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Content by ReflectiveRN

  1. ReflectiveRN

    To be a coward, or to be a fool?

    I pray that you see you have every right to not go into work in an unsafe environment. You are a mother and wife first. Your child needs you. It would be different if your system offered you the proper protection which NOW is truly full ppe N-95 for all bedside nurses in hospitals. I choose to not work in my job as a bedside RN because I do not want to spread the virus to other patients or my family - I am empathetic, and strong (making an informed, smart decision) and I do care. I stay in place at home, because my family comes first and I could not live with spreading the virus to anyone really. Those that do choose to take the risk, I pray for you and hope you are with us after things calm down and we finally get the proper PPE to keep our healthcare workers safe across the country. Heartbreaking. The Risk to work in unsafe working conditions is a CHOICE, and does not make you a bad RN, if anything after all is said and done...we as professionals must have BOUNDARIES. We are the RNs of the future, those that will not succumb to poor treatment and will improve the system and future outcomes by standing up for what is right, even if it is not popular. If after all this they choose to not take us back - we are better off in a different profession. Stay in place at home if you feel it is the right thing to do.
  2. Read, Reflect, Assess https://www.nursingworld.org/~4ade15/globalassets/docs/ana/ascec_whitepaper031008final.pdf Adapting Standards of Care Under Extreme Conditions American Nursing Association, 2008 https://www.nursingworld.org/practice-policy/nursing-excellence/official-position-statements/id/risk-and-responsibility-in-providing-nursing-care/ Risk and Responsibility in Providing Nursing Care American Nursing Association Position Statement, Revised June 2015 When a health system is not prepared and puts healthcare workers at risk due to poor preparation to have PPE equipment available, and a virus's potential for harm is unknown due to his newness...only time will tell after scientific studies have been done. Is it a choice to provide nursing care in this setting when you feel unsafe? The second statement mentions nurses have a right to not provide care when faced with a moral dilemma and that is a moral option whether or not to provide care, vs. moral obligation. How do you feel about the current situation RNs are dealing with nationwide? Thank you for your sharing your thoughts and reading if you have time. Sending prayers to those on the frontlines taking a risk for the welfare of others. I hope we don't lose too many healthcare workers in the US. I'm not promoting fear - I'm promoting Self-Care and Choice for RN's. Smart nursing, , because we are professionals who agreed to work in safe, prepared settings.
  3. ReflectiveRN

    Refusing Care of a COVID-19 Patient Due to Inappropriate PPE

    I worry about all the nurses who feel like they have no way out and have to accept unsafe working conditions without proper PPE given the amount of "untested" potentials... I hope we don't lose too many. Praying for them and hoping that if they feel unsafe they also can know there are enough of us who will back them and support all RNs who choose not to work in unsafe conditions!! Even non-union hospitals have a responsibility to their workers to not put them in unsafe working conditions. I am going to join this organization today. Any other thoughts on how we can help those overwhelmed RNs who aren't thinking straight? https://www.nationalnursesunited.org
  4. ReflectiveRN

    Refusing Care of a COVID-19 Patient Due to Inappropriate PPE

    since community spread has happened all across the US, and testing has been slow to get to hospitals and states... It is clear, any RN providing "any" patient care should have at least an N95 mask. Surgical masks are not protective enough, and still there are many "unknowns" about COVID-19. The facts are that many Italian RNs and Medical providers have contracted the disease and now we will wait and watch our own in the US do the same? This to me is unethical, unacceptable, and wrong. Something must change NOW. If an Employer makes a decision to terminate someone with ethical principles, and a desire to not spread the disease to anyone else...then they are truly unethical and should be ashamed. Any nursing board that judges empathetic caring nurses making smart decision to not work under these conditions is WRONG. We have to stand by our standards of care, the importance of patient safety and the importance of not spreading infectious disease no matter if it means less RNs or providers per patient - until the proper PPE is available to all PERIOD.
  5. ReflectiveRN

    Refusing Care of a COVID-19 Patient Due to Inappropriate PPE

    OSBN the evidence-based practice tells us to don the proper PPE, and with what was learned from other viruses such as EBOLA, not wearing the proper PPE is unacceptable. Take away a license? You will be held liable for your unsavory, unethical management of the State Board of Nursing. Especially if you cannot prove that you as a medical provider did not risk your own life - even then you didn't follow evidence-based practice and not sure you should hold the role you do. What do you think? Threatening sole supporters of families with the risk of losing their license and jobs is criminal given the current state of this Pandemic and lack of proper PPE! Unacceptable.

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