Happy Perioperative Nurse Week! To celebrate your hard work and commitment to patient safety, the 2 continuing education articles in the November issue of OR Nurse 2013 are availabe at no charge! That's 4.8 contact hours for FREE!
Review of processes to reduce colorectal surgery site infections: An OR perspective
2.3 contact hours
Tetralogy of Fallot: The evolution of congenital heart surgery
2.5 contact hours
After reading the articles, just click 'Go to CE Details' to take the test and get your free CE. For even more savings, check out our CE collection on Surgical Site Infections.
Have a great week!
Two nurses, Anne Mitchell and Vickilyn Galle, settled with Winkler County, Texas and will share $750,000 in restitution following being fired and criminally prosecuted for upholding their duty to protect the public by sending an anonymous note detailing incompetent physician practice. The settlement is symbolic of both the personal vindication of these nurses and acknowledgement that the ANA Code for Nurses has prevailed.
This closes the book on this horrific experience that Mitchell and Galle endured. What's more is that there is a clear precedent which may discourage retaliation of this sort from happening to other nurses who attempt to blow the whistle whenever they observe substandard care.
Both the American Journal of Nursing and Nursing2010 published articles in their February issues on ostomy management and complications. I read these articles with great personal interest but I wondered, where were these articles 10 years ago?
My oldest daughter was diagnosed with ulcerative colitis when she was 7 years old and despite aggressive treatment for her disease; she required a total colectomy, temporary ileostomy, and an ileo-anal anastamosis when she was 12. As a nurse I thought I was equipped to care for her ileostomy; was I ever wrong. I had experience taking care of hospitalized patients with ostomies, but I quickly learned caring for someone who is active is a totally different story. The 3 months she had her ileostomy were sheer hell! She developed a multitude of complications and we went through several different types of appliances before we found the one that fit her and wouldn’t fall off when she moved. The nurses who were helping us were good but, it was clear there wasn’t a real understanding of how to manage active patients, let alone children, and their complications.
I am thankful that my daughter is well. If you ask her, she will tell you that the date of her surgery was the beginning of her new life. But she will also tell you, living with an ostomy was the most challenging experience she has ever endured. Thank goodness we now have access to the information and equipment that can make an active person’s experience living with an ostomy better.
Recently I read the story about Heidi Montag and her obsession with plastic surgery. Looking at the before and after pictures, it was difficult to see why someone as beautiful as she was before the surgery, wanted to have plastic surgery at all. Did she really have Body Dysmorphic Disorder; a preoccupation with an aspect of one’s appearance real or imagined?
According to the American Society for Aesthetic Plastic Surgery statistics from 2008, the top procedures for the 18 year old and under age group were rhinoplasty and laser hair removal (160,283 procedures collectively). For the 19-34 year old age group; breast augmentation and laser hair removal were the most common (2.2 million procedures collectively). Research has shown that if a BDD patient has surgery, their symptoms don’t disappear.
I asked my 3 daughters, who are 11, 16, and 21 years of age, what they thought about aesthetic surgery in young people. While the 2 older ones extolled the virtues of laser hair removal over shaving; they told me that some of their class mates were given plastic surgery for birthday and graduation presents. The 3 of them all agreed that if you aren’t happy with who you are inside, you will never be happy with who you are on the outside.
What do you think about young people and aesthetic surgery? As nurses, how can we help identify people with BDD and get them the help they need?