Leaderboard

Check your hospitals termination policy to see if 2 week or 4 week resignation required to be eligible for rehire prior to submitting resignation. Keep letter short and sweet, submit hard copy + email, cc HR department -- requesting read receipt on email as proof they received notice. HOWEVER, Many people are experiencing increased anxiety due to patient surge in COVID hot spots + emotional toll caring for this many acutely ill ICU level care being provided in ER's due to lack ICU beds. Previously, I've suggested to my staff going through similar experience to contact the facilities Employee Assistance Program (EAP). Nurses need to care for ourselves before we can care for patients. EAP is helpful to provide debriefing post critical incidents, provide short term counseling + resources to help one with anxiety, link to mental health providers, decide if taking FMLA break would be helpful, help save employee from leaving nursing position prematurely along with myriad of other assistance/info resources to maintain work/life balances. Our EAP even provided assiastnce with child care resources and college scholarship info. EAP program examples: Carebridge: https://www.carebridge.com/ Workplace Options: https://www.workplaceoptions.com/products/especially-for-eaps/ I'd suggest only after EAP contact, go through with resignation submission if that is in your best interest. Followup to let us know how your doing. Best Wishes moving forward.

Yeah, NurseBlaq- I'm having difficulty visualizing the disposable underwear under the pillowcase, when it seems to be more of a prudent move to wear the the disposable underwear over the pillowcase due to the elasticity.

In my 57 years on this planet I have seen that we have plenty of mass education. Way before the internet there were govt mandated labels on processed food designed to inform people on healthier options. You can lead a horse to water, tell it how deliciously refreashing that water is, However you cannot make that horse drink, even if it is thirsty. Same goes with food and healthy choices. You can tell people where they are going wrong, show them how it could be so much better, even get them to vebally agree. When push comes to shove you can't force change on them. I don't often agree with A Hit with the ladies but in this case He makes a point. There was a time when I was homeless and living off of handouts though back door of fastfood restuarants at closing time. I knew it wasn't good for me but food is food. I am in a much better position now. Why would you change the MY plate to half vegetables and exclude fruit. May it's changed lately but the latest info from the FDA is five servings of fruits and vegatables a day. Fruit provides much needed soluable fiber as well as carbohydrates that you body knows how to process and utilize. I totally get what you are saying but may be barking up the wrong tree. Hppy

Interview with Dr. Paul Offit, mostly about vaccine trials, warp-speed, etc.. This is very encouraging. https://www.facebook.com/ZDoggMD/videos/217916546183785/?sk=h_chr

As a midwife, I took care of a pregnant woman from Bangladesh who got polio as a child and had a basically deformed pelvis as a result. She walked with a walker and had a scheduled c-section because of the deformity. She was just about the most cheerful patient I've ever met, made me humbled and grateful to have access to vaccines.

Good morning! I have recently re-joined the family of school nursing. Glad to be back, I think, LOL. So, I was wondering, for those who are back at school with no students present, what tasks are you doing? Are you taking temps for staff? What documentation, if any, are you doing? Any other helpful info would be so appreciated. Thank you and have a wonderful day!

Well I didn't go there but I am an insulin dependant diabetic and I work closely with my endcrinologist on a strict program to keep my blood sugars well balanced. My food list includes all green leafy vegetables, unlimted fruits very low carbohydrates and meat that is lean. It's also 10%fat. Fat and the carbohydrate in fruit help to balance blood sugars and prevent spikes while processed carbs will cause blood sugar to spike. I don't eat bread at all and my carbs are mostly whole grains such a Farro, Barly, millet, Kamut, Teff and Frekeh. In doing my own research I have discovered that fruit does not in any way influence the developement of diabetes, nor does it cause the disease to worsen. The Mayo Clinic supports this: https://www.mayoclinic.org/diseases-conditions/diabetes/expert-answers/diabetes/faq-20057835 The American Diabetes Association aslo concurs: https://www.diabetes.org/nutrition While I am allowed to eat unlimited fruit with the exception of watermelon and mango. I am only allowed to eat non-starchy vegetables. I don't get to eat any member of the potato family except for sweet potatoes which I am slowly learning to love. Oh and my endocrinologist allows me to eat refined sugar because artifical sugars and so very bad for the colon and brain health and he wants me to eat butter but no margarine. He gave me this whole speil on "Mirror Image isomers" and fake food and how these fake foods contribute to diabetes, heart disease and dementia. The very best thing I have done is start to grow most of the fruit and vegetables we (my family) eat. I am not disagreeing with you on the need for mass education I just saying there's a lot of information out there. Here in California there are comercials every day on healthy eating and better food choices. So such mass education is being done, but again I say "You can lead a horse to water....." Hppy

what I really love is these little tools you can put on your key chain so you don't have to touch things liek door knobs, elevator buttons etc... A friend wanted to give me one as a gift and I said it wasn't worth the risk. when asked for an explanation I said "You use the clean thing to touch the dirty thing so now the clean thing is dirty as well. Now you put the newley dirty thing in your pocket!" Hppy

There is no perfect method to measure the exact fatality rate of a novel virus when the epidemic is ongoing. CFR is probably the least accurate number. https://coronavirus.jhu.edu/data/mortality If anyone thinks that a CFR that varies between 0.2% and 28.8% (!) is a good way to measure the risk this virus poses to a population I need to bring out my facepalm emoji —> 🤦‍♀️ The death rate per 100,000 has been increasing quite rapidly in the last couple of weeks in the U.S., one assumes due to the surge in infections that started over a month ago. That current number of deaths/ 100,000 probably looks less ”palatable” than 3.3% (which is the current case fatality rate in the U.S. according to the linked data). I would assume that’s the reason he prefers to look at those numbers, as opposed to the preference being based on a legitimate epidemiological rationale. If testing doesn’t ”capture” the true number of infected individuals, CFR will be overestimated. So a country’s testing strategy can have a significant effect on CFR. Cases that are detected and active, but not resolved, may die in the future and this can lead to CFR being underestimated. This effect can be significant during the exponential growth phase of a pandemic. Deaths per 100,000 is probably a more reliable way to measure the impact the disease has on a given population. However, since the accuracy/degree of correct attribution of Covid-19 related deaths is also a variable, this needs to be assessed together with excess mortality for the time period in question. Many countries show a significant discrepancy between the number of Covid-19 related deaths reported and the total number of deaths that have occurred.

President Barack Obama Eulogy@ Rep. Lewis funeral today