MedWorm provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest medical blog items that have been tagged with 'desk'. Sat, 03 Sep 2011 02:21:45 +0100 http://www.medworm.com/index.php?rid=5028853&cid=t_142654_131_f&fid=34989&url=http%3A%2F%2Ffeeds.b5media.com%2F%7Er%2Fb5media%2FGeneticsHealth%2F%7E3%2FBco7pTFfiqE%2F Office culture usually conjures pecking orders, email etiquette, and the unsaid rule that everyone eats lunch at their desk; not yoga. But Airbnb, a San Francisco startup that’s part of the area’s new tech boom, is re-instituting the kind of company perks that only seemed possible before the recession, and they include things like yoga classes, organic lunches, and a “Peace Room” where employees can chill out, or even nap. Joe Gebbia, the founder of the 120-person company, says those perks are what makes his company successful; not an employee benefit program that’s draining his coffers. Some are still skeptical that such perks are really possible in this economy, but he says that, as long as his company is growing and making money, he’s not worried. The... Genetics and Health blogs http://www.medworm.com/rss/comments.php?id=5028853 Mon, 11 Jul 2011 19:56:03 +0100 5028853 http://www.medworm.com/index.php?rid=4976112&cid=t_142654_131_f&fid=34989&url=http%3A%2F%2Ffeeds.b5media.com%2F%7Er%2Fb5media%2FGeneticsHealth%2F%7E3%2FqyMhgUbUfzA%2F We were hoping that even though we spend the majority of our working hours tethered to our computer, the fact that we exercise each morning would negate the consequences of sitting all day. But, according to the release of a 13-year study, even us athletes-by-morning, desk-jobbers-by-day have a higher risk of death than slackers who don’t exercise yet don’t sit all day either. Pardon??? You mean, running, swimming and biking all those miles each morning aren’t buying us extra time? According to the study published in the latest American Journal of Epidemiology, no. Researchers from the American Cancer Society reported that those of us who sit for more than six hours a day have an increased risk of death over those who don’t sit as much — even if we exercise. A... Genetics and Health blogs http://www.medworm.com/rss/comments.php?id=4976112 Mon, 27 Jun 2011 19:03:20 +0100 4976112 http://www.medworm.com/index.php?rid=4803565&cid=t_142654_180_f&fid=38607&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fsuccessbeginstoday%2FBHWQ%2F%7E3%2FnBsfqCHr6f4%2F Is your life out of control? Does your desk look like a toxic waste dump? Are you overwhelmed with email, unreturned phone calls, and unfinished projects? Are you looking forward to something better or just mired in muck? Here are three simple things you can do today to take control of your life and start the new week with a better foundation. In less than an hour you can get your desk under control, get some long and short term goals set, and plan your week out for success. The cost… less than $20. Let’s get started… 1. Clean Off Your Desk: The first place to start is your command center. For most people with a work or home office, this is their desk. If yours is a mess and you can’t see the top, you need to take action today. While I’ve tried many solutions,... Success Begins Today blogs http://www.medworm.com/rss/comments.php?id=4803565 Sun, 08 May 2011 13:37:38 +0100 4803565 http://www.medworm.com/index.php?rid=4762947&cid=t_142654_180_f&fid=38610&url=http%3A%2F%2Fwww.productivity501.com%2Fthe-causes-of-a-messy-desk%2F395%2F This article was useful when looking for:messy desk means (2)articles on papers is the main cause of cluttered desk (1)what does get messy mean (1)what does an untidy desk mean (1)what does a messy work desk means (1)what does a cluttered desk mean (1)what contributed to cluttered desk (1)what are the issues that a cluttered desk can cause (1)untidy desks better (1)messy workstation issues (1)Messy Desks comments (1)if your work desk is messy it means (1)what issues cluttered desk causes (1) If you liked this, please consider sharing it with others: --- at Productivity501:Messy DesksPaper vs. ImportanceTuesday’s Tip: Surrounded By What?Reader Question – Tidying Up Computer WiresReader Question – Desk Organization (Source: Productivity501) Productivity501 blogs http://www.medworm.com/rss/comments.php?id=4762947 Thu, 28 Apr 2011 15:00:34 +0100 4762947 http://www.medworm.com/index.php?rid=4723910&cid=t_142654_107_f&fid=36672&url=http%3A%2F%2Fwww.sciencebase.com%2Fscience-blog%2Ffive-feisty-science-books-on-davids-desk.html Five super science books landed on my desk during the last week or two, everything from a Haynes manual for the Space Shuttle to hacking life and from astrobiology to the discovery of Lucy by way of the fact of evolution. The Fact of Evolution – Opponents of evolution are wont to say it's "just" a theory, as if that somehow implies it's a fiction or not proven. Scientists often dislike talking in plain or making absolute, definitive statements. But, science writers and some scientists really don't mind telling it like it is. Forget the wishy-washy word "theory" with its non-scientific baggage, this is the Fact of Evolution. The onus is on opponents to prove otherwise by coming up with evidence for their own "theory". Biopunk: DIY Scientis... Sciencebase Science Blog blogs http://www.medworm.com/rss/comments.php?id=4723910 Sat, 16 Apr 2011 16:00:33 +0100 4723910 http://www.medworm.com/index.php?rid=4406046&cid=t_142654_165_f&fid=37959&url=http%3A%2F%2Fhealthskills.wordpress.com%2F2011%2F01%2F28%2Ffriday-funnies-47%2F Mapping my desk. Familiar to anyone? I’ll be off to see the Buskers this weekend - go here if you don’t know what I’m talking about. The very best of the world’s buskers are here, and it’s awesome! Filed under: Humour, Resilience/Health, Wellness Tagged: desk, filing, Friday funnies, organisation, PhD (Source: HealthSkills Weblog) HealthSkills Weblog blogs http://www.medworm.com/rss/comments.php?id=4406046 Thu, 27 Jan 2011 21:17:35 +0100 4406046 http://www.medworm.com/index.php?rid=4294736&cid=t_142654_111_f&fid=34715&url=http%3A%2F%2Fwww.impactednurse.com%2F%3Fp%3D2480 The range of what we think and do is limited by what we fail to notice. And because we fail to notice that we fail to notice there is nothing we can do to change until we notice how failing to notice shapes our thoughts and deeds. :: R.D. Laing :: Here is a quick tip to help you make it through those shifts that just seem to lift you up and carry you off …to a bad place. It is based on the process of ‘mindfulness’ or present centered awareness. Stop what you are doing. Just take a moment to let the ‘10 things you must do like 10 minutes ago‘ drop away. They will still be there when you have finished. And I mean really stop. Stand still. Relax. Take a breath. Take it from right down in your diaphragm. When we are stressed and flummoxed we tend to breath from ... impactEDnurse blogs http://www.medworm.com/rss/comments.php?id=4294736 Sun, 12 Dec 2010 06:32:28 +0100 4294736 http://www.medworm.com/index.php?rid=4159284&cid=t_142654_109_f&fid=34750&url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2010%2F11%2F12%2Fbest-of-our-blogs-november-12-2010%2F There’s something so soothing about a pet. (You pet owners know what I mean.) Maybe it’s their soft, furry coat or their comfort with being themselves that can be so settling. But I think it’s the feeling that no matter who you are, how much money you have or what you look like, they’ll love you unconditionally. It’s something I felt with my first dog who passed away earlier this year. And how I feel about my current love, a 5 year old mini lop rabbit. The world can be as chaotic as it can be. I could have papers piling up on my desk and emails crowding my inbox. But when I see him cleaning his floppy ears, those things don’t seem to matter. For a moment, I’m at peace. Why am I bringing up my furry friends? Aside from the fact that I adore talking ... World of Psychology blogs http://www.medworm.com/rss/comments.php?id=4159284 Fri, 12 Nov 2010 12:16:42 +0100 4159284 http://www.medworm.com/index.php?rid=4065422&cid=t_142654_109_f&fid=38950&url=http%3A%2F%2Fwww.shockmd.com%2F2010%2F10%2F13%2Fyour-desk-cannot-be-replaced-by-mobile-working%2F Desk – Music and Sound Design from Aaron Trinder Film:Motion:Music on Vimeo. In the nineties many thought that with a smartphone and a laptop you could work anywhere. This experiment has failed, people need their own desk. This is a part of one of my own desks And here is another A desk is also a reflection of your mind, character may be? In this video examples of artists and why their desk is the way it is, but at first Einstein’s desk is mentioned in the video and here a picture of Einstein’s desk. Not only does the video offer some great workspace inspiration, but it’s also an interesting look at the somewhat intimate relationship we have with our workspace. For more workspace inspiration visit Lifehacker Workspace Show and Tell on Flickr. Thanks Lifehacker: ... Dr Shock MD PhD blogs http://www.medworm.com/rss/comments.php?id=4065422 Wed, 13 Oct 2010 06:26:21 +0100 4065422 http://www.medworm.com/index.php?rid=4036721&cid=t_142654_109_f&fid=34750&url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2010%2F10%2F05%2F8-habits-of-lousy-listeners%2F Most people know that one of the keys to success in relationships is good listening. Experts tell us to use “active” listening, “I messages,” and open-ended questions. Articles urge us to stop talking when someone speaks, to use our body language effectively to encourage the other guy, and to work to understand what is meant as well as what is said. We’ve been told that men are from Mars and women are from Venus and we’ve been taught how to translate the gender languages. Yet despite all that, developing good listening skills continues to be a challenge for some people. Generally, it’s better to emphasize the positive and teach folks useful skills. But at least some people some of the time find it equally useful to have the negative pointed out and explained. They want guidel... World of Psychology blogs http://www.medworm.com/rss/comments.php?id=4036721 Tue, 05 Oct 2010 16:31:55 +0100 4036721 http://www.medworm.com/index.php?rid=4025664&cid=t_142654_111_f&fid=34715&url=http%3A%2F%2Fwww.impactednurse.com%2F%3Fp%3D2322 Riskman or oxymoron? Our hospital uses an incident reporting, risk management software called Riskman. All medical  staff are trained to use this electronic system to report problems, errors and incidents that have occured. And when it is used for this purpose, it works quite well. The reports are classified and passed on the the relevant managers for attention, followup or action. But in my opinion (and this is a little ironic) our ‘Riskman’ is not very good at identifying….er…..risk. Risks might be defined as some future event that can be avoided or mitigated, as opposed to a present problem that must be immediately addressed or a previous incident that must be reviewed. The most important thing about identifying risk, is that there is an opportunity to be proact... impactEDnurse blogs http://www.medworm.com/rss/comments.php?id=4025664 Sat, 02 Oct 2010 02:06:43 +0100 4025664 http://www.medworm.com/index.php?rid=3933141&cid=t_142654_111_f&fid=34715&url=http%3A%2F%2Fwww.impactednurse.com%2F%3Fp%3D2285 I have been thinking about my own use of humour quite a bit since a very short post I made a little while back blew up in my face.  There is no doubt in my mind that the use of humour is one of the more powerful tools on my belt, and like all power-tools it can build something magnificent and it can cut to the bone like a hot knife through sputum. Here is an article from the Journal of Academic Medicine that provokes even more reflection: The study relates the results of a series of focus groups conducted on a group of 56 medical students that explored their experiences of cynical or derogatory humour directed towards patients. These conversations were then analysed sorted into the following categories: objects of humour, locations of humour, the humour game, not-funny humour, and motives... impactEDnurse blogs http://www.medworm.com/rss/comments.php?id=3933141 Sat, 04 Sep 2010 02:09:24 +0100 3933141 http://www.medworm.com/index.php?rid=3889126&cid=t_142654_109_f&fid=34750&url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2010%2F08%2F20%2Fbest-of-our-blogs-august-20-2010%2F The creative process is a mysterious one. I sit down at my computer twice a week not knowing how I will do it and what will come out when I type. Yet, if I come to my desk present, open-minded and trusting, somehow my fingers do the work for me. That doesn’t mean that I don’t have days when the writing doesn’t flow and that I don’t feel stuck. On those days, I notice it’s one or all of the three f’s: fatigue, fear or feeling frazzled that pushes me over the edge. Then, it feels like I’m trying to run in water or force a piece into a puzzle that just doesn’t fit. I tend to think of those times as moments when self-care is vital. I might be feeling anxious, overworked or my own negative thoughts could be sabotaging my efforts. Yet, when we&#821... World of Psychology blogs http://www.medworm.com/rss/comments.php?id=3889126 Fri, 20 Aug 2010 10:25:53 +0100 3889126 http://www.medworm.com/index.php?rid=3710629&cid=t_142654_111_f&fid=34715&url=http%3A%2F%2Fwww.impactednurse.com%2F%3Fp%3D2040 A new-graduate nurse approaches you for some advice. She is looking after a 4 month old over in the paediatric bays. She has been helping one of the junior doctors attempt to cannulate the baby…very unsuccessfully. The doctor ‘had a couple of jabs’, and now the baby is crying inconsolably which is also making the parents very anxious. The doctor has left the scene looking for some senior assistance. The nurse asks if there anything he can do to help settle the baby ( and reassure the parents) before the next cannulation attempt. Oral Sucrose: One simple method of providing short term analgesia to infants ( up to around 18 months) during painful procedures such as venipuncture, cannulation, insertion of Naso-gastric tubes or even lumbar punctures is oral sucrose. A small quantity of o... impactEDnurse blogs http://www.medworm.com/rss/comments.php?id=3710629 Tue, 29 Jun 2010 11:14:35 +0100 3710629 http://www.medworm.com/index.php?rid=3577469&cid=t_142654_111_f&fid=34715&url=http%3A%2F%2Fwww.impactednurse.com%2F%3Fp%3D1936 What about a conference on vertical nursing? I was just sitting on the toilet (no, really) and the thought came to me….that although there are plenty of conferences and workshops on the various specialties of nursing, mostly directed at improving our provision of patient centered care, there has not been much (to my knowledge) available with a more holistic program based on the provision of nurse centered care. Caring for the carers if you will. In these days of high workloads, high stress, and poor staffing, many of us nurses have become disillusioned and disengaged with the very roots of our profession…. a conference that digs down to examine these roots may be of some use to us. Vertical nursing….WTF? You might look at it this way. There are two aspects of nursing, the... impactEDnurse blogs http://www.medworm.com/rss/comments.php?id=3577469 Wed, 19 May 2010 07:55:30 +0100 3577469 http://www.medworm.com/index.php?rid=3560282&cid=t_142654_109_f&fid=34750&url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2010%2F05%2F13%2F10-ways-to-find-new-motivation%2F How often do you lament, “If only I were more motivated, I could get so much done and be successful”? For many of us, motivation seems hard to find. Whenever a tough project pops up or we have to do something we’ve been dreading — whether it’s stripping the wallpaper in the bedroom or collecting the year’s receipts at tax time — our motivation vanishes. Here’s an excerpt from my recent article on how to find it, keep it, and overcome the most common roadblocks along the way. 1. Assess your values. Consider whether the task at hand aligns with your values, Maynard said. To figure out your values, she suggested asking, “How do you want to see yourself in the world today?” Another way to think of this is to mull over what accomplishing the task would give you “tha... World of Psychology blogs http://www.medworm.com/rss/comments.php?id=3560282 Thu, 13 May 2010 10:05:36 +0100 3560282 http://www.medworm.com/index.php?rid=3552362&cid=t_142654_111_f&fid=34715&url=http%3A%2F%2Fwww.impactednurse.com%2F%3Fp%3D1898 Advanced Paediatric Life Support (APLS) Australia are running a new Paediatric Acute Care (PAC) conference from the 2nd – 4th1 of September this year. It will be held at the Hyatt Hotel, right here in Canberra,  and it promises to impart a stonking good mix of research, critical care updates and interactive activities. Topics to be covered during the first two days will include: Preview ILCOR2 2010 Procedural sedation Analgesics Fracture management Burns, toxicology and trauma Respiratory and neurology Intensive care for the non-intensivist. Having attended last years instructors conference, I can assure you that if you work in the paediatric acute care setting, you will want to pen this into your calendar. You can download an application/information form right here. The third da... impactEDnurse blogs http://www.medworm.com/rss/comments.php?id=3552362 Tue, 11 May 2010 03:21:41 +0100 3552362 http://www.medworm.com/index.php?rid=3449212&cid=t_142654_180_f&fid=38610&url=http%3A%2F%2Fwww.productivity501.com%2Fmessy-desks%2F7499%2F Did you know that a single two-second distraction can cost you 15 minutes of your day? When your concentration is interrupted, it takes up to 15 minutes to get your focus back. Our ambient sounds help reduce the amount of noise distractions in your workplace. Take advantage of the current SALE.One of the greatest hindrances to productivity isn’t particularly technical or complex in nature. It isn’t something that’s usually difficult to solve, but it takes time and effort. Messy desks are responsible for some of the most frustrating (and sometimes, humorous) incidents throughout a workday. That contract you can’t find? The glasses that always seem to walk away? Clutter on a desk tends to conceal things when you most need them. However, there is a humorous side to thi... Productivity501 blogs http://www.medworm.com/rss/comments.php?id=3449212 Thu, 08 Apr 2010 17:00:12 +0100 3449212 http://www.medworm.com/index.php?rid=3370721&cid=t_142654_180_f&fid=38610&url=http%3A%2F%2Fwww.productivity501.com%2F5-questions-to-help-organize-your-desk%2F7045%2F Conclusion Keeping your desk organized will probably always require effort. Some people keep an organized desk naturally. Others don’t. However, there are significant benefits for everyone who works toward keeping their workspace organized–whether it comes easily, or not.  The five questions above will help you better identify the sources of your disorganization and will lessen the amount of effort it takes to keep the benefits of an organized desk. Follow Productivity501 on Twitter.. If you liked this, please consider sharing it with others: --- at Productivity501:Reader Question – Desk OrganizationQuestions? Call the NYC LibraryReader QuestionsReader QuestionsReader Question – Lighting for your office (Source: Productivity501) Productivity501 blogs http://www.medworm.com/rss/comments.php?id=3370721 Tue, 16 Mar 2010 18:00:38 +0100 3370721 http://www.medworm.com/index.php?rid=3216664&cid=t_142654_111_f&fid=34715&url=http%3A%2F%2Fwww.impactednurse.com%2F%3Fp%3D1645 As I zip around on my trusty Vespa scooter, I hear plenty of people refer to it as a ‘donor cycle’. Fair call. So I guess this…would be my license. Are you on the organ donation register? I think it is a natural extension of our ethical precepts as nurses to at least think seriously about our own views on this. 
And then, once we have made up our own minds, let our friends and family know our views so there is no confusion. After all, nursing is  about improving the quality of life, and empowering positive health outcomes amongst our patients. Nursing is entangled with compassion. By signing onto the register, your final shift might just be the most powerful nursing you ever do. Before I go on, signing up to the Australian register is a quick and simple process, so if ... impactEDnurse blogs http://www.medworm.com/rss/comments.php?id=3216664 Wed, 27 Jan 2010 20:38:22 +0100 3216664 http://www.medworm.com/index.php?rid=2981139&cid=t_142654_109_f&fid=34750&url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2009%2F11%2F10%2F11-kinds-of-therapy-to-help-you-grieve-a-loss%2F Many readers are grieving loved ones, and the grief certainly contributes to their depression. A fantastic book I just came across is Solace: Finding Your Way Through Grief and Learning to Live Again by Roberta Temes, Ph.D., a noted psychotherapist and the author of “Living with an Empty Chair” and “The Tapping Cure.” I have reprinted with permission of her publisher 11 ways kinds of therapies, or activities, to help you grieve a loss. What can you do to feel better? Sometimes you need to take action. When you do something to relieve your feelings and to give yourself a sense of achievement, you are accomplishing your journey through bereavement. Here are some activities–and some behaviors you can do–that are therapeutic for you during your bereavement. ... World of Psychology blogs http://www.medworm.com/rss/comments.php?id=2981139 Tue, 10 Nov 2009 21:27:10 +0100 2981139 http://www.medworm.com/index.php?rid=2789057&cid=t_142654_111_f&fid=34715&url=http%3A%2F%2Fwww.impactednurse.com%2F%3Fp%3D1354 I have just gotten back from a 2 day instructor conference hosted by APLS Australia. Advanced Paediatric Life Support (APLS) commenced operations in Australia in 1997. The major focus of APLS is to improve the early management of acutely ill and injured children through the training and education of health professionals. It also is one of the best structured, intense and well run courses I have ever attended. Any nurse working with childeren in the hospital setting should be walking over broken glass ampoules to get this one under their professional belt (sign up here). Here are a spattering of my unedited notes  just to give you a tasting of some of just a few of the topical areas of paediatric life support : Defibrillation Controversies. Michael Clifford a paediatric intensivist at Melb... impactEDnurse blogs http://www.medworm.com/rss/comments.php?id=2789057 Sat, 12 Sep 2009 08:23:21 +0100 2789057 http://www.medworm.com/index.php?rid=2649325&cid=t_142654_180_f&fid=38610&url=http%3A%2F%2Fwww.productivity501.com%2Fa-desk-for-your-desk%2F142%2F With all of our modern gadgetry, it is easy for our desks to get covered with wires, routers, cell phone charger cables, etc.  Here is a simple solution to help cut down on the amount of visual clutter you have to face when working. Get a Desk for Your Desk After all, shouldn’t your desk have a work area for itself?  There is no reason it needs to share with you all the time. By getting a small table, shelf or box and placing it under your desk in a place you don’t need for your feet, you can move all of your electronics down out of view where they can still perform their function, but not contribute to clutter on your desk. Depending on how your desk is set up, you may even be able to put certain pieces of equipment where you can get to them easily.  For example, your prin... Productivity501 blogs http://www.medworm.com/rss/comments.php?id=2649325 Wed, 29 Jul 2009 11:51:41 +0100 2649325 http://www.medworm.com/index.php?rid=2654083&cid=t_142654_180_f&fid=38610&url=http%3A%2F%2Fwww.productivity501.com%2Fa-desk-for-your-desk%2F142%2F With all of our modern gadgetry, it is easy for our desks to get covered with wires, routers, cell phone charger cables, etc.  Here is a simple solution to help cut down on the amount of visual clutter you have to face when working. Get a Desk for Your Desk After all, shouldn’t your desk have a work area for itself?  There is no reason it needs to share with you all the time. By getting a small table, shelf or box and placing it under your desk in a place you don’t need for your feet, you can move all of your electronics down out of view where they can still perform their function, but not contribute to clutter on your desk. Depending on how your desk is set up, you may even be able to put certain pieces of equipment where you can get to them easily.  For example, your prin... Productivity501 blogs http://www.medworm.com/rss/comments.php?id=2654083 Tue, 28 Jul 2009 18:00:00 +0100 2654083 http://www.medworm.com/index.php?rid=2572980&cid=t_142654_111_f&fid=34715&url=http%3A%2F%2Fwww.impactednurse.com%2F%3Fp%3D1208 A short time ago I wrote about the huge pressure that the H1N1 pandemic might impose on our already struggling health system (why we (probably) should fear the pandemic).  Even though it is a (so called) mild strain. And today AAP reports that the pressure on hospital beds is beginning to bite: A HUGE increase in the number of people presenting to New South Wales hospitals with flu-like symptoms has forced the State Government to make hundreds of extra beds available…. …To cope with a 17-fold increase in people with flu symptoms - swine or seasonal - compared to the same period last year, 550 extra beds would be made available, NSW Health Minister John Della Bosca said. NSW Health’s Chief Medical Officer, Kerry Chant, said the problem was only going to get worse. &#8220... impactEDnurse blogs http://www.medworm.com/rss/comments.php?id=2572980 Mon, 06 Jul 2009 06:24:47 +0100 2572980 http://www.medworm.com/index.php?rid=2306909&cid=t_142654_87_f&fid=34872&url=http%3A%2F%2Fwww.blisstree.com%2Fhealthbolt%2Fblogging-fit%2F I admit it. I spend way too much time on the computer. If I’m not blogging about health issues here at Healthbolt, green issues at ecosalon, travel at Perceptive Travel, or travel writing at Write to Travel, I’m checking my emails, twitter and  RSS feeds. So I find articles like ‘10 Ways to get Fit WHILE Blogging’ a real help. It not only reminds me that I need to exercise but also provides interesting, unique, and fun ways to do so while chained to the computer. But knowing that I’m probably not the only one out there often chained to the computer, I thought I’d share their list of exercises with you… 1. Cyber Squats 2. RSS Raises 3. Move it! Break #1 4. Twitter Tummy Tone 5. Social Squeezes 6. 10 Minute Move it! Break #2 7. Inbox Incline 8. 10... Healthbolt blogs http://www.medworm.com/rss/comments.php?id=2306909 Sun, 05 Apr 2009 14:11:32 +0100 2306909 http://www.medworm.com/index.php?rid=2313806&cid=t_142654_111_f&fid=34715&url=http%3A%2F%2Fwww.impactednurse.com%2F%3Fp%3D885 Thanks to all those who produced such great suggestions for our competition: how many nurses does it take to change a light bulb? You guys crack me up. It was close, but by measuring the internal diameter of said crack ( in milimeters) after reading each entry, I would like to congratulate ‘Blake’ with his offering: How many ER nurses does it take to change a lightbulb? The entire unit, one nurse to change it, the rest to laugh about how the guy “fell” on it while getting out of the shower. Ahh, the mysteries of rectal insertions. ‘Though it does disturb me just a little bit that they might be about to change that lightbulb. Thanks Blake, one t-shirt will be heading your way very shortly. And for a very honourable mention (but no prize!), I think Dr Disillusioned has ... impactEDnurse blogs http://www.medworm.com/rss/comments.php?id=2313806 Tue, 31 Mar 2009 06:37:40 +0100 2313806 http://www.medworm.com/index.php?rid=2134695&cid=t_142654_111_f&fid=34715&url=http%3A%2F%2Fwww.impactednurse.com%2F%3Fp%3D668 Cris Cuthbertson (AKA DrCris) over at AppleQuack.com is presenting the inaugural Australian medical blog awards: The aim of the awards is to promote quality medical blogging by Australians and foster a community of bloggers that rivals the international scene. Nominations are open until the 6th of February after which time the nominations will be Triaged down to a shortlist of 5 by a panel of ‘international bloggers’. Personally, I am only familiar with a fairly limited number of Australian medical bloggers, so it will be very interesting to see what is offered up. Follow the link to check them out and vote for your faves. (Source: impactEDnurse) impactEDnurse blogs http://www.medworm.com/rss/comments.php?id=2134695 Tue, 27 Jan 2009 06:31:22 +0100 2134695 http://www.medworm.com/index.php?rid=2107713&cid=t_142654_111_f&fid=34715&url=http%3A%2F%2Fwww.impactednurse.com%2F%3Fp%3D630 I just received a letter from an occupational health and safety liaison nurse: As an ex ED/ICU nurse in both NSW and Victoria,( and devoted reader) I have now found myself seconded as the No-Lift co-ordinator of our hospital nursing staff, 3 campuses (campi?), I would like to have dialogue with others in this field as I am finding several areas difficult to crack ( ED still believing their superpowers can elevate!), any suggestions??! - Quasimodo Actually, most ED nurses like to keep their  range of superpowers pretty close to their chest lest they fall into the wrong hands. Elevation, extrication, disimpaction, levitation, its all in a days work. But as a nurse who sustained a painful back injury a while back, the importance of your quest cannot be over emphasized. One second I was bendi... impactEDnurse blogs http://www.medworm.com/rss/comments.php?id=2107713 Fri, 16 Jan 2009 04:52:49 +0100 2107713 http://www.medworm.com/index.php?rid=2026949&cid=t_142654_111_f&fid=34715&url=http%3A%2F%2Fwww.impactednurse.com%2F%3Fp%3D594 A short message to team ED. Every day you walk the ward with your feet in the shit and your hearts in the firmament; a distance of grace that makes even the miraculous seem almost ordinary. Almost. And I have been honored to have worked amongst you. ShareThis (Source: impactEDnurse) impactEDnurse blogs http://www.medworm.com/rss/comments.php?id=2026949 Wed, 10 Dec 2008 10:01:54 +0100 2026949 http://www.medworm.com/index.php?rid=1886353&cid=t_142654_111_f&fid=34715&url=http%3A%2F%2Fwww.impactednurse.com%2F%3Fp%3D590 In a new study conducted by researchers, from the University of Illinois College of Medicine at Peoria, the 1977 disco song ‘Staying Alive’ by the Bee Gees was found to be useful in providing an effective beat to perform CPR to. Many people have trouble guess-timating the correct rate, (100 beats a minute) to pump out chest compressions, and Staying Alive (with a rate of 103 bpm) was found to keep the resuscitator focused at an optimum rate. You see there is a place for tight-crotched flared scrubs and falsetto singing  in the emergency department after all. Other songs, including Queen’s ominously  titled ‘Another One Bites the Dust’ were also found to be useful. Though it might be a little inappropriate to sing if relatives are around. Personally, I prefer... impactEDnurse blogs http://www.medworm.com/rss/comments.php?id=1886353 Sat, 18 Oct 2008 06:11:55 +0100 1886353 http://www.medworm.com/index.php?rid=1852535&cid=t_142654_111_f&fid=34715&url=http%3A%2F%2Fwww.impactednurse.com%2F%3Fp%3D586 Image credit: aussiegall One of the biggest traps we can stumble into as nurses is to see patients as enemy. The problem is, this is such a well camouflaged trap with gentle, soft sloping edges, that we don’t even spot it until we are impaled. And even then there are probably so many other colleagues flapping about in the hole with you that you are unlikely to feel the spike. Once you see the patient as enemy, it is a tough climb out to see them any other way again. In today’s hospital systems, the workloads are so high and the models of care are so complex that we are constantly  having to spread ourselves thinner and thinner. Eventually we risk a subtle shift taking place. Instead of delivering patient focused care, we begin to deliver a process focused care. Process focuse... impactEDnurse blogs http://www.medworm.com/rss/comments.php?id=1852535 Sun, 05 Oct 2008 07:00:10 +0100 1852535 http://www.medworm.com/index.php?rid=1825578&cid=t_142654_111_f&fid=34715&url=http%3A%2F%2Fwww.impactednurse.com%2F%3Fp%3D582 My brain is more porous than a bucket made of flatus. I just never seem to be able to remember stuff. Which can be a little problematic as I go splashing about in the information rich soup of the emergency department. Evernote is a powerful information repository that allows you to capture and recall the stuff of your life with ease. It consists of a desktop program ( Windows and Mac versions) as well as the option to synchronize all, or discrete portions of your captured stuff to a web based server. This gives you the security of having your info held on your own computer as well as the convenience of being able to access it from the net. Evernote has a powerful search and filtering system that lets you locate particulate information quickly and accurately. It even indexes text from pictu... impactEDnurse blogs http://www.medworm.com/rss/comments.php?id=1825578 Thu, 25 Sep 2008 10:05:51 +0100 1825578 http://www.medworm.com/index.php?rid=1825579&cid=t_142654_111_f&fid=34715&url=http%3A%2F%2Fwww.impactednurse.com%2F%3Fp%3D580 Emergency department waiting rooms are usually plastered with a busy mix of information pamphlets, health promotion posters and important signage. It seems every allied health and community service is competing for a little wall space to get their message across. The resulting mish-mash of information results in total overload for people in the waiting room and the whole thing merges into a background wallpaper that nobody pays much attention to. What to do? Our solution: We mounted 2 large plasma screen monitors on the main waiting room wall. The screen on the left is the TV and the screen on the right is our electronic billboard. This screen is connected to a small computer that allows us to run a continuous PowerPoint slide-show. A simple solution that gives us the flexibility to produ... impactEDnurse blogs http://www.medworm.com/rss/comments.php?id=1825579 Wed, 24 Sep 2008 08:45:37 +0100 1825579 http://www.medworm.com/index.php?rid=1809728&cid=t_142654_111_f&fid=34715&url=http%3A%2F%2Fwww.impactednurse.com%2F%3Fp%3D576 Opened an email the other day from Andrew and Jenny who were inquiring about the use of local anaesthetic during cannulation. Earlier this year you did a posting on local anaesthetic gel for female catheterisation. I would be interested on your perspective (that can be the royal your – Canberra ED) regarding the use of intradermal 1% lignocaine for peripheral intravenous cannula insertion and arterial blood gases. I have several articles on the subject, which I try to incorporate into teaching people the skill of cannulation, but have failed in getting anyone to take on using local. There are the common arguments of; 2 needles, local hurts, it increases the time for the procedure, increased failure rate, all of which have been discredited. I have had several intravenous cannula inserted ... impactEDnurse blogs http://www.medworm.com/rss/comments.php?id=1809728 Sat, 20 Sep 2008 07:33:01 +0100 1809728 http://www.medworm.com/index.php?rid=1639038&cid=t_142654_111_f&fid=34715&url=http%3A%2F%2Fwww.impactednurse.com%2F%3Fp%3D542 Some of our doctors walk around with so many mobile phones on their waist that if they were all to ring simultaneously, I’m certain that their kidneys would explode like two giant apoplectic kernels of popcorn. Not pretty. And it is pretty obvious from  that tell-tail positive droopy scrubs sign that many of our staff  are well hung with the latest Nokia or iPhone at their side.  But is there really a place for mobile phones in the emergency department?  Lets examine the issues…. Interruption to clinical care: Many if not most nurses and doctors have at some stage carried a mobile phone on their hip during the shift. Taking official calls from other hospitals, receiving updates on a sick child, texting boyfriends/girlfriends, organizing drug company sponsored dinners. It a... impactEDnurse blogs http://www.medworm.com/rss/comments.php?id=1639038 Sun, 20 Jul 2008 01:58:26 +0100 1639038 http://www.medworm.com/index.php?rid=1634864&cid=t_142654_111_f&fid=34715&url=http%3A%2F%2Fwww.impactednurse.com%2F%3Fp%3D541 Medical staff who love to gossip just love x-rays. At least, they do in our department. You see, by carefully observing the distance, speed and trajectories of our female staff as they scatter from a patients mobile chest x-ray, the probability of any unannounced pregnancy can be juicily speculated. Unfortunately, running away from x-rays is exceedingly difficult seeing as they travel at 300,000 kilometers per second. Slightly faster than the speed of gossip concerning staff pregnancies. Dodging them, however is marginally easier. So. None of us want to develop glow-in-the-dark gonads. Or nastily mutating neurons. But exactly how far away do medical staff need to be to avoid irradiation during x-rays? The fact is, occupational exposure from diagnostic x-rays whilst working in the ED is sma... impactEDnurse blogs http://www.medworm.com/rss/comments.php?id=1634864 Fri, 18 Jul 2008 07:12:40 +0100 1634864 http://www.medworm.com/index.php?rid=1625579&cid=t_142654_111_f&fid=34715&url=http%3A%2F%2Fwww.impactednurse.com%2F%3Fp%3D539 We must never loose sight of our basic nursing care.  It is the essence of our profession. Patient focused, nurse initiated, simple interventions with high leverage outcomes. Whatever. Just never underestimate the importance of the work you are doing when you are doing the basic stuff. Pressure Area Care: Every year the health system spends hundreds of thousands of dollars treating pressure ulcers that can be prevented with a little basic quality nursing care. Pressure ulcers develop when excessive friction, prolonged pressure or a sheering force results in damage to skin and tissue. It commonly occurs in areas where forces are applied to an area where a thin covering of tissue overlies a bony prominence. When areas such as the heels, buttocks, hips, scapula and even the back of the head... impactEDnurse blogs http://www.medworm.com/rss/comments.php?id=1625579 Wed, 16 Jul 2008 08:55:24 +0100 1625579 http://www.medworm.com/index.php?rid=1526111&cid=t_142654_111_f&fid=34715&url=http%3A%2F%2Fwww.impactednurse.com%2F%3Fp%3D523 At last. The final installment in the free ebook trilogy. First we looked at how to be a nurse. Next we examined our back passages. Now, straight from the pages of impactednurse……I tackle some of the nuts-and-bolts questions that you have always wanted to ask: How do you really manage the smell of poo? What do you do if you get a needle stick injury? How do you manage a penis that is stuck in a zipper? All this and more will be unscrewed for you in this easy to print pdf file ( 1.11 Mb ): DOWNLOAD: Emergency Nursing Unscrewed. Get it while its hot. [ I would welcome any comments, suggestions or corrections to include in future editions. ] ShareThis (Source: impactEDnurse) impactEDnurse blogs http://www.medworm.com/rss/comments.php?id=1526111 Tue, 17 Jun 2008 11:53:12 +0100 1526111 http://www.medworm.com/index.php?rid=1417853&cid=t_142654_111_f&fid=34715&url=http%3A%2F%2Fwww.impactednurse.com%2F%3Fp%3D509 Having problems remembering all those values and formulae? A little rusty with your Advanced Cardiac Life Support algorithm? Child is fitting, dont know what to do? Well look no further. Presenting the impactednurse Pocket Cheat Sheet. Simply download this pdf file and print it out. Then….. following the included instructions, simply fold and snip yourself a nifty pocket reference guide.  Be the envy of all your friends. [ Alternatively, you can pop over to Pocket Mod and design your very own version. ] ShareThis (Source: impactEDnurse) impactEDnurse blogs http://www.medworm.com/rss/comments.php?id=1417853 Sat, 03 May 2008 03:40:51 +0100 1417853 http://www.medworm.com/index.php?rid=1358534&cid=t_142654_111_f&fid=34715&url=http%3A%2F%2Fwww.impactednurse.com%2F%3Fp%3D487 Photo credit: Otisarchives3’s Health-care is becoming more and more complex. Increasingly nurses are having to manage a patient that is encapsulated by a multiplex of highly technical life support equipment. A labyrinth of ventilators, monitors, infusion pumps, defibrillators, patient controlled analgesia devices, automated CPR machines, Glucometers, blood gas analysis machines, CPAP, BiPaP. Machinery entangles our work. Equipment that needs to be maintained and operated with a high degree of precision, for unlike other complex computer systems, when life support equipment crashes you are about to lose more than just data. And if all that hardware wasn’t enough, there are the peripheral data gathering programs, and patient tracking programs, and rostering software programs that... impactEDnurse blogs http://www.medworm.com/rss/comments.php?id=1358534 Wed, 09 Apr 2008 08:03:25 +0100 1358534 http://www.medworm.com/index.php?rid=1329956&cid=t_142654_111_f&fid=34715&url=http%3A%2F%2Fimpactednurse.com%2F%3Fp%3D480 Photo credit: Hamed Saber Cricoid pressure is the application of a compressive force over the cricoid cartilage with the aim of squashing closed the esophagus against the underlying vertebrae. It is performed during rapid sequence intubation to prevent the unconscious patient regurgitating their gastric contents into: a) their oropharynx making intubation extremely difficult. b) their lungs ( aspiration) making breathing extremely difficult. Cricoid pressure has been a mandatory step in the intubation process ever since Dr Sellick first demonstrated its occluding properties on cadavers in 1961. But recently questions have been asked regarding the actual efficacy of the practice. What is the evidence that cricoid pressure protects the patients airway? A risk-benefit analysis conducted after... impactEDnurse blogs http://www.medworm.com/rss/comments.php?id=1329956 Thu, 27 Mar 2008 10:00:43 +0100 1329956 http://www.medworm.com/index.php?rid=1325027&cid=t_142654_111_f&fid=34715&url=http%3A%2F%2Fimpactednurse.com%2F%3Fp%3D478 There is no pain like the pain of having your Willy caught in the gnashing talons of your zipper. And I am talking from personal experience here. Call the police, call the rescue helicopter, call the priest. ( A case in point. ) So how exactly do you get a penis extracted from those interlocking mechanical incisors of death? Entrapment of the penile foreskin in a zipper occurs far more often than you might imagine. And it often leads to medical staff swooping in with an armada of local anesthetics, lubricants and surgically sharp objects. Well here are two tried and tested methods: (more…) (Source: impactEDnurse) impactEDnurse blogs http://www.medworm.com/rss/comments.php?id=1325027 Tue, 25 Mar 2008 06:42:32 +0100 1325027 http://www.medworm.com/index.php?rid=1213223&cid=t_142654_111_f&fid=34715&url=http%3A%2F%2Fimpactednurse.com%2F%3Fp%3D455 How much air is it safe to have in your IV line? And what about those bubbles? Check out: air bubbles of death. (Source: impactEDnurse) impactEDnurse blogs http://www.medworm.com/rss/comments.php?id=1213223 Thu, 07 Feb 2008 06:51:40 +0100 1213223 http://www.medworm.com/index.php?rid=1196709&cid=t_142654_111_f&fid=34715&url=http%3A%2F%2Fimpactednurse.com%2F%3Fp%3D452 Article on The Rectal Trumpet. So tell me: why does poo have to smell like shit? (Source: impactEDnurse) impactEDnurse blogs http://www.medworm.com/rss/comments.php?id=1196709 Sat, 02 Feb 2008 09:21:52 +0100 1196709 http://www.medworm.com/index.php?rid=1181632&cid=t_142654_111_f&fid=34715&url=http%3A%2F%2Fimpactednurse.com%2F%3Fp%3D447 I was a virginal student nurse looking after this young dude, and I was worried. He had been dropped off at the ED by a *friend* after an afternoon of drinking that culminated in a ding dong argument. He was not responding to my attempts to rouse him. I quickly notified the senior doctor on duty [...] (Source: impactEDnurse) impactEDnurse blogs http://www.medworm.com/rss/comments.php?id=1181632 Mon, 28 Jan 2008 00:00:22 +0100 1181632 http://www.medworm.com/index.php?rid=1150652&cid=t_142654_111_f&fid=34715&url=http%3A%2F%2Fimpactednurse.com%2F%3Fp%3D440 Penis and vagina. Its sort of like Mac and Windows. Catheterizing female patients can be exasperatingly tricky, its just all so complicated. Penises on the other hand seem much more user friendly. Sleek and functional. Of course as a penis owner, I may be biased. But all is not as it seems….even they are not without [...] (Source: impactEDnurse) impactEDnurse blogs http://www.medworm.com/rss/comments.php?id=1150652 Tue, 15 Jan 2008 09:46:23 +0100 1150652 http://www.medworm.com/index.php?rid=1146279&cid=t_142654_111_f&fid=34715&url=http%3A%2F%2Fimpactednurse.com%2F%3Fp%3D438 What have I done? In a moment of weakness I have agreed to give a demonstration to 50 new interns on the finer points of female catheterization. Its going to be like some bizarre episode of Scrubs vs Indiana Jones. So before you read any further: Check out this. And look at this. (Source: impactEDnurse) impactEDnurse blogs http://www.medworm.com/rss/comments.php?id=1146279 Sun, 13 Jan 2008 06:38:51 +0100 1146279 http://www.medworm.com/index.php?rid=1132692&cid=t_142654_111_f&fid=34715&url=http%3A%2F%2Fimpactednurse.com%2F%3Fp%3D406 One small thing that greatly contributes to increased staff morale is providing information on what happens to our patients after they leave the ED. It is the nature of the beast that after an often intense and intimate patient/nurse relationship develops within a very short (or not so short) time in the ED, patients often [...] (Source: impactEDnurse) impactEDnurse blogs http://www.medworm.com/rss/comments.php?id=1132692 Mon, 07 Jan 2008 09:39:57 +0100 1132692 http://www.medworm.com/index.php?rid=1131934&cid=t_142654_111_f&fid=34715&url=http%3A%2F%2Fimpactednurse.com%2F%3Fp%3D434 (Source: impactEDnurse) impactEDnurse blogs http://www.medworm.com/rss/comments.php?id=1131934 Sun, 06 Jan 2008 03:43:04 +0100 1131934 http://www.medworm.com/index.php?rid=1041388&cid=t_142654_111_f&fid=34715&url=http%3A%2F%2Fimpactednurse.com%2F%3Fp%3D410 It has been well documented that violence in our emergency departments is on the rise. Violence may be an actual assault, or it may manifest as aggressive, threatening or intimidating behavior. It may come from the young man high on amphetamines or from the elderly female office worker. A recent doctoral study completed in an Australian emergency [...] (Source: impactEDnurse) impactEDnurse blogs http://www.medworm.com/rss/comments.php?id=1041388 Wed, 21 Nov 2007 08:45:20 +0100 1041388 http://www.medworm.com/index.php?rid=1019992&cid=t_142654_111_f&fid=34715&url=http%3A%2F%2Fimpactednurse.com%2F%3Fp%3D401 Studying for your next Trauma Nursing Core Course? Trying to memorize your drug dosages? Cant remember the algorithm for pulse-less ventricular tachycardia? Pauker is a free simple to use and highly configurable program that lets you build your own database of flash cards. Once you have built a deck of cards for a particular topic you can use [...] (Source: impactEDnurse) impactEDnurse blogs http://www.medworm.com/rss/comments.php?id=1019992 Mon, 12 Nov 2007 06:39:26 +0100 1019992 http://www.medworm.com/index.php?rid=1012334&cid=t_142654_111_f&fid=34715&url=http%3A%2F%2Fimpactednurse.com%2F%3Fp%3D397 You all know the scenario; you roll your semi-conscious patient over only to discover a steaming lumpy broth of diarrhoea that, thanks to the physics of capillary action, has oozed and squittered its way into every fold and fossa betwixt and between. Its way too late for the rectal trumpet, and now you and your [...] (Source: impactEDnurse) impactEDnurse blogs http://www.medworm.com/rss/comments.php?id=1012334 Thu, 08 Nov 2007 00:30:49 +0100 1012334 http://www.medworm.com/index.php?rid=836847&cid=t_142654_111_f&fid=34715&url=http%3A%2F%2Fimpactednurse.com%2F%3Fp%3D388 A word of explanation. At midnight on September 6th impactednurse.com will cease to exist. The decision to dismantle it has not been an easy one, this site in its various incarnations has been a reflective crucible for me over the last seven years. I have written some rubbish. I have captured some precious thoughts. But my continued disillusionment with [...] (Source: impactEDnurse) impactEDnurse blogs http://www.medworm.com/rss/comments.php?id=836847 Sun, 02 Sep 2007 23:45:35 +0100 836847 http://www.medworm.com/index.php?rid=821973&cid=t_142654_87_f&fid=34865&url=http%3A%2F%2Fwww.thecancerblog.com%2F2007%2F08%2F25%2Fart-for-cure-believing-in-the-celebration-of-life-and-survivors%2F Filed under: Leukemia, Breast Cancer, Fundraisers, ProductsArt for Cure, a non-profit organization, was founded by Jennifer Carr Patrizio, Jennifer Tisch, and Bob Stockfield. The two Jennifer's are my friends and fellow young breast cancer survivors. I was contacted by Jen and Jen to participate in the calendar by having a photo of me appear in it! How exciting! Jennifer Carr Patrizio is a five year breast cancer survivor and a two year leukemia survivor. Jennifer Tisch is a two-time breast cancer survivor. Together, with freelance photographer Bob Stockfield, they have created a beautiful calendar called Life Blooms Desk Calendar. The Life Blooms Desk Calendar is a month-at-a-glance format, features breathtaking photography of pink flora and motivational prose on one side, and candid phot... The Cancer Blog blogs http://www.medworm.com/rss/comments.php?id=821973 Sat, 25 Aug 2007 04:00:00 +0100 821973 http://www.medworm.com/index.php?rid=799221&cid=t_142654_111_f&fid=34715&url=http%3A%2F%2Fimpactednurse.com%2F%3Fp%3D374 I have spoken before about the importance of high patient visibility in the ED. Just take a look at the difference between these two pictures. On the left we have the bed areas with curtains pulled. You can see somebody’s feet, and thats about it. On the right we have pulled back the curtains so that they [...] (Source: impactEDnurse) impactEDnurse blogs http://www.medworm.com/rss/comments.php?id=799221 Tue, 14 Aug 2007 22:00:40 +0100 799221 http://www.medworm.com/index.php?rid=795077&cid=t_142654_111_f&fid=34715&url=http%3A%2F%2Fimpactednurse.com%2F%3Fp%3D372 It is mid winter. A jogger out for a Sunday morning run notices an unusual lump in the frost-covered field and discovers a frozen teenager who had gotten drunk during the night and fallen asleep on the grass. On arrival in the ED, he was so cold he had icicles on the end of his penis. [...] (Source: impactEDnurse) impactEDnurse blogs http://www.medworm.com/rss/comments.php?id=795077 Mon, 13 Aug 2007 10:37:41 +0100 795077 http://www.medworm.com/index.php?rid=774128&cid=t_142654_111_f&fid=34715&url=http%3A%2F%2Fimpactednurse.com%2F%3Fp%3D360 I have had a few emails from nurses asking how they should best select the location to place a cannula. Here are some tips based on my own personal experience. You may well disagree with them, or you may have some better ideas of your own. Lets have a look. (Source: impactEDnurse) impactEDnurse blogs http://www.medworm.com/rss/comments.php?id=774128 Thu, 02 Aug 2007 09:19:59 +0100 774128 http://www.medworm.com/index.php?rid=758644&cid=t_142654_111_f&fid=34715&url=http%3A%2F%2Fimpactednurse.com%2F%3Fp%3D354 Up until now it has been standard practice to use a water based lubricant during the placement of a female catheter. On the other hand (or …ahem…in the other hand) male catheterization usually involves the use of a local anaesthetic gel. I guess because the female urethra is so much shorter,  it has been commonly believed [...] (Source: impactEDnurse) impactEDnurse blogs http://www.medworm.com/rss/comments.php?id=758644 Thu, 26 Jul 2007 04:24:47 +0100 758644 http://www.medworm.com/index.php?rid=745493&cid=t_142654_111_f&fid=34715&url=http%3A%2F%2Fimpactednurse.com%2F%3Fp%3D349 How many times have you come across a canula that has fallen out, or is half out, or has become kinked. Or is at risk of becoming infected. Obtaining IV access if a pretty important skill to be mastered in the Emergency Department. And those with sharpshooter IV insertion under pressure, inevitably earn a [...] (Source: impactEDnurse) impactEDnurse blogs http://www.medworm.com/rss/comments.php?id=745493 Fri, 20 Jul 2007 09:51:41 +0100 745493 http://www.medworm.com/index.php?rid=745494&cid=t_142654_111_f&fid=34715&url=http%3A%2F%2Fimpactednurse.com%2F%3Fp%3D345 Here is a quick tip. If you are having trouble getting a child to tolerate an oxygen mask, or you need to deliver nitrous oxide via a mask, smear a little flavored lip balm into the inside of the mask to provide a *juicy* pleasant smell. If you purchase a selection of different flavors you can then [...] (Source: impactEDnurse) impactEDnurse blogs http://www.medworm.com/rss/comments.php?id=745494 Fri, 20 Jul 2007 02:28:16 +0100 745494 http://www.medworm.com/index.php?rid=742574&cid=t_142654_111_f&fid=34715&url=http%3A%2F%2Fimpactednurse.com%2F%3Fp%3D348 Here in Australia our triage system is based on the Australasian Triage Scale (ATS) a 5 tiered score based on the urgency of a patients presenting problem. Patients should be seen within the maximum waiting times. ATS 1 = Immediate. ATS 2 = 10 minutes. ATS 3 = 30 minutes. ATS 4 = 60 minutes. ATS 5 = 120 minutes. This [...] (Source: impactEDnurse) impactEDnurse blogs http://www.medworm.com/rss/comments.php?id=742574 Wed, 18 Jul 2007 22:55:05 +0100 742574 http://www.medworm.com/index.php?rid=675126&cid=t_142654_111_f&fid=34715&url=http%3A%2F%2Fimpactednurse.com%2F%3Fp%3D334 It is more like a shock than a stick. Another Saturday night, another rather intoxicated and uncooperative assault *victim*. You have just completed a venipuncture and as you begin to withdraw metal from flesh the patient executes a flailing crocodile roll. His arm slaps against yours and the needle slices through latex and deep into your [...] (Source: impactEDnurse) impactEDnurse blogs http://www.medworm.com/rss/comments.php?id=675126 Thu, 07 Jun 2007 06:24:29 +0100 675126 http://www.medworm.com/index.php?rid=650792&cid=t_142654_111_f&fid=34715&url=http%3A%2F%2Fimpactednurse.com%2F%3Fp%3D329 We all diligently watch our patients blood pressure, recording it in our observation charts…but do we pay enough attention to the mean arterial pressure (MAP)? That innocent little number placed in brackets or hiding off to one side of the monitor screen. What the heck is that number? Is it important? Should I record it? MAP is [...] (Source: impactEDnurse) impactEDnurse blogs http://www.medworm.com/rss/comments.php?id=650792 Thu, 31 May 2007 04:36:26 +0100 650792 http://www.medworm.com/index.php?rid=644824&cid=t_142654_111_f&fid=34715&url=http%3A%2F%2Fimpactednurse.com%2F%3Fp%3D327 cat as in catastrophe: You have just spent the last 30 minutes working to stabilize this multi-trauma patient. Intubated and ventilated with full spinal precautions, skewered with chest tubes and plugged with combines. They lay amongst a distillery of tubes and infusions. The room is a mess. It looks as though a meatballs and tomato [...] (Source: impactEDnurse) impactEDnurse blogs http://www.medworm.com/rss/comments.php?id=644824 Tue, 29 May 2007 09:16:07 +0100 644824 http://www.medworm.com/index.php?rid=566247&cid=t_142654_111_f&fid=34715&url=http%3A%2F%2Fimpactednurse.com%2F%3Fp%3D303 We’ve all seen it. Patients looking wide eyed and worried at a small bubble of air as it travels down the IV line and off into the mystery of their arm. “Don’t worry”, we assure them… “its far too small to cause any problems”. So exactly how dangerous are those little air bubbles? And how much [...] (Source: impactEDnurse) impactEDnurse blogs http://www.medworm.com/rss/comments.php?id=566247 Tue, 24 Apr 2007 04:29:13 +0100 566247 http://www.medworm.com/index.php?rid=541086&cid=t_142654_111_f&fid=34715&url=http%3A%2F%2Fimpactednurse.com%2F%3Fp%3D298 One of the things we could probably manage a little better as ED nurses is the management of children presenting with fever. As soon as little Miss Molly presents with even a slightly elevated temperature, many of us react by immediately dousing it with doses of antipyretics or perhaps even tepid sponging in the [...] (Source: impactEDnurse) impactEDnurse blogs http://www.medworm.com/rss/comments.php?id=541086 Fri, 13 Apr 2007 06:03:24 +0100 541086 http://www.medworm.com/index.php?rid=530005&cid=t_142654_111_f&fid=34715&url=http%3A%2F%2Fimpactednurse.com%2F%3Fp%3D290 Case 1: Mrs Pepper is a seventy year old lady with slight dementia. During the night she becomes disoriented and climbs over the bed rails, falling and fracturing her hip. Case 2: Mr Haas, cannot reach his call bell or his urinal, eventually he can hold on no longer and is incontinent. Case 3: Mr Smith has [...] (Source: impactEDnurse) impactEDnurse blogs http://www.medworm.com/rss/comments.php?id=530005 Mon, 09 Apr 2007 00:00:10 +0100 530005 http://www.medworm.com/index.php?rid=464935&cid=t_142654_111_f&fid=34715&url=http%3A%2F%2Fimpactednurse.com%2F%3Fp%3D279 It is my humble opinion that the majority of public hospitals remain woefully under- prepared to manage any significant pandemic outbreak that might occur. It is obvious that the strength of any hospital’s response will only be as good as its weakest link. Two of the *strongest weaknesses* that we identified following our recent pandemic exercise [...] (Source: impactEDnurse) impactEDnurse blogs http://www.medworm.com/rss/comments.php?id=464935 Thu, 08 Mar 2007 00:39:15 +0100 464935