Empowering Nurses at the Bedside and in Business

Author Archives: Lorie A Brown, R.N., M.N., J.D.

  1. Nurses are Fed Up

    Leave a Comment

     

    Recently, eight nurses who were terminated from Saint Vincent Hospital in Worcester, Massachusetts filed a lawsuit for wrongful termination claiming the hospital retaliated against them for reporting unsafe conditions.  According to an article in MedPages Today, there have been over 600 official reports filed by nurses over the last six months regarding staffing shortages in this hospital.  Nurses are frustrated that sometimes there are only four nurses to handle 150 patients who are treated in the emergency room on one shift.  Patients are being left in urine and feces because they don’t have enough staff to clean them up.  One nurse was terminated for theft after receiving a suture for a lacerated finger which allowed her to continue to work and was terminated for using her cell phone.  A nurse was terminated for patient abandonment when she refused to take a fifth patient in a cardiac step-down unit.  

    This hospital is a union yet these things are still happening to the point where there were a number of complaints against this hospital.  The nurses are suing for retaliation of reporting unsafe conditions.  It is sad that these nurses were terminated just for doing their jobs, speaking up about the conditions and being patient advocates.  

    Studies have shown that when the patient outcomes are affected by the staff’s well-being when the staff is experiencing dissatisfaction or problems at home, patient outcomes are significantly affected.  I appreciate these nurses speaking up and trying to do the right thing to advocate for their patients.  It is unfortunate that it had to reach this point of a lawsuit to get the hospital to listen.

  2. The Pitfalls of Social Media

    Leave a Comment

    Nurses often find solace and connection in the communities we build. These communities extend beyond the walls of our hospitals and clinics, reaching into the vast expanse of social media platforms. While these platforms offer us opportunities to share our experiences, seek support, and celebrate our victories, they also present challenges that we, as nurses, must navigate with care and thoughtfulness.

    In the digital age, it’s all too easy to hit “post” without considering the implications of our words and actions. We’re accustomed to sharing snippets of our lives, from the heartwarming moments of patient recovery to the frustrating encounters with bureaucracy. Yet, in our eagerness to connect and communicate, we may inadvertently breach patient confidentiality, violate professional boundaries, or tarnish the reputation of our profession.

    One of the most pressing concerns in the realm of social media is patient privacy. As nurses, we are bound by ethical and legal obligations to protect the confidentiality of our patients. Each interaction, each diagnosis, each moment of care is sacred and must be treated with the utmost respect. Sharing identifiable information, even inadvertently, can have serious consequences not only for us but also for the individuals under our care. A seemingly harmless post can quickly snowball into a breach of trust and a violation of privacy laws.

    Furthermore, social media blurs the lines between our personal and professional lives, making it difficult to maintain appropriate boundaries. It’s tempting to turn to our online communities for advice or support when we’re grappling with the challenges of our profession. However, we must remember that what we share online can impact our relationships with colleagues, employers, and patients. Venting frustrations or airing grievances in a public forum can erode trust and undermine the integrity of our profession.  Potential employers will do their due diligence and review your social media before they hire you.

    Additionally, our online presence reflects not only on ourselves but also on the nursing profession as a whole. Each post, comment, or like contributes to the public’s perception of who we are and what we stand for. In a world where misinformation runs rampant, it’s more important than ever to uphold the values of integrity, compassion, and professionalism in everything we do, both online and offline.

    So, how can we navigate the complexities of social media while staying true to our values as nurses? It starts with mindfulness and self-awareness. Before hitting “post,” pause and reflect on the potential consequences of your words. Ask yourself: Does this respect patient privacy? Does this uphold professional boundaries? Does this reflect positively on the nursing profession?

    Furthermore, familiarize yourself with your organization’s social media policy and adhere to it diligently. Seek guidance from mentors or colleagues if you’re unsure about the appropriateness of a post. And above all, lead by example. Be a beacon of integrity and professionalism in the vast sea of social media, inspiring others to do the same.

    I have heard nurses eat their young on social media by cannibalizing another nurse. Always remember to be professional.

    In closing, let us remember that our words and actions have the power to shape the narrative of nursing in the digital age. Let us wield that power with wisdom, compassion, and respect. Together, we can build a stronger, more united nursing community—one that uplifts and empowers both its members and the patients we serve.

  3. Inadvertent Errors is one of the Leading Causes of Death in Hospitals

    Leave a Comment

    In the In the world of hospitals, where every beep and shuffle tells a story, there’s a tough truth that weighs on us nurses: 250,000 people die in hospitals every year because of mistakes. It’s a big number, but each one represents a real person with real dreams, loved ones, and stories.

    As nurses, we’re there in the thick of it all. We see the ups and downs, the hope and the heartache. We’re there to hold hands and offer comfort, but we’re also part of a system that sometimes fails people.

    It’s tough to hear that so many lives are lost because of mistakes. It’s like a heavy cloud hanging over our heads, making us wonder if we could have done more.

    But even in the face of such sadness, there’s hope. We nurses are like frontline soldiers fighting against these mistakes. We work hard to keep our patients safe, to learn from our mistakes, and to make things better.

    We need to talk about what goes wrong and figure out how to fix it. We need to make sure that patients and their families are part of the team, so they can help us catch mistakes before they happen.

    But most importantly, we need to remember why we became nurses in the first place. It’s not just about giving medicine or doing procedures. It’s about being there for people when they’re scared, in pain, or just need someone to listen.

    So, let’s keep doing our best, even when things get tough. Let’s honor the memories of those we’ve lost by working together to make things better. And let’s never forget that every life we touch is a chance to make a difference.

  4. The Silent Sacrifice: Is Your Job Killing You?

    Leave a Comment

    The commitment of healthcare providers to their patients is often unparalleled. They are the frontline warriors battling against diseases, injuries, and tragedies, striving to preserve life and alleviate suffering. However, amidst their noble dedication, a silent and somber reality persists: healthcare providers are sometimes compelled to sacrifice their own well-being, even their lives, due to a sense of loyalty or the absence of permission to leave their posts.

    This commitment is not merely a job requirement but a deeply ingrained ethos that drives healthcare providers to brave exhaustion, stress, and personal sacrifice for the sake of those under their care.

    However, within this noble pursuit of service lies a darker narrative. Many healthcare providers feel bound by a sense of loyalty to their patients and colleagues, even at the expense of their own well-being. They work extended shifts, forgo breaks, and ignore signs of burnout, driven by a deep-seated commitment to their profession and a desire to fulfill their duty to those in need.

    Tragically, this devotion sometimes leads to dire consequences. Instances abound of healthcare providers succumbing to exhaustion, stress-related illnesses, and, in the most heartbreaking cases, death. These individuals, who dedicated their lives to healing others, find themselves victims of a system that often fails to prioritize their own health and safety.

    One such heartbreaking story is that of Ashleigh Anderson, a CVS pharmacist who tragically lost her life due to the demands of her profession. Ashleigh’s story serves as a poignant reminder of the sacrifices made by healthcare providers every day. Despite facing immense challenges and personal struggles, Ashleigh remained dedicated to her patients, working tirelessly to ensure their well-being.

    Ashleigh was only 41 years old when she experienced chest pain at work.  No one was able to cover her if she left so she stayed and collapsed on the pharmacy floor and was unable to be resuscitated when help came.

    Ashleigh’s death has become a rallying cry for change within the healthcare industry. Her story highlights the urgent need for better support systems, increased awareness of mental health issues, and policies that prioritize the well-being of healthcare workers. As we mourn the loss of Ashleigh and others like her, we must also honor their memory by advocating for meaningful reform and ensuring that no healthcare provider feels compelled to sacrifice their own well-being for the sake of their patients.

    Moreover, in certain circumstances, healthcare providers may find themselves unable to leave their posts even when faced with imminent danger. During emergencies or disasters, when hospitals are inundated with patients and resources are stretched thin, providers may be prohibited from abandoning their duties, regardless of the risks involved. This lack of autonomy can leave them feeling trapped, and powerless to prioritize their own safety and well-being.

    The issue of healthcare providers dying on the job due to loyalty or the inability to leave speaks to broader systemic challenges within the healthcare industry. It highlights the need for better support systems, both for individual providers and the healthcare infrastructure as a whole. Adequate staffing levels, access to mental health resources, and policies that prioritize the well-being of healthcare workers are essential steps toward addressing this pressing issue.

    Furthermore, fostering a culture of empathy and compassion within healthcare institutions is crucial. Providers should feel empowered to prioritize self-care without fear of judgment or retribution. Organizations must recognize the humanity of their staff, acknowledging the sacrifices they make while ensuring they are not subjected to undue harm or exploitation.

    Ultimately, the stories of healthcare providers who sacrifice their lives in the line of duty serve as a sobering reminder of the profound dedication and resilience that characterize the profession. Their sacrifices should not be in vain but should inspire meaningful change within the healthcare system, ensuring that the well-being of providers is as valued and protected as that of the patients they serve. As we honor their memory, let us also commit ourselves to creating a healthcare environment that upholds the dignity and safety of all who dedicate their lives to healing others.

     

  5. How Indiana is Attracting More Nurses

    Leave a Comment

    With the continuing nursing shortage, it is estimated that one in four Hoosier nurses will be retiring by the end of the decade.  This is happening in all states.  Some states have chosen to provide $125 million to lure students into the profession.  Other states provide a living allowance alongside child care benefits.  

    House Bill 1259 was introduced in Indiana and it cleared the senate and then will be voted on by the house.  The previous law had a requirement that a nurse must have 18 months experience before they could mentor or teach other nurses. Shockingly, this language was removed.  The thought was that the facility is in a better position to judge whether someone is ready to precept without 18 months experience is really scary.  According to the only Nurse Practitioner in the Indiana legislature, a brand new nurse may not be ready to translate what they learned in the classroom into a real world scenario.  The other legislators felt that it is up to the facility to pick the right person for the right situation.  Obviously, they have never worked in healthcare.  

    The proposed legislation also discussed making it easier for foreign trained nurses.  The Indiana Healthcare Association which is the for profit nursing home association has concerns about the proposed federal legislation for mandatory minimum staffing in long term care facilities.  My position is if it is not legislated, the facilities will not do it.  Therefore, mandatory minimum staffing and a length of time to practice before you can teach or precept is important.

  6. The Success Principles Work for Everything

    Leave a Comment

    I want to share a very personal journey with you.  Eight years ago, I was planning to move to California.  I did not have a law or nursing license there so I decided to take the California Bar Exam.  I hired a coach and started studying.  I was relearning subjects I had not looked at in 25 years!  The California exam is all essay for attorneys and the pass rate was 32% at that time.  Yikes!  My coach kept saying “you can’t think like a lawyer to pass the bar.”  I wondered how else can I think, it’s only been 25 years.  I let the statistics and negative feedback get to me.  I thought all the studying was taking me away from my clients, so I quit.  I am not a quitter but I did. Was it really because of my clients?  No.  It was fear, plain old-fashioned fear because what if I failed?  I would be embarrassed and ashamed. I had already failed by quitting.

    However, last year my son passed the Indiana bar and we decided to study together to take the California Bar.  This time was different.  Why? Because of my mindset.  I did not let the low pass rate and negative feedback on my essays derail me.  I persevered.  Having a study buddy really helps! However, I realized that I still was not telling anyone for fear that I might fail.

    When you undertake a project (business), you have to be committed whatever it takes.  Commitment does not stick and life will get in the way (as it did 8 years ago).  Every minute you have to renew your commitment to do whatever it takes to help you win. 

    Next, you get to create your intention.  An intention is a predetermined outcome that will happen no matter what.  Even though I thought I wanted to take the bar 8 years ago, based on my results (quitting), my intention was really not to take the exam.  This time was different. My intention, which I reminded myself often, was to pass the California bar exam on the first try in February of 2024.  Your intention must be specific. If my intention was to just pass, it could have been on the 2nd or 3rd try.

    Lastly, intention plus action equals results.  I can’t just intend for something to happen, I had to do the work.  Your comfort zone will always pull you back in.  For me, I kept getting pulled back for my clients so I did not study as much as I would have liked.  

    When I pass, it was due to commitment, intention and hard work (study).  If for some reason I don’t pass, it was because I did not do whatever it takes.  In order for me to get a result, I had to get out of my comfort zone and face the fear and do it anyway.  

    This process has been a journey of self love and self care. I wanted to be my best for the exam so I have been losing weight and eating Keto to improve my brain function.  I also did neurofeedback to get all parts of my brain talking to each other.  It was easy to eat keto and do the neurofeedback but to get myself to sit down and study was another matter!

    Whether I pass or fail, I did it and it was an incredible journey!

  7. Should Tipping be Allowed In Nursing?

    Leave a Comment

    I do home IV therapy which provides me nutrition and hydration.  I was surprised when I was asked to pay there was a spot to tip the nurse.  While the service was outstanding, I had never thought about tipping a professional. It’s like saying thanks doc for the appendectomy now here is a tip.

    As healthcare professionals, our primary duty is to ensure the well-being and comfort of our patients. Our work is driven by empathy, skill, and a commitment to the highest standards of care. However, amidst the daily challenges we face, the issue of compensation often comes to the forefront. While our salaries may be fair, some argue that the option to receive tips could provide additional financial support and recognition for our hard work.

    On one hand, proponents of allowing nurses to accept tips argue that it could be a tangible way for patients and their families to express gratitude for exceptional care. In many service industries, tipping is customary as a gesture of appreciation for outstanding service. Nurses, who often go above and beyond their call of duty, may benefit from such recognition, both financially and emotionally.

    Moreover, in a healthcare system where resources are often stretched thin, tipping could potentially supplement income and alleviate some of the financial strains that many nurses face. With rising living costs and stagnant wages, the idea of additional income is undoubtedly appealing to some.

    However, the concept of tipping in healthcare also raises significant ethical concerns. Nursing is a profession rooted in principles of altruism, integrity, and ethical conduct. Accepting tips could blur the lines between the altruistic nature of our work and the transactional dynamics of tipping.

    Furthermore, allowing tipping in healthcare may perpetuate disparities in care. Patients who can afford to tip may receive preferential treatment, potentially compromising the principles of fairness and equality that underpin our profession. Additionally, tipping could create an environment where nurses feel obligated to prioritize patients based on their tipping potential rather than the severity of their condition or medical need.

    In many healthcare settings, tipping policies are prohibited or discouraged to maintain professional boundaries and uphold the integrity of patient care. Instead, organizations may implement alternative methods of recognizing and rewarding exceptional performance, such as employee recognition programs, bonuses, or performance-based incentives.

    As nurses, our foremost priority is the well-being and dignity of our patients. While the idea of receiving tips may seem appealing on the surface, it’s crucial to consider the broader implications and ethical considerations that accompany such practices. Ultimately, our dedication to compassionate care and professional integrity should guide our decisions regarding compensation and recognition.

    With the changing role and increased opportunities for nurses to work independently, the laws which nurses must follow have not kept up with the changing times leaving us on our own to determine if we should accept tips.

    In conclusion, the debate over whether nurses should be allowed to accept tips is multifaceted and complex. While the intention behind tipping may be to express gratitude, it’s essential to critically evaluate the potential impact on patient care, professional ethics, and equity within the healthcare system.

    As we continue to navigate the evolving landscape of healthcare, let us uphold the principles of compassion, integrity, and excellence that define our profession.

     

  8. The Silent Epidemic: Understanding Medical Errors and Nursing Practice

    Leave a Comment

    Did you know that medical mistakes are one of the leading causes of death in this country.  It is estimated that 250,000 medical mistakes occur each year.  To put it into perspective, this figure surpasses the toll of many well-known diseases and conditions, highlighting the urgency of addressing this pervasive issue. The statistics paint a grim picture, revealing a silent epidemic that often goes unnoticed amidst the complexities of modern medicine. Among the healthcare professionals at the forefront of patient care, nurses play a pivotal role in addressing and mitigating the risks associated with medical errors.

    Medical errors encompass a wide spectrum of mistakes, ranging from misdiagnoses and medication errors to surgical complications and preventable infections. They can occur at any point along the continuum of care, from the initial assessment and diagnosis to treatment, monitoring, and follow-up. Factors contributing to medical errors are multifaceted and include system failures, communication breakdowns, human factors, and organizational culture.

    In the complex web of healthcare delivery, nurses serve as linchpins, bridging the gap between patients, providers, and healthcare systems. As frontline caregivers, nurses are uniquely positioned to detect, prevent, and mitigate the risks associated with medical errors. Their holistic perspective, clinical expertise, and unwavering commitment to patient advocacy make them indispensable allies in the pursuit of safe, high-quality care.

    Nursing practice intersects with various aspects of patient safety, offering numerous opportunities to identify and address potential vulnerabilities within the healthcare system. Through vigilant assessment and critical thinking, nurses can recognize early warning signs, anticipate complications, and intervene proactively to prevent adverse outcomes. By fostering open communication and interdisciplinary collaboration, nurses promote a culture of safety where concerns can be voiced, ideas shared, and solutions devised collectively.

    Medication management represents a key domain where nursing practice plays a crucial role in reducing the risk of errors. From medication reconciliation and administration to patient education and monitoring, nurses assume primary responsibility for ensuring the safe and effective use of medications. By adhering to established protocols, conducting thorough medication assessments, and advocating for medication safety practices, nurses help minimize the potential for adverse drug events and medication errors.

    Furthermore, nursing practice encompasses patient education and empowerment, empowering individuals to actively participate in their care and make informed decisions regarding their health. By providing clear, concise information about diagnoses, treatment options, and self-care strategies, nurses empower patients to become partners in the healthcare process, thereby reducing the likelihood of misunderstandings, non-adherence, and adverse events.

    Beyond the bedside, nurses also contribute to quality improvement initiatives aimed at enhancing patient safety and optimizing healthcare delivery. By participating in root cause analyses, incident reporting systems, and evidence-based practice initiatives, nurses help identify system weaknesses, implement corrective measures, and promote a culture of continuous learning and improvement.

    In conclusion, the staggering toll of medical errors underscores the critical importance of nursing practice in safeguarding patient safety and mitigating the risks associated with healthcare delivery. As advocates, educators, and leaders, nurses embody the core principles of patient-centered care, striving to uphold the highest standards of excellence and integrity in their practice. By embracing a culture of safety, collaboration, and continuous improvement, nurses can help turn the tide against medical errors, ensuring that every patient receives the safe, compassionate care they deserve.

    Together, as we confront the challenges of an ever-evolving healthcare landscape, let us reaffirm our commitment to patient safety and celebrate the invaluable contributions of nurses in shaping a healthier, safer future for all.

     

  9. Nurses Under Financial Stress

    Leave a Comment

    Recently, there have been 2 nurses on social media that discussed the financial difficulties.  One of the nurses lives in his van which he revamped to include a bed, micro kitchen, toilet and solar on the roof.  It is concerning that nurses have this level of stress when it comes to finances.  Nurses are the hardest working people on the planet and should be paid accordingly.

    There are practical steps you can take to navigate financial difficulties and regain a sense of stability. Here are some strategies to consider:

    1. Assess Your Financial Situation: Start by taking a close look at your income, expenses, and debts. Understand where your money is going each month and identify areas where you may be able to cut back or make adjustments.
    2. Create a Budget: Establishing a budget is crucial for managing your finances effectively. Allocate your income to cover essential expenses such as rent/mortgage, utilities, groceries, and transportation first. Then, prioritize debt repayment and savings goals. Be realistic about your spending habits and make sure your budget is sustainable in the long term.
    3. Explore Additional Income Opportunities: Consider seeking supplemental sources of income to supplement your nurse’s salary. This could involve picking up extra shifts, freelancing in your field, or exploring alternative career paths that align with your skills and interests. Just be mindful of maintaining a healthy work-life balance and avoiding burnout.
    4. Take Advantage of Benefits and Resources: Make sure you’re fully utilizing the benefits offered by your employer, such as health insurance, retirement plans, and employee assistance programs. Additionally, explore community resources and government assistance programs that may provide financial support or assistance with basic needs.
    5. Prioritize Financial Goals: Set achievable financial goals that align with your priorities and values. Whether it’s building an emergency fund, paying off debt, or saving for a major expense, having clear objectives can help you stay motivated and focused on improving your financial situation.
    6. Seek Financial Education and Support: Take advantage of financial literacy resources and educational opportunities to improve your understanding of personal finance. Consider attending workshops, reading books/articles, or seeking guidance from a financial advisor or counselor who can provide personalized advice and support.
    7. Practice Self-Care and Mindfulness: It’s important to prioritize self-care and mental well-being, especially during times of financial stress. Find healthy ways to cope with anxiety and overwhelm, such as practicing mindfulness, exercising, spending time with loved ones, or engaging in hobbies and activities that bring you joy and fulfillment.

    Remember, navigating financial challenges as a nurse requires patience, persistence, and resilience. By taking proactive steps to manage your finances and seeking support when needed, you can work towards achieving greater stability and peace of mind. You deserve to thrive both personally and professionally, and with determination and resourcefulness, you can overcome any obstacles that come your way.

     

  10. Be The CEO Of Your Business

    Leave a Comment

    When I first started my business, I could not afford to hire anyone to help with the administrative aspects of running a business.  Once I was able to grow, I hired part time assistants.  They would work for maybe a year to a year and a half and then they would move on.  This happened over and over and it was hard to find part time help.

    Almost 12 years ago, my part time assistant was going to start her clinicals in school and gave two weeks notice. In my solemn, I went to have breakfast at a place up the street.  I knew the server, Amanda because I ate there frequently.  Amanda took one look at me and asked “what’s wrong?”  I told her the situation and asked if she knew anyone. She said she was looking but wanted full time.  I looked at her and wondered how can this 18 year old help me and my LNC business.  Then I looked at all the tables she served.  Everyone looked happy with their order and their glasses were full.  I thought if she can manage this group of people, she could certainly help me manage my cases.  I had no idea how I would pay her.  I worried with paying her first, there may not be money left for me.  However, I spoke to my coach and she said if you have a part time mentality, you will have a part time business.  She also gave me the best advise ever.  She said make decisions from where you want to be, not where you are.  If you make decisions from where you are such as I can’t afford it, you will stay in the same place.  

    I took a chance on Amanda and it was the best decision I ever made.  I am thankful for her daily as we grew my business together.  So now, my motto is Be the CEO of your Business.  Now when I need to make decisions in my business, I ask what would a CEO like Jeff Bezos do?  When you make decisions as the CEO and focus on expansion, your business will grow.

As Seen On: