Discharge instructions may equal confusion

Written discharge instructions shouldn't be our only source of discharge education. I am a big fan of the teach-back method. That way you can be sure if your patient really understands the instructions and responsibilities.

Independence Day — for all

Yes, July 4th is right around the corner. Time to think of backyard barbecues, fireworks, blockbuster movies and ... §483.25 — Quality of Care.

Time to end the Dickey Amendment — for good!

The Orlando mass shootings and killings last weekend have brought out the absurdity again: Research on gun safety and violence by the Centers for Disease Control and Prevention has been halted for years. This insanity has to stop.

Keep up with the population

When people ask me how I take my coffee, my answer is "Seriously, very seriously!" This is no joke. Just ask my well-trained (and very tolerant) husband, who knows to avoid me until I have had my first cup.

What's in a name? ... Adding insult to ulcer

Names have the ability to impact us in ways we may not imagine. What strongly comes to mind is the unintended consequences of the updated pressure ulcer staging recently released from the National Pressure Ulcer Advisory Panel.

Time again for the most imaginative call-out excuse

It's time again for the nearly annual "most imaginative reason to call-out" blog. What is the most imaginative call-out you have ever received by somebody wanting to take a day off work? We've heard some wild ones.

Commanding respect from the disrespectful

I started my nursing career in a very busy teaching-hospital operating room. I loved the excitement, the anticipation of the surgeon's needs. But what I didn't love was the utter disrespect many of the surgeons had for the nursing staff.

A right of passage or a risk of passing?

When I die, I want to go like my grandmother, peacefully in her sleep ... not like the three passengers screaming in the back seat of her Buick! (OK, old joke). But what isn't a joke is elders with cognitive impairment and safe driving.

Planning for the unplanned: They ARE eventually going to leave!

OK, in the title I'm not talking about your proverbial brother-in-law who is staying on the couch, or your college-graduated kids ... because we all know they're NEVER leave going to leave. I'm talking about your residents.

What I wish I knew back then

I saw a question on LinkedIn asking you to think back to your first job and what you wish you knew back then that you know now. It really got me thinking. After pondering on it for a while, my answer is ... "nothing."

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.