3.5 minute read

HUDDLE

Good Morning, Readers!

Today’s newsletter has a few interesting stories on emergency departments. I spent most of my bedside career working in emergency departments, so today’s newsletter hits close to home. If emergency is, or was your specialty, I’m curious to hear your thoughts on the ED accreditation rollout. Tell me your thoughts here.

And for a shocking statistic on the use of antibiotics & ED visits, keep scrolling. 👇

Today's Top Beats

🤝 Nurse Manager Council
🏥 ED Foul

⚾️ Vote for Joey Ferry!

HANDOFF

Nurse Managers and RN Retention

During the pandemic, Memorial Healthcare System in Florida noticed an increase in nurse managers leaving their roles, so they took action, creating a nurse manager council to address retention issues. The council, rooted in a 2017 strategic plan, focuses on improving the work environment, assessing competencies, and enhancing onboarding. Initiatives like a flexible 40-hour work schedule and standardized onboarding have reduced nursing turnover from nearly 17% to less than 6% and achieved a 94% retention rate for nurse residents!

Signing Bonuses All Around

Nurses at St. Christopher's Hospital for Children in Philadelphia approved a new 3-year contract. Covering 485 nurses, the agreement includes $1,600 signing bonuses for full-time nurses and $1,100 for part-time and per diem nurses, 10% pay increases over three years, commitments for resource nurses in the emergency department and med-surg, a new weekend program, and more. The new contract follows an informational picket the nurses held earlier this month.

ED Nurses Cry Foul

The Emergency Nurses Association urged the American College of Emergency Physicians to delay its ED accreditation program rollout (which is set to accept applications this spring), arguing it prioritizes physician-driven standards and marginalizes nurses' roles. The nurses criticized the framework for not recognizing the contributions of nurses, nurse practitioners, and advanced practice nurses, raised concerns about its impact on patient care, and called for an interdisciplinary emergency care team review of the framework and goals of the accreditation program.

TODAY'S TOP VITAL

27%

From 2016–2021, more than a quarter of emergency department visits in the US resulted in inappropriate antibiotic prescriptions. The percent of these prescriptions that involved conditions unrelated to antibiotics might shock you. Find out more here.

PRN

MAP OF THE MODERN NURSE WITH DEBRIEFING THE FRONT LINES

Dangerous Safe Havens

Patient care is not why nurses leave. Nurses leave because institutional betrayal perpetuates Cumulative Care Taking Trauma. Basic care has been lost–this is not nursing. Deconstructing institutional betrayal in healthcare involves identifying the underlying factors contributing to these harmful dynamics. Though institutional betrayal has overwhelmed our profession, we don’t have to accept it as the lasting legacy of the COVID-19 pandemic.

Join DTFL for our May CE Workshop, Dangerous Safe Havens: Deconstructing Institutional Betrayal, as we: 

• Examine statistics specific to the nursing workforce related to retention efforts and well-being.

• Explore how individuals can be a healing source in breaking the institutional betrayal cycle. 

• Discuss corrective actions and antidotes in (re)building trust within the healthcare system from a trauma-informed perspective.

• Identify the relationship between institutional betrayal, institutional courage, and aspirations for the future of nursing. 

Utilize education, self-reflection, and peer support to foster individual and collective healing in commUNITY.

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BULLETIN BOARD

SUPPLY ROOM

Our Fearless Leaders Tell All

Our very own Tamara AL-Yassin and Hannah Berns appeared on the NurseDot podcast to talk all about nursing entrepreneurship. Check it out here!

BREAK ROOM

Grandma Droniak’s Doctor Ratings

You may have been following viral influencer Grandma Droniak on her road to recovery from an injury! If you need a laugh, check out what she thinks of her doctors on a scale from 1 to 10.

DISCHARGE INSTRUCTIONS

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