EP 237: Setting Smart Goals: A Nurse’s Guide to New Year Success

EP 237: Setting Smart Goals: A Nurse’s Guide to New Year Success

Navigating Career Goals in Nursing: From New Grad to Advanced Practice

The journey of a nurse is as diverse and dynamic as the field of healthcare itself. From the moment a new graduate nurse steps onto the unit, to the seasoned professional aiming for advanced roles, each step brings its own set of challenges and rewards. In our latest podcast episode, we delve into the world of nursing careers, offering insights and encouragement for nurses at every stage of their journey.

The First Steps: Embracing Your Role as a New Grad Nurse

Starting out in nursing can be overwhelming. New graduates often find themselves trying to absorb a vast amount of information, adapt to the pace of healthcare settings, and find their footing among seasoned professionals. It’s important for new nurses to recognize that getting comfortable on the unit is a significant achievement in itself. Seeking mentorship, embracing the learning curve, and gradually building confidence are key steps in this initial phase.

Aspiring Towards Leadership

For those looking to move beyond bedside nursing, roles such as charge nurse, nurse educator, and nurse manager present exciting opportunities. Achieving these positions requires not just clinical expertise, but also strong leadership, communication, and organizational skills. We discuss the pathways to these roles and how nurses can prepare themselves for leadership positions, emphasizing the importance of continuous learning and professional development.

The Pursuit of Advanced Education

The field of nursing offers vast opportunities for those willing to advance their education. Whether it’s becoming a Nurse Practitioner (NP) or a Certified Registered Nurse Anesthetist (CRNA), advanced degrees open new doors for career growth and specialization. Our episode explores the challenges and rewards of pursuing higher education while balancing work and personal life, providing listeners with practical advice on navigating this ambitious path.

Maintaining Mental and Physical Health

Nurses are no strangers to the pressures and demands of healthcare. The emotional toll of dealing with life-and-death situations, combined with the physical demands of long shifts, can impact even the most resilient professionals. We delve into the importance of mental and physical health, offering strategies for managing stress, building resilience, and maintaining well-being amidst the challenges of nursing.

Resilience: The Heart of Nursing

Perhaps the most vital trait for nurses is resilience. The ability to face adversity, adapt to change, and emerge stronger is crucial in a profession that deals with human suffering and constant challenges. Our episode shares inspiring stories of nurses who have demonstrated incredible resilience, providing listeners with insights into how they can cultivate this quality in their own lives.

The nursing profession is a journey of continuous growth, learning, and adaptation. By setting thoughtful goals, pursuing further education, and prioritizing our health and resilience, nurses can navigate their careers with confidence and purpose. As we support one another in reaching our fullest potential, we not only advance our own careers but also contribute to the betterment of healthcare as a whole.

Full Episode: https://youtu.be/7EqxUF3Zpdk 

  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. YT: https://www.youtube.com/@CUPOFNURSES
EP 234: Ketamine Therapy: Mental Health Breakthroughs and SSRIs Comparison with Sam Mandel

EP 234: Ketamine Therapy: Mental Health Breakthroughs and SSRIs Comparison with Sam Mandel

Exploring the Wonders of Ketamine: A Revolutionary Approach to Mental Health

In recent years, ketamine has emerged as a groundbreaking therapy in the realm of mental health treatment, offering hope to those who have struggled with conditions that may not respond to conventional treatments. In this blog post, we will delve into the world of ketamine, examining what it is, how it works, its clinical applications, the conditions it treats, the subjective experience, and a comparative analysis with Selective Serotonin Reuptake Inhibitors (SSRIs).

What is Ketamine?

Ketamine is a dissociative anesthetic that has long been used in medical settings for sedation and pain management. Originally developed in the 1960s, it gained popularity as a recreational drug due to its hallucinogenic properties. However, in recent years, ketamine has found a new purpose in mental health treatment.

How Does Ketamine Work?

Ketamine’s mechanism of action is complex and not entirely understood, but it primarily involves antagonizing the N-methyl-D-aspartate (NMDA) receptor in the brain. By modulating glutamate, a neurotransmitter associated with learning and memory, ketamine is believed to induce neuroplastic changes that can alleviate symptoms of certain mental health disorders.

Clinical Applications:

Ketamine is now administered in clinical settings, often in low doses, to treat various mental health conditions, including:

  1. Treatment-Resistant Depression (TRD): Ketamine has shown remarkable efficacy in individuals who have not responded to traditional antidepressants. Its fast-acting nature is particularly beneficial in crisis situations.
  2. Post-Traumatic Stress Disorder (PTSD): Some studies suggest that ketamine may help reduce the symptoms of PTSD, providing relief for those who have experienced trauma.
  3. Chronic Pain: Ketamine’s analgesic properties make it a valuable tool in managing chronic pain conditions.

The Ketamine Experience:

Ketamine induces a unique psychological state often described as a “psychedelic” or “out-of-body” experience. Users may feel detached from their surroundings, experience visual distortions, and perceive a heightened sense of introspection. It’s crucial to note that these effects are dose-dependent, and therapeutic doses are significantly lower than those used recreationally.

Ketamine vs. SSRIs:

1. Speed of Action:

  • Ketamine: Rapid onset, often providing relief within hours.
  • SSRIs: Gradual onset, may take weeks to months to show full therapeutic effects.

2. Efficacy:

  • Ketamine: Demonstrates effectiveness in treatment-resistant cases.
  • SSRIs: Effective for many individuals but may not work for everyone, especially in severe cases.

3. Duration of Effects:

  • Ketamine: Effects may last days to weeks, necessitating periodic treatments.
  • SSRIs: Continuous daily use is required for sustained effects.

4. Side Effects:

  • Ketamine: Generally well-tolerated, but the potential for dissociation and transient increases in blood pressure.
  • SSRIs: Common side effects include nausea, insomnia, and sexual dysfunction.

5. Administration:

  • Ketamine: Typically administered intravenously or through intramuscular injections in a clinical setting.
  • SSRIs: Taken orally as a daily medication.

Ketamine represents a paradigm shift in mental health treatment, offering hope for those who have exhausted traditional options. While its use is still evolving, the promising results in treating conditions like TRD and PTSD underscore its potential to transform the landscape of psychiatric care. However, as with any medical intervention, it’s crucial for individuals to consult with healthcare professionals to determine the most suitable approach for their specific needs.

 

Watch the full episode: https://youtu.be/tNoHtaZiDVo

EP 231: The Secrets to Healthy Sexuality: A Sex Therapist’s Insights with Rossana Sida

EP 231: The Secrets to Healthy Sexuality: A Sex Therapist’s Insights with Rossana Sida

  1. Why did you become a Sex therapist? What did you find so fascinating about it that you wanted to pursue it? 
  2. Looking at an article from Gitnux: 32% of people that watch porn believe their porn habits are problematic or addictive, 56% of divorce cases involve one party having an obsessive interest in porn. 
    • Have you seen a lot of cases of porn addiction? Why does it happen? 
      • Typically those who compulsively or habitually watch porn it is due to a feeling of loneliness, isolation, a feeling that they cannot be themselves around others, or that relationships with others drain them. They go to porn then to feel a part of something fun and pleasurable where they can just let their inhibitions go. 
        • So are they divorcing because of the porn watching, probably not. They are already feeling lonely and isolating themselves or looking for a nonjudgemental place to be themselves. That’s a couples issues. 
  3. Who struggles more with sex men or women? Why? 
    • They both have their own struggles. The most common struggles for men are erectile dysfunction, using porn more than they’d like, and wanting more or less sex than their partner. 
    • Women most commonly struggle with the impacts of sexual trauma, lack of pleasure in sex, painful sex, and mismatched desire for sex. 
    • My theory is that men are more focused on performance. 
    • What are the typical struggles or thoughts that men go through vs. women?  
      • Men = Performance due to expectations of what it is to be masculine, you’re not a man if you can’t get hard/want sex all the time/want to be more submissive in the bedroom, and able to become desirous for sex quickly or spontaneously
      • All men want is sex/ pressure to keep their men satisfied, only able to desire sex if the stars are aligned or it’s been a good day or after steps, responsive 
  4. Does bad sex lead to a bad relationship? 
    • Sex is a big part of any serious relationship and I’ve found that a lot of relationships and marriages fall off if there is a lack of sex. Phases/Seasons
    • Why do some couples have sex but then find it hard to talk about sex with each other? The world finds it hard to talk about sex, and that’s why. It is not normalized. No practice. Even in medical and therapeutic settings, it has been documented that unless a doctor specifically asks about sex, patients will not bring it up first. Also fear of judgment from partner
  5. How can women and men increase their libido or sexual drive? 
    • Men are focused on having peak testosterone levels and lots of times take supplements to promote it or even go on TRT.
      • Always good to check in with your doctor about hormone levels for both men and women if they’re experiencing a lack of desire, erectile issues, vaginal dryness, pain with sex.  
    • Is there anything you recommend for men and women to increase their sex drive? Supplements, sleep, exercise?
      • The basics of taking care of yourself, sleep, eating right, exercise, and if that is as good as it’s going to get then prioritizing and finding what it is you’re really looking for (touch, attention, etc.)
    • Can working the night shift affect it?
      • Absolutely, if partners are two ships passing in the night then their mindset will be in opposite places. Other than that, working the night shift people often lack sleep, sun, socialization with friends and all of these things can affect how sexy we feel. When we lack sleep our hormones don’t always have time to restore to their proper levels and so it can result in a lack of desire and erectile issues, less lubricating. 
  6. How does sex and the perception of sex affect people who have been sexually assaulted?
    • It looks different for everyone but some common themes are: Have a lot of sex so that they can feel like they are in control of their sex life and their body but what’s going on here is that they have the sex bc of underlying beliefs of lets beat them to the punch. OR they avoid sex, only have sex out of obligation or duty, or dissociate during sex. Or some people are just fine having sex within the context of a safe rx afterwards but they may have triggers pop up from time to time. 
    • What does the healing process look like?
      • Finding the person’s beliefs about the event, their fault, why it happened, how it has impacted their views of self, others, and the world (can’t trust anybody or questioning higher power) and working through each of those beliefs that are not helping them. 
    • Sex is such a big part of life, how does it affect relationships when someone is unable to have sex or is uncomfortable with it
      •  Partners begin to feel unloved, unattractive, unfulfilled
  7. Have you seen an increase in Non-Monogamy?
    • Can you explain a non-monogamous relationship? 
      •  Yes, there has been an increase in various types of non-monogamy 
        • Swingers: swap sexual partners
        • Open: sexual contact 
        • Polygamy: marriage with multiple 
        • Pulyamour: romantic relationships with others
        • Throuple/Triad: a monogamous relationship with more than 2

Watch the full episode: https://youtu.be/fmSnxfpaAv0 

https://www.instagram.com/togethernesstherapy/ 

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

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

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

What is a patient’s perspective of delirium? An induced coma is also known as MIC or medically induced coma, barbiturate-induced coma, or drug-induced coma.

It is also called as temporary coma or a deep state of consciousness controlled by an anesthetic drug.

Often, barbiturates like pentobarbital or thiopental are used to help patients. It can also be intravenous anesthetic drugs like midazolam or propofol, but what happens when a patient goes through an induced coma and wakes up from it?

Can a patient recall any memory while they are in a coma? This episode will talk about a patient’s perspective of delirium and many more. 

In this episode, we would like to introduce you to Amelie Susanne Roth. Susanne is a coma survivor. After an initial bacteria infection, Susanne had to be placed into an induced coma that lasted 16 days.

We talk about her time in the ICU and her experience of being in a coma and suffering from it. In this episode, we flip the script and learn firsthand about the patient’s experience.  

 

Questions for Our Guest

The questions below are some we’d like to tackle. We often go off-topic, so we don’t expect to hit them all. If you have any ideas, please let us know.

Looking forward to our conversation!

These are the questions you had in Calendly. We’ll go off our questions, and wherever else our conversation goes.

  1. Please give us a little background about yourself.
  2. How did you end up in the hospital? And can you go a little in-depth into what happened?
      • Do you know what kind of infection it was? Where it came from?

3. Can you put us through the course of your hospital experience? Before this, coming from the day you came in?

      • What you heard, what were you told, and how did you feel?

4. You going into a coma and being intubated; was this something you expected? 

5. When you were intubated and unresponsive, what was happening? 

      • Do you remember any of it? 
      • How did it feel?
      • Were you able to hear anything?
      • Was it just like a dream state?

6. When you came out of the coma, were you mentally back to normal?

      • Were you aware of the whole extubation process? For example, when nurses say, can you open your eyes, squeeze my hand, weaning process?
      • Did you suffer from any delirium or confusion?
      • How did you feel during everything that was going on?

7. Where do you think healthcare providers can improve?

8. What was the process after you regained consciousness?

      • Did it take you a long time to bounce back? PT/OT? What does PT/OT mean?

9. How has life changed for you?

      • Additionally, did you have any big realizations? Like a change in mentality or outlook? 

10. What made you decide to write a book?

 

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 and why? 

 

Links: 

www.ameliesusanneroth.com
https://a.co/d/efqtaHD

Do you want to learn more about a patient’s perspective of delirium? Watch the full episode here 👇👇

TIMESTAMPS:

00:00 Introduction
01:32 About Amelie Susane Roth
02:38 How it all started
07:25 Experiences of Being Under Sedation and in a Coma
13:40 How does it feel to be in delirium or a coma?
15:57 A better understanding of why a patient gets agitated
18:14 The post-coma experience
25:03 Medicine Failing Patients and the Need for a Different Approach
27:50 Coping with Traumatic Experiences After a Coma
35:00 Life’s outlook after coma
40:48 Amelie’s life prior to becoming a patient
44:27 The Life Lessons While Traveling The World
47:18 Wrapping up the show

EP 211: MICU and Becoming a CRNA with Jenny Finnell

EP 211: MICU and Becoming a CRNA with Jenny Finnell

EP 211: MICU and Becoming a CRNA with Jenny Finnell

Becoming a CRNA is possible for any nurse. It may take time and a lot of dedication, but you can become one too. In this episode, we would like to introduce you to Jenny Finnell. Jenny is a CRNA with experience in MICU, adult open heart, and pediatrics.

She spends most of her time mentoring and looking for ways to build community and resources for our nurses. 

Jenny launched Nurses Teach Nurses in August 2022, a mentorship marketplace for nurses by nurses. She helps nurses by empowering them to share knowledge, promote personal growth and create a culture of support.

She is also the creator of CRNA School Prep Academy, which helps people get into CRNA school and succeed on the job. 

We talk about the life of a CRNA and what it takes to become one and overcome self-doubt in school and on the field. 

Questions for Our Guest

The questions below are some we’d like to tackle. We often go off-topic, so we don’t expect to hit them all. If you have any ideas, please let us know.

Looking forward to our conversation!

These are the questions you had in Calendly. We’ll go off your questions and wherever else our conversation goes.

  1. Can you give some background about yourself, your nursing experience, and how you decided to become a CRNA? 
  2. Why did you choose to jump into the MICU?
      • How was your experience in the MICU?
      • Any interesting cases? Common things you dealt with?
      • What were the expectations and some things you struggled with?
      • We often hear the phrase that nurses eat their young. Did you feel that way? Is this a good way to teach new nurses?
  3. What are the requirements for becoming a CRNA?
      • What experience is needed?
      • How is CRNA school?
      • CRNA school vs Nursing school?
      • Is there a certain “person” that gravitates to becoming a CRNA? 
      • Advice for future CRNAs?
      • With NP school, there isn’t a requirement to work as an RN. Do you think you really need that ICU experience to be successful as a CRNA?
  4. You’ve been married to your high school sweetheart. How important is having support?
      • Did you always get the support you needed? 
      • Work-life balance? 
  5. What made you start CRNA School Prep Academy?
      • Did you have a mentor in CRNA school? 
      • What can you expect to get and learn at the CRNA School Prep Academy?
  6. What made you start Nurses Teach Nurses?
      • How important is positive nursing culture?

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? 

Links: 

https://nursesteachnurses.com/#
https://www.instagram.com/crnaschoolprepacademy/
https://nursesteachnurses.com/#
https://www.instagram.com/nursesteachnurses/
https://www.cspaedu.com/steps

Here’s her journey from MICU and becoming a CRNA. Watch the full episode here 👇👇

TIMESTAMPS:

00:00 Introduction
01:58 About Jenny Finnell
03:13 The Incredible Benefits of Pursuing a Career as a CRNA
04:54 What is the Environment of an Open Heart Surgery look like
08:19 The real responsibilities of CRNA’s
11:09 What does a life of a CRNA look like
13:29 Patient Care Differences Between Adults and Children
15:34 Tips to becoming a CRNA
17:05 How to Boost Your Confidence and Conquer Your Insecurities
23:21 Experiences That Paved the Way to Becoming a CRNA
25:50 Reasons Why Nurses Leave Bedside Care
30:39 The Benefits of Seeking Professional Help from Experienced Healthcare Professionals
34:22 Who are the Nurses teach nurses for
37:28 What is “CRNA School Prep Academy” all about
41:12 Things that need improvement in nursing
43:36 Wrapping up the show