Content That Nurse Connie Likes

Nurse Connie 5,474 Views

Joined: Jan 6, '10; Posts: 247 (25% Liked) ; Likes: 87

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  • May 24 '14

    I know NRP says 23 weeks, but after seeing a 23-weeker be coded, I think my personal cutoff would be more like 26. Obviously a lot would depend on what happens at delivery, but if I'm honest I'd much rather be able to hold and love my baby while he lives for a couple hours than have him be resused spend a whole life trached and on tube feeds. 'Breathing and has a pulse' technically does mean 'alive', I guess, but at what price?

    Other parents would do differently and I understand that people want to feel like they gave their baby every chance's just not what I'd choose.

  • May 24 '14

    22 weeks?!?!? Those neos should have to foot part of that family's long-term health bill! They are not G-d! Why must we do this? It pains me to care for micro premies at times...The babies that have been poked some many times and are so neurologically devastated that they don't even wince at painful stimuli. I know I've become hardened or desensitized is the better word by working in NICU but really what is the point of spending millions of dollars and taking away nurses and machines from other babies to save a neonate that isn't "viable." What is life going to look like for that family once we send this kiddo home or to a long-term care facility? Quality of life is so much more valuable than days lived. I swear in NICU we want to save everything because we don't have to "deal" with the aftermath of those choices. After the baby is of age and is trached and tubed we send them to peds or long-term care facilities. Sometimes this job is mind boggling. ...end rant!

  • Apr 9 '14
  • Feb 9 '14

    My midwife has attended over 500 home births and has never lost a mother or baby. For low risk pregnancies and a skilled birth attendant, home birth is safe option. Outcomes of Care for 16,924 Planned Home Births in the United States: The Midwives Alliance of North America Statistics Project, 2004 to 2009 - Cheyney - 2014 - Journal of Midwifery & Women's Health - Wiley Online Library Here are some highlights from this article:

    Quick Points

    • This study reports maternal and neonatal outcomes for women planning to give birth at home under midwife-led care, as recorded in the Midwives Alliance of North America Statistics Project dataset (version 2.0, birth years 2004-2009).
    • Among 16,924 women planning a home birth at the onset of labor, 94% had a vaginal birth, and fewer than 5% required oxytocin augmentation or epidural analgesia.
    • Eleven percent of women who went into labor intending to give birth at home transferred to the hospital during labor; failure to progress was the primary reason for intrapartum transfer.
    • Nearly 1100 women attempted a vaginal birth after cesarean (VBAC) in this sample, with a total VBAC success rate of 87%.
    • Rates of cesarean, low 5-minute Apgar score (< 7), intact perineum, breastfeeding, and intrapartum and early neonatal mortality for this sample are all consistent with reported outcomes from the best available population-based, observational studies of planned home births.

  • Feb 8 '14

    We all got to go sometime so why not enjoy life while we're here. That's what I say.

  • Feb 8 '14

    In other news, vegetables are good for you and drinking water helps keep you hydrated.

  • Nov 21 '13

    Crazy how we are all nurses yet many of you are so misinformed and ignorant about vaccines.

    Vaccines are extremely important and we all need to do our part to protect our patients and ourselves.

    I'm first in line every year for my shot.

  • Nov 21 '13

    TU RN - thanks for your post. Yes, you can get one of the more rare flu viruses not covered by each year's flu vaccine. And you might get the flu because the vaccine isn't 100% effective. But it is still effective in about two-thirds of the cases and then would actually lessen the severity of a flu that you might get. Still a good thing.

    I'm saddened that nurses who take science classes (micro/physio/biology) don't understand how vaccines work.

    Attachment 13131

  • Nov 21 '13

    We're running in circles here. Not sure how it has been in the past, but most new grads these days are given a microbiology class in their education that includes the chain of infection, the innate and adaptive immune response, and vaccine history/production among other things. Vaccinations aren't a "new science" by any means that one day I'm going to regret advocating for. They've been around for centuries, and will continue to be. I do expect to one day look back on my practice and go "we used to do that!?" (like with saline bullets in trachs and iodine coating/heat lamps for wounds) but this won't happen with vaccines.

    My personal opinion is that this recent vaccine refusal thing is a new phenomenon perpetrated by the security of a wealthy, first world way of life where the majority of the population has reason and gets the vaccine thereby protecting the rest with a "herd immunity." It just seems arrogant to presume that you know more than the scores of highly educated experts who tirelessly R&D the medicine that poor countries are literally dying for, and ungrateful to accept such medicine when you can.

    A picture of how viruses act on cells:

    Attachment 13130

    Here's something published by Children's Hospital of Philadelphia #1-2 children's hospital in the country that might allay some misconceptions that you seem to be having:

    To summarize the above, the flu "shot" or intramuscular injection is an inactivated virus. That means that it's dead. Done. Not infectious. It is no longer capable of entering your cells, reproducing its genetic material and protective coating, destroying the cell upon exiting, then causing further infection.

    The only issue with inactivated viruses, and possibly why people you know have gotten the flu after the vaccine, is that they sometimes "don't work" because the vaccine is too weak to create immunity. That's why you go back for multiple Hepatitis and DTaP vaccinations. On top of that, each seasons flu shot is designed to provide immunity for only the strains that are predicted to be prevalent/most infectious that season. This is done by highly educated scientists and researchers. Could be that they caught another strain. That doesn't mean don't get the vaccine...

  • Nov 21 '13

    I did a google search for "flu shot myths" - different sources noted below. You'll find lots of info. The CDC has the same kinds of info as well.

    The one issue that drives me crazy as a nurse is people saying the flu shot gives you the flu. That simply is not true.

    Myth No. 2: Vaccines can give me the flu.
    “The basic flu shot uses inactivated virus, which cannot transmit the flu,” says Jim Noah. “Side effects are soreness, redness, swelling, low-grade fever and aches that may last one to two days, but this is a normal reaction to any vaccination. It’s not the flu.” Noah says the flu shot is approved for use in people older than 6 months, including people with chronic medical conditions

    Five Flu Myths Debunked

    Myth: The Flu Shot Can Give You The Flu
    Fact: This myth just will not die. So let's clear this up: You cannot get the flu from your flu shot.

    Why? That vaccine is made from a dead or inactive virus that can no longer spread its fever-spiking properties. [COLOR=#009bd5]In rare cases, a person may experience a reaction to the shot that includes a low-grade fever, but these reactions are not The Flu, Everyday Health reported. Note: Even though the flu shot cannot cause the flu, there are a number of other [COLOR=#009bd5]reasons not to get the vaccine, including for some people with an allergy to eggs or a history of Guillain-Barre Syndrome
    Flu Myths: 7 Common Beliefs, Busted

    2. Myth: The flu shot itself can give you a case of the flu.
    Fact: The virus used in the vaccine is grown in chicken eggs and killed off before it reaches your bloodstream. There's absolutely nothing in it capable of causing the flu.
    Flu Shot Myths And Facts -

    The fact is, the timing of getting a flu shot coincides with the flu virus going around. So, when you were shopping at the grocery store and touched the shopping cart handle or you opened the door to pick up some milk or you headed over to the post office to buy stamps or you shook hands with someone you were at risk of touching the flu virus and getting it into your system days before or the day of getting the flu shot. THAT virus gives you the flu. Not the flu shot.

  • Nov 21 '13

    Quote from BSNINTHEWORKS
    What is science today, can easily be fiction tomorrow. These tests are all run by humans, which places those same tests ALL at risk for error. So, I wouldn't be so quick to judge and call other colleagues ignorant. There may come a day when you just might have to eat that word. At some point in time, all things appeared to be true. But things evolve and they change. There is a study out now that says evidence indicates that lower nurse-patient ratios correlate with safer and improved care. How many of us needed a study to know that? But before at some point, somebody somewhere felt it was safe or just as beneficial to pile on the work of the nurses. So there was a push for that practice based on evidence, and now here we are: over-worked, over-stressed, nurses leaving the field, new grads being sugar-coated with what is soon to follow, and having to answer to the resulting development of patient satisfaction scores because, unlike popular belief, nurses cannot be in all these places at once.

    From what the IC nurse said yesterday, the healthy people who got the shot were no longer healthy at least for a short period of time because they were out of work for a week or so each with the flu.

    My grown children and I do not get the vaccine and we never get the flu. My military brothers and dad get that vaccine each year and each year, they get the flu. Every year, we get to watch them suffer. In my opinion, it is just a matter of time before evidence shows that previous evidence was incorrect. Lots of proven trials are later disproven. It was said back in the day that we got vaccinated for childhood illnesses to prevent us from contracting those diseases. We were not allowed in school if we did not receive them. Well, I received my shots and got none of those diseases.....until I reached the age of 23 (chickenpox) and 34 (again chicken pox). Have the medical records to prove them twice when it wasn't thought possible. And it was not documented as shingles. It clearly states chicken pox. I remember the nurses really getting a kick out of someone my age with that diagnosis.

    So, I'll wait, because so far, I've been flu-free for nearly half a century. We, as nurses, know that every thing does not apply to every single individual on this earth. That is what we were taught in nursing school. Even facility policies has to be catered to fit specific patient needs. That's why we have Individualized Plans of Care.
    Your anecdotal evidence does not disprove anything...a return to the basics of the scientific method seem in order...but much of what transpires in this country/world is based wholly on fiction, fear, propaganda...

    “That which can be asserted without evidence, can be dismissed without evidence.”


  • Nov 21 '13

    I am just astounded that some of you are nurses and believe that the flu shot can cause the flu. If someone gets the flu after getting the shot, it's a coincidence. It is not caused by the vaccine for god's sake.

  • Nov 21 '13

    Quote from TU RN
    Interesting. I wonder how a registered nurse who is opposed to the influenza vaccine herself will be able to advocate for the greater good of her patients (and of public health in general) by encouraging the flu shot... Do you still educate the patients according to the CDC literature? Which by the way is based on case studies on every reported adverse reaction by the flu shot, not just a few of their friends who got sick afterwards.
    Yes-yes finally some "reason" in this is extremely hard to believe that any of these people with anecdotal fear ever went to nursing school at all and even heard the term evidenced based practice yet alone understood it! What is truly appalling is the people who act like the shot is mandatory to protect THEM! Dare I even explain the reasoning for healthy people to get the shot-especially those who work among the most I feel it would be met with a fearful blank stare...I am sure I will be ridiculed for my harsh stance, but I have reached the age where I no longer have time for ignorance in the light of overwhelming SCIENTIFIC evidence....

  • Nov 21 '13

    This is becoming standard practice for a reason. I work for a nationwide ambulance company that employs thousands and since we have started mandating vaccines our flu related sick days have been dramatically reduced. The evidence is overwhelming that the flu vaccine reduces the chance of contracting the flu and spreading it to your patients, your coworkers, and your family. I don't see what the big deal is. If you work in healthcare, get the flu vaccine unless you have a known systemic reaction to it. And if you don't / can't get vaccinated, wear a mask for every patient encounter during flu season.

  • Nov 21 '13

    Interesting. I wonder how a registered nurse who is opposed to the influenza vaccine herself will be able to advocate for the greater good of her patients (and of public health in general) by encouraging the flu shot... Do you still educate the patients according to the CDC literature? Which by the way is based on case studies on every reported adverse reaction by the flu shot, not just a few of their friends who got sick afterwards.