no sense as we continue to struggle with nurse staffing issues, patient safety, a bankrupt health care system, and a worldwide nursing shortage.
It is more important now than ever before to keep the focus on nursing and celebrate our ability to positively influence the health of our communities.
Set goals to maintain awareness about key nursing and healthcare issues this year in your community, state, and country.
- Offer to talk about nursing careers in your area schools or community colleges.
- Seek out opportunities to educate or mentor new nurses.
- Contact your elected officials regularly to keep the apprised of your concerns about health care.
- Join the professional association for your nursing specialty and get involved in research best practices in patient care.
- Look for ways to improve patient care in your facility and work to implement them.
- Follow trends in nursing research or better yet start your own research project into best nursing practices in patient care.
These are just a few ideas I came up with. What about you? Leave a comment below.
Filed under RN on the side, RN tips by on May 12th, 2009. Comment.
As we wind down National Nurses Week, it is important to celebrate the most important nurse you know. That is you, of course!
As nurses, we find it very easy to settle into the role of care giver. It is that very nature that makes it difficult for us to take time to care for ourselves. We don’t like to slow down and stop caring for others long enough to give ourselves a treat.
Here are some ways to treat yourself:
- Take a break from your busy day to take yourself out for a spa day.
- Visit your favorite lunch spot for a nice meal this week.
- Rent your favorite movie and settle in for a quiet night of relaxation.
- Wake up early and watch the sunrise and enjoy the beginning of another day.
Commit to treating yourself as a person in need of care once in a while rather only the caregiver. This can be difficult to do. We must recognize that in order for us to remain able to care for others, we must be around to do so. Celebrate YOUR nurses week by celebrating YOU!
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Are you doing something special for National Nurses Week? Share your ideas with us by leaving a comment on the blog here using the comments link below.
Filed under RN on the side, RN tips by on May 11th, 2009. Comment.
This week is a week when the American Nurses Association urges all of us to celebrate nursing careers. While most of these celebratory weeks start on a Sunday and run through a normal 7 day week, Nurses Week is special because it always starts seven days prior to May 12, 2009.
Why May 12, you ask?
That’s the birthday of Florence Nightingale, of course. Since she served to start the path of modern nursing, I decided to select an appropriate idea to celebrate the people that started each of us on the path to becoming a nurse.
Celebrate Nurses Week by thanking the person who inspired you to become a nurse!
Each of us is a nurse because someone inspired us either before we entered nursing school or perhaps just after as we were mentored early in our careers. Take 5 minutes and write them a note thanking them for their inspiration and standing as a role model.
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Are you doing something else to celebrate National Nurses Week? Let me know by leaving a comment here on the Nursing Show blog using the link below.
Filed under RN on the side, RN tips by on May 10th, 2009. Comment.
On the Nursing Show podcast this week, I asked you to tell me what you are doing to celebrate National Nurses Week. The American Nurses Association has a few suggestions on their site. Most of their suggestions are more institutional in nature, though.
Every nurse, RN, LPN, whatever your training, should take some time to personally celebrate Nurses Week. So, in that vein, I will include some suggestions over the next few days.
Today’s Nurses Week celebration idea is — contact an old friend from Nursing School.
For some of us keeping in touch with friends is difficult. Whether you’ve been out of nursing school for one year or twenty, there is probably someone who you haven’t talked to in a while.
This week, celebrate the week in your honor by calling, emailing or facebooking a long lost nursing school buddy. Renew your friendship and reminisce about old times.
Take some time for you, because you deserve it!
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Feel free to add you own ideas to the comments or leave a response link below.
Filed under RN on the side, RN tips, nurse career guide, nursing education by on May 10th, 2009. 1 Comment.
Nurses and nursing students often get put to the test with health related questions from their patients, family members, neighbors and sometimes perfect strangers.
With the recent news hype surrounding the swine flu outbreak in Mexico and parts of the U.S., many nurses are getting questions about this particular strain of influenza. I covered some basic swine flu education for nurses and students yesterday.
Today, I want to provide you with some resources specifically for your patients. Use these to help answer questions and teach your patients to get their information from trusted resources and not from their favorite bubble-headed news anchor. (I’ve worked with them and most of them are idiots!)
I saved the best for last so read the whole article. (Go ahead, I’ll wait.)
1 The FDA’s Influenza Patient Education Tutorial
The U.S. Food and Drug Administration (FDA) and National Institutes of Health (NIH) have an excellent set of patient tutorials on many common illnesses and conditions. Their interactive and video online tutorial on influenza is just one of them. There is also a Spanish language influenza tutorial for your Hispanic patient populations.
This and others in this tutorial series provide easy to understand information about the stated topic and often include printable resources and links for people to follow.
2 The CDC Audio Podcast Series on Swine Flu
The U.S. Centers for Disease Control (CDC) have short, recorded audio and video files for download or for podcast subscription that are excellent sources of high quality information without the media hype.
Here is the link to the CDC Swine Flu Audio update podcast. Check it out. It is a good resource to send to a client via email or to listen along with your client in the office or in their home.
3 The CDC “Swine Flu and You” web page
While the name might make you giggle a bit, this web page is chock full of information for everyone including RNs, LPNs, AND their patients. This page answers many of the more common swine flu questions and provides links to other useful information.
This is a good information starting point for anyone looking for basic answers to their swine flu questions. There is also a Spanish language version of this page.
4 Differences and Definitions About Influenza Strains
The U.S. National Institute of Allergy and Infectious Disease (yeah, they have an institute for everything), has a great page that explains some of the differences between the media buzz words.
What do “Flu”, “Influenza”, “Bird Flu”, “Pandemic”, and other words really mean? This page about the difference between Seasonal Flu, Pandemic Flu, and Avian (Bird) Flu has some good answers to common questions about these terms.
5 Taking Care of a Swine Flu Case in Your Home
What if one of your patients has a family member who has been diagnosed with swine flu? This article on taking care of a swine flu case in your home is the perfect resource for them.
I saved the best for last. The information from this CDC web page on caring for a sick person with swine flu in the home provides easy to understand answers to questions and good intervention tips for a nurse to take and reinforce with the home care giver.
I love when a web site offers me quality nursing interventions that cover everything from patient care to preventing the spread to other family members. There is even information about cleaning the home and laundry.
Filed under RN on the side, RN tips, nursing education by on Apr 28th, 2009. 1 Comment.










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