Ahoy Matey! Change of Shift Vol. 3 No. 6

Video Snapshot-3
Arrrrrrrrrrg! Shiver Me Timbers!

Glad ye lubbers could find the place. Grab ye a bit o’ grog and settle in for this here edition of Change of Shift!



Okay. I am not as good as others at spewing the pirate lingo, but hosting CoS this close to International Talk Like A Pirate Day was just too good to pass up!

For those of you who are not familiar with this all important holiday, I would suggest some background reading. Although I may be forced to walk the plank, the first blog post is being linked to without permission, or prior notification. I think this here scallywag will be forgiven in the Spirit of the season as this post is by the holiday’s Captain, (columnist) Dave Barry.

Are you the type that likes the movie better then the book? This video edition is for you! [If you are one of those who always read the book first, I suggest you grab that grog and scroll down and read this edition’s incredible entries.]

Peter sent Try It On Everything – EFT movie review from weoverstep.com. As practitioners dealing with all sorts of people from varying walks of life, knowing what alternative therapies are available is a necessary component of what we do. EFT (emotional freedom technique) is an alternative therapy technique which is gaining popular momentum.

100 Best Herbs for Your Health and Wellness by Kelly Kilpatrick at NursingDegree.net carries the momentum on educating us on the pharmacological side of alternative therapies. The site is also home to 100 Essential Sites and Resources for Physical Therapists.

StrongOne at mystrongmedicine.com also sent in two entries. He is quickly becoming one of my favorite nursing bloggers. His first entry How Green is the Grass on Your Side? breaks down the important basics that we should all look for in our place of employment. A great guide for new nurses and experienced nurses alike. His second post Blinking & Breathing I Can’t Complain echos one the main themes I live by.

Cherish and treasure all that you have. Time is precious these days, and before you know it you may run out of it!! (time… that is)

Over at NurseConnect.com, Laura touches on patient flow through the hospital in Going With the Flow. An area that we don’t spend enough time or energy improving (IMHO). Kathy, who also writes at NurseConnect.com discusses a topic that tends to bring out the opinions: Bring Back Our Nursing Colleagues: The LPNs.

Speaking of topics that bring discussion. Remember careplans of old? You know the ones. Pure nursing school torture (right B.J.?). Lisa takes careplans head on as related to care provided in skilled nursing facilities, as evidenced by . . . ok. I will stop. The post is Bringing Care Planning Out of the Dark Ages at her blog It’s a Skilled Nursing Thing.

For all of my CRNA swashbucklers, it isn’t quite the OR, but Dean Moyer of The Back Pain Blog examines the possible complications of epidural steroid injections as they relate to the treatment of sciatica in Sciatica and Epidural Injections – Risks and Side Effects. This series of posts are designed to answer several common questions and concerns associated with epidural injections.



Rehab RN does her best to brighten up the black and white in the world of recovery with The Colors of Rehab. I am never going to look at my exercise bands the same way again!

In order to return to alternative types of therapies, this one being in the realm of psychotherapy, we swagger on over to SharpBrains.com where there is great information about The Future of Computer-assisted Cognitive Therapy. Alvaro Fernandez offered up a second entry with Lee Woodruff: the Bob Woodruff Foundation, and You, can help Traumatic Brain Injury survivors. This is an area in which exciting research advances are being made. This is something near an dear to my heart because much of the research is a result of those injured serving in OIF and OEF.

Mother Jones, RN gets into a bit of a journalistic reporting swing with her interview of Brian Short: the Man Behind AllNurses.com. It is fascinating to read up on who is behind some of the major sites for our profession.

I also received a somewhat random entry from WordPressHacker.com that I wanted to add due to the recent conversations about the technical/coding side of what we do. Auto Create Navigation Tabs for New Pages may give some of you a bit of help with maintaining your blog.

As some of you saw in my video post from 9/11, I have great respect for our neighbors to the North. (that is Canada for all you directionally challenged)

running wildly is a blog that I cannot believe I have missed up until now. According to her blog, she is a 4th year nursing student, a self proclaimed coffee addict, and one hell of a writer. I am giving her special props here to ensure these three links will catch your eye.

**Another Number


—and (appropriately)—

**The End
One final editing note, NPs Save Lives sent me an entry and I, for the life of me, cannot seem to find the link! So, at a minimum, I wanted to be sure I linked to her blog. As soon as I get that link, I will add it here. Check her recently renovated digs: ARNP.Blogspot.com
Thanks to all of you who stopped by and thanks to Kim at Emergiblog for granting me the opportunity to have you visit.

Don’t forget to wear your eye patch and take your parrot to work today!

Next CoS will be hosted on 2 October at NurseLinkUp.com.
Good Night!

“From the Flight Nurse’s Seat” Remembering September 11th

This installment of “From the Flight Nurse’s Seat” is, quite simply, my raw emotional thoughts regarding the anniversary of September 11, 2001. This was done in one shot, taped with the camera balanced on a clipboard. I have on no make-up, am wearing a simple t-shirt and did not worry about lighting. This is about my thoughts, not some “finished product.” This is an uncensored look at another side of me.

Social Networking and the Work Place

Employees where I work have found Facebook.

Before you manager types in the world get up in arms about your worker bees wasting time, please hear me out.

While on the Doctor Anonymous show last week, I mentioned that Nursing needed its own tipping point. The profession needs that special something like what the television show ER did for emergency medicine, and the show CSI did for forensics.

Mark my words:

Our path is not going to come from television or the movies. The nursing profession will be profoundly changed from the Internet.

All professions intertwined in healthcare, for that matter, will be changed profoundly by the Internet.

How is that?

Quite simply, those in the field who have taken the time to blog, participate in chat rooms, answer emails, post videos, create podcasts, and host Internet radio shows are the tip of the spear. The spear of change.

I made mention that we are creating a world in which doctors, nurses, students, x-ray techs, medics, and patients come to the table as equals. There has been none of the “nurses eat their young,” type of attitude. Quite the opposite as a matter of fact.

Last week, Dr. A was as excited as I was for my being a guest. The chat room for his show is continuously filled with students, nurses, medics, and physicians. Sometimes there are even those who are none of the above. A physician who promotes all equally. A chat room filled with professionals glad to see each other. An avenue for open dialog, idea sharing, bad jokes and equality in camaraderie.

It is about communication. Through social networking online, we are breaking down a number of barriers to practice. Instead of seeing each other as a medic or doctor or patient, we are able to see the person first, the job second. We are breaking down international barriers as well. I have corresponded with a nurse from South Africa, one from the South Pacific, a physician in India, a medic in Europe, just to name a few. We ask about differences in practice, education and work atmosphere.

Age and experience matters not. Dr. Schwab, and Dr. Bates are two whom I have been more than taken with. Neither are old, but both bring such experience to the table that I sit in awe at their words, their stories and their willingness to encourage and mentor.

The new nursing students and medics I am in absolute love with. Their passion for learning and hunger to gain experience makes me excited about doing my job. Lucid and EE I follow with great hope and interest as their careers unfold.

Viral memes and internet awards are passed from one to another with amazing thought. I was given the Arte Y Pico award, which I will write about soon, by Someonetc who is an orthopaedic surgeon. A physician recognizing an nurse who was recognized by a surgical first assistant. I ask you, in what other realm is this reality?

I am also beginning to see social networking roll into my real world as well. Those I work with have found Facebook. As a manager I would have to ask myself, “How is this a good thing?” As an employee I, in turn ask, “How is it not?” Social networking sites, when used appropriately open communication, build friendships, and promote a team atmosphere.

For example, I walk into work and am asked, “Hey, did you get that flair I sent you?” or, “Hey, about that text message I sent . . .” My favorite, however, is when, in mid conversation, someone pipes up, “Hey Emily! You need to blog that!” Active participation in networking and information sharing over and above the workplace. Why would a manager not encourage that type of interaction?

Facebook has been taken to the next level in my work interactions outside of the hangar. In my friends list, I not only have those I see everyday at the flight company I work for, but also nurses, techs and physicians in our emergency room, OR and ICU as well as pharmacists in our satellite pharmacy and medics that work in our area. With very little effort, I am able to keep up with and interact with all of them in a way I would be unable to otherwise. When I walk in to the ER with a nasty trauma, or land on a gnarly scene, it takes very few words and a glance to reconnect with these friends in the physical world, and in an unspoken manner we feel part of a group, part of the team. A team that will attempt to do anything and everything for the person we are trying to save.

I am also fortunate that this rolls over into my Army world as well. I get messages and “pokes” from fellow soldiers, just letting me know that I am part of who they are just as much as they are part of me.
Wendy, one of our flight dispatchers, sent me this photo of herself and Maria, another of our dispatchers over Facebook. They are medics for a local EMS agency and Wendy is also a nursing student. After telling Maria what an awesome photo it was, I asked if I could put it up on my blog.

Her response? “Of course Emily, that is why we took it!”

Little did she, or I realize that it would spark such a blog post.

Wendy And Maria
(l-r) Wendy and Maria

I cannot wait to see how our professions meld and evolve in the future. We must, as the grunt workers, continue to fertilize this avenue of making our jobs easier, our interactions more positive, and healthcare stronger.


Follow me:
Facebook— emily@crzegrl.net
Yahoo IM— crzegrl15
Twitter— crzegrl15
AIM— crzegrl@mac.com

just to name a few. The rest are here:

Call for Change of Shift Submissions hosted at crzegrl.net


As Mother Jones, RN mentioned at the end of yet another fantastic Change of Shift hosted at her place, I am hosting the 18 September 2008 edition.

As some of you may remember, my last go at hosting brought about the first ever topless video edition of CoS.

What could I possibly think this time? Guess you will have to tune in and find out!

Please submit entries by 16 September at 1800 EST.


Those of you who email your entries by 13 September at NOON EST—–I have something super, secret, SPECIAL planned!

emily at crzegrl dot net

Post Show Wrap Up–Dr. A Show 47: Emily McGee

Thought I would follow in my nerdy mentor’s footsteps and add my OWN post show wrap up video. Thanks to everyone who tuned in last night, and joined the chat room. (gawd, I almost sound like I was the host!)

If you didn’t get the chance to check it out, here it is:

We talked about Flight Nursing (duh!), military medicine/nursing, and tons of other stuff. The show was even a featured show on BlogTalkRadio. How cool is that!

Hmmm, maybe I need to start my OWN BTR show . . .

Want . to . blog . Head . pounding .

Head hurts so bad I am blogging through squinting eyes to keep down the glare from my baby mac. So, instead of boring you with dribble that won’t make sense to me later when the knitting needles are removed from their impaled position behind my eyeballs—–

Go read the BlogTalkRadio post from Doctor Anonymous about my guest spot on his show this Thursday. Here is what he said:

The Doctor Anonymous Show is proud to welcome Crzegrl, Flight Nurse to Show 47 on Thursday, September 4th, 2008 at 9pm Eastern Time. She is otherwise known as Emily McGee (pictured above), and I won’t even try to recite all that she has done profesionally other than to say that presently she is a flight nurse (cool), is a Captain in the US Army Reserves (really cool), and is a new media medicine maven (extra cool!).

Dr. A? Yeah, flattery will get you everywhere!

Oh, to answer your question, I will be drinking Dirty Belvedere, on the rocks, with a string of olives.

Belvedere Jagger-338X450

Grand Rounds 4.48 at Six Until Me

For those of you who are unfamiliar with the blog Six Until Me, you should take the time to check it out.  Not only is the author, Kerri, a gifted writer, she brings something a bit unique to the world of blogging, a patient’s perspective on diabetes.

I have not one, but two friends who use insulin pumps.  One just happens to be a newly graduated pharmacist.  I thought both them and Kerri yesterday whilst discussing back pain with a patient who also uses a pump.  It constantly amazes me how other bits and pieces of my life, like watching J9 (the new pharmacist!) change her pump and patiently teach me while she did it, roll into my world as a nurse and as an NP.  Because I could talk to this patient about her pump, she felt more comfortable with me helping her with her other medical problems.  Instant credibility.

So, Kerri, thanks for your blog and great job with hosting Grand Rounds this week and including me!

J9—thanks for teaching me.  I miss you btw.

UPDATE:  My world constantly amazes me.  Just saw another young patient on a pump, talked to her about online resources and gave her the address to Six Until Me.  How cool is that!

Nursing Portrayed as Fat, Frumpy and Fifty

ednurses, 2008 Fall Specialty Guide

How many more times are we as a profession going to perpetrate the stereotype that nurses are old, fat, frumpy women? I was so irritated with the most recent cover of the journal “ednurses” I almost cursed my way to the house from my mailbox.

The nurse on the cover is highly educated clinical nurse specialist who works at Boston General Hospital. Why in the HELL did they use such an unflattering photograph of her FOR THE COVER? I don’t know a whole lot about photography, but could a more horrendous angle have been used? Why didn’t someone dress her in a great blue or pale green shirt that would have flattered her short, sassy blond hair?

This woman probably has decades of irreplaceable experience. Does that radiate from the pages? Nope. Instead, I see is a judgmental, physically unhealthy, poorly dressed nurse who is scowling at an emotionally distraught patient.

That is far from representing the compassion, intelligence, and professionalism of nursing. Makes me want to . . . wait, what is the point of the cover?

Oh yeah, “Managing Mental Health in the ED.”

If we want to be taken seriously as a profession a bit of wise marketing on even the smallest level would do wonders. Not only do we need to look in the mirror and see how we are physically representing our profession while in the hospital or clinic, we need to find a way to ensure that when being represented in the media we put our best face forward.

Oh, and for the record? I used the age Fifty because the alliteration worked. If this is what 50 really is, sign me up.


“Sorry, but nobody works harder than surgeons”

There was a call for people to send in photos/video/text about how they are overworked. This one, written by a surgical resident, caught my eye.

Sorry, but nobody works harder than surgeons
As with most things, the comments are the best part. One astute commenter lumped all healthcare providers together for being over worked. Another talked about how unsafe that drive home for us must be. (Um, I don’t remember most of the 2 hour drive home from my NP job the other night, er morning.)

The winning comment? Made by a soldier.

Take a look.