How To Communicate With Deaf & Hard of Hearing Patients w/ Nurse Mikaela

How To Communicate With Deaf & Hard of Hearing Patients w/ Nurse Mikaela

Someone tells you “just speak louder,” and suddenly you realize they don’t understand the problem at all. That’s the heart of our conversation with Nurse Mikaela, a registered nurse who is deaf, as we dig into what real communication looks like at the bedside and why clarity, not volume, is often the difference between trust and confusion. We get practical fast: how to stop guessing and start asking patients their preferred communication method, how closed-loop communication prevents mistakes, and how to work with an ASL interpreter without turning the patient into a third-person bystander. We also talk about why deaf and hard of hearing patients may feel hesitant to ask for what they need, and how nurses can reduce that fear by offering options up front like clear face masks, writing things down, better positioning, and a calm environment. Then we widen the lens to accessibility in nursing itself. Mikaela shares what it’s like being told to drop out, how assumptions show up during orientation, and how accommodations and assistive technology like cochlear implants, mini microphones, and amplified digital stethoscopes can make safe practice possible across settings from ICU to home health. If you care about patient safety, therapeutic communication, and healthcare accessibility, you’ll leave with concrete steps you can use on your next shift. Subscribe, share this with a nurse or nursing student, and leave a review with the communication tip you want every clinician to adopt. To submit your stories & comments, visit: https://simplenursing.com/podcast/ [https://simplenursing.com/podcast/]

You Can Rebuild Confidence After Failing The NCLEX with Murse Kash

Three failed NCLEX attempts can mess with your confidence, your timeline, and your identity. We’re joined by Nurse Kash, a New York City pediatric cardiology nurse and creator, to tell the real story of what it felt like to fail three times, lose momentum, and still find a way back to the career he knew he was meant for. If you’re searching for NCLEX help, an NCLEX retake plan, or simply proof you’re not alone, this conversation is for you. We get specific about the two things most people separate but shouldn’t: NCLEX mindset and NCLEX strategy. Kash shares a practical gratitude technique for managing test anxiety, plus what changed when he finally got organized with a study calendar, focused question-bank practice, and deep review of rationales. We also talk about how to stop letting a score define you, how to block out noise for a solid month of “lock in” time, and why the right system can feel like night and day compared to random studying. Then we fast-forward to life after passing: new grad impostor syndrome, staying organized on shift, finding your go-to mentors, and building real confidence at the bedside. Kash opens up about pediatric cardiology nursing, supporting families through uncertainty, and why empathy and a simple smile can be clinical tools. He even shares how he suits up as Spider-Man for his patients after clocking out, creating the kind of hospital moment kids and parents never forget. Subscribe for more nursing school, NCLEX prep, and real-life nurse stories, and if this helped you, share it with a friend and leave a review. What part of your nursing journey are you rebuilding right now? To submit your stories & comments, visit: https://simplenursing.com/podcast/ [https://simplenursing.com/podcast/]

The Problem No One Teaches Nurses: Scheduling (ft. EightTenTwelve)

You can learn every drug and every protocol and still feel unprepared for the hardest part of nursing: being human under pressure. Nurse Mike sits down with Haley and Marcelle, two sisters whose childhoods were shaped by congenital heart disease, major surgeries, and the nurses who guided their family through the scariest moments. Now they’re on the other side of the bedside as pediatric perioperative nurses and founders, and they bring a rare perspective on what dignity, advocacy, and real support actually look like in healthcare. We get practical fast. Haley breaks down what an OR nurse really does, from safety checks and positioning to anticipating needs in a high-stress, tightly timed environment where the patient can’t speak for themselves. Marcelle walks through PACU nursing after anesthesia, where airway, breathing, circulation, pain control, nausea, and bleeding can change in minutes. Along the way we talk about working with strong personalities, why over-communication protects patients, and the truth about confidence as a new grad: you’re not behind, you’re just new, and that learning curve can last longer than you expect. Then we zoom out to life outside the hospital and the problem nobody trains you for: nurse scheduling, shift-work planning, and staying connected to people who live on a normal calendar. Haley and Marcelle share how showing up on the wrong day helped spark EightTenTwelve, a nurse scheduling and lifestyle app that uses OCR to import your work schedule from a photo or screenshot, syncs with Apple and Google Calendar, lets you share your availability with friends and family, and builds nurse community with a feed plus a centralized nurse discount hub. Here's the link to their website: https://eighttentwelve.com/ If you care about nursing, burnout prevention, work-life balance, OR and PACU careers, or smarter shift scheduling, hit play. Subscribe, share with a nurse friend, and leave a review so more nurses can find the support they deserve. To submit your stories & comments, visit: https://simplenursing.com/podcast/ [https://simplenursing.com/podcast/]

Addison vs. Cushing: The One Lab That Changes Everything with Nurse Mike

A single lab value can flip your entire answer choice, especially when the adrenal glands are involved. We pick up with part two of our Addison’s disease and Cushing syndrome breakdown and focus on what actually helps under pressure: pattern recognition, memory tricks, and the nursing priorities that show up on NCLEX-style questions and real clinical scenarios. First, we walk through Addison’s disease (adrenal insufficiency) by tying low cortisol and low aldosterone to what you’ll see in front of you: fatigue, weight loss, hypotension, hypoglycemia, salt cravings, and that classic hyperpigmentation. Then we lock in the Addison lab pattern, especially the dangerous one: hyperkalemia. We talk through why potassium threatens the heart, what to monitor for on telemetry, and how early recognition can be life-saving. We also cover treatment with hormone replacement therapy like hydrocortisone and fludrocortisone, plus the non-negotiables of patient education, including stress dosing, sodium support, and never stopping steroids abruptly. Then we flip the script to Cushing syndrome (hypercortisolism) and the difference between Cushing disease vs syndrome so you can interpret ACTH correctly. We connect “too much cortisol” to moon face, buffalo hump, truncal obesity, thin extremities, and the lab pattern of high glucose and sodium with low potassium. From there, we hit the nursing considerations that matter most: infection risk, delayed wound healing, bone loss, fall precautions, diet education, and treatment options like surgery, radiation, and cortisol-blocking meds. If you want endocrine to feel predictable instead of random, press play, subscribe for future breakdowns, and share this with a classmate. After you listen, leave a review and tell us: which Addison vs Cushing clue helps you decide the fastest? To submit your stories & comments, visit: https://simplenursing.com/podcast/ [https://simplenursing.com/podcast/]

The Real Difference Between Addison's & Cushing's with Memory Tricks

Addison’s disease vs Cushing syndrome can feel like a maze of arrows, hormones, and “wait, which one is high?” moments. We cut through the noise by building the whole story from the ground up: what the adrenal glands do, which adrenal cortex hormones actually matter for exams and clinical reasoning, and how one simple feedback loop explains most of the lab patterns you’ll see. We walk through aldosterone (the salt hormone) and cortisol (the stress hormone) in plain language, then map the HPA axis step by step: stress triggers CRH, CRH triggers ACTH, and ACTH triggers cortisol. From there, everything becomes a logic problem. If cortisol is high, what should ACTH do? If cortisol is low, what does the pituitary try next? We also clarify the key difference between Cushing disease (pituitary-driven, ACTH high with cortisol high) and Cushing syndrome (adrenal or exogenous steroid source, ACTH low with cortisol high), and we contrast that with primary vs secondary Addison’s patterns. You’ll leave with practical memory tricks, a clearer way to think about endocrine disorders, and a framework you can reuse for questions on cortisol, ACTH, and adrenal gland physiology. Check the links for free Addison’s and Cushing’s practice questions, then subscribe, share the episode with a classmate, and leave a review so more nursing students can find it. To submit your stories & comments, visit: https://simplenursing.com/podcast/ [https://simplenursing.com/podcast/]