Nurses are renowned for being able to adapt, modify, fix and gerry-rig their clinical environment using whatever equipment or resources are available.
Duct-tape may not hold the universe together, but countless rolls of medical tape pretty much hold the health system together.

So in an exercise to get your mental juices flowing and to demonstrate our combined lateral thinking acumen, I am asking you to consider some uses for the humble cardboard toilet-roll tube in the clinical setting.

  • get out a pad of paper and start brainstorming. If that sounds too much like homework, just sit the pad down beside you whilst you are watching TV tonight, and jot down ideas as they come.
  • think outside of the box.
    Then think outside that box.
  • you can use a single roll, or multiple configurations.
  • uses for the rolls might be practical (and actually pretty good ideas) or be completely ‘out there’.
  • Stretch your thinking. Aim for at least 10 uses.
    Really creative people will probably have no problems with 50.
  • Once you have finished, pick a few of your best ones and share them with us here.

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  1. Use as listening device against tearoom door to see if staff talk about you after you have left.
  2. Paint  in bright colours and decorate with bits of stuck on uncooked pasta and hang from ceiling in paediatrics to make a crass and cheap mobile.
  3. Tape a group together on their ends to make a stand for the computer screens.
  4. Fill with high density foam to make set of rollers for transporting patient to Xray.
  5. Cut into smaller sections and use as ‘rings’ to tidy up lengths of oxygen tubing.
  6. Wrap with adhesive tape (sticky side out) and use as a roller to remove glass, dirt, hair etc from patients sheets.
  7. Use as hair rollers to look your best before that big shift.
  8. Use with ink-pad to make circle stamps identifying interesting skin lesions.
  9. Insert under eyelids to splint them open wide during night shift.
  10. Cut into slices and then cut one end to make disposable patient ID bracelets.
  11. Tape two together like binoculars and use as an eye shield  when trying to elicit pupil reflex in a really bright room.
  12. Measure tube circumference and mark.  Then use to roll up the length of the bed beside a supine patient to calculate height.
  13. Use as plinths to keep your sandwiches and cup of tea from contacting the dubious surface of your staff room table.

Compassion fatigue ….is a condition characterised by a gradual lessening of compassion over time. …. It was first diagnosed in nurses in the 1950s. Sufferers can exhibit several symptoms including hopelessness, a decrease in experiences of pleasure, constant stress and anxiety, and a pervasive negative attitude. This can have detrimental effects on individuals, both professionally and personally, including a decrease in productivity, the inability to focus, and the development of new feelings of incompetency and self doubt.

– Wikipedia.

A short film on death.

Dji. Death fails from simpals on Vimeo.

Our paramedics.

Can you come up a caption that best tells the story of this picture.

The best caption will be awarded 1,ooo impactedpoints.
Impactedpoints can be exchanged for extra days off,  free coffee & cake,  and back massages from your unit manager (at participating hospitals).

I am thinking of going into business running a Medical Bootcamp.
You-know, to imbue a little cellular understanding of everything we put our patients through….bootcamp style.

Here is the draft program for Day 1:

0600: Registration & Roll-call. 6 AM sharp.
Teams will assemble at Medi-boot HQ, then wait around for 3 hours without much information as to what is going to happen next.

0855: The Pain-scale wall. Each team member will have a small elastic band wrapped tightly around their little finger. Pain scores will be assessed at regular intervals throughout the day. Anyone rating their pain 10 or above must leave bootcamp.

0900: Parade. Teams will be asked to strip naked (behind a tiny set of hospital curtains) and be placed in a hospital gown. Sorry, leave the ties at the back undone.
Males will then receive a testicular examination.
Females will receive an ECG.
Any interesting anatomy, jewelry or skin markings observed during this event will be photographed, de-identified and uploaded to the Medi-bootcamp Facebook page and Twitter feed.

1000: Vent-athalon. Hard 5k uphill run wearing O2 tank and Hudson Mask at 15LPM to completely desiccate all mucous membranes of moisture.
Thirsty? Sorry, but you are nil by mouth until further notice.

Immediately on completion of run, team members will be placed on Non-Invasive Ventilator for 30 minutes.
They will then be asked to give a detailed account answering questions of the days activities up until this point whilst wearing face mask.
This must be repeated to 6 different people. All asking the exact same questions.

How is that rubber-band going? ….8/10….9/10?
Come on, its just a teeny piece of elastic.

1100: Fluid ultrasound challenge. Now you can drink. Participants will lay on hospital trolleys and have IV access obtained by exceedingly junior interns.
Over next 2 hours participants will receive 4L of IV saline.
Passing urine will not be permitted until 1300hrs at which time an ultrasound probe will be pressed heavily against the bladder. Any leakage or bladder explosions prior to this time and you must leave bootcamp.

1300: Fluid challenge redux. At 1300 teams will be told that due to a mix-up at ultrasound, they must not pass urine for another 60 minutes. During this time they must drink 1L oral contrast.

1400: Lunch. Lunch will be fully catered by the hospital cafeteria. Teams must collect food samples from the trays provided containing 4 contrasting colours.

With the tray balanced across their lap, and one hand completely wrapped in a bandage, team members must then remove the lid from their plastic bowl, open a plastic packet containing cereal, pour milk from a sealed plastic carton and add sugar from a sealed paper packet.

1500: Find that clinic. Teams will have 60 minutes to locate an obscure clinic located at the other end of the hospital. They can ask for directions from a maximum of 100 hospital staff members only. If further instructions are required they fail bootcamp. If they find themselves crossing through same corridor on more than 8 separate occasions, they fail bootcamp.

Once they reach the clinic a sign on the door will inform them that the clinic is closed today… and that they should proceed to the emergency department if they have any problems. Participants have 5 minutes to reach the emergency department.

The first team that convinces the Triage Nurse to give any of their team-members opiate analgesia for the pain from their finger bands wins.

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Can you help my business venture out by suggesting your own challenging events to include in medical bootcamp?

There has been a lot of buzz around the scientific community over the last few weeks with the news that the Curiosity rover may have found organic compounds on Mars.

Earlier this month, Curiosity project scientist John Grotzinger told NPR that recent data would be “one for the history books.” In the next couple of weeks NASA is expected to make an announcement.

But in a world exclusive, I have managed to obtain a copy of one of the as yet classified high resolution pictures sent back from Curiosity.

And Ill bet it doesn’t surprise a single nurse out there…..

After a hectic shift in The Sus (resuscitation), many nurses turn to a good old workout session to de-stress, wind down, and relax…

[Apologies to original cartoonist: iyumdying.wordpress.com]

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    • Leigh said: inspiring piece Ian! thanks. And Stephen, great summary too! “The amazing thing about us is, no information is too important for our concern; no job is too low to tackle ourselves. We are the proverbial jack of all practitioners.” love it