RNMD

RNMD

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RNMD episodes

  • 37. RNMD: IMPACT in Healthcare Walk in DC
    On November 7 2021, IMPACT will bring together interdisciplinary healthcare workers from across the US to march together on Washington DC. The current system prioritizes profit over patient and healthcare workers' wellbeing. It's time for a change. Join us on November 7 to march for a better system for everyone. 

    (Abby’s audio was a little wonky in a couple areas, sorry about this) 


    What is IMPACT?
    IMPACT (Interdisciplinary Medical & Patient Alliance for Care Transformation) advocates for patients’ ability to access affordable, equitable care, including systemic education and direct action against disparities and barriers to care, and for safe staffing, safe workplaces, and healthcare workers’ rights, wellbeing, and ability to provide high quality care.

    Directions for marching:

    • Vaccinated only attendance is highly encouraged
    • Masks are required at all times, even when taking photos
    • Please meet us at 2pm at Union Square (Washington, D.C.)
    • Please find our COVID symptoms checker on our website to “check in” on Nov 7th, attendees will be ask to show their check-in to receive a wristband to march
    • Please present your card or vaccine passport for a “I am vaccinated” sticker
    • Please wear scrubs with the brand’s logo covered

    • Topics:

      • What is IMPACT in Healthcare?
      • Who's behind it?
      • How did it start?
      • Healthcare is broken
      • What do we do about it?
      • Walk on Washington, DC NOV 7th
      • Join us, let's fix healthcare

      • Other contacts:

        INSTAGRAM: @impactinhealthcare
        TWITTER: @impactinhealth
        FACEBOOK: impactinhealthcare


        Please subscribe and rate the podcast, that’s a free way you can really help us out!⁣⁣ Email us your topics or if you’d like to be a guest: [email protected]

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        Support this podcast: https://podcasters.spotify.com/pod/show/rnmd/support
        39 min
      • 36. RNMD: COVID Nutrition and Ventilation Settings with Dr. Anozie & Stephanie Schwartz RD

        This is an episode we weren't sure we would release. Let us be clear, it's amazing. But this episode was recorded in January, before the general public had access to the vaccine. As the public got vaccinated, and many continuing to mask and social distance..  I think we were all hopeful this summer would show low COVID numbers. As time passed, we thought maybe this episode might not be relevant as many HCWs reported low or zero COVID patients on their units. Unfortunately, areas of the country with high numbers of unvaccinated communities are exploding with COVID cases.

        Thank you to Dr. Anozie and Stephanie Schwartz MS, RD for offering a wealth of knowledge on this complicated subject 

        We'd like to acknowledge the loss of Ebi from @NurselifeRN and @Ebi_Eats. We are sincerely sorry for this tragic loss. He will be deeply missed by the community. We offer our deep love and respect for his family at this difficult time. 

        Please note, Abby uses the word "dietary" to refer to Registered Dietitians several times this episode. She was so thankful when after the episode Stephanie corrected her, as the word dietary is outdated and not the proper term 

        Topics: 

        • Dietary vs Dietitian
        • Are residuals important?
        • Trickle feeds
        • Paralyzed patients and peristalsis
        • Vent settings: volume control vs pressure control
        • PRVC Mode
        • Is Vital AF the best name for tube feed ever? (Yes)
        • Good & bad interactions between RNs, Physicians, and RDs
        • I𝐧𝐬𝐭𝐚𝐠𝐫𝐚𝐦:⁣⁣⁣⁣

          @ICUexplained
          @ThatDietitianLife
          @RNMDPodcast⁣⁣⁣⁣⁣
          @TheNocturnalNurse⁣⁣⁣⁣

          Please subscribe and rate the podcast, that’s a free way you can really help us out!⁣⁣ Email us your topics or if you’d like to be a guest: [email protected]

          ---
          Support this podcast: https://podcasters.spotify.com/pod/show/rnmd/support
          1 hr 14 min
        • 35. RNMD: History of Healthcare Administrators

          💰Why do Healthcare Administrators, who have never done direct patient care, run our hospitals? Who are they and how do they impact doctors and nurses? Why do Healthcare Administrators make large salaries while our coworkers continue to spend hours in COVID rooms?

          💵 In this episode, Abby and her doctor friend Jason dive into the history of hospital administration from the beginning of our hospital systems and the change in leadership that has been quietly implemented in the last 3 decades. 


          Topics:

          • What is a Healthcare Administrator?
          • Who ran hospitals before Healthcare Administrators?
          • Almshouses
          • Religious hospitals, nuns, clergy
          • Professionalization of Doctors and Nurses
          • Government involvement in hospital operations in the 1950s - 1980s
          • Pressures Health Admin put on HCWs
          • Massive growth of Health Admin profession 
          • How Health Admins contribute to burnout 
          • Education requirements for Healthcare Admins
          • Patient outcomes related to Healthcare Admin salaries 
          • Pay for Health Admins
          • 🤑 I𝐧𝐬𝐭𝐚𝐠𝐫𝐚𝐦:⁣⁣⁣⁣

            @Juntaisgoal
            @RNMDPodcast⁣⁣⁣⁣⁣
            @TheNocturnalNurse⁣⁣⁣⁣


            💲References:

            https://essentialhospitals.org/about/history-of-public-hospitals-in-the-united-states/

            https://www.athenahealth.com/knowledge-hub/practice-management/expert-forum-rise-and-rise-healthcare-administrator

            https://www.nursing.upenn.edu/nhhc/nurses-institutions-caring/history-of-hospitals/

            https://www.columbiasouthern.edu/blog/june-2019/health-care-administration-careers

            https://www.modernhealthcare.com/providers/hospital-ceos-get-big-raises-despite-pressure-control-healthcare-costs

            https://www.forbes.com/sites/adamandrzejewski/2019/06/26/top-u-s-non-profit-hospitals-ceos-are-racking-up-huge-profits/?sh=208d256519df

            https://www.healthcarefinancenews.com/news/study-sheds-light-executive-pay-healthcare-industry

            http://www.total-comp.com/Total%20Compensation%20Solutions%202019%20Hospital%20Executive%20Compensation%20Report%20-%20Sample%20Report.pdf

            https://www.gq.com/story/eat-the-health-care-ceos

            💸 Please subscribe and rate the podcast, that’s a free way you can really help us out!⁣⁣ Email us your topics or if you’d like to be a guest: [email protected]

            ---
            Support this podcast: https://podcasters.spotify.com/pod/show/rnmd/support
            1 hr 16 min
          • 34. RNMD: Part 3 -- Healthcare through the Lens of Socialism, Communism, and Capitalism

            🔷 The conclusion! Did we come away with more questions than answers? Yes! Did we solve anything? Who knows! but maybe!


            🟦 I𝐧𝐬𝐭𝐚𝐠𝐫𝐚𝐦:⁣⁣⁣⁣

            @MaswellasM
            @RNMDPodcast⁣⁣⁣⁣⁣
            @TheNocturnalNurse⁣⁣⁣⁣

            🔴 M&M Podcast:

            marxismandmedicine.com
            @thewaffleho
            @barbacoa_y_bigred

            🔹References:

            https://www.physicianspractice.com/view/healthcare-through-lens-socialism-communism-and-capitalism

            🟦 Please subscribe and rate the podcast, that’s a free way you can really help us out!⁣⁣ Email us your topics or if you’d like to be a guest: [email protected]

            ---
            Support this podcast: https://podcasters.spotify.com/pod/show/rnmd/support
            33 min
          • 33. RNMD: Part 2 -- Healthcare through the Lens of Socialism, Communism, and Capitalism

            🔷 The conversation about the failures of capitalism as it relates to healthcare continues. We look to countries outside of our system for examples of a better way. We discuss the benefits and problems with healthcare systems in other countries, as it relates to our own. Why is medical illness a leading cause of bankruptcy in our country? Why are our disability benefits purposely difficult to access?

            🔷 𝐓𝐨𝐩𝐢𝐜𝐬:⁣⁣⁣ ⁣

            Should the government have more involvement in healthcare?

            Navigating the disability system
            Medical bankruptcy
            Barriers to care
            Prioritizing needs vs profit

            🟦 I𝐧𝐬𝐭𝐚𝐠𝐫𝐚𝐦:⁣⁣⁣⁣

            @MaswellasM
            @RNMDPodcast⁣⁣⁣⁣⁣
            @TheNocturnalNurse⁣⁣⁣⁣

            🔴 M&M Podcast:

            marxismandmedicine.com
            @thewaffleho
            @barbacoa_y_bigred

            🔹References:

            https://www.physicianspractice.com/view/healthcare-through-lens-socialism-communism-and-capitalism

            🟦 Please subscribe and rate the podcast, that’s a free way you can really help us out!⁣⁣ Email us your topics or if you’d like to be a guest: [email protected]

            ---
            Support this podcast: https://podcasters.spotify.com/pod/show/rnmd/support
            1 hr 12 min
          • 32. RNMD: Healthcare through the Lens of Socialism, Communism, and Capitalism

            🔷 It’s fun to talk about the failures of capitalism as it relates to healthcare, but some healthcare workers might be apprehensive at looking outside of our system for examples of a better way. In this episode we discuss the benefits and problems with healthcare systems in other countries, as it relates to our own. We define these very broad topics that have a lot of misinformation surrounding them, and imagine a better system that would serve workers and most importantly our patients. 

            🔷 𝐓𝐨𝐩𝐢𝐜𝐬:⁣⁣⁣ ⁣

            • Why are aren't healthcare workers in charge of hospitals?
            • Lets define Capitalism, Socialism, Communism
            • History of union organizing
            • Can a for-profit health system serve the people?
            • How does a for-profit system inhibit access to Health Care?
            • How our hospital value comes from labor
            • Universal vs. Single-Payer healthcare systems
            • 🟦 I𝐧𝐬𝐭𝐚𝐠𝐫𝐚𝐦:⁣⁣⁣⁣

              @MaswellasM
              @RNMDPodcast⁣⁣⁣⁣⁣
              @TheNocturnalNurse⁣⁣⁣⁣


              🔴 M&M Podcast:
              marxismandmedicine.com
              @thewaffleho
              @barbacoa_y_bigred


              🔹References:
              https://www.physicianspractice.com/view/healthcare-through-lens-socialism-communism-and-capitalism

              🟦 Please subscribe and rate the podcast, that’s a free way you can really help us out!⁣⁣ Email us your topics or if you’d like to be a guest: [email protected]

              ---
              Support this podcast: https://podcasters.spotify.com/pod/show/rnmd/support
              1 hr
            • 31. RNMD: Future of Nursing with Kathleen Bartholomew RN, RC, MN

              For over 20 years Kathleen has spoken about nurse hostility, physician-nurse relationships, communication, leadership and patient safety. She works with executives, physicians, nurse leaders and hospital staff to create a clearer vision. She has several books, on this episode we discuss "Speak your Truth, Proven Strategies for Effective Nurse-Physician Communication."

              ⚡️Topics:

              • Rebranding nursing
              • Nurse burnout
              • The system failures facing nurses
              • Can a for profit system serve patients?
              • How do we mobilize the profession of nursing?
              • Implications for Nurse-Led Clinics
              • Considering the future of nursing
              • ✨Instagram:

                @RNMDPodcast⁣
                @TheNocturnalNurse

                🌟Where to find Kathleen:

                Website: http://www.kathleenbartholomew.com
                Speak Your Truth: https://www.amazon.com/Speak-Your-Truth-Nurse-Physician-Communication/dp/1578395569
                TedTalk: https://www.youtube.com/watch?v=Qh4HW3yx00w

                💫 Please subscribe and rate the podcast, that’s a free way you can really help us out!⁣⁣ Email us your topics or if you’d like to be a guest: [email protected]

                ---
                Support this podcast: https://podcasters.spotify.com/pod/show/rnmd/support
                54 min
              • 30. RNMD: Awake and Walking ICU w/Kali Dayton

                🫁 This week, Dr. Dan and nurse Abby talk to Kali Dayton an Acute Care Nurse Practitioner in an "Awake and Walking ICU" in SLC, UT. We discuss the ideas and research behind ICUs that choose minimal sedation practices, mobilizing patients early (even while intubated), and the ICU culture shift that both doctors and nurses would need to support to make this a nationwide practice. Abby had a cold during this episode, excuse her stuffy nose. 🤧

                🫁 𝐓𝐨𝐩𝐢𝐜𝐬:⁣⁣⁣ ⁣

                • Early intensive care sedation and long-term mortality in ventilated critically ill patients

                • Risk factors of delirium in sequential sedation patients in intensive care units
                • Is early activity is feasible and safe in respiratory failure patients?
                • How to get doctors and nurses on board to change the culture within the ICU
                • Why are we resistant to change, even when there is benefits to the patient?

                🫁 I𝐧𝐬𝐭𝐚𝐠𝐫𝐚𝐦:⁣⁣⁣⁣

                @WalkingHomeFromTheICU
                @RNMDPodcast⁣⁣⁣⁣⁣
                @TheNocturnalNurse⁣⁣⁣⁣

                🫁 References:

                https://kalidaytonpodcast.medium.com
                https://ccforum.biomedcentral.com/articles/10.1186/s13054-020-03286-7
                https://www.atsjournals.org/doi/full/10.1164/rccm.201203-0522OC
                https://www.hindawi.com/journals/bmri/2017/3539872/
                https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(09)62072-9/fulltext
                https://pubmed.ncbi.nlm.nih.gov/17133183/

                🫁 Please subscribe and rate the podcast, that’s a free way you can really help us out!⁣⁣ Email us your topics or if you’d like to be a guest: [email protected]

                ---
                Support this podcast: https://podcasters.spotify.com/pod/show/rnmd/support
                1 hr 1 min
              • 29. RNMD: Primary Care Clinic w/ Dr. Singer & Melissa RN

                This episode dives into the complicated world of primary care with Dr. Singer and Melissa RN who work in a primary care clinic in an underserved community in Brooklyn, NY. The challenges of managing long term health complications with limited staff and resources isn’t easy to navigate. Together this doctor/nurse team has come up with strategies for impressive patient outcomes and making sure their patients feel heard. We say provider a lot in this episode. Please don't cancel us. 🙃⁣

                ⚡️Topics:

                What do primary care doctors and nurses do?

                Social determinants of care

                Language barriers

                Coordination of care 

                Proactive primary care

                Housing insecurity 

                Food insecurity 

                Resources and funding 


                ✨Instagram:

                @mellla_ann

                @RNMDPodcast⁣

                @TheNocturnalNurse

                💫Please subscribe and rate the podcast, that’s a free way you can really help us out!⁣⁣ Email us your topics or if you’d like to be a guest: [email protected]

                ---
                Support this podcast: https://podcasters.spotify.com/pod/show/rnmd/support
                52 min
              • 28. RNMD: Physicians vs. Providers with Dr. Shirlene Obuobi

                ☢️ Remember the social media storm surrounding Dr. Zach Jones’ tweet after correcting an RN for calling him a “provider?” ⁣

                ⁣

                ☣️ @ShirlyWhirlMD & @TheNocturnalNurse dive headfirst into this topic from both the doctor and nurse perspective⁣

                ⁣

                ☢️ 𝐓𝐨𝐩𝐢𝐜𝐬:⁣⁣⁣ ⁣

                • Should doctors be called providers?⁣

                • Dr. Zach Jones twitter storm⁣

                • Ego vs professional request⁣

                • Billable “provider”⁣

                • How should nursing refer to a service with mixed titles giving patient orders?⁣

                • Provider vs Clinician⁣

                • In front of patient vs in private⁣

                • Perpetuating unhealthy hospital culture⁣

                • Why isn't social media interested in solutions, only toxic conversations?⁣

                ⁣⁣⁣⁣

                ☣️ I𝐧𝐬𝐭𝐚𝐠𝐫𝐚𝐦:⁣⁣⁣⁣

                @ShirlyWhirlMD⁣

                @RNMDPodcast⁣⁣⁣⁣⁣

                @TheNocturnalNurse⁣⁣⁣⁣

                ⁣⁣⁣⁣

                ☣️ Please subscribe and rate the podcast, that’s a free way you can really help us out!⁣⁣ Email us your topics or if you’d like to be a guest: [email protected]

                ---
                Support this podcast: https://podcasters.spotify.com/pod/show/rnmd/support
                1 hr 9 min

              About RNMD

              From the publisher's feed

              A look at how Doctors and Nurses work together in this mad world of medicine