JailRN (3,457 Views)
Joined Jun 28, '02.
Posts: 620 (6% Liked)
We just want to thank the 3000+ of you nurses who participated in the Ebola Preparedness survey! The Nurses' voices have been heard! The results of the survey have been shared with millions across the country through the media as Brian Short RN, founder of allnurses.com, participated in several interviews this past week following the allnurses.com survey. Now we are sharing the detailed results with you.
We've worked hard to get the voices of "real nurses" out there - Your voices. The results of the survey clearly reflect the opinions of, not only allnurses.com members, but all nurses everywhere. You can be nursing advocates and make an impact.
"The main thing that we can take away: nurses understand the risks that come with their job. They're willing to do their job, but they need the proper equipment and proper training to do the job effectively and safely."
"We are all in this together because it's all we have. The news media and facilities are quick to blame the nurse. Well, lets get the TRUTH out there."
"Nurses get to speak! This is WONDERFUL news and an important unity to have the media focus on what nurses actually do and face; unfortunately, it had to a take an infectious disease to show how a percentage of hospitals only care about the bottom line and are not up to par. I hope we, as nurses, can keep pushing these issues to the forefront beyond Ebola, and effectively make change, we owe it to ourselves and our patients."
"Allnurses is by far the best place to take the pulse (haha) of the nursing community as a whole. My own feeling...sure reporters go ahead and call the ANA but we're the real voice of nursing!"
"It's about time nurses are respected and regarded as having a powerful impact on the health and safety of our country."
I found out the he had an ulcer that perforated! Very serious condition. I don't understand... he denied pain when I asked him. I did read however that some people do not have pain just the nausea and vomiting. He had a pretty involved surgery, repairs etc and a lot of antibiotics.
No wonder he was in ICU...
He is doing better though. They aren't sure when he will be discharged.
I will find out more when he's actually discharged back to us and I see his paperwork from the hospital.
All I can say is **whew**. It really does feel good to make a good judgement call without seeing all of the symptoms involved... and just based on the assessment.
It makes nursing so worthwhile to see that I played a part in him getting the proper care he needed in an emergent time of need (obviously when no one else agreed.) SO SO glad it was a positive outcome.
Sometimes, a family member's behavior is so clouded by the grief and shock of a loss that we must be courageous enough to practice outside the box.
My patient had been ejected from his car after hitting black ice. His prognosis for any recovery was a hairs-breath above zero. We knew he would never again walk this earth.
The family was large and streamed in and out of the room. All were polite and respectful. The wife dutifully provided explanations and “stability” for the large family and the throng of visitors.
From the periphery, I observed her. She kept her emotions in check, only occasionally tearing up. It almost seemed she were “hostessing” the “event”. But her slow-motion movements belied a simmering grief that needed to be processed.
Having worked in ICU for ten years, I knew there was nothing humanly possible to change his course. I knew soon his heart--the heart that beat for so many years in unison with the woman--would stop, and the body that warmed her would grow cold, and the soul that united them and breathed life into her, would slip away.
The family and friends were “there” for the wife but they seemed unaware of the need I saw simmering just beneath her expression. And as the people kept calling I could sense a growing need within her. She began seeking my approval about letting anyone else in. I told her these would be the last. There was something we needed to do. The final visitors let the others who had gathered in the waiting room know that visitations would now cease.
I led the woman into the room. I rearranged the mechanical lines of life support and gently pulled the husband over to one side of the bed. I let down the rail.
“You need to lie beside him,” I said.
She looked at me with utter astonishment. It was as if I had just told her I could bring transport her back to the day before when her husband was home and alive and this place never existed. Her tears streamed down her cheeks. She cried and cried as I helped her in beside him.
I assured her she would not be disturbed by anyone, for any reason. She could emerge from the room when she was ready and could stay as long as she needed. I would guard against any disturbance.
I covered her with a blanket and put chairs against the bed as a reminder to her that the railings were down. I handed her the call bell and closed the door and curtains behind me.
Some weeks later I received a letter from her. She had difficulty describing the torrent of emotions that enveloped her while she lay with her husband that final afternoon of his life. But she said that being able to fully embrace him provided her a comfort and peace that would warm her for the rest of her life.
It’s so simple, yet too often we lose focus on what really matters.
Have the courage to let your humanity lead the way.
I bet you'll be seeing more and more of this type of thing-Your powers that be are going to have to get you all prepared. No supplies? I don't know how long you can let a PICC go without flushing before it's in danger of clotting up-maybe someone else knows that.For you I think checking the site every shift would be reasonable-you want to be able to catch a problem quickly and take any action needed.You could see an infection develop at any time-I've had them develop the day after insertion and I've seen patients maintain a line for months with no problem.Do you think he would harm himself and pull it? Do you have a policy for that? Maybe suicide precautions? It takes a special kind of nurse to deal with that population-it isn't my cuppa tea,for sure...
[QUOTE=JailRN;2478794]OK, nurses..I need opinions, facts, experiences
How long, would any of you say, it takes for an infection to start in a PICC line???
Ihe's not sure how often the line is maintained or when the dressing was changed last.
Alll of that aside, how long, would any of you say, it would take before I'd 'worry' about an infection..I figure, IF he had chemo 3 days ago, his WBC would be dropping, and even though our facility is cleaner than most of their outside living quarters, I'm still VERY concerned about infection..(among other things,) considering MRSA runs rampant both in jails and our community......
I'm in LTC and our policy regarding PICC lines is daily flushing (when not in use) ,dressing change q 5 days and visualization of the site every shift .In my experience they can become infected at anytime-(via loose dressings/during dressing change) -I would think that checking the site q 4or q 8 hours would be satisfactory-and report any sign of infection to the doc.Do you change dressings of every kind when your inmates arrive and assess whatever is under there? I think it would be very important in that population to document if they have s/s of infection upon arrival. Is it possible to contact whomever inserted it? You've got to find out how long it is-suppose he does pull it out? Your facility really needs a policy...
Jail RN, Sharon,
I am soo sorry for your loss. I am also soooo proud of you and your children for setting up a fund in your husband's memory. What a great way to reward steadfastness and determination. What a great way to remind your children of these important character traits.
Thank you for sharing your journey with us.
What is the article title....I'll ask for permssion to post here.
What is the article title....I'll ask for permssion to post here.
Unfortunately, it's not available on-line, and it's only in the California Edition. I'm having it scanned and can e-mail it to anyone who would like to read it.
I am so very proud of Doug, as he was SO determined, SO passionate, SO driven, and has left some really big shoes for our sons to fill.
Even though they didn't have him for as long as we would have liked, I tell them "I would rather for you both to have had him as your Dad for the short time that you did, rather than a lifetime of someone else."
Thanks for all of your love and support. I am humbled.
Thank You JailRN for the article, I read every word. You have so much to be proud of with Doug. :icon_hug:to you as you move forward in your life. Your sons should be pleased to have Doug as a father and a role model.
THANK YOU for sharing this with us.
Thank you for E-mailing Doug's story. The male nurse forum needs to see this. Male nurses you are appreciated!
My thoughts and prayers are with you. I'm sure that your husband lives on in your sons and through those lives he touched as a nurse.
Send it to me also, jail RN. We have a lot in common as my my husband died from a "medical incident" also.
Hi. I am so sorry for your loss. I'd love to read more about your husband. I will PM you w/ my e-mail address. Thanks for letting everyone know about his story.
pm me too, jail.
i'll give you my email address.
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