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2022 "The Power of Nursing" - Future Young Lions in Taiwan.

Koo Foundation Sun Yat-Sen Cancer Center(Taipei, Taiwan) launched this film - Stand by me.

The core value of the video is to convey and appeal: to an "Appropriate nurse-to-patient ratio to ensure patient safety and quality of care."

Compared with others countries, Taiwan’s nurse-to-patient ratio is almost twice the standard. Studies show that each additional patient per nurse increases the mortality rate by 7% and the nurse burnout rate by 23%. This fact reflects that without nurses, a hospital bed is just a bed. We want to ask the governments and medical institutions that the number of available beds should be determined by an adequate nurse-to-patient ratio to ensure patient safety and quality of care.

Our video has passed the first stage of selection and is now entering the second stage of social media and public voting. One of the conditions for being shortlisted: FB+YouTube watch and click rate must exceed 10,000 times before 12/18

I know it's not easy. I sincerely ask all my friends to enjoy this video together and give us support and encouragement; thank you~

https://www.YouTube.com/watch?v=0M2hV2doW40&list=PLdL-GMbqkwferkISbDUHN26IMRroPaR8b&index=2

I'm having a really tough week with both acute and chronic pain. Had to miss work last weekend due to my right knee going out (Like I literally could not bear weight) but got that straightened out with a steroid shot into the joint. Now it's the right hip. There's pain and an annoying numbness from hip to knee. It actually feels like my hip/spine may be misalligned. I have been taken financially by Chiropractors so I am leary of them and I am currently trying to stay off opiodes, but I might have to give in. I have an appointment with my GP today to see what can be done. I have an ortho referral but no appointment yet. I need to get this straightened out as I am going to France in December which is a long delayed trip originally planned for 2020 as part of the man cub's high school graduation and I can't imagine sitting on a plane for 15 hours like this. As always when I have acute pain the old chronic pain will rear it's ugly head. Like many Chronic pain sufferers you would be hard pressed to think I was in pain as I go to work, distract myself with my phone and watching television. The only objective sign is a mildly elevated BP. I have orchids to transplant and my dogs need attention but the Malinios still attempts to jump on me and she is 65 pounds of pure muscle. 

Well.....;.Thank you for listening to my little pity party....I just needed to vent. 

Hppy

Thank you!

https://www.facebook.com/100000145413973/posts/pfbid024jsx9ZFQcG2gH7ZhtHHppHajXgjft7Mpc7UCxbfnkH5vxMzwQUMRpBxsqTr9ajx7l/?d=n

Its a state of emergency for California unions as big businesses go around and don’t pay the fair wages but steadily pullout money and drag down the places while we suffer without the promised raises it’s not fair this owner paid million bucks for his daughters weeklong wedding including John legend bug won’t pay adequate salaries I’m baffled?

I previously worked in the ambulatory setting for a very large hospital system on the Gulf Coast. At the end of February, I was asked by a FNP in my clinic to do something outside the scope of RN practice. I had been at this clinic for almost 4 years and had a good working relationship with her; however I must have caught her on a bad day. After confirming with my nursing coordinator that what she asked me to do was, in fact, not in my scope of practice, I went in to clarify with the provider and explain why I didn’t feel comfortable. Instead of hearing me out, she became very defensive and argumentative. Her husband (also her collaborating physician with whom she shared an office… nepotism anyone?) was in the office at the time and heard the whole thing. I never raised my voice; however I did at one point in our conversation tell her that she was sounding very condescending. I called both my coordinator and my office manager who was on vacation at the time to let them know about the incident. I was told we would figure it out when the OM returned back. 

The next two days I was completely ignored by the provider and her husband/MD (who I work with directly). I was not spoken to, and orders were given to me through multi-skilled technicians (who are unlicensed, BTW, red flag number 2,036). I received an email from my manager, still on vacation, letting us (clinical staff) know that the work flow would be changing to where I essentially had zero interactions with these providers. 

When my manager returned, she never sat down with me to inquire about the incident or hear my side. I was told by her the next morning I was to go home with pay, and when I asked for a reason she could not give me one other than “everyone is walking on eggshells.” I told her the only ones walking on eggshells were the providers because of something I asked for clarification on as I didn’t feel comfortable doing it. She then told me she wished I would have called her before I confronted the provider, and I explained that I talked to Kendall who is my direct clinical contact, and also that I didn’t intend for it to be a confrontation.  

I was then told to report to the office of the director of all clinics the next morning at 8 AM. I collected all documentation I had on the issue and left. I spoke with a lawyer friend letting him know what happened and he provided me with the name of a medical attorney in case things got ugly. I also consulted with multiple nurses including former instructors, all who agreed with me that this was outside the nursing scope. 

On Thursday morning I reported to the clinical director’s office. I was joined by my clinical supervisor and an HR representative. I was given an opportunity to tell my side and provided a written copy of the incident as well. I was then told by the clinical director that if the provider asks me to do something, I need to do it, and that she has been a nurse for xx years and done what I was uncomfortable doing before many times. I told her that I’m still in my early years of nursing and am not comfortable with it, and that I had spoken with my clinical coordinator who advised me that it was not in my scope of practice to do. The coordinator then denied any of this and stated that she never said that, and that she advised against talking to the provider. 
 

I then asked why I had been summoned to her office. She explained that she sat down with the MD (the provider’s husband) and he brought up two medication errors I made in the past that I did not report. I explained that they were very minor and that he told me not to report at the time and that it would only get me in trouble (one was an error with the wrong vaccine, another was the wrong sample drug but the same classification. Nobody complained, got hurt, or died). In hindsight I will NEVER listen to an MD when the tell me not to report. I was told that the hospital would be reporting myself to the board of nursing and they “highly suggested” I report myself. After seeking l legal council I did not do this as the incidents were not recent nor did the injure/kill anyone. 

Wrapping up, I was sent home on unpaid leave and an investigation ensued. I submitted my own complaint against the providers and provided specific incidences of bullying and nepotism by these two providers. I even provided documentation from 4 years prior from a staff member who experienced something similar. 

A full week later I was called back in the office at 4 pm on a Friday only to be terminated. At this time I was told they WILL be reporting me. I refused to answer any questions regarding whether or not I had reported myself and did not sign anything they requested me to sign. 

I write all this to (1) get it off my chest and (2) show that Vanderbilt is not the only corrupt healthcare system out there. Hospital administration is money hungry, and because this provider’s husband is a money maker for the hospital, I was dismissed and gaslighted into thinking I was the problem instead of them and they continue to practice as if nothing ever happened. 

Something. Must. Change. 
 

At work I now have to work as a tech and change my scrub colors. I'm so embarrassed and am worried about what people might say or how they will view me. I did ask if I could work part-time until my second test date (haven't gotten a response).  I just feel so depressed and embarrassed. 

Friday night had a patient whose blood pressure was 67/30 and I had to scramble around trying to fix it. STAT labs--Ran NS bolus without success, albumin without success and midodrine STAT. All without success. Results came back hgb 6.5--- two units of blood later. Patient stabilized but i am beyond frustrated with my coworker for not paying attention to this all day.

Saturday night I had this patient 450+ pounds w/ +4 edema on a ventilator and some other issues. This patient had so much edema it was incredible. IV bumex has been initiated for a few days now but without improvement. I feel like there is so much that can be done to help this patient that has not been done. This is incredibly frustrating for me. I only work a few days a month but everytime i come to work i see just a lack of work ethic and compassion its truly amazing.

This is my nurse diary. I feel so much better venting

I get it.

The thing is - it helps you grow. It's therapeutic.

Use this opportunity to celebrate your successes, events, and your failures as a professional.

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