Friday, February 11, 2011

Male Nurse

10 Signs of a True Nurse

10 Signs of a True Nurse

by Sherrylyn Vivero BSN, RN.

1. You greet your patients, “How are you this afternoon?” without realizing that you’re in a morning shift (You are used to working long hours of evening shifts!).

2. You let your patient lie down in bed, slightly upright in a very comfortable position because you can tell that he will faint before your intravenous insertion.

3. You can smile and comfort a very apologetic patient. You simply say, “It’s alright” while holding your breath after several episodes of bowel movement with a unique scent of aroma.

4. You were telling your friends (co-nurses) how you love O.R. experience seeing a balloon like intestine and suctioning bright red blood while eating inside a Spaghetti Factory.

5. You shout “Success!” in a gleaming voice after waiting for your patient to have a bowel movement after a couple of days of meticulous strategies.

6. Before starting an IV you inform your patient, “It’s just a small prick, you don’t have to look if you don’t want to.” (with a number 18 gauge needle in your hand)

7. You can tell by the look if your patient will “code.” You phone the doctor and he says, “No worries, he’s okay.” Then, a couple of minutes later you paged the code team and when the doctor arrive you said, “I told you so!”

8. You’re assisting your patient in a standing position while having a shower. You finished and got out of the bathroom with a dry uniform from head to toe – you’re rare and should be called a “Shower Yoda”.

9. There was a code in your unit, one of your patients fell and scheduling phoned that you're 2 staff short. You can still manage to smile and let out a good laugh plus you’re the charge nurse on top of that!

10. You noticed that your patient is blushing when you asked him to undress, before shaving both his groins for the upcoming operation. You said, “It's okay, I’ve seen different sizes and different colors...” 

Wednesday, February 9, 2011

Light The Way

This beautiful commemorative piece was created in celebration of the Nightingale Initiative. Light the Way, is a tribute to Florence Nightingale and the 100 years of legacy she has left behind her. It is also a dedication to the millions of nurses who have followed in her footsteps. The original piece was done in charcoal and pastel. This is an 8 1/2 X 11 signed print reproduction.

The original concept of this artwork came from a request by the Beta Zeta chapter of STTI to create a piece commemorating Florence Nightingale and the International Year of the Nurse. The original piece was put up for a raffle to raise money for a local scholarship fund. It was so popular that it has since been reproduced for sale.

Tuesday, February 8, 2011

50 Awesomely Educational Podcasts for Nurses

50 Awesomely Educational Podcasts for Nurses

February 8th, 2011
There all kinds of continuing education resources and opportunities for nurses, but if you're not ready to go back to school — or have an insatiable appetite for health care news and research — turn to the web for even more learning opportunities. These podcasts offer interviews, recaps, commentary and basic reference information on everything from travel nursing to oncology to pediatric care to public health.
Health News and Research
Podcasts in this list come from medical journals, news sites and more, covering everything from the latest research to health policy and advocacy. No matter your specialty, they're great resources for staying abreast of the latest developments in health care.
  1. Johns Hopkins Medicine Podcasts: Here you'll find weekly reports re-hashing and commenting on the top medical stories.
  2. Annals of Internal Medicine Podcasts: Get summaries of journal issues, interviews and research updates here.
  3. JAMA Audio Commentary: Listen to JAMA's EIC review the latest journal issue.
  4. Health Dialogues Podcast: NPR's KQED station reports on California health care issues, but anyone interested in serving disadvantaged populations, minorities and low-income communities will be interested.
  5. MiResearch: The University of Michigan Health System has archived these short podcasts to whet your appetite for continued research and learning, on topics ranging from stem cells to infant care to dementia.
  6. Healthcare411: Designed for the general public, this health care podcast focuses on consumer-focused health news, so it's accessible for nursing students and professionals.
  7. The World's Global Health Podcast: Get updates on public health news from around the world.
  8. Clinical Podcast: Health care practitioners discuss the latest research and developments in their fields.
  9. Sound Medicine: Indiana University's Sound Medicine offers a smattering of stories, guidelines and research updates on all sorts of medical fields and topics, from tonsillectomies to Medicare to brain development.
  10. NIH Radio: The National Institutes of Health posts new podcasts every other Friday, featuring a few general reports and an in-depth interview.
  11. WHO Podcast: The World Health Organization's podcast covers global public health information, alerts and news.
  12. Your Health Podcast: This NPR Health Desk podcast reports on consumer health and medical news.
  13. Cell Podcasts: Cell Press Online provides these audio interviews with scientists who discuss research in Alzheimer's, blindness, neurogenetics, and more.
  14. FDA Drug Safety Podcasts: Keep up with drug research, news, approvals, warning and more.
  15. CDC Podcasts: The Centers for Disease Control and Prevention reports on emergency preparedness, shares PSAs, and reveals the latest research and concerns from all sorts of niche disciplines, from AIDS to epilepsy and beyond. Browse by series or topic.
  16. Health Ranger Report: This podcast takes a serious — but also satirical — look at natural medicine.
  17. Penn Nursing Research: Learn about the research going at the University of Pennsylvania's nursing school.
  18. AACR Podcasts: The American Association for Cancer Research has organized its 2010 audio interviews with doctors and cancer researchers here.
  19. Applied Clinical Trials Podcasts: From the FDA to regulation to global clinical trials, keep up with what's next in medicine.
Nursing Specific
Here you'll find podcasts just for nurses. You'll hear stories about the profession, get tips on being a better nurse, learn about new career opportunities, and more.
  1. Medscape Nurses Podcast: You'll get news for nurses on this podcast from Medscape.
  2. Travel Nurse Talk: If you're interested in or work in travel nursing, you'll learn more about the profession from the stories and tips shared here.
  3. Johns Hopkins School of Nursing: Find archived podcasts here plus a link to the iTunes podcast site from Johns Hopkins School of Nursing.
  4. Legal Nurse Consulting Podcast: Vickie L. Milazzo, RN, MSN, JD is "the pioneer of legal nurse consulting" and shares tips and information here.
  5. Almost a Nurse: Sean E. is about to graduate from nursing school and podcasts about his life and journey here.
  6. Insights in Nursing: Keep up with health care technology, ethics, and more.
  7. Nurse Talk Podcasts: After spending 30 years working as a nurse, Casey Hobbs and Dan Grady started this nursing podcast to spread humor and their experiences.
  8. The Nursing Show: Jamie Davis is a nurse and medical educator who hosts this online podcast that shares tips for all types of nurses and nursing students. Nursing news and health care reports are also featured.
  9. Nursing Show Online Radio: Student nurses and professional nurses listen to this podcast for interviews, news, educational and career information, and more.
  10. Travel Nursing Insider Podcast: This monthly podcast covers key topics relevant to travel nursing, including using social media, renewing assignments, starting new assignments, and pay and benefits.
  11. ONF Podcast Series: The Oncology Nursing Society shares these 20-minute podcasts on patient care during different stages in life and in cancer.
  12. The Nurses Station: Find up-to-date episodes in the left column, where interviews are archived.
  13. Geriatric Nursing: Recent episodes on this iTunes podcast from Dartmouth Hitchcock Medical Center cover brain aerobics, Alzheimer's, depression, kidney disease and multimodal therapy.
Patient Care, Diseases and Conditions
From specialty medicine to patient care, learn how to diagnose and treat patients with a range of conditions while listening to lectures about all sorts of medical topics.
  1. University of Maryland Medical Center Medical Speaking: Become better at diagnosing and treating patients when you listen to this biweekly podcast.
  2. Disease in Childhood: These podcasts from 2010 are now archived and feature interviews and discussions about pediatrics.
  3. New England Journal of Medicine Podcasts and Feeds: Subscribe to a feed by specialty, like cardiology, endocrinology, or public health.
  4. Drug and Therapeutics: Instead of reading through the whole BMJ, listen to podcasts from its drug and therapeutics section here.
  5. Drexel Medcast: From alternative medicine to kidney disease to cancer and addiction, this podcast from Drexel University College of Medicine covers a range of health care topics from doctors and experts.
  6. Dartmouth Hitchcock Medical Center Lectures: This podcast serves as a general interest medical resource for learning about everything from pediatric obesity to disabilities to global health education.
  7. The Dartmouth Institute Academy for Collaborative Education: This is a new series on quality improvement for doctors, nurses, technicians and other health care professionals.
  8. Gerontological Nursing Education: Here's another podcast series on gerontology.
Reference and Education
These podcasts cover everything from patient care tips to medical reference and educational resources to news to commentary from doctors and researchers. They're great feeds to listen to for something different each day.
  1. MUSC Health: The Medical University of South Carolina has organized podcasts with nurses, doctors, health care experts, medical school deans and other professionals here.
  2. University of Virginia Health/Medicine: Recent shows on this podcast cover American health issues, global health, sexuality, caring for older patients, and Alzheimer's.
  3. Instant Anatomy: Brush up on your anatomy education when you listen to this podcast.
  4. NCLEX-RN Success Podcasts: Prep for the NCLEX-RN exam with the help of this podcast.
  5. Cleveland Clinic Center for Continuing Education: Catch up on best practices, terminology, research, techniques and theories on diagnostics, biologics, bone health, infections, and a lot more.
  6. Nursing ESL Podcasts: If you're an ESL student who's also studying to be a nurse, listen to these podcasts offered by the New Jersey City University for help with reading comprehension, research outlines, and more.
  7. La Leche League International: If you're a nurse who works with new moms, visit this podcast series to learn about the latest in breastfeeding, and to educate your patients, too.
  8. Medical Rounds: Find educational "on-demand medical education" in categories like neurology, pediatrics, general medicine, critical care, and more.
  9. Nursing Continuing Education: Learn about the nature of nursing education, as well as specific health care topics, like melanoma or back pain.
  10. CME Podcasting: Continuing Medical Education Podcasting lets you search podcasts or browse audio files and course materials dealing with a variety of medical disciplines, including medical illness, aging, and fibromyalgia.

A few good men

A few good men
Male nurses defy stereotypes and discrimination to find satisfaction in a female-dominated profession 
By Lisette Hilton

Mark Buike, RN, feels at ease and confident as a male nurse. Buike, a Nurse II in the pediatrics ICU at Jackson Memorial Hospital in Miami, said that any door he has wanted to walk through has been open to him.

"In nursing school, even though it was 1980 and I initially went to a Catholic diploma school, they made every service open. I’ve worked in newborn ICU, pediatric ICU, adult ER, cardiovascular ICU. I’ve never felt that I was not allowed to go to any particular area. I’ve been to delivery C-sections and ob/gyn emergencies in the ER. I’ve never felt stymied," he said.

The perception that men are stymied in nursing today is overblown, said Vern Bullough, Ph.D., RN, adjunct professor of nursing at the University of Southern California in Los Angeles, and a distinguished professor emeritus at State University of New York.

"Some hospitals, for a while, tried to keep men out of ob/gyn floors and women’s health wards. But generally, that has not happened in recent years. There is still some difficulty for men to become nurse-midwives, but even that has broken down," Bullough said. "Some women deliberately discriminate against male nurses, but this is a small minority of people. I’ve had tremendous support from female nurses," said Bullough, a recipient of the American Assembly for Men in Nursing’s (AAMN) Distinguished Nurse award, who has been a nurse, educator and author of more than 100 books and articles about nursing.

But while the discriminatory practices against men in nursing might be easing, male nurses continue to tell stories about unfair treatment.

Workplace prejudiceSylva Emodi, Ph.D., MSN, MPH, was so distraught over the discrimination he experienced in 1996 teaching a rotation in labor and delivery at a California hospital that he left maternal and child care.

Born in Nigeria and educated in the United States, Emodi spent two years at a California university as an associate professor in the department of nursing. The environment was hostile, he said.

"I remember going to a rotation at a local hospital. The head nurse made it difficult for me to be able to supervise students in labor and delivery, pediatrics and postpartum, I think, because I’m a guy. She’d say, ‘You are not a medical doctor, you cannot go into labor and delivery.’ After a while, I had had enough, so I went to the doctor directly and said, ‘I need to be here with the students. The students need to see what is going on.’ The doctor said, ‘Sure, help yourself. Come on in.’ "

The head nurse eventually apologized for her behavior, but the hostility continued in other areas, Emodi said, even during his interactions with other faculty members. Emodi left the university and the hospital. He’s now supervisor of the psychiatric unit at the Palo Alto VA Health System in California. Despite the hurdles, Emodi said he’s happy he chose nursing as a career.

Terry Miller, Ph.D., RN, dean and professor in the School of Nursing at Pacific Lutheran University in Tacoma, Wash., and a professor emeritus at San Jose (Calif.) State University, has experienced and witnessed discrimination against male nurses throughout his career.

In the early ’70s, as an undergraduate student at a clinical rotation in the OR at Mercy Hospital in Oklahoma City, Miller wore his hair long. "It was characteristic of the era," he said.

The shift supervisor for OR services, a Mercy nun, would make Miller leave the OR every couple of hours to rescrub. A surgeon noticed the abuse, reprimanded her for her behavior and, according to Miller, said to the nun, "I don’t know what your problem is with him. I don’t like long hair either. But I’m telling you right now it’s unconscionable the way you’re riding him."

The nun later admitted that she didn’t like men in nursing. According to Miller, she said, "I don’t like long hairs. And when you put them [men and long hairs] together, they just make me sick."

Buike didn’t like the lack of assertiveness of Ben Stiller’s character (who works as a male nurse) in the movie "Meet the Parents." Stiller’s character, whose future father-in-law criticizes him incessantly for being a nurse, submits to the insults to gain favor with his girlfriend’s family.

Buike said he would have spoken up much sooner. "I would have said, ‘We have to have a talk. We have to come to an understanding of what I do is not who I am. Nursing is a profession. It does not equate to any particular sexuality or sexual leaning."

"Talk to male nurses and you’ll find that while they love the profession, they haven’t enjoyed being treated like women," said Bruce Wilson, Ph.D., RN, associate professor at the University of Texas-Pan American in Edinburg.

Wilson began his career in nursing in 1964 and served in the Vietnam War. "We encounter a lot of hostility from female nurses. Because nursing as a profession is confused about whether it’s a profession or it’s a gender," he said.

Wilson, who serves on AAMN’s board of directors, said that nursing is behind the times when it comes to recruiting from all walks of life.

"Every other profession has changed except nursing. We’re suffering from a teachers’ shortage. If you look at the advertisements for teachers, they feature minorities. They feature men. It’s not presented as a gender," Wilson said. "If you look at what nursing presents itself as, it presents itself as a gender. We’re women. In fact, we’re Caucasian women."

Better times ahead?Carol Avery, Ed.D., RN, associate professor of nursing at Western Connecticut State University in Danbury and vice president of the AAMN, said that she sees positive change occurring in the younger generations of nurses.

She believes women are growing more amenable to men in nursing. "I especially notice it at Western Connecticut State University; the students with their male colleagues see each other as just nurses," Avery said.

To better understand the plight of her male colleagues and students, Karen Morin, DSN, RN, professor of nursing and professor in charge of graduate nursing programs at the Pennsylvania State University in University Park, joined the AAMN board. The membership, she said, made her realize subtle discriminations and biases that women, including nurses, physicians and patients, interject.

Nursing faculty needs to be aware of potential problems, especially when patients might feel uncomfortable about having a male nurse, Morin said.

"You’re not condoning this behavior, but on the other hand you don’t want to create any additional stress on the patient. Certainly, we have a responsibility to inform them [patients] that there is no difference," she said. "As a childbirth educator, it would be incumbent upon me to tell my childbirth couple, ‘Hey, there are both genders in nursing. So don’t be surprised if a male nurse walks into your unit.’ "

Despite arguments, the literature supports that male nurses can be just as caring as their female counterparts.

Susan Boughn, Ed.D., MSN, RN, a nursing professor at The College of New Jersey School of Nursing, in Ewing, researched why men and women choose nursing in a study published in the January/February issue of Nursing and Health Care Perspectives. During interviews with 12 male students and 16 female students, she found that the male nurses were eager to talk about their feelings about nursing.

Men do careBoughn said that she now recognizes that male nurses have a "strong call to care. It’s very strong. It’s as strong, I think, as the female nursing students’ need to care," she said. "I liked and was encouraged that they felt no hesitation or shame about saying right up front, ‘I expect and deserve to get a good salary and good working conditions.’ I thought that was healthy. The women nursing students were much more hesitant to say that."

Both men and women were interested in power and empowerment within nursing, Boughn also found. The variable was that while female nurses were interested in power for themselves and their patients, males were interested in not only self- and patient empowerment but also empowerment of the nursing profession.

"If we had all nursing students concerned up front about their basic human labor rights and empowering not only themselves and their patients but also the profession, that’s a good place for students to be. I think if we had a long history of that, we would not be where we are today with the nursing shortage," Boughn said.

The Health Resources and Service Administration’s National Sample Survey of 2000 says that of the estimated 2,696,540 registered nurses in the United States, 5.9 percent are male. About 6 percent of nurses today are male. That’s the highest percentage since the 1900s.

"The men who go into nursing have to realize that it’s a profession dominated by women, so if they don’t get along with women well, it’s not a good profession for them. A lot of men in the past have not been able to deal with situations in which women are supervisors over them," Bullough said.

"The thing to focus on in men and in nursing is that men and women are both nurses. There is not much basic difference between them. Men are sometimes stronger than women, and in the past they often got stuck with turning patients more. I think all you do is treat both men and women equally."

Male nurses can overcome negative perceptions by addressing them, Miller said. By encountering gender-based reservations and winning patients’ and nurses’ confidence despite their initial unease, you win friends for life, he said.

"That’s happened to me a few times and what a joy that is for both of us. It has been a wonderful career; it still is. The more important thing is nursing itself; I’ve never been bored as a nurse. I’ve always had mobility. I’ve always had lots of opportunities. I’ve never been burned out because I wasn’t learning. I don’t know that many professions have all the dimensions of nursing," he said.

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