Latest Comments by herring_RN

herring_RN Guide 92,877 Views

Joined: Mar 14, '04; Posts: 17,531 (73% Liked) ; Likes: 35,741

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  • 5
    toomuchbaloney, Tweety, nursej22, and 2 others like this.

    The 29-year-old hero from Waffle House shooting: 'I saw the opportunity and I took it'
    James Shaw Jr. cried at least four times Sunday after a tragic morning where he wrestled a gun away from a shooter at an Antioch Waffle House.
    The shooting left four dead and injured numerous others.

    The first time Shaw Jr. cried was in an ambulance at 4 a.m. while he was transported to the hospital for a gunshot wound. One of the paramedics asked Shaw Jr. questions while checking his blood pressure.
    "He asked if I had kids," Shaw Jr. said. "I thought I could have possibly never seen my daughter again. That hurt."

    The 29-year-old's actions are credited with saving numerous lives after the suspect, clothed in only a green jacket, opened fire with an AR-15 rifle at 3:25 a.m. at the Antioch Waffle House on Murfreesboro Pike.
    Shaw Jr. rushed the gunman, grabbed the gun's barrel, pulled it away and threw it over the Waffle House counter. He suffered a gunshot wound and burns from grabbing the gun's barrel...
    29-year-old James Shaw hero saved lives Tennessee Waffle House shooter

  • 5

    The NRA spends millions influencing Congress and the White House to advance its agenda. And its monetary prowess is still growing.

    The group spent more money lobbying for expanded gun rights through the first two quarters of 2017 as it did in all of 2016. Last year's lobbying total surpassed $5.1 million, according to the Center for Responsive Politics' database...

    5 charts that show how powerful the National Rifle Association is - Business Insider

  • 2
    azhiker96 and nursej22 like this.

    I dislike my country bombing a country that hasn't attacked the USA. We really don't know just what happened.

    I've care for more than one patient who accidentally made chlorine gas by using bleach and ammonia window cleaners.
    One had to be intubated. Her kids in the next room were sick too.
    Symptoms were chest pain, shortness of breath, and severe eye irritation.

  • 1
    broughden likes this.

    About half of Americans support single-payer health care
    By Emily Guskin April 12, 2018
    A Washington Post-Kaiser Family Foundation poll finds a 51 percent majority of Americans support a national health plan, also known as a single-payer plan, while 43 percent oppose it....

    ... Nearly three-quarters of Democrats support a single-payer health plan (74 percent), while a slightly larger share of Republicans oppose it (80 percent). Independents break the tie, supporting a government-run health-care plan by 54 percent to 40 percent.

    Almost three-quarters of Democrats support single-payer, along with over half of independents
    Q: Do you support or oppose having a national health plan -- or a single-payer plan -- in which all Americans would get their insurance from a single government plan?...

    About half of Americans support single-payer health care - The Washington Post

  • 1
    Tweety likes this.

    I think this was a good thing President Trump and Congress did.

    Trump signs measure aimed at curbing online sex trafficking
    The new law paves the way for victims of sex trafficking to hold websites accountable for knowingly facilitating sex trafficking.

    Trump signs measure aimed at curbing online sex trafficking - CNNPolitics

  • 2

    There seems to be no clear requirement for the United States President or Congress to authorize acts of war.
    Some of the same people who accused President Obama of unconstitutional war-making are saying yesterday's bombing of Syria was without Constitutional authorization.
    The same is said of the Korean War, the Viet Nam war, and more.
    Some only complain when the president is not of their party. Others are more consistant.
    I'm interested in reading fellow nurse's thoughts on this.

    Matters of Debate
    The Textual Limit on the President's War Powers by Michael D. Ramsey
    Article I - The United States Constitution
    In 'Clear Violation of Domestic and International Law,' Trump Bombs Syria
    "Strikes against the Syrian regime - without congressional input or authorization - shows a contempt for the U.S Constitution and is without legal justification."
    In 'Clear Violation of Domestic and International Law,' Trump Bombs Syria
    The Perils of Obama's Latest Undeclared War
    As America's intervention against ISIS in Iraq and Syria intensifies, its present course lacks popular support or constitutional legitimacy.
    President Obama's Unconstitutional War Against ISIS in Iraq and Syria - The Atlantic

  • 0
  • 1
    toomuchbaloney likes this.

    I am a nurse who thanked a friend for a post. I am neither claiming to be any expert on firearms, nor involved in firearm legislation or the industry.
    I appreciate fellow nurses posting what they know that I do not.

    Definition of what's actually an 'assault weapon' is a highly contentious issue
    Exactly what constitutes a so-called "assault weapon" is a highly contentious issue and something that riles up some gun advocates
    .
    ... Following last week's Florida school killings, there's movement by gun control advocates in some states to ban so-called assault weapons.

    Yet exactly what constitutes an "assault weapon" is a contentious issue and something that riles up some gun advocates. In fact, many of the large gun groups consider "assault weapon" a made up and ambiguous term invented by the anti-gun lobby in the 1980s, maintaining that guns don't actually "assault" people.

    That said, the gun industry's traditional definition of an "assault rifle" is a weapon the military generally uses and has "select fire capabilities," or the capability to switch between semi-automatic or a fully automatic mode. However, the civilian AR-15s do not have the select fire capabilities, only semi-automatic settings, so the firearms industry insists they are not an actual assault rifle or assault weapon...
    ... The NSSF added, "AR-15-style rifles look like military rifles, such as the M-16, but function like other semi-automatic civilian sporting firearms, firing only one round with each pull of the trigger."

    States also tend to have different definitions in gun laws for what is an assault weapon or assault rifle, and it often changes when lawmakers seek to close what they perceive as loopholes.

    For one, California's gun laws changed this year so that certain AR-15 rifles with so-called bullet buttons are no longer exempt from an earlier assault weapons ban and now must modified. Lawful owners, though, are allowed to keep the weapon if they register it...
    ... The 1994 federal assault weapons ban, officially known as the Public Safety and Recreational Firearms Use Protection Act, was passed as a crime-fighting bill and identified more than a dozen specific models of firearms, including the Colt AR-15, that were defined as semi-automatic assault weapons. It also defined the term by specific characteristics, such as the ability to accept a detachable magazine and by certain cosmetic features...
    https://www.cnbc.com/2018/02/21/defi...ous-issue.html

  • 1
    toomuchbaloney likes this.

    Outgoing National Security Adviser H.R. McMaster criticized Russia for subversion and espionage, and complained the West had failed to impose sufficient costs on the country.

  • 2

    Iowa's Employment Problem: Too Many Jobs, Not Enough People
    State can't find enough trainees for its programs; the Midwest is the only region where openings outnumber out-of-work job seekers

    Manufacturers in northern Iowa are begging Terry Schumaker for freshly trained workers for their factories. The problem is he doesn't have enough students to train.

    "It's not like we have the people beating down our door to apply," said Mr. Schumaker, a dean at the North Iowa Area Community College in Mason City.

    It is a problem playing out in many parts of the Midwest, a region with lower unemployment and higher job-opening rates than the rest of the country. Employers, especially in more rural areas, are finding that there are just too few workers. That upends a long-running view in Washington, D.C., and many state capitals, where policy makers often say the unemployed simply lack the skills to get hired.

    Mr. Schumaker said Iowa has plenty of free programs to train workers. And Iowa Gov. Kim Reynolds is poised to sign Tuesday legislation that would provide an estimated $18 million for worker-training programs. But shrinking high-school classes leave fewer potential trainees.

    Other states, like Indiana and Wisconsin, are undertaking similar moves.
    President Donald Trump has touted worker-training programs, and his daughter Ivanka visited Iowa in March to highlight the efforts...
    Iowa’s Employment Problem: Too Many Jobs, Not Enough People - WSJ

  • 1
    DannyBoy8 likes this.

    This "leader" is just plain wrong. There have been MANY scientific studies demonstrating that safe staffing ratios save lives.
    It is dishonest and harmful to patients who die due ti failure-to-rescue. The profession of nursing is considered the most honest of occupations.
    Any nurse who denies the importance of sufficient nurse staffing is hinderingv the profession of nursing.

    "Massachusetts has some of the best hospitals in the country. Make no mistake: this proposal threatens the high quality of care we provide patients," said Amanda Stefancyk Oberlies, CEO of the Organization of Nurse Leaders. "It will force many hospitals to reduce critical services and will dramatically increase emergency room wait times.
    This measure will prevent nurses and doctors from being able to use their best judgment in times of crisis. Further, there are no scientific studies or reports that demonstrate the effectiveness of this one-size-fits-all staffing requirement improving quality of care."...
    Coalition to Protect Patient Safety Launches 218 Ballot Question Opposition Effort - Coalition to Protect Patient Safety
    By it's opposition the ANA is violating it's own resolution:
    In 2012 the ANA stated, "The nurse staffing resolution identifies short-staffing as a top concern for direct care nurses that negatively affects patient care and nurse job satisfaction. It notes that staffing decisions remain largely outside of nurses' control, and that staffing plans lack enforcement mechanisms.
    The resolution requests ANA to "reaffirm its dedication" to advocating for a staffing process, directed by nurses, that is enforceable and that includes staffing principles, minimum nurse-to-patient ratios, data collection, and penalties for non-compliance in all health care settings where staffing is a challenge".
    OOPS!
    * JAMA surg June 2016
    Hospitals with better nursing environments and above-average staffing levels were associated with better value (lower mortality with similar costs) compared with hospitals without nursing environment recognition and with below-average staffing
    Comparison of the Value of Nursing Work Environments in Hospitals Across Different Levels of Patient Risk | Nursing | JAMA Surgery | JAMA Network

    * Medical Care, November 2014
    The study findings provide support for the value of inpatient nurse staffing as it contributes to improvements in inpatient care; increases in staff number and skill mix lead to improved quality and reduced length of stay at no additional cost.
    Examining the value of inpatient nurse staffing: an assessment of quality and patient care costs. - PubMed - NCBI

    * Agency of Health Research and Quality, AHRQ Healthcare Innovations Exchange, Sept. 26, 2012.
    Higher nurse workloads are associated with more patient deaths, complications, and medical errors - "State Mandated Nurse Staffing Levels Alleviate Workloads, Leading to Lower Patient Mortality and Higher Nurse Satisfaction,"
    State-Mandated Nurse Staffing Levels Alleviate Workloads, Leading to Lower Patient Mortality and Higher Nurse Satisfaction | AHRQ Health Care Innovations Exchange

    * Medical Care Journal of the American Public Health Association: January 2013
    Improving nurses' work environments and staffing may be effective interventions for preventing readmissions. Each additional patient per nurse was associated with the risk of within 30 days of readmission for heart failure (7%), myocardial infarction (9%), and pneumonia (6%). "In all scenarios, the probability of patient readmission was reduced when nurse workloads were lower and nurse work environments were better."
    Hospital Nursing and 3-Day Readmissions among Medicare Patients with Heart Failure, Acute Myocardial Infarction, and Pneumonia

    * New England Journal of Medicine, March 17, 2011
    "Studies involving RN staffing have shown that when the nursing workload is high, nurses' surveillance of patients is impaired, and the risk of adverse events increases."
    "We estimate that the risk of death increased by 2% for each below-target shift and 4% for each high-turnover shift to which a patient was exposed."
    NEJM - Error

    If Pennsylvania and New Jersey matched California state-mandated ratios in medical and surgical units, New Jersey hospitals would have 13.9 percent fewer patient deaths and Pennsylvania 10.6 percent fewer deaths.
    * Health Services Research, August 2010
    The researchers surveyed 22,336 RNs in California and two comparable states, Pennsylvania and New Jersey, with striking results, including: if they matched California state-mandated ratios in medical and surgical units, New Jersey hospitals would have 13.9 percent fewer patient deaths and Pennsylvania 10.6 percent fewer deaths.
    "Because all hospitalized patients are likely to benefit from improved nurse staffing, not just general surgery patients, the potential number of lives that could be saved by improving nurse staffing in hospitals nationally is likely to be many thousands a year," according to Linda Aiken, the study's lead author. California RNs report having significantly more time to spend with patients, and their hospitals are far more likely to have enough RNs on staff to provide quality patient care. Fewer California RNs say their workload caused them to miss changes in patient conditions than New Jersey or Pennsylvania RNs
    https://onlinelibrary.wiley.com/doi/...3.2010.01114.x

    * Lancet Infectious Disease, July 2008
    This study finds that understaffing of nurses is a key factor in the spread of methicillin-resistant Staphylococcus aureus (MRSA), the most dangerous type of hospital-acquired infection. The authors note that common attempts to prevent or contain MRSA and other types of infections such as requirements for regular and repeated hand washing by nurses are compromised when nursing staff are overburdened with too many patients.
    Overcrowding and understaffing in modern health-care systems: key determinants in meticillin-resistant Staphylococcus aureus transmission - ScienceDirect

    * Critical Care, July 19, 2007
    Understaffing of registered nurses in hospital intensive care units increases the risk of serious infections for patients; specifically late-onset ventilator-associated pneumonia, a preventable and potential deadly complication that can add thousands of dollars to the cost of care for hospital patients. Curtailing nurse staffing levels can lead to suboptimal care, which can raise costs far above the expense of employing more nurses
    Staffing Level: A Determinant of... (PDF Download Available)

    * Medical Care: Journal of the American Public Health Association, June 2007
    A review of outcomes for more than 15,000 patients in 51 U.S. hospital ICUs showed that those with higher nurse staffing levels had a lower incidence of infections, such as central line associated bloodstream infections, a common cause of death in intensive care settings. The study found that patients cared for in hospitals with higher staffing levels were 68 percent less likely to acquire an infection. Other measures such as ventilator-associated pneumonia and skin ulcers were also reduced in units with high staffing levels. Patients were also less likely to die within 30 days in these higher-staffed units.
    http://protectmasspatients.org/docs/...0Infection.pdf

    * Evidence Report/Technology Assessment for Agency for Healthcare Research and Quality, May 2007
    A comprehensive analysis of all the scientific evidence linking RN staffing to patient care outcomes found consistent evidence that an increase in RN-to-patient ratios was associated with a reduction in hospital-related mortality, failure to rescue, and other nurse sensitive outcomes, as well as reduced length of stay.
    https://archive.ahrq.gov/downloads/p...nursestaff.pdf

    * Archives of Internal Medicine, Dec 2006
    A national study of the quality of care for patients hospitalized for heart attacks, congestive heart failure and pneumonia found that patients are more likely to receive high quality care in hospitals with higher registered nurse staffing ratios.
    https://massnurses.org/files/file/Le...tals_Study.pdf

    * Journal of Nursing Administration, Jan. 2006
    Increasing RN staffing increased patient satisfaction with pain management and physical care; while having more non-RN care "is related to decreased ability to rescue patients from medication errors."
    https://pdfs.semanticscholar.org/1c0...8558fd5481.pdf

    * Cancer, Sept. 2005
    Patients undergoing common types of cancer surgery are safer in hospitals with higher RN-to-patient ratios. High RN-to-patient ratios were found to reduce the mortality rate by greater than 50% and smaller community hospitals that implement high RN ratios can provide a level of safety and quality of care for cancer patients on a par with much larger urban medical centers that specialize in performing similar types of surgery.
    https://www.massnurses.org/files/fil...d_Staffing.pdf

    * Nursing Research, March/April 2003
    Increasing nurse staffing by just one hour per patient day resulted in a 9% reduction in the incidence of hospital-acquired pneumonia. The cost of treating hospital-acquired pneumonia was up to $28,000 per patient. Patients who had pneumonia, wound infection or sepsis had a greater probability of death during hospitalization.
    http://www.nationalnursesunited.org/...-ADE-costs.pdf

  • 1
    DannyBoy8 likes this.

    Quote from AceOfHearts<3
    The MA chapter of ANA is opposing it! So is the Organizations of Nurse Leaders.


    "Amanda Stefancyk Oberlies, CEO of the Organization of Nurse Leaders, stated, "Make no mistake: this proposal threatens the high quality of care we provide patients. It will force many hospitals to reduce critical services and will dramatically increase emergency room wait times. This measure will prevent nurses and doctors from being able to use their best judgment in times of crisis."[6]"

    It will INCREASE the quality of care. Five patients as a tele nurse was too much most of the time, especially with the high acuity many of them were. Heck, even 2 patients as an ICU nurse is too much if one is really critical.
    That quote is included here:
    Massachusetts Nurse-Patient Assignment Limits Initiative (218) - Ballotpedia

    Also the ratios and text of the initiative.

  • 1
    Lil Nel likes this.

    Black Trump drops a new track with lyrics pulled verbatim from actual Donald Trump quotes:

  • 1
    xoemmylouox likes this.

    Of course you should know the policies and procedures of your unit.
    If asked I would tell the truth. Maybe that is why I was often not scheduled when they were expected.
    In my state the surveyors are experienced RNs. They often require a "Plan of Correction" (POC) for any violation. That is good to know as hospitals complying with the POC are safer and often better staffed.

  • 4

    We had a nice sunny day for the march and rally. MANY teens, our mayor, famous people, and all ages. The stars and main speakers were Parkland students.


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