Open door intensive care unit: View of the professionals

Hola a tod@s, my dear friends.

Today we make diffusion of an article published in the latest issue of Enfermería Intensiva, the Journal of the Spanish Society of Intensive Nursing and Coronary Units, SEEIUC.

From the ICU of the Hospital Universitario de Álava in Vitoria,  the authors present us what professionals think about visiting in ICU.

Despite the publications concerning and the ample evidence found regarding the obtaining of benefit to all involved groups (patients, families and professionals), the authors present a picture of reality.

Through a survey of professionals, they showed that 87.5% professionals think that increase visiting may be little benefit to the staff.

It is noteworthy that 50% of the professionals would leave such schedules which are except that required by the patient's situation, that is, two visits each day for 30 minutes.

It is considering, therefore, that the option restricted hours are the best. Congratulations to the authors for this "cold shower" from Txagorritxu that puts on the table a need to resolve.

Today more than ever I invite you to the discussion, because many of us have another policy and other schedules. So! I encourage you to discuss with your arguments and your experience!

Happy Friday,

#IDRC2014… we came, we saw, we shared with the world!

We are pleased to share highlights of our presentation to the 5th International Disaster and Risk Conference #IDRC2014 at Davos Switzerland 24-28 August 2014, organised by the Global Risk Forum in cooperation with the United Nations Office for Disaster Reduction (UNISDR).

We were excited to have this opportunity to showcase the Emergency 2.0 Wiki on the world stage, share our message on how countries can build disaster resilience through a whole of community approach to using social media, and also influence future world policy.

It was a powerful opportunity to share how our work had supported the implementation of the Hyogo Framework for Action, and to influence future world policy, making recommendations for the Post 2015 Disaster Risk Reduction Framework to be ratified at the UN World Conference WCDRR in Sendai Japan in 2015. We did this via our presentation, an extended abstract, a personal statement and a video Red Chair Statement.

emergency2.0wiki_logo_colour_lowres (2)How our work supported the implementation of the Hyogo Framework for Action:

  • Priority 1: Promoting community participation and social networking
  • Priority 2: Providing guidance on how to act on early warnings via social media
  • Priority 3, 5: Facilitating exchange of information on good practices and lessons learned
  • Priority 4: Providing a social media accessibility toolkit for people with disabilities

csm_idrc2014_6fe511616eRecommendations to address the main gaps, needs and further steps to be addressed in the Post 2015 Framework for Disaster Risk Reduction in:

  • Research: provide practical recommendations for using social media, lessons learned, short timeframes to ensure relevance
  • Education & Training: capacity build communities to use social media
  • Implementation & Practice: provide social media tools and platforms to enable the community to help themselves and each other
  • Policy: apply a whole of community approach to using social media in disasters, recognising the potential for social media to make resilience a social norm

Red Chair Statement

To view our submission documents, please visit our policy submission page.

Our presentation

Our presentation topic was “The importance of a whole of community approach to using social media for disaster resilience and how the Emergency 2.0 Wiki can help.”

We believe that social media can play a transformative role in making disaster resilience a social norm. Social media offers the potential to help create a level of resilience that ensures communities don’t just ‘bounce back’ after a disaster, but ‘bounce forward’, becoming stronger with increased social networks, social cohesion and social capital.

This requires a ‘whole of community approach’ in which the community becomes partners in using social media for disaster resilience. We explained how along with emergency response agencies, all sectors of the community: local government, schools, hospitals, ngos, community groups, faith based groups, service clubs, business and citizens; have a role to play in disaster resilience, showcasing examples from around the world.

We also made special mention of the vital role of digital volunteers.

We emphasised the need for capacity building and to provide the social media tools to empower the community to help themselves & others in disasters #IDRC2014:

This involved highlighting the importance of empowering people with a disability to overcome social media accessibility issues to access alerts, and we showcased our social media accessibility toolkit for resilience:

Strategic Contacts

We also made strategic contacts for potential future alliances and projects. Watch this space for updates…

With thanks to our Sponsor
EMA - Stacked (3)








We would like to thank our major sponsor, Emergency Management Australia, part of the Australian Attorney General’s Department, for making our presence at #IDRC2014 possible.

We also thank our other numerous supporters who also contributed to make this a reality.

We look forward to continuing to help the international community use social media to ensure disaster resilience becomes a social norm.

Many thanks,


Eileen Culleton, Founder & CEO (Voluntary role)

p.s. Thank you to everyone who supported our participation in #IDRC2014… together we are making a difference to build disaster resilience and save lives. 
p.p.s. Follow us on Facebook

Stages of pressure injury severity.

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Download this Thunderbox Paper:

Stages of Pressure Injury Severity


A Thunderbox is Australian slang for an old style outside toilet that was little more than a drafty wooden shed over a hole in the ground.

They also used a wad of papers (usually out of a magazine or newspaper) stuck on an old piece of wire for toilet paper. Life was rough back then. Hardcore.

These pdf files are a one page overview of a particular topic that you can print out and stick on the door of your toilet (hence thunderbox).

  • They will always be only one page.
  • Sometimes it will be VERY short (just a few lines).

The trick is to make it ONE thing for you to remember before the next paper is published.

To make this work you must commit to posting on your toilet door (you could even consider posting on the toilet door at work) and taking a moment to read over each time you………well, you know. Business.

The goal is to commit each paper to your long-term memory before the end of the week. So repetition is essential (as is business regularity).

Print it, stick it, study it.

Train with the best! PEM POC u/s fellowship @ Boston Children’s

SonoKids Boston Children's

The information below was provided by Dr. Jason Levy. Now that’s a great place to train! Yet another PEM POCUS fellowship!!!

SonoKids logo A

The Division of Emergency Medicine at Boston Children’s Hospital is now accepting applications for our Pediatric Emergency Ultrasound Fellowship program for academic year 2015-2016. Our ultrasound fellowship started in 2011 and we are currently in our fourth year.

Boston Children’s Hospital is a free-standing, pediatric, tertiary care center caring for approximately 60,000 emergency department patients per year. We have a large active staff of PEM physicians and 18 PEM fellows. Faculty and fellows are responsible for the supervision and training of residents from the Boston Combined Residency Program in Pediatrics and three Emergency Medicine training programs from Harvard Medical School and Boston University Medical School.

We invite enthusiastic applicants who are interested in furthering their expertise in pediatric emergency ultrasound and developing the skills to develop or lead an Emergency Ultrasound program. In addition to scheduled Emergency Department shifts, fellow responsibilities will include proctored and individual hands-on scanning, weekly image and literature review sessions, participation in research, and teaching of medical students, pediatric and emergency medicine residents, and pediatric emergency medicine fellows.  Additional opportunities for collaboration and teaching exist across the Harvard affiliated teaching hospitals (Massachusetts General, Brigham and Women’s, Beth Israel) as well as at Harvard Medical School.

Interested candidates should be board-certified or board-eligible in Pediatric Emergency Medicine and have completed a three year PEM fellowship.  Applicants should be comfortable working in a pediatric, tertiary care, teaching hospital.  Highly competitive shift structure and salary offered.

Interested applicants should send a letter of interest, CV, and three letters of recommendation to:

Jason Levy

Director of Emergency Ultrasound

Division of Emergency Medicine, BCH 3066

Boston Children’s Hospital

300 Longwood Ave

Boston, MA 02115

Posted in Uncategorized |

Smudge. A nurses dog.

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Well, I admit right up front that I am not technically a nurse. Technically.

Actually….I’m more of your professional small Dog.
But I think that there has been a gross under representation of Dogs on The Book of Nurses thus far, and as everyone knows: behind every great nurse there is a dog.

OK then, to start off tell us what country/area you live in, how long you have been nursing…, dogging for, what areas you have worked in and the specialty you currently work in.

I have been a professional small Dog now for eight years. Before that I spent some tough time at a puppy farm.
Um…I don’t really want to talk about that.

But I do consider myself an a bit of an expert in intensive care. That, and licking my private parts.
Oh…and secreting socks in unrecoverable locations.

What made you decide to become a nurses-dog?

Originally I wanted to be adopted by a professional model, or rich old lady with a big house, but despite my best attempt to look like the total runt of the litter (and even resorting to urinating down the front of his shirt), my current employer Ian, scooped me out of the pet-shop window.
I know. What can you do?  You have to make the most from the bones life throws you.

Its a tough gig being a nurses dog. You see, sometimes they come home after being away for many hours…..and they seem so down.
It really takes a lot of hard work to get them outside, let alone running around joyously…. and peeing on things.
Know what I mean?

Other times they come home and pick me up and squeeze the beejeesus out of me. It can be a little intense. But very rewarding in the liver-treat department once I lift their spirits a little.

Actually Ian isn’t so bad. Apart from his never ending attempts to assert authority as the alpha male in our pack.
Hey, I’m a dog….I know alpha when I see it.

Did you find your training prepared you for what actually goes on at the bedside? What sort of things really opened your eyes when you first began working ‘on the floor’?

Well I started off at the bedside, but after a little strategic whimpering, and throwing out my best cute-puppy eyes one night at Ian the beta male (BM) whilst Kelly the alpha female (AF) was away on a trip…. and it wasn’t long before I was ON the bed.
Since then I haven’t looked back. Now I own the primo central bed real estate.

Thats mine, that over there is mine, and if I push Ian across a bit more….grrrrugh….see? Thats mine too.

Occasionally the BM and the AF like to get real close up….I think they are wrestling or something. But I can usually put a stop to that by getting in between them and dropping a few cubic meters of ninja dog-gas (man all that processed canned food will open their eyes….yes-siree!).

Hey, I like to spraaaawl out and get my beauty sleep OK?

Tell us a story: an amazing, funny, moving or memorable moment from your book of shifts.

Well I do enjoy strategically placing some of my more voluminous biological landmines around the back garden. And then sucking the BM into chasing me crazy around between the flower beds. Heh Heh.

Oh SHIFTS…..sorry about that… I thought you said something else.

What do you do when you are not at work? What do you get up to in the rest of your life?

Just the usual. Chasing balls, wagging my tail ( really it just feels so good….you guys don’t know what you are missing) going for long walks with the BM, sitting quietly on the back step and telepathically communicating with any rebel alien ships passing close to our system. That sort of stuff.

Finally, Name 3 things that really get under your skin, push your buttons, or generally irritate you at work or outside of work.

1) Fleas.
2) Owners who do not love and respect their pets.
3) The total failure of the Large Hadron Collider Particle Accelerator to identify the dog-particle as predicted by supersymmetry physics. I mean….come on humans. Its not rocket science!

What is the one thing you would like to say to the rest of the nurses or general public out there.

Just wag your tails more dudes…..just wag your tails.