Mobility in our inpatient population is my search this week.
Are you struggling with getting your patients up and ambulating? Physical
therapy (PT) is staffing challenged and often unable to meet the needs of our
patients that must be up and out of bed. Patients in critical care areas, on
ventilators, and bedridden still need mobility and activity. Before PT was available,
nurses did the bulk of this work: getting patients up, out of bed, in the
chair, walking, and performing range-of-motion exercises. Now nurses, as well
as PT, face growing demands with fewer resources; patients don’t always get
what they need in terms of mobility. How’s your organization managing this
issue? Are there ambulation teams, unlicensed assistive personnel assistance,
or an increase in complications due to little or poor mobility? We want to hear
Lisa Lockhart, MHA, MSN, RN, NE-BC
Are you getting ready for Nurses Week next week (May 6 to 12)? This is our time every year to honor nurses in every aspect of our profession. The American Nurses Association has named 2017 the year of the balance between mind, body and spirit. The May/June issue of Nursing made Incredibly Easy! celebrates you, the professional nurse. And you'll also notice that the NMIE Facebook and Twitter pages have links to helpful articles aimed at increasing your education, strengthening your leadership skills, and recognizing our profession. If you don't follow us on social media, I encourage you to do so. Participating in the many social media avenues available to us professionally provides a mechanism to connect with each other; check job postings; find out about educational offerings, events, and academic opportunities; and more. Celebrate all that is you! Happy Nurses Week!
I've been working with the human resources and recruitment departments to review applicants and look strategically at addressing my facility's nursing shortage. I know that many managers, directors, and healthcare organizations are doing the same. Recently, I had the pleasure of working with two nurses who've returned to the profession after long absences. The process of orientation and mentoring was very involved and sometimes painful, but I believe we mutually agree that it was successful. In both cases, the nurses state that they're happy in their roles and with their decision to return. This is a relatively untapped resource; we should reach out to our peers who left the workforce to raise families, pursue nonclinical roles, or deal with other life changes. Help to rekindle the fire that brought them into nursing. One of the tools and resources that I found very helpful was Nursing made Incredibly Easy! I was able to provide these returning professionals with articles that support best practice in a factual, easy-to-read, and user-friendly format. Reach out to your peers, use your tools, and look for best practices.
Working on an education need for my organization this
weekend, I did some research on patient deterioration, the modified early warning score (MEWS),
and early recognition. I must say that the continuing-education (CE) article on
recognizing early patient deterioration from NMIE’s January/February issue is a
wonderful resource, and I plan to share this CE opportunity with my nursing
staff. The subtle changes of patient deterioration (often occurring over
several hours) can be utilized as early indicators of the need for intervention
and patient rescue; the MEWS is based on this principle, as is systemic
inflammatory response syndrome screening. The sooner we intervene, the sooner
the patient can receive needed treatment and hopefully the escalation of
symptoms will be prevented. Easy-to-learn tools are available for all bedside
caregivers to incorporate into daily patient care routines. What’s your
knowledge base related to early warning scoring, rapid response teams, and
patient rescue? What have been your experiences using these tools? Let us hear
from you. And don’t forget to check out the January/February issue of NMIE if
you haven’t read it yet.
I don’t know about you, but I love this time of year! Spring
and the approaching warmer weather is a time of rebirth and renewal. Spring is
also the time of renewal in nursing. Nurses Week is quickly approaching and
this year the theme is the balance of mind, body, and spirit. Looking at the
American Nurses Association website, I’m excited as we prepare to celebrate
nursing by helping our healers and caregivers heal and care for themselves.
NMIE is here for you, as well, celebrating nurses and all that you do to provide
quality, safe patient care. I’ve spent the day researching empowerment in
nursing, shared governance, Magnet® recognition, and nurses advocating for each
other to strengthen the provision of care. We celebrate you nationally, May 6
to 12. It’s time to celebrate!
Nurse ManagerKentuckyOne Health, Saint Joseph Health SystemLexington, Ky.