EP. 168 Empowering Nurses with Alice Benjamin

EP. 168 Empowering Nurses with Alice Benjamin

Empowering Nurses with Alice Benjamin

Nurses are the backbone of healthcare, and we take pride in that. However, there are times when nurses don’t feel like they are as important in our community. A bad work environment can also add up to the stress that many nurses feel. In some cases, many nurses do not feel like their efforts are given enough recognition, so they don’t perform well, or worse, they don’t provide quality patient care any longer. 

While many nurses take their profession seriously, some are not sure anymore. What can we do to help our fellow nurses? Is there a way to inspire and encourage them to do better? What needs to improve in a nurse’s work environment to help them feel empowered?

In this episode, we would like to introduce you to Alice Benjamin, better known as Nurse Alice, America’s favorite nurse. She is a cardiac clinical nurse specialist and family nurse practitioner with over 23 years of healthcare experience. Alice is Nurse.org’s Chief Nursing Officer and Correspondent and hosts the popular ‘Ask Nurse Alice’ podcast. 

QUESTIONS FOR GUESTS:

The questions below are some we’d like to tackle. We go off-topic all the time so we don’t expect to hit them all. If you have any ideas please let us know. Looking forward to our conversation!

  • Being in over 20 years in healthcare, what are some changes you would like to see in healthcare? 
  • How do you think the pandemic has affected nurses? 
  • How should new nurses empower themselves going into this profession in 2022? 
  • What do you think about the RaDonda Vaught case?
  • She was sentenced on Friday to three years of probation in a Nashville criminal court. After the probationary period, she could ultimately have her conviction dismissed.
  • Found guilty in March of two charges, criminally negligent homicide and abuse of an impaired adult, after a medication error contributed to the death of 75-year-old Charlene Murphey in December 2017.
  • What are some of the biggest challenges you have taken on recently? 
  • What is something nursing has thought you that you can apply in life? 

ENDING QUESTIONS

Before we end the show we have one last question we like to ask all our guests. If you had the opportunity to have a Cup of coffee with anybody one last time, who would it be & why? 

Socials:

Learn how to become an empowered nurse by watching our full episode. Click here for more 👇

TIME STAMPS:

00:00 Intro
01:35 About Alice
02:30 What are some changes you would like to see in healthcare?
06:26 How can we improve the healthcare system?
09:46 Reasons for some patients’ noncompliance
15:24 One-size-fits-all patient treatment does not always work.
17:57 How should new nurses empower themselves?
20:26 How to be a better nurse
24:13 What are the challenges of being a nurse
29:52 Thoughts about the RaDonda Vaught case?
43:31 The last one cup of coffee with?

What’s Happening to Cup Of Nurses?

What’s Happening to Cup Of Nurses?

What’s Happening to Cup Of Nurses

It’s incredible how time flies; just like that, we are on our 100th episode before we even know it! We wouldn’t be able to do all of these without your support for Cup of Nurses. We owe it to our followers and supporters to let you guys know that our channel will make some changes. As we move along, we will tackle topics we are more passionate about.

The Changes

We are excited to announce that we will be transitioning to Frontline Warriors as we want to focus more on health, consciousness, and wellness. Today’s episode will also be the last one for Cup of News. We’ve enjoyed our time doing this show, but like the changing season, we also embrace the changes. And we are pumped to have you guys join us in this new chapter for Cup of Nurses! So, stay tuned and be on the lookout for our new episodes. We can’t wait to share them and help inspire you to become the best version of yourselves! 

Why We Started Cup of News

We started the Cup of News for one specific reason: to keep up with the C-19 surge and keep everyone informed about what is going on during the pandemic. We believe we kept our part. Covid-19 is still a thing. However, it has become more of the norm, and breaking news is not as “breaking” as it used to be.

Our Favorite Episode Topics

Over the last few years, we’ve covered several good topics in Cup of News. Today, we will talk about some of our favorites and why we enjoyed talking about them here in Cup of Nurses. Here are a few:

EP 54: Out in Nature episode

No show notes but what a great trip it was. A great episode about reconnecting with yourself and nature. We truly enjoyed being able to relax and be with nature in this episode. 

EP 72: Horoscope

We really liked doing this one. Even though we don’t fully believe in horoscopes we still find them entertaining. They do hold some benefit because it allows you to think about yourself and your actions in a way you may not have before. It also offers a focus for you for the month or year to help you grow. 

Aries 

  • Family matters will be of importance this month. You will face a lot of challenges with your career, but towards the end of the month, you will make things better. Your health might take a toll on you if you are not careful.
  • Trust that you are ready to meet your soulmate this month. You have been waiting for a while now, and the time has come for you to get out there. Your social life will be perfect.

Taurus

  • You will be okay financially. Your career will improve, and you will get that promotion that you have been waiting for. Taurus love life will have some challenges because you do not see eye to eye with your partner.
  • Your health will be perfect while your travel prospects are also bright. You will have to work harder when it comes to your studies to achieve all your goals and aspirations.

Gemini

  • To have a happy and fulfilled life, married couples should ensure that they stay away from conflict. Do not always pick a fight with your spouse. Fighting in the family can cause the children to feel unloved. Always strive to be a positive example to your children.
  • You will finally get that leadership position that you have been working for at your workplace. Your superiors will appreciate your leadership skills and your ability to mobilize your fellow coworkers.

Cancer

  • Cancer natives will have a positive month. All aspects of your life will be on the right track. As long as you keep doing the great things you are doing, all will be well with you. Do not listen to people who tell you that you are worth nothing.
  • Keep being you and live your best life. Focus on the things that bring light and positive vibes into your life.

Leo

  • Family life will cause you lots of problems that might affect your mental health. It will be a prosperous period for Leo natives who are in business. Finances will not be a problem for you this month.
  • Children will do well in their studies, and you will be extremely proud of them. You will also travel a lot with your loved ones.

Virgo

  • Health will pose no problems for you this month. Your career prospects are, however, not encouraging. You need to change the approach by which you handle your professional life.
  • Single Virgo natives should be careful to protect their hearts from hurt. Exercise due diligence before choosing to fall in love with anyone.

Libra

  • Be true to yourself and live an honest life. Also, be careful with your finances. Misuse of funds will cause you to regret it in the near future. Ensure that you develop a good habit of saving for rainy days.
  • All your travel commitments will bring in great profits. You will also be able to meet new people who will help you grow your business.

Scorpio

  • You should be serious about your marriage. Show commitment to your spouse, and you will enjoy lasting happiness and joy. Also, show commitment to your children and your availability in their lives.
  • Your love life will be exceptional this month. You will be able to find someone that fills your heart. As a Scorpio woman, you need to be careful with your reproductive health.

Sagittarius

  • Business people will have great financial flow. Invest in businesses that will assure you of great profits. Pursue your passions and work towards achieving happiness in all you do.
  • Your education will head to the next level as you will get a scholarship to study abroad and broaden your area of study.

Capricorn

  • Trust those great things will manifest in your life. Do not take anything for granted. You should also be patient with yourself. In your career, take one step at a time, and you will eventually get there. Also, make good use of your talents and gifts.
  • Be well-equipped to handle your children when they start misbehaving. Ensure that you bring them back on the right track.

Aquarius

  • Your health will be okay this month, but you need to make some lifestyle changes. You will face some challenges with your studies because of school fees arrears.
  • Business people will profit greatly from their businesses.

Pisces

  • Your marriage life will be exciting and filled with passion and romance. Always appreciate your partner and remind them how much you love them.
  • This month you will safely invest knowing that you are doing the right thing. Nothing should scare you from living your best life.

EP 86: Cannabis and C-19

As nurses, we enjoy learning and here at Cup of Nurses, we are happy to share what we have researched. Our goal is to spread information about health and how people can utilize this information so they can live a long and healthy life.

One of the best topics we’ve come across is Cannabis use and its effect on Covid-19. Here’s what we found out:

Lowering blood pressure 

  • A study conducted by JCI Insight in 2017 found that CBD lowered the blood pressure of human participants. It reduced their resting blood pressure as well as their blood pressure after stress tests including mental arithmetic, isometric exercise, and the cold pressor test. 

Reducing inflammation 

  • CBD has been proven to help reduce inflammation and the neuropathic pain it can cause, according to a study by the Rockefeller Institute of Medical Research. 

Preventing relapse in drug and alcohol addiction 

  • A 2018 study discovered that CBD can be useful in helping people who suffer from drug and alcohol addiction. A preclinical trial with lab rats determined that CBD reduced the stress-induced cravings, anxiety, and lack of impulse control that often cause people to relapse. 

Treating anxiety disorders 

  • Anxiety is perhaps the most common affliction that people have used CBD for, and a preclinical study found that CBD could be effective in treating generalized anxiety disorder, panic disorder, social anxiety disorder, obsessive-compulsive disorder, and post-traumatic stress disorder. 

Treating gastrointestinal (GI) disorders 

  • A recent study found that CBD and other non-psychoactive cannabinoids can effectively be used to prevent and treat GI disorders such as irritable bowel syndrome (IBS), inflammatory bowel disease (IBD), Crohn’s, ulcerative colitis, and more. CBD’s anti-inflammatory properties are key to reducing and preventing symptoms. 

Preventing seizures 

  • Decades of research have gone into using CBD to treat epilepsy and other seizure syndromes, and a recent study showed it can have positive effects in reducing symptoms and seizure frequency. 

Fighting cancer 

  • Not only has CBD been used to help alleviate the effects of chemotherapy, but studies have also found it can prevent cell growth and induce cell death in cervical cancer cell lines and it has numerous anti-cancer effects that can help prevent a variety of cancers, treat tumors, and benefit the immune system.

EP 85: Heart Health #1 Killer in America

In this episode, we’ve compiled facts about heart diseases in America and how it has affected many Americans over the years.

Fact sheet – Heart Disease

  1. Heart disease is the leading cause of death for men, women, and people of most racial and ethnic groups in the United States.
  2. There are about 3 million deaths in the US
  3. Cardiovascular disease alone accounts for almost 1/4th of the total deaths in the US. 
  4. One person dies every 36 seconds in the United States from cardiovascular disease.
  5. Heart disease costs the United States about $363 billion each year from 2016 to 2017. This includes the cost of health care services, medicines, and lost productivity due to death.

Coronary Artery Disease

  1. Coronary heart disease is the most common type of heart disease, killing 360,900 people in 2019.
  2. About 18.2 million adults age 20 and older have CAD (about 6.7%).
  3. About 2 in 10 deaths from CAD happen in adults less than 65 years old.

Heart Attacks

  1. In the United States, someone has a heart attack every 40 seconds.
  2. Every year, about 805,000 people in the United States have a heart attack. Of these,
  3. 605,000 are a first heart attack
  4. 200,000 happen to people who have already had a heart attack
  5. About 1 in 5 heart attacks are silent—the damage is done, but the person is not aware of it.
  6. According to heart.org, almost half of the US population has some type of cardiovascular disease. 
  7. According to 2017 figures, 116.4 million people had hypertension, almost half of the US population at that time, and that is just hypertension alone.
  8. Cardiovascular disease is such an issue that the AHA had to lower its guidelines for what hypertension is from 140/90 to 130/80 so that people can get treated sooner.
  9. 1 in 5 Americans reported having adequate aerobic exercise and muscle-strengthening activity to meet the physical activity guidelines.
  10. Estimates for 2035 are showing that more than 130 million people will have some form of cardiovascular disease and the total cost to the healthcare system would be $1.1 trillion. 

EP 52: World Economic Forum Plus Political News

At Cup of Nurses, we don’t only tackle issues related to health but everything that is happening around us. In this episode, we gathered all information we could about what is going on around the world in terms of economy and politics. These are our 2030 Predictions for the world and general economy. 

Products will become a service

  • There are people that do not own a car, don’t own a house, don’t own appliances or clothes, they don’t own anything. 

Global price on carbon

  • China took the lead in 2017 with a market for trading the right to emit a tonne of CO2, setting the world on a path towards a single carbon price and a powerful incentive to ditch fossil fuels, predicts Jane Burston, Head of Climate and Environment at the UK’s National Physical Laboratory. Europe, meanwhile, found itself at the center of the trade-in of cheap, efficient solar panels, as prices for renewables fell sharply.

Drop-in US dominance into a handful of powers

  • Instead of a single force, a handful of countries – the U.S., Russia, China, Germany, India, and Japan chief among them – show semi-imperial tendencies. However, at the same time, the role of the state is threatened by trends including the rise of cities and the spread of online identities.

Less hospital care

  • The hospital as we know it will be changed, with fewer accidents due to self-driving cars and an increase in preventive and personalized medicine. Open organ surgeries and organ donors are out, and tiny robotic tubes and bio-printed organs are going to be developed.

Less meat

  • Rather like our grandparents, the meat will be a treat rather than a staple, writes Tim Benton, Professor of Population Ecology at the University of Leeds, UK. It won’t be big agriculture or little artisan producers that win, but rather a combination of the two, with convenience food redesigned to be healthier and less harmful to the environment.

Refugees will be CEOs and share the future

  • Highly educated Syrian refugees will be old enough to have an impact on the community by 2030, making the case for the economic integration of those who have been forced to flee the conflict. The world needs to be better prepared for populations on the move, writes Lorna Solis, Founder, and CEO of the NGO Blue Rose Compass, as climate change will have displaced 1 billion people.

Western values will be tested

  • We forget the checks and balances that bolster our democracies at our peril, writes Kenneth Roth, Executive Director of Human Rights Watch.

Moving closer to Mars

  • What’s more, once we get there, we’ll probably discover evidence of alien life, writes Ellen Stofan, Chief Scientist at NASA. Big science will help us to answer big questions about life on earth, as well as open up practical applications for space technology.

To find out more about the changes we’re doing for Cup of Nurses, check out the full video here 👇

TIME STAMPS:

00:00 Intro
00:45 Plugs
03:28 Reminiscing how it all started
06:28 How we stood up for what we believe
10:34 A podcast that will help everyone
12:32 We are our only cure
19:09 Favorite Episodes: The Challenge
21:42 Favorite Episodes: Out in Nature
22:25 Favorite Episodes: Horoscope
25:47 Favorite Episodes: Cannabis and C-19
31:10 Favorite Episodes: Heart Heath #1 Killer in America
34:59 Favorite Episodes: What is The World Economic Forum?
37:22 Wrapping up the show

EP 167: Should You Start in a CVICU as a New Grad?

EP 167: Should You Start in a CVICU as a New Grad?

Should You Start in a CVICU as a New Grad?

Start in a CVICU as a new grad? Why not! One of the exciting areas to start working as a nurse is in the Cardiac ICU. The cardiovascular Intensive Care Unit or CVICU is a hospital ward that caters to and cares for patients with ischemic heart disease and other severe heart conditions. 

Patients who suffered a heart attack and need close monitoring are also placed in this unit. The same goes for patients recovering from heart surgery and with other severe conditions like cardiomyopathy, arrhythmia, heart infection, or unstable angina. 

Most patients in the CVICU often have various complications such as respiratory failure and renal failure. Therefore, medical staff who work at CVICU are required to have the ability to practice systemic intensive care.

In this episode, we introduce you to one of our followers, James Hatano. James is a New grad nurse in the Cardiac ICU at a Trauma 1 hospital in Cleveland, Ohio. He is also a certified CrossFit coach and a baseball coach. Today we will talk about his new grad experience as a Cardiac ICU nurse. So if you are interested to start in a CVICU as a new grad, this episode is for you. 

QUESTIONS FOR GUESTS:

The questions below are some we’d like to tackle. We go off-topic all the time so we don’t expect to hit them all. If you have any ideas please let us know. Looking forward to our conversation!

  1. Your BSN is your second degree, you also have a degree in exercise physiology. What made you decide on exercise physiology and then what made you transition into nursing?
    1. Are there some aspects of exercise physiology that have helped you in nursing school, being a nurse, and/or with life in general? 
    2. How did you survive nursing school? What do you think was the key? Time management, good schedule, etc…?
  2. Was the Cardiac ICU something you wanted to get into right off the bat? 
    1. Why did you choose the Cardiac ICU? Do you fit the typical cardiac ICU stereotype? (craziest lives but neatest lines, control, OCD)
  3. Biggest difference between nursing school and the ICU?
    1. What’s something you wished you knew going into school?
    2. What did you struggle with most in school? What do you struggle with most now?
    3. Tips for nurses trying to join the ICU.
  4. Nursing is stressful, we can agree that it is never going to change. No matter if there are appropriate ratios and great morale, working with patients that are very sick you’re always going to have that stress on your shoulders.
    1. What do you do to help balance that stress, do you have any issue with not leaving it at work and bringing it home with you?
  5. You’re big into fitness you’re even one of the top 50 fittest nurses in the world, how has that helped you through life?
    1. How has fitness played a role in your life and how has it helped you with nursing?
    2. How has your exercise changed over time?
  6. The drive podcast by Peter Attia, what got you into it and why do you enjoy it, what do they talk about?
  7. Chop wood, carry water book, would you recommend that book, why and/or to whom?

ENDING QUESTIONS:

Before we end the show we have one last question we like to ask all our guests. If you had the opportunity to have a Cup of coffee with anybody one last time, who would it be & why? 

You can find James on Instagram @jameshatano to know more about CVICU nursing.

You can also watch the full episode here 👇

TIME STAMPS:

00:00 Intro
00:45 Episode Introduction
01:33 About the guest
03:29 James Hatano and nursing
06:46 How does nursing school impact life
09:57 Transitioning out of nursing school
12:17 Life lessons you learned from being a CVICU nurse
13:51 Struggles as a new grad
20:03 Balancing Work and Life
22:15 Managing time
25:03 Managing relationship
30:32 How is it working with a female dominant profession
33:44 What would you like to improve in the healthcare system
37:00 A thing that you always have
39:47 The person outside nursing
43:52 Personal interests
46:34 Who would you want to have the one last cup of coffee?

EP 165: Ethics of a Full Code, DNR, Partial Code

EP 165: Ethics of a Full Code, DNR, Partial Code

Ethics of a Full Code, DNR, Partial Code

Full codes and partial codes cannot be avoided whenever there is an emergency. But the question is, should people have an option to be a partial code? Is there any benefit to partial codes? Many people think there should only be two options; full code or no code.

What is the code status?

Code status is used in all hospital settings. All patients admitted to a hospital or outpatient center are assigned a code status. A code status essentially means the type of emergent treatment a person would or would not want to receive if their heart or breathing were to stop. 

Your chosen code status describes the type of resuscitation procedures you would like the health care team to do if your heart stopped beating and/or you stopped breathing. During this medical emergency, resuscitation procedures are provided quickly to keep you alive. This emergency procedure is commonly known as cardiopulmonary resuscitation or CPR. 

In the same way, there are different treatment options and goals. The expected outcomes after cardiac or respiratory arrest differ depending on the person, the severity of illness, the cause of arrest, and other factors. It is essential to discuss code status before a crisis occurs and as a condition changes.

Outcome of Resuscitation

Cardiac arrest is when the heart stops beating. About 350,000 cases occur each year outside of a hospital, and the survival rate is less than 12 percent. CPR can double or triple the chances of survival.

Even though CPR can restart someone’s heart, it can also cause harm or even prolong the dying process. The success of resuscitative efforts is not like how it is on tv, that stats are low. In 2016, the survival rate for adults after a cardiac arrest was:

  • Out-of-Hospital Arrest: 12%
  • In-Hospital Arrest: Less than 25%
    • The average survival-to-discharge rate for adults who suffer in-hospital arrest is 17% to 20%.
  • Survival rates are lower for patients with advanced age, cancer, sepsis, renal failure, or liver failure. The survival rates for patients with a chronic illness or advanced illness average 5% and less than 1% respectively.
  • More than 40% of survivors are discharged with a significant decrease in their functional ability. 

Different Types of Code Statuses

Just like there are different treatment modalities there are different code statuses. There isn’t only 1 route and you can choose different options, however, there is a limit on what we can and can’t do. 

    1. Full Code: We do anything and everything to try and bring you back. This includes CPR, intubation, medications, lines, and procedures. 
    2. DNR: This is a Do Not Resuscitate order. When your heart stops we will not attempt to do anything. We will let you pass without any interventions. 
    3. Partial Code: This one can be a little complicated because there a few measures you can choose to have done or choose not to have done. 
      1. Meds Only: In this situation, if your heart were to stop we would not perform CPR or intubation. What we would do is use medication to bring you back. We can push epinephrine, give bicarbonate, start levophed or other pressors to try and keep your heart beating or start it back up. 
      2. No CPR: Some patients do not want CPR performed but are open to everything else. Defibrillation, intubation, and medication are all used. 
  • DNI – Do not intubate. There are patients that want everything to be done but not get a breathing tube placed

What is the Ethics of Partial Codes?

The main objection to partial code orders is that they are ineffective in sustaining life and can potentially deceive the patient and/or patient’s family into believing that resuscitation is possible when, in fact, the patient’s death is imminent. 

  • The concept is that you need hands on the chest to resuscitate someone. Once a heart stops beating there is no more circulation so there is no oxygen being fed into the tissue. Every second cell dies without any pressure from the heartbeat. 

People always want to make exceptions for everything. But when it comes to life it’s either you’re 2 feet in or 2 feet out. Is there such a thing as partial living? Then why should there be partial codes? Why should we hold back or delay treatment if the person/family is set on them surviving? Why not give them a full opportunity?

Many people would agree that there should only be 2 options; 

  1. Full code as in to do everything
  2. No code as in does nothing but comfort. 

It’s either we try to keep them alive or not. Why do people persistently make partial codes as in they want to “maybe” live? 

Why partial codes?

Many people don’t understand the reasoning behind a partial code. Let’s think about it. 

If you have ever seen a code blue with good chest compressions it is not a pleasant thing to witness. A lot of times a guy pushes on someone’s chest very hard and most of those times it leads to the sternum and other bones being broken. 

We can understand how enduring it is for the family to see. They see their loved ones and want them to at least have some chance. But partial codes give the lowest chance. 

  • Maybe there should be orders that state can intubate for respiratory distress but now when a pulse is lost. But then what if the pt loses a pulse during intubation. 

How much time do we have until brain damage?

  • When cardiac arrest occurs, cardiopulmonary resuscitation (CPR) must be started within two minutes. After three minutes, global cerebral ischemia, the lack of blood flow to the entire brain, can lead to brain injury that gets progressively worse.
  • By nine minutes, severe and permanent brain damage is likely. After 10 minutes, the chances of survival are low.
  • Even if a person is resuscitated, eight out of every 10 will be in a coma and sustain some level of brain damage. Simply put, the longer the brain is deprived of oxygen, the worse the damage will be.

TIME STAMPS:

00:00 intro
00:51 Plugs
01:23 Episode Introduction
02:37 What happens in a code status

05:25 A very slim chance of surviving a cardiac arrest
07:25 What is a code status?
09:16 Full Code, No Code, Partial Code
11:58 Family members are not educated well with code status
14:45  Partial Code rarely or does not work at all
17:45 Sad situation of a full code patient
20:12 How much time do we have until brain damage?
21:53 Call for physicians to step up and decide code status in real-time
25:12 Improvements that can be done
27:25 Patient’s family are very reliant on healthcare providers
30:27 Getting clear on what code to choose