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eakirlin

eakirlin

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eakirlin's Latest Activity

  1. eakirlin

    RN Disciplined While Waiting On Covid 19 Result

    I agree. I note in the news that the Trump administration facilitated the movement of 17.8 tons of PPE, masks, gowns,gauze,gloves to Hubei province on 2/7, the same day that the WHO noted the seriousness of coronovirus. At this point, it matters little to me whether this was done on purpose, or the ordinary incompetent disconnect.
  2. Have been fascinated by the thread of narratives following the statement of the ED nurse under "discipline" for illness related to covid19 exposure, however one processes whether this actually occurred or not (the exposure/ illness resulting). Therefore, it seems worthwhile to consider that there are many reasons this should spur an industrial surge toward nursing power and organization. If we do continue to organize, will need to drop comments that exhibit vivid levels of disapproval and nastiness. "Tone".... counts for a lot, and it is difficult to control your tone in print. Now.... we hear from a manager who has compassion for nurses, an employee caught on social media evidently manipulating a situation. The manipulator will wash out... without anyone doing a thing about it. The compassion will last. Legal assistance is nearly always worthwhile, because that is one of the few remaining avenues to take a stand, and its main value may be anecdotal and educational, if not directly employed. You do not pay $400, or any price at all, for seeking a legal consult... and there are many kinds of legal, from medical/malpractice to administrative law and beyond. Once an administration commits a thing to paper, it has a life of its own. Not everything is worth fighting, for sure, but it is worth examining the many ways your fellow nurses are serially disempowered by this trickle of threats, and then, the trickle of unsupportive responses to a situation that should have been reformed by our ordinarily compassionate culture. I assume, we have been well trained to attack each other, because horizontal violence is the common ground for suppressed societies. (You know that you are a second hand citizen when you are encouraged to not use the dominant medical language of physician diagnoses, and then come up with other language which can be used by nurses, defining these medical diagnoses without using the primary language.) But this is not even about the second hand citizen argument..... ladies and gentlemen, we cannot continue to be set against each other this way. The difference between being sent into battle without appropriate armaments, and being sent into this covid battle without proper armaments, is because IT MAY CAUSE US TO HARM, IF NOT DECIMATE OUR OWN NUMBERS, AND ALSO THE PATIENTS WHOM THIS BATTLE IS ABOUT. The charge of the light brigade was written in the time of EMPIRE, and the empire has broken up.
  3. eakirlin

    RN Disciplined While Waiting On Covid 19 Result

    you are correct.... at this point nothing.... I generally keep a lawyer on retainer, because once you go down the occurence report menu, things come up that are often not resolvable... and often lead to damage ....but that is a backstory. If the occurence does not meet regional standards, then you have a point for a grievance, and then you might chat up the safety officer and standards officer to see what the big picture is. I just keep an attorney around, because when you need one, the filing time is too short to get a good counsellor for yourself.
  4. eakirlin

    Article Contest: How is the Covid 19 Affecting Your Life?

    Appreciate your response. Since I do not know which specific items you are responding to, would offer the following: Objection to unsafe standards should not qualify as a glass half empty. I believe Florence did plenty of this in Crimea, and Queen Victoria wanted to name her as the head of her War Department. Perspective is everything. You may not have been responding to the unsafe standards argument, but that appears to be at the heart of most responses. It is perhaps the choice of whether to work/not to work in these conditions. That is a personal choice, and while I might applaud the the sheer brio of someone who is forging ahead, it would not be wise to avoid taking on the environment of care which affects all of us, including the patients. Hopefully, nurses will unite over this and other conditions which keep us from being the public helth resource we are.
  5. eakirlin

    RN Disciplined While Waiting On Covid 19 Result

    I am so sorry about your situation. Get your employment lawyer now. It takes a few weeks to find one who will do more than take your money. Yes I have sued my employer before, over a safety and staffing issue, and was able to countersue for slander and defamation of character. If you are encouraging others to speak up at your facility, and taking safety concerns forward, then you are a labor organizer, just make sure you get noticed if you do this. The labor board called me at the time, and offered their legal support when I sued. I am in Texas, not known for any labor support. I actually got fired for calling OSHA and the state health board... who came in with cameras. Definitely a primo move.... but it seems that OSHA may be politicized since they do not appear to stand firm on issues these days Annie RN of 40 years, specialty certification x 2, Masters prepared.... endangered species and still working.
  6. eakirlin

    Article Contest: How is the Covid 19 Affecting Your Life?

    ohhhh my heart goes out to you. Does your doctor at least have a new protocol with how to deal with patient's with coughs, or coughs with fevers.... my personal physician won't see any of those people and is sending them to ED. Don't touch anything with bare fingers... for starts. Wipe down surfaces/pens/clipsboards/phones/ desktops with each use with chlorhexidine. If chlorhexidine not available, check and see (CDC) if chlorox wipes and alcohol 70% are sufficient. Do you have an N95 mask, or can you get access? Might consider placing a thin line of bactroban in nares, like they do for immunocompromised patients, but ask your own doctor for that, because I do not have prescriptive authority. Those surgical masks are better than nothing. ARE ANY OF HIS PATIENTS ASKING SERIOUS QUESTIONS? Once again, my PCP office is all but closed, and there is one person stationed lateral to the building, social distance line, and you go into office only if no fever no cough. What does your mayor or your metropolitan health district say to do? I will think about this some more and get back with you, but this gives you a start. (Annie... RN 40 years, mostly ICU... currently an endangered species)
  7. eakirlin

    Sterilize and Reuse Mask

    hmmmm! my BS meter is chirping. Try sending this to the CDC and a national news agency, and see what is said about that from official sources. See if you can do it anonymously, if to a news agency. This is a yellow surgical mask, not even an N95 respirator. It is kleenex with strings. RN with 40 years of experience, most in ICU, two credentials, lots of scars from weird fights with administration.
  8. eakirlin

    Sterilize and Reuse Mask

    could you send your protocol to Gov. Cuomo of NY and the other state governors?
  9. have considered working for plastic surgery myself, except that it is potentially so high risk. Everyone gets sued if the patient doesn't like the result. Do not believe you can create a note for anyone but yourself, but contact the ANA or your state's nursing association, or state board. (as an example, is the intention to use you to duplicate physician services and commit fraud through documentation? Physician services are sometimes paid by the note.) And if you are to be involved in finding surgical codes to charge for services provided, make sure you are well trained, or once again, another fraud charge could follow if the diagnosis / service had expanded the service to a higher charge than merited. The new nurse / new attitude idea has been used a lot to signify that the employer does not wish a nurse who is grounded in their practice, and savvy to the wiles of employers. How long in practice.... less than a year? Is it dressing changes, or do you do some of the cosmetic work itself, to include injections? Is there a procedural book for your work, which you can copy (take a copy home, because if there is trouble, it will disappear) and use to justify your services? My sister got fillers once for her smile lines, and the fillers wound up drifting so that it enhanced the frown/smile lines, and otherwise the job was perfect. She could have sued. Just went to another practitioner. Anne,RN in Texas
  10. being 70+ years and with two comorbid conditions that would likely cause me to die if covid 19 were contracted, I have had to consider that this might be the hill I die on... and in particular when N95 masks are not made available to me. I have one lung, I have diabetes, and I have a progressive lung disease that puts me on steroids. What say you.... is my choice really to only surrender my license or die?
  11. eakirlin

    Article Contest: How is the Covid 19 Affecting Your Life?

    An N95 .... my kingdom for an N95" might loosely echo the Shakespearian cry from Richard III and that he was in need of a horse or his kingdom would be lost.. and in point of fact all of our tiny kingdoms could be lost because we do not have regularly issued N95 masks. Perhaps I could have visited nieces and nephews the last days off, but I could not verify I had not had a covid19 contact. Not only am I not regularly supplied with PPE, we are not doing testing on staff or patients..... until the first test came back positive a few days ago. That is a long time without testing for an ICU handling primarily respiratory patients. So I am not visiting friends or neighbors, except to drop off some fresh eggs and vegetables to those without access. Still, everything goes out double bagged. Am working on my garden. Eating as many antioxidants as I can get. I am relying on a relative to get me the PPE that should be supplied by my place of work.
  12. eakirlin

    Article Contest: How is the Covid 19 Affecting Your Life?

    I am an RN of 40+ years experience, certified for ICU with 35 years as CCRN. Name is Eleanor A Kirlin,RN,CCRN, MBA Graduate of University of Texas/Austin 1978 December I am working at Baptist Medical Center in San Antonio, TX
  13. eakirlin

    Article Contest: How is the Covid 19 Affecting Your Life?

    Title: "is it just me.. or...? Is there a significant downturn in the use of cough etiquette in this country??? For me, the answer is yes. I have had to up the ante on the cough information on my ICU patients since flu season started in September. I boldly display the use of the crook of the elbow, clothing, less opportune is hand with wad of tissue... to demonstrate cough etiquette. I figure I am at high risk for covid 19 if only because of the fact that I get coughed on multiple times, in my face, during shift, by both patients and their visitors, and there is this stunned hurt bovine look in some cases, like "what?" This despite the fact that we actually WISH many of our patients to cough. Post-surgical patients, for instance. Patients with thick secretions, as another example. Fortunately, I have a handy-dandy icon for education on my screen, with a subconcept entitled "cough"... which could mean, "turn, cough, deep breathe", or "cough because I am about to pull out your ET tube''... or "suctioning your upper airway is going to make you.... cough". It seems like yesterday, but was in fact the second week of February, where I had a group of non-vaccinated pre-teens, wishing to go in the room of their Mom, who narrowly missed being placed on a ventilator for flu A. I told them,"consider this early education for Coronavirus, which is just around the corner". They looked dazed. I drew large air circles around the head/bed of their relative, describing the cloud of viral agents, then indicated that with air flow and currents in the room, it would likely go outside of the "safe" 6 foot environmental caution (although my facility was then teaching "3 feet" as safe) area following wind eddies, until it dropped on surfaces. They had recently come to the city and not been exposed already to the virus. It was their choice whether to go into room or not, and they all chose to stay out of the room, even while Mom was still not covering her cough. I believe my health is directly compromised by the behavior of patients and visitors, and can only offer point of contact information, which might be largely ignored. Wouldn't it be prudent to have a public service announcement to remedy the loss of this important point of health and etiquette?
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