Learning by doing

OK, so here is something I totally don't understand. It has to do with how a lot of nursing staff think about new hires. (Probably Chapter 2 in my imaginary book, "Eating their young / a nurse's guide to orienting and mentoring.")

Fear of intimacy

Intimacy ... I'm not writing about where one partner is hounding the other about fear of opening up and getting close. What do they say — "It's me, not you"? What I am writing about is fear of getting close to our residents.

C'mon, give me a hug!

With so many obscure holidays out there, I notice there is no "National Appreciate a Nurse Day." Nursing Home Week and Nurses' Week do not count. I want a day to put on my tiara and not feel weird about it!

Let them eat cake!

As our long-stay residents age in place, often we see them get to a point where we begin to notice that they are reducing their intake. Often, they are prescribed less-than-desirable-tasting supplements. I saw let them eat cake!

Dreaming of a Quiet Christmas

Next year, I'm going to have a new year-end holidays theme song. Using the melody of that Bing Crosby chestnut that sold millions and millions of copies, it goes something like this (hum along with me):

Dealing with the 'S' in Communication

I know, I know, you're looking at the title and thinking I lost my mind. Where is the 'S' in word communication? Oh, but I say yes, it is there and I see it. You see, we all receive communication with certain sensitivities.

How to be thankful

There is one thing that makes us unique, able to rise upon the rift between the right and left and remind us daily what we have to be grateful for. I can put it into one word.

Don't be like 'The Walking Dead'

Sometimes we get so bogged down in what we are doing that we forget why we were doing it in the first place. Unfortunately, my favorite TV show doesn't seem to realize this. Don't do the same.

Documentation is like cotton candy

Very often, the nursing progress note documentation is like cotton candy. You think it looks really good but when you get down to it, it's just a sticky mess! Or, just a bunch of fluff with no substance. Electronic medical records systems often compound this issue.

Autonomy and risky business

Let's face it, nursing home culture change and honoring resident choice can still bring about an anxiety attack to the most laid back of nurses. Promoting resident autonomy without exposing providers to a risk of liability is kind of an oxymoron. But we've all heard it: "No risk, no reward."

The Real Nurse Jackie

The Real Nurse Jackie is written by Jacqueline Vance, RNC, CDONA/LTC, a 2012 APEX Award of Excellence winner for Blog Writing. Vance is a real life long-term care nurse. A nationally respected nurse educator and past national LTC Nurse Administrator of the Year, she also is an accomplished stand-up comedienne. The opinions supplied here are her own and do not necessarily reflect those of her employer or her professional affiliates.