Transformation Nurse Academy

#40 Listener Q&A, A Serial Killer Nurse, and The Fight Against Alcoholism

First off, shoutout to all my listeners—y’all aren’t a huge crowd, but I love every single one of you. We’re keeping it real today, starting with a shoutout to @NoSaltBP.org, a nurse out of California who's got some fire questions. 
 
This leads us into a discussion on the challenges nurses face across different states, especially when dealing with male physicians—both addressing their wrongdoings and how both male and female physicians can protect themselves from harm while ensuring patient safety and care quality.
 
Next, we dive into the chilling case of William George Davis, a serial killer sentenced to death for murdering four patients by injecting air into their arterial systems. We reflect on the gravity of such horrific acts within our profession and the pressing need for accountability and safety in healthcare.
 
Lastly, we confront the critical issue of stress and alcoholism among nurses. I read an anonymous question from a listener struggling with these challenges, sparking a conversation about the pressures of nursing—understaffing, toxic workplace dynamics, and the importance of mental health support systems.s.
 
As we wrap up, I urge you to take action. If you're a nurse, speak up. Share your stories about unsafe assignments, stress, and how you cope. If you've faced something wild, drop a comment. Let’s build a community that stands up for what's right. And if you need a second chance, take it—there's no shame in getting help. Stay safe, stay strong, and keep fighting the good fight for your patients and yourself!
 
Topics Covered:
Patient safety and nurse-patient ratios
The case of William George Davis and its implications
Protecting male nurses during assessments
Coping with stress and alcoholism in nursing
The importance of community support among healthcare professionals
 
Timestamps: 
00:00:00 - Introduction to Transformation Nurse Academy Podcast00:00:32 - Sponsorship: Central Valley Medical Education00:02:28 - Listener Appreciation and Feedback00:03:41 - Discussion on Nurse Patient Ratios00:04:43 - Male RNs and Patient Assessments00:07:10 - Serial Killer Nurse, William George Davis’ case00:14:16 - Addressing Alcoholism and Stress in Nursing
 
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Level up your nursing skills with my FREE essential guides—covering adult triage, pediatric care, respiratory, and more. Download now and boost your expertise! 
 
Join our Facebook group and share your thoughts, experiences, and insights on transforming the nursing landscape and improving patient outcomes collectively. 
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#39 Judith Sobol- Former Homecare Nurse Convicted of Murder

In today’s episode, we dive into the shocking case of Judith Sobol, a former home health nurse who showed up to work high on methamphetamines, leading to the tragic death of a ventilator-dependent child. Sobol ended up convicted of second-degree murder, and her nursing license was permanently revoked.
We also talk about the severe consequences of substance abuse in healthcare, the need for better support systems for healthcare professionals, and the importance of maintaining high standards in patient care.
 
Key topics discussed:
Judith Sobol’s case
The consequences of substance abuse in healthcare
Systemic failures and the need for better support for nurses, emphasizing the importance of intervention programs, mental health support, and addiction counseling, especially for those in critical care.
Nursing boards and License revocation
 
Resources for Further Information:
Nursing Boards and Disciplinary Actions: Nurses who are involved in misconduct are often subject to review by state nursing boards, which have the authority to revoke licenses or impose other penalties. https://attorneyatlawmagazine.com/latest-articles/what-can-cause-a-nurse-to-lose-their-license
Sobol's Case Timeline and Details: https://www.freshrn.com/stories-of-nurses-losing-their-license/
 
 
 
Level up your nursing skills with my FREE essential guides—covering adult triage, pediatric care, respiratory, and more. Download now and boost your expertise! 
https://transformationnurseacademy.com/shop
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Join our Facebook group and share your thoughts, experiences, and insights on transforming the nursing landscape and improving patient outcomes collectively. 
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Join the conversation on our social media platforms!
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Facebook: https://www.facebook.com/Kevin.Stansbury.RN
 
 

#38 The Genitourinary System Unpacked: Key Insights for Healthcare Professionals

The genitourinary (GU) system plays a pivotal role in both waste elimination and reproduction. For healthcare professionals, particularly those in emergency and critical care settings, a thorough understanding of the anatomy and physiology of the GU system is indispensable. 
 
Today, we're going to get up close and personal with the Genitourinary (GU) system. We’re talking kidneys, ureters, bladder, and urethra—everything that helps keep waste in check and fluid levels steady. We’ll also dig into how male and female reproductive systems differ and why hormones like RAS and ADH are crucial for keeping blood pressure and fluid balance in line.
 
Why does this matter? Because understanding the GU system is key to handling everything from the usual urinary tract infections to serious stuff like acute kidney injuries and complex traumas.
 
And it’s not just about knowing what’s what; it’s about spotting those critical symptoms- watch for symptoms such as joint pain from gout, stay on top of kidney function, and perfect those catheterization skills. 
 
So whether you’re dealing with chronic issues or emergency situations, a deep dive into the GU system will help you deliver top-notch care.
 
Key topics discussed:
Anatomy of the GU system - kidneys, ureters, bladder, urethra.
How your body makes pee
GU trauma and disorders that'll mess you up
Assessing urine output
Why you need to stop inflating catheter balloons
Real-life scenarios 
 
 
Level up your nursing skills with my FREE essential guides—covering adult triage, pediatric care, respiratory, and more. Download now and boost your expertise! 
https://transformationnurseacademy.com/shop
 
 
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Join our Facebook group and share your thoughts, experiences, and insights on transforming the nursing landscape and improving patient outcomes collectively. 
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Join the conversation on our social media platforms!
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#37 Special | Sedation in a COPD Patient | Listener's Question

Do you know how to handle COPD patients during sedation without screwing up?
 
Today’s episode is a special one, thanks to a great question from Debbie Hasty, a longtime friend and a badass PACU/ICU nurse. Debbie wanted some clarity on what to do when a COPD patient on home oxygen starts to desaturate.
 
First off, let’s discuss GOLD standard. GOLD stands for the Global Initiative for Chronic Obstructive Lung Disease Classification. GOLD 1 is mild, GOLD 2 is moderate, GOLD 3 is severe, and GOLD 4 is very severe. Understanding the severity of COPD (GOLD 1 to GOLD 4) is crucial because it dictates how we manage sedation and oxygen therapy. If you don’t get this, you’re screwing up from the start.
 
We’ll discuss the importance of getting COPD under control before you start sedating anyone. Remember, patients are notoriously non-compliant. You’ve got to make sure they’re actually sticking to their regimen, or you’re setting yourself up for a world of trouble.
 
We'll also dive into how to handle potential desaturation, ensuring you monitor closely without tipping the balance. It’s not just about following protocols; it’s about managing the fine line between under-oxygenating and over-oxygenating to prevent complications and provide the best care possible.
 
Key Takeaways:
Know Your GOLD Standards: Understand the severity of COPD (GOLD 1 to GOLD 4) and its implications for sedation.
Sedation Strategies: Use the right sedatives like midazolam or dexmedetomidine to minimize respiratory impact.
Monitor Closely: Keep a close eye on oxygen levels and patient status, adjusting treatment as needed without over-oxygenating.
 
Other links and resources mentioned:
American Association of Moderate Sedation Nurses- https://aamsn.org/
Episode 35: The Essential Respiratory Assessment- https://podcasts.apple.com/us/podcast/35-the-essential-respiratory-assessment/id1714328671?i=1000666907322
 
Don’t let uncertainty put your patients at risk—dive into the resources, stay informed, and make every shift count. 
 
Level up your nursing skills with our FREE essential guides—covering adult triage, pediatric care, respiratory, and more. Download now and boost your expertise! https://transformationnurseacademy.com/shop
 
 
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Join our Facebook group and share your thoughts, experiences, and insights on transforming the nursing landscape and improving patient outcomes collectively. 
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Join the conversation on our social media platforms!
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#36 Patient Abandonment versus Refusal of an UnSafe Assignment

Do you know your rights when faced with Unsafe patient assignments?
 
In this episode, I’m diving deep into a critical issue that’s been making the rounds—patient abandonment versus refusing an unsafe assignment. If you’re a nurse and you’re not crystal clear on the difference, listen up.
 
I came across a TikTok video from a PICU nurse named Alex. She was about to be the only nurse on shift for a ridiculous number of patients—six, eight, maybe ten. And you know what she did? She said, "I’m not doing that shit," and walked out. Damn right, she did. If you think taking on that kind of load is okay, you need to check yourself. Alex’s story is a wake-up call for every nurse out there—don’t let anyone guilt you into compromising your license or your patients' safety.
 
This episode is all about arming you with the knowledge you need. We’re breaking down what patient abandonment really means and how it’s different from refusing an unsafe assignment. We’ll take a look at what states like California, Nebraska, Missouri, and Kentucky have to say about it. Spoiler alert: a lot of these states don’t know what the hell they’re doing either, but I’m here to help you navigate the bullshit.
 
So, whether you’re dealing with a supervisor who thinks they can push you around or you’re just trying to figure out where the line is between standing up for yourself and getting fired, this episode is for you. And let me be clear—getting fired is a hell of a lot better than losing your damn license.
 
Tune in, take notes, and then take action. It’s time to stop letting these so-called leaders throw us under the bus. They’ve got nursing licenses too, and they can damn well be reported just like you and me. So, listen up, bitches—it's time to transform nursing, one nurse at a time.
 
Other links and resources mentioned:
Episode 8. Advocates for Nurses with Maggie Ortiz- Utilize your knowledge of regulations and laws to stand up against unsafe work assignments and conditions. https://transformationnurseacademy.podbean.com/e/advocates-for-nurses-with-maggie-ortiz/
Episode 9. Reforming the ER: Bridging Patient Care and Research with Dr. Lisa Wolf- https://transformationnurseacademy.podbean.com/e/reforming-the-er-bridging-patient-care-and-research-with-dr-lisa-wolf/
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Join our Facebook group and share your thoughts, experiences, and insights on transforming the nursing landscape and improving patient outcomes collectively. 
https://www.facebook.com/groups/transformation.nurse.academy
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#35 The Essential Respiratory Assessment

How can a thorough respiratory assessment, including anatomy, lifestyle, and ABG interpretation, enhance a nurse's management of critical respiratory conditions?
 
Welcome back to the Transformation Nurse Academy podcast. This week, we're diving deep into the crucial topic of respiratory assessment—one that every nurse needs to master, especially in emergency and critical care settings.
 
We’ll cover the essential elements of respiratory assessment, from understanding the anatomy and physiology to the practical application of tools like ABG interpretation and pulse oximetry. I’ll also walk you through the nuances of assessing both the upper and lower airways, and we’ll discuss common respiratory conditions you’re likely to encounter in your practice.
 
Key topics discussed in the episode:
An in-depth look at the structures of the respiratory system, from the upper airway to the lower airway and lungs.
Understand the critical distinctions between different respiratory structures and their roles in breathing.
How to accurately assess respiratory function by observing breathing patterns, listening for abnormal sounds, and recognizing signs of distress.
The importance of understanding the patient’s history, current medications, and the implications of their living environment on respiratory health.
The significance of ABG interpretation and introduces his custom ABG analysis tool available on his website.
Insights into various oxygen delivery devices and their appropriate use based on the patient’s condition.
Resources Mentioned:
FREE Respiratory Assessment Guide: Download the 95-page guide for free at https://transformationnurseacademy.com/shop/ols/products/the-essential-respiratory-assessment-guide-a-comprehensive-resource-for-nurses-and-healthcare-professionals
 
ABG Interpretation Tool: Check out our tool for interpreting arterial blood gases at MoreThanCPR.com/ABG-Analysis.
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Join our Facebook group and share your thoughts, experiences, and insights on transforming the nursing landscape and improving patient outcomes collectively. 
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#34 From Mouth to Anus: Comprehensive GI Assessments for Nurses

Are You Equipped to Assess and Manage GI Tract Emergencies?
 
Today, we dive into a critical aspect of nursing care: assessing the gastrointestinal (GI) tract as part of a comprehensive head-to-toe examination.
 
The GI system is a complex network responsible for digesting food, absorbing nutrients, and eliminating waste. It includes essential organs such as the stomach, small and large intestines, liver, gallbladder, and pancreas. To provide accurate assessments and effective interventions, nurses must thoroughly understand the structure and function of these organs.
 
In this episode, we break down the GI system, starting with the mouth, where digestion begins with enzymes in saliva. We also explore the small intestine, which consists of the duodenum, jejunum, and ileum, and their roles in nutrient absorption. Understanding these areas is crucial, as dysfunction can lead to severe issues such as malnutrition and dehydration.
 
We also discuss the large intestine and how problems in this area can cause constipation, diarrhea, and other complications. Additionally, we highlight the important roles of the liver, gallbladder, and pancreas in the digestive process.
 
Furthermore, we examine the connection between the GI system and the immune system through the gut microbiome. Maintaining a healthy gut microbiome is essential for overall health and immune function. 
Nurses must recognize the gut biome’s role in immune responses to provide comprehensive patient care.
Key topics covered in this episode:
Understanding the anatomy and physiology of the GI system and its significance in nursing care.
The critical role of the small intestine in absorbing nutrients and the potential consequences of dysfunction.
How water and electrolyte absorption in the large intestine is vital, and the roles of the liver, gallbladder, and pancreas in digestion.
The connection between the gut biome and the immune system, and why it matters for overall health.
How to recognize and respond to this medical emergency to prevent complications like sepsis and organ failure.
 
Download our FREE comprehensive Gastrointestinal assessments guide to enhance your knowledge and skills in this crucial area of nursing! 
 
https://transformationnurseacademy.com/shop/ols/products/gastrointestinal-assessment-a-comprehensive-guide-for-nurses
Stay informed, stay prepared, and stay ahead in your nursing career!
Timestamps:
[00:02:40] Gastrointestinal assessment overview.
[00:06:00] Gastrointestinal tubes and their function.
[00:07:26] Digestive system and colostomy.
[00:11:20] Gut biome and health.
[00:16:10] GI tract assessment techniques.
[00:19:30] Diagnostic Tests in GI Issues.
[00:23:25] Perforated bowel complications.
[00:26:48] Prompt treatment for survival.
[00:29:15] Treatment protocols in critical care.
[00:32:39] Mastering GI assessment is crucial.
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Join our Facebook group and share your thoughts, experiences, and insights on transforming the nursing landscape and improving patient outcomes collectively. 
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#33 Mastering Cardiovascular Assessment: A Comprehensive Guide for Nurses

In this episode, we provide nurses with a comprehensive guide to mastering cardiovascular assessment, a crucial skill in the nursing profession.
 
We delve into the anatomy and physiology of the heart, explaining the cardiac cycle and discussing common cardiovascular diseases such as coronary artery disease, hypertension, and heart failure.
 
We emphasize the importance of prompt assessment and intervention in suspected myocardial infarction (MI), sharing a detailed case study to illustrate best practices. The episode also covers the significance of 12-lead EKGs, cardiac biomarkers, and percutaneous coronary intervention (PCI) in managing cardiovascular emergencies.
 
Additionally, we offer practical advice for conducting a thorough cardiovascular assessment, including history taking, physical examination, and medication considerations. We provide valuable tips to enhance assessment skills and improve patient outcomes, making this episode an essential resource for nurses seeking to deepen their understanding of cardiovascular health.
Key topics covered in this episode:
The anatomy of the heart, the cardiac cycle, and the electrical conduction system
Key components of the cardiovascular system and how to properly assess your patients to ensure no critical details are missed
A case study to illustrate the importance of quick action in suspected heart attacks
The importance of a comprehensive cardiovascular assessment in emergency and med-surg settings
 
Download our FREE comprehensive cardiovascular assessments guide to enhance your knowledge and skills in this crucial area of nursing! 
 https://transformationnurseacademy.com/shop/ols/products/comprehensive-cardiovascular-guide-for-nurses
Stay informed, stay prepared, and stay ahead in your nursing career!
Timestamps:
00:00:06 - Introduction to Transformation Nurse Academy Podcast
00:05:30 - Anatomy of the Heart and Blood Flow
00:10:50 - Cardiovascular Assessment and History Taking
00:16:10 - Case Study: Patient Presentation with Chest Pain
00:19:51 - Interpretation of 12-Lead EKG for MI
00:22:09 - Management of MI: Aspirin and PCI
00:23:22 - Comprehensive Guide and Medications for Cardiovascular Diseases
00:26:45 - Conclusion and Encouragement to Engage with Transformation Nurse Academy
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Join our Facebook group and share your thoughts, experiences, and insights on transforming the nursing landscape and improving patient outcomes collectively. 
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Join the conversation on our social media platforms!
 
TikTok: https://www.tiktok.com/@kevin.er.nurse
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#32 Neurological Assessment and Management In Nursing

How confident are you in your ability to perform a comprehensive neurological assessment?
 
As nurses, especially those in emergency and critical care, mastering accurate neurological assessments is crucial. These skills can significantly impact patient outcomes and the quality of care provided.
In this episode, we delve into the intricate world of neurological assessment, a vital component of nursing. Join us as we discuss the anatomy and physiology of the brain, explore critical nursing doctrines, and provide practical strategies for effective patient care.
 
We go in-depth exploration of the brain's key components: the cerebrum, cerebellum, and brainstem. We discuss their crucial roles in neurological function, providing a solid foundation for understanding complex neurological assessments.
 
We begin with an in-depth exploration of the brain's key components: the cerebrum, cerebellum, and brainstem. We explain their crucial roles in neurological function, laying a solid foundation for understanding complex neurological assessments.
 
Next, we discuss the Monroe Kelly Doctrine, emphasizing the importance of intracranial pressure, cerebral perfusion pressure, and mean arterial pressure. This segment highlights critical parameters every nurse should understand to manage neurological conditions effectively.
 
We also cover common neurological conditions such as epilepsy, Parkinson's disease, strokes, multiple sclerosis, and Alzheimer's disease. We provide valuable insights into assessing and managing these conditions, including the use of cognitive assessment tools like the MMSE and MOCA.
Key topics covered in this episode:
Anatomy and physiology of the brain
Monroe Kelly Doctrine and its significance
Common neurological conditions and their management
Cognitive assessment tools: MMSE and MOCA
Impact of medications on neurological function
Case studies: traumatic brain injury and ischemic stroke
Importance of continuous learning and best practices in nursing
 
Unlock the full potential of your nursing practice with our eBook, "Neurological Assessment and Management in Nursing.". 
 
This essential guide enhances your understanding and skills in comprehensive neurological assessments, focusing on the head and its critical components.
Get your FREE ebook here! 
 https://transformationnurseacademy.com/shop/ols/products/neurological-assessment-and-management-in-nursing
Join our Facebook group and share your thoughts, experiences, and insights on transforming the nursing landscape and improving patient outcomes collectively. 
https://www.facebook.com/groups/transformation.nurse.academy
Join the conversation on our social media platforms!
 
TikTok: https://www.tiktok.com/@kevin.er.nurse
Instagram: https://www.instagram.com/kevin_er_nurse/
Youtube: https://www.youtube.com/@KEVIN-ER-NURSE
Facebook: https://www.facebook.com/Kevin.Stansbury.RN
 

#31 Pediatric ESI Triage: A Complete Guide for Healthcare Professionals

 
How can we ensure the best care for our pediatric patients in emergency situations?
 
Whether you're a healthcare professional, parent, or caregiver, navigating pediatric emergencies can be daunting. Understanding the triage process can make all the difference in providing timely and effective care for children.
 
In this episode, we explore the Pediatric ESI Triage Tool, a critical system used to prioritize pediatric patients in emergency settings. We discussed the Pediatric Assessment Triangle, common pediatric scenarios, and the importance of initial assessments. We also introduced a free online tool and e-guide to help healthcare professionals accurately classify pediatric patients, ensuring timely and appropriate care.
Key topics covered in this episode:
Introduction to the Pediatric ESI Triage Tool
Importance of initial pediatric patient assessment
Pediatric Assessment Triangle: appearance, work of breathing, and skin circulation
Common pediatric scenarios and corresponding ESI levels
Free online tool and e-guide for the Pediatric ESI Triage System
Significance of efficient triage systems in identifying critical conditions in children
Differences between adult and pediatric triage
Communication challenges and physiological differences in pediatric assessments
Real-life pediatric case studies highlighting accurate triage decisions
 
To enhance your pediatric triage skills and improve patient outcomes, download our free e-book and utilize the Pediatric ESI Triage Tool.
Access the ESI Triage tool here! https://morethancpr.com/pediatric-ed-triage/
Get your comprehensive guide for Understanding the PEDIATRIC ESI Triage System here! 
 https://transformationnurseacademy.com/shop/ols/products/pediatric-esi-triage-a-complete-guide-for-healthcare-professionals
Join our Facebook group and share your thoughts, experiences, and insights on transforming the nursing landscape and improving patient outcomes collectively. 
https://www.facebook.com/groups/transformation.nurse.academy
Join the conversation on our social media platforms!
 
TikTok: https://www.tiktok.com/@kevin.er.nurse
Instagram: https://www.instagram.com/kevin_er_nurse/
Youtube: https://www.youtube.com/@KEVIN-ER-NURSE
Facebook: https://www.facebook.com/Kevin.Stansbury.RN