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MeganMN

MeganMN

Emergency Room
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MeganMN has 14 years experience and specializes in Emergency Room.

MeganMN's Latest Activity

  1. MeganMN

    Workplace Safety and PPE

    @Kevin UPP this... https://www.kare11.com/article/news/health/coronavirus/minnesota-prepares-for-more-PPE-shortages-supply-chain-issues-as-covid-19-pandemic-continues/89-bc657681-6e9e-4fd2-8172-86f23951383e
  2. MeganMN

    Workplace Safety and PPE

    @Kevin UPP I have no idea why. We just got a huge shipment of new 3M masks and got re-fit tested. they still want us to follow the same re-use policy and have no maximum number of uses. It makes no sense. Money, maybe. Who knows.
  3. MeganMN

    Workplace Safety and PPE

    @Kitiger and others. What I am wondering, is how to deal with surgical mask vs N95 mask for all day use? I float around the facility constantly, helping in the ED, ICU, etc., And wear a surgical mask. I would almost feel better with an N95 but am not sure if that is overkill. Are other ED nurses out there wearing an N 95 with every patient? Or are you wearing surgical masks for non-Covid suzpect? I would definitely have to buy my own, which would be expensive. Right now I just do not know... Trying to come to terms with my reality, but it is not an easy thing...
  4. MeganMN

    Workplace Safety and PPE

    @NewRN'16 oh goodness, no offense taken!! I am interested in hearing opinions, so even if it is different than mine, no worries. I totally agree with you! I just have to come to terms with how I am going to deal with my particular facility and protocols. I am not sure. I just read this and am chewing on it. https://mikerowe.com/2020/07/im-not-ignoring-covid/
  5. MeganMN

    Workplace Safety and PPE

    The CDC current recommendations for mask use/re-use: -Discard N95 respirators following use during aerosol generating procedures. -Discard N95 respirators contaminated with blood, respiratory or nasal secretions, or other bodily fluids from patients. -Discard N95 respirators following close contact with, or exit from, the care area of any patient co-infected with an infectious disease requiring contact precautions. https://www.CDC.gov/niosh/topics/hcwcontrols/recommendedguidanceextuse.html The WHO recommendation for surgical mask use/extended use: -Surgical Mask extended use no more than 2-6 hours. -N 95- no more than 5 uses before discarding (also CDC/NIOSH) https://www.cebm.net/covid-19/extended-use-or-re-use-of-single-use-surgical-masks-and-filtering-facepiece-respirators-a-rapid-evidence-review My facility policy on use/re-use: We wear surgical masks all day. We wear surgical mask and face shielding all patient contacts. We are given one surgical mask to use for the entire 12 hour shift. We are given one N95 mask per shift that really only gets discarded if seriously soiled. We don and doff into a plastic storage container. We reuse it after five days of rest for an unspecified amount of uses. We use N95 or PAPR with shield for suspect or confirmed Covid patients. We also have a limited amount of PAPR units to use but have to de-contaminate the "disposable" face piece to share among other staff. Per Dr Osterholm, The University of Minnesota's Director of the Center for Infectious Disease Research and Policy: "People want to wear a mask. That's great. But I think we're going to show in the end that many more health care workers were infected by working with only surgical masks and not N95 [masks]. I realize and understand the shortage of N95. I get that [surgical masks] are better than nothing, but I don't think that it offers anywhere near the protection that we need for this virus." https://www.MSN.com/en-us/health/medical/Dr-osterholm-questions-covid-19-guidelines-on-cloth-masks/ar-BB13GGRP I have given this a ton of thought due to being high-risk, as well as having a son and husband at home that are also high-risk. I am trying to take my own surgical masks so that I can swap out after a few hours. I am also tying them so that they fit more tightly. I am using the N95 once, and then switching to the PAPR. ( I cannot confidently say that I can don/doff the duckbill style N95 without it somehow contaminating myself). I am considering purchasing my own PAPR hood, but am not sure if my facility will allow it. It feels overkill, but I just feel like there are too many healthcare provides getting this darn virus at work. Overkill? Probably, but this madness is just too much for my already anxious brain to handle....
  6. MeganMN

    How Does This End?

    Community Use Of Face Masks And COVID-19: Evidence From A Natural Experiment Of State Mandates In The US The faster a country required masks, the fewer coronavirus deaths it had: study Here are the articles I found in a quick search of mask use and transmission. The difference is that many of us adhere to the idea of "the greatest good for the greatest number of people" idea, instead of what is good for one. I understand the issue about personal freedom and liberty. Unfortunately, in our country as compared to others,(Japan, South Korea, Germany) we have gone so far away from nationalism and national unity in our search for personal liberty and freedoms. I typically do NOT like the government dictating what I can and cannot do, but in this particular situation, I think that as a country, we are doing a huge disservice to our own people to not have mandated mask use. It should be about protecting our fellow countrymen. This pandemic could have been an opportunity for national unity instead of more division. That was my hope once I saw all of this happening, and it has not come to pass.
  7. MeganMN

    How Does This End?

    Goodness, and this is exactly the problem with where the U.S. Is right now. Wearing a mask or being told to wear a mask IS NOT POLITICAL and is not an infringement of rights, it is a basic, scientifically proven way to stop the spread of a dangerous disease! We all took classes in nursing school in evidence based practice, right? it is evidence based that masks stop transmission and can reduce risk by at least 65% depending on type of mask and situation. Why is it that people want the economy to be running and have everything open, but will not wear a mask? I discussed this on NPR earlier this week. If you want the economy to survive and be open, then wear the mask! @A Hit With The Ladies Most of my in-laws are from Texas, my husband grew up there, I get it. But no one is telling you anything different than your momma did when she had you wash your hands after going to the bathroom. It is common decency and should be common sense. You want to understand liberty and freedom? Read about smallpox and yellow fever among the original thirteen colonies. They isolated, they immunized, and they quarantined, or they died. That is the problem, people that want to argue with public health policy are not learning from history. It is not about freedom, it is about survival.
  8. MeganMN

    How Does This End?

    @CommunityRNBSN thank you so much for your post! It is kind of interesting to see the varied responses. I was really hoping more people would post their own questions, not answers to my questions! My question a were just posted as an example of things that I was thinking about. We all have our own. I appreciate all of the responses and am glad that, for the most part, the responses were civil. There is no need for attacking or poking fun at anyone for their own beliefs or anxieties. Ultimately, there is a whole range of how people are responding to this and it is very individual. I just wish that there were solid, national guidelines for this thing. Despite what anyone wants to believe, this is a serious threat. As for school and socialization, I often wonder how this will affect my children developmentally. It will probably shape their minds and futures much more than linear this point. @Rose_Queen thanks for pointing out the quality of life for many that survive. Many people do not seem to realize that this is a serious threat and should be treated as such! When did public health become political? I agree with happy that the government may be over reaching I terms of control over liberties, but that is really a separate issue. @Kerri Dold Getz your post was great, thank you. I appreciate the thoughts even though my questions were rhetorical, I can still always learn from others experience! Unwanted to respond to your comment about mask wearing. I should have phrases my question differently, but my questionably pertained to two things. One, mask wearing has become an oddly political issue. Of course I wear a mask, but have had odd responses from people who want to make it political, which makes me struggle with it mentally. Two, it is still providing some protection, but the mask wearing is really much more effective if everyone is wearing them, so I sometimes feel it is futile if dozens of people around me are not wearing one. Thank you so much, though, for the thoughtful response. At the end of theday, we all have to figure out our own response. We have been much more cautious and isolated, and it is okay that others are not, but that is our decision to make. I am not okay with being the possible asymptomatic carrier to all of my elderly family members. My post really was more about just how very difficult this all feels, and how much it has changed our life, with no end in sight... Thanks to everyone for responding.
  9. MeganMN

    How Does This End?

    We Watched and Planned ... My husband and I began watching the Covid-19 numbers in early January. I remember sitting in our living room during a typically dark, cold Minnesota Winter day and discussing how it was going to go down. We debated going to the "big city" the first weekend of February for fear that it had already made its way to the United States. My husband plotted graphs and looked at the exponential growth, and he made predictions about what might happen if it did get out of China. We bought extra food, essentials, and began to save money. We talked late into the night about the potential scenarios that might unfold. And, Waited I watched, in horror, as it began to make its way around the world, and everything that we talked about in late-night conversations started to materialize. My husband and I wished that we could be wrong. The lack of PPE and the rate of health care worker infection weighed heavily on our minds. We were already homeschooling and had begun stocking up, so when things shut down, we were already reasonably prepared. Few things changed in our daily routine, except the loss of a once a week preschool for our youngest, church for all of us, and an evening kids club and date night for the two of us. We are both in the high-risk category, so we hunkered down and waited ... and waited ... and waited ... Now, the Uncertainty I was fortunate (or unfortunate enough to be high risk) to be able to be off work for a while. I am headed back in a few weeks after spending an amazing, once-in-a-lifetime Summer with my husband and three young kids. I am anxious about how I will assimilate back into nursing. I am apprehensive about how I will feel coming home to my family after 12 hours of potential exposure. I am still fairly worried about the PPE situation. I have little trust in the government agencies who are guiding our direction in this pandemic. At the end of the day, however, I am just weary. I am tired of seclusion, but also feel safer in it. I am tired of thinking about the future outcome for myself, my family, our finances, my world, OUR world. I am tired of the uncertainty. I am sad for my children and how this is all going to affect their future. Questions Unanswered How long do we do this? How long do I go without seeing any extended family for fear of exposing them, or us? How long do I hesitantly go out in public, debating whether I should wear a mask when no one else is? How long do we keep our already homeschooled children away from social networks and peers? How long do we stay home from church, our community lifeline? How do we prepare financially, mentally, spiritually? How do we, as a collective body of healthcare providers, ensure that the career we chose is honored and protected? I did not sign up to go to war. I signed up to care for people, show compassion, educate, and advocate, but not at the cost of my own life. My family, indeed, never agreed to be exposed to the dangers that I may face when I go to work. How do I justify the costs for them? These are all rhetorical questions and each of us has our own set of questions, all with no concrete answers. How does this end? I suspect it will play out regardless of what containment measures are put into place. It only takes one moment of weakness to be potentially exposed. What are your questions? Your answers? How in the world does this end?
  10. MeganMN

    Covid is Airborne- Surprised? Nope....

    @telenurse2009 I have a stash of old N95 masks (about 50 of them). I am trying to decide if I should use them at work. I was okay with the idea of keeping an n95 all day, but I am just not sure about doing the same with a surgical mask. Am considering my own n95 under a surgical mask..... Hate that we even have to deal with this stuff....
  11. MeganMN

    Covid is Airborne- Surprised? Nope....

    @telenurse2009 thanks so much! I may order my own face shield as well as masks, I was reading through my facility changes and they are now transitioning to surgical masks for all day use. so not only are we 're-using N 95 masks, but are now going to be re-using surgical masks all day. Ick. Thanks so much!
  12. Just saw this article today, among others, from the University of Minnesota Center for Infectious Disease Research and Policy: Global experts: Ignoring airborne COVID spread risky This is one of the many reasons that I was anxious from the very beginning of this. Most of the data out of China was showing that it WAS airborne, and then we were given no protections and the CDC did not back it up. So now what? Our hospital was having all nursing staff wear N95 masks (albeit the same one all day) for all patient encounters, and now they have gone back to surgical masks. The shortage still does not seem to be any better for the N95 situation. So now what? Your thoughts appreciated!
  13. MeganMN

    Still a PPE shortage?

    Our hospital is still using the same n95 for a twelve hour shift, and rotating it for a total of five days of use before discarding.
  14. 1. Go to church again 2. Take our kids to see all of their out of state grandparents 3. Date night with my husband.....oh I miss this one the most. 4. Take my kids to the pool to teach them to swim. 5. Go anywhere without having to feel a sense of nagging paranoia
  15. I wasn't required to get the H1N1 at that time, but suspect that this will not be the same...My hospital already resorts to bullying and bribery for the yearly flu shot....
  16. MeganMN

    Are Sanitized N95 Masks Safe for Reuse?

    @42pines. Thank you for the very informative post. I am often reactionary in my thinking and it is never a bad thing for me to think twice about things. Any thoughts on the resting and reusing of N95 masks? Thanks for your thoughts! The biggest challenge in our facility is a general lack of trust in the people making decisions. In some instances, the floor nurses had more up to date information than the people supposed to be protecting us! That makes it more difficult not to question or have anxiety about their decisions. I, personally, also lost some faith in the CDC when they recommended bandanas as an acceptable alternative to masks if no masks were available. Many facilities are not responding well or gracefully to employees questioning the practices being implemented!
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