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Tait MSN, RN

Acute Care Cardiac, Education, Prof Practice
Platinum Platinum Nurse
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Tait has 13 years experience as a MSN, RN and specializes in Acute Care Cardiac, Education, Prof Practice.

I have spent 12 years in nursing. My experience ranges from bedside cardiac/complex med tele (4+years) to hospital and new graduate RN onboarding (5 years) , Pain and Spine (1 year), and now Professional Practice Manager and Interim New Graduate Residency Coordinator (shared leadership, strategic planning for Pathway to Excellence, RN recognition and professional development support). Five years as a member or leader of our Patient and Family Advisory Council.

Tait's Latest Activity

  1. Does anyone have a recommendation for a light weight lab coat? I need to get one for when I do rounds, but I can't stand the idea of some of the heavier coats, but I also need it to stand up to embroidery. Thanks in advance for any advice.
  2. Tait

    Essential Employee Letters

    That seems to be the sentiment coming from those who feel threatened.
  3. Tait

    Essential Employee Letters

    So most of us, I believe, are familiar with some form of "essential employee" letter that was given out during stay at home orders. This letter is a sort of "passport" to be out on the streets heading to work, in case you get pulled over. This week our system has released another essential employee letter for those travelling past curfew times two work. We had a discussion this morning that, with the unrest, a letter may not be enough. Are there any systems out there with more robust protections for their staff travelling to and from work during curfews? Thank you in advance.
  4. Tait

    COVID Code Blue

    Bumping this for more input.
  5. The is a great article. My only iffy spot was when they talked about kissing kids on the head through the mask. The whole idea of not touching the mask is to keep your hands clean. I guess pressing a potentially contaminated mask to their heads kinda weirds me out.
  6. I wrote a post on this a few years back, about the many rocks I tripped over on my way to and through nursing. Feel free to read, it might make you feel better. Also lots of great advice already in this thread. Feel free to PM me if you need more support.
  7. Tait

    It Is OK

    It is OK to be scared right now. It is OK to be angry right now. It is OK to feel you aren't being heard right now. It is OK to feel anguish for your patients right now. It is OK to feel betrayed right now. It is OK to feel like you need to get out right now. It is important to ask for help right now. It is important to raise your voice with concerns right now. It is important to support those around you right now. It is important not to be angry with those who don't understand right now. It is important to manage incoming information right now. Self-care is deep breaths. Self-care is saying no to overtime this week. Self-care is talking to your therapist. Self-care is ordering your favorite cozy socks from Amazon. Self-care is hugging your furry loved ones and not so furry loved ones. Self-care is playing a game over Zoom with friends and family. Self-care is demanding a quiet space for a few hours a week. Self-care is buying the nerdiest fabric you can find and making bomb new masks. COVID-19 has a created a world in healthcare that some of us have never experienced. A world littered with new challenges, ever changing protocols, and new frustrations. But with it comes opportunities to unite. To crack open age old EMR issues and say "Do we really need to do this like this?" To look at PPE stock and process and think "How could we have done better, can we innovate, can we shape a better future?" To look at isolated patients and think "What can I do to help them stay connected?" Nursing is a profession of innovation, integrity, and action. Don't ever forget that. Tell me, what are your oks, importants, and self-cares. What innovations are you thinking about? How are you staying connected with your patients when they need you most, even garbed like a yellow banana with bright pink goggles, and a sweaty N95? Tait
  8. Tait

    Do you think this is safe?

    We have been doing this for about a month at our facility. Are you talking about N95s or surgical masks? For N95s they are to be used for three days, stored in paper bags in a centralized location (to keep them from being in lockers and floating around the unit counters) and then thrown out. Some of our larger hospitals are investing in UVC cleaning rooms and reusable masks with filters. For surgical masks you get one for the shift if you work with patients, and one for the work week (five days) for non patient care areas (again stored in a paper bag in a centralized area). All come with stipulation to replace if they become soiled, wet, or ill fitting. It is not a perfect situation by any stretch of the imagination, but at this point it is what we are doing to make sure we have gear at all. We have not at this point had any significant outbreaks among staff and we are metropolitan hospital.
  9. While the cost of healthcare is a mess, it is not solely on the hospitals where the current prices are at. This being said, we are hemorrhaging money due to the just the short shut down on elective surgeries and outpatient clinics we went though in March and April. While federal funding will help us recoup some of the lost revenue (I work for a not-for-profit system) it will barely bring back 1/6th of what we will lose. Hence the furloughs, and the FTE reductions, and system C-Suite taking a 60% pay cut through the end of the year. I would love to pin everything we are seeing on pure hospital greed, but it isn't nearly as simple as that. These systems are large and complex and are reliant on even more complex government and insurance industry steam trains that cannot be stopped on a dime, if people even wanted to try. This crisis is cracking open, even further, the absolutely startling gaps in our social systems, yet people are spitting in retail workers faces for being asked to wear a mask. An Infectious Disease doctor once told me "Never get swabbed for MRSA because you will be out of work for a year." We know some of us are carriers. Many of us maybe, but without us working people will die for sure. If the infection rate is 20%, as some studies have suggested, that means risking sending home 20 of every 100 employees on a shift for two weeks. Testing will only be effective when it becomes systemic, and that can't just be on a hospital level. That has to be you, me, my DoorDash driver, my safe-at-home mom, and our children going back to school in the fall.
  10. We don't have the PPE to support that kind of increase (we are already in cohort reuse of isolation gowns and gloves). In general the more PPE you put on people, the greater the sense of false security. People will self infect with poor donning and doffing practices and walk around with inappropriate and possibly infected gear in public spaces. Testing is a double edged sword.
  11. Tait

    "Oh so you still have a job?"

    That is exactly what I am doing. Working hard and by the sides of those who need it most, my nurses. I actually had seasoned RN come up to me last week. She is one of TWO wound care RNs for the whole hospital, yet her history in the ICU is long and dates back long before I started there. I asked her, genuinely, how she was fairing with her partner furloughed. She shrugged and said she would handle it, it wasn't ideal, but she would deal. I told her I had survived the furlough, but was anticipating a pay cut at some point. She then told me that she hoped not because she felt I was "essential" to the hospital and should be left in peace. That meant a lot to me, because she knows me well, and told me I was a value to her.
  12. I was just talking to my CNO yesterday about stress management. Apparently my hospital is reporting the highest levels of moral distress in our hospital system. I recently started exploring our resources and found classes on leadership in COVID, 4 am zooms with yoga, HIIT, and Barre trainers. So I am planning a week long mental health resources push for the first week of June. I am going to get out there and let our staff know what is available.
  13. Furloughs are rolling out, departments are being shut down, and the pressure is high. Having been an educator for over six years now I am used to being seen as "necessary but disposable". In my new role as a Manager of Professional Practice (nursing strategic planning/recognition/professional development planning) I was definitely feeling that vibe again yesterday as I walked amongst the units dropping off some self-care donations we had gotten. When COVID hit I was given the hospital educators to "direct", I am interim coordinator (which is looking like it will be more and more permanent every day) over the new grad nurses, I have organized and rolled out all education (with the educators) for cross-training, PPE changes, vetted innovations, helped modify policy after policy, reworked Code Blue, and sat on endless calls about everything under my umbrella and then some. I guess this is more of a vent than anything else. I am grateful my leadership team feels I add value to the team above the cost of my salary (I did discuss my willingness to furlough if it was felt to be the best choice, as well as recognized I may see a pay cut at some point) but I often don't know what to say to frustrated folks on the floor who just see their managers being furloughed and them being fed back to the hospital. Thanks for listening.
  14. Thank you so much for all the responses!
  15. Tait

    Does Trump have Covid?

    I think he says he is taking/says he is taking it so people will buy it up. Not convinced he doesn't have stock in it now.
  16. Tait

    COVID Code Blue

    Forgive me if this has been discussed. I did a quick forum search and didn't see anything. I am curious how your facilities are handling COVID-19 codes. We are following the AHA guidelines from April ( https://www.ahajournals.org/doi/pdf/10.1161/CIRCULATIONAHA.120.047463 ) but we have had situations where a patient isn't COVID + , has coded, and then be found positive. This was all despite previous negative testing. Due to situations like this we have moved to managing ALL codes as COVID+ to prevent exposures. We are also draping our patients, which is causing the system to look at oxygen pooling fire hazard risk. I am curious to hear how other facilities are managing codes in general. Thank you
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