This is one of the earliest pics I took for my site. It was taken just after my 18th birthday! I had never done ANY modelling before and to be honest I had no idea what I was doing :p I think this is a nice pic though – my boobs look massive lol .
LÄNGE LEVE SJUKVÅRDEN!
En svagt orangefärgad kvällssol tittar fram mellan två cumulusmoln och lyser ner på den stora trädgården. Jag, barnen och flertalet andra har samlats utanför kyrkan i Kungsbacka för den årliga ”städkvällen”. (Ja, vi har flyttat till Kungsbacka nu… mer om det en annan gång.)
Humöret är på topp när jag börjar gräva i jorden för att få bort lite ogräs. Men jag hinner inte långt förrän min brorson ropar mitt namn.
”Louis, det har hänt något med Clara!”
Jag tittar upp och ser att han bär på min dotter. Men jag ser också något mer. Tröjan, händerna, en del av håret och hela ansiktet är täckt av blod.
Chockad springer jag fram till Clara. Jag undersöker snabbt kroppen i hopp om att se vad som kan ha hänt henne, för något svar kan jag inte få ur den skrikande flickan.
Till slut hittar jag källan till eländet: ett stort jack i pannan. Tydligen, fick jag senare höra, hade hon under en lek sprungit rakt in i en vass stolpe.
Jag och pojkarna – som inte ville lämna sin lillasyster – får skjuts till akuten där vi rusar in med flickan i famn till informationsdisken. Där uppstår det dock en märklig situation.
”Jaha…?” säger sjuksköterskan, nästan lite irriterad över att vi inte har tagit en nummerlapp. ”Och vad behöver ni?”
”Ja, vi behöver hjälp såklart!” svarar jag. ”Min dotter här, hon har skad…”
”Det blir nog bra!” avbryter hon.
”Ja, det hoppas jag”, svarar jag, behärskad på utsidan men upprörd på insidan. ”Men flickan här är vettskrämd av allt blod som fortfarande rinner ut ur pannan. Hon skulle behöva…”
”Åh, det är ingen fara.” avbryter hon igen. ”Man har sex timmar på sig att ta hand om en sådan skada.”
Nu blir mina söner också röda i ansiktet – av ilska. I synnerhet Johannes. Han knyter sin näve som om han var redo att knocka ner den nonchalanta kvinnan.
Jag tillrättarvisar honom med blicken (även om jag själv känner likadant) och kvinnan fortsätter: ”Då… ska… vi… se…”, säger hon i slowmotion och tittar på min dotter. ”Vad… heter… du… då?”
Clara, som fortfarande skakar av smärta och rädsla, stirrar blint på kvinnan och får inte fram ett ljud.
Åh hjälp! tänker jag. Hur fick den här människan jobb här! ”Hon heter Clara!” svarar jag upphetsat. ”Jag skulle uppskatta om vi kunde…”
”Och… vad… har Clara… för personnummer?”
”Öh… ja, tyvärr kommer jag inte ihåg de sista siffrorna”, säger jag och förbannar mig själv. ”Det är min fru, som är på föräldramöte just nu, som har koll på det där.
Sjuksköterskan skrattar. ”Ja… så brukar det vara.”
Jättekul, muttrar jag medan kvinnan tar ytterligare tio minuter på sig att fylla i alla viktiga blanketter.
”Varsågoda att sitta ner i väntrummet!” säger hon till slut.
”Jaså, hur länge då?” undrar jag.
”Det kan nog dröja ett par timmar.”
”Va!?”
Fortsättning följer…
As a nurse I must often get orders for over the phone from doctors. That shouldn’t be so difficult. And it usually isn’t, unless there’s a language barrier… or more accurately, an accent barrier. Any doctor who is on staff at our hospital speaks English. However, some have spoken English their whole lives and some seem to have learned this novel language rather recently. This can make the task of transcribing these all-important, life- or- death orders to paper a challenge.
Dr. Mysterioso was one of these challenges. Dr Mysterioso immigrated from Cuba as an adult and never quite got the hang of our slow, gutteral English language. He would speak at speeds that could make your head spin. His transmutation of all vowels and general disdain of all consonants made a simple statement such as “Is the patient in his room?” Sound more like “Ees d pashuneenees rume!” Though I really liked Dr. M, I always dreaded taking telephone orders from him. Not only could I not understand 90% of what he was saying, but I would lack the possible clues to his meaning by seeing facial expression and frantic pointing that a face to face conversation would give me.
“CALL ON LINE 2 FROM DR MYSTERIOSO TO GIVE ORDERS”
**sigh** “This is Nurse Jane, can I help you Dr Mysterioso?”
“Jes I wude lie to geev to you odors on Meestra Meesl.”
“Orders? On who sir?”
“Meestra Meesl.”
“I’m sorry…?”
“De pashune Meestra Meesl”
At this point I would frantically flip through charts to find a name, ANY name, that might be the English equivalent of Meestra Meesl. Let’s see… Hmmm… Baker, Greenstein, Powers, Ungersen, Mitchell… MR. MITCHELL! THAT’S IT!! My relief and joy at successfully deciphering the patient’s name was quickly overshadowed by the realization that we barely had gotten started.
“Yes. Mr Mitchell. Go ahead doctor.”
“I wu lie to jeesconteen hees apeereena.”
“Pardon me?”
“I wu lie to jeesconteen hees apeereena”
“Sir? I’m sorry. His Afrin? He’s not on Afrin.”
“No, no nee Afreena. No Nesary. Jeesconteen Apeereena.”
There are now beads of sweat forming on my upper lip. I am madly scanning the patient’s chart… it must be here!! What is it? What is it!? Apeereena…Apirina… Aspirina… ASPIRIN. Oh thank God. Another hurdle cleared!! Home stretch! He wants to do something with this man’s aspirin… BUT WHAT?! ”Aspirin. Of course Dr M. Heh heh. I think we must have a poor connection and the housekeeper is cleaning the floors up here and making all kinds of racket in the background, sir. Sorry about that. Trouble hearing you for a minute there.Heh heh. Now… did you say ‘discontinue’ or ‘just continue’ the aspirin, sir.”
“Jes”
“”Ummm. Yes. Discontinue or Just continue?”
“Jes”
“Which one sir?”
“Jes. Jeesconteen”
Now my armpits are sweating and I am madly punching the volume up button on the phone in a vain attempt to convert the sounds coming out of the receiver to something akin to English. Like an idiot, I am repeating the name of the medicine to buy time as I try to figure out what the hell he is trying to say to me. “Yes, doctor. Hmmm. Aspirin.”
“JES! Jeesconteen! Jeesconteen! Jeesconteen apeereena! You unnerstaan me, no?”
At this point- humiliated and defeated- I lie and say “I understand sir. Jeesconteen apeereena.”
“Berry gude. Tank you, nus.”
“You’re welcome, Dr Mysterioso. You have a great night.”
and are popping up everywhere. Basically, they make print materials interactive. Smart phone users can scan the codes or Tags using specified apps, decoding the data which may contain contact information, URLs, you name it. recently used Microsoft Tags to give away tons of prizes in their August issue, and I’ve seen more and more snail mail – particularly advertisements – include QR codes. For example, my cable company recently sent me a booklet of upcoming watch-on-demand movies along with a QR code linking me to the movie trailer, which I can conveniently view directly on my iPhone. Clever. I’ve even started incorporating QR codes into my nursing education efforts.
Allure Magazine recently used Microsoft Tags to give away over 30,000 beauty & fashion products.
I’ve recently become enamored with QR codes and Tags. Not only are they fun to scan and “neat” tech, they’re like a hyperlink for hardcopy print materials – truly useful. With smart phone adoption on the rise, QR codes and Tags are a natural progression, and I’ve pondered their use in healthcare. Nurses and other healthcare professionals have been scanning barcodes for medication administration and laboratory services for a while now. However, I think QR codes and Tags can make a paradigm shift in dispensed medication – both over-the-counter and via Industry/corporate pharmacies.
Both companies and pharmacies could add a QR code/Microsoft Tag to the medication label for patients and/or healthcare professionals to scan and directly access the patient medication information sheet. I know I always trash my OTC boxes and paper inserts, and I’m forever misplacing the patient education information sheets for my prescribed medication. It would be nice to have that information easily accessible with one simple scan via my iPhone. Along the same thought, I know other nurses share my experience of a patient bringing in a box of OTCs and random pharmacy pill bottles. It would be awesome to scan each med to quickly learn about interactions, side effects, etc. It would be even more fabulous if that info could sync into the electronic medical record. I know I’m dreaming now, but really – the possibilities of QR codes and Microsoft Tags within the pharmaceutical industry are both impactful and feasible.
So, to any corporation that sells or dispenses medication: Maybe you’re already working on this. And maybe others have mentioned this, as well. It’s simply the thought of a nurse to make life – for the public and healthcare professionals – easier.
I just got off the phone with my latest orientee who finished her first solo shift today.
Her first words were “I hate you!”, followed by a laugh. “Why weren’t you with me today?”
I listened as she described her worst day ever filled with several sick, sick patients. It sounded like a truly grueling shift even for an experienced nurse.
I was so proud as she explained the problems she faced and how she responded.
I know I can’t take all the credit, but it’s a great feeling to play a role in someone’s success.
Aszani Kunkler, CNM, MSN, CLC at Health Foundation's free baby weigh-in last week.
(location of , 968 Grand Ave.) is offering a weekly chance to have your baby weighed for free!
Just pop in any time between 12-2:30 p.m. Check in with Aszani Kunkler, CNM, MSN, CLC— she’s an experienced lactation consultant, and will be available to answer questions and help track your new baby’s weight on a World Health Organization growth chart.
Aszani will be upstairs in the yoga studio space right after my (Alisa’s) BYOB class, which starts at 11 a.m. Come for yoga with your baby, and stay to find out how big your little one is getting!
Feel free to hang out, prop yourself against a pretty pillow, nurse, and chat, too. What a great way to meet other moms, and chat with a lactation consultant about any burning nursing/feeding questions that might be on your mind.
Love,
Alisa, Sarah & the women of Blooma
Here is an article that states exactly what I have been thinking all along. Folks, the nursing shortage is still here. All that happened recently is that our economy took a downturn and nurses went back to work after long “vacations from nursing” or nurses who wanted to “retire” simply were unable to do so. The median age of nurses is getting older and with all these factors, there simply has to be a shortage of huge proportions in the very near future. When our economy recovers–note I said when not if–those nurses who want to retire will do so, those nurses who came back to nursing to support the family will go back to caring only for the family, the older nurse working now will start leaving the profession to actually “have a life” and who will be there to fill that void? Voila! A nursing shortage!
My biggest concern about new nurses right now is that many may be entering the field for all the wrong reasons. Nursing is really a calling, not a job. I hope all the new nurses understand that and come prepared to stay the course for their patients. I’m not sure that will be the case, but I can try to remain hopeful and positive.
So, what do you think?
_____________________________________________________________________________________________
Monday, August 30, 2010; 10:34 AM
For years now, we’ve been hearing about the nursing shortage in this country. Is that still the case? On the whole, yes, say nurse recruiters throughout the Washington metropolitan area, though there has been a temporary “blip” as a result of the recession.
“The economy has certainly had an impact on the job market for nurses, as nurses who were planning to retire have delayed those plans, part-time nurses have requested additional hours, and full-time nurses have sought additional shifts,” says Dennis Hoban, Senior Director of Recruitment for Washington Hospital Center.
But, while short-term the nursing shortage appears to have eased, looks are deceiving, says Hoban. “Long-term, we’re still expecting a shortage for years to come.”
Washington Hospital Center is still hiring both new graduates as well as more experienced nurses, says Hoban, but adds that the application process is more competitive than it has been in recent years, and new grads may have to shift their expectations somewhat. “While we’re always looking to hire nurses, not every unit will have openings,” says Hoban.
In the recent past, new graduates were able to pick and choose their desired area of specialty but openings for new nurses are not as plentiful at this time, agrees Darlene Vrotsos, Vice President and Chief Nursing Officer at Virginia Hospital Center. “Today, employers are searching for factors that will set candidates apart from the rest of the competition,” she says. “Therefore, it is crucial to be flexible and open to where the opportunities are when it comes time to begin interviewing.”
Another way to improve your chances of being selected for a position is by having a customer service attitude, Vrotsos advises. “Today, this skill set is as important to patient outcomes as are critical thinking and technical nursing skills,” she says.
Obtaining employment while still in school as a Certified Nursing Assistant, Patient Care Assistant, or Clinical Technician can also enhance the chances of acquiring a position as a new graduate when the time comes, Vrotsos suggests. “This helps you become acclimated to the clinical environment, while giving your potential employer the opportunity to observe your work ethic and performance first-hand.”
Virginia Hospital Center brings new graduates into all specialties and provides fellowships that are tailored to the individual.
While the 2008 economic downturn has minimized the effects of the nursing shortage, Inova Health System’s nursing and human resource strategists are planning for the near-term when the improving economy will mean nurses are in greater demand. According to Dr. Patti Connor-Ballard, RN and Interim Chief Nurse Executive, despite the lower vacancy rates resulting from the present economy, Inova continues to hire new graduate and experienced nurses to help fill vacancies resulting from promotions and other career enhancement opportunities.
Realizing that the nursing shortage will soon resurface, Inova Health System is committed to its investments in the new graduate fellowship nurse program, designed to provide supplemental education and training to new graduates. “Inova plans to select a number of new graduate nurses who distinguish themselves among their college peers for on-the-job education, mentoring, and training for medical, surgical, oncology and some critical care areas,” says Connor-Ballard.
Inova also continues to seek experienced nurses to provide patient care while allowing for promotions of nurses who are interested in exploring a secondary field of interest such as informatics, professional practice, or quality. Inova also seeks highly trained nurses for areas where there are expansions due to new service lines or new facilities.
According to Connor-Ballard, Inova Health System remains fully dedicated to meeting the evolving needs of the communities it serves by providing the highest quality of nursing care available. “This realization requires Inova to continuously recruit, train, and develop nurses who provide safe and uncompromising care,” she says.
Even in the midst of an unsteady economy, the good news is that nursing remains an excellent career choice, says Eileen Dohmann, Vice President of Nursing at Mary Washington Hospital. “The flexibility and variety that nursing offers continue to be an attractive draw.”
While Mary Washington hired fewer new graduates last year than it has in recent years, Dohmann expects those numbers to increase in the near future. “I don’t want people not to go to nursing school because they think there aren’t jobs available, because that’s just not true,” she says, adding that Mary Washington is in an excellent position to hire more nurses as the economy improves because it is both located in a growing area and is a growing organization itself.
If you’re a new graduate or soon will be, Dohmann recommends looking for a position sooner rather than later, as well as considering different geographic locations, and different kinds of nursing.
“Get experience anywhere you can,” Dohmann advises. And most importantly, she adds, “Don’t give up.”
This advertorial was contributed by Carol Sorgen (carol@charm.net) in conjunction with The Washington Post Special Section Department. The production of this supplement did not involve The Washington Post news or editorial staff.
5 Ingredients of Volunteers We Want
Today I am going to reveal 5 things that volunteers must understand to be great Desert Ministries’ volunteers.
In early July we set out to author a completely new volunteer training manual. Desert Ministries wanted the handbook to be industry-leading and useful for any programs that might crop up at a later date.
We see the “writing on the wall.” We know that soon this country will have far more elders than we know what to do with. When that time comes there will be a need for quality training for quality volunteers.
So what must volunteers understand if they are going to thrive while serving frail, institutionalized older adults?
As an organization, Desert Ministries has revealed five ingredients that volunteers must understand to become great volunteers.
Volunteers must understand Community
This means that volunteers have to come to grips with working with and alongside other volunteers and working as subordinates to the long-term care staff. But more than this, Desert Ministries expects its volunteers to take it one step further, from working with, to becoming partners with other volunteers and the staff of these facilities. Simply speaking, there is no room for ‘Lone Ranger’ work. You folks need each other.
We recognized after some time that our paradigm of volunteer placement must be changed to uphold our values. To provide for this, our new training program will place volunteers at a singular facility after group training is complete. By doing such, we are hoping to create community, friendship and a sense of camaraderie. Although the volunteers being placed may/will volunteer at different times, our expectations are that every two months these teams that have been trained together will return to a mutually agreed upon location to strengthen the community as well as continue to strengthen the volunteer.
Volunteers must understand Presence
With over 5,000 older adults living in nursing homes in the Omaha area alone, it is fair to assume that at least 2,500 of these older adults never receive any visits from anyone. Their voices are never heard. They do not enjoy the benefits of relationships like you and I.
Their loneliness kills.
Our volunteers know that. You don’t have to be super talented to be a volunteer with us. You don’t have to be Superman, but you do have to be present and you have to allow your presence to be the primary work of your ministry. Your presence is a healing power that cannot be explained.
Some of the greatest moments in my life have come not when I was in dialogue with a person, but when I was sitting quietly or reading Scripture or singing to a person that was taking the final breaths of life. In those moments I learned the art of loving and came to grips with my own ineptitude.
We believe that the same will happen to our volunteers.
Volunteers must understand Selflessness
Selfish or selfless?
Volunteers that want to come and serve must be aware of the self and its ability to “bite and “get in the way” of true service. Often times frail, institutionalized older adults can be difficult to serve, but our love must compel us to love them and serve them anyways. Pain, frustration or many other day-to-day annoyances may cause them to be unlike themselves. Yet, we must always remember that we are there to serve them and not ourselves. This is often a difficult thing to learn. To be treated badly by anyone can be difficult, but it can also be rewarding in the end.
Volunteers must understand Compassion
In essence, “Compassion” means “to identify with another.” Is this possible? I think it is if we learn to reserve judgment, if we learn to leave our “selves” at the door and enter into a place of service, thinking only of that other person that we are about to care for. However, it also means entering into a place of equality with another individual where the other individual is always our equal; regardless of the circumstance.
Oftentimes people enter into hospitals or nursing homes filled with pity. This leaves too much room for making people “projects,” whereby we want to “make someone better.” That is not our mission here. In fact, upon entrance into the nursing home, our elderly friends will “smell” your project a mile a way. Fraudulence such as that wreaks!
For an individual to give compassion to another, individuals always must remember equality: we are all equally broken. We are all wounded and torn. Once we have wrapped our heads around that, we can more greatly serve the other with mercy and love. Once a volunteer has learned that, then he or she can begin to develop a relationship with the older adult and penetrate the life of and identify with the elder.
Volunteers must understand Commitment
There is nothing quite like keeping a date. Our institutionalized elders expect our volunteers to be there when they say they will be. So do the staff. So do we. When you become a volunteer at Desert Ministries you make a big commitment to the frail, older adults that you have set out to serve.
There is no doubt that commitment in America is lagging. Finding committed people to do much of anything is difficult. People break up and feelings get hurt. Yet, volunteers must understand that what they say they must do. As simple as that.
The Question
So the question is, would you like to be re-engaged with Desert Ministries? Would you like to give it another go? Maybe you started off with the intention of giving the frail, institutionalized older adults everything that you had and you just got too busy and you quite serving. Maybe you got frustrated and you quit. We understand all of those things.
Or maybe you are still serving, but it isn’t quite the same as it used to be. You need to be re-ignited. We can help you with that as well. Our new training will give you new concepts and ideas.
What we would like to do is offer you another chance for re-engagement. A chance to come back, be re-trained, this time with stuff that we think is really quite good. Then we will re-place you back in your environment.
Think about it. If you would like to be involved, give me a shout either by email or by phone and we will set it up.
The training manual is $35 and it is worth every penny. The next training session starts Friday, October 1 and will continue into Saturday, October 2. It will be great. If you can’t make that one then there will be one scheduled also for November 19th and 20th.
I hope to hear from you.
In Service,
Andrew S. Dungan, MACE
Drew Wilson, RN
By Kevin McKeough
Having spent 13 years working as a psychiatric nurse, Drew Wilson, RN, now an operating room nurse at , is used to responding quickly to volatile situations. Wilson’s instinct to help people and act decisively recently led him to help rescue residents trapped by an early-morning fire in an apartment building across the street from his home in Hobart, Indiana.
The fire occurred at 5:30 a.m. on Aug. 10, while Wilson was getting ready for work. “I heard explosions and looked out the window, and I saw flames coming out of the bottom building,” he says.
Wilson ran out the door to see if he could help and discovered that the fire already had spread to the apartment building’s stairs, causing residents on the second floor to jump from the building. He and another onlooker helped catch one man, and then he grabbed hold of the feet of a man hanging from the windowsill and helped lower him to the ground.
Wilson then went to the back of the building to check on other residents and saw two men sitting in their windows. “They were bigger guys, and if they had jumped they would have been hurt,” he says.
He got a ladder off the nearby truck of one of the men he’d just helped, put it against the building and held it while the men climbed down. “By that time the fire was shooting out the roof of the building,” Wilson says. “The heat wasn’t so bad at that point, but the explosions were unnerving.”
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