A neonatologist who did not use Lidocaine before a circumcision said, ‘What does it matter? He won’t remember it anyhow.’ No wonder pain remains a mystery.
— Name withheld, Shepherdsville, Ky. (
Nurse.com/Article/Creator-Orb)
Care coordination
On March 25, a Facebook post featured an article that discussed why the call bell is not an interruption to nurses’ workloads. Here’s how readers responded.
This is an “easy” thing to ask nurses to do, but only if they have appropriate resources.
— Stephanie Leanne Myers-Boone
Nurses do not need to be told that the call bell is the patients’ lifeline. We understand the urgency and feel that pressure every day.
— Vanessa Tilson
Which one of 25 patients’ call bells do you answer fi rst? I answer one at a time, but that’s not always good enough. — Elizabeth Buchanan
Answering a call light and meeting the patient’s needs takes time, a precious commody that is often overlooked. — Stephanie Close
It is indeed the lifeline. I’m both a nurse and a patient. It’s not being used just for the heck of it or to annoy nurses.
— Nelia Chavez Lopez
Thank you for the article “Legally speaking: Care coordination and management” (Nurse. com/Article/Care-Coordination-Manage- ment). Nurses’ role in this area is vital for the eff ective transformation of healthcare. The article addresses the standards of care coordi- nation and nurses’ education. The American Academy of Ambulatory Care Nursing has published the fi rst Scope and Standards of Practice for RNs in Care Coordination and Transition Management, and a care coordination and transition management certifi cation exam debuted in September 2015. The association is thrilled to be on the forefront of the CCTM role for RNs.
— Cynthia Nowicki Hnatiuk, EdD, RN, CAE, FAAN Pitman, N.J.
Faith in practice Regarding the Next Shift article “Keeping the Faith” (
Nurse.com/Article/Next-Shift/Keep- ing-Faith), I retired from OB/GYN nursing after 37 years at the bedside. I prayed over every foley I inserted, and over many other situations. Nursing school does not prepare you for the traumatized perineum and a postpartum hemorrhage at the same time. Too many professionals will pounce on the fundus with painful massage and administer pitocin as an adjunct to massage, overlooking the underlying problem, which may be a high internal laceration or simply a distended
bladder. I have seen the worst of the worst perineums, and inability to urinate is the most common problem post-childbirth. I could write a book on how we seasoned nurses love to teach new nurses the tricks of the trade in obstetrics. In retirement, I continue to use my
knowledge as a parish nurse and a lactation consultant. Nursing is defi nitely a calling from God, and I am so blessed to have answered the call.
— Nancy Adams, RN, IBCLC, PN Cary, N.C.
Good habits Thank you for the Next Shift article, “Good practice habits” (
Nurse.com/Article/Next- Shift/Good-Practice-Habits). I loved it. I teach my students that good practice habits are important and they start from the be- ginning. I love the STAR — Stop, Think, Act and Review — method. I will share this with my nursing students next semester. When teaching clinical, I review with
my students the practice habits of the nurses with whom they are working, so they are aware of what “best practice” looks like. I also make sure I point out how im- portant it is not to cut corners when they feel hurried. That is where I think most nurses start picking up bad habits.
— Lisa Marie Walsh, MSN, APRN, FNP-BC Marietta, Ga.
FOR MORE LETTERS, visit
Nurse.com/Letters.
Letters may be edited. Authors must be identifi ed by name, city and state. Names may be withheld upon request. Send letters to
editor@nurse.com or post your comment on
Nurse.com.
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