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Rock Your Health: Respecting your inner voice

Your internal voice—the voice of your truth—may be giving you messages and needs to be heard. Access this important information by taking time to slow down, quiet your mind, get comfortable with stillness, and find a way to meditate that is right for you. Turn off the world’s input for a while and just “be”.

How can you practice quieting your mind? Consider methods such as meditation, prayer, gentle movement, or walking in solitude.

Become aware of what happens to you when you have quieted yourself. Do a quick body scan from head to toe. [more]

Rock Your Heath: Stress release tip to show your nurses you care

Has work got you and your nurses operating on overload? Sometimes we need a wake-up call before we are willing to change and it usually manifests itself as pain resulting from stress. Headaches, neck and shoulder pain, back aches, indigestion, insomnia, and other ails.

What signs are you experiencing that might indicate stress overload and imbalance?

It’s time to re-assess your situation and start some self-care practices. Here is one idea I love and if you do this for your staff, they will really appreciate you.

Get a crock pot and fill it with water. Add many washcloths to soak up all the water and then put the crock pot on low so the wash clothes get nice and warm. [more]

Free tool from Ending Nurse-to-Nurse Hostility

As promised last week, we’ve added a free download downloadicon3from Kathleen Bartholomew’s Ending Nurse-to-Nurse Hostility, Second Edition, in honor of being the only book chosen by the American Nurses Association as a recommended bullying and horizontal hostility prevention tool.

To access the download site for a tool you can use to evaluate the health of your workplace as regards bullying, lateral violence, and other undesirable behaviors, click here.

To read last week’s story the ANA position statement on workplace violence and the nursing profession, click here.

Reduce clinical alarm fatigue with new HCPro webcast

hcpro webcast-liveThe problem of clinical alarm fatigue is so pervasive in hospitals that The Joint Commission created a new National Patient Safety Goal to address it. With so many device alarms going off, staff may tune them out and miss important warnings that can lead to adverse patient events.

In this webcast scheduled for Wednesday, October 4 at 1 p.m. Eastern, Deborah Whalen and Jim Piepenbrink of Boston Medical Center will explain how their facility successfully reduced alarm fatigue through process management, collaboration, and governance.

Register today for Clinical Alarm Management: Reduce Alarm Fatigue and Meet The Joint Commission’s National Patient Safety Goal and get the knowledge you need to improve alarm management in your facility.

Visit the webpage for more information or to register, here.

New ANA Hostility Prevention Guide Recommends Bartholomew Book

On August 31, the American Nurses Association issued a press NTNH2 coverrelease announcing its updated position statement on workplace bullying and violence, stating that the “nursing profession will no longer tolerate violence of any kind from any source.”

Among the interventions recommended as “primary prevention” is the HCPro classic work by Kathleen Bartholomew,
Ending Nurse-to-Nurse Hostility, Second Edition. In fact, Ending Nurse-to-Nurse Hostility has the distinction of being the only book recommended to RNs and their employers in the statement as a front line tool for preventing incivility and bullying.

We are so honored to have published Kathleen’s work, and congratulate her for this wonderful recognition of a lifetime commitment to making the nursing workplace a healthier, more collegial place. If you would like to add your best wishes, feel free to comment below!

Rock Your Health: Wellness thoughts for fall

F – Fun should be on the agenda whenever possible. How much fun are you and your colleagues having during the day? If none, how can you incorporate more into the daily routine?

A – Attitude of positivity at all times. Check your attitude every hour and if you need an adjustment, just press an imaginary RESET button and readjust. After all, you can only hold one attitude at a time, whether positive or negative. The choice is yours so choose the best one for yourself and everyone around you.

L – Laugh! It’s healthy for your body, mind, and soul and can be infectious.

L – Lighten up and don’t take everything so seriously. Yes we do serious work but we don’t have to wallow in it. What is one thing you can incorporate in your day to help lighten up the workplace?

Rock Your Health: How nurse leaders deal with change

Nurse leaders know that change is inevitable. If you don’t embrace it and welcome it, or at least accept it, you might find yourself fighting a losing battle.

Awareness is an important first step in the change process. Do a quick personal assessment of your situation, be honest with yourself, and be open to what you discover. Ask yourself:

What is changing for you and your staff?

Why are these changes occurring?

Where do you spend most of your time: fighting the change or managing the change?

What do your feelings tell you about what you are doing?

What support do you need when working through change?

What steps do you need to take to reduce the stress and move forward with the possibilities?

You don’t have to go through this alone. People like me help people like you every day using coaching techniques. If you need support, please contact me for a sample coaching session.

Rock Your Health: Tips for being a great manager

What kind of manager are you? What do others say about you? Here’s a list of qualities that I like in a manager.

M - Meets employees where they are and accepts them.

A - Assesses their attitude daily and keeps a positive attitude.

N - Notices greatness and share with others.

A - Ask questions rather than giving advice.

G - Greets everyone they see with a smile.

E - Engages employees in the decision making process.

R - Recognizes achievements and celebrates regularly.

Incident Reports: What You Need to Know (Part Two)

Incidents reports are a pain to fill out, but vital for documenting what happened and for protecting yourself and your staff. This week, we’re republishing a popular post full of best practices, provided by Patricia A. Duclos-Miller, MS, RN, CNA, BC.

incident graphic2Yesterday we looked at the purpose of the incident report and the value of documenting facts as well as the patient’s responses to care in the nursing progress notes (see Incident Reports: Part One). Today we’ll look at eight risk reduction recommendations you should follow to limit the number of incidents you face. We’ll also give you a check list of tips for writing incident reports should adverse events occur. (I’ll make the checklist available as a PDF download in a few days, so check back for the link.)


  1. Be sure that everyone is clear as to who is managing the patient. This is especially critical in complicated cases with numerous consults. One of the major factors in adverse events is fragmentation or lack of clear communication between providers. Therefore, use the medical record as a communication tool for all providers and encourage your staff to read notes from other providers and disciplines.
  2. Be sure staff understand and utilize the chain of command when necessary. They are considered patient advocates and must speak on behalf of the patient to ensure quality patient care. Documentation of the chain of command process should be factual and blameless.
  3. Advise your staff never to create notes at home concerning the event. They should not discuss the event with other care providers without having someone from risk management present, unless the discussion is in a quality-review process or in the presence of the facility’s attorney.
  4. If an adverse event occurs, the staff must know that attention to patient needs is first and foremost. If a patient is injured, nursing and medical interventions take precedence over everything else.
  5. Follow the organization’s policy on medical-event disclosure. It is important that staff understand who is designated to inform the patient/family. Documentation should include who was present during the discussion, what information was discussed, and all of the patient/family responses.
  6. Ensure that the patient/family receives compassionate care and that everyone involved maintains a professional relationship.
  7. If an adverse event occurs, contact the risk manager. Discuss the case discretely, because conversations are not protected under a quality statute or attorney-client privilege, and therefore may be discoverable.
  8. Work with the risk manager. The risk manager can help you and your staff promote patient safety and proactive strategies to avoid injuries.


Incident Reports: What You Need to Know (Part One)

Incidents reports are a pain to fill out, but vital for documenting what happened and for protecting yourself and your staff. This week, we’re republishing installments of a popular post chock full of best practices, provided by Patricia A. Duclos-Miller, MS, RN, CNA, BC.

incident graphic2If you and your staff think that incident reports are more trouble than they’re worth, you could not be more wrong.

We work in high-stress, fast-paced environments. It is your responsibility as a member of the nursing management team to understand the importance of incident reports, to ensure that your staff completes them, and to investigate incidents to avoid any further occurrences. Your investigation will also provide possible defense if during your investigation you identify a system failure and take the necessary corrective action(s).

The purpose of the incident report is to refresh the memories of both the nurse manager/supervisor and the staff nurse. While the clinical record is patient-focused, the incident report is incident-focused. The benefit to you and your staff is [more]