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Cup Of Nurses

Cup Of Nurses

By Peter Findura

Nurses on a mission to change the world. Welcome to the Cup of Nurses podcast, your source for current health news and hot nursing topics. This is the place where the rubber hits the road and things get real. We don’t sugarcoat information or gloss over tough issues. We face topics head-on, debate the subjects at hand and let you, our listeners, make your own decisions.
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EP 164: Improving Patient Communication with Jennifer George

Cup Of NursesMay 20, 2022

00:00
59:19
EP 239: TikTok Laws and Huawei's Global Impact + Nurse Practitioner School
Mar 22, 202433:28
EP 238: Steward Healthcare, Exotic Pet Tragedy and City Scandals
Mar 08, 202437:34
EP 237: Setting Smart Goals: A Nurse's Guide to New Year Success
Feb 23, 202435:57
EP 236: Intra Aortic Balloon Pumps: What Nurses Should Know about IABP
Feb 09, 202424:48
EP 235: From Lawyer to Gambler, Inmate to Pastor with James W Smith
Nov 17, 202344:16
What is Ketamine: A Comprehensive Comparison for Mental Health with Sam Mandel
Nov 03, 202350:18
EP 233: A Journey into Dream Analysis and Meaning with Benjamin Davidson
Oct 01, 202301:21:57
EP 232: The Tall Poppy Syndrome Phenomenon: What You Need to Know
Sep 28, 202301:09:21
EP 231: The Secrets to Healthy Sexuality: A Sex Therapist's Insights with Rossana Sida
Sep 15, 202343:15
EP 230: Revealing the Realities of Human Trafficking with Amanda Blackwood
Sep 01, 202301:01:41
EP 229: Exploring Life with Bipolar Disorder with Steven Wilson
Aug 25, 202301:05:04
EP 228: Exploring the World of Registry and PRN Nursing: Flexibility, Pay, and Considerations
Aug 18, 202339:20
EP 227: Healthcare Price Exposed: Unraveling the Truth Behind Costs
Aug 04, 202327:01
EP 226: Navigating Ethical Dilemmas in Nursing Practice: Real-Life Scenarios
Jul 28, 202347:10
EP 225: 2023 Nursing Strikes and Their Outcomes
Jul 21, 202342:47
EP 224: Should I Become a a Nurse Practitioner?

EP 224: Should I Become a a Nurse Practitioner?

Are you a registered nurse (RN) with a Bachelor of Science in Nursing (BSN) looking to take your career to the next level? Join us in this informative video as we explore the journey of becoming a nurse practitioner (NP), comparing the different routes available, discussing the financial aspects, and highlighting the increased autonomy that comes with this advanced nursing role.

In this video, we delve into the various types of nurse practitioners, allowing you to discover the specialized areas where you can make a difference. From Family Nurse Practitioners (FNPs) providing primary care across the lifespan, to Psychiatric-Mental Health Nurse Practitioners (PMHNPs) specializing in mental health, we explore the diverse range of opportunities within the field.

We also discuss the different routes to becoming a nurse practitioner, including the traditional Master of Science in Nursing (MSN) path and the advanced Doctor of Nursing Practice (DNP) option. We weigh the financial considerations, discussing tuition costs and the potential pay increase that comes with being a nurse practitioner.

Join us as we explore the increased autonomy and expanded scope of practice that nurse practitioners enjoy. Discover how transitioning from an RN to an NP can empower you to assess, diagnose, treat, and manage patient care independently, while still collaborating with physicians and other healthcare professionals.

We also touch upon the duration of schooling required for each educational path and provide tips for balancing work, family, and education commitments.

Whether you're considering becoming a nurse practitioner or simply interested in learning more about this rewarding career path, this video is a valuable resource. Don't miss out on the opportunity to gain insights into the nurse practitioner profession and the steps you can take to elevate your nursing career.

Subscribe to our channel and hit the notification bell to stay updated on more informative videos like this. Like and share this video with anyone you know who might be interested in becoming a nurse practitioner. Let's empower nursing professionals to make a lasting impact on patient care and contribute to the healthcare community.


  1. Instagram: https://www.instagram.com/cupofnurses/

  2. Website: https://fanlink.to/CONsite

  3. Shop: https://fanlink.to/CONshop

  4. Free Travel Nursing Guide: https://fanlink.to/Travelnursingchecklist

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  6. Interested in Travel Nursing? https://fanlink.to/TravelNurseNow

  7. Cup of Nurses FB Group: https://www.facebook.com/groups/cupofnurses

  8. YT: https://www.youtube.com/@CUPOFNURSES

Jul 14, 202322:01
EP 223: Is Nursing Worth it?

EP 223: Is Nursing Worth it?

Nursing offers financial stability, with salaries ranging from $65,000 to $110,000. Despite the initial perception, this income compares favorably to the median middle-class household income in the US. Staff nursing provides the highest demand and earning potential, while travel nursing offers even greater financial rewards.

Overtime and shift differentials allow nurses to maximize their pay, with night and weekend shifts offering higher rates. Job security is a significant advantage in nursing, as healthcare needs remain constant. Even during emergencies, nurses are in higher demand, often earning more.

Nursing presents numerous career advancement opportunities, from administrative roles to specialized positions like nurse practitioners and nurse anesthetists. Additional schooling can lead to higher incomes, but a BSN alone positions you for success.

Jul 07, 202324:32
EP 222: Difference Between Men and Women Nurses
Jun 30, 202322:14
EP 221 : ChatGPT's Impact on Nursing and Healthcare
Jun 23, 202330:03
EP 220: Hidden Benefits of the sauna and cold showers
Jun 16, 202326:57
EP 219: The Current State of Travel Nursing

EP 219: The Current State of Travel Nursing

I discuss the current state of travel nursing. During the pandemic, healthcare providers faced challenges in acquiring essential resources, leading to a surge in demand for nurses. This increased demand resulted in remarkably high salaries for travel nurses, reaching over $4,000 per week. The higher pay came from federal funding, general grants, and reimbursement for uninsured patients, totaling over $127 billion distributed to major hospitals.


However, travel nursing salaries have started to stabilize at around $3,100 per week since December 2022. The decrease in travel nurse pay can be attributed to a decrease in government funding. Hospitals are not hiring as many nurses as before, impacting travel nursing contracts. Despite this, there is still a strong demand for registered nurse positions, with an estimated annual increase of over 203,000 positions expected between 2021 and 2031.


The travel nursing market experiences seasonal changes, with different specialties peaking at different times of the year. Additionally, there has been an increase in incentives for staff nurses, such as higher sign-on bonuses and pick-up bonuses. Overall, travel nursing remains a lucrative option, but prices are stabilizing from the all-time highs seen in recent years. The video also mentions the rising trend of PRN nursing as an alternative option.


  1. Instagram: https://www.instagram.com/cupofnurses/

  2. Website: https://fanlink.to/CONsite

  3. Shop: https://fanlink.to/CONshop

  4. Free Travel Nursing Guide: https://fanlink.to/Travelnursingchecklist

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  6. Interested in Travel Nursing? https://fanlink.to/TravelNurseNow

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Jun 09, 202319:49
EP 218: Is healthcare moving in the right direction with Raj Sundar
Jun 02, 202344:19
EP 217: Blood Transfusions with Carly Newton & Lori Harada

EP 217: Blood Transfusions with Carly Newton & Lori Harada

In our episode with Carly Newton & Lori Harada, who are both registered nurses working as managers at Terumo Blood & Cell Technologies, we dive deep into the remarkable world of blood transfusions. Join us as we unravel the mysteries and marvels of this life-saving medical procedure that has revolutionized modern healthcare.


🔬 Explore the critical role blood plays in our bodies and discover the various reasons why someone may need a transfusion. Hear firsthand stories from individuals who have undergone transfusions and how this procedure has transformed their lives. We'll also delve into the fascinating process of blood donation, shedding light on the immense impact every blood donor can make in their community.


💪 Discover the advances and innovations in blood transfusion techniques, such as specialized components like platelets and plasma, and the use of cutting-edge technologies that ensure safer and more efficient transfusions. Hear from leading experts in the field as they share their insights on the future of blood transfusion medicine and the exciting possibilities that lie ahead.


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Our links

  1. Instagram: https://www.instagram.com/cupofnurses/

  2. Website: https://fanlink.to/CONsite

  3. Shop: https://fanlink.to/CONshop

  4. Free Travel Nursing Guide: https://fanlink.to/Travelnursingchecklist

  5. Nclex Guide: https://fanlink.to/NCLEXguide

  6. Interested in Travel Nursing? https://fanlink.to/TravelNurseNow

  7. Cup of Nurses FB Group: https://www.facebook.com/groups/cupofnurses

  8. YT: https://www.youtube.com/@CUPOFNURSES

May 26, 202353:15
EP 216: The Failure of Modern Medicine: A Critical Look at Childbirth Standards
May 19, 202344:47
EP 215: Finding Your Why With Michelle Podlesni
May 12, 202355:17
 EP 214: How to Land Your First Nursing Job With Benjamin Baker
May 05, 202351:29
EP 213: What Role Does Humor Play in Healthcare?

EP 213: What Role Does Humor Play in Healthcare?

In this episode, we explore the role of humor in healthcare with guest Jim Fulmer. Jim is an experienced board-certified Internal medicine hospitalist who has worked in a variety of healthcare settings throughout his career. He is also a medical cartoonist on Instagram and the creator of a hospital-themed board game and card game called Doctor Wars.

We discuss Jim's background and experiences in healthcare, how his perspective on medicine and healthcare has evolved over the years, the importance of treating patients with kindness and empathy, and the challenges of the insurance side of healthcare. Additionally, we delve into the topic of humor in healthcare and how it can be used to improve patient outcomes and enhance the healthcare experience for both patients and healthcare workers. Tune in to this episode to learn more about the fascinating intersection between humor and healthcare.


Timestamps

00:00 Introduction

02:56 About James Fulmer

10:04 The distinction between working in hospitals and rural places

13:21 Adapting and respecting to multiple cultures as a travel health professional

18:24 The very complex problem of improving healtcare

20:30 Why is improving healthcare such a challenge in the face of a massive project?

24:22 Using our talent to improve everything around us

27:45 Is medicine's future headed in the right direction?

39:48 Can a single payer system solve one of healthcare's problems?

44:52 There is no perfect healtcare system

46:55 Bias decisions in health care

50:29 The pros and cons of social media and humor

55:47 How Jim came up with the card game

1:02:08 Wrapping up the show

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Free Travel Nursing Guide  https://fanlink.to/Travelnursingchecklist

Nclex Guide https://fanlink.to/NCLEXguide

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Apr 28, 202301:09:06
EP 212: A Patient's Perspective of Delirium With Amelie Susanne

EP 212: A Patient's Perspective of Delirium With Amelie Susanne

In this episode, Amelie Susanne Roth, a coma survivor, shares her experience of being in a coma and suffering from it. After an initial bacteria infection, Susanne had to be placed into an induced coma that lasted 16 days. Susanne talks about her time in the ICU and delves into her hospital experience, from the day she was admitted to the process of waking up from her coma. We discuss the importance of understanding patient needs and the improvements that healthcare providers can make. Susanne also shares her journey of recovery and how it has changed her outlook on life.


We also talk about what it's like to be in a coma, including the physical and emotional challenges that come with it. This episode also discusses the impact of healthcare on patients' mental health and ways in which providers can improve their support to help patients navigate the recovery process. Don't miss this insightful conversation with a remarkable survivor.


Timestamps

00:00 Introduction

02:36 About Amelie Susane Roth

03:42 How it all started

08:30 Experiences of Being Under Sedation and in a Coma

14:44 How does it feel to be in delirium or a coma? 

17:02 A better understanding of why a patient gets agitated

20:22 The post coma experience

27:11 Medicine Failing Patients and the Need for a Different Approach

29:58 Coping with Traumatic Experiences After a Coma

37:08 Life's outlook after coma

42:56 Amelie's life prior to becoming a patient

46:35 The Life Lessons While Traveling The World

49:26 Wrapping up the show


www.ameliesusanneroth.com

IG: @ameliesu72

FB: facebook.com/amelieroth72

Book & Kindle: https://a.co/d/ebXGG6s

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Apr 21, 202354:04
EP 211: MICU and Becoming a CRNA with Jenny Finnell

EP 211: MICU and Becoming a CRNA with Jenny Finnell

In this episode, we explore the world of critical care nursing and anesthesia with a special focus on MICU nursing and CRNA. Jenny Finnell shares her in-depth knowledge and experience in caring for critically ill patients and administering anesthesia for surgeries and other medical procedures. We also delve into the challenges and rewards of working in these high-stress, high-stakes environments. From school and bedside experience to the emotional toll of dealing with life and death situations, our conversation covers it all. Whether you're a healthcare professional or simply interested in the field, this episode offers valuable insights into the world of MICU nursing and CRNA. Tune in now to learn more


Book a call with Jenny and CRNA School Prep Academy: https://crnaschoolprepacademy.com/

Nurses Teach Nurses: https://app.nursesteachnurses.com/

Timestamps

00:00 Introduction

03:01 About Jenny Finnell

04:18 The Incredible Benefits of Pursuing a Career as a CRNA

05:58 What is the Environment of an Open Heart Surgery looks like

09:23 The real responsibities of CRNA's

12:12 What does a life of a CRNA looks like

14:33 Patient Care Differences Between Adults and Children

16:39 Tips to becoming a CRNA

19:13 How to Boost Your Confidence and Conquer Your Insecurities

25:29 Experiences That Paved the Way to Becoming a CRNA

27:58 Reasons Why Nurses Leave Bedside Care

32:47 The Benefits of Seeking Professional Help from Experienced Healthcare Professionals

36:30 Who are the Nurses teach nurses for

39:36 What is "CRNA School Prep Academy" all about

43:20 Things that needs improvement in nursing

45:44 Wrapping up the show

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Spotify https://fanlink.to/Spotifypodcast

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Frontline Warriors store https://fanlink.to/FWshop

Interested in Travel Nursing? https://fanlink.to/TravelNurseNow

Free Travel Nursing Guide  https://fanlink.to/Travelnursingchecklist

Nclex Guide https://fanlink.to/NCLEXguide

Cup of Nurses FB Group https://www.facebook.com/groups/cupofnurses

Apr 14, 202348:08
EP 210: ER Nurse to Viral Content Creator With Stephanee Beggs

EP 210: ER Nurse to Viral Content Creator With Stephanee Beggs

In this episode of Cup of Nurses, the hosts sit down with Stephanee Beggs, an emergency room nurse, content creator, and Forbes 30 under 30 recipient. We discuss Stephanee's Emergency room nursing experience, as well as her viral social media presence and the creation of RNExplained, Inc. The conversation also delves into nursing as a second career, becoming a nurse, choosing the ER specialty, self-care, and more.

Timestamp

00:00 Introduction

02:44 About Stephanee Beggs

06:12 What causes the conflict between ER and ICU nursing?

08:28 What does an ER nurse's shift look like

12:23 Traumatic experiences as a nurse

17:08 The love of helping and nursing patient

19:10 How RNExplained started

20:55 What is it like to be an entrepreneur and a social media influencer?

21:54 Secrects on how Stephanee balance her life

23:37 Nurse Influencers are being misunderstood by hospital administration.

29:59 Tips on how to avoid trouble on what you post on social media

31:21 Setting Boundaries with Employers and Social Media Influence

32:55 How Stephanee grew RNExplained

35:19 Stephanee's future business plans

36:38 The importance of self-care?

38:00 Wrapping up the show

Cup of Nurses: https://fanlink.to/CONsite

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Apple https://fanlink.to/Applepodcast

Spotify https://fanlink.to/Spotifypodcast

Cup of Nurses Store https://fanlink.to/CONshop

Frontline Warriors store https://fanlink.to/FWshop

Interested in Travel Nursing? https://fanlink.to/TravelNurseNow

Free Travel Nursing Guide  https://fanlink.to/Travelnursingchecklist

Nclex Guide https://fanlink.to/NCLEXguide

Cup of Nurses FB Group https://www.facebook.com/groups/cupofnurses

Apr 07, 202340:22
EP 209: Being a Clinical Instructor and Healthcare Couples With Lindsey Mcniff

EP 209: Being a Clinical Instructor and Healthcare Couples With Lindsey Mcniff

In this episode, we dive deeper into the world of nursing with Lindsey McNiff, an ex-travel nurse who has successfully transitioned into nursing education. Lindsey shares her experiences in nursing, including her decision to become a travel nurse, hardships during the pandemic, mental health, and dating in nursing. Her experience prepared her for her current clinical nurse educator, professor, and clinical instructor role.

What’s the role like of a clinical instructor? How is it different from regular bedside? We discuss questions like these and the common themes that nursing students struggle with. Lindsey shares some advice for nursing students who are finding it difficult to navigate clinicals or just starting out. Don't miss out on this informative and engaging conversation!


TIMESTAMP

00:00 Introduction

02:50 About Lindsey Mcniff

08:38 Travel Nursing as a couple

10:33 Tips For Dating In Healthcare

12:26 Preparing to Become a Travel Nurse with One Year of Experience

14:35 Transitioning from Bedside Nursing to Education

19:23 The Impact Of Compassion Fatigue

25:52 Mental Health and Self Care for Bedside Nurses

30:07 Building Confidence And Friendships On The Unit

33:38 The Cohesive Diversity In Teaching New Grads

35:31 The Changes in Nursing Practices Over Time

38:02 The Outdated Nursing Traditions

42:57 Funny Moments During Nursing Orientation

46:30 Exploring Nursing as a Second Career

49:59 Advice For Nurses Considering Advancing Their Career

52:26 Wrapping up the show


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Apple https://fanlink.to/Applepodcast

Spotify https://fanlink.to/Spotifypodcast

Cup of Nurses Store https://fanlink.to/CONshop

Frontline Warriors store https://fanlink.to/FWshop

Interested in Travel Nursing? https://fanlink.to/TravelNurseNow

Free Travel Nursing Guide  https://fanlink.to/Travelnursingchecklist

Nclex Guide https://fanlink.to/NCLEXguide

Cup of Nurses FB Group https://www.facebook.com/groups/cupofnurses

Mar 31, 202354:37
EP 208: Headache and Migraine Relief with Jono Taves

EP 208: Headache and Migraine Relief with Jono Taves

Have you ever wondered what causes headaches? Do migraines have a psychological cause or a physiological issue? There are different types of headaches, and there is a difference between headaches and migraines. Most people think headaches come from dehydration or stress. But most headaches and migraines stem from poor posture and the neck. Remember that most headaches or migraines are not permanent and can be resolved, but it is important to understand where your headache comes from.


In episode 208, we would like to introduce you to Dr. Jono Taves. Dr. Jono is the owner of Novera: Headache Center and host of The Headache Doctor Podcast. He specializes in relieving headaches and migraines for patients who don’t get enough of what they need. We discuss the different types of headaches, why you're getting them, and how to relieve the pain.


https://www.noveraheadachecenter.com/courses/

Promo code 10% off: nurses 

Timestamps

00:00 Introduction

02:47 About Dr. Jono Taves

07:02 Understanding the Difference Between Headache and Migraine

10:28 Anatomy of the Upper Neck and Its Relationship to Pain

16:55 Understanding the Causes of Neck Tension And How To Avoid It

21:05 The Link Between Muscle Tension and Headaches/Migraines

23:01 Sleep Position Recommendations for Neck Pain Relief

25:57 The Psycho-Emotional Impact Of Neck And Migraine Pain

29:16 Steps to Relieve Headache and Migraine

31:50 The Impact of Chronic Pain on the Brain

34:46 Headache Locations May Reveal Source Of Pain

38:35 Benefits of Neck Cracking in Physical Therapy

41:48 Using Joint Mobility To Alleviate Muscle Tension And Migraines

44:23 What a Session with Dr. Jono Looks Like

46:17 Tips For Preventing Migraines

50:02 Proper Neck Support Tips for Intubated Patients

53:00 Improving Sleep & Reducing Snoring Through Pain Relief

54:26 Wrapping up the show


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Apple https://fanlink.to/Applepodcast

Spotify https://fanlink.to/Spotifypodcast

Cup of Nurses Store https://fanlink.to/CONshop

Frontline Warriors store https://fanlink.to/FWshop

Interested in Travel Nursing? https://fanlink.to/TravelNurseNow

Free Travel Nursing Guide  https://fanlink.to/Travelnursingchecklist

Nclex Guide https://fanlink.to/NCLEXguide

Cup of Nurses FB Group https://www.facebook.com/groups/cupofnurses

Frontline Warriors FB group https://fanlink.to/FWFBgroup



Mar 24, 202357:54
EP 207: When Your Patient Falls

EP 207: When Your Patient Falls

Welcome to this episode of our podcast, where we dive into the world of healthcare and patient safety. In this episode, we'll be discussing the experience of a nurse when a patient falls.

As healthcare professionals, we know that falls can have serious consequences, both physical and emotional, for patients and their families. Join us as we share our firsthand experience of dealing with a patient fall, the challenges we faced, and what we learned.

We'll also discuss the importance of fall prevention strategies, such as hourly rounding, bed, and chair alarms, communication, and patient education, and how they can help reduce the risk of falls.

00:00 Introduction
04:07 Matt's Patient Fall Experience
11:25 Peter's Patient Fall Experience
17:51 Who is liable for patient falls
22:34 What to do when a Patient Falls
27:03 LAW FIRM: Most commons reasons why patients fall
30:52 Healthcare Joint Commission: Most commons reasons why patients fall
40:00 Wrapping up the show

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Interested in Travel Nursing? https://fanlink.to/TravelNurseNow
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Nclex Guide https://fanlink.to/NCLEXguide
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Mar 17, 202342:46
EP 206: Relationship Advice and Yoga Psychology with Ashley Turner

EP 206: Relationship Advice and Yoga Psychology with Ashley Turner

Need some relationship advice? How self-aware are you when communicating with your partner in difficult times?  One of the key things to master in any relationship is communication. Effective communication is key to a healthy relationship because it allows both partners to express their needs, feelings, and concerns openly and honestly. This can help prevent misunderstandings and build trust and intimacy between partners

In episode 206 of the podcast, we had the pleasure of speaking with Ashley Turner, a licensed psychotherapist, yoga meditation expert, and 7-figure wellness entrepreneur. We discussed various topics, including relationship advice, the benefits of yoga, and trauma-informed care.

Timestamp
00:00 Introduction
03:14 About Ashley Turner
06:24 Recurring problems that arise in married life
09:58 How to Establish Effective Communication in Difficult Situations
15:49 How To Build And Foster Trust In Relationships
21:33 How To Identify The Ideal Relationship For You
29:12 How To Clarify Core Values & Priorities
32:38 Self-Care Strategies for Resilience in Healthcare
38:19 The Pathophysiological Benefits Of Yoga And Meditation
41:25 Yoga Meditation for Total Mind-Body Wellness
48:21 Trauma-Informed Yoga: Exploring Its Benefits and How It Works
54:16 Intigrating Chakra System into Modern Healthcare
1:05:04 Wrapping up the show

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Frontline Warriors: https://fanlink.to/FWsite
Apple https://fanlink.to/Applepodcast
Spotify https://fanlink.to/Spotifypodcast
Cup of Nurses Store https://fanlink.to/CONshop
Frontline Warriors store https://fanlink.to/FWshop
Interested in Travel Nursing? https://fanlink.to/TravelNurseNow
Free Travel Nursing Guide  https://fanlink.to/Travelnursingchecklist
Nclex Guide https://fanlink.to/NCLEXguide
Cup of Nurses FB Group https://www.facebook.com/groups/cupofnurses
Frontline Warriors FB group https://fanlink.to/FWFBgroup

Mar 10, 202301:08:42
EP 205:  9 Qualities of a Good Nurse

EP 205: 9 Qualities of a Good Nurse

It is undeniable that nursing is a noble profession that requires a unique set of skills and qualities. We came up with 9 Qualities of a good nurse that every nurse should possess.

  1. Be a team player - hard work ethic
  2. Learn to communicate with everybody on the healthcare team
  3. Flexibility in your shift - going with the flow
  4. Don’t be hyper-independent and not help others
  5. Having empathy - compassionate
  6. Emotional Stability - Tempered
  7. Attention to detail
  8. Problem-solving skills - Critical thinker
  9. Patient advocate

What are other qualities you should have as a nurse?

In episode 205, we discuss the nine qualities of a good overall nurse.  Nurses must possess several qualities that make them stand out. Every aspiring nurse should strive to possess these qualities to provide quality patient care, maintain a positive work environment, and achieve the best outcomes for patients.

Timestamp
00:00 Introduction
02:09 1. Be a team player - hard work ethic
04:00 2. Learn to communicate with everybody on the healthcare team
06:03 3. Flexibility in your shift -going with the flow
09:50 4. Don’t be hyper-independent and not help others
13:32 5. Having Empathy - Compassionate
17:53 6. Emotional Stability - Tempered
23:47 7. Attention to detail
27:02 8.Problem-solving skills - Critical thinker
29:53 9. Patient Advocate
35:02 Wrapping up the show

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Spotify https://fanlink.to/Spotifypodcast
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Frontline Warriors store https://fanlink.to/FWshop
Interested in Travel Nursing? https://fanlink.to/TravelNurseNow
Free Travel Nursing Guide  https://fanlink.to/Travelnursingchecklist
Nclex Guide https://fanlink.to/NCLEXguide
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Frontline Warriors FB group https://fanlink.to/FWFBgroup

Mar 03, 202335:47
EP 204: What Does a Flight Nurse Do with Madison Vawter

EP 204: What Does a Flight Nurse Do with Madison Vawter

Flight nursing is one of the opportunities you have as a nurse. It's a combination of ICU and ED with a step away from the typical bedside approach. Flight nursing requires many credentials and experience in fields such as ER, ICU, and trauma. As a flight nurse, you are the person making decisions and leading care based on the patient's condition; you have more autonomy than an ED or ICU nurse but also have a wide range of protocols at your disposal.

On episode 204, we would like to introduce you to Madison Vawter. Madison is a flight nurse with a background in ER, ICU, and Trauma. We talk about what a flight nurse does, how to become one, and how to build confidence.

Timestamps
00:00 Introduction
01:27 About Madison Vawter
03:54 What is a typical day in the life of a flight nurse like?
05:50 What tasks fall under a flight nurse's responsibility when there are no patients?
08:01 What other healthcare professionals accompany a flight nurse?
10:48 Who makes the decisions about orders, and how are they communicated?
12:42 What the team does when they received an emergency call
17:42 Cases that Madison enjoys addressing
19:18 What does it look like working inside a helicopter
22:02 The most memorable experience
29:43 What is required to enter the field of flight nursing?
32:38 The very competitive field of flight nursing
37:20 Hospital vs Company based program
38:24 How does the onboarding process look like
41:00 Does a flight nurse need to get familiar with aviation?
44:00 Can a flight nurse care for patients of any age?
45:19 Tips to building self-confidence
53:23 The challenges of a flight nurse
57:42 Wrapping up the show

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Feb 24, 202301:00:55
Case Study 2: 68-Year-old Jeffery Swanson

Case Study 2: 68-Year-old Jeffery Swanson

Jeffery Swanson, a 68-year-old African-American male, came into the emergency department with a blood pressure of 176/82. His respiratory rate is 20 bpm, with a temperature of 99.4 degrees Fahrenheit and an O2 saturation of 92%. Upon initial assessment, Jefferey looked calm but apprehensive; he also had a minor headache with a pain level of 3/10. His speech sounded garbled and slow but was comprehensive when questioned about his date of birth. Further assessment also revealed that his pupils were equal and reactive to light and that he presented with right-sided facial paralysis. While he can follow instructions and raise his extremities, Jefferey cannot move his right arm and leg, nor can he feel them.

  1. What do you think is Jeffery’s differential diagnosis?
  2. What clinical symptoms did Jefferey show to suspect he is suffering from a stroke?
  3. What nursing interventions would you expect for this patient?

Timestamps
00:00 Intro
00:28 The purpose of our case study
01:28 Patient background
01:58 History
03:12 Day 1
03:26 Initial Management
04:03 Questions to Ask
06:20 Assessment
08:02 What do you think is Jeffery's Differential Diagnosis?
08:25 Nursing Interventions to expect for this patient
10:10 Doctor's Orders
12:04 Nurse Actions
14:19 Current Diagnosis
14:55 Plan
15:39 Vital signs
16:45 TPA Protocol
19:59 Day 2 - Assessment
21:54 Doctor's Orders
24:36 Day 3 - Jeffery's Last Day
25:10 Day 4 - Jeffery was transferred to the med-surg floor
25:27 Day 5 - Jeffery is ready for discharge
26:43 Risk factors that contributed to Jeffery's stroke
27:45 Contraindications for not receiving TPA
31:05 Wrapping up
31:15 End of show

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Feb 20, 202331:31
EP 203: 10 Tips Every Nurse Should Know

EP 203: 10 Tips Every Nurse Should Know

What have you found helpful for you that you would recommend to others? We came up with 10 tips every nurse should know.

  1. Don't talk down on yourself
  2. Learn to prioritize
  3. Ask questions
  4. Take time off
  5. Establish a routine
  6. Take notes and stay organized
  7. Take care of yourself
  8. Listen to your patients
  9. Ask for feedback
  10. Chart efficiently

What are some tips you'd give to a nurse?

In episode 203 we discuss 10 tips every nurse should know. Being a nurse is by no means an easy profession, but these tips can help you make it a bit easier to overcome obstacles that nurses face in healthcare.

Timestamps
00:00 Introduction
01:53 1. You should know to eliminate negative self-talk and remain calm.
03:01 2. You should learn to prioritize.
04:50 3. You should know how to ask questions and ask for help.
07:30 4. You should learn how to prioritize yourself.
10:08 5. You should know how to Establish a routine.
12:29 6. You should know how to take notes and be organized.
15:20 7. You should know how to take care of yourself too!
18:06 8. You should know how to  listen to your patients
21:01 9. You should know how to  ask for feedback
23:58 10. You should know how to Become efficient at charting

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Feb 17, 202326:13
EP 202: Enrich Your Personal Life With Dr. Terri Ann Parnell

EP 202: Enrich Your Personal Life With Dr. Terri Ann Parnell

Nurses are so good at helping others that they sometimes forget to help themselves. Nurse retention has worsened, and nurses are turning away from the bedside. Healthcare also lacks the fundamentals to help nurses stay physically and mentally healthy. What changes in healthcare do you think can be implemented to help nurses?

In episode 202, we would like to introduce you to Dr. Terri Ann Parnell. Dr. Terri Ann Parnell is a nurse, a recognized health literacy expert, and an award-winning author. She is the principal and founder of TAP Wellness Coaching and Health Literacy Partners. Her extensive nursing career incorporates hospital and health system management, administrative and leadership roles, and faculty roles in schools of nursing, medicine, and health care administration.

Timestamps
00:00 Introduction
01:53 About Dr. Terri Ann Parnell
05:02 What do nursing and healthcare professionals lack?
07:45 The challenging part of being the leader
09:42 Which sector of our healthcare system requires the most assistance?
12:01 What issues are hospitals facing today?
15:56 The 5 pillars of wellness
18:17 The most prevalent issue we all have
21:47 What you can do to address your sleep issue
26:29 Self-care practices you can do
28:22 Becoming a resilient nurse
31:45 How to find balance between work and life
34:22 Building self confidence
38:13 Dr. Terri's desire for medical care
39:30 How Dr. Terri's program works
44:49 Issues that frequently plague healthcare professionals
47:40 Wrapping up the episode

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Feb 10, 202351:36
 Case Study 1: 76-Year-old CHF Patient

Case Study 1: 76-Year-old CHF Patient

We want to welcome everyone to our first case study. Instead of our usual nurse debriefings, we will talk about patient cases since we are not travel nursing at the moment. These nurse cases are excellent for nurses and student nurses to understand how patient studies work, use critical thinking skills, and what to expect while handling these patients. In this episode, we will talk about a case regarding congestive heart failure or CHF. We will also tackle the patient history and assessment and ask questions as we go along the case. So, if you want to hear our first patient case study, join us in this episode!


Timestamps
00:00 Intro
00:56 First Case Study - Betty Adams
01:10 Patient History
02:10 Ask questions before the assessment
04:39 Patient Assessment
06:24 Differential diagnosis for Betty
07:04 Potential factors affecting CHF
07:53 Potential medications to give the patient
09:33 Nursing interventions for patients with CHF
11:14 Doctor's orders you might see in your nursing chart
12:48 Day 1 Hospital admission
15:15 Day 2 Hospital admission
15:58 Day 3 Hospital admission/Last day
16:28 Patient discharge planning and education
20:58 Wrapping up

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Feb 06, 202321:15
EP 201: Lab Values to Know as a Nurse

EP 201: Lab Values to Know as a Nurse

One of your responsibilities as a nurse is understanding lab values. Knowing the different lab values and how they affect the body is critical in making informed clinical decisions. Knowing lab values helps you better assess the patient and guide their care; it's also essential in preventing adverse effects.   

If you're a nurse who needs help with lab values or a student nurse who wants to understand the importance of lab values, this episode is for you. So grab your notes and pen, and let's all learn together in this episode of Cup of Nurses.

Timestamps
00:00 Introduction
01:21 About the episode
02:35 Electrolytes
Potassium K+
Sodium Na+
Calcium Ca+
Chloride CI-
Magnesium Mg+
Phosphorus
Ammonia
Uric acid
Creatinine
BUN
Specific Gravity
Lactic Dehydrogenase (LDH)
17:02 Hematology
RBC
WBC
Platelets (thrombocytes)
Hemoglobin (Hgb)
Hematocrit
Partial thromboplastin time (PTT)
Prothrombin Time (PT)
International Normalised Ratio (INR)
Reticulocytes
Neutrophils
Bands
Lymphocytes
Monocytes
Eosinophils
HBA1C
Glucose
27:25 Gastrointestinal
Bilirubin
Albumin
ALT/AST
Amylase
Lipase
30:40 Hormones
Hydroxyprogesterone
Adrenocorticotropic ACTH
Thyroid-Stimulating Hormone (TSH)
Thyroxine
Follicle-Stimulating Hormone (FSH)
Human Growth Hormone (hGH)
Progesterone
Prolactin
Testosterone
36:57 Lipids
Low-Density Lipoproteins (LDL)
High-Density Lipoproteins (HDL)
Triglycerides
Total Cholesterol
39:11 Cardiac Markers
Creatine kinase
Troponin
C-Reactive Protein
D-Dimer
Brain Natriuretic Peptide (BNP)
41:56 Tumor Markers
Alpha Fetoprotein (AFP)
CA 19-9
Carcinoembryonic Antigen (CEA)
Prostatic Acid Phosphatase (PAP)
Prostate-Specific Antigen (PSA)
44:15 Vitamins
Folate
Vitamin A
Vitamin B6
Vitamin B12
Vitamin C
Vitamin D
48:12 Miscellaneous
Rheumatoid Factor (RF)
Erythrocyte Sedimentation Rate (ESR)
Angiotensin-Converting Enzyme (ACE)
Lead

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Feb 03, 202352:00
EP 200: Understanding Your Body Language With Kelly Love

EP 200: Understanding Your Body Language With Kelly Love

Our bodies have a language of their own, and if we know how to listen, it can teach us many things. When we understand our body language, we can also understand others and provide them with what they need but are too hesitant to ask. But how can we understand what our body says? And how do we know when our body is talking to us? In this episode, we will learn how body language works, psychosomatic bodywork, and how it can help us heal ourselves and others. If this interests your curiosity, join us as we tackle another exciting episode of Cup of Nurses. 😎

Enjoy Kelly's services and use our code CUPOFNURSES10, which is suitable for any service of $500 or more. To know more about Kelly, send her a DM thru her socials or visit her website at:

www.KellyLoveRewilding.com

Timestamps
00:00 Introduction
01:35 About Kelly Love
03:26 How Kelly learned about the relationship between the body and emotions
07:31 How does body language impair our physical state?
11:56 How emotions impact particular body parts
13:41 Body language as a two-way system
15:37 How does the condition of our patients affect us as nurses?
21:31 How to tell if there is a medical or mental problem
25:56 How can a nurse give their patient greater care?
27:49 Common issues that most people have
29:42 How Kelly treat her patients
32:36 How can you heal yourself
33:42 A recurring theme in Kelly's client
38:13 What should women do during their period?
41:49 Wrapping up the episode

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Jan 27, 202345:11
EP 199: The Renal System and RAAS

EP 199: The Renal System and RAAS

In this episode, we will talk about the renal system. Specifically, the anatomy of the kidney, how it filters blood and converts it to urine for excretion, and the RAAS system, the way your kidneys regulate your blood pressure.

The renal system produces, stores, and eliminates urine. The kidneys make urine by filtering wastes and extra water from the blood. Urine travels from the kidneys through two thin tubes called ureters and fills the bladder. When the bladder is full of urine, a person urinates through the urethra to eliminate the waste.

Click on our CUP OF NEWS EP 90: Kidney Disease: What You Should Know to learn more about the kidneys and to watch the full Ep. 199, click the link in our bio.

Timestamps
00:00 Introduction
02:10 The functional parts of the kidney
03:18 What does a kidney do
04:40 Kidney fun facts
05:40 Anatomy of the kidney
10:00 The nephron and blood supply
15:48 Kidney and blood pressure management
17:39 How the Renin-Angiotensin-Aldosterone System (RAAS) works
21:50 Further views on the episode
24:02 Wrraping up the show

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Jan 20, 202324:40
EP 198: Guide to Personal Finance With Anthony Swain

EP 198: Guide to Personal Finance With Anthony Swain

As travel nurses, we earn more money but with more money comes more problems. When it comes to finances in the travel nursing world, the majority of it is self-managed. Travel nurses are usually solely in charge of their finances. To start off, as a travel nurse, you will be responsible for setting up your 401k with an agency of the bank.

If you are interested in keeping your finances in place, join us as we learn about student loans, IRAs, savings, and more in this fantastic episode of Cup of Nurses!

Timestamp
00:00 Introduction
01:44 About Anthony Swain
03:37 Travel nurse financial lesson
04:48 Financial tips for new grad nurses
10:02 Possible modifications to make student loan repayment easier
14:25 Financial advice for nursing staff who want to do travel nursing
17:16 What to do with the money you've saved?
18:32 The journey of writing a book
20:31 What's inside the book
21:50 How to begin building financial stability
24:54 How to track your finances
30:35 What to do with your extra money
33:36 Can a nurse retire early?
36:45 Difference between Asset allocation and Investment allocation
38:01 Where are Anthony's Investment
40:57 Difference between an Index Fund and a Stock
45:38 Universal Life Insurance vs. Term Life Insurance Policy
50:12 Wrapping up the show

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Jan 13, 202352:48
Nursing in Chicago & Thailand Trip | Nurse Debriefing EP28

Nursing in Chicago & Thailand Trip | Nurse Debriefing EP28

We're excited to announce that this will be our last Nurse Debrief in the United States as we leave for Thailand! But don't worry; we'll be back, of course. We need to take some time off from travel nursing and enjoy some sun! So, Thailand, here we come!

If you want to be a part of our debrief podcast episodes, all you got to do is hit us up, and we'll be happy to have you on with us and share your nursing experiences! Send us a DM, comment, or email if you want to join us in our episodes. We will be waiting for you!

We are back in Chicago for this debrief, and it got us thinking about how it was for us as nurses working in Chi. We started our careers here and often stayed working during the cold months. Don't get us wrong, though; Chicago is one of the most beautiful cities here in the US, and the skyline doesn't compare to any city. But Matt and I agree that being in California is different than working here. The breaks and nursing resources are different. But compared to all the hospitals, as far as nursing goes, it's quite the same. Chicago is more trauma heavy as there is violence and crime. And if you want to learn more about our nursing experiences here in Chicago and our travel plans, keep watching! All of these and more on this Cup of Nurses Debriefing episode 😎

Timestamps:
00:00 Intro
00:10 We're going to Thailand!
01:00 Debrief invite
01:35 How nursing was for us here in Chicago
04:59 It comes down to the unit dynamics and culture
05:25 Coping with Nurse Unit Culture
06:08 Chicago weather and seasons
07:06 Cold sucks that's why we're leaving for Thailand
09:35 Multicultural experience
10:30 A time to focus on things
11:25 Case Studies
12:40 Learning how to process our papers for Thailand
14:20 Be mindful of the obstacles you'll encounter
16:40 Apple Air Tags
17:16 Getting hurt in a different country
18:18 Wrapping up
18:32 End of show

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Jan 10, 202318:47
EP 197: How to Optimize Brain Function and Promote Neuroplasticity with Nicole Vignola

EP 197: How to Optimize Brain Function and Promote Neuroplasticity with Nicole Vignola

Our brain is complex yet amazing at the same time. It can adapt and expand our memory, it can be trained, and it can gain mental toughness; the possibilities are endless. It is also why we must learn to take care of our brain and find ways to keep it healthy. And in this episode, we will learn all about brain health and what we can do to optimize its function. We will also tackle how to change our mindset and how we can benefit from it. If this is something you're interested in, join us and our guest, and let's take a moment to learn about optimizing brain function and promoting neuroplasticity in another excellent episode of Cup of Nurses.

(Timestamps)
00:00 Introduction
02:11 About Nicole Vignola
03:35 How to enhance judgment under pressure
10:21 Does the brain react differently to physical stress compared to emotional stress?
12:40 The positive effects of sleep
14:04 The optimal sleep cycle for enhancing mental health
20:31 Actions you can take to sharpen your brainpower
25:10 Do cold baths and marijuana aid in sleep?
28:08 Tips on improving cognitive function
29:03 Does alcohol aid in sleep?
30:00 How neuroplasticity works
34:55 How long does it take for someone to form a habit?
36:53 Neuroplasticity versus addiction
40:18 Tips for developing mental strength
44:06 Amazing cognitive benefits of exercising
50:51 Where does consciousness comes from
52:11 Wrapping up the show

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Jan 06, 202359:02
EP 196: What is Sports Psychology With Sean O'Connor

EP 196: What is Sports Psychology With Sean O'Connor

Everything else follows when your mental health is not healthy. It paralyzes us. Our fears and anxiety sometimes put us on hold and hinder us from living our best lives and achieving our true potential. But how can we keep our mental health healthy? What is sports psychology? Can it help us reach our full potential? And can it help us overcome our intrusive thoughts? 🤔

If you are in this kind of predicament or are going through a tough time on a mental aspect, this episode is for you. Join us as we dig deep into our psyche to understand our mental health better and use our weaknesses as strengths to overcome anything. If this is your kind of tea, pull up a seat, get comfy and enjoy another educational topic in this Cup of Nurses episode. 🤓

Timestamps
00:00 Introduction
02:11 About Sean O'Connor
08:41 What is the language of an Athlete
12:13 The most frequent problems that athletes face
15:35 What transpires when an athlete leaves their sport
17:37 How to guide struggling athletes
22:34 What are the traits of an athlete
25:27 How to overcome extreme pressure and performance anxiety
30:38 How to communicate to a person who is tense and fearful
36:02 How important is physical health to mental health
40:16 How to recognize danger and when it exists
43:25 How our emotions make our consciousness
48:18 The negative impacts of the modern age of information
52:31 What makes EMDR  more effecient
58:43 How martial arts enhance both mental and physical health
01:08:03 How martial arts foster self-control
01:11:45 The significance of a warm community
01:19:48 What separates an elite athlete from the rest
01:22:13 Wrapping up the show

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Dec 30, 202201:27:56
San Diego Travel Nursing Contract Reflection | Nurse Debriefing EP27

San Diego Travel Nursing Contract Reflection | Nurse Debriefing EP27

For this debriefing, we are happy to announce that we are on the last leg of our contract. We're excited to start our next journey, not having to worry about being floated to another unit, and getting enough sleep! Sometimes we just go with the flow and face the uncertainties of nursing.

The theme for this contract was adapting. We were floated a lot, take into consideration that we've worked ICU the majority of our careers. Getting floated to med-surg, oncology, tele, DOU, and ortho really taught us how to adapt. Each unit has different expectations and priorities. We also floated multiple times a shift usually to admit a patient or two. We had to adapt to not knowing where we'll be for the night and for how long we'll be there for. All this floating has made us more resilient but lets try to not do that again 😅

What is the most frustrating thing you've experienced as a travel nurse? ? 🤔 Share your stories with us in the comment section below! 👇🏼

Timestamps
00:00 - Intro
00:29 - The uncertainties of this contract
01:00 - Being floated to MedSurg or Tele
02:30 - Full patient care and CNA Drama
03:30 - Contract theme: Adapting and Overcoming
06:08 - Nothing gets done
06:49 - Who's on the Travel Nurses' side to drive changes?
07:20 - Uncaring Scheduler and Complaining Nurses
08:20 - Seeing Different Nurse dynamics
09:40 - Talking about change, but nothing gets done
10:25 - Ask a travel nurse: How does our unit compare to others?
11:52 - Last day in the ICU shift
15:49 - Benefits of having an IO Kit in Your Hospital
16:42 - End of Travel Contract Reflection
17:24 - It would be nice to have one CNA devoted to patient care
17:40 - Nurse humor is amazing
18:45 - Our last debriefing on the contract
2011 - The Box
20:35 - End of show

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Dec 27, 202220:52
EP 195: Psychotherapy & EMDR with Stephanie Polizzi

EP 195: Psychotherapy & EMDR with Stephanie Polizzi

Trauma, anxiety, depression, and other issues came from somewhere. Research shows it was from a distressing childhood event that you've learned to repress or any situation that traumatized you. In  this episode, we discuss Psychotherapy and EMDR or Eye Movement Desensitization and Reprocessing Therapy to help address any issue. How does psychotherapy help? And what goes on during EMDR? If this topic interests you, pull up a seat, grab your favorite coffee, and join us in this exciting episode of Cup of Nurses. ☕☕

(Timestamps)
00:00 Introduction
01:48 About Stephanie Polizzi
03:18 How therapy helped Stephanie
05:10 The patients' common problems
06:46 What is EMDR
10:10 What takes place during an EMDR therapy session?
14:15 How does an eye movement fix our suppressed body
19:39 How Stephanie went about studying eating disorders
21:54 The reasons why people have an eating disorder
23:57 The common issues that adults and teenagers have
26:11 How to approach someone with an eating disorder
30:08 Indications that a patient is benefiting from the treatment
33:25 What to do if you'd prefer not to see a therapist
36:35 A determination to improve yourself
40:54 Contemplating positive aspects
45:42 Understanding when to seek help
49:24 The negative implications of sickness labeling
54:11 The lack of expertise in managing eating disorders
59:47 A healthcare system that will benefit us
01:05:51 The gains of mental health awareness
01:09:06 Wrapping up the show

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Dec 23, 202201:12:07
Calling Off as a Travel Nurse & Necrotizing Fasciitis | Nurse Debriefing EP26

Calling Off as a Travel Nurse & Necrotizing Fasciitis | Nurse Debriefing EP26

We are happy to announce that our Christmas merch is now available in our shop, so get you some Cup of Nurses tees, jackets, and sweaters for this holiday season. Or if you're looking for the best gifts for your nurse friends or family, these are perfect.! Check out our shop here https://cupofnurses.shop/ 🥳

In today's episode, Matt shares his experience as a nurse turned patient after injuring himself in a Ju Jitsu tournament. 😬 He got body-slammed into the mat and heard a clicking sound on the right side of his ribs. He knew immediately that something was wrong, so he went to the ER, thinking he had a fractured rib. They took an X-ray, which took a while. So, this doctor walked in after his X-ray and did not even touch Matt or assess the part where he felt the pain (shocking, we know!). He barely assessed Matt and didn't diagnose him until Matt did his research and diagnosed himself with a slipped rib.

Find out more about Matt's case, our patient with necrotizing fasciitis, and more exciting stories by watching this full episode! 😎

Do you have any similar experiences? 🤔 How do you feel as a nurse and also the patient? 🤔 Share your story in the comment section below! 👇

(Timestamps)
00:00 - Intro
00:13 - Christmas and Cup of Nurses Merch is up on our shop
00:50 - Unexpected events, a.k.a Matt's Clicking Ribs
04:23 - Slipped Rib Syndrome
05:30 - No Gym
06:05 - A shot of Toradol in the butt?
06:50 - No available nurse!
07:50 - No nurse education on Matt's chart
08:10 - Sandwich and Apple juice
08:40 - Patient with a fungus called Cryptococcus
10:33 - Peter's shift
11:00 - Patient with Necrotizing Fasciitis
13:22 - Aggressive antibiotic treatment
14:44 - Necrotizing fasciitis occurs in only 20,000 people a year
15:15 - Patient with Clotting Factor issue
16:14 - Capitalism problems
16:43- Still floating
16:55 - Hospital with very negative travel nurse review
17:55 - Navigating your way through your contract
19:00 - Travel nurses are a special breed
19:35 - Different floors, different protocols
20:23 - It's not always a bad thing to be a float nurse
21:19 - When CNAs don't do vitals
21:50 - A give-and-take between good and bad shifts
22:52 - Wrapping up
23:08 - End of show

Cup of Nurses: https://fanlink.to/CONsite
Frontline Warriors: https://fanlink.to/FWsite
Apple https://fanlink.to/Applepodcast
Spotify https://fanlink.to/Spotifypodcast
Cup of Nurses Store https://fanlink.to/CONshop
Frontline Warriors store https://fanlink.to/FWshop
Interested in Travel Nursing? https://fanlink.to/TravelNurseNow
Free Travel Nursing Guide  https://fanlink.to/Travelnursingchecklist
Nclex Guide https://fanlink.to/NCLEXguide
Cup of Nurses FB Group https://www.facebook.com/groups/cupofnurses
Frontline Warriors FB group https://fanlink.to/FWFBgroup

Dec 20, 202223:24