Emergency, Registered Nurse, Specialty, Jobs, Clarian Health, Indianapolis, Bloomington, Lafayette, IN

Where Are You From?

Where Are You From?

05/24/2010

  IU 4-Medicine is an eclectic mix of humanity: both patients and staff. A few days ago, I was prompted to think about our diversity based on a co[...]

  IU 4-Medicine is an eclectic mix of humanity: both patients and staff. A few days ago, I was prompted to think about our diversity based on a conversation I had with an elderly patient. He was 76 years old and hospitalized for diagnostic studies. I asked him where he was from and he replied, “Tennessee” and then proceeded to tell me the name of a very small town he was sure I wouldn’t remember. He was right, I don’t! Then I asked, “How did you get to IU from Tennessee?” He replied, “I have LIVED in Indianapolis for 68 years. You asked me where I was FROM!” Point taken. There is a distinct difference between where we are from and where we live.
 
Since I have been transplanted many times, I have always been curious to know where people are from. Over the years, I have learned a lot about the people, cities, towns, and states where I have lived from patients and staff. Once a man responded to that query by saying, “Well, I am Kentucky breed and Indiana feed!” One of my favorite encounters occurred several years ago at IU when I asked an intern, Dr. Khan, where he was from. His reply, “Where do you think I am from?” My response: “Some place very far East of here.” To my surprise, and his great pleasure, he replied, “Mongolia!” Without hesitation, I told him we were probably related. Then I gave him a great explanation of the westward migration of Mongolians centuries ago. Many of them went to the area of the Ukraine where my mother’s family lived. Consequently, it was very probable we had family ties. Naturally, he thought I was very strange. Thereafter, whenever he came to the unit, I referred to him as “Cousin Kahn” and he always smiled in disbelief. I’d like to think that he has told this story over time from his angle - still smiling in disbelief.
 
So, where are you from? I posed this question to some of my colleagues and got these responses: Indianapolis, Gary, Avon, Hope, South Bend, Linton, Evansville, Terre Haute and C-ville. (You have to be an insider to know that Indiana town.) Chicago, IL; Bettendorf, IA; Lagos, Nigeria; Manila, Philippines; Cincinnati, OH; Milwaukee, WI; Kampala, Uganda; Bangkok, Thailand; Kansas City, KS; Hastings, MN; San Paulo, Brazil; Addis Abba, Ethiopia; and I am from Valley City, ND - some people consider that a foreign country with its own language! Really, no passport needed. Finally, one nurse admitted being from “Heaven.” I suspect she is one person who really can go home again!
 
Our journeys have brought us to this place from the North, South, East, and West. We all have stories to tell of the roads we have traveled. My curiosity wonders why we are all here at this place and time - individually and collectively? As a staff, we exist only for a brief period of time. This month, some people are going and new people will come. Soon we will be a different mix and our identity will change. Who are we, and where are we going?
 
In the scheme if it all, my great hope is that we do not miss one another along the way.
 
Sherry
 
Sherry Holden, BSN, RN
Associate Partner, 4South, IU Hospital
 
To be a registered nurse at Clarian, visit RN Job Opportunities Indiana.

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Mon, 24 May 2010 21:30:40 +0100

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Racing for Poisons

Racing for Poisons

05/14/2010

What does May in Indiana mean? The Indianapolis 500 race of course! Racing cars are on everyone’s minds, as we keep a close eye and ear on the r[...]

What does May in Indiana mean? The Indianapolis 500 race of course! Racing cars are on everyone’s minds, as we keep a close eye and ear on the results of Poles and Bumps and the Race itself. Races are fun to watch and of course cars are essential for most of us for transportation. At the same time, cars are also a source of toxins that can wreak havoc upon the individual who encounters them.

Starting with their fuel, cars are filled with fluids that can harm you. Gasoline is a hydrocarbon, which if swallowed and aspirated, can result in hydrocarbon pneumonitis. The end result can be devastating or even fatal. How might someone swallow gasoline?

Usually people do this when they are siphoning fuel from one vehicle to another. The moral of this is to never siphon orally! Motor oil and transmission fluid are also hydrocarbons, but because they are so much thicker than gasoline, they are much harder to aspirate, so are less likely to be a problem.

Other automotive fluids that are poisonous are radiator and windshield washer antifreezes. Radiator antifreeze contains ethylene glycol, while windshield washer antifreeze contains methanol. Both are extremely toxic in extremely small (teaspoons) amounts. Ethylene glycol can cause kidney failure, while methanol can cause blindness, and both can cause death, if very much is ingested. Brake fluid is similar to the antifreezes in toxicity.

How do people accidentally swallow these fluids? The most common error they make is to drain the fluid into a handy pop can or cup, which they then mistake for the can or cup that contains their drink. They take a big swig from it and unfortunately, one swig is enough to be a problem. Young children see the can sitting there and sip from it too – and can also wind up with serious problems.

Fortunately most hydrocarbon exposures don’t end up as aspiration pneumonitis and we have very effective treatments for both methanol and ethylene glycol exposures. Still, the best treatment for any exposure is Prevention. Don’t siphon gasoline or any automotive fluids. Drain automotive fluids into clearly marked waste containers and never use beverage containers for drainage purposes.

Enjoy May and Race Fans……. start your engines!

Gwenn

Gwenn Christianson, MSN, RN, CSPI
Senior Partner and Team Leader
Indiana Poison Center, Methodist Hospital

To be a registered nurse at Clarian, visit RN Job Opportunities Indiana.

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Fri, 14 May 2010 05:50:54 +0100

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