Part 4 – the Nurse’s Brain – joining the borg!

Nurse Brain

Florence once said that to own a pen was more iimportant than to know how a stethoscope worked.There were three parts to the discussion about the Nurse’s Brain so far, and buried in the discussion after one of the entries was a question from an experienced nurse:

Joe,  I do like your brain and it looks like a good way to teach students. However, we have a ten minute overview report followed by bedside report, then it is go go go. Do you have a preprinted template your new nurses can just fill in? I’m not sure when a floor nurse would have time to make a detailed outline for the day.

That was  a great question which deserves to be addressed in a separate blog altogether. As I have said, a brain is a way to organize data, and if your happen to be at a hospital which has a good informatics system, there must be a way to set this up so that much of the stuff gets a nurse-friendly printout. Any number of templates will do…. in my blogroll is a site where you can find a collection of such things.

Answer – join the “borg!”

In the meantime, here is my answer:

One option is for the nurses to get there a bit early and scout these things out.

But here is another way to use it: In the 1980s I was nurse-manager of an ICU/CCU in a community hospital in rural Maine. At that place, all the nurses used a brain, it was a four bed unit with a lot of CCU ( this was in the olden days,  prior to TPA and the modern era of thrombolysis, that tells you how old I am….). The team there had adopted a twist to the system (prior to the time I ever got there) which was very helpful.

One of the duties of the off going nurse was to construct a nurse’s brain for the upcoming shift of next nurse, one for each patient. Obviously it would be subject to change, but it was a good way to start. It consisted of a handwritten summary of assessments, labs, IVs, treatments, etc  and it was used along with the Kardex and chart, during report.

When the system worked (most of the time) it was terrific. (of course, there were times when the plan changed dramatically the next time somebody went into the room, but that is another story…)

You might consider adopting some system such as this. It’s way to get the staff involved into the subject of what we nowadays refer to as “handoffs” and accountability.

Oh, and by the way….

Some people will be scratching their head, asking “What is the borg?”

Any fan of Star Trek will tell you. There was a planet in Star Trek where every person was hooked directly into the main computer so that they completely lost the ability to have an individual thought, but on the other hand, each person shared the collective wisdom of a billion humanoids…..

The end result of using a Nurses Brain is effective teamwork and preparation. Here on planet earth there are different models of achievement. If you can adopt a Nurse’s Brain, you will be just like the person in this video. trust me!

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