Uploaded byPatricia Raymond
Infection Control Nurses: Rx For Sanity: Triage, Love and Laughter!
The document provides a prescription for maintaining sanity as a healthcare professional. It recommends focusing on triaging your professional life, making time for family and personal finances, and incorporating laughter and personal wellness into your life. Specifically, it suggests taking control of your schedule, seeking work-life balance, spending quality time with family, prioritizing personal health through exercising, sleeping well, and practicing mindfulness or spirituality.
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Infection Control Nurses: Rx For Sanity: Triage, Love and Laughter!
- 1. Rx For Sanity:Triage, Love, & Laughter! Patricia L Raymond MD FACG Rx for Sanity, Norfolk VA www.RxForSanity.com
- 2. “ Does ItMake Your Ears Wiggle?” -N.E. Raymond www.RxForSanity.com
- 3. Traits which makea good HCP lead to ‘compassion fatigue’ Strive for perfection Seek and accept responsibility Willingness to defer gratification and to sacrifice HCP isn’t what we do, it’s who we are www.RxForSanity.com
- 4. Compassion Fatigue Notrelated to: Hours worked Practice specialty Managed care prevalence Government interventions Related to loss of perceived control, loss of personal-work balance www.RxForSanity.com
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- 6. Sometimes you haveto take your brain and stomp on it a little. It just gets caked up. Mark Twain www.RxForSanity.com
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- 9. Your Prescription forSanity Triage: your professional life Love: Family, finances, & mental health Laughter: Personal health www.RxForSanity.com And we’ve only 60 minutes to change your life!
- 10. Triage: Your ProfessionalLife www.RxForSanity.com
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- 12. “ Please backin for prompter service.” Sign on our endoscopy suite door www.RxForSanity.com
- 13. No time forInformation Overload New information Reading? Who has time to read? Debbie Waiz 15 th Annual Endoscopy Symposium www.RxForSanity.com
- 14. Hand washing 101Jet air dryer blows at speeds of 400 mph capable of blowing micro-organisms up to 2 metres away Warm air hand dryer spread micro-organisms up to 0.25 metres www.RxForSanity.com Paper towels no significant spread of micro-organisms.
- 15. Drying method: Effecton bacterial count Paper towels Decrease of 24% Hot-air drier Increase of 117%! www.RxForSanity.com
- 16. It’s not myjob. www.RxForSanity.com RIP
- 17. Bacteria = backdoor to cafeteria www.RxForSanity.com
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- 22. Dressing geeky forhealth www.RxForSanity.com
- 23. Stressors in InfectionControl Compliance with bloodborne pathogens and tuberculosis regulations/standards State and federal laws/regulations relating to infection control and disease issues Risk assessments and exposure control Cost effective programs that are practical application of infection control principles Ventilation, filtration, separation of clean/dirty, decontamination www.RxForSanity.com
- 24. The Impact ofHospital-Acquired Bloodstream Infections RP Wenzel MB Edmond, MCV Nosocomial infection rate of 5% 10% are bloodstream infections attributable mortality rate of 15% Eighth leading cause of death in the US. www.RxForSanity.com
- 25. (Causes of deathin the US) Heart disease Cancer Stroke (cerebrovascular diseases) Chronic lower respiratory diseases Accidents (unintentional injuries) Alzheimer's disease Diabetes www.RxForSanity.com
- 26. HAI & TraumaPatients 4.5 of every 100 patients admitted to the hospital get HAI Trauma patients who develop HAIs have up to six times the in-hospital mortality rate www.RxForSanity.com
- 27. DWA (doctorswith attitude) www.RxForSanity.com apple
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- 29. Exercise: The PerfectDay Get out your pen, and go to page two! www.RxForSanity.com
- 30. Professional Rxs Seekclinical satisfaction Opportunity vs. Obligation WHY not WHAT Think creatively: challenges are opportunities Raise the bar: Evidence based medicine Be a partner: proactive and critical thinking…ask questions, ask questions, ask more questions www.RxForSanity.com
- 31. Critical Incident StressCreate a healthy work environment Humor Take your breaks Debrief/ dump toxins In house stress management: Exercise, Tai Chi, yoga, meditation www.RxForSanity.com
- 32. People treat youthe way you teach them to treat you. ~Jack Canfield www.RxForSanity.com
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- 39. Are you joyousat work? Did I bring joy? Did I find joy? RxForSanity.com Egypt afterlife
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- 43. Other ways tofind joy in the medical workplace Disease of the month Body art- sharpies, bottom décor Ownership of their health- Nona’s book Cartoon book Butt Meddler, butt-ons, joke books RxForSanity.com
- 44. Rx for InformationOverload “ Car College” 15 min each way daily commute 15 min each way x 10 trips weekly = 2.5 hours per week 46 weeks per year = 119 hours per year www.RxForSanity.com Needs card- Zazlove Regional and national society meetings
- 45. “ The greatuse of a life is to spend it on something that will outlast it.” William James www.RxForSanity.com
- 46. Find your WindmillDevelop new tools: research, technology Public education Mentoring of new nurses Your health facilities stats- do you take pride? International, national, state or local Consider petitions, politics, publicity www.RxForSanity.com
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- 48. Your mission inlife is where your deep joy and the world’s deep hunger meet. ~Richard Nelson Bolles www.RxForSanity.com
- 49. www.RxForSanity.com Love: Family,Finances & Mental Health
- 50. The Art ofHealing W.H. Auden Most patients believe Dying is something they do, Not their physician, That white-coated sage, Never to be imagined Naked or married. www.RxForSanity.com
- 51. Family and MedicineDivorce rates 10-20% higher than general population Do we leave our communication skills at the office? www.RxForSanity.com Ann Int Med 2001 Sou Med Jou 2000
- 52. Financial stresses 35to 45 y/o average personal debt equals 95% of annual income Most spend less than 1 hour per month on retirement planning 2 of 3 HCPs does not have a will www.RxForSanity.com
- 53. Substance Abuse Onein seven nurses during their career Similar frequency to general population Through legitimate Rx or diversion Demerol is drug of choice More common among nurses with access to substance (ED, ICU, Endo) www.RxForSanity.com West J Med 2001
- 54. Substance Abuse: Your Choices No action Enable Report 50% report blackouts during patient care while using www.RxForSanity.com West J Med 2001
- 55. Nurse suicide Oneof the top five causes of death in nurses Six times higher rate than general public Felt to be related to CI stress Unrelated to incidence of substance abuse MD suicide (2 x male MD, 4 x female MDs) IS related to substance abuse as predictor www.RxForSanity.com
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- 57. Exercise: Focus PointsGo to page 3! People Work Food Clothing Shelter Money Fun www.RxForSanity.com Repeat q 3 months
- 58. Personal & FamilyRxs Take control Make time for family Become a ‘Multi-Shirker’ (Scott Adams) Hire a wife! Fee only financial advisor, or self-educate about financial health Seek NHP (nursing health programs) for yourself or others www.RxForSanity.com
- 59. www.RxForSanity.com Laughter: PersonalHealth & Wellness
- 60. The Science ofWellness www.RxForSanity.com
- 61. The Science ofWellness Stop smoking TobaccoFreeNurses.org www.RxForSanity.com
- 62. The Science ofWellness Stop smoking Eating habits www.RxForSanity.com
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- 69. AmIHungry.com Peter Walsh-Does This Clutter Make My Butt Look Fat? Brian Wansink- Mindless Eating www.RxForSanity.com
- 70. The Science ofWellness Stop smoking Eating habits Exercise 30 minutes daily www.RxForSanity.com
- 71. Exercise as MedicineCardiovascular disease, CHF, CVA, PVD, Type II Diabetes, Obesity, Dyslipidemia, Cancer (breast, colon, prostate, pancreas, melanoma), Asthma, COPD, Osteoarthritis, Rheumatoid Arthritis, Cognitive Dysfunction www.RxForSanity.com Booth, J Applied Physiology 2002;93:3-30
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- 73. Hi, This isa hassle to remind you to Have you exercised today? Remember that your health is more important than what you do. Meditate and journal today too. Be in balance. Breathe. So get to it! You'll be sent one of these hassles roughly every 2 days. Thanks, -- The HassleMe Team http://hassleme.co.uk/ www.RxForSanity.com
- 74. HassleMe http://hassleme.co.ukBecause sometimes in life, you just need to be nagged... www.RxForSanity.com
- 75. The Science ofWellness Stop smoking Eating habits Exercise 30 minutes daily Sleep 8 hours a night www.RxForSanity.com
- 76. Aging and sleepLancet 1999 8 hours verses 4 hours in normal college students glucose intolerance identical to early adult type diabetes TSH & cortisol levels like elderly Mall study: 13 % less max happy with each hour < 8 7 = 87% 6 = 74% 5 = 61% www.RxForSanity.com
- 77. The Science ofWellness Stop smoking Eating habits Exercise 30 minutes daily Sleep 8 hours a night See a physician www.RxForSanity.com
- 78. www.RxForSanity.com Scott Adams/Dilbert:W.A.D. found 1998- 2 polyps 1999- 2 polyps 2002- no polyps 2007- 5 polyps (and a poor prep, it is rumored)
- 79. The Science ofWellness Meditate/ breathe/ journal/ spiritual www.RxForSanity.com
- 80. Spirituality & medicineMeditation Psoriasis, heart disease, chronic pain UCLA meditation tapes to BP patients 73% reduction in medication, 50% stop meds altogether Journaling Smith Annals Internal Medicine COPD RA www.RxForSanity.com
- 81. Spirituality & medicineOptimism Mayo clinic: pessimists risk factor for premature death, overall lower level of health, more use of medical resources and higher medical costs Internal Medicine News: pessimism worsens lung function; pessimism equivalent to 20 pack- year smoking www.RxForSanity.com
- 82. Debbie Waiz 15th Annual Endoscopy Symposium www.RxForSanity.com
- 83. The Science ofWellness Meditate/ breathe/ journal/ spiritual Happiness list www.RxForSanity.com
- 84. may my mindstroll about hungry, and fearless, and thirsty, and supple. ee cummings may my heart always be open www.RxForSanity.com
- 85. Debbie Waiz 15th Annual Endoscopy Symposium www.RxForSanity.com
- 86. www.RxForSanity.com ColonoscopyJoke.com RxForSanity.com
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- 89. The Science ofWellness Meditate/ breathe/ journal/ spiritual Happiness list Have Sex Reassess quarterly www.RxForSanity.com
- 90. The Caerphilly Study: Smith, Frankel, Yarnell, BMJ 1997 N=918 males(45-59 y/o), 10 year f/u Stratified to self-reported frequency of intercourse Low: Less than q month Intermediate High: BIW or more frequent Data adjusted for variables of age, social class, systolic blood pressure, smoking, baseline CAD, cholesterol www.RxForSanity.com
- 91. The Caerphilly Study:Results www.RxForSanity.com Low Frequency Intermediate Frequency High Frequency All Cause Mortality 1.9 CI 1.0-3.4 P<0.04 1.6 (CI 1.0-2.8) 1.0 Coronary Heart Disease 2.1 CI 0.9 -5.1 P<0.10 1.8 (CI 0.8-4.0) 1.0
- 92. Women vs. MenQuality vs. Quantity Sexual dissatisfaction for women is an independent risk factor for MI Abramov, Psychosom Med 1976 Lack of sex associated with death in men Lack of enjoyment associated with death in women Duke Study on Ageing Palrnore, Gerontologist 1982 www.RxForSanity.com
- 93. Rx Yourself Now:If you really want to do something you’ll find a way. If you don’t, you’ll find an excuse. www.RxForSanity.com
- 94. The Science ofWellness Stop smoking Moderate your eating habits Exercise 30 minutes daily Sleep 8 hours a night See a physician Seek the spiritual Make a “Happiness List” Have more/better sex Reassess quarterly www.RxForSanity.com
- 95. SSDT: Not sex! www.RxForSanity.com
- 96. This is yourprescription for sanity: Medicine is an opportunity, not an obligation Self care is your right Have more (or better) sex www.RxForSanity.com
- 97. “ Does ItMake Your Ears Wiggle?” -N.E. Raymond www.RxForSanity.com
- 98. Don’t wait fora second opinion! www.RxForSanity.com
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