Afleveringen
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Rapid Response Calls That Never Should Have Happened | Early Warning Signs, Shock Index & Bedside Report
On the Nurse Gwenny Podcast, Sarah Lorenzini, friend and contributor to The Nurse Gwenny Library joins Nurse Gwenny for the final episode of season one.
Sarah, TheRapidResponseRN, explains what ârapid responses that never should have happenedâ look like. These two powerhouse nursing educators discuss scenarios where warning signs were present for hours or staff concerns werenât heard.
TheRapidResponseRN describes critical care experience and certifications often needed for rapid response work and how her dedicated team both responds to and tries to prevent emergencies using tools like MEWS.
Sarah walks through two cases: a patient with worsening tachycardia and hypotension who was treated with metoprolol and fluids without timely reassessment, later found in septic shock requiring vasopressors, ICU care, ARDS, CRRT, and weeks of hospitalization; and an ortho patient who likely developed a brain bleed overnight after missed bedside shift reports and assessments, ultimately dying despite a tech escalating concerns.
Nurse Gwenny and Sarah Lorenzini emphasize shock index, full patient assessment, relying on techs, normalization of deviance, and speaking up for patients.
Find more of Sarah Lorenzini's work in The Nurse Gwenny Library and her own site www.RapidResponseAndRescue.com or on Instagram as TheRapidResponseRN.
00:00 See The Human First
01:29 Meet TheRapidResponseRN , Sarah Lorenzini
02:19 What Rapid Response Means
03:49 Building The RRT Team
04:19 Proactive Rounds And MEWS
05:32 Grace For Med Surg Reality
08:44 Flight Ready In Person Class Announcement
09:08 Case One Warning Signs Missed
13:30 Septic Shock Takeaways
15:31 Shock Index And Teamwork
20:18 ICU Outcome And Advocacy
22:10 Advocating Beyond Tasks
23:14 Swiss Cheese Handoff Fail
26:17 Missed Neuro Decline
27:51 Why Bedside Report Matters
29:49 Normalization of Deviance
32:59 Trust Your Nursing Gut
35:48 Triage and Eyeballing Patients
37:52 New Nurse Pattern Recognition
38:41 Proud Moment Self Care
40:42 Podcast Wrap and Resources
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Dream Teammates: What Makes Someone Great to Work With?
In this episode of the Nurse Gwenny Podcast, Nurse Gwenny and Mr. Nurse Gwenny host Martin aka The Mustache Medic Martin. Together, they explore a simple but powerful question: What makes a dream teammate?
The Core Traits of Exceptional Teammates
Several foundational characteristics are highlighted:
Trustworthiness â People who do what they say they'll do and act with integrity.Reliability â Showing up consistently, physically and mentally.Teachability â Being open to feedback, growth, and new perspectives.Humility â Putting the team and patient needs ahead of ego.Accountability â Taking ownership of actions and striving for excellence.One key takeaway: while technical skills can be taught, qualities like integrity, humility, and self-discipline must be intentionally developed.
Great Teams Create Great Culture
The discussion highlights how healthy cultures naturally reinforce positive behaviors and discourage unhealthy ones. Strong teammates aren't afraid to provide honest feedback, challenge poor decisions, and help each other improve.
The Nurse Gwenny, Martin and Mr. Nurse Gwenny emphasize that the best partners(in the helicopter, ambulance and at home) are those who can:
Hold each other accountable.Communicate respectfully.Create psychological safety.Make learning feel encouraged rather than intimidating.The Importance of Humor and Perspective
Working in emergency medicine exposes clinicians to trauma, loss, and high-stress situations. One concept that resonated throughout the conversation was the "beauty-to-death ratio."
The idea is simple: the more tragedy and suffering we witness, the more intentionally we need to seek moments of beauty, joy, laughter, and connection.
TheMustacheMedic shares stories of partners who knew exactly when to inject humor into difficult situations, helping their teams process stress while staying resilient.
This concept also touches on a core value of The Nurse Gwenny Library; to make learning fun!
Character Matters On and Off the Job
The habits, discipline, and integrity people demonstrate in everyday life often show up in their professional performance as well. Whether caring for patients, leading a business, or supporting coworkers, consistency of character builds trust and credibility.
Nurse Gwenny also discussed the importance of reputation, noting that healthcare is a surprisingly small world. How people treat others, manage relationships, and handle adversity can have long-lasting effects on future opportunities.
Final Takeaway
The dream teammate isn't defined by technical expertise alone. They're someone who combines competence with character. A dream teammate is someone who is trustworthy, reliable, teachable, humble, and committed to helping others succeed.
Whether in healthcare, business, or everyday life, the qualities that make a great teammate are the same qualities that make a great person.
Question for listeners: What's one quality that makes someone a dream teammate in your experience?
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Description
On Episode 8 of The Nurse Gwenny Podcast, Nurse Gwenny, Martin, and Josh discuss relational dynamics impacting work settings.
Have you had a teammate that was a "Jerk face poopy head?" (I know, strong language there, but I think you catch my drift!)
While I(Mr. Nurse Gwenny) really wasn't looking forward to editing the episode, I found myself laughing regularly and enjoying the conversation and reflecting on the banter with Martin. We each have had different experiences, but landed on some âbest practicesâ when it comes to helping create, maintain, or even restore workplace environments to being healthy and non-toxic.
Listen in as we discuss:
How do you approach someone who has crossed a boundary? How can you limit the spread of workplace drama or gossip? What are ways to lift someone up that is struggling or underperforming?Relationships are everywhere!
Hopefully the conversation and takeaways from this episode can equip you to have a hard conversation that might lead to a better work experience. Oh... and just because we're talking about work, doesn't mean these principles can't carry over into other spaces or relationships!
www.NurseGwenny.com
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On Episode 7 of The Nurse Gwenny Podcast, Nurse Gwenny and Lindsey, an LPN with ER and EMT experience, discuss preparing for flight interviews scenarios and how EMS and ER skillsets complement each other. Nurse Gwenny outlines the typical flight interview process:
-HR screening
-Written test
-Personality interview
-And scencarios
Nurse Gwenny explains how to practice verbalizing clinical thinking and the importance of doing so in the scenario / sims setting.
The two take turns putting one another through the paces of a few patient scenarios:
-An inferior STEMI with hypotension
-Carbon Monoxide poisoning
-A peds case on epiglottitis
-Anaphylaxis management
There are several fun moments during this episode and in general a great example of how to approach scenarios when it comes to interviewing for your flight job!
Get the prep you need and earn CEs in The Nurse Gwenny Library.
Find The Nurse Gwenny Library and a host of other resources from Nurse Gwenny at www.NurseGwenny.com.
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On the Nurse Gwenny Podcast
Nurse Gwenny welcomes Katelyn, a dual licensed flight paramedic and nurse who has grown in popularity online for her easy to understand teaching style found on tik tok and instagram.
They discuss lessons they wish they had learned earlier. Things like:
Proactively seeking mentorsFinding safe places to ask âseeminglyâ dumb questionsDeveloping skills to self education and find resoucesKatelyn compares the helicopter and itâs limitations to some of the critical access hospitals she helps supply and service. Simply put, supplies and resources are limited and sometimes non existant! This breeds the development of those sometimes forgotten or the skillsets that can be taken for granted when working in larger, more fully resourced hospitals.
Nurse Gwenny and Katelyn celebrate the joys of being educators and the moments they cherish hearing about the wins and successes of others.
Katelyn Dykas shares how she is proud of stepping into a CCRN review education project and Nurse Gwenny mentions her latest book, a CEN test prep book similar to âBUT WHY.â
Check out videos from Katelyn Dykas and content on:
Instagram / Tik Tok @AtTheReadyMed
AND ON
Facebook @ University of Michigan Survival Flight
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Passing exams, whether it's the FP-C, the NREMT, the CEN, or CFRN, can be a tough battle! If you're someone who has struggled to earn that green check, this podcast will encourage you as you adjust your mindset into manifesting your passing score!
If you're looking for 1:1 coaching to help you get ready for your paramedic exams or to stand out as a candidate for flight interviews, you can find Mustache Medic on Instagram under the handle TN.Mustache.Medic
To find more great content like this, and to earn CEs visit Library.NurseGwenny.com
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New ER Nurse Reality: Fear, First Mistakes, and a Mindset Shift. This episode discusses starting in the ER straight out of nursing school, describing it as both exciting and terrifying and emphasizing that feeling intimidated is completely normal due to the constant noise, unfamiliar situations, and emotionally difficult cases. The conversation highlights common new grad âflubs,â especially struggling to learn and locate equipment because of different brands and terminology, like being asked to fetch a âpigtailâ without knowing what it is. It also shares a practical mindset shift for people pleasers: stop defaulting to âIâm sorryâ when asking for help and instead say âthank you,â recognizing that needing guidance is part of learning.
If you want to earn continuing education credits for this podcast, go to www.NurseGwenny.com and subscribe to The Nurse Gwenny Library where learning is fun and nerds are cool!
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This podcast presents a first-hand account of global nursing practice across diverse healthcare systems, including Canada, Ghana, and Haiti. The speakers contrast western healthcare settings to developing nations where patients must independently procure medications, diagnostics, and even basic supplies.
Visit Anne-Marie's website here: https://thebedsidecharity.onhercules.app/
Get CEs for this podcast here: https://library.nursegwenny.com/bundles/nurse-gwenny-library-membership
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Nurses and paramedics are often faced with cardiac arrests, and no two codes are alike. It is essential to perform a post-code debrief and identify learning points from the case. This podcast is intended to offer many pearls from the combined 35+ years of experience between the two hosts, Nurse Gwenny and Mustache Medic, in order to improve patient care and build provider resilience offering real world stories and solid advice.
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In the premiere episode of the Nurse Gwenny podcast, Nurse Gwenny and her husband Josh introduce themselves and explain that the Nurse Gwenny platform exists to help others realize their potential and pursue their dreams. Josh, who is not in healthcare, shares his background building a lawn and landscaping business and describes how he supports the platform by building the website and LMS, handling customer relations, editing, and converting their barn office into a studio. Gwenny outlines the podcastâs mix of clinically focused episodes and occasional soft-skill topics like leadership and de-escalation, previewing upcoming guests and themes drawn from ER and flight nursing. She shares what she loves about nursing, the patients she finds most challenging, how she decided to become a nurse after her brotherâs injury, and the meaning of her mantra âjust do the next right thing,â which guides both life and high-acuity transports. They close by encouraging listeners to reflect on something theyâre proud of.
