Bad days happen in all professions, but in the high-stress world of acute and critical care when patients and families are often experiencing their worst moments, they can be much more intense.
Three compassionate nurses have made it their mission to help colleagues prepare for and get through the tough times and thrive in their practice. Andrea: I think the decision to leave the bedside — or nursing itself — is often the result of an accumulation of bad days.
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What if we could intervene early in that progression? If we have skills to manage those days and learn from them, I believe we could extend the amount of time we can thrive as bedside nurses. Magally: Bad days make you stronger and wiser if you approach them the right way, and they help you find out who your allies are. Andrea: How can it not? So much of our job as nurses is relational, meaning we are bringing our whole selves to help care for the patient. If we are drained, exhausted or angry, for sure we will have less energy to give our patients.
Plus, evidence directly correlates nurse burnout to patient outcomes. Taking care of yourself is part of being the best nurse you can be. What advice would you have for them? I ask a nurse to watch my patients and offer to return the favor during their break. Magally: Take a deep breath and maintain a positive mindset. As soon as you clock out, think about the good things in your life, such as your family, pets or your upcoming vacation.
Play relaxing or upbeat music. Call a friend and tell them how you feel — sometimes we need to debrief our feelings to feel better. Andrea: As a new grad, when I needed to master a new skill like setting up an arterial line, I would create an index card that I could carry around in my pocket. I decided to make an index card with advice to myself about how to survive a bad day. That became my bad day checklist. Anna: My burnout book is a small notebook that I keep in my locker at work; I started it during my second year as a nurse.
you’re a bad nurse if you don’t listen to your patients
You say that a series of bad days can lead to burnout. How can nurses ensure that one bad day remains an isolated incident? Andrea: To me, this is a psychological question. So I start dreading those future shifts, and that dread becomes yet another burden in my already bad day. It will end, and other days will be different. Magally: At my unit, when we know one of our co-workers is struggling, we team up, come up with a plan, divide the duties and conquer the shift. As a military wife, I have learned we should never leave a co-worker behind when they are having a bad day.
So asking for help is key. Anna: Part of being a patient advocate is recognizing when their care is being compromised or delayed because of other tasks that are taking priority. Andrea: When I was a fresh new grad, I was sometimes afraid to ask for fear of being seen as needy or incompetent. Now I am better at trusting that inner voice, the one that knows I need help in order to give our patients the care they deserve.
Because balance is such an important part of surviving bad days, what do you like to do outside of work? Together they tell the story of psychiatrist Pamela Buckbinder who is accused of using her knowledge and expertise as a psychiatrist to have her ex-boyfriend and father of her child murdered. They also tell the inspiring story of a psychiatrist in Hawaii who goes where his patients are in the streets to deliver mental healthcare to those in need.
To open the show they discuss an article that shows many hospital patients feel like "lepers" when placed in isolation.
The Bad Nurse
This week Tina and Q are celebrating the 50th episode of Good Nurse Bad Nurse by telling the story of Michael Jackson and the doctor who was brought to trial for his death. They also tell you the story of Dr. Mike, Instagram's "hottest doctor", who proved he was more than just a pretty face when an emergency happened while flying overseas.
This week Tina is joined by Joshua Strickland, the nurse who posted a picture of himself at work on a popular social media group and was ultimately fired from his job for it. Listen as Josh tells the story of exactly what happened. And of course they have a bad doctor story Albert Lambert was a doctor from Florida who just could not tolerate having to give his ex-wife alimony and child support.
He told the judge he would rather be in jail or on the run than pay the money to his ex-wife This week Tina and Q discuss the disturbing case of Grant Amato. This was just the start of a senseless and sad set of events that would lead to him standing trial for the murder of his family.
They also discuss the nurse who was fired for refusing to participate in an elective abortion. The good nurse story is about a critical care nurse who ran toward fiery flames to save a woman in a trapped vehicle. This week Tina and Q tell you about Kathy Augustine, a Republican state senator from Nevada who married the critical care nurse who cared for her late husband and who also ended up dying a mysterious death.
- You’re Not a Good Nurse.
- Agriculture Issues & Policies.
- Good Nurse Bad Nurse.
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They also tell you about an LPN in Maryland whose selfless act of bravery saved the life of a man in a very scary situation. Before the show they have an important and exciting announcement to make for the in the news segment! This week Tina is joined by nurse manager Allison. They get you caught up on the RaDonda Vaught case former Vanderbilt nurse.
Nurses Who Behaved Badly (and Got Caught)
Then they tell you the story of pediatric nurse practitioner, Michelle Michael They close out the episode with a truly inspirational story about a Jewish nurse from France who spoke fluent German and was a spy in the second World War. The week Tina and Q travel back to the late s to discuss the disturbing story of Jane Toppan.
Jane never actually graduated from nursing school, but that didn't stop her from pursuing her dream of becoming the most prolific serial killer of all time.