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Change of Shift Vol 3, No 21

The newest, most sparkly edition of Change of Shift is up at Emergiblog this week!

And the next sparkly edition will be hosted here at codeblog.  Send submissions to codeblogrn at gmail.  If you want some inspiration on what to submit, I have a little theme in mind. It’s about being human.  We nurses do our best, but sometimes the human in us comes out and we are less than professional at times.

Or maybe that’s just me :)  Anyway, if you’ve had a human moment as a nurse, I’d love to hear about it.  Even if you don’t have a nursing blog and want to write something, feel free to submit and I’ll post it in entirety.

(To clarify, though – your post need not conform to the “theme.”  Submit whatever you like!)

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Grand Rounds up at Running A Hospital

I just had to link to this recent edition of Grand Rounds, up at Running a Hospital.  Paul Levy is the author of this blog, and for this edition, he asked people to submit stories based on this:

In the spirit of Dr. Ernest Codman, I asked doctors, nurses, and other providers to write about incidents in which they made or were present for a medical error. What were the circumstances, and what did you do in response to the situation? How did you feel about the event, and how did it change your practice of medicine afterward.

As I wrote in the comments of his post, it was easily one of the most riveting and interesting editions of this carnival.  Definitely take a few moments to head over to his blog and check it out.

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Grand Rounds Vol. 5 No. 27

Welcome!  This is fifth time I’ve hosted Grand Rounds here at code blog.  Although my previous four attempts were fairly creative, I decided to keep this edition simple.  All submissions were included – if you do not see yours here, I did not get it for some reason!

The first post is one that I immediately balked at even including because the opening paragraph sounded absurd to me.  But the more I read, the more I realized there were some good points and it quickly became one of the more intriguing posts submitted.  Head over to Duncan Cross to read Don’t Walk and find out why research/fund-raising organizations are not as helpful to those they purport to assist as we’d like to think.

The biggest news this week, of course, has been that of Natasha Richardson’s death from a seemingly innocuous skiing accident. Several medbloggers stepped up to give us insight into what may have happened.  PalMD wrote A simple bump on the head can kill you, which explains basic anatomy (and a very… realistic picture) of the brain and how traumatic brain injuries affect it.  Inside Surgery wrote Natasha Richardson’s Brain Injury to provide us with a detailed rundown as to what happens to patients who have suffered a traumatic brain injury – from pre-hospital to in-hospital care all the way to recovery and/or end of life.  Lastly, Dr. Crippen weighs in on the comments floating around regarding Richardson’s care in Canada in a post neatly titled The wussification of the American medical profession.  The term “gobstopping pomposity” will be with me for a long time.  I have made it a life goal to use that expression flawlessly in a sentence someday.

That wasn’t the only well-publicized tragedy this week – in Oakland, 3 police officers were killed while on duty.  Med student Thomas, author of the blog Hope for Pandora, shares with us why this particular news story personally affected him in Thoughts and Prayers.

This being a submission site for personal stories, I was very interested in the submissions that were of that nature.  Dr. IcedLatte wrote about a situation in which a patient’s blood draw ultimately led to a hysterectomy.  Ill and Uninsured in Illinois describes his 15 hour stay in a hospital ER waiting for a diagnosis and treatment.  And Kerri at Six Until Me lets us peek into some past diary entries giving us a taste of life as a teenage diabetic.

Speaking of diabetes, Amy at Diabetes Mine submitted a post explaining that many Type 2 diabetics are in serious need of education about their monitors and the numbers displayed thereon.  Testing in Pairs is a booklet that will help in educating these patients.

Steve at Adventures of a Funky Heart posted about Erik Compton, who is on his 3rd heart transplant.  Erik and his sidekick John Paul did some serious golfing in a PGA level golf tournament.  Sans golf cart, thankyouverymuch!

Next up are a couple of advice posts.  Clinical Cases and Images gives us 4 Ways to Use Twitter to bring new life to your blog, and Dr. P at The Blog That Ate Manhattan describes her “tickler system” for her EMR.  She also brings up the fact that medical disciplines all have their own systems, none of which talk to each other.  Find out what her suggestion is for integrating the whole mess!

Getting into scientifics, has it ever occurred to you that disinfectant wipes could actually be contributing to the spread of drug-resistant bacteria in our hospitals?  Paul at Healthline explains how this could be happening.  ACP Internist tells us why we still need to work on finding a better predictive test for ovarian cancer. Doc Gurley advises us on a new, effective allergy-saver health tip now that we’re on the brink of pollen season. And Allergy Notes notes the onset of action for a medication that treats seasonal allergic rhinitis.

On the back front (ha!!), Dean at The Back Pain Blog attempts to answer a reader question about herniated discs and the risk of bending. Jolie the Fitness Fixer gives us a real-life case study from a patient who considered his back pain a double edged sword: taking it easy led to muscle weakness, but his back pain was making exercise very difficult.  Dr. Bates at Suture for a Living deviates from her usual plastic surgery/sewing posts to urge us to make exercise just as much a part of our lives as brushing our teeth, backing up (ha #2!!) her assertions with a recent study.  If all else fails, the author at How to Cope With Pain offers a suggestion on how to make guided imagery even more effective for certain patients suffering from pain.

Some people have woes of a different type – Empty Wallet Syndrome. Louise at the Colorado Health Insurance Insider ponders those who find it perfectly acceptable to pay more than $150 every month for a car, but hate the idea of paying $150 to see a doctor. Jeffrey, who writes Nuts for Healthcare, is concerned about the fragile link between employment and healthcare: employer-sponsored insurance implodes when the economy is bleeding jobs, which further underscores the need for portable and equitable health insurance.  Healthcare Technology News’ blogger Rich is hopeful about provisions for adoption of EHR’s in our economic stimulus plan but wonders if it will be enough to push hospitals to realize their potential.

Rita at Supporting Safer Healthcare compares Management by Wandering Around vs Management by Metrics and shares her thoughts about the trend that healthcare is moving toward being “all about the numbers.”  Am Ang Zhang at The Cockroach Catcher describes some appalling practices at a UK hospital where incompetence is rewarded and data skewed to cover up rising mortality numbers.  Dr. Hickey at Behaviorism and Mental Health wonders what the average Joe would think if he knew that his counseling sessions for stress were coded as an actual mental disorder – becoming a permanent part of his insurance record.

Robin of Survive the Journey relates a Twitter conversation about “metabolic syndrome” and provides a very thorough discussion about this possible misnomer.  InsureBlog’s Henry Stern reports on a recent Aetna study of Consumer Driven Health Care that turns conventional wisdom on its ear.  Toni at Everything Health wonders why we are stuck in the 1950′s carrying around flimsy insurance cards and crumpled lists of meds when we could be acting like the 21st centurians that we are – and carry all of this information on a swipe-it ID card.

At In Sickness and In Health, Barbara points us to a link about Mother Jasmine – a “dog so saintly, birds perch on her nose.”  Canadian Medicine’s Sam posts about the Canadian Space Agency and how they held a somewhat strange process to pick their new astronauts.  2 doctors and 1 med student have made it to the final 16.  Nancy at Healthline reminds us that HIV/AIDS still needs our attention, especially where women and girls are concerned.  Lastly (because he was last to submit!  Sorry!) Tony at Hospital Impact blogs about Time Magazine’s 10 world-changing ideas and his perspective of their impact on healthcare.

That’s it for this edition of Grand Rounds.  I hope you enjoyed reading these posts as much as I did!  Next week’s rounds will be hosted at Running a Hospital.  And if you are interested in hosting a future edition of this carnival (or are curious as to who’s up to host next), contact Dr. Val at Get Better Health.

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Grand Rounds here next week!

The submissions are starting to roll in!  Send your submission to codeblogrn gmail com and please put “grand rounds” in the subject.  There is no theme, so feel free to submit whatever you wish!

And I wanted to link to Change of Shift, hosted at Emergiblog.  It’s Volume 3, Number 19.  Coincidentally, today is 3/19.  Spoooooooky!

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Grand Rounds here next week!

But for this week, Grand Rounds is up at ACP Internist, with a nifty newspaper title theme!

As for next week, as the title says, Grand Rounds will be hosted here at code blog for the 5th time.  Please send submissions to codeblogrn gmail com and put “grand rounds” in the title of the e-mail.  There will be no theme, so feel free to submit whatever you want!

Just as an aside… I consider this guy to be one of the funniest people on twitter :-)

Happy St. Patrick’s Day everyone!

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Hey, one of my posts is in a BOOK!

A long long while ago, Rosalinda Alfaro wrote to me and asked if she could possibly include this post in her next book about Critical Thinking.  I said sure, I signed some papers, and then didn’t hear back for a year or so.  I found out a few months ago that the editors agreed to include it, so there it is!  In print!  In a book!  About critical thinking in nursing! Who would have thought…

Anyway, this is the book (associate link): Critical Thinking and Clinical Judgement: A Practical Approach to Outcome-Focused Thinking. I am very excited!

Change of Shift is up at Digital Doorway this week.  The theme is Life in a Fishbowl and Keith managed to make sense of it all while also tying it in with nursing posts.  :)

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True Story

One of our patients came off sedation and was extubated.

A few hours later, the doctor came by to assess the patient’s mental status.  He asked,

“How old are you, Mr. Smith?”

The patient replied, “I was born in 1924.”

It wasn’t really the answer the doc was looking for, so he asked again,

“But how old are you?”

And the patient looked up at the doctor and said,

You do the math.”


I am late in linking to Change of Shift this week, so there it is.  Kim hosted this week and she has some questions at the end for nurse bloggers.  Go weigh in!

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Change of Shift!

A Thanksgiving edition of Change of Shift is up over at Rehab RN.  I hope everyone had a happy and relaxing Thanksgiving!  :)

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Dr. Val Podcast and Grand Rounds

Dr. Val hosted a great Podcast this last week about stereotypes in nursing. It was attended by myself, Terri from Nurse Ratched’s Place and Strong One from My Strong Medicine. We had a really great discussion which Dr. Val so nicely summarized. At the end of her post there is a link to the podcast.

I really enjoyed participating in this and talking with Dr. Val, Strong One and Terri!

DrRich at the Covert Rationing Blog wrote an interesting post related to the podcast that I highly recommend reading.

Another post that I highly recommend is Grand Rounds hosted by Musings of a Distractible Mind this week. I have no idea how he managed the number of submissions… it will take me a week to read them!

As for the new codeblog, the template is finished, the tweaking is done… now I just have to figure out how to move the domain.

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Election Day Grand Rounds

Election day Grand Rounds are up over at Nurse Ratched’s Place. She did a terrific job and all the historical info about the Presidents is fascinating!

Codeblog is part of Blog Networks on facebook. So if you’re on facebook and you feel like joining the Blog Network, come on over!

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  • profileI am Gina. I have been a nurse for 15 years, first in med/surg, then CVICU, inpatient dialysis, CCU and now hospice. This blog is about my experiences as a nurse, and the experiences of others in the healthcare system - patients, nurses, doctors, paramedics. We all have stories!

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