
In short, when you can increase the range of motion in your joints, your limbs and joints can move further before injury occurs. Think of it like the old metaphor using the tree branch: the unstretched body is like the old brittle twig; the flexible, loose stretch body is like a young malleable green twig. To beat the tree metaphor to death, like the tree you also don't necessarily visually see the benefits of your stretching. The results can be felt when your limbs and body are stressed and do not injure.
As Nurses, there's so many unavoidable opportunities to tweak our bodies - think about lifting a patient from bed, bracing an older patient's slip or fall, transporting patients throughout the hospital, or even just picking something up off the ground. You know the simple "Bend with your Knees, Not your Back" advice is simply not real life (click for more details on this).
How to Stretch
You always want to stretch opposing muscle groups: in other words, your hamstrings (back of upper leg) with quadriceps (front of upper leg). This helps avoids injury due to muscular imbalance. Always make sure you warm up first - just get the blood flowing somehow.
A Nurse's Routine
Full body flexibility is the key for an RN. You're using your entire body at work, so you can't neglect any area. Maybe some people - like runners - can focus primarily on their lower body, but not an RN! This link has a wonderful routine with photos that everybody can do and benefit from. Print it out and follow the instructions. I would just add one stretch to the routine, for the Chest, which can be found at this link. Do both of these routines every other day and you'll be well on your way to increased flexibility and reduced chance of injury while on the job. All of these can be done at home with no equipment, and many of them can be done even at work.
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This blog is maintained by Re Vitals Nursing - www.revitals.com. Visit us!
I came across these videos on YouTube this morning and thought they'd be worth posting. I think they source from something called Expert Village, which is a site that includes user-submitted videos for how to do anything and almost everything. The woman in these videos posted her tips for preparing for a shift, including food choices, work bag preparation, and sleep. When you're done with these videos, if you have more interest on tips for better living while working the night shift, check these two links:
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This blog is maintained by Re Vitals Nursing - www.revitals.com. Visit us!
Like me, you've probably read or heard that public speaking is the #1 fear reported by people in the US, a fear reported even more than that of death. Today I did the obligatory Google search to find out the source of this statistic. Apparently it was first published in a 1973 London Sunday Times article citing the results of a survey of 3000 Americans, and has been verified by countless other studies and surveys in the years since. The original Times study found that 41% of respondents listed "speaking in public" as their biggest fear, with death tallying only 19%.
That's a crazy statistic, but I guess it makes sense. Death can be so abstract, but getting up in front of a room and talking is a tangible, relatable experience.
Within the Nursing community, there's really not much discussion about Public Speaking. Since the typical RN is not charged with giving major presentations or new business pitches, it is assumed that skill development in this area needs little to no attention. But like anybody who struggles with this fear knows, the lack of a 'major presentation' is not the point: any speaking engagement in front of a group of people is nerve-wracking and basically, um, sucks.

Actually, Nursing requires a lot of public speaking. Consider, for example:
- giving report during staff meetings,
- discussing a patient's condition with her family,
- acting as SuperUser for a new technology or software on the Unit and being required to teach peers.
While Nurses may not find themselves behind a podium like a public relations manager, a politician, an actor or a broadcaster, they must be in constant interaction with different groups of people, and public speaking - even if at the small group level - is expected.
SYMPTOMS
Do I need to waste time writing about symptoms? You know the symptoms: sweating, high blood pressure, butterflies, visions and thoughts of horror. The symptoms are so severe for some people that they become pros at finding ways to avoid the speaking engagement all together ("I'm sick, sorry!" "I have a sore throat and can't talk", "My car got a flat tire on the way in to the office").
WHAT CAUSES THE FEAR?
Lots of theories here. Some experts in the field point to - as usual - childhood. Children who are meant to feel like their opinions and ideas are meaningless grow up afraid to express themselves publicly. Others point to bad experiences in the past. Still others say certain people are naturally anxious and more prone to being afraid of such experiences.
Whatever. For my money, I think it comes down to people placing unrealistic expectations on themselves and on the importance of what they're talking about. Human nature type stuff - everybody wants to do their best and come across as brilliant and important. Many people get so wrapped up assuming they have to be perfect - no stuttering, no ums or ahs, no referring to notes - that they generate fear of failure and ridicule. Those who avoid speaking in public all together may feel they have to speak with the eloquence of Barak Obama, the vision of Martin Luther King Jr., or the passion of Adolf Hitler (seriously, have you ever heard him give a speech?)
HOW A NURSE CAN COPE
There are SOOOOO many articles on the web and books at the bookstore covering this topic that you could spend years going through them. Here's two I like: How to Conquer Public Speaking Fear, Conquering Your Fear of Public Speaking. In these and other articles, the advice and tips boil down to a few key points
Above all, remember that ultimately your audience wants you to do well. Nobody is secretly judging you and tallying up how many times you jumble your words. Nobody is going to point and laugh if you lose your place. The articles above go into depth about the extent to which people can skew their impression of their audience's motivations.
I don't really buy into all that "pretend your audience is naked" crap. Who wants to do that? Most of the people in your audience probably look like mutants - do yourself a favor, keep their clothes on. I like to refer back to that London Times statistic that claims 41% of people cite public speaking as their #1 fear. If that's the case, just about 1/2 of my audience will commend me just for getting up and doing it! Even if I'm a total idiot and mess everything up!
So pop around the internet - you'll find plenty of advice articles besides what's above. YouTube has some nice free videos - here's one:
And finally, get the support of others.....online Nursing communities usually have a thread or two of Nurses sharing public speaking stories and tips. Talk to some people in the same situation as you and help each other out. To start you off, one such thread can be found here at allnurses.com.
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This blog is maintained by Re Vitals Nursing - www.revitals.com. Visit us!
Overview:
10 minutes / 10 moves / :30 each
Details:
Workout:
:30 Side Lunges
:30 Rest
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:30 Leg Extensions
:30 Rest
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:30 Seated Row
:30 Rest
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:30 Chair Triceps Dip
:30 Rest
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:30 Seated Crunches
:30 Rest
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Now REPEAT that whole sequence again, starting at the top. That's 10 minutes.
Keep in mind you can always do one sequence and come back after a few minutes if need be.
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This blog is maintained by Re Vitals Nursing - www.revitals.com. Visit us!

Monster.com has also published a great Nursing-specific Resume tip article that should be a big help. Find that here.
Keep your resume fresh and incorporate some of these tips and you'll be sure to elicit a lot of response when you decide to look for a new position.
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This blog is maintained by Re Vitals Nursing - www.revitals.com. Visit us!
One of the keys to maintaining your fitness is to change up your routine a lot. Many people make the mistake of always doing the same routine when they exercise and can't understand why they're not shaping up. If you're a gym-goer, you've probably seen it: the guy with the doughy arms who has been ripping out 3 sets of bicep curls with the same weights every day for the last year.
Truth is, your body learns to adapt remarkably quickly. On the plus side, adapting quickly means your body finds a way to rise to the demands being placed on it. Conversely, it's always starving for new stimulus - not the same old same old - to overcome an exercise plateau and continue to reap positive benefits.
With this in mind, this week's STAT Workout is a build off last week's program, and will continue your progress and help avoid any plateaus. Our vision behind the STAT Workout remains the same:
A quick 10-minute, very effective full-body fitness routine you can do while working on the unit that requires NO gym equipment.
Check out the Introduction to the STAT Workout for a refresher on the benefits of the workout and some of the core principles. Then come back here, print and bring to work, and break it out when you have 10 minutes free.
STAT WORKOUT #2
Overview:
10 minutes / 10 moves / :30 each
Details:
Workout:
:30 Lunge

:30 Rest
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:30 Plie Squat with Reach

:30 Rest
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:30 Runners Squat (for your Core)
:30 Rest
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:30 Incline Push-Up (same as last week...do it again)
:30 Rest
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:30 Standing Calf Raise

:30 Rest
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Now REPEAT that whole sequence again, starting at the top. That's 10 minutes. You've focused mostly on legs and your core muscles. Next week you'll continue with legs but place more emphasis on your upper body.
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This blog is maintained by Re Vitals Nursing - www.revitals.com. Visit us!
The Center for Nursing Advocacy is a great organization - all RNs should be familiar with their message. This is a group that is tired of the way Nurses are portrayed in the media, and are working towards change. For the purpose of 'good television', the role of Nurses is many times misrepresented, inaccurate or inadequate. For the millions of casual TV or movie viewers, like anything, perception has a way of becoming reality. The Center points out many striking examples of poor Nurse representation throughout movies, television or other media outlets (even crossword puzzles!). Here's one most everybody is familiar with:
You can read their interesting review of One Flew Over the Cuckoo's Nest and Nurse Ratched here.
Ultimately, this organization's goal is to balance out the media portrayal of Nurses, and use the more positive image to recruit and retain Nurses. For any Nurse who feels stretched thin or overworked (umm...everybody), this is a relevant and worthy cause. Check out the site for much more detail and to make a donation.
By the way, I happened upon the Center through a link from the LiveSmarter blog. This is a young site without a lot of content yet, but I like the direction they're headed. The people at LiveSmarter are blogging about ways to improve your daily life, whether through finance, wellness, health or education. Similar to what we do here, many of their articles are about helping Nurses live better lives, and definitely worth a read. Two good ones to date are: 10 Terrible Patients and How to Deal with Them, and The 10 Most Important Political Issues for Nurses in 2008. Hopefully they'll keep writing and sharing more ideas.
Studies show just 10 minutes of exercise per day can have a dramatic effect versus a sedentary lifestyle.
The STAT Workout will work your entire body - legs, core muscles, chest and everything else - quickly and effectively, and won't leave you sweaty and gross, or without energy to finish your shift. Tired, yep, but fully ready to jump up and attend to a patient's needs.
So print out this article, stuff it in your work bag, and bring it out at work when you're ready to go. 10 minutes is all you'll need!
STAT WORKOUT #1Workout:
:30 Body Weight Squat

:30 Rest
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:30 Wall Squat
:30 Rest
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:30 Incline Push-Up
:30 Rest
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:30 Elbows-to-Knees March
:30 Rest
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:30 Shoulder Circles

:30 Rest
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Now REPEAT the entire sequence above.
That's your 10 minutes. Congrats - How'd you do?
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This blog is maintained by Re Vitals Nursing - www.revitals.com. Visit us!
(You can find more of these demos on YouTube.)
Pretty neat stuff. Who knows where this will go in the future - the possibilities are endless. Instead of getting continuing education credits online, you might visit a virtual simulation or classroom. Universities might use SL as part of the curriculum, helping teach students to deal with difficult patient situations. Hospitals will likely have a virtual version of their facility on SL and you could 'test drive' working on their unit prior to accepting a job in the Real World. New technologies may be introduced into the virtual world and reviewed by RNs prior to being installed or incorporated into Units in the Real World.
As a Nurse, it's worth knowing about this and understanding how it could affect your job in the future. Even if just for a little while, go sign up (it's free) and look around. Right now - at least from my perspective - SL is difficult to navigate and accomplish much. It's impossible, though, to not be impressed and be excited about where the technology might take us in the future.
By the way, if you do join, look me up and say hello: MikeD396 Meredith. My Avatar, below, is not as flashy and fancy as some of what I see in SL, but he'll get better. Right now he's basically a total disaster - I don't really know what to do with him. He mostly just stands around like a big lummox. But I'll work on him and try to make him cool. 
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This blog is maintained by Re Vitals Nursing - www.revitals.com. Visit us!
I found a neat new product in the grocery stores that is a PERFECT way for Nurses to eat healthy while at work. Most Nurses only have access to a break room with a small refrigerator and microwave. To pack a healthy meal usually means shoving a Lean Cuisine in your bag or a can of soup. While not the worst choices, both are high in sodium and generally low in fulfillment. I know personally, I would eat anything in sight a few hours later if that was dinner.
Ziploc has come out with a great item that will help you eat better at work. Their new Zip'n Steam bags might look like regular Ziploc bags, but they have patented vents that allow food to be steamed under pressure so that it is cooked thoroughly and evenly for healthy meals in the microwave.
I've tried using the bags to cook vegetables and even protein - like fish or chicken. Both recipes provided in the package turned out great - nothing was like eating cardboard. I was hesitant at first, thinking everything would taste like dog crap, but I was wrong.
It's easy to throw some stuff in the Ziploc bag - fish, chicken, fresh vegetables, etc - and bring everything to work with you. Cooking only takes a matter of minutes, and you get a healthy meal full of proteins and slow-digesting carbs that stays with you throughout the day.
Give them a try and see what you think. You can find the bags at your local grocery store in the Food Storage section (bags/wraps, etc) - where you would typically find Ziploc bags. Some retailers even place them in the Produce aisle, so look there too.
Ziploc's website has some good recipe ideas and more information about the product.