February 10, 2022 • 54 mins
I was introduced to the Wisdom App recently. This app was founded by Dayo Akinrinade and according to their website "Talk LIVE with experts on everything. Be Inspired by Social Audio on the world’s largest mentorship platform." Check it out here and on the Wisdom App.
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Episode Transcript
Available transcripts are automatically generated. Complete accuracy is not guaranteed.
Stacey Hobbick (00:34):
So here I am today. I guess I'm talking. No,
look, it does light up. Okay,cool. So this is Dr. Stacey
Hobbick. I have a podcast callednursing with Dr. Hobbick. And I
am a passionate nurse educatorand a passionate nurse. And I'm
just here hanging out today totalk about nursing and any kind
(00:56):
of nursing questions that youhave sort of hoping that maybe
some nursing students will findtheir way over here, so that I
can help them out. That's myfavorite thing to do. But if
there's a patient or to come ondown, let's talk. I'm still
figuring out how to use thisapp. So what kind of questions
do you have for a nurse? Whatkind of questions you have about
(01:16):
nursing? Have you ever wanted tobe a nurse? You ever wondered
how people actually make itthrough nursing school? That's
what I like to do. I like tohelp people get through nursing
school. I like to help patientswith health literacy. That's
something else that I'm reallypassionate about making sure
that people understand theirconditions that they understand
their medication regimens, thatthey understand their options so
(01:41):
that they can make informeddecisions about their health
care. I think thatunfortunately, this country
hasn't done a very good job ofeducating people on science and
biology and health literacy. Wecan see that even healthcare
workers don't understand some ofthe laws that surround health
care, like HIPAA. There's been alot of controversy about that
(02:02):
one in the news lately aboutwhether or not people can ask
you if you're vaccinated, whichis not a HIPAA violation. HIPAA
only really comes into play whenwe're talking about a health
care system, a health careprovider, your insurance
provider, I can't go to yourhealth care provider, your
doctor and say, Well, is thisperson vaccinated? That would be
(02:24):
a HIPAA violation. But I can askyou, you don't have to tell me
but I can ask you. It's not aviolation of HIPAA for me to ask
you that. Unfortunately, evenhealthcare workers don't
necessarily understand that one.
So I'm just hanging out today,trying to figure out how wisdom
works. I just got on here, itseems like a really fun app and
kind of hoping that somebodywants to listen. So thanks for
(02:47):
joining me, those who are hereright now, I thought maybe I
would just talk about my careerpath. I actually started nursing
when I was in my 20s, I hadthree children. One of them was
just turned a year old, had onewho was three and one that was
four, if I remember correctly,it seems like a long, long time
(03:09):
ago, little kids, I actually hadgone through quite a spurt of
major postpartum depressionafter my third child because
they were all really closetogether. I remember seeing a
mental health care professionalat the time. And she actually
told me that there were so manystressors in my life, that she
couldn't diagnose me withanything. After I had my kids,
and I discovered that in thearea I lived, there was no
(03:34):
option for a nurse midwife. Forthose who had Medicaid and in
Indiana, and still today,Medicaid will cover nurse
midwifery services, but theywon't.
Unknown (03:47):
They have to be a certified nurse midwife for
Medicaid. So there weren't anyin my area at the time. And I
thought, you know, this isreally something that should be
available, nurses thinkdifferently than doctors do. And
traditionally, the gynecologistobstetrician was for complicated
pregnancies, pregnancy andbirth, while it can have
(04:07):
certainly poor outcomes is notan unnatural process. And so
even according to the WorldHealth Organization, this
country has a much higher rateof C section and interventions.
interventions are things thatthat we do to help that birth
along or whatever, then then wereally should, and then the
(04:31):
research suggests that we shouldhave, and midwives maybe as an
answer to that. So I decided togo into nursing. You know, I had
big ideas and stars in my eyesand I thought I'm going to go in
and I'm going to become a nursemidwife, so that I can help
people in my area so I can addthis as a service and even then
there wasn't a school in Indianathat offered nurse midwifery
(04:54):
training there is now but therewasn't at the time. And because
I had little kids I decided thatI wanted to, you know, I'd go to
the community college and I'd gointo either the Licensed
Practical Nursing Program or theRegistered Nursing Program,
whichever one I could get infirst. I actually ended up
getting into the LPN programfirst, and at the time, I didn't
(05:15):
really understand the differencebetween the two. So I took my
prereqs I got into the LPN, Iwent ahead and started that. And
because I knew I wanted to be anurse midwife, and that required
a master's degree, I was alreadymaking plans to take my courses
that I would need for mybachelor's degree and how I was
going to move on from there. Iwas lucky that in Columbus,
(05:39):
Indiana, where I lived at thetime, and it's still there.
There's an Ivy Tech CommunityCollege of Indiana, which is
where I got my LPN and myassociate's degree of nursing,
which gives me my ability to sitfor the RN, the registered
nursing license. And it sitsright next to a joint venture
between Indiana University andPurdue University called IUPUI
(06:01):
or IUP. You see that one is inColumbus, it's called Indiana
University, Purdue University,Columbus. And they offered a
very easy pathway to go from IvyTech's associates to Indiana
University's bachelor's degree.
And, you know, it took me alittle while I kind of took the
long way because of the kids andeverything. But I did get
through my bachelor's degree.
(06:23):
And at that point, my momactually got sick, they lived in
the Carolinas and I was livingin Indiana with my three kids.
And mom got sick with cancer. SoI decided that I was going to
move and I knew I wanted to goto school to get my nurse
practitioner, nurse midwife, butthere was no way you could do
that and move at the same time,I couldn't keep residency, it
(06:46):
was going to cost me a lot ofmoney. So I decided to go to an
online school actually went toWestern Governors University and
got their master's degree innursing education is a fantastic
degree. I definitely recommendthe school I think they have the
they're not paying me to saythis, but I think they have the
the key to adult educationbecause it's competency based,
and you get a mentor who helpsyou through the school. They
(07:09):
stick with you through yourprogram. And after I got after I
finally finished that degree, Idecided I needed to use this
master's of nursing educationlike in a kid can't just get a
degree and not use it. Then myfull time job certainly didn't
require that degree. I wasworking as a nurse in a doctor's
office, I had a really good timein ambulatory care. That's what
(07:30):
we call it ambulatory meanswalking. And I had a really good
time there. Because I reallyenjoyed developing a
relationship with my patients, Ireally enjoyed the ability to
say, or to know that that ourpatients, the doctors in my
patients would say, well justsend it to Stacey, she'll take
care of it. I really liked thatI really liked developing that
(07:51):
relationship with them. So Istayed in that position. But I
went ahead and went looking fora position in a nursing school,
I actually found a nice positionin a Nurse Aide program. And I
started teaching there nights.
And it was like a light wentoff. It was amazing. I loved
teaching, I'd found I lovenursing, and now I love teaching
(08:11):
as well. It was fantastic. So Icontinued to do that for a while
and I was lucky enough to get afull time position at a nursing
school I taught in theirpractical nursing program I
taught in there sort of inalignment with the associate's
degree program. After that, Icontinued to work in telephone
(08:33):
triage and nursing and telephonetriage is, you know, when you
call your doctor's office afterhours around the weekend, and
you end up talking to a nurseWell, that's what I was doing.
And I enjoyed that as well. Youknow, you didn't really build a
relationship with the patients,but you did for a little bit,
you know, and you knew that youwere making a difference,
because, you know, maybe I couldgive some advice to first time
(08:55):
parents who are worried about afever and let them know, Hey,
it's okay. Kids get fevers. Ormaybe I was telling someone I
need you to hang up with me andcall 911 and I knew that I was
making a difference in people'slives. And sometimes there was a
little difference and sometimesthat was a big one. But I really
enjoyed that.
(09:15):
After that, I decided because mymom she had cancer. She had
endometrial cancer, and sheended up being re diagnosed it
reoccurred and, you know, I kindof thought she's always wanted
to live in Florida. Who knowshow long she's got left. So I
went looking for a position inFlorida and we moved down here I
(09:35):
work for a university now and Ireally enjoy that but I also
still work at the hospitalbecause again, I don't want to
get my foot out of that door. Ijust love taking care of my
patients. I go every weekend Iwork at on a medical surgical
floor which is what you wouldthink about as a normal hospital
position for a nurse. I dealwith all kinds of different
(09:55):
patients but I have such a goodtime. I love taking care of
pain. I love helping people, Ilove knowing that I've made a
difference. And my biggest thingas a nurse and as a nursing
instructor is to make sure thatmy students know that it's
always treat the patient first,you know, it's not, it's not
about what their, what theircondition is, it's about how
(10:18):
they're responding to it. Whenwe say that nursing is an art
and a science, that's reallywhat we're talking about, we're
talking about that, that piece,that caring piece, you know,
it's, I want my patients, nomatter how busy we are, no
matter how COVID has impactedthe hospital, I never want them
to think that I don't have timeto listen to them, I never want
(10:41):
them. I want them to feel likerather than they're my only
patient, you know, so I alwaystry to take my time. And let
them know that, you know, I'mthere for them. And I try to
listen to what they have to say.
And as I mentioned earlier, it'sreally important to me that they
understand what is going on withthem, right, I want them to know
what is happening, I always tryto break things down. I remember
a couple of times where I've hadinteractions with folks, you
(11:03):
know, over the phone orwherever, and I give them a
small take an extra five minutesand give a small little piece of
education, maybe somebody who'sgot high blood pressure. And I
talked to them about sodium andhow to read the sodium labels.
And the fact that a lot of thefood that we eat has a lot of
salt in it. And there is aconnection between high blood
pressure and salt intake. And inthis country, you know, we eat a
(11:25):
lot of salt, especially in ourfoods and older, older folks who
are maybe on a tight budget, andthey're buying pre pre packaged
foods. There's a lot of salt inthere. I remember one lady, she
bless her, she was so sweet. AndI took the time to talk to her
about that. And she said, No, Idon't remember exactly how many
years but she had beenhypertensive. In other words,
(11:45):
she had high blood pressure foryears. And she said, nobody's
ever had this discussion withme. And I always tell that story
to my students, because I alwaysthink about how many health care
providers let her down on theway through. And I don't know
that it's because, you know,they didn't think about it, or
they didn't have time. I think alot of times we take for granted
that people understand things.
(12:08):
And I know that one of thebiggest things that I got out of
nursing school was, was reallyhow much I didn't know, before I
went to nursing school, how muchI didn't know about my own
health, about other people'shealth. The other thing I got
was really kind of anunderstanding of how much we
actually don't know about thehuman body and how it works in
(12:30):
medicine. I mean, there isn'treally any time where you can
say, well, we're just going tototally cure all these things.
You look atresistant organisms, bacteria is
becoming resistant. I mean, justlook at this COVID thing, right?
I don't want to talk aboutcoding too much. I don't want to
get political, but just thinkingabout this and thinking about
how it works. I mean, I'm not anepidemiologist, but we can see
(12:51):
that it's mutating as it goes.
And you know, things likeStaphylococcus aureus if you've
ever heard of Mersa what thatmeans Mersa MRSA is methicillin
resistant, Staphylococcusaureus. And most of the
literature agrees that thereason that we have these things
partially is because, you know,people get their antibiotics,
(13:13):
and they don't take them all.
They think, well, I feel better,I don't have to keep taking
them. Or, you know, I'm notafraid to admit, it's really
hard for me to remember to takethose pills. And I know better,
right? I have all thiseducation. So I don't know, just
making sure that everybodyunderstands what's going on. I
think it's really important.
And, you know, I like to makesure that my students understand
(13:34):
things really well, too. So, sothat's me in a nutshell. I'm
just hanging out here. I'mtrying to poke my buttons and
see if there's a way that I canask people to join me, but I
haven't figured that one outyet. So sorry guys who are
hanging out there listening tome babble today. I have this
little sleeping cat, but itdoesn't seem to let me invite
anyone in. So anyway, I hopethat you're all having a good
(13:58):
day. Today I am working onlectures. For some medications.
I'm actually teachingpharmacology this session. And
I'm teaching a class calledchronic, who kind of talk about
chronic medical conditions, butreally just kind of diseases
that we see in patients. I'll betalking about electrolyte
imbalances next week for mychronic students and talking
(14:22):
about Anticholinergics andcholinergic medications for
pharmacology. So that's what I'mworking on today. I like to
include the content for thestudents actually, that's why I
started my podcast and that'show I found wisdom. Somebody
sent me an email and told me toclean my podcast here. I started
the podcast nursing with Dr.
Hobbick, so that the studentscould have another place to go
(14:42):
get their information for class.
And so the podcast episodes areactually just my courses, my
lectures, shrunk down so thatthey would be less than 15 or so
minutes. My last one fluidbalance was 22. But that's
because it's a pretty complextopic. So we're working on
electrolytes for the students.
So that, you know, well, anybodywho listens can kind of get an
(15:05):
idea. I try to make it easy foranybody to understand not just
the nursing students who've hadanatomy and physiology and
biology, I want everybody to beable to understand this. I think
that everyone could make betterdecisions about their lives and
their health if they understood.
I mean, it's easy for everybodyto say, okay, yes, smoking is
(15:26):
associated with cancer. But Iremember somebody that I knew
who, who, who was a smoker, andwho ended up with bladder
cancer, and she was surprisedthat smoking was associated with
bladder cancer. I remember theday that she came up to me,
she's like, did you know that?
And I think, like I said, Ithink that this country doesn't
(15:47):
do a really good job at teachinghealth literacy to people. The
American Medical Association,it's kind of an old video, but
they put together a video onhealth literacy. And there's,
you can search it on YouTube,American Medical Association,
health literacy. And in thatvideo, there are some folks who
just blow me away, I always showit to my students, because I
(16:08):
want them to know that we shouldnever assume that people know
things, we should always startdown here in the conversation,
and let them tell us if theyalready know that, because in
that video, you know, there'ssome folks, there's, there's one
guy who I think it's a nursepractitioner, or a physician
who's asking him what he thinksabout hypertension. Hypertension
(16:30):
is a term that we use for highblood pressure. And he says,
hyper, like hyperactive, that'swhat he thinks about. So however
long she had been treating himfor hypertension, he didn't know
that that was the condition thathe had that that was the word
for it. And another one, excuseme, is a lady who talks about,
(16:51):
she's got medication labels, andit says to ticket twice a day,
but it doesn't say, you know,one in the morning, or one in
the evening, or one in themorning or one in the afternoon.
So in the video, she says shejust takes two in the morning,
so that she knows she's had onfor the day. And
that's the kind of stuff that Itry to tell my students like,
(17:13):
you just can't assume thatpeople know what it means we can
take it for granted. I mean,this is true in any any field.
But you know, we're talkingabout health and medicine, we're
talking about people's bodiesand their lives. So we need to
be really cautious about how weeducate our patients. So that's
one reason why I thought I wouldstart the podcast and I thought
I would get on here and chat.
Maybe eventually I'll figure outhow to open this for guests. So
(17:35):
I'm sorry, I can't figure thatout right now. I'll play with it
later. It looks like I actuallygot folks listening. Thanks for
coming on and listening to mebabble. Today, I'm just sitting
here working on lectures. Myname is Dr. Stacey Hobbick. And
I'm a nurse educator, I have aDoctorate of Nursing Practice,
that doesn't mean I'm a nursepractitioner, my DNP is in
educational leadership, becauseit's one of my passions. And I
(18:00):
still work on the floor as anurse about once once a week,
just because I love it so much.
And I'm really passionate aboutnursing and taking care of
folks. And I know that thatevery hospital in the area can
use a nurse right now. So youknow, keeping myself out there.
And it also keeps me up to dateon what's going on in
(18:21):
healthcare. And I can talk to mystudents about what is actually
happening in the local hospitalsand what policies they're going
to see out there. And what whatkind of patients we're seeing,
and it always gives me storiesto bring back to my students so
that I can, you know, tell themwhat it's really like, or tell
them why this week, I talked tothem about fluid balance in the
(18:42):
body. And it gives me a chanceto say, you know, I took care of
a patient this weekend that thisinformation applies to, and you
know, an adult education, that'sthe best thing you can do make
this information, tell me howthis is relevant. Why do I need
to know this? I'm sure everybodywho's listening can remember a
time when they went, Okay, I'mgoing to learn this, and I'm
(19:02):
never going to use it. But yeah,at least in nursing school that
I teach, there's nothing thatyou won't ever use. There's
always stuff that you'll need.
And so I always try to give themsome stories so that they can
know how, how or why it'srelevant, why it's important for
us to you know, be careful aboutmedications that we check them
often that we look at themedicine in our hands that we
(19:24):
think about it critically, isthis medicine appropriate for
this patient so that we don'tmake a medication error. If for
those listening, if you haven'tread the Institute of Medicines
report called To err is human.
You should look it up and readit and that is, I believe 10
years old this year or more. Andthat was really when the public
(19:48):
came on. Hey, somebody wants totalk to me. Cool. I think I said
it was okay. Oh, well. I guess Imissed it. Anyway, Oh, hey,
Daniel F. Harb (20:01):
hey Stacy, how are you?
Unknown (20:03):
I'm good. You're my first person to talk with. Oh,
yay.
Daniel F. Harb (20:07):
Congratulation graduations? Yeah, either. Well,
I haven't thrown scrubs on forabout a year and a half or so
since I founded my, myCalifornia LLC. I own a real
estate investment company. Buteven so I'll never let my
license go. My licenses and CT,diagnostic radiology X ray. And
I just want to say, You knowwhat, God bless you. This world
(20:30):
needs our nurses. Some nurseshave worked, but not most.
They're basically they're,they're angels with wings, you
know, they had their wingsunderneath their blues or
whatever color scrubs you'rewearing. I mean, I've spoken
with nurses that with tears intheir eyes, they say, This is my
calling. This is my calling andtaking good care of people and
(20:51):
help people heal. And nurses areamazing.
Unknown (20:55):
Thank you. I think that most nurses are, you know,
exactly like you said, we wereally feel called to it. That's
one of the reasons that eventhough I'm full time educator, I
still work on the floor, justbecause that's my jam. You know,
I love to help people. Sothat's so wonderful. I remember
one nurse in the ER, shehonestly she was an angel from
(21:15):
heaven. She worked so hard, andpeople adored her. And she
actually got this plaque up onthe wall for her but she was a
little bit embarrassed. She'slike, don't don't do that. But
she loved your patients so mucha homeless man came in. And
obviously the feet werecompletely filthy, you know,
overgrown, and just, I mean, inhonestly nasty feet. But she
took the time to, to wash hisfeet to bathe his feet to take
(21:39):
good care of them, and just, youknow, clip the nails and so on.
So much. So it's I mean, she'sthe lady faith. So it's, of
course, I'm going to wash thisperson's feet. You know what I
mean? Yeah. Wonderful, wonderfulnurses. So kudos to you for
being up here. That's awesome.
Stacey Hobbick (21:58):
Hey, thank you so much. I appreciate it.
Unknown (22:01):
Sure, sure. Good luck to you. And are you fairly new
here to wisdom?
Yeah, this is my first timehaving a talk on here. So
wow, awesome. You love it here.
The the founder Daya akonadi.
For this is one of her multipleapps he has but this one, and
the mission statement forwisdom. The application is
democratizing access tomentorship. And you can find
(22:25):
mentors across the board here.
And it's wonderful. So welcome.
Well, thank you.
Thank you. This is exactly thekind of thing that I wanted, you
know, that I was looking to do.
I've created social media acrossthe board trying to reach out to
nursing students, not just mine,but anybody you know.
Exactly. And you know, I've beenhere since day one since that
(22:45):
Tuesday, October 12, about fourmonths ago or so. And I fell in
love with it because there'sgood here. And honestly, there's
there's mentoring, mentoring foranything you can think of, you
know, it's it's mind blowingthat it there's so much here
about life and wellness about,you know, nurses about radiate,
you know, radiologists, there'sdoctors, there's nurses there.
(23:08):
There's attorneys, there'ssurgeons, you know, food and
travel, education, technology,and so on love and family. It's
huge here. Yeah, fantastic.
Yeah, never blabbering from me,but let's hear from you. You
know, we love our professors orin our nursing professors, and
we love our radiology directors,that people that taught us and,
(23:28):
you know, you're blessed becauseof that, you know, good for you.
Well, thank you so much. I thinkI'm just blessed for being able
to work in this field and beingable to have the great students
that I have, and you know,having this great calling, it's
fantastic.
That's awesome. So you're,you're another angel with the
(23:49):
wings are hiding underneath yourscrubs. There. You got those
angel wings, Stacey. Thank you.
So good luck to you. You'rewelcome. And we'll see you
around here on wisdom. Okay.
Yeah, sure. Okay, take care now.
You too. Bye.
Well, that was that was awesome.
Thanks so much for coming on andchatting with me. You know, that
just really kind of points out.
(24:12):
That's exactly why I've beenstarting the the social media
stuff is because there's a lotof stuff available out there. A
lot of it you have to pay forbut I don't want to focus on
just nursing students. I wantall of this education to be
available for anybody who wantsit. You know, I like I said
earlier, I think that healthliteracy is not something that
(24:34):
this country has done a verygood job in education, and
hopefully, you know, we can makesome difference, make some
changes in that. I hope that Ican start my research going that
way. I'm a new new researcher.
So hopefully I can get going onfinding ways to increase access
for students. That's anotherthing that I've really noticed
(24:56):
that a lot of my Students fromtechnical schools, it's been
very different. I've moved intoa university environment and I
have traditional students inseeing the massive difference
between those students who are aminority that I took the you
(25:17):
know that I was teaching ineither a private school or a
technical college. And thestudents in a traditional
setting, it's, it's mind blowingthe difference between their
preparation and at the sametime, it just starkly highlights
for me what we need to do abouteducation in this country, I am
(25:39):
used to educating my studentsnot just on nursing, but on how
to study how to manage theirtime how to successfully read a
textbook or take notes. Andthat's not something I have to
do for the students in theuniversity. And so for me, that
is just really a call to action,not just for the public
(26:00):
understanding their healthliteracy. But folks, we've got
to do something about education.
And it really is true that thereare huge differences in your
abilities. I mean, we all wantto think the American dream. But
people who are minorities,people who grow up in poor
neighborhoods, they are at adisadvantage period. They can't
(26:21):
just come to nursing school andbe successful. In fact, my
doctoral project was based onrisk for attrition in nursing
students, because I would watchthese students that I knew were
brilliant, that understood thecontent that I could talk with,
and we could come up withfantastic ways of helping our
patients with nursinginterventions. But they couldn't
(26:43):
take a test. And so they wouldfail out of the program. I mean,
some of these folks had hadother degrees. And it's just, I
guess, some some things need tochange. And we really need to
get on this. You know, educationneeds to become more important
in this country. I really hateto think we have this nursing
(27:05):
shortage. And we have all ofthese folks. I mean, if you look
at the nursing demographics,you'll flat out see that it is
not representative of ourpopulation. And that is
something that we need to workon. Not only is it that we don't
have enough nurses of color tobe representative, we don't have
(27:26):
enough men. Men are a minorityin the nursing profession. So I
think that that's something thatwe need to work on. I know
plenty of men who are fantasticnurses, I know lots of people of
color, who are fantastic nurses.
In fact, I can think of a womanwho has an LPN license, which
(27:47):
means she had one year ish likehe, about a year 12 months of
education. She's an LPN. Now,she knows more than I have ever
known. Because she worked on thefloor, she's a person of color,
and she worked on the floor. Sheworked in the ICU at a local
little rural hospital. But Iwould always tell my students
would come in and I'd say, yousee her, you do whatever she
(28:09):
says, she knows more than I'veever known. She's forgotten more
than I've ever known. And Ithink part of the problem is
that public education does notprepare people, some public
education doesn't prepare them,you know, if they're first time
college students, their familydoesn't know how to support them
the right way. And I reallythink that it behooves us in
(28:31):
college in college, who werethose of us who work with
colleges, to make it moreaccessible to find those things
that are barriers for people andhelp. That was why it was so
important to me, I would alwaysmake sure that I was accessible
to my students. I know people, Ihear a lot of instructors, a lot
of professors, they say thingslike, Well, I'm not going to be
(28:54):
available 24/7 I need some kindof a, a line to draw. But you
know what, I knew that mystudents, not the traditional
students, but the ones beforewhen I worked in private
schools, or in technicalcolleges, those folks, they had
kids, they had jobs, they hadabout, you know, an hour to
(29:14):
study or to do whatever it wasthat they needed to do for my
class to understand the content.
And I always told them, I I wantto be available. I understand
because when I went to nursingschool, I had three kids, you
have this much time I hold myfingers up little tiny bit of
time to get your stuff done. Andyou're looking at something and
trying to understand a conceptand you send me an email asking
(29:36):
about it and if I don't answerit, so you send it to me on
Friday night and I don't answeryou till Monday. Well, you've
already lost all your time tostudy it doesn't do any good for
me to answer you then so alwaystry to answer my students. I
tell them you know, I know howto turn my phone on Do Not
Disturb you can text me you canemail me whenever. I don't think
that that's stepping over theline from nurse to A colleague,
(29:57):
you know, not not fraternizingor anything like that. I think
it's being available for mystudents. This is a different
age. This is a new age, whereinformation is available and
some information is not correct.
So I always want my students toknow that, you know, that's what
you're paying me for. That'swhat you're here in school, and
you're paying me to be an expertfor you. You're paying me to
(30:22):
facilitate your education. And Iwant to be available when you
need me to be, I want to helpyou make your little bit of time
you have to spend on thateducation. feasible, realistic.
I don't know what word I'mlooking for, I guess, most
efficient. So I try to beavailable. Obviously, I'm not
(30:43):
going to answer a message if I'masleep. And I always tell him
that, but I'll answer him firstthing in the morning. And of
course, since I work on thefloor, I try to warn him, I'm
working on the floor on Sunday,I'm not going to be able to
answer your messages during thattime. And it's funny, you know,
all these instructors andprofessors that I've ever worked
with, and they're always like,well, students email me all the
time at inappropriate times. Youknow what, my students never
(31:04):
take advantage of it. I've beendoing this for 10 years now. And
I've never had students who tookit over the line who, who were
not respectful or who, you know,messaged me too much. In fact, I
sometimes have to fight withthem. Like guys, I'm available.
You don't have to sit there andpull your hair out. The worst
thing I could ever think of is astudent trying to understand a
(31:25):
concept that they're strugglingwith and pulling their hair out
or trying to figure out how todo an assignment or something
like that. I never want to thinkthat my students are struggling
like that, like, like, you feellike you're pulling your hair
out, you need to send me amessage so that I can help you.
That's what I'm here for. Oh,hey, Emily wants to come talk to
me. Oh, it's gonna count down.
That's pretty cool. Hey, Emily,how are you?
Emily Mooney (31:54):
Hello. Hey, how are you? Emily? I'm good. Hey,
I'm driving right now, I hopeit's not too noisy. But I had a
question for you that I foundjust as a nurse, nurses during
the pandemic that didn't get inperson clinicals. And now
they're coming to the floor withall these poor nurses that are
(32:15):
already in having to basicallybe mentored right there. With no
law enforcement knowledge ofwhat would have been in their
clinical?
Unknown (32:29):
Yeah, that's a good question. So that's something
that obviously is a uniqueproblem to the last couple of
years. And the interesting thingis, is that I actually, I don't
know if you heard earlier, but Istill work on the floor on
weekends, I work on a med floor.
And I actually have formerstudents that are working with
me. And I've been able to seesome of those impacts. For the
last couple years, we've beenteaching fundamentals. So I
(32:52):
haven't really had a whole lotof control over the last end of
the program. For those listeningwho don't know, fundamentals,
obviously fundamental. It's likeone of the first classes you
take in nursing school. Butthese students are these folks
that I'm working with, you know,they actually have impressed me,
they have been able to come inand pick it up pretty quickly.
But also the hospital that Iwork for has a pretty robust
(33:14):
residency program. So I'm goingto explain for those who don't
know, this is a transition topractice programs. So they come
in, and they get to be pairedwith a single nurse, and they
work with that nurse. And thatnurse slowly lets them kind of
off the leash and mentors themthroughout the time. And they
actually take extra classes. AndI think that you know that Emily
(33:36):
has been a problem for a longtime, there is a big gap between
the end of nursing school andpassing NCLEX and being able to
practice as a confident nurse.
And I think that's one of thereasons that the NCSBN, the
National Council, State Boardsof Nursing is changing the
NCLEX. I don't know if you'veheard that, but they're trying
(33:58):
to target more clinicalreasoning and judgment making.
But this is a big problem. Thesestudents who haven't had the
opportunity to have experiences,and even then, right now we're
seeing for schools, we're seeinghospitals that I'm in Florida,
in Northeast Florida. So ourhospitals have been kind of
overrun in the last six monthsor so. And these students are
(34:21):
even if they're being allowed onthe floor, the floors are saying
things like all of our nursesare travelers. We can't keep
your students or Yeah, yeah,because they don't, they don't
want the travelers aren'tgetting paid for that. And they
don't know what the policiesare. And the other thing is that
we have one big hospital systemhere that has said, okay, the
(34:42):
students need to be assigned toone patient. And so now we have
students who have one patientfor a whole 12 hour shift and
they're not allowed to followthe nurses. And I think that's
almost more detrimental than ifI could have them in a
simulation lab, you know,focused learning around some
kind of major thing, but what doyou think Emily? What do you
(35:02):
think is the answer? What do youthink we can do in education to
help out those folks on thefloor?
Man, I just think, I think themost important part, no, I went
to I went to the University ofMichigan. So I got my BSN. And I
got all that theory, which wasto say, all that, that's not
really important. I felt that itwas I appreciated my education.
(35:22):
But I did most of my learning,after I graduated, you know, cuz
you, you're never really putinto those dynamic patient care
situations until you're reallyin a good clinical control.
concerned me that these fourstudents, I mean, it was always
a hard concert to bring into,right, because they always
(35:43):
kittens. Now, I'm hoping thatwell, maybe this pandemic will
change that nasty culture,because they really need these
new bodies coming in. Yeah,getting the mentoring that they
need. And I just, you know, Ijust worry so much for the
public, because it's greatresignations, that has gone on
efforts of demoralizing,demoralizing injury by the
(36:06):
corporations that we work for, Ijust see that all of these
hospital structures are dinosaurik, and they're interested and
they're gonna, they're gonnafall into the entropy that they
should, because when the insertis creating the plan of care,
put them into I can't believethe public isn't more irate. I
(36:28):
actually, there is a wholesystem overhaul that has to be
done here. And I'm hoping thatthis pandemic will be the, the
opportunity that we have, andyou know, I 20 years researching
clinical drug trials andmonitoring those. So when I
entered the hospital system,again, to help during the COVID
effort, I want to see how brokenthose nurses already were by
(36:52):
working in that you'll see justasking for their own safety
needs to be met. Oh, concerns meabout the culture of nursing,
that they have been so beatendown by the system that they
don't have a voice. And so I'mhoping that the new the new
people coming in, not needingthat old coaster of dissing it's
(37:12):
young will be able to helpstretch and profit. You know?
Yeah, absolutely. I agree. Ithink I've been saying for a lot
of years. So you know, thesystem needs to be overhauled,
but I don't have the answer. Idon't know. I don't know what my
answer is. I think that that's,you know, one of the big
problems,I really, really liked the
things that Benjamin Carson hadto say about how to fix this way
(37:34):
back in the 90s. When I saw himat a conference, they let the
nursing students cannot speakand I heard the guy who was
tapped out of that doctor whohad that integrative Wellness
Center in Kentucky that theymade the movie about. Yeah. Like
to mention that I wrote about itmy journal, I want to actually
(37:57):
I'm leaving the healthcaresystem now to do an RN
integrative wellness coachingprogram, because I want to get
back to the fundamentals ofnursing, which was preventing
disease in the first place andnot getting hooked on
pharmaceutical protect, as youknow, yeah. Oh, I know, there
was another nurse talk and Iknew someone I'm so happy to
find you. Hey,this is my first talk. So they
(38:18):
found my podcast and sent me aninvitation. I was like, Oh, this
sounds like a great idea. I lovethis.
Well, you. And thank you forletting me up and I'll let you
down. Welcome to Wisdom. It's agreat community.
Stacey Hobbick (38:34):
Alrighty, thank you so much for coming on. I
appreciate it.
Emily Mooney (38:37):
Thanks. Take care.
You too.
Unknown (38:44):
All right. So that was, that was a good chat with Emily.
I'm appreciative that she cameon, I'll have to follow her so I
can catch her and see what she'stalking about. But Thanks all
for coming in here. I'm justkind of babbling today. Like I
said, this is my first timehaving a talk on wisdom. And so
far I've really enjoyed it. Ilike being able to interact with
(39:04):
other people. And you know,Emily's, right. The nurses are
pretty burnt out, they're woredown. I can say that the nurses
I work with on my floor. There'sbeen a couple of times where we
had 24 beds on our floor, and wehad three nurses and one of
those nurses was our chargenurse and I can't stress to you
(39:26):
how unsafe that was I actuallyhad. I don't want to talk about
it too much. But you know, wewould have patients who were not
really medically stable, whichisn't the kind of patient that
we should have, especially if wehave eight patients, charge
nurses not available to help youout. If something happens if a
code happened, it would be areally bad situation. None of
(39:46):
the other patients would reallyget taken care of and this is
something that's come out ofthis pandemic, but it's not the
only thing to come out of thepandemic. I know that I recently
overheard somebody that I knowwas talking about How many
patients the nurses weretypically assigned? And I think
she was saying five years ago onthat floor, we were typically
(40:09):
assigned maybe four or fivepatients. And now we regularly
get six. And sometimes we geteight depending on how short we
are, in fact, a trend I don'tknow if Emily knows this, but
there's a trend now where thenurses are going back to a team,
not the nurses, the hospitalsare going back to a team nursing
model. And they're hiring LPNs.
And while we used to have thismodel, I'm concerned about it
(40:31):
not saying LPNs are bad Istarted as an LPN, LPN are
fantastic. And I think that thisis something that we could make
work. But I think that thehospitals are maybe going about
it the wrong way. They're hiringthese LPNs, who, because of the
way that they've been treated asnurses, because the hospitals
have kind of pushed them out fora long time, have never worked
(40:51):
in that kind of an environment,they've been in long term care
with patients who are, you know,either, well, medically stable
anyways, so they haven't reallyhad to manage some of the
conditions that we have to dealwith or watch for on in the
hospital. And I feel likethey're just saying, Okay, well
come on down, you, we'll justput you on the floor. But they
(41:12):
don't, they don't have that thatexperience, they don't have that
knowledge. And I really thinkthat they should be doing, you
know, like a residency programlike they do for the brand, the
new graduates. Now, I can't sayfor sure. I don't know exactly
what all they're doing. I know,I did work for a hospital
locally that was using that kindof model. And it was chaotic. It
was it actually made me questionwhether or not I could still do
(41:36):
floor nursing. So, you know,folks are listening. Emily's
totally right, we do need tooverhaul the system, the way
that it's working right now isjust not sustainable. I don't
know how long it can last ifthis. You know, it was stressful
long before. Most people in thecountry, at least I think have
(41:58):
heard that there's a nursingshortage. Part of the reason
there's a nursing shortage isbecause there's a shortage of
faculty. And one of the reasonsthere's a shortage of faculty is
because I make the same amountworking on the floor as a nurse
where I only had to have abachelor's degree at most, as I
do teaching students where Ihave to have a doctorate. And I
have several certifications. Youknow, that's not really a good
(42:23):
model. If you do want people tospend 1000s of dollars on
education to come and educatefor you, when I could still make
the same amount. And you know, Icould work a couple extra days
and make overtime, I couldprobably make more working on
the floor than I do as aneducator. And so we've got this
shortage of educators becausethey're not valued, they're not
paid well.
(42:47):
And we could, frankly, make moremoney educating in the hospital
or, you know, doing somethingelse. So that drives into the
nursing shortage. We've got thisshortage of nurses. And part of
the reason is because peoplecome into it, and they say, holy
moly, this is not okay. And theyleave. In fact, we have not only
all these new new folks that gothrough nursing school, they
(43:09):
graduate, and they just leavethe bedside completely during
their first year, they don'tstay. And we have this mass
exodus in the last at leastyear, maybe two years of nurses
leaving the floor and going notjust into another nursing
position, but leaving itcompletely. I think Emily said
(43:30):
she's leaving the bedside to dosomething else. It sounds like
she's doing health care, butshe's not working as a nurse
with patients in the hospital.
You know, this is something thathas become common, I think I've
seen some places call it ahemorrhage hospitals are
hemorrhaging nurses. And youknow, I'm a little concerned
about what's going on withcapping pays. I'm not sure how
y'all feel about that. But I'm alittle concerned about you know,
(43:53):
capping even if they're talkingabout capping what the my brains
not working right now, what theorganizations can charge the
hospitals for the nurses totravel nurses, you know, that's
not going to affect those folksare higher up that's going to
get passed on to the nurses andnurses are leaving to go travel
(44:13):
because I'll tell you this, if Iwas making $40 an hour as a
nurse, on a weekend shift, thetravelers making 100 So why why
would I stay when all that I'mgetting from my hospital is you
know, treated poorly and put inunsafe situations, take care of
my patients. When I could gowork as a traveler in the same
(44:39):
conditions but make a lot moremoney. So you can see that this
is really something that doesneed to be overhauled the whole
system. I don't know I just Ifeel like there's a lot of
things wrong and I don't havethe right answer for any of it.
I don't have the right answerfor insurance and health care. I
don't have the right answer forfixing education in the country.
I don't Have the right answerfor, you know, making tuition
(45:00):
more affordable, but making surethat we can hire good
professionals to educate ourstudents. I don't I don't have
the answers, you know, but I domy best. I try to educate my
students and make sure that theytake good care of their patients
as best they can. And like Isaid earlier, I always try to
make sure that my patients feellike they're my only patient,
(45:21):
you know, like, they're my onlypatient, I never want them to
feel like, like, I'm rushed. Idon't want them to think that.
So I always take my time withthem. And sometimes it's because
you know, they need it.
Sometimes I'm there just tolisten, and that's okay. I'm
just really passionate about it.
And, you know, I wish, I wish wecould fix it. I wish I had the
(45:43):
magic wand that can fixeverything and make nursing
perfect. But it's right. We'relosing nurses. And there's a lot
of things that we need to doabout that. Hey, somebody else
wants to come talk to me. Dr.
Rao. Come on down. I think ithas to do a countdown thing real
quick.
Dr. Rao (46:06):
Hello, stay there. How are you? Oh. Can you hear me?
Stacey Hobbick (46:16):
I'm not hearing you. Hold on.
Connected. Hey, Dr. Brown, howare you?
Dr. Rao (46:24):
I'm good. How are you?
Unknown (46:26):
I am wonderful. It's good to see some other
professionals on here. And areyou a healthcare professional?
Or?
Dr. Rao (46:33):
Yeah, I'm a physician.
Ah, so
Stacey Hobbick (46:36):
how are you today?
Unknown (46:38):
I'm good. I'm good. So you are a nurse? Yeah. I know
the field. Yeah, I find themvery stressed out and burned
out, to sympathize with them andgrapple with them when they're
(47:01):
working all the time. SoI relied on participation so
that I think we need the of theold time back now very, very
much the patient that it might.
If I wanted to know about thepatient, kabocha was going on? I
(47:24):
looked at the nice. Yeah,exactly. I don't understand are
the fields have become products?
Now production? arrangement, norecognitions. But then a
reminder. Really give us theenjoy. Right. Yeah. I just want
(47:47):
to meet you and say hi. Thankyou. Too much.
Yeah. So there's, there'sshortage of family, family
(48:09):
physicians in this country. And,you know, and it's, for the same
reasons, you know, I don't knowif the folks listening know, but
the physicians in the hospital,they're taking care so many
patients, and that's why that'swhy you have to ask the nurse
because I've got six or eightpatients, but you've got, I
don't even know how many, somany more, right. So
(48:30):
the time this brand is a lotmore than the physician, you
know, the clinic apart but inthe hospital when it comes,
there are only so much time tofinish that the patient breezing
through relying on informationfrom everybody else. Sorry, they
can see a lot more from theoffice. But then, before I saw
(48:54):
when I practiced with papercharts, and we really wanted to
interviewI did some I did work with a
physician in primary care for awhile and I think even there
though he was pushed too far.
You know, they just kept hewasn't his own practice. He
(49:17):
worked for a big healthcaresystem and and we just would see
so many patients and he was sucha great physician because if one
of his patients called and saidthey were sick, you'd say okay,
we'll tell him to come up andwe'll squeeze him in. But you
know, then we'd end up with we'dbe behind and patients are angry
and it's like, well, he's takenthe same time with his patients
that he will with you. But I youknow, I would see him working
(49:41):
late I'd leave and he's stillthere. I get there and he's
already there, you know, workingway more than I ever did. That's
for sure.
was much easier to follow themfor hours that consider this
hospital system. kind of brokethat.
(50:03):
Yeah, yeah. Yeah, it's like Isaid, I don't know what the fix
is.
No, I talked about the selfresilience that all the health
workers develop. And that meansgive yourself at least a I've
talked about comprehensive. Ithink we need it, we deserve it.
(50:27):
Yeah, absolutely. And also bringthe release attitude back, you
know, we are basically most ofthe doctors nurses enroll,
because they also so that kindof thing also helps us or why
those two things. I myselftrack, then it brings me back to
(50:53):
all comments. eat when you'rehungry, and empty your mind? No.
And exercise optimally. Theseare the things I kind of choose.
And then when we do that, atleast, what five minutes a day
we can spare for ourselves.
Yeah. Now, we'll be sentearlier, I believe. Well, nice
talking to you. I just wanted tosay hello to another healthcare
(51:20):
professional. So I came up.
Well, thank you. I appreciate itso much. Dr. Rowe. Yeah. Okay.
This is a fantastic app, I thinkI've already met three people.
So today's my first day, doing alive talk here on wisdom. And,
(51:44):
gosh, I'm so surprised. There'sso many people who are here with
me. Now I'm just here babblingabout nursing. So hey, thanks
for all being here. And Iappreciate it. And I hope it's
okay for me to say if you wantto check out my podcast, it's
nursing with Dr. Hobbick, whereI just really talk about the
concepts that I'm teaching mystudents right now, every week
(52:05):
that I add to it. That'sactually what I taught my
students in lecture that week,just kind of shortened to try to
keep them less than 15 or 20minutes. And anyway, it's pretty
fun. I've got to go. I gottawork on lecture for next week.
But I appreciate everybody who'sbeen listening to me babble. And
I'm looking forward to havinganother one of these talks and
(52:25):
seeing who I can chat with. Andanyway, thanks for coming out
today. And I hope you all have awonderful day, and I'll see you
next time.
So here I am today. I guess I'm talking. No,
look, it does light up. Okay,cool. So this is Dr. Stacey
Hobbick. I have a podcast callednursing with Dr. Hobbick. And I
am a passionate nurse educatorand a passionate nurse. And I'm
just here hanging out today totalk about nursing and any kind
(00:56):
of nursing questions that youhave sort of hoping that maybe
some nursing students will findtheir way over here, so that I
can help them out. That's myfavorite thing to do. But if
there's a patient or to come ondown, let's talk. I'm still
figuring out how to use thisapp. So what kind of questions
do you have for a nurse? Whatkind of questions you have about
(01:16):
nursing? Have you ever wanted tobe a nurse? You ever wondered
how people actually make itthrough nursing school? That's
what I like to do. I like tohelp people get through nursing
school. I like to help patientswith health literacy. That's
something else that I'm reallypassionate about making sure
that people understand theirconditions that they understand
their medication regimens, thatthey understand their options so
(01:41):
that they can make informeddecisions about their health
care. I think thatunfortunately, this country
hasn't done a very good job ofeducating people on science and
biology and health literacy. Wecan see that even healthcare
workers don't understand some ofthe laws that surround health
care, like HIPAA. There's been alot of controversy about that
(02:02):
one in the news lately aboutwhether or not people can ask
you if you're vaccinated, whichis not a HIPAA violation. HIPAA
only really comes into play whenwe're talking about a health
care system, a health careprovider, your insurance
provider, I can't go to yourhealth care provider, your
doctor and say, Well, is thisperson vaccinated? That would be
(02:24):
a HIPAA violation. But I can askyou, you don't have to tell me
but I can ask you. It's not aviolation of HIPAA for me to ask
you that. Unfortunately, evenhealthcare workers don't
necessarily understand that one.
So I'm just hanging out today,trying to figure out how wisdom
works. I just got on here, itseems like a really fun app and
kind of hoping that somebodywants to listen. So thanks for
(02:47):
joining me, those who are hereright now, I thought maybe I
would just talk about my careerpath. I actually started nursing
when I was in my 20s, I hadthree children. One of them was
just turned a year old, had onewho was three and one that was
four, if I remember correctly,it seems like a long, long time
(03:09):
ago, little kids, I actually hadgone through quite a spurt of
major postpartum depressionafter my third child because
they were all really closetogether. I remember seeing a
mental health care professionalat the time. And she actually
told me that there were so manystressors in my life, that she
couldn't diagnose me withanything. After I had my kids,
and I discovered that in thearea I lived, there was no
(03:34):
option for a nurse midwife. Forthose who had Medicaid and in
Indiana, and still today,Medicaid will cover nurse
midwifery services, but theywon't.
Unknown (03:47):
They have to be a certified nurse midwife for
Medicaid. So there weren't anyin my area at the time. And I
thought, you know, this isreally something that should be
available, nurses thinkdifferently than doctors do. And
traditionally, the gynecologistobstetrician was for complicated
pregnancies, pregnancy andbirth, while it can have
(04:07):
certainly poor outcomes is notan unnatural process. And so
even according to the WorldHealth Organization, this
country has a much higher rateof C section and interventions.
interventions are things thatthat we do to help that birth
along or whatever, then then wereally should, and then the
(04:31):
research suggests that we shouldhave, and midwives maybe as an
answer to that. So I decided togo into nursing. You know, I had
big ideas and stars in my eyesand I thought I'm going to go in
and I'm going to become a nursemidwife, so that I can help
people in my area so I can addthis as a service and even then
there wasn't a school in Indianathat offered nurse midwifery
(04:54):
training there is now but therewasn't at the time. And because
I had little kids I decided thatI wanted to, you know, I'd go to
the community college and I'd gointo either the Licensed
Practical Nursing Program or theRegistered Nursing Program,
whichever one I could get infirst. I actually ended up
getting into the LPN programfirst, and at the time, I didn't
(05:15):
really understand the differencebetween the two. So I took my
prereqs I got into the LPN, Iwent ahead and started that. And
because I knew I wanted to be anurse midwife, and that required
a master's degree, I was alreadymaking plans to take my courses
that I would need for mybachelor's degree and how I was
going to move on from there. Iwas lucky that in Columbus,
(05:39):
Indiana, where I lived at thetime, and it's still there.
There's an Ivy Tech CommunityCollege of Indiana, which is
where I got my LPN and myassociate's degree of nursing,
which gives me my ability to sitfor the RN, the registered
nursing license. And it sitsright next to a joint venture
between Indiana University andPurdue University called IUPUI
(06:01):
or IUP. You see that one is inColumbus, it's called Indiana
University, Purdue University,Columbus. And they offered a
very easy pathway to go from IvyTech's associates to Indiana
University's bachelor's degree.
And, you know, it took me alittle while I kind of took the
long way because of the kids andeverything. But I did get
through my bachelor's degree.
(06:23):
And at that point, my momactually got sick, they lived in
the Carolinas and I was livingin Indiana with my three kids.
And mom got sick with cancer. SoI decided that I was going to
move and I knew I wanted to goto school to get my nurse
practitioner, nurse midwife, butthere was no way you could do
that and move at the same time,I couldn't keep residency, it
(06:46):
was going to cost me a lot ofmoney. So I decided to go to an
online school actually went toWestern Governors University and
got their master's degree innursing education is a fantastic
degree. I definitely recommendthe school I think they have the
they're not paying me to saythis, but I think they have the
the key to adult educationbecause it's competency based,
and you get a mentor who helpsyou through the school. They
(07:09):
stick with you through yourprogram. And after I got after I
finally finished that degree, Idecided I needed to use this
master's of nursing educationlike in a kid can't just get a
degree and not use it. Then myfull time job certainly didn't
require that degree. I wasworking as a nurse in a doctor's
office, I had a really good timein ambulatory care. That's what
(07:30):
we call it ambulatory meanswalking. And I had a really good
time there. Because I reallyenjoyed developing a
relationship with my patients, Ireally enjoyed the ability to
say, or to know that that ourpatients, the doctors in my
patients would say, well justsend it to Stacey, she'll take
care of it. I really liked thatI really liked developing that
(07:51):
relationship with them. So Istayed in that position. But I
went ahead and went looking fora position in a nursing school,
I actually found a nice positionin a Nurse Aide program. And I
started teaching there nights.
And it was like a light wentoff. It was amazing. I loved
teaching, I'd found I lovenursing, and now I love teaching
(08:11):
as well. It was fantastic. So Icontinued to do that for a while
and I was lucky enough to get afull time position at a nursing
school I taught in theirpractical nursing program I
taught in there sort of inalignment with the associate's
degree program. After that, Icontinued to work in telephone
(08:33):
triage and nursing and telephonetriage is, you know, when you
call your doctor's office afterhours around the weekend, and
you end up talking to a nurseWell, that's what I was doing.
And I enjoyed that as well. Youknow, you didn't really build a
relationship with the patients,but you did for a little bit,
you know, and you knew that youwere making a difference,
because, you know, maybe I couldgive some advice to first time
(08:55):
parents who are worried about afever and let them know, Hey,
it's okay. Kids get fevers. Ormaybe I was telling someone I
need you to hang up with me andcall 911 and I knew that I was
making a difference in people'slives. And sometimes there was a
little difference and sometimesthat was a big one. But I really
enjoyed that.
(09:15):
After that, I decided because mymom she had cancer. She had
endometrial cancer, and sheended up being re diagnosed it
reoccurred and, you know, I kindof thought she's always wanted
to live in Florida. Who knowshow long she's got left. So I
went looking for a position inFlorida and we moved down here I
(09:35):
work for a university now and Ireally enjoy that but I also
still work at the hospitalbecause again, I don't want to
get my foot out of that door. Ijust love taking care of my
patients. I go every weekend Iwork at on a medical surgical
floor which is what you wouldthink about as a normal hospital
position for a nurse. I dealwith all kinds of different
(09:55):
patients but I have such a goodtime. I love taking care of
pain. I love helping people, Ilove knowing that I've made a
difference. And my biggest thingas a nurse and as a nursing
instructor is to make sure thatmy students know that it's
always treat the patient first,you know, it's not, it's not
about what their, what theircondition is, it's about how
(10:18):
they're responding to it. Whenwe say that nursing is an art
and a science, that's reallywhat we're talking about, we're
talking about that, that piece,that caring piece, you know,
it's, I want my patients, nomatter how busy we are, no
matter how COVID has impactedthe hospital, I never want them
to think that I don't have timeto listen to them, I never want
(10:41):
them. I want them to feel likerather than they're my only
patient, you know, so I alwaystry to take my time. And let
them know that, you know, I'mthere for them. And I try to
listen to what they have to say.
And as I mentioned earlier, it'sreally important to me that they
understand what is going on withthem, right, I want them to know
what is happening, I always tryto break things down. I remember
a couple of times where I've hadinteractions with folks, you
(11:03):
know, over the phone orwherever, and I give them a
small take an extra five minutesand give a small little piece of
education, maybe somebody who'sgot high blood pressure. And I
talked to them about sodium andhow to read the sodium labels.
And the fact that a lot of thefood that we eat has a lot of
salt in it. And there is aconnection between high blood
pressure and salt intake. And inthis country, you know, we eat a
(11:25):
lot of salt, especially in ourfoods and older, older folks who
are maybe on a tight budget, andthey're buying pre pre packaged
foods. There's a lot of salt inthere. I remember one lady, she
bless her, she was so sweet. AndI took the time to talk to her
about that. And she said, No, Idon't remember exactly how many
years but she had beenhypertensive. In other words,
(11:45):
she had high blood pressure foryears. And she said, nobody's
ever had this discussion withme. And I always tell that story
to my students, because I alwaysthink about how many health care
providers let her down on theway through. And I don't know
that it's because, you know,they didn't think about it, or
they didn't have time. I think alot of times we take for granted
that people understand things.
(12:08):
And I know that one of thebiggest things that I got out of
nursing school was, was reallyhow much I didn't know, before I
went to nursing school, how muchI didn't know about my own
health, about other people'shealth. The other thing I got
was really kind of anunderstanding of how much we
actually don't know about thehuman body and how it works in
(12:30):
medicine. I mean, there isn'treally any time where you can
say, well, we're just going tototally cure all these things.
You look atresistant organisms, bacteria is
becoming resistant. I mean, justlook at this COVID thing, right?
I don't want to talk aboutcoding too much. I don't want to
get political, but just thinkingabout this and thinking about
how it works. I mean, I'm not anepidemiologist, but we can see
(12:51):
that it's mutating as it goes.
And you know, things likeStaphylococcus aureus if you've
ever heard of Mersa what thatmeans Mersa MRSA is methicillin
resistant, Staphylococcusaureus. And most of the
literature agrees that thereason that we have these things
partially is because, you know,people get their antibiotics,
(13:13):
and they don't take them all.
They think, well, I feel better,I don't have to keep taking
them. Or, you know, I'm notafraid to admit, it's really
hard for me to remember to takethose pills. And I know better,
right? I have all thiseducation. So I don't know, just
making sure that everybodyunderstands what's going on. I
think it's really important.
And, you know, I like to makesure that my students understand
(13:34):
things really well, too. So, sothat's me in a nutshell. I'm
just hanging out here. I'mtrying to poke my buttons and
see if there's a way that I canask people to join me, but I
haven't figured that one outyet. So sorry guys who are
hanging out there listening tome babble today. I have this
little sleeping cat, but itdoesn't seem to let me invite
anyone in. So anyway, I hopethat you're all having a good
(13:58):
day. Today I am working onlectures. For some medications.
I'm actually teachingpharmacology this session. And
I'm teaching a class calledchronic, who kind of talk about
chronic medical conditions, butreally just kind of diseases
that we see in patients. I'll betalking about electrolyte
imbalances next week for mychronic students and talking
(14:22):
about Anticholinergics andcholinergic medications for
pharmacology. So that's what I'mworking on today. I like to
include the content for thestudents actually, that's why I
started my podcast and that'show I found wisdom. Somebody
sent me an email and told me toclean my podcast here. I started
the podcast nursing with Dr.
Hobbick, so that the studentscould have another place to go
(14:42):
get their information for class.
And so the podcast episodes areactually just my courses, my
lectures, shrunk down so thatthey would be less than 15 or so
minutes. My last one fluidbalance was 22. But that's
because it's a pretty complextopic. So we're working on
electrolytes for the students.
So that, you know, well, anybodywho listens can kind of get an
(15:05):
idea. I try to make it easy foranybody to understand not just
the nursing students who've hadanatomy and physiology and
biology, I want everybody to beable to understand this. I think
that everyone could make betterdecisions about their lives and
their health if they understood.
I mean, it's easy for everybodyto say, okay, yes, smoking is
(15:26):
associated with cancer. But Iremember somebody that I knew
who, who, who was a smoker, andwho ended up with bladder
cancer, and she was surprisedthat smoking was associated with
bladder cancer. I remember theday that she came up to me,
she's like, did you know that?
And I think, like I said, Ithink that this country doesn't
(15:47):
do a really good job at teachinghealth literacy to people. The
American Medical Association,it's kind of an old video, but
they put together a video onhealth literacy. And there's,
you can search it on YouTube,American Medical Association,
health literacy. And in thatvideo, there are some folks who
just blow me away, I always showit to my students, because I
(16:08):
want them to know that we shouldnever assume that people know
things, we should always startdown here in the conversation,
and let them tell us if theyalready know that, because in
that video, you know, there'ssome folks, there's, there's one
guy who I think it's a nursepractitioner, or a physician
who's asking him what he thinksabout hypertension. Hypertension
(16:30):
is a term that we use for highblood pressure. And he says,
hyper, like hyperactive, that'swhat he thinks about. So however
long she had been treating himfor hypertension, he didn't know
that that was the condition thathe had that that was the word
for it. And another one, excuseme, is a lady who talks about,
(16:51):
she's got medication labels, andit says to ticket twice a day,
but it doesn't say, you know,one in the morning, or one in
the evening, or one in themorning or one in the afternoon.
So in the video, she says shejust takes two in the morning,
so that she knows she's had onfor the day. And
that's the kind of stuff that Itry to tell my students like,
(17:13):
you just can't assume thatpeople know what it means we can
take it for granted. I mean,this is true in any any field.
But you know, we're talkingabout health and medicine, we're
talking about people's bodiesand their lives. So we need to
be really cautious about how weeducate our patients. So that's
one reason why I thought I wouldstart the podcast and I thought
I would get on here and chat.
Maybe eventually I'll figure outhow to open this for guests. So
(17:35):
I'm sorry, I can't figure thatout right now. I'll play with it
later. It looks like I actuallygot folks listening. Thanks for
coming on and listening to mebabble. Today, I'm just sitting
here working on lectures. Myname is Dr. Stacey Hobbick. And
I'm a nurse educator, I have aDoctorate of Nursing Practice,
that doesn't mean I'm a nursepractitioner, my DNP is in
educational leadership, becauseit's one of my passions. And I
(18:00):
still work on the floor as anurse about once once a week,
just because I love it so much.
And I'm really passionate aboutnursing and taking care of
folks. And I know that thatevery hospital in the area can
use a nurse right now. So youknow, keeping myself out there.
And it also keeps me up to dateon what's going on in
(18:21):
healthcare. And I can talk to mystudents about what is actually
happening in the local hospitalsand what policies they're going
to see out there. And what whatkind of patients we're seeing,
and it always gives me storiesto bring back to my students so
that I can, you know, tell themwhat it's really like, or tell
them why this week, I talked tothem about fluid balance in the
(18:42):
body. And it gives me a chanceto say, you know, I took care of
a patient this weekend that thisinformation applies to, and you
know, an adult education, that'sthe best thing you can do make
this information, tell me howthis is relevant. Why do I need
to know this? I'm sure everybodywho's listening can remember a
time when they went, Okay, I'mgoing to learn this, and I'm
(19:02):
never going to use it. But yeah,at least in nursing school that
I teach, there's nothing thatyou won't ever use. There's
always stuff that you'll need.
And so I always try to give themsome stories so that they can
know how, how or why it'srelevant, why it's important for
us to you know, be careful aboutmedications that we check them
often that we look at themedicine in our hands that we
(19:24):
think about it critically, isthis medicine appropriate for
this patient so that we don'tmake a medication error. If for
those listening, if you haven'tread the Institute of Medicines
report called To err is human.
You should look it up and readit and that is, I believe 10
years old this year or more. Andthat was really when the public
(19:48):
came on. Hey, somebody wants totalk to me. Cool. I think I said
it was okay. Oh, well. I guess Imissed it. Anyway, Oh, hey,
Daniel F. Harb (20:01):
hey Stacy, how are you?
Unknown (20:03):
I'm good. You're my first person to talk with. Oh,
yay.
Daniel F. Harb (20:07):
Congratulation graduations? Yeah, either. Well,
I haven't thrown scrubs on forabout a year and a half or so
since I founded my, myCalifornia LLC. I own a real
estate investment company. Buteven so I'll never let my
license go. My licenses and CT,diagnostic radiology X ray. And
I just want to say, You knowwhat, God bless you. This world
(20:30):
needs our nurses. Some nurseshave worked, but not most.
They're basically they're,they're angels with wings, you
know, they had their wingsunderneath their blues or
whatever color scrubs you'rewearing. I mean, I've spoken
with nurses that with tears intheir eyes, they say, This is my
calling. This is my calling andtaking good care of people and
(20:51):
help people heal. And nurses areamazing.
Unknown (20:55):
Thank you. I think that most nurses are, you know,
exactly like you said, we wereally feel called to it. That's
one of the reasons that eventhough I'm full time educator, I
still work on the floor, justbecause that's my jam. You know,
I love to help people. Sothat's so wonderful. I remember
one nurse in the ER, shehonestly she was an angel from
(21:15):
heaven. She worked so hard, andpeople adored her. And she
actually got this plaque up onthe wall for her but she was a
little bit embarrassed. She'slike, don't don't do that. But
she loved your patients so mucha homeless man came in. And
obviously the feet werecompletely filthy, you know,
overgrown, and just, I mean, inhonestly nasty feet. But she
took the time to, to wash hisfeet to bathe his feet to take
(21:39):
good care of them, and just, youknow, clip the nails and so on.
So much. So it's I mean, she'sthe lady faith. So it's, of
course, I'm going to wash thisperson's feet. You know what I
mean? Yeah. Wonderful, wonderfulnurses. So kudos to you for
being up here. That's awesome.
Stacey Hobbick (21:58):
Hey, thank you so much. I appreciate it.
Unknown (22:01):
Sure, sure. Good luck to you. And are you fairly new
here to wisdom?
Yeah, this is my first timehaving a talk on here. So
wow, awesome. You love it here.
The the founder Daya akonadi.
For this is one of her multipleapps he has but this one, and
the mission statement forwisdom. The application is
democratizing access tomentorship. And you can find
(22:25):
mentors across the board here.
And it's wonderful. So welcome.
Well, thank you.
Thank you. This is exactly thekind of thing that I wanted, you
know, that I was looking to do.
I've created social media acrossthe board trying to reach out to
nursing students, not just mine,but anybody you know.
Exactly. And you know, I've beenhere since day one since that
(22:45):
Tuesday, October 12, about fourmonths ago or so. And I fell in
love with it because there'sgood here. And honestly, there's
there's mentoring, mentoring foranything you can think of, you
know, it's it's mind blowingthat it there's so much here
about life and wellness about,you know, nurses about radiate,
you know, radiologists, there'sdoctors, there's nurses there.
(23:08):
There's attorneys, there'ssurgeons, you know, food and
travel, education, technology,and so on love and family. It's
huge here. Yeah, fantastic.
Yeah, never blabbering from me,but let's hear from you. You
know, we love our professors orin our nursing professors, and
we love our radiology directors,that people that taught us and,
(23:28):
you know, you're blessed becauseof that, you know, good for you.
Well, thank you so much. I thinkI'm just blessed for being able
to work in this field and beingable to have the great students
that I have, and you know,having this great calling, it's
fantastic.
That's awesome. So you're,you're another angel with the
(23:49):
wings are hiding underneath yourscrubs. There. You got those
angel wings, Stacey. Thank you.
So good luck to you. You'rewelcome. And we'll see you
around here on wisdom. Okay.
Yeah, sure. Okay, take care now.
You too. Bye.
Well, that was that was awesome.
Thanks so much for coming on andchatting with me. You know, that
just really kind of points out.
(24:12):
That's exactly why I've beenstarting the the social media
stuff is because there's a lotof stuff available out there. A
lot of it you have to pay forbut I don't want to focus on
just nursing students. I wantall of this education to be
available for anybody who wantsit. You know, I like I said
earlier, I think that healthliteracy is not something that
(24:34):
this country has done a verygood job in education, and
hopefully, you know, we can makesome difference, make some
changes in that. I hope that Ican start my research going that
way. I'm a new new researcher.
So hopefully I can get going onfinding ways to increase access
for students. That's anotherthing that I've really noticed
(24:56):
that a lot of my Students fromtechnical schools, it's been
very different. I've moved intoa university environment and I
have traditional students inseeing the massive difference
between those students who are aminority that I took the you
(25:17):
know that I was teaching ineither a private school or a
technical college. And thestudents in a traditional
setting, it's, it's mind blowingthe difference between their
preparation and at the sametime, it just starkly highlights
for me what we need to do abouteducation in this country, I am
(25:39):
used to educating my studentsnot just on nursing, but on how
to study how to manage theirtime how to successfully read a
textbook or take notes. Andthat's not something I have to
do for the students in theuniversity. And so for me, that
is just really a call to action,not just for the public
(26:00):
understanding their healthliteracy. But folks, we've got
to do something about education.
And it really is true that thereare huge differences in your
abilities. I mean, we all wantto think the American dream. But
people who are minorities,people who grow up in poor
neighborhoods, they are at adisadvantage period. They can't
(26:21):
just come to nursing school andbe successful. In fact, my
doctoral project was based onrisk for attrition in nursing
students, because I would watchthese students that I knew were
brilliant, that understood thecontent that I could talk with,
and we could come up withfantastic ways of helping our
patients with nursinginterventions. But they couldn't
(26:43):
take a test. And so they wouldfail out of the program. I mean,
some of these folks had hadother degrees. And it's just, I
guess, some some things need tochange. And we really need to
get on this. You know, educationneeds to become more important
in this country. I really hateto think we have this nursing
(27:05):
shortage. And we have all ofthese folks. I mean, if you look
at the nursing demographics,you'll flat out see that it is
not representative of ourpopulation. And that is
something that we need to workon. Not only is it that we don't
have enough nurses of color tobe representative, we don't have
(27:26):
enough men. Men are a minorityin the nursing profession. So I
think that that's something thatwe need to work on. I know
plenty of men who are fantasticnurses, I know lots of people of
color, who are fantastic nurses.
In fact, I can think of a womanwho has an LPN license, which
(27:47):
means she had one year ish likehe, about a year 12 months of
education. She's an LPN. Now,she knows more than I have ever
known. Because she worked on thefloor, she's a person of color,
and she worked on the floor. Sheworked in the ICU at a local
little rural hospital. But Iwould always tell my students
would come in and I'd say, yousee her, you do whatever she
(28:09):
says, she knows more than I'veever known. She's forgotten more
than I've ever known. And Ithink part of the problem is
that public education does notprepare people, some public
education doesn't prepare them,you know, if they're first time
college students, their familydoesn't know how to support them
the right way. And I reallythink that it behooves us in
(28:31):
college in college, who werethose of us who work with
colleges, to make it moreaccessible to find those things
that are barriers for people andhelp. That was why it was so
important to me, I would alwaysmake sure that I was accessible
to my students. I know people, Ihear a lot of instructors, a lot
of professors, they say thingslike, Well, I'm not going to be
(28:54):
available 24/7 I need some kindof a, a line to draw. But you
know what, I knew that mystudents, not the traditional
students, but the ones beforewhen I worked in private
schools, or in technicalcolleges, those folks, they had
kids, they had jobs, they hadabout, you know, an hour to
(29:14):
study or to do whatever it wasthat they needed to do for my
class to understand the content.
And I always told them, I I wantto be available. I understand
because when I went to nursingschool, I had three kids, you
have this much time I hold myfingers up little tiny bit of
time to get your stuff done. Andyou're looking at something and
trying to understand a conceptand you send me an email asking
(29:36):
about it and if I don't answerit, so you send it to me on
Friday night and I don't answeryou till Monday. Well, you've
already lost all your time tostudy it doesn't do any good for
me to answer you then so alwaystry to answer my students. I
tell them you know, I know howto turn my phone on Do Not
Disturb you can text me you canemail me whenever. I don't think
that that's stepping over theline from nurse to A colleague,
(29:57):
you know, not not fraternizingor anything like that. I think
it's being available for mystudents. This is a different
age. This is a new age, whereinformation is available and
some information is not correct.
So I always want my students toknow that, you know, that's what
you're paying me for. That'swhat you're here in school, and
you're paying me to be an expertfor you. You're paying me to
(30:22):
facilitate your education. And Iwant to be available when you
need me to be, I want to helpyou make your little bit of time
you have to spend on thateducation. feasible, realistic.
I don't know what word I'mlooking for, I guess, most
efficient. So I try to beavailable. Obviously, I'm not
(30:43):
going to answer a message if I'masleep. And I always tell him
that, but I'll answer him firstthing in the morning. And of
course, since I work on thefloor, I try to warn him, I'm
working on the floor on Sunday,I'm not going to be able to
answer your messages during thattime. And it's funny, you know,
all these instructors andprofessors that I've ever worked
with, and they're always like,well, students email me all the
time at inappropriate times. Youknow what, my students never
(31:04):
take advantage of it. I've beendoing this for 10 years now. And
I've never had students who tookit over the line who, who were
not respectful or who, you know,messaged me too much. In fact, I
sometimes have to fight withthem. Like guys, I'm available.
You don't have to sit there andpull your hair out. The worst
thing I could ever think of is astudent trying to understand a
(31:25):
concept that they're strugglingwith and pulling their hair out
or trying to figure out how todo an assignment or something
like that. I never want to thinkthat my students are struggling
like that, like, like, you feellike you're pulling your hair
out, you need to send me amessage so that I can help you.
That's what I'm here for. Oh,hey, Emily wants to come talk to
me. Oh, it's gonna count down.
That's pretty cool. Hey, Emily,how are you?
Emily Mooney (31:54):
Hello. Hey, how are you? Emily? I'm good. Hey,
I'm driving right now, I hopeit's not too noisy. But I had a
question for you that I foundjust as a nurse, nurses during
the pandemic that didn't get inperson clinicals. And now
they're coming to the floor withall these poor nurses that are
(32:15):
already in having to basicallybe mentored right there. With no
law enforcement knowledge ofwhat would have been in their
clinical?
Unknown (32:29):
Yeah, that's a good question. So that's something
that obviously is a uniqueproblem to the last couple of
years. And the interesting thingis, is that I actually, I don't
know if you heard earlier, but Istill work on the floor on
weekends, I work on a med floor.
And I actually have formerstudents that are working with
me. And I've been able to seesome of those impacts. For the
last couple years, we've beenteaching fundamentals. So I
(32:52):
haven't really had a whole lotof control over the last end of
the program. For those listeningwho don't know, fundamentals,
obviously fundamental. It's likeone of the first classes you
take in nursing school. Butthese students are these folks
that I'm working with, you know,they actually have impressed me,
they have been able to come inand pick it up pretty quickly.
But also the hospital that Iwork for has a pretty robust
(33:14):
residency program. So I'm goingto explain for those who don't
know, this is a transition topractice programs. So they come
in, and they get to be pairedwith a single nurse, and they
work with that nurse. And thatnurse slowly lets them kind of
off the leash and mentors themthroughout the time. And they
actually take extra classes. AndI think that you know that Emily
(33:36):
has been a problem for a longtime, there is a big gap between
the end of nursing school andpassing NCLEX and being able to
practice as a confident nurse.
And I think that's one of thereasons that the NCSBN, the
National Council, State Boardsof Nursing is changing the
NCLEX. I don't know if you'veheard that, but they're trying
(33:58):
to target more clinicalreasoning and judgment making.
But this is a big problem. Thesestudents who haven't had the
opportunity to have experiences,and even then, right now we're
seeing for schools, we're seeinghospitals that I'm in Florida,
in Northeast Florida. So ourhospitals have been kind of
overrun in the last six monthsor so. And these students are
(34:21):
even if they're being allowed onthe floor, the floors are saying
things like all of our nursesare travelers. We can't keep
your students or Yeah, yeah,because they don't, they don't
want the travelers aren'tgetting paid for that. And they
don't know what the policiesare. And the other thing is that
we have one big hospital systemhere that has said, okay, the
(34:42):
students need to be assigned toone patient. And so now we have
students who have one patientfor a whole 12 hour shift and
they're not allowed to followthe nurses. And I think that's
almost more detrimental than ifI could have them in a
simulation lab, you know,focused learning around some
kind of major thing, but what doyou think Emily? What do you
(35:02):
think is the answer? What do youthink we can do in education to
help out those folks on thefloor?
Man, I just think, I think themost important part, no, I went
to I went to the University ofMichigan. So I got my BSN. And I
got all that theory, which wasto say, all that, that's not
really important. I felt that itwas I appreciated my education.
(35:22):
But I did most of my learning,after I graduated, you know, cuz
you, you're never really putinto those dynamic patient care
situations until you're reallyin a good clinical control.
concerned me that these fourstudents, I mean, it was always
a hard concert to bring into,right, because they always
(35:43):
kittens. Now, I'm hoping thatwell, maybe this pandemic will
change that nasty culture,because they really need these
new bodies coming in. Yeah,getting the mentoring that they
need. And I just, you know, Ijust worry so much for the
public, because it's greatresignations, that has gone on
efforts of demoralizing,demoralizing injury by the
(36:06):
corporations that we work for, Ijust see that all of these
hospital structures are dinosaurik, and they're interested and
they're gonna, they're gonnafall into the entropy that they
should, because when the insertis creating the plan of care,
put them into I can't believethe public isn't more irate. I
(36:28):
actually, there is a wholesystem overhaul that has to be
done here. And I'm hoping thatthis pandemic will be the, the
opportunity that we have, andyou know, I 20 years researching
clinical drug trials andmonitoring those. So when I
entered the hospital system,again, to help during the COVID
effort, I want to see how brokenthose nurses already were by
(36:52):
working in that you'll see justasking for their own safety
needs to be met. Oh, concerns meabout the culture of nursing,
that they have been so beatendown by the system that they
don't have a voice. And so I'mhoping that the new the new
people coming in, not needingthat old coaster of dissing it's
(37:12):
young will be able to helpstretch and profit. You know?
Yeah, absolutely. I agree. Ithink I've been saying for a lot
of years. So you know, thesystem needs to be overhauled,
but I don't have the answer. Idon't know. I don't know what my
answer is. I think that that's,you know, one of the big
problems,I really, really liked the
things that Benjamin Carson hadto say about how to fix this way
(37:34):
back in the 90s. When I saw himat a conference, they let the
nursing students cannot speakand I heard the guy who was
tapped out of that doctor whohad that integrative Wellness
Center in Kentucky that theymade the movie about. Yeah. Like
to mention that I wrote about itmy journal, I want to actually
(37:57):
I'm leaving the healthcaresystem now to do an RN
integrative wellness coachingprogram, because I want to get
back to the fundamentals ofnursing, which was preventing
disease in the first place andnot getting hooked on
pharmaceutical protect, as youknow, yeah. Oh, I know, there
was another nurse talk and Iknew someone I'm so happy to
find you. Hey,this is my first talk. So they
(38:18):
found my podcast and sent me aninvitation. I was like, Oh, this
sounds like a great idea. I lovethis.
Well, you. And thank you forletting me up and I'll let you
down. Welcome to Wisdom. It's agreat community.
Stacey Hobbick (38:34):
Alrighty, thank you so much for coming on. I
appreciate it.
Emily Mooney (38:37):
Thanks. Take care.
You too.
Unknown (38:44):
All right. So that was, that was a good chat with Emily.
I'm appreciative that she cameon, I'll have to follow her so I
can catch her and see what she'stalking about. But Thanks all
for coming in here. I'm justkind of babbling today. Like I
said, this is my first timehaving a talk on wisdom. And so
far I've really enjoyed it. Ilike being able to interact with
(39:04):
other people. And you know,Emily's, right. The nurses are
pretty burnt out, they're woredown. I can say that the nurses
I work with on my floor. There'sbeen a couple of times where we
had 24 beds on our floor, and wehad three nurses and one of
those nurses was our chargenurse and I can't stress to you
(39:26):
how unsafe that was I actuallyhad. I don't want to talk about
it too much. But you know, wewould have patients who were not
really medically stable, whichisn't the kind of patient that
we should have, especially if wehave eight patients, charge
nurses not available to help youout. If something happens if a
code happened, it would be areally bad situation. None of
(39:46):
the other patients would reallyget taken care of and this is
something that's come out ofthis pandemic, but it's not the
only thing to come out of thepandemic. I know that I recently
overheard somebody that I knowwas talking about How many
patients the nurses weretypically assigned? And I think
she was saying five years ago onthat floor, we were typically
(40:09):
assigned maybe four or fivepatients. And now we regularly
get six. And sometimes we geteight depending on how short we
are, in fact, a trend I don'tknow if Emily knows this, but
there's a trend now where thenurses are going back to a team,
not the nurses, the hospitalsare going back to a team nursing
model. And they're hiring LPNs.
And while we used to have thismodel, I'm concerned about it
(40:31):
not saying LPNs are bad Istarted as an LPN, LPN are
fantastic. And I think that thisis something that we could make
work. But I think that thehospitals are maybe going about
it the wrong way. They're hiringthese LPNs, who, because of the
way that they've been treated asnurses, because the hospitals
have kind of pushed them out fora long time, have never worked
(40:51):
in that kind of an environment,they've been in long term care
with patients who are, you know,either, well, medically stable
anyways, so they haven't reallyhad to manage some of the
conditions that we have to dealwith or watch for on in the
hospital. And I feel likethey're just saying, Okay, well
come on down, you, we'll justput you on the floor. But they
(41:12):
don't, they don't have that thatexperience, they don't have that
knowledge. And I really thinkthat they should be doing, you
know, like a residency programlike they do for the brand, the
new graduates. Now, I can't sayfor sure. I don't know exactly
what all they're doing. I know,I did work for a hospital
locally that was using that kindof model. And it was chaotic. It
was it actually made me questionwhether or not I could still do
(41:36):
floor nursing. So, you know,folks are listening. Emily's
totally right, we do need tooverhaul the system, the way
that it's working right now isjust not sustainable. I don't
know how long it can last ifthis. You know, it was stressful
long before. Most people in thecountry, at least I think have
(41:58):
heard that there's a nursingshortage. Part of the reason
there's a nursing shortage isbecause there's a shortage of
faculty. And one of the reasonsthere's a shortage of faculty is
because I make the same amountworking on the floor as a nurse
where I only had to have abachelor's degree at most, as I
do teaching students where Ihave to have a doctorate. And I
have several certifications. Youknow, that's not really a good
(42:23):
model. If you do want people tospend 1000s of dollars on
education to come and educatefor you, when I could still make
the same amount. And you know, Icould work a couple extra days
and make overtime, I couldprobably make more working on
the floor than I do as aneducator. And so we've got this
shortage of educators becausethey're not valued, they're not
paid well.
(42:47):
And we could, frankly, make moremoney educating in the hospital
or, you know, doing somethingelse. So that drives into the
nursing shortage. We've got thisshortage of nurses. And part of
the reason is because peoplecome into it, and they say, holy
moly, this is not okay. And theyleave. In fact, we have not only
all these new new folks that gothrough nursing school, they
(43:09):
graduate, and they just leavethe bedside completely during
their first year, they don'tstay. And we have this mass
exodus in the last at leastyear, maybe two years of nurses
leaving the floor and going notjust into another nursing
position, but leaving itcompletely. I think Emily said
(43:30):
she's leaving the bedside to dosomething else. It sounds like
she's doing health care, butshe's not working as a nurse
with patients in the hospital.
You know, this is something thathas become common, I think I've
seen some places call it ahemorrhage hospitals are
hemorrhaging nurses. And youknow, I'm a little concerned
about what's going on withcapping pays. I'm not sure how
y'all feel about that. But I'm alittle concerned about you know,
(43:53):
capping even if they're talkingabout capping what the my brains
not working right now, what theorganizations can charge the
hospitals for the nurses totravel nurses, you know, that's
not going to affect those folksare higher up that's going to
get passed on to the nurses andnurses are leaving to go travel
(44:13):
because I'll tell you this, if Iwas making $40 an hour as a
nurse, on a weekend shift, thetravelers making 100 So why why
would I stay when all that I'mgetting from my hospital is you
know, treated poorly and put inunsafe situations, take care of
my patients. When I could gowork as a traveler in the same
(44:39):
conditions but make a lot moremoney. So you can see that this
is really something that doesneed to be overhauled the whole
system. I don't know I just Ifeel like there's a lot of
things wrong and I don't havethe right answer for any of it.
I don't have the right answerfor insurance and health care. I
don't have the right answer forfixing education in the country.
I don't Have the right answerfor, you know, making tuition
(45:00):
more affordable, but making surethat we can hire good
professionals to educate ourstudents. I don't I don't have
the answers, you know, but I domy best. I try to educate my
students and make sure that theytake good care of their patients
as best they can. And like Isaid earlier, I always try to
make sure that my patients feellike they're my only patient,
(45:21):
you know, like, they're my onlypatient, I never want them to
feel like, like, I'm rushed. Idon't want them to think that.
So I always take my time withthem. And sometimes it's because
you know, they need it.
Sometimes I'm there just tolisten, and that's okay. I'm
just really passionate about it.
And, you know, I wish, I wish wecould fix it. I wish I had the
(45:43):
magic wand that can fixeverything and make nursing
perfect. But it's right. We'relosing nurses. And there's a lot
of things that we need to doabout that. Hey, somebody else
wants to come talk to me. Dr.
Rao. Come on down. I think ithas to do a countdown thing real
quick.
Dr. Rao (46:06):
Hello, stay there. How are you? Oh. Can you hear me?
Stacey Hobbick (46:16):
I'm not hearing you. Hold on.
Connected. Hey, Dr. Brown, howare you?
Dr. Rao (46:24):
I'm good. How are you?
Unknown (46:26):
I am wonderful. It's good to see some other
professionals on here. And areyou a healthcare professional?
Or?
Dr. Rao (46:33):
Yeah, I'm a physician.
Ah, so
Stacey Hobbick (46:36):
how are you today?
Unknown (46:38):
I'm good. I'm good. So you are a nurse? Yeah. I know
the field. Yeah, I find themvery stressed out and burned
out, to sympathize with them andgrapple with them when they're
(47:01):
working all the time. SoI relied on participation so
that I think we need the of theold time back now very, very
much the patient that it might.
If I wanted to know about thepatient, kabocha was going on? I
(47:24):
looked at the nice. Yeah,exactly. I don't understand are
the fields have become products?
Now production? arrangement, norecognitions. But then a
reminder. Really give us theenjoy. Right. Yeah. I just want
(47:47):
to meet you and say hi. Thankyou. Too much.
Yeah. So there's, there'sshortage of family, family
(48:09):
physicians in this country. And,you know, and it's, for the same
reasons, you know, I don't knowif the folks listening know, but
the physicians in the hospital,they're taking care so many
patients, and that's why that'swhy you have to ask the nurse
because I've got six or eightpatients, but you've got, I
don't even know how many, somany more, right. So
(48:30):
the time this brand is a lotmore than the physician, you
know, the clinic apart but inthe hospital when it comes,
there are only so much time tofinish that the patient breezing
through relying on informationfrom everybody else. Sorry, they
can see a lot more from theoffice. But then, before I saw
(48:54):
when I practiced with papercharts, and we really wanted to
interviewI did some I did work with a
physician in primary care for awhile and I think even there
though he was pushed too far.
You know, they just kept hewasn't his own practice. He
(49:17):
worked for a big healthcaresystem and and we just would see
so many patients and he was sucha great physician because if one
of his patients called and saidthey were sick, you'd say okay,
we'll tell him to come up andwe'll squeeze him in. But you
know, then we'd end up with we'dbe behind and patients are angry
and it's like, well, he's takenthe same time with his patients
that he will with you. But I youknow, I would see him working
(49:41):
late I'd leave and he's stillthere. I get there and he's
already there, you know, workingway more than I ever did. That's
for sure.
was much easier to follow themfor hours that consider this
hospital system. kind of brokethat.
(50:03):
Yeah, yeah. Yeah, it's like Isaid, I don't know what the fix
is.
No, I talked about the selfresilience that all the health
workers develop. And that meansgive yourself at least a I've
talked about comprehensive. Ithink we need it, we deserve it.
(50:27):
Yeah, absolutely. And also bringthe release attitude back, you
know, we are basically most ofthe doctors nurses enroll,
because they also so that kindof thing also helps us or why
those two things. I myselftrack, then it brings me back to
(50:53):
all comments. eat when you'rehungry, and empty your mind? No.
And exercise optimally. Theseare the things I kind of choose.
And then when we do that, atleast, what five minutes a day
we can spare for ourselves.
Yeah. Now, we'll be sentearlier, I believe. Well, nice
talking to you. I just wanted tosay hello to another healthcare
(51:20):
professional. So I came up.
Well, thank you. I appreciate itso much. Dr. Rowe. Yeah. Okay.
This is a fantastic app, I thinkI've already met three people.
So today's my first day, doing alive talk here on wisdom. And,
(51:44):
gosh, I'm so surprised. There'sso many people who are here with
me. Now I'm just here babblingabout nursing. So hey, thanks
for all being here. And Iappreciate it. And I hope it's
okay for me to say if you wantto check out my podcast, it's
nursing with Dr. Hobbick, whereI just really talk about the
concepts that I'm teaching mystudents right now, every week
(52:05):
that I add to it. That'sactually what I taught my
students in lecture that week,just kind of shortened to try to
keep them less than 15 or 20minutes. And anyway, it's pretty
fun. I've got to go. I gottawork on lecture for next week.
But I appreciate everybody who'sbeen listening to me babble. And
I'm looking forward to havinganother one of these talks and
(52:25):
seeing who I can chat with. Andanyway, thanks for coming out
today. And I hope you all have awonderful day, and I'll see you
next time.
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