What to do if you are a patient or have a loved one in the Emergency Room

This post is dedicated to all the other nurse family members and friends out there.

As the emergency nurse in my family and friend circle, I am almost always one of the first calls or texts by people when they wind up in the ER or have a loved one that is an emergency patient.

First and foremost - I always tell the person on the other end of my call or text that I am so sorry that this is happening but please know that if you or your loved one is being taken to the emergency department, you most likely need to be seen by a medical provider and that the hospital is THE PLACE to be evaluated for all things medical. This often helps calm the person or at least put some of their concerns in perspective.

Next - I always validate whatever feelings they are having. It is normal to freak out when going to the ED or hearing that your loved one is going there. We do not have to be rational in a moment of crisis. Give people space to be emotional. Validate those feelings, then try to guide them back to the practical. I feel that is the greatest gift a nurse friend or family member can do - direct a person in crisis to something practical and addressing the scary unknown.

Now, if you’re reading this and you are not a nurse or medical person, WELCOME to the organized chaos that is emergency medicine! I am hoping this blog post will help clarify some of the confusion that you may be feeling and give support by answering some of the most common questions that I get as an emergency nurse friend and family member.

Clarification on the method to the madness that is emergency medicine:

• Is it the ER or ED? Emergency Room vs. Emergency Department

  • Funny thing, it’s both. - The Emergency Department (ED) is the same thing as the Emergency Room (ER). You see, the specialty of emergency medicine was born in a room and originally, seemed confined to those original four walls. As the specialty became more advanced and comprehensive, we took up more than a room, and the ER went through a re-branding to become the emergency department. In common nomenclature and thanks to Hollywood, ER will always be more widely used. ED also stands for ‘erectile dysfunction’ in medicalese, so there is that challenge too.

• What happens when I or my loved one arrives to the ED?

  • The short answer: lots of things. - Being a patient in the ED is like being a Nascar car that just arrived in the pit and is getting a quick turnover by the pit crew. Upon arrival, a patient will be quickly registered in the computer system - this means that their name, DOB, and other personal data will be put in the computer to create a digital chart that medical providers will use to document their care. This is not when they ask for your health insurance.

  • At the same time as registration, the patient will be taken one of two ways into the ED (assuming no one is ahead of them) >> to the triage room/area or directly to an ED exam room. In either case, the patient’s vital signs (i.e. heart rate, blood pressure, oxygen saturation, respiratory rate, temperature) will be taken and documented, lots of questions asked about their health history (things that have happened to them in the past medically), about their current issues that have brought them to the ED today (AKA “Why are you here today?”), current medications, and screening questions that they ask everyone related to domestic violence (“Do you feel safe where you live?) and suicidal thoughts (“Have you thought about ending your life, harming yourself, or others?”). Do not take these screening questions personally. They are often mandated by a regulatory body to be asked to everyone who can answer them.

    • In the time of COVID-19, ED’s are incredibly full of patients 24/7 so more realistically, you will be waiting in the waiting room for a very long period of time (think many hours) if you come by private vehicle (AKA your car) or a very long time on an EMS gurney if you come by ambulance. There is also the chance that if you come by ambulance, you will be re-directed to the waiting room too to wait. I am sorry. This is just the reality of emergency care at this time.

  • As these questions are being asked, orders may be placed for an EKG, blood labs, medications, IV placement, or imaging like X-rays, ultrasounds, or in some cases, CTs ( AKA Cat Scans - no cats involved). If this is the situation, you may be quickly poked or transported somewhere to have pictures taken of various body parts. This is good. You want answers and to get answers, tests need to be done. However the results of these tests may take anywhere from 45 minutes to hours to come back. A medical provider will review any abnormal results with you at a later time.

  • To complete many of these tests, you will need to be undressed to your birthday suit and placed in a hospital gown and socks with those rubber skids on the bottom. Please do not fight medical staff as they try to undress you. It is for medical reasons and not our entertainment that we need to get you naked. if you have cultural needs that need to be addressed like needing a specific gendered medical staff to assist you while undressing or religious garments that need to be maintained in a certain way, please let your medical staff know, and they will do their very best to make those accommodations while also meeting your medical needs as quickly as possible.

  • All of these events can happen concurrently which is often why the patient feels like the car getting handled by a pit crew. Lots of stickers may suddenly be attached to you with cords going all over the place. There may be pokes with needles or probes in various orifices. You may be asked to produce body fluid samples like urine or sputum while all this is happening. None of this is ideal or often comfortable, but know that we are asking you to do each task with the goal of getting you the care that you need rapidly and efficiently.

• After the initial triage or intake process is completed for my loved one, does that mean I saw a MD/doctor/provider such as an NP or PA?

  • Maybe! But probably not. - Sometimes a physician or advanced care provider (NP/PA) will see you as soon as you arrive to the ED. Most often, it will take anywhere from a few minutes to several hours to see a physician during your visit. Average ED visits in the United States take anywhere from 4-8 hours, often longer in our current pandemic world.

  • If I am not immediately seen by a MD/provider as soon as I arrive, are things even happening those first few minutes to hours?? - Fear not! Lots of things will happen before the MD/provider physically sees you. Thanks to collaborative care and technology, many things will be ordered on you based on your “complaint” or reason why you are in the emergency department. Labs, scans/x-rays, medications, IVs, fluids and more are ordered “per protocol” or through “standing orders” and will be started as soon as you are seen (when applicable).

  • What if I get there and nothing happens? - This may happen too. If that is the case and you are waiting for an extended period of time in the waiting room, there is a reason. There is always a reason. However nothing is perfect and if you feel that you are there for a very big reason, check back in with the front desk. However if they say there are lots of sicker people who are waiting ahead of you, get comfortable and try to be patient as you wait your turn.

• Why aren’t I being seen faster?

  • Who gets seen first in the ED - The order of who gets seen first is not based on when people get there. It is based on a combination of complaint or illness/injury severity, timing, and who shows up next. Remember that the ED has two entrances - the front entrance where triage and the waiting room is + the ambulance entrance which you cannot see from the waiting room. The waiting room may be empty but ambulances might not stop coming, so it may appear that the ED is not busy from the waiting room while all the rooms are actually full of patients with a line out the ambulance door in the back. Please be patient as we work to get you and your loved one taken care of.

• Who can come into the ED to visit or accompany me or my loved one?

  • It all depends. - This is a hard one. During high COVID-19 surges, there are often NO VISITORS allowed in the ED. The only exceptions are an adult guardian for minors, possibly a care giver or guardian for memory (EX: dementia) or cognitively impaired or delayed patients, and end-of-life patients. When it is not a COVID-19 surge, the ED usually will limit visitors to one per patient. Please keep all minors home who don’t need to be there - siblings of a kiddo being seen for example. Encourage worried family members not to come to the ED in times of crisis. I always recommend making a point person for communication for the family or friends so that all info is filtered through one person. It can be a great tool to keep communication clear and concise.

• What should I bring to the ED if I am going as a visitor or as a patient?

  • If you are the patient and not going by ambulance (AKA - you have time to think about what to bring and collect it all.) - Things to bring - A LIST OF YOUR CURRENT HOME MEDICATIONS or your actual pill bottles of current meds, your POLST or advance directive if you have a copy, ID card, health insurance card, credit card, your cell phone, CELL PHONE CHARGER (the longer the cord the better) with wall plug, a change of clothes, a book or something to read, a computer or tablet if you need it. We usually encourage people not to bring valuables unless they absolutely need it because things can go missing in the ED. I wish that wasn’t the case, but just know it happens. DO NOT BRING FOOD OR DRINK TO CONSUME unless you can wait until after you see the provider and are told by the nursing staff that you can eat.

    • Free advice - DO NOT EAT OR DRINK ONCE YOU ARE IN THE ED.

  • If you are the patient and are brought in an ambulance - You bring exactly what EMS or the firemen say you can bring. Do not hold up anything if medics are trying to get you in an ambulance. If you do have a minute, grab A LIST OF YOUR CURRENT HOME MEDICATIONS or your actual pill bottles of current meds, your POLST or advance directive if you have a copy, ID card, health insurance card, credit card, your cell phone, CELL PHONE CHARGER (the longer the cord the better) with wall plug.

  • If you are a visitor to someone who came by ambulance as a patient - Often the patient will not have time to grab anything at all, so you can try to collect things for them.

    • In this case, I recommend bringing the following for a loved one in the ED who is a patient: A LIST OF THEIR CURRENT HOME MEDICATIONS or their actual pill bottles of current meds, their POLST or advance directive if they have a copy, ID card, health insurance card, credit card, their cell phone, CELL PHONE CHARGER (the longer the cord the better) with wall plug, a change of clothes, a book or something to read, a computer or tablet if they need it. We usually encourage people not to bring valuables unless they absolutely need it because things can go missing in the ED. I wish that wasn’t the case, but just know it happens. DO NOT BRING FOOD OR DRINK TO CONSUME for them. Just don’t. No patient in the ED should eat until instructed to do so by their ED nurse.

  • As a visitor of a patient in the ED, you really just need stuff to occupy yourself, keep your devices charged (the longer the cords the better + the wall plug), and $$$ to buy stuff to feed YOURSELF (NOT THE PATIENT until the ED nurse says so), and a way to get home. If it is a COVID-19 surge, ED staff will most likely not let you in the building, and you will have the option of waiting in your car in the parking lot or somewhere near by.

  • If you are a visitor who is not let in the ED and has to wait outside for updates, make sure the ED staff has your correct phone number. And make sure that you have a correct phone number that you can call for updates. We really mean well in the ED and try to call with updates when we can, but you may want to call and get updates at regular intervals. Ask the ED staff what those regular intervals are. Results come back at expected times, so staff should be able to tell you when the next update in information will be. If they say don’t call back for an hour, listen to them. If you call back too often, you will not get any updates and further stress the already stressed out ED staff.

• What will happen to me or my loved one in the ED?

  • In the majority of situations, you will either stay overnight in the hospital or get discharged home. - There are only two final options as a patient - you will stay or go.

    • Staying overnight in the hospital is called “being admitted to the hospital”. For an admission to occur, you will need to be seen by an “admitting doctor” which can be a hospitalist (think your main doctor for your hospital stay) or a specialist depending on your injury or illness. This doctor is different from the ED provider/MD. The admission doctor will see you after your initial ED work-up (all the tests done in the ED to determine if you need to stay overnight in the hospital or not) is completed. Whoever the admitting doctor is, they will have to evaluate you or the patient (your loved one) and write admission orders. This is done still in the emergency department. At that time, they will request an inpatient/admission bed for you. That bed will then need to be assigned. This bed is a bed NOT in the emergency department, but in a different part of the hospital where you will stay for the duration of your hospital stay. It can take hours to days at times (sorry - blame COVID-19) but usually hours to get this bed assigned. Then you will be transported to that assigned room via a ride in an ED gurney (bed with wheels) or a wheelchair. Then you will be assigned a new nurse and settled into your room for your continued hospital care!

    • Being discharged home from the ED means that you are not sick or injured badly enough to need to stay overnight in the hospital. Congratulations! You get to go home! What will happen next - the ED MD will come tell you about all your test results, give you verbal discharge instructions, and tell you to go home. But WAIT! You still have to wait for the PRINTED discharge instructions and the official discharge talk from your ED nurse before you actually physically go home. If you don’t get printed discharge instructions and any paper copies of prescriptions (or instructions that your prescriptions have been sent to your pharmacy), you are not ready to go home yet. The ED nurse does this with you. You usually hear about your follow-up care plan, recommended follow-up appointments (as applicable), and a review of any medications you need to continue at home + where to get them. Listen to all of this. It may be a very quick talk with the nurse. You will probably be in a rush and trying to figure out how to get home + a million other things, but this talk with the MD and the ED nurse are often your best chance to get your initial questions answered.

    • If you get discharged home, you should ask for a copy of all your test results and a disc with all your imaging on it. - Depending on the facility, they will be able to get this to you in the ED at the time of your visit. In some facilities, they will tell you to go online and find this information via an online patient portal. At other facilities, you will be instructed to make a request via the Medical Records department. Whatever the answer, fine, but make sure you ASK FOR A COPY BEFORE YOU GO. If you forget, it’s fine. It’s just often easiest to get this info at the time of discharge.

    • If you get discharged home, do not forget to ask for any valuables that may have been locked up during your stay. - You will know if this is applicable. In some cases as an ED patient, you will be stripped down to your birthday suit, all your belongings placed in a bag, and locked up in a locker. At the end of your visit, make sure to claim your valuables. This is often at Security or Registration (front desk).

• Getting home from the Emergency Department - You will need to get home if you are discharged from the ED. There are a few options.

  • If you are able to walk and talk, you get to figure out how to get home. If you arrived by ambulance, an ambulance will not take you home. You should consider calling a friend or family member, use a ride share service (EX: Uber, Lyft), or have the ED call you a taxi (Note: you will have to pay for this).

  • If you cannot walk or need O2 or other assistance due to chronic health conditions or new illness/injury, a non-emergency ambulance can be arranged to get you home. However this is done under very specific situations for insurance to cover this. Please ask your nurse about this if you think you or your loved one qualifies.

  • If you are a visitor for a loved one in the ED who is being discharged, feel free to drive them home (if appropriate). One of the best things you can do for a patient in the ED is provide a ride home. Make sure that they get all their belongings and have their discharge instructions (paper copy) before you leave. It is usually best to drive up to the entrance for the shortest walk/wheelchair ride to the car. if you or your loved one needs assistance to the car, let the ED staff know. If someone is available, they will be happy to help! It may just take a little while as most ED’s are very, very busy at the moment.

I hope that helps! That definitely does not cover it all, but I think it hits the basics on how to navigate the confusing world that is the emergency department as a patient or visitor. Please know that every emergency department staff is doing their best every day, every shift, but we are under unprecedented (and I HATE that word) stress right now. It is feast or famine in the ED, meaning that it is either the busiest day of the millennia or it is deathly chill. You never know when that will change, so make sure you bring your PATIENCE when visiting us.

— Sarah @ New Thing Nurse

PS. A few additional tips for anyone coming to the emergency department that will make the ED staff much more likely to be in a better mood with you:

1. DO NOT yell, insult, harass, or even consider being violent with ED staff.

2. NEVER say that it is “qui*t” in the ED. - If there are not a lot of people in the ED, please never say that it is the “q-word”. It is bad luck. Just don’t say it. Also avoid using the word “sl+w”.

3. DO NOT EAT OR DRINK ONCE YOU ARE IN THE ED IF YOU ARE A PATIENT. Don’t eat on the way to the ED. Just don’t do it. And do not eat again until your ED NURSE says that it is ok. Not the ED MD, the ED Nurse. Just trust me on this.

4. If you are a visitor, do not ask the ED staff for food or beverages beyond water for yourself. There is usually a cafeteria. Or if you are allowed to leave and come back, feel free to go hit up vending machines or a close by drive-thru. We are here to care for your loved one, not you. No offense. And NEVER feed or give something to drink to the patient. See #2 again.

5. If we ask you for a urine specimen, please get it to us as quickly as possible. We need it. We really do.

6. If there are other kids in your family that do not need to be at the ED if you are there, please try to find someone to come get them or take care of them before you come. You do not want your kid in the ED unless they are being seen as a patient. I understand extenuating circumstances happen, but this will make everything easier for everyone if extra kids aren’t there.

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About the Author - Sarah K. Wells, MSN, RN, CEN, CNL is an educator, speaker, blogger and owner of New Thing Nurse, a professional and academic coaching company for the nursing world. New Thing Nurse is organized to provide support and guidance to aspiring nurses, newly graduated nurses, and veteran RNs looking to make a change in their life. 

Whether it’s a new school, new job or new idea,

New Thing Nurse wants to help with your new thing!

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The Beauty of Masks

Masks can be such a simple thing.

From a just a piece of cloth across your lower face (always covering your nose and mouth) to high-end pieces of technology with valves, filters, full eye protection, and many more bells and whistles, the mask has recently become a major part of everyone’s lives.

As COVID-19 cases continue to skyrocket across the United States, the wearing of a simple cloth mask (along with washing your hands, staying at least 6 feet from others, and staying home when possible) has been hearalded as one of the best infection prevention measures that any member of the public can take to slow the spread of the novel coronavirus.

On Monday, the American Hospital Association (AHA), the American Medical Association (AMA), and the American Nurses Association (ANA) even joined forces to issue a joint letter to the public urging them to wear masks to help prevent the transmission of COVID-19:

July 6, 2020

An open letter to the American public,

Since the beginning of the COVID-19 pandemic, we have urged the American people to protect themselves, their neighbors and their loved ones amidst the worst global health crisis in generations. After months of physical distancing and staying at home, infections and deaths began to decline.

But in the weeks since states began reopening, some of the steps that were critical to the progress we made were too quickly abandoned. And we are now watching in real-time as a dramatic uptick in COVID-19 cases is erasing our hard-won gains. Hospitals in some states are at or nearing their ICU capacity. Shortages of personal protective equipment and testing supplies continue to pose a dire threat to health care workers and patients alike. And last week, Dr. Anthony Fauci told Congress that the U.S could see 100,000 new coronavirus cases each day if we do not take more precautions.

This is why as physicians, nurses, hospital and health system leaders, researchers and public health experts, we are urging the American public to take the simple steps we know will help stop the spread of the virus: wearing a face mask, maintaining physical distancing, and washing hands. We are not powerless in this public health crisis, and we can defeat it in the same way we defeated previous threats to public health—by allowing science and evidence to shape our decisions and inform our actions.

The toll of this pandemic is already staggering, and it will take many more months, perhaps years, to truly understand its impact on our country and our way of life. But what is certain – and what the science and evidence are telling us – is that COVID-19 is not behind us and we must resist confusing re-opening with returning to normalcy. Doing so will escalate this crisis and result in more suffering and death.

To those of you who are doing your part in helping turn the tide of this pandemic – thank you. Your actions are critical to stopping the spread of COVID-19. Moving forward, we must all remain vigilant and continue taking steps to mitigate the spread of the virus to protect each other and our loved ones. There is only one way we will get through this – together.

Your continued partners in health,

American Hospital Association
American Medical Association
American Nurses Association

Masks are here to help. They will help keep our communities healthy. Masks are simple and accessible to everyone. And they can be ever so cute!

I am personally loving the many styles of masks that I am seeing being made available for donation and sale. Here are a few of my favorites from free to high-end (click any of the images to go to the company websites):

Dhvani Mask from Dhvani - Free

Black Floral Face Mask from LAFaceMasks.com - $6.50

Reversible Non Surgical Fashion Mask and Head Wrap Set from SonSon.com - $45.00

It’s a simple thing, the cloth mask. And how easy it is to wear, style, and use to prevent the spread of illness is a true thing of beauty.

- Sarah @ New Thing Nurse

*None of the companies featured in this post are affiliates of New Thing Nurse. I just truly love their stuff.*

Resources:

AHA, AMA, ANA Joint Letter to the Public Supporting Masks

Centers for Disease Control & Prevention (CDC): Use Cloth Face Covers to Slow the Spread of COVID-19

World Health Organization (WHO): When & How to Use Masks

And if you have any Hamilton lovers, this is for you:

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COVID-19 & My Nurse Mental Health - I feel like shit that has been trampled by elephants.

I literally can’t get out of bed some days. 

Everything makes me cry. 

Going through the day feels like walking through waist-deep mud.

I am tired of talking to people who are not my nurse or healthcare friends. No one else understands.

This is what COVID-19 has done to me. I have not caught it. I am physically well but mentally, I feel like shit that has been trampled by elephants over and over again.

If you are in the healthcare field, you may know what I’m talking about. There is a constant dread during every waking moment. It is a heaviness that for me, is often on my chest, making it hard to breathe. I have heard others describe a giant pit in their stomach that will not go away. 

And your dread is valid. This effing novel corona virus is a REAL bitch, and it’s killing healthcare workers around the world. 

Plus, we are often being expected to work without the equipment we need to stay safe and keep our patients safe. It’s a time when we are being called “heroes” but are being treated like trash. 

Yet there are people out there who care. I see social media posts, public displays of appreciation, and huge philanthropic efforts to support us. Everyone I know texts, calls, or emails. They all want to know the same thing - “How are you?” 

I don’t know how to answer.

I want to say - “I am awful. I am afraid. I am worried about every one of my friends and loved ones getting sick or dying. I can’t see my family or best friends. I’m terrified that I am going to bring this wretched virus home to my husband. I am so lonely that I can’t move. Every shift gives me a panic attack before and after and sometimes during… but otherwise, I’m good. Have you watched Tiger King yet?”

I don’t think that’s what people are hoping for…

Thankfully, I have amazing friends.

A brilliant nurse friend and colleague of mine posted the most eloquent response to this question, which I have now borrowed with her permission and will use as the response for me, and I think, most nurses right now: 

“People keep asking how I'm doing. I wanted to be very honest, so here it is. Strap in - this is long.

We are struggling.

The burden of this pandemic weighs so heavily on us. We are bearing the weight of the world on our shoulders and we aren’t sure that we are strong enough.

We carry a rock in our stomachs and a lump in our throats which have taken up permanent residence and from which we cannot be released.

We put on a brave face, but we are taking enough antacids to medicate an elephant. If we are already on antidepressants, we’ve increased them. If we aren’t on them, we are considering starting them.

We’ve stopped worrying that we’ll bring this home to our families anymore. We’ve taken that as a given. We worry that our family members could be the vectors who unknowingly spread the virus to somebody else. We need to protect the world from US.

For that reason, we take social distancing extremely seriously. Guess what? That social distancing, though? It’s killing us. We are empaths. It is both our nature and our job and now we can’t give our love to anyone. Do you know how much we could all use a hug right now? We can’t have one. Our children miss their relatives and are begging for real in-person hugs and we can’t let them. Our hearts ache.

We worry.

We worry about all of the same things that you do. We worry about our families, but we don’t get to dwell on that because we’re worried about your families, too. We worry that you will be the patient we have to tell, “I’m so sorry, but due to the isolation precautions we will all be trying our best not to enter your room after I leave. Here is your call bell. Let us know if you need anything!” We worry that you will feel alone. We worry that it will be the last words you hear from another human before you are gasping for air and we have to intubate you with no family present and nobody to hold your hand.

We worry that our kids will internalize our grief, anxiety and depression due to what we face each day.

We worry that you call us heroes. We don’t feel like heroes at all. We are just as frightened as you are.

We feel guilty to be gainfully employed when so many are not. However, we worry what the ultimate price will be for continuing to do the job we love so much.

We feel sorrow for the lives lost and for the many more that we are bound to lose due to poor planning and preparation.

We feel disposable. Under a president who refuses to acknowledge the severity of this pandemic, the CDC making subpar recommendations for PPE, a national administration that has been unable to equip its frontline staff appropriately to protect themselves so that we can SAVE FUCKING LIVES – WE FEEL DISPOSABLE.

Despite all of this, we will still SHOW UP. Because when you are a nurse, it is more than a job. It’s a calling. It’s what we do. We SHOW UP.

To all of our colleagues – from EVS to RT to MD and everyone in between – THANK YOU for showing up.

To all other essential employees of the world – THANK YOU – for feeding us, delivering our mail, picking up our trash, keeping the streets safe. THANK YOU.

And to those who are forced and/or able to stay home, THANK YOU for doing your part to flatten the curve. We know that it is not without great sacrifices for many.

To those who are donating, volunteering, sewing masks and caps, lifting us up in prayer, helping your neighbors, and spreading kindness and love – THANK YOU.

This is a battle that we are all fighting together and everyone plays their respective part, so THANK YOU.”

 - Ginelle Rasch, Emergency Department Nurse

I know. Ginelle is THE BEST.

Things are so hard. If things seem impossible for you too, know that you are not alone. I feel the same. Ginelle feels that same. But somehow, together, we are going to get through this. 

And if you need a little extra help to push through, that’s totally ok too. In the past few weeks, I have switched my SSRIs, increased my talk therapy appointments (via telephone), and have had to be very open with friends and colleagues about my mental health needs. 

Your mental health is important, just as important as your physical health. Take time to care for yourself. And know that you are definitely not alone. 

- Sarah @ New Thing Nurse

Here are a few resources that I am using to help me get through the days. Maybe they will help you too:

Crisis Text Line - Mental Health Support via Text

National Alliance on Mental Illness (NAMI) COVID-19 Resources & Information Guide

Podcast: Kate Bowler - Everything Happens, “The Emergency Button”.

Podcast: The Hilarious World of Depression - Call a Friend, Find Out How They’re Doing.

I tried yoga once so far. It was nice. This yoga is free! - Down Dog

Connecting with friends:

Art of Emergency Nursing Podcast Episode with Me, Kristen Cline, & Kevin McFarlane

FB Live Fill Your Cup Virtual Meetup with Anna Rodriguez of The Burnout Book

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Guest Blog Post: Finding My People as a New Grad Nurse with Ted Rossini, BSN, RN, PHN

Hello New Thing Nurse Tribe! 

My name is Ted, and I am a new nurse who graduated in June 2019. I found my first job working at the Student Health Unit for the California School for the Deaf (CSD) & California School for the Blind (CSB) in Fremont, CA. When I started my nursing journey, I couldn't have known that I would end up here, nor could I have foreseen what a good fit it would be for me.

Before nursing school, I worked as a preschool teacher, a barista, a planetarium presenter, a waiter, a resident assistant for foster youth, and a summer camp director. I lived in four states earning just enough to pay taxes and in another five states for short stints with AmeriCorps and AmeriCorps NCCC. I accidentally fell into healthcare when I became an EMT while earning a FireFighter-1 Certification. All this is to say, I knew I had a lot of experience but was unsure how I'd fit into the nursing world when I graduated.

Sarah from New Thing Nurse visited my school in Fall 2018 with a presentation on the importance of self-care and avoiding burnout. At that point I was already feeling burnt out from nursing school and really didn’t know what type of nursing I'd like to pursue upon graduation. I was also hearing healthcare professionals tell the world that turning 36 hour weeks with lots of overtime is bad for them and bad for patients’ health. One thing that really stood out from the New Thing Nurse presentation was a picture of Sarah with her shift mates doing a silly dance on a slide entitled - "Find Your People." 

From my experience in EMS and non-profits, I was already familiar with how much self-care outside of the job and taking breaks was key to avoiding burnout. But this concept of "finding your people" was a new idea for me. So often I was devoted to the work that whoever my coworkers were just happened to be who they were. It was a very strong tool I carried with me on each clinical rotation throughout nursing school and sure enough, the rotations that were the most fun and meaningful had less to do with where I was than who I was with. Put me with someone who liked their job and wanted to help people, and I was happy in all kinds of clinical settings from Pediatric Heme One, the Cardiac ICU, Med-Surg, NICU, to orthopedic rehab. 

And then there was my nursing school cohort. I love my cohort dearly and wouldn't trade them for anything, but so often in class, my views and values clashed with theirs. I would often hear my fellow nursing students say things like - "I'm going to be in a level 5 NICU" or "I'm going to be an ICU nurse" . In protest, I declared - "I'm going to be a school nurse."

After I calmed down and took some breaths, I remembered once working as an EMT at a Renaissance Fair. I had met someone who was studying American Sign Language (ASL) and had just been accepted to a graduate program. In my travels and previous jobs, I had actually learned a fair amount of ASL and interacted with a large deaf community in my early adulthood. That was when I remembered that the California School for the Deaf was near my nursing school, and I had a simple thought - “It's a boarding school, so they must need nurses.”

I looked, and there was a position open! I kept my eye on that post for four months while I finished school, recovered from my preceptorship, and finally studied for and passed the NCLEX. I wasn't sure what I'd find there, and I certainly had almost no experience with the blind community. But even before I was hired, school staff were so kind and welcoming. 

Ultimately, I applied and got the job! On my second day, there was a "True Colors" team building exercise where I got to really know my coworkers and felt immediately at home. I quickly discovered a friend, who is now one of my mentors, who loves theater (like me!) so I joined her and her husband for a play my very first weekend on the job. I quickly realized that I had found my people - we're huggers, we like to laugh, we like watching kids grow from children into adults, and we wear fun scrubs. A great moment came when my mentor and her husband joined my grandmother, aunt, mother, and myself for Hamilton. She wanted to get a picture with just her and me, and I quickly thought we should make a sign together as one. She immediately knew the best sign: Nurse!

- Ted, School Nurse

Photo: Ted and mentor make the American Sign Language sign for “nurse”.

Photo: Ted and his colleagues are doing "serious” work at the California School for the Deaf (CSD) & California School for the Blind (CSB) in Fremont, CA.

Photo: Ted and colleagues in the fun scrubs on Crazy Hair/Punk Day during spirit week.

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About the Author - Ted Rossini, BSN, RN, PHN works at the Student Health Unit at the California School for the Deaf (CSD) & California School for the Blind (CSB) in Fremont, CA. When Ted is not at work, he enjoys attending the theater with family and friends.

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Let's learn about Nursing Informatics: An Interview with Shaina Onnagan, MAS, RN-BC, CEN

Shaina Onnagan, MAS, RN-BC, CEN

I have been so lucky in my nursing career to meet some incredible people who become friends and continuous nurse inspiration. One of those people is Shaina Onnagan, MAS, RN-BC, CEN who was kind enough to answer a few questions for the New Thing Nurse Blog. Shaina and I met in the wildest emergency department that I have ever had the pleasure of working in. Since working together at the bedside, Shaina has jumped into the world of Nursing Informatics and is going to share about her experience with us today. Enjoy!

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Sarah @ New Thing Nurse (NTN): Hello and welcome to the New Thing Nurse Blog! I know and LOVE you from having worked with you in the craziest emergency department in the world, but our readers do not know you yet. Please introduce yourself to our #newthingnursetribe!

Shaina Onnagan (SO): Hi there #newthingnursetribe! I’m Shaina Onnagan, and as Sarah mentioned, I had the absolute honor working with her in by far one of the most insane emergency departments. I’m originally from Hawaii, but I’ve called San Francisco home for over 15 years now. Professionally, I’m a board certified nurse informaticist currently working as a clinical informatics RN. In my free time, I like to run around with my puppy, bake lots of yummy desserts, and, honestly, sleep.  

NTN: The New Thing Nurse Blog is all about learning from each other by sharing our professional journeys. How did you fall into nursing? And what area of nursing did you start in?

SO: Funny enough, I started college as an English major. I was sitting in my Intro to British Literature class in a room that was straight out of Harry Potter. It was tiny – it barely held the 12 students and professor– and covered from floor to ceiling with books older than time. I had the sudden realization while listening to the professor talk about the syllabus that I had no idea what I was doing in that class. It didn’t feel right to be there, so I left and started to think about what I really wanted to do. I’ve always liked human physiology; I’ve always been fascinated by how the human body works (um, hello endocrine system??). I was also lucky enough to be attending a university that had a stellar Nursing program, so I almost immediately decided to change majors into something that felt more natural for me: Nursing.

I’ll save you the story (and it is quite the story) of getting into Nursing school. I graduated in 2010 with my BSN, and I was lucky enough to be accepted into a new grad program in the emergency department at a hospital in San Francisco. Although I still work at the same hospital, I now work in a different role as a clinical informatics RN.

NTN: You currently work in an area of nursing that I feel I often hear about but still know so little about. Can you tell us all about nursing informatics? 

SO: And that’s completely ok! I hear that all the time – not many people know about nursing informatics. It’s only been recognized as an official nursing specialty since the 1990s! And to add to that, there are so many TYPES of informatics – medical informatics, nursing informatics, biomedical informatics, clinical informatics, etc. Each specialty has its own focus, and not surprisingly, nursing informatics focuses on nursing.

This is directly from our Nursing Informatics: Scope and Standards or Practice (2015):

“Nursing informatics (NI) is the specialty that integrates nursing science with multiple information management and analytical sciences to identify, define, manage, and communicate data, information, knowledge, and wisdom in nursing practice. “

That definition sounds nice and great and professional, but the quick 15 second elevator pitch I normally use to explain what I do is imagine if you take nursing, information technology, education, project management, and sprinkle in the theory and background of different analytical sciences and combine them all together – you get me, a nursing informaticist.

NTN: What drew you away from the bedside and into a new nursing role?

SO: I think Sarah can attest to this – but that super crazy emergency department we both worked in? It took a toll on me, physically, mentally, and emotionally. I have always been a firm believer in the importance of self-care for nurses, and I did as much self-care as I could. I did the things I loved outside of work. I spent a lot of time with my loved ones. I set my boundaries. I left work at work – or at least I tried. But I learned that I was not the kind of person who could grow skin thick enough to block out the constant physical threat and emotional abuse that came with being an ED nurse.

During one particular shift, I realized that I wasn’t providing the kind of patient care I expected of myself. On top of that, I recognized that I had signs of compassion fatigue. My health was suffering too – I started having migraines, GERD, and physical pain in places I never injured. My body was telling me something that my mind didn’t want to grasp: I was burnt out. I didn’t want to admit it since I was basically a “baby nurse” with only a few years under my belt, but I knew I needed to go.

I took a step back and started asking myself a lot of questions about where I was, what I was doing, and where I wanted to go in my career. There was a moment where I even questioned whether I should still be a nurse at all. I did a lot of soul searching and spent time talking to my mentor because I knew I wasn’t ready to leave the profession, but I knew I needed to do something different.

That’s when the opportunity for a clinical informatics RN role appeared, almost as if as magic, and I took it. I had no idea what “clinical informatics” was at the time, but it sounded like something I could be interested in. I’ve always gravitated towards computers and technology in general, so a role where I could use my nursing experience and knowledge and work with computers? I’m in!

NTN: How did your nurse friends feel about you leaving them for an office? What challenges did you face in your transition to your "new thing"? And how do you feel now that you have been working in it for quite a while? 

SO: A lot of people – co-workers, friends, family – didn’t understand the move. Most thought it was temporary, and to be honest, I thought it was going to be temporary too. Then, something amazing happened. I started my new job and things just started clicking for me. I felt like this was where I was supposed to be all along.

Towards the beginning of my new role, I harbored a lot of doubt in my heart because I had a lot of people asking me when I was going back to the bedside. Someone I knew even once made a joke that I wasn’t a “real nurse” anymore since I didn’t directly take care of patients, and that comment hurt, if I’m being honest.

Because no, what I do now may not affect patients directly. I can’t optimize a part of the electronic health record (EHR) and suddenly see a patient’s disease symptoms improve. But what I do does affect the nurses and all clinicians who take direct care of the patient. In a way, I am an advocate for our nursing staff to help develop health information systems that assist them with providing the best possible care they can. It’s a vital role and one I take lots of pride in.

NTN: Do you have any tips for anyone out there who might be considering jumping into a "new thing" of their own, especially for any of our nurse readers who might be looking for something away from the bedside? 

SO: You will know when you’re ready to leave the bedside. Listen to your instincts. It’s a scary leap, but I can say with complete certainty, it’s one that I don’t regret.

Also, remember that nursing is such a unique profession because there are SO MANY nursing specialties. You can be a Medical/Surgical nurse for 5 years and then go into Pediatric nursing. You can start off as a PACU nurse and move into a nursing administrator role. So if you move away from the bedside and into a nurse educator role or nurse informaticist role, know that you can move back. That’s the beauty of nursing.

NTN: The focus of New Thing Nurse is supporting nurses as they find their "new thing." I know that you recently became a Corgi mommy! How has it been bringing a puppy into your nurse life?

SO: She is a bundle of joy and then some! I think my favorite thing about having a corgi puppy or just a puppy in general, is that no matter how hard your work day was, you can go home to a wiggling little ball of fur who wants nothing more than you love and attention… and maybe some treats.

NTN: Do you have any "new things' on the horizon? New Thing Nurse wants to know!

SO: I do! I’m just a semester away from graduation for my Master’s in Health Informatics. Working full time and going to school full time has been quite the challenge, so I’m glad I’m almost done with that.

NTN: Do you have any other advice for our readers?

SO: Self-care. Self-care. Self-care. Self-care! Remember that you cannot take care of your patients if you don’t take care of yourself first. Don’t be afraid to branch out and try new things, like a new nursing specialty. You never know – you just might find that one role you didn’t even know you wanted.

Shaina and her puppy, Babingka, in beautiful San Francisco, California.

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About the Author - Sarah K. Wells, MSN, RN, CEN, CNL is an educator, speaker, blogger and owner of New Thing Nurse, a professional and academic coaching company for the nursing world. New Thing Nurse is organized to provide support and guidance to aspiring nurses, newly graduated nurses, and veteran RNs looking to make a change in their life.

Whether it’s a new school, new job or new idea,

New Thing Nurse wants to help with your new thing!

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Guest Post: Finding Balance as a Nurse and Mom with Lindsay Woolf Grainger, MPH, MSN, RN

To me, the most amazing individuals in the world are the #nursemom and #nursedad. Like unicorns, they manage to rock the world of nursing and parenting with a magic that smells like coffee and determination. While I am not a member of the nurse-parent team, I know many of our #newthingnursetribe are and that is why I invited my nursing school friend and esteemed colleague, Lindsay Woolf Grainger, MPH, MSN, RN, to tell us how she has tried to find work-life balance as an almighty #nursemom.

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Hello readers!!

I am delighted to be sharing my experiences with you on the New Thing Nurse Blog!! I am Lindsay Woolf Grainger - a nurse, nurse educator, wife, mom, and friend of Sarah’s from nursing school. Yes, I remember the “good ol’ days” of skills check offs, late-night study sessions with Sarah, and fun ,yet random, hair cutting parties (look - we had to be creative with our budgets as nursing students). I am humbled to have this opportunity to offer my thoughts on the daily quest to balance work and family priorities as a #nursemom.

My husband and I have three daughters - ages 1, 3, and 6. Our days can seem like a blur of feeding, entertaining, refereeing, comforting, and disciplining our kiddos. I love the privilege of being a parent, and with these responsibilities on my plate, my career has had to evolve.

The news of my first pregnancy created some immediate changes in my work as a new grad, nightshift nurse on a transplant unit in a large, urban facility in Georgia. For starters, I actually asked for help when moving patients. I was extra sensitive to smells and took better precautions NOT to inhale. My participation in doing CPR compressions was frowned upon. I also realized that nightshift combined with the fatigue of pregnancy was pretty intense, so I put my name on the list for a transfer to dayshift and was grateful when a position came up within a few months.

Some really groovy things happened during pregnancy too. I discovered a new-found confidence and assertiveness. This led me to schedule a meeting with our CNO to discuss my concerns about the hospital’s then-recent decision to cut the training time for new grad nurses in HALF. I don’t know if I credit the hormones or what, but I felt compelled to advocate for future nurses, and it seemed like my barely emerging “baby bump” was leading the charge.

After the delivery of our daughter, a whole new wave of realities came crashing into my life - the challenges of breastfeeding, the haze of post-partum hormone shifts, and severely truncated sleep. New career questions emerged. I had the luxury to return to work PRN, but even so I was clumsy at maneuvering pumping while on the job (in the bathroom—really people?), and I felt anxious to be away from home yet anxious to maintain my professional pursuits while at home.

So that delicate teeter-tottering of balancing career/family time began quickly for me. Today I work as a full-time nurse educator, and I appreciate the flexible schedule that it affords. I still struggle to manage all of the childcare needs (especially when the kid(s) are sick) and worry that my mind too frequently drifts to work plans or schedules even when I am hanging out with my kids. There are many competing interests to balance between the needs of our family and the demands of my job, but I try my best. And I try to forgive myself for the days of lopsided priorities.

A few things that help redirect me towards balance include:

• Open Communication - I think that effective partner communication is essential (with or without kids). The more my husband and I communicate about our concerns and our needs, the better we seem to be able to work as a team to equilibrate our jobs and family.

• Landing Intentionally - To state the obvious, working in health care can be really stressful. With lots of family responsibilities in the mix, it is important for me to be intentional about where I work. I have decided that on the job I need to land somewhere in between “bored” and “stressed out.” I need a job that remains challenging and engaging without driving me nuts from the stress.

• Being Creative - My entrance into the field of nurse education started with a random phone call one year out of nursing school when I was 3 months post-partum. I was sleep-deprived, unprepared, yet curious. So (naturally?) I said yes. I am so grateful for the opportunities that this career path has afforded me and our family. Being creative and open-minded with career choices and scheduling can make work/family balance easier to achieve.

• Sharing - One of my favorite ways to prioritize my family is to include them in my job! As a new nurse, I invited (ok…begged…) my husband to occasionally visit me at work. I wanted him to understand what I was up to each day on the job. I have taken my children (even as babies) to the hospital to introduce them to co-workers and (hopefully) foster their interest in and appreciation for healthcare. Now as a nurse educator, I look for ways to include my kids in the classroom. My kids have also enjoyed volunteering (alongside nursing students) with Meals on Wheels in our community. (Full disclosure: I *might* be guilty of dressing our girls in child-sized scrubs during these events to max the cuteness factor.)

So, I have mentioned a few things that point me more towards balance, but I should probably mention a few of the pitfalls that distract me in this pursuit:

• Others! I cannot look at the lives of others (the credentials they have achieved, hours they work, activities their kids do, accolades their kids have achieved, relationships they have with their partner, etc…etc…). I don’t live anyone’s life but mine. No one is living anyone’s life but her own. The comparisons that tempt me are unhealthy and unfair and don’t help me figure out how to balance my unique responsibilities and goals.

• Sleep! For the record, I have tried (as probably most of you readers have) to sacrifice sleep for the benefit of my job and my family. Prolonged sleep deprivation has not moved me an inch closer to balance, so I would call this the ultimate “anti-balance” pitfall!

Every day can be viewed as a new opportunity to reassess our work/family balance and to move weight from one end of the teeter totter to the other. If work is suffering, then refocus on work. If family life is suffering, then refocus on family. And always know that no one (not even an acrobat, or your co-worker, or even your distant social media acquaintance) is perfectly balanced or put together. All of you nurses out there who work tirelessly to serve your families and your patients. YOU are heroes!!!

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Photo: Lindsay Woolf Grainger, MPH, MSN, RN

About the Author: Lindsay Grainger, MPH, MSN, RN is a full-time nursing instructor at the Mary Black School of Nursing of the University of South Carolina-Upstate. Her academic interests include community health, public health policy, immigrant health and refugee health. She holds a Masters of Science degree in Nursing (CNL) from Augusta University and a Masters of Public Health degree from Emory University. Lindsay has worked at the bedside in organ transplant nursing and in general surgery. Lindsay has also taught undergraduate and graduate clinical courses at Augusta University.

Outside of the classroom, Lindsay enjoys spending time with her family. (Her three daughters keep life whirling and twirling!) Lindsay's hobbies include learning languages, practicing yoga, and writing music. Lindsay currently serves as a volunteer at the Greenville Free Medical Clinic and previously served as a volunteer for Friends of Refugees in Clarkston, Georgia.

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Be the Change Agent: An Interview with Lauren Plaine

I met Lauren Plaine at Emergency Nurses Association’s (ENA) national conference Emergency Nursing 2018 in Pittsburgh, Pennsylvania. She was the 2018 Emerging Professional Liaison to the National ENA Board. This was the first year that this role had been established, and Lauren was the pioneer to first take on the position. Lauren put her incredible energy and poise to work as a representative for ENA’s emerging professional membership to voice their opinions and needs to the Board of Directors.

I have had the chance to get to know Lauren over the last year and was lucky enough to get to ask her about her experience as a voice for new nurses across the county and about her next new things.

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New Thing Nurse (NTN): The New Thing Nurse Blog is all about learning from each other by sharing our professional journeys. How did you fall into nursing? And what area of nursing did you start in?

Lauren Plaine (LP): Well I definitely fell into nursing.  Growing up I always wanted to be a doctor, but that was not in the plans for me.  I completed an EMT class in high school and began running with my local rescue squad my junior year.  My initial major was athletic training until I realized that I really did not want to stand on the side of a high school football field for the rest of my life.  Through running rescue, I had interacted with the nurses in the ER and decided maybe I could be a nurse.  In nursing school, I worked as an ER Tech and my manager picked me up as a new graduate.  Honestly, had she not hired me I’m not sure I would still be a nurse today because I love working in the ER. 

NTN: You are a very active member in the Emergency Nurses Association (ENA), the largest professional organization in the world for emergency nurses, and had a very special role with them in 2018. Can you tell us about ENA, why you are so active with them, and about your amazing role within the organization that you held all last year? 

LP: I am someone who will ask you all about “the why” of a decision.  I like to know how you got to your conclusion and after many questions, my manager encouraged me to join ENA to help understand why we do what we do in the ER and how our practice is guided.  From there, I became very involved in my local chapter finding that ENA truly is a resource for education and networking, but even more so a community of like-minded ER nurses who simply want to better our corner of the world.  On a whim, yes a whim (ask my mother), I applied for the Emerging Professional Liaison position for the National Board of Directors.  Stunned when I received my confirmation of appointment, I could not image the level of inclusivity that I was about to experience.  I sat as a non-voting board member, but was treated like any other director.  All of the board members valued my perspective and opinion. Millennials are the largest group in the nursing workforce, and with this role I felt that ENA values our perspective and is placing an emphasis on cultivating the next generation of nurses and leaders.

NTN: How was it being a younger nurse on a board with such experienced nurse leaders? What lessons did you learn from that experience that you have found valuable as a newer nurse and new nurse leader? 

LP: It is very intimidating to be the youngest and least experienced at a board table.  I was not sure I wanted to speak at all the first meeting for fear that I would sound unintelligent and inexperienced.  Let’s be honest, my previous baby nurse experiences in the ER were not always welcoming.  During my first meeting when I was holding back, Jeff Solheim, 2018 ENA President, called me out for my opinion and to offer the emerging professional perspective (insert sweaty palms here).  As I shared, I found everyone listening intently just as they had to other perspectives.  What I learned is that our engaged ENA leaders truly care what everyone has to say.  What I found meeting after meeting is that even as an emerging professional, I have the ability to make change with the help of this organization.     

NTN: What motivated you to make that transition into your "new thing" as the Emerging Professional Liaison?

LP: Everyone complains about their problems and the problems in their department or lives, but you are just as much of the problem if you sit idly by.  Be the change agent.  I was tired of accepting the status quo and decided that it was not enough for me any more.  You are responsible for living every moment.  So, I ask myself frequently - Are you satisfied with your life or is there something you can change to make it and the world a better place?

NTN: Do you have any tips for anyone out there who might be considering jumping into a "new thing" of their own, especially for any of our newer nurse readers? 

LP: I have three suggestions for anyone who is thinking about jumping into their new thing.  First, stop the self-doubt and go after what it is you want.  Only you can change the life you live.  Second, ask yourself what is your why?  What drives you to make this change?  Write it down and post it somewhere you can see it every day.  Third, be aggressive about your ambition.  Stop holding back, because the world could be a very different place if you actively seek to improve yourself and the world around you. 

NTN: The focus of New Thing Nurse is supporting nurses as they find their "new thing." As you have now completed your year as the first ever Emerging Professional Liaison for ENA, what will be your "new thing" for 2019? 

LP: My new thing is my national committee appointment.  I am serving a two-year term for ENA’s Emergency Management & Preparedness Committee.  Emergency and disaster management is something that I am very passionate about and I am perusing my Master’s in this field of study.  My other new thing is public speaking.  I hope to make new opportunities in 2019 for speaking engagements.  

NTN: I happen to know that you are also super passionate about physical fitness. Can you tell our readers about why physical fitness is important to you, and how it helps in your nursing practice? 

LP: I use fitness as an outlet for my stress, but I also think its important for us to be examples of health to our patients.  It’s also nice to work with a different population.  In the hospital we see a lot of people who do not value their health, but at the gym everyone in my classes comes because they actually care. 

NTN: Do you have any other advice for our readers?

LP: Find your why.  Why nursing as a career?  Why you went to the gym? Why you ate that delicious pizza (jk… maybe?).  But in all seriousness, asking yourself to evaluate the why behind the important things in your life will help you with personal development and creating a better future you.

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Aren’t you feeling amazing about the future of nursing? I know that I am.

To see more from Lauren Plaine, you can come to ENA’s National Conference, EN19, in Austin, Texas (I’ll be there too!) this fall where she will be speaking more on how to engage and support the next generation of nurses. YASSS!!!

For more details >> ENA’s National Conference - EN19 in Austin, TX

Lauren was ENA’s first-ever Emerging Professional Liaison to the National Board of Directors.

Lauren and Sarah (ME) at our first ENA rendez-vous in Pittsburgh, PA at EN18 last year.

Lauren rocking some PPE as she prepares to jump into a trauma case.

Lauren Plaine speaking at the Emergency Nurses Association's 2019 State and Chapter Leaders Orientation in Chicago, Illinois.

Perfectly poised for a 2018 ENA Connection photo shoot.

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About the Author - Sarah K. Wells, MSN, RN, CEN, CNL is an educator, speaker, blogger and owner of New Thing Nurse, a professional and academic coaching company for the nursing world. New Thing Nurse is organized to provide support and guidance to aspiring nurses, newly graduated nurses, and veteran RNs looking to make a change in their life.

Whether it’s a new school, new job or new idea,

New Thing Nurse wants to help with your new thing!

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It's Time to Take the "Us" Out of "Uterus"

Now hear me out – I think it’s time to take the “us” out of “uterus”.

I know this sounds strange, but I think I understand now why there is all this confusion about who gets to manage what goes on inside the apparently troublesome organ currently known as the uterus.

I believe I have found the root of the problem. The problem is there is no “i” in uterus.

The Strength of the Letter “i”

The letter “i’ seems to help with the clarity of ownership related to anatomy. Think about it - there is an “i” in “penis” and “testicles”, and there seems to be no doubt about who gets to manage what happens to those.

During my career as an ED nurse, I have many times tried to tell patients with penises what to do with them with very little success. I have tried to help people with penises stop putting things up them that should not be there, remind them of the often infectious repercussions of placing their penises in holes without protection, and request them to stop touching their penises in front of myself and other ED staff at inopportune times (AKA all the time). Each time I make recommendations or assertions about a penis attached to another person, I have been reminded in strong, colorful language that the owner of the penis can and will do what they want with it. I can always ask, but ultimately, the person that penis is attached to is in charge of what happens to said body part (at least, in some cases, until the cops arrive).

And don’t get me started about trying to get someone with “testicles” to do anything with them. As soon as I ever mention an idea or procedure having to do with the testicles, a hand goes over them like a vice. It is often a moot point before it is can even be verbalized. 

Furthermore, there is an “i” in both “fallopian tubes” and “ovaries”. And while there has been comments from people without either with thoughts on how to manage biological processes that occur in and around fallopian tubes and ovaries, there does not seem to be as much fuss about these organs as with the “uterus”. I really think it has to do with the letter “i”.

The Problem with “us”

The biggest debates right now seem to be around two things with names that contain “us” – the uterus and the fetus.  It seems that certain parties feel entitled to telling humans with a uterus how to manage it and once a fetus is involved, to take ownership of said fetus even if – 1) it is not quite yet a fetus, 2) it is not housed in their bodies, and 3) they do not seem to quite understand how the process of pregnancy works. Their entitlement claims to have been founded in the name of numerous causes – religion, ethics, the law. I feel that the presence of “us” in the name “uterus” makes them feel as if they are a part of that organ, even when they are not. “Us” seems to imply a collective ownership of a uterus to others. And I really think people might be confused because of the “us”.

I cannot otherwise understand why someone else would feel the right to tell me, the person with the body that contains an organ, how to manage it. Organ trafficking is definitely illegal, at least the last time that I checked. Organ donation and procurement is HIGHLY regulated in the United States. Consent dealing with anything having to do with organs in the hospital is a complex system of legal paperwork with signatures and witnesses. And as the uterus is an organ, there must be some big misunderstanding about the ownership situation around it.

(And I want to take a moment to be very clear on a certain point – this is not just an issue for me because I identify as a “woman”. The issue of who gets to dictate what happens to the organ called the uterus will affect all kinds of humans who identify all kinds of ways. I know that this will be confusing for some people, but this is something that I want to emphasize. I am speaking out as a human with a uterus - not just as a woman.)

The Difficulty of Adding an “i" 

I really love languages, but English is a hard one. The letter “i” is often used, strangely to me, to make singular words plural. This is one challenge with my thought of taking away the “us” and adding a letter “i” to the word “uterus”.  “Uteri” does not work for this reason, talk about confusing.  And other variations are just plain bad. “Utire” is terrible as it will make every nurse (and most humans with a uterus) think of infection or a gross outfit. “Iteri” sounds like a snobby word for a place to get lunch (EW). These won’t work, but I have another idea.

The Power of “me”

I have come up with this solution: I think that we should now rename the “uterus” with the new moniker - “uterme”.

A “uterme” definitely makes ME feel that it is an organ in me and when I say “My uterme”, I feel it is doubly stated that the organ is inside of me and MINE. When I say “uterme”, the listener is reminded that me and myself are going to be navigating the events of what goes on inside my organ and most importantly, there is no implied group ownership of my uterme.

It even gets down to an almost primal level of communication that Tarzan enthusiasts might enjoy – “Me human. Me uterme.”

It definitely seems like everyone can understand that – even the most primitive humans.

And as a human with a uterme, I am going to go two steps further in declaring my ownership of this organ that resides inside me:

1. I am first going to say here, in plain words, that I and only I will ever make decisions about my body. No other person, law, or religion will ever dictate what I decide to do with it. And that should apply to ALL humans. Your body is YOUR body.

2. I am personally renaming my own uterus/uterme – my “utermine”.  Other humans should feel free to use this nomenclature if they so wish.  #uterminesunite

For more information on how to support humans with a uterus, uterme, or utermine:

Planned Parenthood

Association of Women’s Health, Obstetric, & Neonatal Nurses (AWHONN)

American Civil Liberties Union (ACLU)

Source: https://www.acog.org/About-ACOG/News-Room/Statements/2019/ACOG-Statement-on-Abortion-Bans?IsMobileSet=false

These opinions are my own and do not reflect those of my employer or other affiliates

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About the Author - Sarah K. Wells, MSN, RN, CEN, CNL is an educator, speaker, blogger and owner of New Thing Nurse, a professional and academic coaching company for the nursing world. New Thing Nurse is organized to provide support and guidance to aspiring nurses, newly graduated nurses, and veteran RNs looking to make a change in their life.

Whether it’s a new school, new job or new idea,

New Thing Nurse wants to help with your new thing!

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I have a confession.

I have a secret that I want to share with you.

Promise not to judge me?

I am a full-blown Conference Nerd.

Still my friend?

I have, for years, spent a lot of time and money attending nursing conferences. I love them all, no matter the topic - emergency nursing, pediatric care, pre-hospital, nurse wellness, hospice, burns, trauma. I have been to a lot. I have seen many lectures. I loved every minute of it.

Now my conference passion is taking on a new form - I am getting to be a conference speaker!! This conference season, I am SO EXCITED to be presenting at some of my favorite conferences!!!

This month, I have already presented at San Francisco ENA's TraumaCon3 (see ridiculous photo above) and will be heading to PIttsburgh, PA next week to present at the Emergency Nurses Association national conference, ENA18!!

In October, I will be in Walnut Creek, CA at East Bay ENA's For Nurses, By Nurses Conference. And in November, I'll be heading to Orlando, FL to co-present with my collaborator & favorite human, Allison Shuttleworth, at the ENA Fall Regional Symposium.

I am geeking out over here.

At ENA18, I will not only will I getting to share the stage with some of my favorite nurse speakers, I will be getting to brag about all of the amazing work that my emergency department has done to enhance the pediatric care for our littlest patients and their families!

That's a straight win-win.

I love conferences because of the networking, the education and the feeling of camaraderie that you feel among the engaged nurses in attendance. At conferences I'm not a nerd, I'm just one of the gang.

What are your favorite conferences? I would love to learn about them and expand my conference roster for 2019. Drop me a line with your suggestions or invitations (just a hope...) - newthingnurse@newthingnurse.com

- Sarah @ New Thing Nurse

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Want Sarah to speak at your next event?

Contact New Thing Nurse to arrange for Sarah to be your next event’s exciting speaker!

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About the Author - Sarah K. Wells, MSN, RN, CEN, CNL is an educator, speaker, blogger and owner of New Thing Nurse, a professional and academic coaching company for the nursing world. New Thing Nurse is organized to provide support and guidance to aspiring nurses, newly graduated nurses, and veteran RNs looking to make a change in their life.

Whether it’s a new school, new job or new idea,

New Thing Nurse wants to help with your new thing!

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FOLLOW NEW THING NURSE ON INSTAGRAM - @NEWTHINGNURSE

The Down & Dirty Nursing School Supply List

The semester is starting!

I can hear those alarms going off for 0700 clinicals already. I have seen lots of recommended back-to-school supply lists that have cute, glittery planners plastered with stickers and pens that come in all the colors of the rainbow. These lists are lovely however you’re going to nursing school, not creating a Pinterest board. While it has been awhile since I have been a student, I have crafted a guaranteed list of down and dirty supplies over the years to help you get started on the right foot for the school year and your future shifts at work –

1. Coffee – There is not enough coffee in the world for nursing school. Map out the nearest coffee shop to your classes and clinicals. Time your routes and take into account all possible delays, like if there’s a long line or a zombie outbreak, so that you won’t be late for class. If you’re on a budget, buy a tried and true home set-up and do a practice run with your home kit before your first day of classes. Invest in a good travel mug so that the sweet java stays hot all day long. #coffeeislife
2. Snacks – Once you have coffee, you will need calories. I consumed endless amounts of protein bars while in nursing school. As a nurse, I have switched to straight boiled eggs. Whatever your fancy, pack small meals or snacks to help get you through the day. Your brain needs calories to think.
3.  Water – After caffeine and calories, you next need water. Get a water bottle. Like a camel, you need to be able to survive off your own water stores until your instructors tell you that it’s OK to go to the facilities. During nursing school, you don’t know when you will have a break. Another tip – get one with a good lid. My backpack once had an episode of water bottle incontinence and only by the grace of the Patho Gods, did my laptop not get fried. Get a water bottle with a good lid. Tight seal. Enough said.
4. Pens – Black or blue ink is classic and won’t confuse your schoolwork with an episode of My Little Pony. Do not show up to class without pens. Just like at the hospital if you show up without a writing utensil, your classmates may or may not be able to/willing to bail you out with a loaner. I love cheap pens that come in a box for under $20. If you loose them or someone touches it with their poopy fingers, it’s no big loss. Like everybody, I like all the photos of pretty notes in 34 colors, but I just want a pen that writes in the color of A+.
5. Laptop or Tablet – We live in the digital era. Type your notes. It will save you time. If you want to kick it up a notch, find other people to take notes for different classes and then share to make a hive of mega-notes that will carry you all to glory. Teamwork makes the dream work.
6. Watch – You need to know the time in nursing school. Don’t always rely on your phone. Having your phone out all the time makes it look like you’re not paying attention, even when you are. Get a watch. Learn to sneak glances at it while still maintaining direct eye-contact with your professor. This skill will take you very far in your nursing career.
7. Apps – There are a million medical resources apps. I have no affiliations with any of these (ALTHOUGH I LIKE MONEY! NICE APP COMPANIES - I WILL BE YOUR AFFILIATE!) A few of my favorite medical apps from the old school to today include –
   1. Epocrates - This app helped me with all things pharmacology. It contains dosing infomration (adult & peds), contraindications & administration directions for everything. Remember to always read about the meds before you give them.
   2. Medscape - Medscape is my resource for every random question that I may have while on shift. I use it weekly now in my bedside care. Most hospitals even have Medscape embedded in their intranet. Use it. Learn it. Love it.
   3. WebMD - Another good app for all your random symptom, disease and other medical questions. Patients may use it incorrectly, but it can be a great source of info for clinicians.
   4. Taber’s Medical Dictionary - All those big words... what do they mean? Taber's Medical Dictionary will help you find meaning to all the crazy medical terms.
   5. NurseGrid - Need to figure out when you and your classmates can get together to study amidst your millions of conflicting schedules? NurseGrid is a scheduling app made by nurses for nurses (and nursing students). Create easy-to-read schedules that you can share with your classmates. It's pretty great.
8. Jacket – You need a good jacket that will carry your through class and clinicals. It’s a fact – universities and hospitals cannot seem to regulate their temperature. It’s usually borderline freezing, even in the middle of summer. Get a comfy jacket to avoid hypothermia throughout your studies and clinical rotations.
9.  Bag – You need a nurse bag. It doesn’t have to be crazy or expensive. It just needs to fit your stuff, be comfortable to carry and ideally, waterproof. Why waterproof? Because you never know what funky floor you are going to sit it on in the hospital.
10. Schedule Holder – It is necessary to have somewhere to put your insane school/clinical/study/exam/sleep schedule. But I am not going to use the word “planner” here because I hate paper. I know some people love their paper calendars but WHAT HAPPENS WHEN YOU LOOSE IT?? I like to keep mine in my phone which syncs with my computer. Do as you will. If you need a cutesy, paper planner – DO IT. Just have your schedule somewhere easy to find and hard to lose.
11. Good Attitude – This is essential to get you through school and your nursing career. Nursing school was one of the hardest things that I ever did. It was only because of the members of my cohort that I was able to get through everything. I never would have been able to keep them in my good graces if I didn’t have a good attitude. That will also go for your future colleagues. Healthcare is a team sport and if you are the Debbie Downer or Poophead Paula, no one is going to help you. You cannot nurse alone. Keep a good attitude, and you will be successful.
12. Support Group – I already mentioned my amazing nursing school cohort (SHOUTOUT CNL C/O 2010). But you need more than just nursing school friends to get through nursing because guess what – NURSING SCHOOL ENDS. Your friends will get blown to the four corners of the earth and as much as you will try, you will not be able to depend on them as much as while you’re in school. Set yourself up for success and find a good support system outside of school. Family, friends, partners, pets – it doesn’t matter who as long as you can talk to them and depend on them for support and love.
13. Nurse Mentor – I waited too long to find one of these. A nurse mentor is someone who has been where you are going and can guide you towards success They are there to listen to you vent, get peppered with questions, and received yours texts in the wee hours of the morning (WARNING – there are no promises on their response time). If they do not know the answers, they will help you find them. They are a shoulder to lean on and help you through the hard days, because there will be many, during your nursing school journey.

That’s it! The Down and Dirty Nursing School Supply List from New Thing Nurse! There are many other things that will help you along the way - like scrubs and stethoscopes. However these basics will get you through the hard that is nursing school and set you up for success as you chase that RN dream!

Happy studying!

- Sarah @ New Thing Nurse

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Feel like you might need more help during school than just a supply list?

New Thing Nurse offers Academic Advisement and Career Mentoring services to help provide support and guidance to nursing students as they wade their way through the chaos of class and clinicals.

For more details, see the Services page

or contact New Thing Nurse directly.

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About the Author - Sarah K. Wells, MSN, RN, CEN, CNL is an educator, speaker, blogger and owner of New Thing Nurse, a professional and academic coaching company for the nursing world. New Thing Nurse is organized to provide support and guidance to aspiring nurses, newly graduated nurses, and veteran RNs looking to make a change in their life.

Whether it’s a new school, new job or new idea,

New Thing Nurse wants to help with your new thing!

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FOLLOW NEW THING NURSE ON INSTAGRAM - @NEWTHINGNURSE

How to be a Successful New Grad Nurse

Author's Note: A New Thing Nurse follower recently asked me what advice I would give to a new nurse starting their first nurse job. This post is inspired by her and all the recently minted, new nurses who are starting their nursing careers! Congratulations to you all!

Are you a new grad nurse starting your first job?  Here are some tips to take with you to work to make things go a little easier.

1.     Be open to learning. – There will be so much to learn, and you can’t learn it all at once. Be open to days where you will learn a lot and other days where you may learn only a little. The important this is just to stay open to learning. If you close your mind to learning, you will never grow into the best nurse that you can be.

2.     Ask all your questions. – There are seriously no bad questions. Lives literally depend on your work, so ask anything that pops in your head.  Off-the-cuff tips and advice that I received from co-workers over the years have saved my behind so many times. Pepper your preceptor and colleagues with your questions and absorb all of their pearls of wisdom that you can.

3.     Document everything that you do. – The old adage is absolutely true. If you didn’t document it, it never happened. If people are rushing you and telling you that you do not have time to document, remind them that it’s part of your job. There will be a time where you have to learn a good pace to balance patient care and documentation, but it’s an essential part of nursing.

4.     Be kind to everyone you work with from the housekeeper to the CEO. – You never know who will save you on a busy day in the future. Frequently it’s the frontline staff that will help you the most in a pinch, so be kind to all.

5.     Remember that healthcare is a team sport. – Always be willing to help, as well as ask for help when you need it. No one can do this job alone. If you have a spare minute, make a bed or clear some trays. The good you put out will always come back to you.

And most importantly – TAKE CARE OF YOURSELF. Nursing can be hard. Don’t fall victim to burnout by setting too high of expectations as you start your career. Make time for self-care and find a good support system. You will a need a tribe to thrive.

Good luck! This will be hard, but you are joining the most amazing profession. And know that the #newthingnursetribe will always be here for you every step of the way.

-  Sarah @ New Thing Nurse

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Anxious about getting started at your new job?

Send me an email & we can talk about how New Thing Nurse can make your new job a little less stressful - newthingnurse@newthingnurse.com

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About the Author - Sarah K. Wells, MSN, RN, CEN, CNL is an educator, speaker, blogger and owner of New Thing Nurse, a professional and academic coaching company for the nursing world. New Thing Nurse is organized to provide support and guidance to aspiring nurses, newly graduated nurses, and veteran RNs looking to make a change in their life.

Whether it’s a new school, new job or new idea,

New Thing Nurse wants to help with your new thing!

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FOLLOW NEW THING NURSE ON INSTAGRAM - @NEWTHINGNURSE

An Interview with Anna Rodriguez from The Burnout Book

Confession - I really like social media.

I have been overly involved with social media for years, but got REALLY into my accounts when I started discovering the nursing social media community. From your phone, you can interact with nurses from literally all over the world. It is so wild how much you can have in common with people that you have never met and who are located in geographic areas that are literally thousands of miles away.

It was on Instagram that I first “met” Anna Rodriguez, the curator of the incredible IG account - @the.burnoutbook. I was immediately drawn into her posts about self-care, strategies to fight compassion fatigue and manage stress, her videos of her doing yoga with her Corgi, Walter, and her personal experiences that she would share about working through nurse burnout herself. I completely identified with her narrative and felt like I had found a kindred spirit who also wanted to help support the nursing community!

As luck would have it, Anna happens to also be very active on IG! We now have become regular commenters on each other’s accounts and decided to combine our passions for sharing nurse stories by featuring each other on our own blogs! Isn’t life neat sometimes?

It is now with much pleasure that I introduce you to Anna Rodriguez of The Burnout Book… or better yet, I'll let her introduce herself!

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Sarah @ New Thing Nurse (NTN):  ANNA! I am so excited! Can you introduce yourself to our New Thing Nurse readers?

Anna Rodriguez (AR): Hello! I'm Anna Rodriguez, I'm a critical care float pool nurse in Washington state! I've been a nurse for 10 years now (which seems crazy), and I've had a variety of roles in that time: bedside nurse in med/surg, telemetry, CVICU and then as a nurse manager in CVICU, then I transitioned back to bedside care as a travel nurse and then to my current job. In the future, my plan is to pursue a masters in nurse education. Through all the different jobs I've had, I discovered I find a lot of job satisfaction when I'm in a supportive role, helping others learn new things or helping make their jobs or lives a little easier. So, at the moment, I'm still working as a full-time nurse and started a blog on the side focused on nurse burnout reduction and prevention.

NTN: The New Thing Nurse Blog is all about learning from each other by sharing our professional journeys. How did you fall into nursing? And what area of nursing did you start in?

AR: I’m sort of an anomaly. I figured out what I wanted to do pretty early on and stuck with it, no changes in my major during college! I was in 6th grade and my best friend's mom worked as a CNA and her sister was a nurse, and so she introduced the idea to me. At the time, we envisioned ourselves in a pediatric clinic, playing with babies and kids all day and maybe having to clean up some vomit now and then. All these years later, we both became nurses but both ended up preferring to work with adults! But during high school, I made sure to do some volunteer work at the local hospital so I could be exposed to the environment and make sure I enjoyed it. I would help transport patients around to procedures or to their vehicles when they were discharging, and I found that I really like interacting with patients and being helpful. Nursing is a really good fit for me. I'm so glad I ended up choosing this path.

NTN: The focus of New Thing Nurse is supporting nurses as they find their "new thing." What made you explore nursing away from the bedside? And what was your first "new thing"?

AR: I believe bedside nursing has a bit of a shelf life, at least for me. I admire the nurses who are able to make a career out of bedside nursing, but I'm at the point now where I'm ready to branch past that that and into a non-traditional nursing area, like nurse blogging and education. That's probably what I'd classify as my first "new thing." Although, I'm always looking for opportunities to grow as a nurse, whether it's by attending a conference or volunteering on a committee!

NTN: What helped you make that transition into your "new thing"?

AR: First and foremost, I have an amazing husband who always encourages me to do new things and is incredibly supportive. I've also found an amazing nurse community on social media, and we're always encouraging and learning from each other. So definitely find your people who cheer you on. Second, I'm always staying curious and trying to learn new things and stay challenged. From a practical perspective, if you're a nurse who wants to start a blog, I highly recommend the book "The Nurse's Guide to Blogging: Building a Brand and a Profitable Business as a Nurse Influencer" by Kati Kleber (Fresh RN) and Brittney Wilson (The Nerdy Nurse). It's so, so good.
 
NTN: Do you have any tips for anyone out there who might be considering jumping into a "new thing" of their own?

AR: Don't wait until it's a "good time," there's always something going on that will make it inconvenient. You will find time for the things that matter to you. With that being said, it really helps if your new thing is something you're passionate about! Something that you think about non-stop, dream about at night, and talk to all your friends about. Pick THAT new thing, and you'll find time for it.

NTN: Your slogan says you're passionate about "helping nurses keep their spark!" What drives your work to help the nursing community fight nurse burnout? Did you have a personal experience with nurse burnout?

AR: My drive and passion for fighting nurse burnout definitely comes from a personal experience. I was working as a nurse manager for two years and during that time, I witnessed burnout in my staff and went through my own experience simultaneously. I was the manager when we implemented our new Extracorporeal Membrane Oxygenation (ECMO) program with nurses running the machine at the bedside. It tested us in a lot of ways, physically and emotionally. These are really sick patients who require a 1:1 nurse to patient ratio (sometimes 2 nurses for 1 patient!) and we were working extra shifts to account for this staffing matrix that we weren't anticipating. And because we were seeing sicker patients, there was a lot of moral distress and compassion fatigue occurring. I was considered a "working manager" and would frequently work full or partial shifts at the bedside to supplement the staffing needs while still doing my manger role. I worked some nights when we didn't have a charge nurse, I came in on a weekend for a family conference and missed a funeral for a very special long term patient of ours. We started experiencing nurse turnover (mostly on night shift) for a variety of reasons: interpersonal relationships with physicians, scheduling issues, the acuity of the patients, etc. I realized pretty quickly that I was putting in way too many hours and that my personality made it difficult to let go of a lot of the issues when I walked out the door. I would stress about conversations I needed to have the next day with staff or patient's families. It wore on me physically, mentally, emotionally and I was burned out within two years. I knew transitioning back to bedside nursing would help (at least from a time management perspective) so I helped train my replacement and moved on to travel nursing. It's been almost two years since I quit managing, and I'm still recovering from that experience. I share all my burnout tips on my instagram page (@the.burnoutbook) and on my website and blog, www.theburnoutbook.com.

NTN: If you could give our readers your top tip or tips towards avoiding burnout, what would they be?

AR: I’m going to link to one of my first blog posts, "What to Do When You're Starting to Feel Burnout." It covers the first steps you should take if you suspect you're in that chronic state of physical/mental/emotional exhaustion that we call burnout.

First, talk to someone who you trust. Not only can it help you feel a little less alone when someone else knows your struggles, but it can help provide perspective. Second, write your experience down. Reflective journaling can help you process emotions and deal with negative things. But most importantly, I love writing down the positive experiences: the patient thank you, the compliments from peers, the positive and humorous interactions that you have as a nurse. The Burnout Book started as a little notebook where I documented those positive things so that when I had rough days and felt burned out, I could go back and read through the book and remember why I do what I do.

The last tip is all about self care, which can take many forms. It can simply be saying "no" when the staffing office calls to try and get you to work an extra shift. It can be doing things on your days off that are relaxing or energizing. It can simply be spending time with loved ones. I highly recommend setting healthy work boundaries and know what your limits are. That can go a long way.

NTN: I love nursing professional organizations. You seem very involved with the American Association of Critical-Care Nurses (AACN). What can you tell our readers about the AACN, and how it has enhanced your nursing career?

AR: One of my favorite “new things” I've done recently has come about because I'm a member of a nursing organization, AACN (American Association of Critical Care Nurses).

The AACN is a national organization that creates a community of acute care and critical care nurses. There are a bunch of perks to being a member! You get access to a ton of continuing education, they have several journal publications that come in the mail, they provide discounts for certification tests and study material, they hold an annual nursing conference where you can meet nurses from across the nation (and around the world!), and a whole bunch of other online resources. There are other nursing organizations you can become a member of with access to similar things. This is the organization I chose 8 years ago because I was in a Telemetry unit with plans to go into critical care and it made sense at the time.

More recently, I've had the opportunity to be a volunteer on a committee to help create questions for a nursing certification exam, and I've been a social media influencer for their national nursing conference! I'm amazed at all the opportunities that have come because I'm apart of this organization!

NTN: Your IG account is full of videos of you doing yoga, often with your adorable dog Walter.  How does yoga help you? Do you incorporate yoga into your nursing practice?

AR: I’ve always enjoyed yoga from an activity standpoint. I love testing my flexibility and stretching, it's very relaxing. After going through my burnout experience, I've found a huge benefit from yoga because you are practicing breathing techniques and meditation to quiet the mind while being active. My mind used to be so distracted with what I had to face at work that I was constantly in a state of anxiety and even experienced what I'd call a panic attack. Yoga helps refocus my thoughts and bring them to the present instead of being fixated on things outside my control. But man, it takes time and practice. You can’t flip a switch. It takes time to retrain your thought patterns.

NTN: Do you have any "new things' on the horizon? New Thing Nurse wants to know!

AR: “New things” on the horizon: moving to a new city, I'll be getting a new job at that time, continuing to work on building The Burnout Book community online and collaborate with others! In the next few years, I hope to pursue my masters degree in nursing education as well.

NTN: Do you have any other advice for our readers?

AR: There are many things that can contribute to burnout that are outside of our control: staffing ratios, meaningful recognition, leadership support, etc. But what I suggest is find the things that ARE in your control and develop a self-care plan that works for you! Maybe it involves meeting your social needs by going out to lunch with a friend a couple times a month. It may look like finding new and fun ways to be active, like taking a barre class or going on a hike. Maybe it will come in the form of counseling, assertiveness training, practicing saying “no”, changing jobs, or getting a medical provider to help you with your physical and mental needs. You can't pour from an empty cup. Put your own oxygen mask on first.

Y'ALL - DOESN’T SHE GIVE THE BEST ADVICE?

Now - check out the Anna & Walter cuteness below!

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Want to learn more about Anna Rodriguez, The Burnout Book & Walter, the Corgi?

Email - anna@theburnoutbook.com
Website - www.theburnoutbook.com
Blog - www.theburnoutbook.com/blog
Instagram: @the.burnoutbook & @anna.the.nurse
Facebook: Anna the Nurse
Twitter: @anna_the_nurse

- Sarah @ New Thing Nurse

About the Author - Sarah K. Wells, MSN, RN, CEN, CNL is an educator, speaker, blogger and owner of New Thing Nurse, a professional and academic coaching company for the nursing world. New Thing Nurse is organized to provide support and guidance to aspiring nurses, newly graduated nurses, and veteran RNs looking to make a change in their life.

Whether it’s a new school, new job or new idea,

New Thing Nurse wants to help with your new thing!

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FOLLOW NEW THING NURSE ON INSTAGRAM - @NEWTHINGNURSE

Sloth + Hospital = Slothpital

MY DAY AT THE SLOTH SANCTUARY OF COSTA RICA

In April, I had the opportunity to travel with my sister and New Thing Nurse team member, Anna Wells, down to Costa Rica. This was not my first time to this beautiful country. From 2008 to 2009, I spent nearly a year in Monteverde, Costa Rica where I volunteered as an English teacher in a small, mountain community called Santa Elena. I had an amazing time and made some incredible memories, but nursing school, work and life had since prevented me from returning for nearly eight years (how does that always seem to happen?).

This year, my sister and I decided to make it happen and head down for a Central American adventure. During our trip planning, I knew of one destination that absolutely had to make the trip agenda. The Sloth Sanctuary of Costa Rica is a famous spot known for being on of the few locations where one can see sloths who have been rescued and are in the process of rehabilitation to be released back to the wild in Central America.

If you don’t know this yet, I LOVE SLOTHS. They are my spirit animal. If you are wondering why I feel so much in common with these lethargic tree-dwellers, just ask my husband, family or friends how much I love to sleep, take my sweet time and just hang out. The Sloth Sanctuary of Costa Rica was a natural stop to add to our trip.

I am excited to share with you my day at the Sloth Sanctuary and my time in their Slothpital. How we care for our natural world is a direct reflection of how we are taking care of ourselves and our fellow humans. Environmental health and our own health go hand in hand. The Sloth Sanctuary of Costa Rica can teach us a few things about taking care of ourselves and our planet.

Now – more sloths!!

Photo: A bucket of sloth cuteness.

WHAT IS A SLOTH?

At this point you may be wondering, what exactly is a sloth? Besides being my favorite animalito, sloths are tree-dwelling mammals that are found in the tropical forests throughout Central and South America. Sloths are known for their slow, deliberate movements and equally slow metabolisms. How slow are we are talking? Let’s just say that it can take up to a month to digest consumed nutrients. But staff at the Sloth Sanctuary will tell you that they are not slow, just energy efficient. Sloths are able to move with unexpected speed when threatened, so do not let that slow reputation fool you!

There are two types of sloths that live at the Sloth Sanctuary of Costa Rica – the Bradypus variegatus (three-fingered sloth) and the Choloepus hoffmanni (two-fingered sloth). Buttercup, the Sloth Sanctuary’s longest resident, is the Bradypus variegatus variety for reference. Many resources discuss the types of sloths as being “two- or three-toed”, but the Sanctuary divides them in terms of “two- or three-fingers”. Fun Fact - All sloths have three toes on each hind foot. The number of digits only differ on the front feet, thus making it easier to consider them “fingers”. #themoreyouknow

WHAT IS THE SLOTH SANCTUARY OF COSTA RICA?

Located outside of Cahuita, Costa Rica along the Estrella River, the Sloth Sanctuary of Costa Rica was founded by Judy Avey-Arroyo and Luis Arroyo. Originally purchased as a location for birding tours, the Sloth Sanctuary evolved into a sloth rescue center after their first sloth, named Buttercup, was brought to the property in 1992.

Buttercup is now over 25 years old and still resides at the Sanctuary. The Sloth Sanctuary has been an officially authorized rescue center since 1997 and continues to be a center for conservation work and research. Today, the staff at the Sloth Sanctuary continuously works towards its mission to rescue, rehabilitate and release their sloths back into their natural habitats.

Photo: Buttercup is a three-fingered sloth & the Sloth Sanctuary's first & oldest resident.

A DUSTY ARRIVAL TO THE BUTTERCUP INN

Anna and I arrived at the Sanctuary in the evening after a long day on the bus from San Jose. Dusty and tired, we were welcomed and shown to our room at the Buttercup Inn. Yes, that’s right. Buttercup, the Sanctuary’s longest sloth resident, has her own hotel. After dinner and a shower, we had a nice, long, sloth-like sleep that got us ready for a day in my personal sloth-y heaven.

MY DAY IN SLOTH PARADISE

Keep Calm & Hang On

“Keep Calm & Hang On” is the mantra at the Sloth Sanctuary, and I also think that it would also be a great slogan for any emergency department. While the pace of life at the Sloth Sanctuary did not require me to hang on tight often, I did have to hang in there as our day in sloth paradise started bright and early.

Anna and I started our day with coffee by the water followed by a boat tour of the local waterways that are off-shoots of the Estrella River. The lush landscape is filled with plants and animals everywhere you look. Our guide helped identify all kinds of local flora and fauna as we enjoyed our leisurely ride down the river. It was a truly delightful way to start the day.

Photo: A leisurely ride down the river to start our day at the Sloth Sanctuary.

Next, we met Marco, our Sloth Sanctuary guide, who took us on a tour of the areas where some of the permanent residents of the sloth sanctuary are kept. Unfortunately for many complex reasons, some sloths are unable to be returned to their natural habitats. The Sanctuary has become a permanent residence for many such sloths and is now currently working to expand their capacity to be able to better accommodate their slow but beautiful group of tenants.

The Slothpital

After touring the permanent resident pavilion, Anna and I got to go to the SLOTHPITAL where Sanctuary staff take care of their adult and littlest sloth-lings. To say that I was excited is an understatement. I WAS FREAKING OUT but trying to maintain a cool composure (I mean, I was there as a professional nurse blogger person). Behind the Buttercup Inn, we climbed the stairs to find ourselves in a room full of tiny sloth life. This was the cutest P.I.C.U. that I have ever seen. Please see the photos below to see why I melted for the duration of our Slothpital stay.

Photo: A bucket full of two-fingered sloths in the Sloth Sanctuary P.I.C.U.

Photo: A two-fingered sloth says HELLO!!!

Photo: Anna Wells, New Thing Nurse team member, photographs two-fingered sloth during feeding time at the Slothpital.

Photo: A two-fingered sloth chows down on Beach Almond leaves for lunch.

Photo: The N.I.C.U. department of the Sloth Sanctuary where the littlest sloths stay.

Photo: A three-fingered sloth awaits lunch in the Slothpital N.I.C.U.

On the day that we took our tour, the Slothpital P.I.C.U. was caring for several dozen small patients. Specially trained staff are in charge of these buckets of cuteness and work around the clock to keep them fed and comfortable.

Anna and I next toured the Slothpital clinic where I noted that all of the same resources that my emergency department has is available at the Slothpital – phlebotomy, lab, X-ray and ultrasound. The Sanctuary has a local veterinarian who is available at any time their patients need admission physical evaluations, check-ups or any sort of increased levels of medical care. I was surprised to find out that the Slothpital also has a very busy obstetrics service that was getting ready to deliver a baby sloth the day that we were taking our tour. Like my E.R. colleagues, the Slothpital staff are always on high-alert because they never knew what was going to happen next.

Photo: The Slothpital clinic where new sloth residents are weighed & given a thorough admission physical exam.

Photo: Sloth skeletal diagrams.

While caring for sloths may not seem like it could have anything to do with human healthcare, I beg to differ. The Sloth Sanctuary of Costa Rica is a place where any sloth can go for care and rehabilitation with the goal of returning everyone to their home environment in optimal health. If that isn't the best goal that nurses could also set for their patients, I do not know what is. The way we care for the natural world reflects the values that we have for ourselves. I hope that I get to see a day where everyone in healthcare is as invested in providing the best care possible to their patients just like the staff at the Sloth Sanctuary of Costa Rica.

- Sarah @ New Thing Nurse

Want to learn more about The Sloth Sanctuary of Costa Rica?

The Sloth Sanctuary of Costa Rica Website

Want to be featured on the New Thing Nurse Blog?

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About the Author - Sarah K. Wells, MSN, RN, CEN, CNL is an educator, speaker, blogger and owner of New Thing Nurse, a professional and academic coaching company for the nursing world. New Thing Nurse is organized to provide support and guidance to aspiring nurses, newly graduated nurses, and veteran RNs looking to make a change in their life.

Whether it’s a new school, new job or new idea,

New Thing Nurse wants to help with your new thing!

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FOLLOW NEW THING NURSE ON INSTAGRAM - @NEWTHINGNURSE

When the Shift Hits the Fan.

It is inevitable. It will happen to you.

No matter if you are a new graduate or veteran nurse, there will be that shift that will almost break you. Staffing is short. Your patient is crashing. Maybe it’s downtime to boot. The stress is overwhelming. You are heading to the med room to cry.

I have been there and shed those ugly tears. You feel like you’re drowning, and there is never enough help. I wanted to write a quick post with some advice about stress-management strategies that have helped me cope during those really hard moments when the shift is really hitting the fan.

Remember - You can’t do it all.

That moment when you start to feel like you need to clone yourself 10 times, stop and remember that you cannot do it all. THAT IS OK. You are a single human with a maximum capacity to take on tasks. Luckily, nursing is a team sport. Reach out to others and throw up the S.O.S. signal. Get some help. This is not a sign of weakness. This does not mean that you are not a good nurse. You are recognizing your limitations in the moment and putting patient safety first. It is appropriate to ask for assistance. If you try to do it all alone, you are putting yourself and your patients at risk. Don’t do it. That is never OK.

Take a deep breath. Try counting to 100 by threes.

Victor Lipman wrote for Psychology Today – “Get your body in hand first, and the mind will have a better chance to follow.” By using distraction techniques (like breathing and counting), you start to take control of yourself physically. This will help slow down your racing heart, help you avoid hyperventilation and allow you to think clearly. Nursing is a high-stress job. We are asked to do an impossible number of tasks (see the previous section) as fast as possible with less and less support. And not to mention, we are responsible for human lives. It’s normal for you to physically respond to that kind of stress. To succeed in a time of crisis, you will need to calm the body as well as the mind.

Triage. It is time to triage.

I am 100% an ER RN, so I am going to preach the importance of triaging your situation. It is time to get organized. You need to sort out what are the tasks that need your immediate attention, what you can delegate out to others, and what can go on the back burner. We already established that you cannot do it all. By triaging the urgency of your duties, you will complete the super STAT things quickly and figure out a way to get the other things finished without losing your mind. There is the possibility that you might not get it all done. And that is also OK. If all your patients are alive, your documentation is done, and no one is yelling at you, then all that extra stuff probably was not as necessary as you thought.

Don’t buy into the crazy.

When it’s busy, everyone gets stressed out. Emotions will be running high and sometimes, logic starts to fly out the window. It is SO important to not start down the road to Senselessville. Medicine has standards of care. Hospitals have policies and procedures. There is always structure to be found, even when it seems like the walls are crumbling around you. Let those rules guide you in the times of chaos. It can be very comforting (not to mention extremely helpful) to tap into those policies and procedures when the shift is blowing up. If you’re not sure if what is happening is kosher, take a minute and check the rules. You may be surprised at what you find.

Thank your coworkers.

Gratitude works magic. If you had someone come help you in a pinch, find them later and give them a “thanks” and a high-five. Nurses and other healthcare workers do not appreciate each other enough. We do some amazing work in ridiculous conditions. Find a minute to tell your colleagues that they did a good job. I find that appreciated coworkers are more apt to help in the future. 

Take time to decompress.

This is for after the shift-show has calmed down. You need to take some time to process. Whether it is in the car on the way home, in the shower after your shift or during a run the next day, find some quiet and let yourself go through the stress of the day. When we carry around too much stress, it can manifest as physical symptoms. By allowing yourself to work through the bedlam of your nurse life, you will find better balance in your personal life.

Have a great shift!

-  Sarah @ New Thing Nurse

About the Author - Sarah K. Wells, MSN, RN, CEN, CNL is an educator, speaker, blogger and owner of New Thing Nurse, a professional and academic coaching company for the nursing world. New Thing Nurse is organized to provide support and guidance to aspiring nurses, newly graduated nurses, and veteran RNs looking to make a change in their life.

Whether it’s a new school, new job or new idea,

New Thing Nurse wants to help with your new thing!

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FOLLOW NEW THING NURSE ON INSTAGRAM - @NEWTHINGNURSE

An Interview with the Interviewer: Elizabeth Scala

This week has been very exciting here at New Thing Nurse.

On Wednesday, April 25th, an episode of the nursing podcast "Your Next Shift", hosted by the imitable Elizabeth Scala, MSN, RN, MBA, went live. This episode features an interview with myself, your New Thing Nurse friend and founder, and Elizabeth where we talk about all things nursing, self-care, travel, rugby and of course, New Thing Nurse.

LISTEN TO MY INTERVIEW ON "YOUR NEXT SHIFT" WITH ELIZABETH SCALA HERE!!

I have never been on a podcast before, this again making me a #newthingnurse. I was SO nervous when we recorded the interview last month as I have been a fan of Elizabeth Scala's for quite some time. If you are not already familiar with her work, Elizabeth is a Johns Hopkins-trained Registered Nurse, best-selling author, keynote speaker, and consultant on burnout prevention for nurses in all specialties. She is the CEO of ElizabethScala.com and founder of The Art of Nursing - a Nurse's Week program providing education and inspiration to thousands across the country. Elizabeth also hosts the incredible podcast "Your Next Shift", where she interviews nurses from diverse roles from across the spectrum of nursing.

I mean SWOON, right? #nursecrush

In addition to inviting me to be on her podcast "Your Next Shift", Elizabeth was also game to play a little "Interview the Interviewer". Below is a brief interview between myself, Sarah @ New Thing Nurse, and the "Your Next Shift" hostess with the mostest - Elizabeth Scala, MSN, RN, MBA.

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Sarah @ New Thing Nurse (NTN): I have been a big fan of yours for a long time but for those who aren't familiar with you and your work, can you introduce yourself and tell us about your work?

Elizabeth Scala (ES): Sure, Elizabeth Scala here. Professionally, I work as a Registered Nurse. Personally, I love gardening, jigsaw puzzles, my pup and dancing to jam bands all over the country! I have my dual masters' degree in nursing and business. And even though I am quite the homebody - I do love to travel and teach others.

NTN: I love hearing about other nurses' professional journeys. How did you fall into nursing? And what area of nursing did you start in?

ES: Great question! And totally worded appropriately for me. I definitely am on that "fell" into nursing. It was NOT my agenda;  growing up, hospitals would scare me! So, senior year of college I was moving into my apartment off campus with three other girls. Two of my roommates were in nursing school. One of my roommate's mothers was a nursing faculty. And the three of them, along with my own mother, decided that after I graduated with my psychology degree that I could go straight into the accelerated nursing program. I didn't have concrete plans yet after college so I thought, "Why not!?!" I started out in psychiatric nursing, worked some in the community, and am currently a research program coordinator at a large academic medical center.

NTN: The focus of New Thing Nurse is supporting nurses as they fine their "new thing". What made you step away from the bedside? And what was your first "new thing"?

ES: Gosh - what made me step away from bedside nursing was me. I wasn't taking any care of myself. My health was in the toilet; my emotions were on a roller coaster ride. I felt miserable and one night - since I RARELY slept through a night - I was having another sobbing tantrum. My husband and I both agreed that I could not keep going at the pace I was at. I needed to take a break, and I needed to focus on myself. I left my psychiatric nursing job and made a risky decision to work just part-time at a local wellness center. I was still able to work as a nurse - as they needed a RN to head up a physician referral program - so that was kind of neat! And during that time I had many "new things". To thing about what was the first... hmm. I think it was remembering that I was an athlete growing up. I loved sports, was always in good shape, and highly competitive (smile). Being at the wellness center and around all of the equipment, personal trainers, and healthy bodies - I was like "Ohhhh yeah..." It woke me up first physically to the shape I was in. After that, more and more started to unfold and I started to feel healthy, happy, and whole again.

NTN: What helped you make that transition into your "new thing"?

ES: I would say that many things helped me. My husband being supportive and allowing me to leave my full-time job with all of the perks that went along with it. Boy, I do NOT know how we made it financially - but we did! Then, my own curiosity. My own pause and need to do things that I enjoyed. Being at the wellness center, I was surrounded by resources. I asked for help, hired a trainer myself, and got back into shape. My boss at that job was super helpful. He introduced me to the concept of "coaching" and I went into a certified coaching program. Then, even one of my clients at the wellness center helped! She was a marketing specialist and started to talk to me in between her sessions about social media, blogging, and all sorts of things I never had heard of. I guess the main thing that I believe helped is an open mind and a desire to learn more. Even if I didn't know how something would work out, saying "yes" without hesitation was super productive in taking the next step!

NTN: Do you have any tips for anyone out there who might be considering jumping into a "new thing" of their own?

ES: Hmm, interesting question. I think that it depends on what their "new thing" is. For some new things, you definitely need to wait before jumping. What I mean by that is I have done a TON of things wrong in my online work. And even now, I am at a place where I am assessing and re-assessing decisions and plans. So, if you are considering a new thing that you know nothing about, do your research. Learn more before taking a plunge.

Next, I would say to the person considering a new thing... is it YOUR thing? So often we get wrapped up in what we think we "should" be doing. I think of all the dirty words - SHOULD should be at the top of the list (LOL). That being said, I mean is the new thing something that you desire or something you are going to do for someone else? I have learned along the way that when I get into something new that isn't 100% my true heart's desire... it doesn't work out all that well. Now, other "new things" that are a bit less heavy (like trying a new hobby, such as tango dancing) - for something like that, jump in head first! I do think we need to do more new things that are fun, adventurous, and will fill our spirits!

NTN: You have been a self-proclaimed warrior against nurse burnout for a long time. What drives your work to help the nursing community fight burnout? Did you have a personal experience with nurse burnout?

ES: As shared above, yes. Yes. And, yes again. In fact, to be honest, I am noticing that I may be back in burnout again. I think from everything I have shared above speaks to this questions, but to state it another way... Burnout happens when we are riding on someone else's train. When our values, desired, strengths, and assets are not being actualized. When we are living life along the "should" of what other people want and need. Now, I do agree that we all report to somebody - at work or at home. Sure, there are things that we may not 100% enjoy. And yes, work is work, and there will be stress on a job. However, when we get away from our true heartfelt desires, then we find ourselves in trouble. Couple that with working too hard, not getting a break, or forgetting to do things that are good for your mind, body, and spirit - all of this added up leads to burnout. I do agree that the workplace needs to be supportive and help us be happy and healthy professionals. At the very same time, it is up to us to stand up and take responsibility for our own well-being.

NTN: If you could give our readers your top tip or tips towards avoiding burnout, what would they be?

ES: Do what you enjoy. Set healthy boundaries. Schedule down time, me time, and non-work time. Change it up. If you are stuck in a rut - figure out why and what needs to shift. Focus on the positive. Sure, there is a tone out there that is scary, miserable, and bad. And, even through the greatest of tragedy we can learn, grow, and transform our lives. Live as much as you can in the moment. It is when our mind wanders to the "what if" or the "should, could, would" is when we get into trouble. Stop and breathe. And don't take yourself or your life so seriously. Smiling and laughing - that can be some of the very best medicine!

NTN: Do you have any "new things" on the horizon? New Thing Nurse readers want to know!

ES: I believe that I do, but most I am not even aware of yet. As I honestly (and maybe for the very first time) shared above - I am a bit into burnout right now. And, being someone that knows the signs, causes, and what to do about it - I need to stop. Really stop everything and take pause. What are my next steps? What lights me up? How can I best serve others? I can say that I have a very special course coming out soon. The content is done, and we are working on some of the aspects of how folks will be able to interact with and enjoy the program. I also know that some of my other "new things" involving ending some things that I hae been doing for several years now. In a way, ending things is the first step to the new beginnings, right?

NTN: How can our readers find out more about you and your work?

ES: Sure, well the easiest place to find me is at ElizabethScala.com. I also have a Facebook page and community. I do hang out quite a bit on LinkedIn. And, if you're looking for resources you could check out Nursing from Within or Your Next Shift - two of my very favorite books!

Oh, and I cannot believe I forgot to mention this at all so far... my podcast! Now that I am assessing where I am at and what I enjoy - I can tell you. The podcast is NOT going anywhere. I LOVE to interview other nurses - highlighting their triumphs and lifting the profession of nursing up!! So, definitely check that out. I am sure that you'll see some familiar faces, smile.

NTN: Do you have any other advice for our readers?

ES: Boy, I could go on and on, for sure. I think I shared a lot above. To close it out, just be yourself. And, if you don't know who that is or what that self wants, take the time to figure that out. First off, you will be happy that you did. Things will go so much smoother. It gets easier when you live life as your best you. If you get off course, it's all good. Even the best of us experience burnout! And guess what? We can thank it. It is that gentle reminder that we are not living life as our highest self.

Thanks for the opportunity to hang out with y'all! I hope to "see" you online. Enjoy YOUR new things!!

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ISN'T SHE AMAZING??

Hear the "Your Next Shift" podcast episode featuring the interview between Sarah K. Wells, MSN, RN, CEN, CNL and Elizabeth Scala, MSN, RN, MBA in its entirety below.

A Shift In Perspective with Sarah K. Wells - Your Next Shift with Elizabeth Scala

- Sarah @ New Thing Nurse

About the Author - Sarah K. Wells, MSN, RN, CEN, CNL is an educator, speaker, blogger and owner of New Thing Nurse, a professional and academic coaching company for the nursing world. New Thing Nurse is organized to provide support and guidance to aspiring nurses, newly graduated nurses, and veteran RNs looking to make a change in their life.

Whether it’s a new school, new job or new idea,

New Thing Nurse wants to help with your new thing!

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FOLLOW NEW THING NURSE ON INSTAGRAM - @NEWTHINGNURSE

The Future of Nursing is Looking BRIGHT!

The next generation of nurses is looking strong.

I had the opportunity to give a workshop to members of the East Bay Student Nurse Association in Hayward, California this week. There was a great turnout of enthusiastic recent graduates and current nursing students. They were excited. They were eager. They were looking for help on how to jump headfirst into their nursing careers.

The title of the workshop is “I survived nursing school! Now what?”. It focuses on how to navigate that stressful transition from nursing school to new grad nurse in regard to self-care, stress management and all things related to getting that first job – networking, the job search, resumes and interviews. It was a great session. The participants were so interested in how to shift from successful nursing student to successful new nurse.

I love working with nursing students. In my opinion, nursing students are the toughest, most flexible and resilient students out there. They are asked to do the impossible – manage full-time clinical rotations, class time and personal lives – all while paying for the privilege to do it. These students were no exception. They arrived telling me stories of how they juggled their clinical rotations, nurse internships, volunteer work, classes, and part-time jobs. Each of them had incredible perspectives on patient care and the ever-evolving landscape of the American healthcare system. I was overwhelmed with their passion and determined spirits. The future of nursing is looking bright.

How can we help future nurses?

The major need that I hear from nursing students everywhere is that they need more opportunities. Nursing students need good preceptors and clinical rotations. If you are approached to precept, think about offering to help. New graduate nurses need to be considered for nurse positions. There needs to be more new nurse training programs and budgets to support them. New nurses need good mentors.  If you work with a new grad nurse, offer supportive guidance and a sympathetic ear when they need to talk to someone. Help them grow and avoid the burnout that so many new graduates face in their first jobs.

Our next generation of nurses is excited to get to work. Let’s help them be the best nurses that they can be.

- Sarah @ New Thing Nurse

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About the Author - Sarah K. Wells, MSN, RN, CEN, CNL is an educator, speaker, blogger and owner of New Thing Nurse, a professional and academic coaching company for the nursing world. New Thing Nurse is organized to provide support and guidance to aspiring nurses, newly graduated nurses, and veteran RNs looking to make a change in their life.

Whether it’s a new school, new job or new idea,

New Thing Nurse wants to help with your new thing!

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FOLLOW NEW THING NURSE ON INSTAGRAM - @NEWTHINGNURSE

March - A Blue Month for Colorectal Cancer

Most people think of green, four-leaf clovers and leprechauns when they think of March.  

But since November 2017, March only makes me think of blue.

March is National Colorectal Cancer Awareness Month, represented by the color blue. Colon cancer became a very personal topic for me in November of last year when my mom was found to have a cancerous tumor in her colon at age 57.

My mom, Debra, is an awesome human.

She is a vibrant, funny, ass-kicking lady. She has always been her own boss. Mom owned her own store for nearly 30 years, then decided to open her own wholesale business so that she and my stepdad could live life on their own terms. Debra is amazingly cool, if you haven’t drawn that conclusion on your own yet.

As a patient, it was hard for my mom. She likes to be in control and suddenly, she was not. But Mom could control how she approached cancer, so she did it with an amazing sense of humor.

I give you her social media post soon after her colon cancer diagnosis –

Mom: “I look forward to my phone's predictive text suggesting ‘colorful’ rather than ‘colorectal’. #EffCancer”

Mom also started a line of buttons from her business The Word Emporium to sell to people who want to tell the world how they really feel about cancer.

My mom was also incredibly lucky.

She had an amazing GI surgeon who did a partial colectomy that not only removed ALL of the cancer, but also left mom without the need for a colostomy. Mom also did not need radiation or chemo. She is scheduled for annual imaging and bloodwork screenings to ensure early notification if the cancer does come back. My mom is happy and healthy. I could not be more grateful.

Sadly, colorectal cancer is on the rise.

By going through this experience with her, I learned a lot about colorectal cancer that was extremely disheartening, especially as it relates to patients under 50 years of age. Here are some fast facts provided by the incredible Colorectal Cancer Alliance -

• Young-onset colorectal cancer is on the rise in the United States.
• 10% of new colorectal cancer patients are under 50 years old.
• Young-onset patients are often misdiagnosed due to vague symptoms and assumptions that young patients are not at high-risk for colorectal cancer.

Then in December of last year, I became acutely aware of just how young patients dealing with colon cancer can be.

While helping my mom recover from her own colon surgery, I learned about the achingly early passing of a high school classmate, Christopher Roberts, from colon cancer.

In high school, Christopher and I were in several honors classes and band together. He was one of those rare adolescent male specimens who was an extremely nice guy that also played on the football team and had incredible intellect in the classroom. We lost touch after graduation, but learning of his death made my heart hurt. It would make anyone’s heart hurt.

Christopher was only 31.

It was only after his death that I found out that Christopher had been battling colon cancer very publicly. He was interviewed for the Colon Club blog and in the New York Times. Christopher candidly shared his story and helped reach many young people who might otherwise not be aware of the risks of colorectal cancer.

I cannot thank him enough.

Christopher continues to help educate the public. He taught me. Read about him here so that he can teach you.

The New York Times - Colon and Rectal Cancers Rising in Young People

The Colon Club - Christopher Roberts

Let’s think of blue this March.

I write this for my mom, Christopher and all the others out there battling colorectal cancer.

Consider making a donation to the Colorectal Cancer Alliance. This organization works to support the needs of patients, caregivers, and survivors, raise awareness of preventative screening, and fund critical research.

You can donate in tribute of those who have lost the fight with colorectal cancer. Last year I donated in the memory of Christopher Roberts. I will again this month. Want to join me?

-       Sarah @ New Thing Nurse

More resources about colorectal cancer -

The Colorectal Cancer Alliance

CDC - Colorectal Cancer Awareness

Fightcolorectalcancer.org

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About the Author - Sarah K. Wells, MSN, RN, CEN, CNL is an educator, speaker, blogger and owner of New Thing Nurse, a professional and academic coaching company for the nursing world. New Thing Nurse is organized to provide support and guidance to aspiring nurses, newly graduated nurses, and veteran RNs looking to make a change in their life.

Whether it’s a new school, new job or new idea,

New Thing Nurse wants to help with your new thing!

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FOLLOW US ON INSTAGRAM - @NEWTHINGNURSE