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ADVANCE for Nurses is thrilled to welcome you to Nurse POV Blogs, part of the Nurse POV: Online Community. Our new blogs offers posts covering timely questions, advice and opinions about the nursing field; connecting professionals nationwide. We have provided tags to assist in locating topics of interest, a profile page to make uniquely your own and a list of our most active discussions to keep you abreast of the latest discussions. We look forward to hearing more about the nursing field from your Point of View (POV).
August 24, 2014 9:54 PM by Lorenzo Ortega of New to Nursing

When people told me in nursing school that the first year of working as a nurse would be hard, they were right. Even after the first year there have been many challenging days on the job. Somewhere around month 9 or 10 you begin to make connections between nursing school and the repetition of patients you have cared for. A great deal of growth begins based on past experiences. When one year comes ...

August 22, 2014 3:09 PM by Guest Blogger of ADVANCE Perspective: Nurses

By Sandra Ann Evans, DNP, MSN, RN, CNS-BC, CCM, patient care services, Detroit Receiving Hospital.

Nurses, let us critically think about nursing leadership. Leadership, is it nature or nurture? While most would agree that a person's charisma plays a role, I suggest that leadership skills are developed over time through learning. Those of us who are educated in the area of science readily accept that science ...


I cannot believe the wide spread changes in healthcare since my retirement. The advances continue faster than I can keep up. Many of the meds I took for years are no longer available because better ones have been created. There are even new specialties that I never heard of before. But I really got my eyes opened to just how wide spread the advances are when I recently had to utilize some veterinary medical services. ...

August 19, 2014 12:37 PM by Diane Goodman of The Nurse Card

I carry a nurse card, so I should be skilled at dealing with loss, particularly after years of experience. I'm not. In fact, while the world was rocked with the sudden, agonizing death of Robin Williams, I was trying to deal with a smaller loss of my own. I lost one of my chihuahuas, after a taxing summer of treatment. Grace had been chronically ill for months, and it was obvious she was slowly deteriorating. ...

August 19, 2014 9:54 AM by Guest Blogger of ADVANCE Perspective: Nurses

By Casey Hill, MSN, RN-BC, CEN, who is a nurse educator in Connecticut.

Recently I attended a nursing orientation at a hospital, composed of both new graduates and experienced nurses. As a nurse educator, ...


The topic of meshing the art and science of nursing with healthcare technology has come to the forefront recently. A video by National Nurses United features a patient whose care becomes compromised under the watch of "algorithms" dictated by a computer. Throughout ...

August 12, 2014 6:34 PM by Linda Jones of Infection Control & Patient Safety

By Vicki Allen, MSN, RN, CIC, infection prevention manager for CaroMont Health in Huntersville, N.C. She serves on the Association for Professionals in Infection Control and Epidemiology's (APIC's) Communications Committee

Will fist bumps replace handshakes in the hospital?  This is the question recently bantered about in the news media as well as respected ...

August 12, 2014 6:27 PM by Guest Blogger of ADVANCE Perspective: Nurses

By Marietta J. de la Rosa, BSN, RN, who works at Lourdes Specialty Hospital of Southern New Jersey in Willingboro, N.J., and Deborah Heart & Lung Center, Browns Mills, N.J.

We go to work, we get paid, we repeat the process. It is easy for many of us to fall into the habit of just "doing our jobs" that we forget what is truly at the core of the very thing we do: patient satisfaction.

The patient ...

August 12, 2014 10:09 AM by Lorettajo Kapinos of Nurse on the Run

Robin William's death will not alter my every day life. I loved his movies and laughed at his comedy, but I didn't know him personally. His pain and his struggles, however, I do know. I know them all too well.


I know that sometimes the only place of comfort is a dark cavern, where no one can reach you. 

I know that pushing people away is much easier than letting them help.

I ...

August 7, 2014 10:43 AM by Diane Goodman of The Nurse Card

One of the advantages of carrying a nurse card is that it gives you a chance to vent. Venting comes in handy, particularly when a thoughtless remark has left you seething. One of my lifelong pet peeves has been people who remark loudly and carelessly about the "smells" involved with hospital environments and patient care. Did anyone promise us a rose garden? Do we know anyone who is acutely ...

August 6, 2014 9:20 AM by Lorettajo Kapinos of Nurse on the Run

I have worked per diem for much of my career, by choice. It has nothing to do with my desire to work hard. It had more to do with my ability to commit, or rather my perception of it.  Over the years, I was offered full time and part time jobs.  I was chided, coerced and threatened by leaders. Still, I stood my ground, remained flexible and refused to give in.

Earlier this year, I accepted my first ...

August 5, 2014 8:22 PM by Colleen Villamin of Guarding the Nursing Profession

Honestly, I am inexperienced in dealing with patients who are on illegal street drugs. I recently had to lead my team of nurses on how to deal with someone coming off of PCP and cocaine. Challenges arose over how to legally confiscate home prescription medications, how to prevent someone with erratic behavior from falling, and how to avoid provoking someone who has been arrested recently for assaulting healthcare professionals. ...


Wearable technology is all the rage - not only among consumers, but also among professionals in healthcare and medicine. "Wearables" demonstrated at the 2014 Consumer Electronics Show (CES) ranged from smart watches from Pebble Steel and Razor Nabu, to fitness and sports tracker watches like

August 3, 2014 6:25 PM by Lorenzo Ortega of New to Nursing

With each posting session that comes and goes on this blog I am able to see my progress while I reflect on the passing weeks. Last post I discussed that I was nearly designated as a post-op recovery open heart nurse. So much has happened since that posting three weeks ago and I feel as though I have grown up as a nurse and as a person. After writing that post, my next shift I was given the task of taking a fresh ...

July 29, 2014 8:40 AM by Guest Blogger of ADVANCE Perspective: Nurses

A hospice patient in Oklahoma City is being denied his medications to treat his COPD, while coping with a diagnosis and treatment for tongue cancer.  In Cadillac, Michigan a patient struggling with colon cancer is being denied insulin to treat his diabetes and is in danger of diabetic shock.  

Due to a recent and poorly thought out 


I find myself spending large amounts of time in airports, arriving early to get through strict security, or passing time in terminals due to weather or mechanical delays. During those periods, I seek refuge at a quiet boarding gate that has a high concentration of power outlets or Internet access. Finding these spots is often a challenge, as I peer under seats, circle support columns and poke around vending machines. ...

July 25, 2014 11:02 AM by Mia Ross of New to Nursing

The recent grilling of Dr. Oz in front of the US Congress sparked great debate.  It was important reminder for all healthcare providers:  Practice what you preach.  As a nurse, you have more than just a professional license.  You have signed an oath to practice healthcare safely, responsibly and effectively.  You have signed on to be a lifelong supporter of science, evidence and progress.  ...

July 24, 2014 1:17 PM by Diane Goodman of The Nurse Card

My brother recently complimented me on my ability to keep the past alive and our remembrances ongoing by the gift of my words. This caused me to reflect and wonder...do nurses have better words? Are we born with the ability to comfort and soothe via the spoken word, or is this an acquired trait that requires experience and time? Do we learn the language concurrently, as we learn the nature of our craft?

As ...

July 23, 2014 11:34 AM by Colleen Villamin of Guarding the Nursing Profession

When nurses receive report on their patients do they think much about patient and family centered care? I believe that nurses are the closest at achieving this concept but we are not there yet. This model of care delivery implies that the patient and family are treated as one unit according to the patient's definition of family. It means that healthcare professionals consider the unique needs, experiences, and wishes ...

July 22, 2014 10:45 AM by Guest Blogger of ADVANCE Perspective: Nurses

Judy Blair is senior vice president, clinical services, and chief nursing officer, Glendale Adventist Medical Center, Glendale, Calif.

As I round and ask what is going well on this unit, I often hear, "Our unit has great teamwork."

What are the characteristics of great teamwork and how do we continue to enhance it? I'd like to ...

July 17, 2014 11:20 AM by Diane Goodman of The Nurse Card

I was shopping with a friend recently, and we noticed customer service discrepancies and policy variations from store location to location. Suffice to say the rudeness barometer was out in full force that morning, everywhere we went! Our observations could have been somewhat silly if we weren't both in healthcare. We were also concerned about the treatment of less physically and ...

July 16, 2014 3:54 PM by Catlin Nalley of ADVANCE Perspective: Nurses

The prevalence of social media outlets allows us to share every detail of our life in real time, but it also begs the question, how much is too much?

It has become commonplace to share details of your work day, but for social media savvy healthcare providers a seemingly innocent post could actually be a breach of not only a patient's privacy, but also their trust.

Katie Duke, a New York City nurse, found ...


I was visiting with my nephew who mentioned that he was gearing up for The Talk with his 11 year old son. I admit I was saddened by the news. I think so much innocence is lost afterward. But then again, it is necessary information, especially now when kids hit puberty so much earlier then they used to.

I had one child, a son, and as a nurse, I was very open about the body and human sexuality. My son often ...

July 13, 2014 1:40 PM by Lorenzo Ortega of New to Nursing

Well it's crazy to say, but now I have 5/6 first-day post-op open heart recovery orientation. After my next orientation shift I will be able to recover these patients from surgery on my own. It's a thought that makes me quite nervous, but I feel as though I am ready. My last patient was an aortic valve replacement and I was able to work the patient towards extubation during the night. We successfully extubated in ...


It has occurred to me recently that many nurses feel powerless to address daily issues that affect patient safety and nurse satisfaction. I often hear grumblings ranging from difficult nursing assistants who do not give baths to medical teams who do not address end of life issues until the time of an impending code.

The phrase "that's the way it is" implies that nurses are powerless to change behaviors that ...



Technophobes and uberusers will learn from a group of bloggers who are immersed in healthcare informatics, technological development and implementation.

From our work environment to our homes and schools, our society is riddled with the catastrophic impact the lack of infection prevention has had in our communities, particularly in the facilities where we as nurses work. Susan Dubay, MPA, BSN, RN, and Barbara A. Smith, MPA, BSN, RN, CIC, will share their expertise and experience in infection control, and hope this space will give you an opportunity to share your opinions and comments as professionals who deal with this important topic each and every day.

Read along as a group in various stages of their nursing career share their stories.

The ADVANCE for Nurses editorial staff will discuss issues in the nursing profession, current events in healthcare and offer their two cents for your enjoyment.

Pat Vee fearlessly says what you've been thinking!

The Politics of Health Care covers the latest developments in health care policy and legislation.

Nurses face unique challenges every day. This blog is one experienced nurse's way of integrating work, personal life and passion for writing, all while training for her first half-marathon.

We use our specialized knowledge and skills to provide quality care, educate, and save lives. We use our hearts to encourage, comfort, and support. When cure is not possible, we gently walk alongside patients and their families at the end of their journey. Oncology nursing is an honor. Cancer patients trust us with their lives, invite us into their fight, and depend on us to preserve their hope. That is making a difference....

Do you ever feel the need to pull rank as a professional? Nurses may shy away from disclosure until absolutely necessary. They may sit with a family member in the hospital, and "pretend" to be a layperson, until the family member is in pain, the IV is infiltrated, and the bedsheets are growing stale. Using "The Nurse Card" may prove appropriate or embarrassingly inappropriate for the nurse involved.