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simba and mufasa

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simba and mufasa has 16 years experience.

simba and mufasa's Latest Activity

  1. simba and mufasa

    When You See Something, Say Something

    Hi Herring Thanks for the reply, yep, sometimes I struggle with the race thing, but once I became a citizen, can write AA. I watched the funeral and it was surreal when he spoke about that when you see something , say something and the eulogy by three presidents, very touching. simba and mufasa
  2. simba and mufasa

    When You See Something, Say Something

    Hi kdkout Thank you for the encouraging words, they melted my heart, I wish they are many like you. Please do not stop speaking up, change starts with one individual. Please reach out to that new nurse and just tell her to watch out because racism also exploits lack of experience and bad orientation to kick and punish people. Whenever, I see such a situation, I warn the nurse to transfer to another floor if its too dangerous, then you are written up for every single thing instead of being oriented well as a result putting the RN license on the line. Please do not get weary, keep screaming for help. Sometimes, new black nurses are not aware of this situation, just innocent and naïve as well. I am very me and proud to scream for change as well. The struggle continues simba and mufasa
  3. simba and mufasa

    When You See Something, Say Something

    Hi Herring Thank you very much for the clarification, it now makes sense. I have a thick accent as well, but am a good teacher and mean business. Thank you for reading my posts, you and me alike have to speak up in-order to make the world a better place. We no longer use the word "Negro", it is considered offensive and derogatory towards blacks. Thank you for reading and responding simba and mufasa
  4. simba and mufasa

    When You See Something, Say Something

    Here we go again ! Keinia/Mslecia20 Thank you for baking me up and shedding light to this very sensitive subject. The more examples we give, the stronger the case. As you can read, these are our life experiences and some do not believe, the examples given solidifies the messages we are trying to convey. Yes, in this age and time, things are happening in our own backwards while others pretend not to see or hear. Thank you. John Marqus/Booster/Herring_RN John: Kudos to you for accomplishing your career starting at that magnificent age. However, as we grow older, we are supposed to be smarter and life experiences guide us. As for me, its a great achievement for me personally that you took the time to read my article, that is priceless.However, moving forward, you have a lot of generalizations about laziness and this and that. The focus of this article is to improve nursing in some areas that I mentioned for a better working environment. Now the tables have been turned, its time to listen and see how this applies to you and your coworkers. As for others who wonder when this took place, wake up people, this is still happening. As for Booster, you are a living example of what this article is trying to achieve, calling out racism in its tracks, just like you did with the manager . Comparing gay, transgender and other issues is different, You have not experienced racism in 30 years, but I have in my 16 years, and yes, its out there. Just because you have not experienced it does not mean its extinct. I wish there were more people like you, at the same time, your own life journey has allowed you to be accepting of people different from you. I can go with you for breakfast anytime! Herring_RN Thank you for participating, I have read your response several times and am trying to link to what I have written about and am totally lost. Can you tie or elaborate for greater understanding. Credibility and Validity I am tired of running away from problems, its time to fix them. First and foremost, my PhD. has given me credibility and validity to affect change . I do not write based on tarot cards or the palm of someones hand, there is research and proven data to back these findings. Knowledge is power, and no-one can take that away from me and will not be silenced anymore. Retaliation destroys people, refuting and rebuking someones life experiences based on your own innuendos is not right. Look at the trunk in your eye,before you remove the speck in your neighbors, stop, look, listen and feel. The truth is, we just have taken a first step in a longer and difficult road, but thank you all, am humbled that you took time to respond, the struggle continues! We are stronger together, divided we fall.
  5. simba and mufasa

    When You See Something, Say Something

    Hi RNLIFE Thanks, its time to share our life experiences and to us it is real. It sounds otherwise to other people, but a time has come to bring this dilemma to light, together we can! simba and mufasa
  6. noemer and barcode noemer, you should have grieved the hiring. You should have been given first preference since you are in house. Unbelievable that they have to hire new grads. barcode We also did team nursing. PAs and NPs who could not take patients were ancillary staff, pulling meds from pyxis, talking to family and helping with turning and repositioning and all the craziness that came with COVID-19. Even as a seasoned ICU nurse, I was emotionally and physically burdened. I hope this was the first and last round because I am not doing it again. tx simba and mufasa
  7. simba and mufasa

    Mental Health: A RACE I HAVE TO RUN!

    I am a former student of Walden University so I was given a 5% tuition discount and the application was easy since they have my information. It's 100% online so very doable for me. Good luck! simba and mufasa
  8. simba and mufasa

    Transition to Nurse Supervisor

    Whenever we are faced with a situation, we tend to run away, but fear in this case should be your only courage. I understand a lot about the millennial's because I have a few on my unit, complaint after complaint, running to the manager etc. My husband always says, you can only leave or take a job according to your own terms. This is the time to enjoy your experience and move to a higher position. Stay true to yourself, be you and do whats good for the department. Be on your guard, and watch those who seem to do whatever you wanna call it. It's true, you could be set up, so take the position with your eyes and ears open and kick butt, leaders are not born, they are created, be your own kind of supervisor and do not be afraid without trying, its worth the fight. I had issues at a certain college, instead, I packed my bags and ran, big mistake, stick to it and put up the fight. You cannot have a testimony if you have not been tested! This will make you stronger! Been there done that!
  9. simba and mufasa

    When You See Something, Say Something

    "In the end, we will remember not the words of our enemies, but the silence of our friends. We must live together as brothers or perish together as fools." - Dr. Martin Luther King Racism in nursing is real. It starts in nursing school, occurs on the units among nurses, managers, administrators, doctors as well as patients; intermingled in this wide web. Some white people become defensive about this topic, they refute and dismiss such acts. I did not want to pursue this topic further but was encouraged by the previous article which asks if racism in nursing is real. Yes, it is real, and happens on many levels and sometimes not so transparent. As a black nurse, I have written some of my experiences and of course, everyone experiences racism differently. The death of George Floyd has exposed the fight that has been occurring since the black people landed in America. It is many decades later, and black people are fighting for civil rights and equality all over the world. Racism can occur during orientation, unfair hiring practices, unfair patient assignments, unfair treatment by doctors and fellow nurses, the list is endless. I just opened a little window in my world to give share about this elephant in the room, so that fellow nurses can recognize some facets of racism and call it out, say something. Introduction Hope is not lost on this forum. I am encouraged every day by the posts about racism from both sides. Racism in nursing is analyzed from a historical, professional, and personal perspective to examine the relevance of this timely issue in our society (Paradisi, 2012). Many nurse managers’ stated that they feel unprepared to handle or discuss workplace racial issues (Paradisi, 2012). As I have witnessed, complaints about racism are downplayed or dismissed; evident on this forum as well. Many black nurses are tired of having to explain covert racism to white managers and nursing instructors. Many nurse faculties avoid addressing the issue for fear of saying the wrong thing (Paradisi, 2012). To exacerbate the racial tensions, there is a short supply of black nurse managers and nursing instructors to mitigate some of the issues. If nurses do not talk about racism openly, it will continue to persist. We cannot advocate for ourselves as nurses if we are not willing to advocate for all nurses (Paradisi, 2012). Racism is an open secret in nursing, let's discuss and get educated. Personal Experiences In nursing school, I was the first black student in that school for 20 years. I could tell the faculty had no idea how to handle issues that arose with the addition of a black student. My nursing school was in a rural area with a predominantly white population. I just wandered to that community, of course, I am not even going to talk about the issues my family encountered when we rented a townhouse and my kids enrolled in school, it’s just another can of worms to open. As a nursing student, when it came to group projects, I was the last to secure a group; most patients in clinical areas and nursing homes refused me as a student. Students would go for outings on weekends or end of the semester and I was never invited. Years later, I was the first black educator at the same college, but was faced with some issues of white students undermining and thinking I was an angry black woman despite extensive experience at the bedside and teaching at other colleges as well. During my practicum at an inner-city college, the only one to accept me, one of the educators asked where I planned to teach. I told her about my former college because it was closer to home instead of commuting one hour away. She told me that she will never teach in such a place (she is white by the way). After teaching for a short time, I understood what she meant. There was no support when it came to the students’ complaints. Instead, I was sent to the Dean a couple of times because the student did not like my recommendations. I tried to introduce some changes in the curriculum, Labs and Simulation, but was shut down, only to learn that they implemented the same changes I had suggested after I left. I also applied for a full-time position, but instead, they hired someone who was in the process of getting her master's and not much experience at the bedside. I taught all nursing levels, Simulation, lab and was well vested in the college, but I was dumped like a bag of cow manure. I have a PhD in nursing and have taught nursing at different levels. In other words, I was more than qualified for the job, but did not get it. Of course, the college can hire anyone they want, but I was qualified! Some will say it’s not racism. The truth is, it is what it is. I was bypassed. The college was predominately white so I stood no chance. Fast forward, when I graduated, I was employed in a Long Term facility that was slightly diverse, because I was starting to wake up and realized that I needed to go to a place where I can survive and not play hide and seek. Some doctors would ask other nurses about my patients, not wanting to talk to me. After a year, I wanted to switch to the Med-Surge unit at the same hospital. I applied several times but got no answers. The unit was constantly short of RNs and were hiring traveling nurses, but still nothing. Finally, the manager of the unit heard about me and realized that my husband had treated one of her family members. The next thing I knew I was whisked to that unit within a short time. My orientation went well until it came time to be trained for the charge nurse, CN. The current CN gave excuses not to orient me, so when they became sick, I volunteered to be one. This was also a large surgical unit and the CN did not have an assignment. Suddenly, once they saw that I was as competent as they were and I self-taught most of the tasks, everyone started taking vacations. All of a sudden it was OK for me to be in charge. I then applied to ICU, but the manager in that unit told me that I was not experienced enough. Fast forward a month later, they hired a new grad. I went to an ICU of a regional hospital; this was a nightmare on its own. The unit was known for eating their young as well as extensive racism. The orientation was fragmented and unorganized. I was oriented by eight nurses. When I was about to be returned to Med-Surg, I was oriented by a Filipino nurse. My orientation was extended to eight more weeks but within two weeks, I was on my own and did well. The Filipino nurse guided me and allowed me to be me. She saw my potential and gave me an atmosphere conducive to learning. Most nurses discussed my treatment on this unit, but they all watched in silence and did not say, "boo". I never was given assignments on IABP, hypothermia’s or any challenging patients; but dying patients and an empty bed. I had an admission or a death every other night, which was exhausting. I decided to move to CVICU. Three nurses applied from the ICU at the same time, but I was held back for three months and the two nurses went straight away. Once in CVICU, I had to be oriented for IABP. The nurses were puzzled why I had not been given such an assignment in a unit with IABP every week. Racism and exclusion, yes? The other two nurses had a little dinner of pizza and cards as a go away gift, but simba marched quietly alone. In CVICU, I was received with open hands. It is a diverse unit and some of the nurses embraced change for better orientation and a better working environment. My orientation was smooth and the environment conducive for learning. As an educator and preceptor, I provide an environment conducive for learning for everyone. If I see unfair treatment, I go to the manager, and if she does not act, go to the union. Fortunately, my manager can handle racism issues and nip them in the bud. These are just a few examples. Of course, some will not see it as racism, but that is how it feels to me. FACT: Some, not everyone, think racism is in black people’s minds, it’s not real. Yes, it is real and alive. When You See Something, Say Something: A Fear of Talking about Racism Is it wrong to write about my story and personal experiences? As a society, it is incumbent upon all of us to forcefully repudiate all expressions of racial hatred and bigotry. We have a long way to go to assure the equality, civil rights, and civil liberties of all people. There’s no time to waste. According to ANA President Ernest J. Grant, in a June 1st statement, he urged US nurses to, "use our voices to call for change. To remain silent is to be complicit." (Thomas, 2020). Racism comes in many forms, from hiring, orientation on units, requests for vacations, nurse-to-nurse interaction, patients with nurses, doctors not interacting with nurses of color ... the list is endless and is so complex. I encourage my fellow nurses to say something when they see racism and call it out like some posts on this forum. I encourage managers and administrators to open their eyes and call the shots when they suspect that racism is taking place. The discussions about race on this forum are a window into our world. As nurses, we are as far left and far right. I am not attacking anyone but am shedding light on a topic so hidden but so right in our eyes. I encourage fellow black nurses to join organizations and other entities to influence change. As an educator, I will do my part to be a voice of reason that shall not be silenced and stay true to self. I am not an angry black woman when I try to complain or express myself. I am intelligent and hardworking ... a beautiful soul just trying to survive. Together we can! When you see something, say something! People fail to get along because they fear each other; they fear each other because they don't know each other; they don't know each other because they have not communicated with each other - Dr Martin Luther King What are you doing as a nurse to make sure racism goes asystole?
  10. Wizard 1 I would rather be armed with knowledge than be thrown to the wolves. So far my hospital has initiated the ICU cross training, and for competency, nurses are rotated once a month to the ICU and many are liking it. simba and mufasa
  11. OUxPhys, BSN, RN I totally agree, in OB and mother baby, we do not have hands on at all. Students just observe and waste time doing paperwork. ICU rotations will give students opportunity to learn and familiarize with the environment. It's time to change and move with the times. simba and mufasa
  12. simba and mufasa

    Mental Health: A RACE I HAVE TO RUN!

    Hi Beachwave Thanks for taking the time to read and comment. This is a very important topic and so far has affected everyone around the world. Just like we need our physical pain be taken care off, our mental health has to be managed as well and we need HCP who can bridge the gap. When do you plan to start and do you have a college in mind, good luck to you too. simba and mufasa.
  13. simba and mufasa

    We Say Boom, But History Says Bust: Will COVID cause a decline in births?

    Great article I think there will be a baby boom, a pregnancy takes nine months, by then hospitals will be ready and safe for delivering babies. I hope people take time to have children, one or two will not break the bank, honestly, I think its such a joy. Mum of two simba
  14. Hie Deborah I agree ICU is not for everyone, but as proven by the pandemic, gears can shift quickly and all of a sudden you find yourself working in ICU. This is a time to be proactive instead of being reactive. Prepare, you might never know what's coming tomorrow. Act now or you will be in this predicament again. simba and mufasa
  15. simba and mufasa

    Mental Health: A RACE I HAVE TO RUN!

    When I graduated, my first instincts were to work in a MHU, but did not. Over the years, I have gone to many specialties, but still feel as if something is missing. Before COVID-19, I was contemplating on obtaining a post-masters certificate in MH, but was not sure, but thanks to COVID-19, its the green light for me to pursue this dream! DNP/ NP /CRNA, Informatics, Education? Is PhD worth investing in? Midlife crises?, Mental Health NP here I come You are a Pill Pusher Mental Health: Job suitable for retirement Working with the crazy, not my cup of tea You are going to end up like them MHNPs do not work; all they do is write prescriptions! Introduction "There's this stigma or attitude when it comes to the topic of mental health that we aren't supposed to talk about it. We're supposed to ignore "(Grant,2016). According to the World Health Organization, WHO (2008), mental health and substance abuse, both contribute to the second largest cause of disability and disease burden worldwide. Mental health commodities have adverse health outcomes and increased costs for the individual as well as the broader population (2012). Stigma results in adverse health outcomes, furthermore tragic events such as mass shootings, natural disasters, racism, other acts of violence and last but not least, the COVID-19 pandemic, highlight the need to address the stigma associated with mental illness and substance abuse disorders to improve our public mental health system (Mathers, Fat, Boerma, 2008). Background in Mental Health Mental health is a taboo topic in Africa. Growing up in southern Africa, people whispered behind closed doors so that they could not be heard. There was talk of people being mentally unbalanced or being weird in their behavior. After the liberation war, when soldiers came back, they were not the same. Many were withdrawn, abused alcohol and others committed suicide. Suicides were never discussed, they were hushed up and families suffered in silence. In retrospect, people with depression, anxiety, maniac disorders, post-traumatic stress disorder PTSD as the returning soldiers were never treated nor did they get the counseling necessary for their well-being and these were mental health issues that needed treatment and counseling. Near Miss When I graduated nursing many years ago my first choice was to work in a mental health unit, MHU. During my psychiatry rotations, I was inspired and motivated by the nurses’ work ethics and caring attitude. I fell in love with many aspects of mental health. The hospital I wanted to work at that time was in the news, a mental health technician was killed by a patient, as a result, my family was up in arms with this decision, so eventually went to the Medical-Surgical unit instead. Through the years, I have worked in the Intensive Care Unit, Telemetry, adjunct clinical instructor, and lecturer. As I have rotated through these units, I never felt accomplished. I always felt as if there was something missing. I struggled for self-identity as a professional. The thought of being a mental health provider always lingered in my thoughts and I always wondered what it would be like to become one. COVID-19 and Mental Health In March 2020, the world health Organization declared COVID-19 a pandemic(WHO). Since the pandemic many people have lost their jobs and the resulting downturn of the economy has negatively affected many people’s mental health and resulted in new limitations for people with prior history mental illness and substance use disorders (Panchal et. al., 2020). As the virus keep moving to different states, factors such as school closures, social distancing and isolation and financial distress will increase mental health issues such as anxiety. Social isolation and loneliness result in poor mental health and households with older adults and adolescents are at risk for depression and suicidal ideation (Panchal et. al., 2020). Job loss is correlated with increased depression, anxiety, distress, low self-esteem and may result in higher rates of substance use disorder and suicide (Panchal et. al., 2020). Deaths due to drug overdose have increased more than threefold over the past 19 years. Stress, Burnout and Fatigue, PTSD in Healthcare Workers As a healthcare worker on the frontline in New York state, I was stressed and fearful for my life as we did not have enough PPE. I was afraid of bringing the virus to my loved ones. As a nurse in the ICU, the nurse-patient ratio changed from three or four at times. These patients were critically ill and taking care of them was emotionally draining. I have never seen so many deaths at once. Codes and rapid responses were called over the intercom every five minutes, I felt like I was living and playing in a horror movie. I have been having dreams of some of the patients and am sure am suffering from PTSD. Insomnia has set in as well. Most of my fellow nurses have turned to beer or wine to rewind. We have not been given any resources to utilize for coping once the pandemic slowed down. Burnout can eventually lead to mental health issues such as depression and substance use. Choosing Mental Health People newly affected, will likely require mental health and substance use services. Those with prior history will continue using the services but there is a shortage of mental health providers (Panchal et. al., 2020). I chose to be a mental health practitioner, MHNP, so that I can help bridge the gap and provide much needed services as existing ones are overwhelmed due to the pandemic. I also would like to educate my fellow Africans that mental health is a disease that needs attention and that there is nothing to be embarrassed about. I chose to be a MHNP so that I can help frontline employee’s suffering from the effects of COVID-19. I chose mental health so that I can help different people in all age groups. Working at a group home with teenagers with mental issues reinforced my will to be a MHNP. As a nurse, I would take the teenagers for their psychiatric evaluations, we would spend the whole day waiting because there were other people who also had appointments with the same psychiatrist who served many group homes and served the whole county. I would watch the psychiatrist write script after script without properly assessing the patients. As a MHNP, I will take the time to talk to my patients, evaluate the effectiveness of medications before loading them with more pills. Jails have inmates with numerous mental health issues. When released the inmates need proper care, so it is my intention to work with the underprivileged of society and give back as America has allowed me to go beyond my imaginations professionally and improve patient outcomes. The COVID-19 pandemic gave me the green light to pursue what has been in the back of my mind for so long. Sometimes in life, you need a sign to pursue a dream, and I think the pandemic made me open my ears to listen to that inner voice. I plan to use my education to inform and teach people about mental health. I also plan to continue being an educator specializing in mental health. Nursing students’ curriculum includes mental health but there is a shortage of nursing faculty. I will be a great resource when I become a MHNP and as a result, will become proficient in managing mental health improving patient outcomes.
  16. Its better just to have the foundation. Those cross-trained nurses can be rotated to the ICU at least for a week monthly to keep and improve skills, eventually becming competent. simba
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