If breaking a rule . . . Interviews.

“. . . few rings is a mistake.” Interview.

personal interaction is against policy Interview.

“We are working fourteen to sixteen hours” Lois Berry.

without a strong support system. Interview.

Even if I haven’t. See Michelle Crouch, “50 Secrets Your Nurse Won’t Tell You,” Reader’s Digest, November 2011.

“We usually know the results . . .” Interview.

toilet humor . . . Interviews.

“Nurses are gross.” Interview.

“happens all the time.” Interviews.

The most common . . . plan of care. Interviews.

“. . . lose-lose scenario.” Interview.

“and not really. . . . counts the same.” Interview with Arthur Caplan.

If there is time . . . choose differently. Interviews.

slow codes Interviews.

“There are lots of unsavory . . .” Interview.

“Code 55” Interview.

Some physicians will unofficially call . . . Interviews.

“Responders literally walk” Interview.

“It’s often for the sake . . .” Interview.

“not ethically appropriate” Interview.

“. . . as comfortable as possible.” Interview.

Respectful patients might get . . . Interviews.

“I’m always happy . . .” Interview.

“rest assured that every single . . .” Interview.

Many hospitals also treat VIPs . . . Interviews.

John’s Hopkins Marburg Pavilion. www.hopkinsmedicine.org/the_johns_hopkins_hospital/planning_visit/room/marburg_enhanced_amenities_program.html.

Nurses described accommodations . . . “because they aren’t famous.” Interviews.

“The doctor is at your bedside . . .” Interview.

“Half of the hospital is unavailable . . .” Interviews.

If a hospital’s technicians . . . “it can be bad.” Interviews.

Nurses have strong opinions . . . Interviews.

“Studies show that patients . . .” Interview.

patient with a history Interviews

If you say something . . . “getting better service.” Interviews.

“Sadly, doctors and doctors’ offices . . .” Interview.

“If I could talk to” Interview.

nurses do cry . . .“home from work.” Interviews.

don’t portray hospital . . . “make orders, and leave.” Interviews.

“make their rounds in the morning.” Interview.

patients who survive . . . “Even in a hospital.” Interviews.

“Doctors and nurses”. . . she has insurance. Interviews.

“After that talk . . .” Interview.

appreciate the fragility . . . “holy profession.” Interviews.

California nurse Jared Axen Interview.

transplant nurse Allison Batson Alicia Tejada, “Atlanta Nurse Donates Kidney to Hospital Patient,” ABCNews.com, January 17, 2012; Helena Oliviero, “Nurse Donates Kidney to Patient,” Atlanta Journal-Constitution, January 29, 2012.

Batson saved his life . . . to help people. Interview with Clay Taber.

Chapter 9

“Nursing is a calling” See, for example. www.hhsnalumnae.org/TheNightingaleTribute.pdf.

“Nurses are the glue” Interview.

At six feet two inches . . . “sisterhood without any issues.” Interviews with Dean Visk.

330,000 are male U.S. Census Bureau, “Men in Nursing Occupations: American Community Survey Highlight Report,” February 2013.

41 percent of CRNAs are male Ibid.

lingering public stereotypes Interviews. See also Eve Tahmincioglu, “Men Are Much in the Sights of Recruiters in Nursing,” The New York Times, April 13, 2003.

“hold a high degree of masculinity.” Kenny Thompson, L. Lee Glenn, and Daren Vertein, “Comparison of Masculine and Feminine Traits in a National Sample of Male and Female Nursing Students,” American Journal of Men’s Health (May 2011).

gay, feminine or “not man enough” Interview.

stereotypes don’t bother them Interviews.

“I realized after seeing” Interview.

“It insults my profession . . . proud to be a nurse.” Interview.

disproportionately assigned Interviews.

“glass escalator” . . . across other fields. “Men in Nursing Occupations.”

“Yes, I’m in a job . . . end of the day.” Interview.

“It is incredibly fulfilling.” Interview.

Chapter 10

“Nurses can work individually . . .” American Nurses Association’s Code of Ethics For Nurses.

“Our clinical skills are essential . . .” Interview.

“Hospital finance people . . . expected to retire.” Interview with Peter McMenamin. The Bureau of Labor Statistics estimates that 555,000 RNs and APRNs will retire over the next several years, but the occupational projections do not specify how many of those nurses are working specifically at hospitals.

“A hospital that now . . . sound long-term strategy.” Ibid.

patient-to-nurse ratios . . . and patient satisfaction. See, for example, “Workplace Violence: Assessing Occupational Hazards . . .”; Lois Berry and Paul Curry. For length of stay, infections, upper gastrointestinal bleeding, pneumonia, and failure to rescue rates, see also Jack Needleman et al.,“Nurse-Staffing Levels and the Quality of Care in Hospitals,” New England Journal of Medicine 346, no. 22, May 30, 2002.

Most trusted profession. http://www.gallup.com/poll/1654/honesty-ethics-professions.aspx

Directly involving nurses . . . these strategic meetings. See, for example, Robert Wood Johnson Foundation, “Nurses Are Key to Improving Safety,” April 28, 2011.

One strategy to curb bullying . . . C. Rocker, “Addressing Nurse-to-Nurse Bullying to Promote Nurse Retention,” Online Journal of Issues in Nursing, August 29, 2008. Steering committee: see, for example, ISMP Medication Safety Alert, March 25, 2004.

“no retribution” policy See, for example, ISMP Medication Safety Alert, April 24, 2014.

Some hospitals have trained Interviews.

a quiet room . . . B. Lombardo and C. Eyre.

soothingly colored walls . . . Ibid.

Advocate Lutheran General Hospital . . . “Three-Tiered Emotional Support System Generates Positive Feedback From Providers Who Become ‘Second Victims’ of an Unanticipated Clinical Event,” Agency for Healthcare Research and Quality (March 2009).

“Using a colleague’s first name . . .” See ISMP Medication Safety Alert, March 25, 2004.

Hospitals have had success See, for example, Emergency Department Management, “Take Steps to Curb Violence, Improve Safety for ED Personnel,” October 1, 2011.

. . . or conducting bag checks. “Preventing Violence in the Healthcare Setting,” Sentinel Event Alert, The Joint Commission 45, June 3, 2010.

consider installing metal detectors. See, for example, “OSHA Guidelines for Preventing Workplace Violence for Healthcare and Social Workers,” 2004.

Within six months after . . . “Workplace Violence in Healthcare Settings,” Center for Personal Protection and Safety, August 2011.

By requiring staff to report See, for example, Jessica Gacki-Smith et al., “Violence Against Nurses Working in U.S. Emergency Departments,” Journal of Nursing Administration (July–August 2009).

“The program helped reduce . . .” “Occupational Hazards in Hospitals,” CDC Workplace Safety and Health, National Institute for Occupational Safety and Health, April 2002.

“at a minimum, workplaces should” OSHA Guidelines for Preventing Workplace Violence for Healthcare and Social Workers (2004).