Chief Complaint Podcast

Episode 26 is here! Today Zach and LJ are joined by special guest John who fills them in on thromboelastography, or TEG. They move on to talk about some STI data from the CDC, and finally cover the case of a nurse from Tennessee who was fired from the hospice company she worked for because she developed cancer. If you have a question you want answered feel free to reach out to us at chiefcomplaintpod@gmail.com, on twitter @ChiefPod, or on instagram @ChiefComplaintPodcast. Enjoy!

Links:
Hospice Nurse: https://www.medscape.com/viewarticle/919607
CDC STI Report: https://www.cdc.gov/nchhstp/newsroom/2019/2018-STD-surveillance-report-press-release.html

Music:
You're There by The Mini Vandals
All Night by Ikson

Episode 25 is here! Today Zach and LJ are back to discuss CIWA (clinical institute withdrawal assessment), laws for trauma care, and how to make sure new-to-setting nurses transition successfully from one specialty area to another. Enjoy!

Links:
CIWA: https://thetraumapro.com/2016/06/13/the-ciwa-protocol-demystified/?fbclid=IwAR017y5GWkI5Y9uoc72oQau0o3FhBRgyjSMyo0YKSFhgOVBnFlLcOo5PPPI
Trauma Laws: http://www.regionstrauma.org/blogs/2017-08TraumaMedEd.pdf?fbclid=IwAR0UDFamKzhxLdyAH3S0-tMcp82sFOrf8bQIGIP2XwRqOKVWwONeJnQTz1U
New-to-Setting Nurses: https://www.americannursetoday.com/supporting-clinical-transitions/

Music:
You're There by The Mini Vandals
All Night by Ikson

Episode 24 is here! LJ is heading out vacation (indeed, she's already gone by the time you're reading this!) so she and Zach sat down for an interview early in the week with Danielle and Brittany, founders of an amazing organization called Nursing Helping Nurses. They're based in Chicago and provide support to nurses and other healthcare workers going through difficult times. They also talk with us about the recent strike and ongoing labor problems at the University of Chicago Hospital. The interview was by phone so the audio isn't perfect, but these two nurses have created a great organization that's well worth your time to check out. Their information is below, enjoy!

Instagram: @nhnfoundation
Website: https://www.nhnfoundation.com/

Music:
You're There by The Mini Vandals
All Night by Ikson

Episode 23 of Chief Complaint is here! September is blood cancer awareness month, and so Zach and LJ start off by talking about the three types of blood cancer. They then go on to discuss the lack of inpatient psych beds and how that affects ED overcrowding, and finally discuss the social determinants of health. If you've got a question or comment for us, send us an email at chiefcomplaintpod@gmail.com, or tweet us @ChiefPod.

Links:
Psych hospital fire: www.medscape.com/viewarticle/890510#vp_1
WSJ Op-ed: https://www.wsj.com/articles/take-two-aspirin-and-call-me-by-my-pronouns-11568325291
Inquirer rebuttal: https://www.inquirer.com/health/social-justice-healthcare-medical-education-system-20190914.html
Medscape rebuttal: www.medscape.com/viewarticle/918793

Music:
You're There by The Mini Vandals
All Night by Ikson

Episode 22 of Chief Complaint is here! Today, LJ and Zach cover some clinical scoring systems, then discuss the risks that might lead you to give the wrong intervention to the wrong patient, and finally talk a little bit about cybersecurity for medical records. If you've got a question or comment for us, send us an email at chiefcomplaintpod@gmail.com, or tweet us @ChiefPod.

Links:
The Ethics of Law Enforcement in the Inpatient Setting: https://www.sccm.org/Communications/Critical-Connections/Archives/2018/The-Ethics-of-Law-Enforcement-in-the-Inpatient-Set
Utah nurse arrested for refusing to perform a blood draw: https://www.healthaffairs.org/do/10.1377/hblog20180926.69826/full/

Music:
You're There by The Mini Vandals
All Night by Ikson

Episode 21 of Chief Complaint is here! Today, LJ and Zach are joined by Jesse, a law enforcement officer who talks with them about what it's like to work together with nursing and medical staff, ethical issues around searching patients and pursuing them for arrest while at the hospital, and the questions surrounding marijuana legality. If you've got a question or comment for us, send us an email at chiefcomplaintpod@gmail.com, or tweet us @ChiefPod.

Links:
The Ethics of Law Enforcement in the Inpatient Setting: https://www.sccm.org/Communications/Critical-Connections/Archives/2018/The-Ethics-of-Law-Enforcement-in-the-Inpatient-Set
Utah nurse arrested for refusing to perform a blood draw: https://www.healthaffairs.org/do/10.1377/hblog20180926.69826/full/

Music:
You're There by The Mini Vandals
All Night by Ikson

Episode 20 of Chief Complaint is here! Today, Zach and LJ cover a true medical emergency in compartment syndrome, talk about staffing and the strategies you can use to maintain it, and then do some Healthcare 101 to go over routes of medication administration. If you've got a question or comment for us, send us an email at chiefcomplaintpod@gmail.com, or tweet us @ChiefPod.

Links:
Staffing: https://www.thenation.com/article/health-care-medicare-nurses/
Compartment Syndrome: https://www.medscape.com/viewarticle/904047

Music:
You're There by The Mini Vandals
All Night by Ikson

Episode 19 of Chief Complaint is here! Today, Zach and LJ talk about the economics of freestanding EDs, UTIs in the elderly, and the next generation NCLEX exam. If you've got a question or comment for us, send us an email at chiefcomplaintpod@gmail.com, or tweet us @ChiefPod.

Links:
Freestanding EDs: https://www.ncbi.nlm.nih.gov/pubmed/30638646
New NCLEX: www.medscape.com/viewarticle/917116

Music:
You're There by The Mini Vandals
All Night by Ikson

Episode 18 of Chief Complaint is here! Today, Zach (now officially a nursing student!) and LJ are joined by Kate, an ED colleague and very experienced nurse. In a two segment episode, they tackle issues around being true to yourself at work and how to deal with the reactions that might come from patients when you do, and then move on to cover DNRs and advanced directives. If you've got a question or comment for us, send us an email at chiefcomplaintpod@gmail.com, or tweet us @ChiefPod.

Music:
You're There by The Mini Vandals
All Night by Ikson

Episode 17 of Chief Complaint is here! Today LJ and Zach are joined by special guest Kealie, a new nurse who shares her perspective with our crew. They'll talk about the challenges of being a new nurse, Polycystic Ovary Syndrome (PCOS), and a plan to allow hospital employees to apply their PTO balances to student loan repayment. If you've got a question or comment for us, send us an email at chiefcomplaintpod@gmail.com, or tweet us @ChiefPod.

Links:
PCOS: https://www.mayoclinic.org/diseases-conditions/pcos/diagnosis-treatment/drc-20353443 https://pcoschallenge.org/pcos-awareness-month/
PTO to student loans: https://www.medscape.com/viewarticle/916653?nlid=131010_4622&src=WNL_mdplsnews_190809_mscpedit_nurs&uac=325601EJ&spon=24&impID=2054942&faf=1

Music:
You're There by The Mini Vandals
All Night by Ikson

Episode 16 of Chief Complaint is here! Today Zach and LJ break down some basic lab tests, and then talk about two common diseases that bring people to the ED, pancreatitis and sepsis. If you've got a question or comment for us, send us an email at chiefcomplaintpod@gmail.com, or tweet us @ChiefPod.

Links:
NurseLabs NCLEX prep: Links
https://nurseslabs.com/nclex-practice-questions/
Rhythm strip from Zach takes the NCLEX question: https://3kj2es3bu4jzhf1ez3lesxx1-wpengine.netdna-ssl.com/wp-content/uploads/2017/02/acls-rhythm-ventricular-fibrillation.jpg

Music:
You're There by The Mini Vandals
All Night by Ikson

Episode 15 of Chief Complaint is here! Today LJ and Zach dive into the issues of ED overcrowding and a lack of inpatient beds, surprise bills for patients and errors within those bills, and whether homeopathy is right for you. If you've got a question or comment for us, send us an email at chiefcomplaintpod@gmail.com, or tweet us @ChiefPod.

Links:
Overcrowding: http://thenationshealth.aphapublications.org/content/46/2/E6?fbclid=IwAR3NbGQ4F4XFsexUzF6vjcsHJ8Sj8HV3zPXczuLC-920EkiXRVPIm1kA_N0
Billing: https://www.healthline.com/health-news/80-percent-hospital-bills-have-errors-are-you-being-overcharged?fbclid=IwAR3Tr7RSyfdhzbP6TI9CCq3POb0FOkIzSwCvRTs0jy-3PTxcAJK-VYTpo6o#1

Music:
You're There by The Mini Vandals
All Night by Ikson

LJ is unavailable this week, so Zach takes his hand at My Nursing Story. First, he shares an experience from his EMT days about a young woman who suffered an overdose, and then he talks about an elderly patient he cared for when he was a nurse aide, and what he learned from that experience. If you've got a question you'd like us to answer, or a just want to get in touch, send us an email at chiefcomplaintpod@gmail.com, or tweet us @ChiefPod. Zach will be back with LJ next week, take care!

Music:
You're There by The Mini Vandals
All Night by Ikson

Episode 14 of Chief Complaint is here! Today Zach and LJ go over acidosis and alkalosis, talk about whether or not vitamins and other dietary supplements are beneficial, and then give some information about obstructive sleep apnea. If you've got a question or comment for us, send us an email at chiefcomplaintpod@gmail.com, or tweet us @ChiefPod.

Links:
Vitamins - https://annals.org/aim/fullarticle/2737825/effects-nutritional-supplements-dietary-interventions-cardiovascular-outcomes-umbrella-review-evidence

Music:
You're There by The Mini Vandals
All Night by Ikson

Episode 13 of Chief Complaint is here, and it's all about neuro! Today Zach and LJ dive into numerous neurology topics, including the sympathetic vs parasympathetic nervous system, tPA and its use in stroke, and ICP monitoring. If you've got a question or comment for us, send us an email at chiefcomplaintpod@gmail.com, or tweet us @ChiefPod.

Music:
You're There by The Mini Vandals
All Night by Ikson

Episode 12 of Chief Complaint is here! Today Zach and LJ try and beat the heat by talking about black box warnings for psychotropic medications, 5 things that make healthcare suck, and then we'll dive into ECMO! If you've got a question or comment for us, send us an email at chiefcomplaintpod@gmail.com, or tweet us @ChiefPod.

Links:
Black Box - https://www.verywellhealth.com/black-box-warning-1123963
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6159703/
5 problems with healthcare - https://www.cracked.com/article_24568_5-under-reported-reasons-american-healthcare-sucks.html
ECMO - https://uihc.org/health-topics/family-guide-ecmo

Music:
You're There by The Mini Vandals
All Night by Ikson

Episode 11 of Chief Complaint is here! Today LJ and Zach talk about giving difficult news to patients and families, converting type A into type O blood, and avoiding hospital acquired infections. And in a special birthday edition of Zach takes the NCLEX, he goes for the ever elusive 3 out of 3. Can he get there? Listen in and find out! If you've got a question or comment for us, send us an email at chiefcomplaintpod@gmail.com, or tweet us @ChiefPod.

Links:
Terminal Diagnoses: https://khn.org/news/never-say-die-why-so-many-doctors-wont-break-bad-news/
Type A to Type O: https://www.medscape.com/viewarticle/914499?nlid=130295_4622&src=WNL_mdplsnews_190621_mscpedit_nurs&uac=325601EJ&spon=24&impID=2002799&faf=1#vp_1
Nosocomial Infections: https://www.medscape.com/viewarticle/912592

Music:
You're There by The Mini Vandals
All Night by Ikson

Episode 10 of Chief Complaint is here! LJ and Zach talk about ED observation units, bariatric surgery for type 2 diabetes, and the "July effect". Then Zach tests his mettle against 3 more NCLEX questions, can he get 3 out of 3? Listen in and find out! If you've got a question or comment for us, send us an email at chiefcomplaintpod@gmail.com, or tweet us @ChiefPod.

Music:
You're There by The Mini Vandals
All Night by Ikson

Episode 9 of Chief Complaint is here, and Zach got engaged over the weekend! Today he and LJ talk about a New York Times article on the exploitation of doctors and nurses, technology and the idea of "alarm fatigue", and they answer a listener question from the Innominate Podcast (@innominatepod)! If you've got a question or comment for us, send us an email at chiefcomplaintpod@gmail.com, or tweet us @ChiefPod.

Links:
NYT OpEd: www.nytimes.com/2019/06/08/opinion/sunday/hospitals-doctors-nurses-burnout.html

Music:
You're There by The Mini Vandals
All Night by Ikson

Episode 8 of Chief Complaint is here! Zach has returned from Portugal, and he and LJ get together to talk about shift work and how it affects work/life balance, using exercise and music to help care for psychiatric patients, and new CDC guidelines regarding occupational TB testing. If you've got a question or comment for us, send us an email at chiefcomplaintpod@gmail.com, or tweet us @ChiefPod.

Links:
Good environment for psychiatric in-patients:
https://journals.sagepub.com/doi/10.1177/2164956119848657
https://www.medscape.com/viewarticle/913205?nlid=129932_4622&src=WNL_mdplsnews_190524_mscpedit_nurs&uac=325601EJ&spon=24&impID=1974004&faf=1
TB Testing:
https://www.cdc.gov/mmwr/volumes/68/wr/mm6819a3.htm?s_cid=mm6819a3_w

Music:
You're There by The Mini Vandals
All Night by Ikson