The Oklahoma Nurse - September 2018

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10 The Oklahoma Nurse September, October, November 2018 Interprofessional Communications continued from page 9 Nursing faculty should advocate for nursing students to have IPE as much as the curriculum allows and/or consider curriculum revision to allow for more IPE. Nursing student journaling at OU-Tulsa revealed that the learning outcomes support the IPE experiences. The patient populations that RNs care for deserve to have the best outcomes and be as free from sentinel events as is possible through effective interprofessional communications. Creating a culture of effective communication should occur during the professional education between the health professions to allow for more comfortable dialogue when using proven professional communication tools such as SBAR-R. References The Joint Commission, (2017). Sentinel Event Alert: Inadequate hand-off communication. Retrieved from https://www.jointcommission.org/ assets/1/18/SEA_58_Hand_off_Comms_9_6_17_FINAL_(1).pdf on May 5, 2018. Nursing Opportunities Available • Emergency Room Nurse • Medical / Telemetry Unit Nurse • Outpatient Clinic Nurse • Outpatient Clinic Nurse Supervisor Sage Memorial Hospital is located in Northeastern Arizona, Ganado, Arizona For more information contact: Ernasha McIntosh, RN, BSN, DON, 928-755-4501, ernasha.mcintosh@sagememorial.com. Applications available at http://sagememorial.com/careers/ Submit applications to the Human Resources Department, Fax#: 928-755-4659, hr@sagememorial.com EMERGING NURSES It’s Okay to Ask for Help Tips for the New Grad Jennifer Booms, BSN, RN Oklahoma Nurses Association Director of Emerging Nurses Quality Coordinator, Mercy Hospital, Oklahoma City Your time is finally here. You graduated nursing school, you passed boards, you finished your orientation, and now you’re caring for patients as an independent nurse. You are responsible for their safety. You have everything under control, right? How do you know when to ask for help? Is it okay to speak up and tell others you need their assistance? Samantha Godfrey, BSN, RN, CCRN-CSC-CMC, offered advice for the new nurse who is confronted with the battle of knowing when and how to ask for help. Samantha encourages nurses to continuously ask questions, regardless of the topic. She expressed, “You should Jennifer Booms, always ask questions. That’s how you learn and grow. BSN, RN Even if you ask the same question multiple times, don’t feel ashamed asking again. View asking for advice as a nurse to nurse consult. At the end of the day, we want to provide the highest quality of care for our patients. If you have any hesitancies, you should confer with another nurse.” While it is crucial to resolve any and all inquiries you have, it is also vital you seek collaborative support throughout your nursing career. Samantha Godfrey conveyed, “Whether you’ve been a nurse for six months off orientation or twenty years, you’re going to need help. It doesn’t make you a bad nurse, it just means you’re a busy nurse. What’s important is that the patients get what they need. You’re actually being a more vigilant nurse by reaching out to others to ensure you are delivering the utmost care possible for each patient.” Additionally, Miss Godfrey wants every nurse to remember that nursing is a profession where you continually gain knowledge and alter your practices as a result of the constant advancements within the medical field. Seeking guidance and assistance from others is a vital tool in furthering your professional nursing practice. Regardless of the query or task, it is never too trivial or substantial to seek the assistance of others. Patient care and safety should always be the ultimate priority of the team. Visit nursingALD.com today! Search job listings in all 50 states, and filter by location and credentials. Browse our online database of articles and content. Find events for nursing professionals in your area. Your always-on resource for nursing jobs, research, and events.
September, October, November 2018 The Oklahoma Nurse 11 Families needed for children in therapeutic foster care Julia’s Story Julia was a bright-eyed and curious five-year-old girl when her mother abandoned her and her younger siblings to the sole care of their father. Her mother was able to escape the relentless beatings she endured at Julia’s father’s hands; but without his usual target, he turned his sights on little Julia and began to physically abuse her. A concerned citizen phoned the Child Abuse Hotline and reported the treatment Julia and her siblings were receiving. Soon after, a judge ordered the children to be removed and placed into DHS custody to ensure their safety. DHS tries to keep children connected to their kin whenever safely possible, and was able to place them with their grandmother. Julia’s behavioral problems started almost instantly. She struggled in school and daycare, and was often defiant with her grandmother. A kindergartner, Julia was even suspended from school after hitting her teacher and throwing a chair in class. Unable to handle Julia’s behaviors, her grandmother drove the small, afraid child to the DHS office to leave her with her caseworker and ask for Julia to be removed from her care. Julia never even got to say goodbye to her siblings. The sense of abandonment set in as she moved from foster home to foster home, each unable to manage her behaviors and each sending her back to DHS. Julia was admitted to a children’s behavioral health hospital where she was diagnosed with PTSD, depression, anxiety and a mood disorder. When she was released from the hospital, Julia really needed a therapeutic foster home that could help her address the trauma she had endured and provide her with a higher level of care. However, without enough therapeutic homes to meet her needs, Julia was placed on a waiting list and into another traditional foster home that did not have the skills necessary to meet her behavioral health needs. The cycle of moving her to a different home every few weeks and into several inpatient hospitals began again. With each move, Julia learned she could not trust the adults in her life and her behaviors escalated. She was just not stable in one place long enough for her to receive the therapeutic services she so desperately needed. Like so many other children with similar stories, Julia is still waiting for the type of home that is best suited for her. She needs a family who is willing to take a chance and invest the love, energy, patience and stability she so deserves. Could you be Julia’s family? Therapeutic Foster Care (TFC) serves children ages 4 through 18 with special psychological, social, behavioral and emotional needs who can thrive in a family setting, but also require more intensive therapeutic services than those in traditional foster care. Though Julia’s story is fictional, there are approximately 200 children just like her in DHS custody who require a more structured, therapeutic setting. Many children served in TFC have varying behavioral health needs, but have the ability to maintain placement in a family-like setting. DHS wants to recruit individuals and families for the TFC program who are willing to learn the necessary skills to care for children with these types of needs. Therapeutic foster families receive financial reimbursement for children placed in their care. Additional supports include respite care, in-home therapeutic interventions, 24/7 crisis response and trauma-informed training. There are 30 children urgently waiting for a TFC family. DHS is looking for new, fresh and dedicated TFC parents to take a chance on children just like Julia because every child deserves a safe and loving home every day! To learn more about the TFC program and how to apply, please contact Cheryl Ibrahim, Programs Field Representative, TFC-Recruitment, at Cheryl. Ibrahim@okdhs.org or by phone at 405-590-4895. SQ 788 Nursing Considerations Pamela Street, BSN/RN retired, Shawnee, OK The OSDH has been hard at work developing regulations for implementing and maintaining a state medical marijuana/cannabis program, the Oklahoma Medical Marijuana Authority has been gracious to ask for the input of citizens, professions and groups in writing those final emergency regulations, to be presented July 10, 2018. So far the generous spirit of the SQ has been honored, problems may arise in future legislation but Oklahomans have decided they want medical marijuana. SQ788 is a compassionate proposal that supports the nursing philosophy of wholism. Consider that, 788 allows for the patient to grow medical cannabis, make a topical salve or smoothie/salad and if beneficial then the patient is empowered, experiencing their autonomy and possibly their spirituality. The SQ also ethically considers the poor and the homebound, allowing for caregivers familiar with the patient to assist, reduced cost of license and sharing with other licensed patients when a need presents. Nurses will be exposed to the various products and routes of administration depending on the environment and the level of trust they've gained with the individual patient. A home health nurse or aide may encounter cannabis use in the home, eventually patients will bring their medicine to the hospital or rehab units. Israel has incredible data as they use cannabis in nursing centers and have research for successfully treating autistic children. School nurses might work with children who have seizures, emotional problems, trouble focusing and multiple dangerous medications that hamper their health and education. Newsweek recently sited a study from Neurology that concluded the promising results have lead to a trial with 120 young autistic participants. Many patients will be experienced, the new consumer will need more support and education. We can expect reports of increased quality of life, others will report being uncomfortable with a high. The nurse should be able to teach how the endocannabinoid system works, how there are nonpsychoactive options, to medicate safely, report effects and to be confident that cannabis has never been recorded as a cause of death. Nurses may notice that med lists are changing as many patients use cannabis meds with the objective of reducing prescription drug use. The study of the Endocannabinoid System will reveal why cannabinoids work effectively for so many conditions. In the 1960s, Dr. Raphael Mechoulem, an Israeli scientist at Hebrew University started to identify cannabinoid like structures (produced endogenously) and the bodies cannabinoid receptor system. The ECS "umbrella function" is to promote homeostasis in vertebrates. The NIHs publication at http:www.ncbi.nlm.gov. pubmed has hundreds of scientific references regarding cannabinoids. I find it particularly interesting that US Patent #6630507 references scientific literature suggesting that the antioxidant, anti-inflammatory and neuro protective activity of cannabinoids would be powerful agents to prevent and or treat the many diseases of oxidative stress and neuro degeneration. This is exciting news for nurses and healthcare in general. In a call to nursing action, please prepare yourself. We have learned of other approaches in health care, here is an exciting opportunity to experience the promise of a new and kinder medicine in nursing, Cannabis. “The best way to find yourself is to lose yourself in the service of others” www.texomamedicalcenter.net Texoma Medical Center has recently opened a new patient tower and we are seeking compassionate nurses to join our dynamic team. Please plan to attend our WALK-IN-WEDNESDAYS Onsite interviews available 9am – 2pm the first Wednesday of every month. RNs • CNAs • NAs • PCTs • MHTs • all Allied Health positions 5016 South US Hwy. 75, Denison, TX Please contact Wendy Chidester at wchidester@thcs.org or 903-416-4050 Seasonal/Temporary assignments available starting at $50.00/hr Feel free to stop by and tour our new NICU, Emergency Department, and ICU! Connect with us: -Mahatma Gandhi FACULTY POSITIONS IN NURSING Oklahoma Wesleyan University’s School of Nursing seeks Adjunct RN-BSN and MSN faculty at our campuses in Bartlesville, Tulsa, and Sallisaw. Apply at owuapplications@okwu.edu or contact Human Resources at 918-335-6268 Qualified applicants: • A Master’s Degree in Nursing from a regionally accredited institution is required to teach in the RN-BSN program. • A Doctorate in Nursing or a related field from a regionally accredited institution is required to teach in the MSN program. • Documented leadership experience in nursing preferred. • Minimum of two years full-time equivalent practice as a Registered Nurse. • At least one year of full-time teaching experience in a baccalaureate program, is preferred. • RN with valid Oklahoma Nursing License, Multi-state License preferred.
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