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LMonty911

LMonty911

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LMonty911's Latest Activity

  1. LMonty911

    Disaster/Pandemic preparedness

    Al-thanks for posting that.I hope its helpful to others here. Would definitely appreciate feedback and suggestions.
  2. LMonty911

    Disaster/Pandemic preparedness

    ayrman- excellent book you shared. thank you. nice addition indigo girl. lots of good preparedness ideas shared here so far. One thing concerns me-that a lot of people even perhaps some onthis board-a re waiting until the pandmeic starts to prepare. To me, thats scary. Its likely that the last minute rush is going to make good preparation and stocking up very difficult-kinda like the "bread milk and eggs" runs that everyone does when a winter storm is in the offing- doesnt take long for the shelves to get bare. Multiply that by a thousand fold, and the chance of getting what you want and how much of what you want is prety slim. Its a big gamble. any inpu ton that? can anyone explain to me why they think waiting to prepare is a good idea? I am really interested- not to argue, but better understand. Maybe theres soemthing to that concept I need to learn, cause I just dont get it.
  3. LMonty911

    Pandemic News/Awareness.

    good catch, Indigo girl! Yep, the poster sure hit the nail on the head on that one...nurses who arent prepared and informed in advanec are going to have quite a shock when it hits
  4. LMonty911

    Pandemic News/Awareness.

    Interesting blog, Indigo Girl. The math on the graph is compelling reason to pay attention to whats happening with H5N1 IMHO. CDC is essentially saying that if we get a Category 5 pandemic- like 1918- that they project 1,800,000 deaths or more in the United States. The or more is kinda concerning. Thats with a fatality rate of 2%. H5N1 currently has a case fatality rate of 60%. Unless it moderates greatly when it goes pandemic, the number of deaths would be much, much higher. I find that very concerning. I do not understand how the officals or anyone can loook at those projections and not encourage longer term preparations thatn 2 weeks!! I think the point was made earlier in this thread- that if the PPE runs out- which may take days to weeks- then what happens to the hospitals? How will bed shortage, staff shortage and closures affect the fatality rate? I know I would be scared to do patient care with a 60% fatality rate. I dont think I'd work without PPE and/or a vaccine. I dont know what would happen to us if we didnt come to work, but if that fatality rate holds, nurses will be dropping like flies. So many of the ones that do work will get sick and be out, making the shortages even worse.
  5. LMonty911

    Disaster/Pandemic Community Involvement and Coping

    Excellent question, Ayrman! I'll toss out a guess: unless you have experienced a situation that involves shortages or loss of utilities for a prolonged period of time, its hard to comprehend that it can happen to you. Our society no longer rewards or values "self reliance". At one time it was a survival issue. Now, for most of us in the Western world-its a "hobby"-or viewed that way. I'd venture a guess that many people who practice self reliant skills are looked on as unsophisticated, by those who dont. Culturally, we select against self reliant behavior. Did we learn anything from Katrina?
  6. LMonty911

    Disaster/Pandemic Community Involvement and Coping

    Hmmm-we are moving to AR and I just sent the endorsement papers last week- they didnt have that question on them. Kudos to Florida.
  7. LMonty911

    Disaster/Pandemic preparedness

    Wow, good lists! Here's a couple of ideas that might not have been mentioned- Stash some cash in case the ATM's dont work! That caught me out one time. Fluids for hydration. Wish I had IV's at home, but havent found a doc willing to write prescriptions so I could. So i make sure I have gatorade type stuff to mix half strength if its needed for oral rehydration. I'm into alt.medicine as adjuncts, so I have some specific vitamins and supplements I have researched that may be helpful- especially if there's no vaccine for a pandemic, at least its something to try rather than being totally helpless. Some masks and gloves; and lots of hand sanitizer here too! I have some of those spacebags they sell online that I got a the local store. They are good for putting up clothes, I like them a lot, and they last a long time. I keep an extra change in the boat for each of us when we go fishing, and have some extra clothes in a bag in my car in case of need in one of the "travel size" space bags. Come in handy more than once at work in the ER! A little blood - heck, you can get scrubs from the OR- but get puked on and a change of underwear and a shower is a good thing! LOL So are the snacks and cash and extra meds I keep in it- man, Ive used them dozens of times since i got in the habit. I hate being caught short on anything. LOTS of good ideas up there, a few I'll add to my shopping list. I appreciate that!
  8. LMonty911

    Disaster/Pandemic Community Involvement and Coping

    Thanks for the input, guys! The info about the earthquake issues is interesting, Ive never lived where the ground shakes :) Dont want to, either! LOL Still, it amazes me that hospitals arent more prepared for the issues that can happen. Like, putting a generator where it can fall off! Duh! Yea, the thing about nurses and other healthcare staff volunteering to respond to emergencies is very good, and I think its an awesome thing to do. Gotta respect the nurses that do that. I bet it sure would be great to see the cavalry coming if I was in that situation! Thing is. I bet that a Pandemic is the most likely next (or at least soon) big disaster. There isnt going to be any cavalry for that one, since the whol country is going to be going thru it at the same time. So, how do we prepare for that? What are you guys doing to get ready???
  9. LMonty911

    Disaster/Pandemic Community Involvement and Coping

    good post, Florida!! I didnt want to hijack your thread, but the thing you mentioned about shortages in disasters bothers me. Ive been through a few minor ones (hurricanes and ice storms) and dont want to get caught short again! So I started one about that, I hope we get some ideas shared. https://allnurses.com/forums/f8/disaster-pandemic-preparedness-205024.html One tip I learned was to leave extra time when in post disaster phase- everything takes longer. If you dont have hot water at home, lots of coworkers will be doing like I did- bringing clothes and showering on the spot. I even one time took a crockpot of stuff from the freezer and plugged it in when I was at work, then took home a hot meal, easy! Not having electricity makes things so much harder. We have a chain saw, getting out of the driveway after trees and limbs are down is an important first step to gettin to work! LOL Do they give you a hard time at your job if it snows real bad and you cant get in? Everywhere I have ever been they have folks with 4 wheel drive ready to pick up staff. What really bothers me, is they dont guarantee you a ride home! WTH?!?!? Like, I'm gonna ask to be stranded??? Even if I took a back pack of food and personal care stuff with me if I had to stay, thats still a shortsighted way to do it, I think- how many are gonna agree if they cant guarantee a ride back?
  10. LMonty911

    Disaster/Pandemic preparedness

    I was looking the the other Disaster/Pandemic thread that Florida1 started. She mentioned that after the hurricanes, that they had problems getting basic supplies and food stores were often closed for weeks after the storm. That concerns me. I wonder in case of disasters like hurricanes, earthquakes and pandemics if the nurses who work in the area have problems like that. I'd be worried about leaving my family if there was no heat or electric. After loosing electric in the ice storms in the Carolinas a few years back, my husband bought us a generator. I try to keep enough gas stored so that I could run that and maybe have an extra tank of gas for getting back and forth to work, if things were shut down. I never want to wait in the cold on those gas lines again; or have to risk driving around to find necessities! What disasters have you been through? What lessons did you learn about what things would make life easier if it happens again to you? What can we learn from your experience, and how can we prepare for so we dont have to go through th esame problems you did? Where there any sepcial tricks or issues that came up that helped you at work? Any special problems that nurses in disasters face? I have a confession- my home first aid kit is pretty anemic right now :) DH burned his hand prety badly at work last week. I hadnt checked my kit in awhile, and was shocked to see how low I was on some stuff. I only had one roll banfage and had to make a run to WallyWorld the next day! If the stores were shut or the roads iced in or otherwise impassible that would have been an issue. Maybe not life threatening- but its a small example of how not being well prepared can be a problem. I'd have been so embarrased to admit to hubby I couldnt take care of it, or come thru when he needed me to. What do you do to prepare? I'm going to restock my kit, and get some more OTC stuff to keep on hand too. What else should I be thinking about? Laura
  11. LMonty911

    Are you prepared for Avian Flu?

    I'll post a likely unpopular opinion. Sorry in advance if it offends. Ive spent 30 years busting my butt doing patient care. Ive gotten hernias, ruined my back and had to have rotator cuff surgery for job related injuries. Ive gotten parvo virus thats caused residual arthralgias and daily pain; and god knows what else from work. Ive had ARDS once already and beat the odds. I have mild COPD. I hav ZERO, zip, zilch,nada, NO interest in dieing in a pandemic, espeiclly if it happens because the facility I work for didnt have the sense the Good Lord gave out to prepare. They've had warning, theres no excuse for it, besids finanical greed or incompetance. Once the PPE is gone- I'm outta there! I'm even considering being outta there before hand, in case they try to sequester us forcefully. In 30 years of mostly ER nursing, Ive learned a lot. There are a not of nice people out there, and it makes me feel good to help them. But theres also an incredibly large and growing number of the population I deal with that has the belief that we are to be manipulated to their benefit. I have been intentionally attacked more times than I can count, and its noting new...it happens everywhere. They could care less about us, and many would slit our throats for their own benefit. As you may have guesed, I've lost my romantic notions about nursing, We supply a commodity,and we are very expendable to both the employers and customers. I still believe in helping, I want to- but I'm not putting my life on the line if I can help it. I didnt go into this business thinking it was high risk, like police, fire or soldiers do- most of my colleagues in my age bracket didnt either. I honestly believe I have given enough of my health and my mental and emotional well being already, and paid my dues to the public and my profession in the last three decades. I dont accept that anyone has the right to expect or ask for more, just because they couldnt provide the minimum safety requirements. No, my family comes first now, and thats the bottom line for me. Thats one of the reasons I personally wish they would prepare, because then I wouldnt have to face the decision of walking out, with proper prior preparation and decent stoks of PPE I could participate, which is what I would like to do.
  12. LMonty911

    Are you prepared for Avian Flu?

    Mary, its a great reference! I'm so glad to see you sharing it. and so glad to see you preparing! I hope more are, even if they are too shy to share.... Dr Greger recently joined us as a member at Flutrackers. His expertise being made avialble to the public thru this book is a great contribution to public readiness! Ya gotta love it when hes donating all the money, I sure do! you kno whe hasnt got any agenda expcept wanting people to get prepared and decreasing morbidity and mortality.
  13. LMonty911

    Are you prepared for Avian Flu?

    princess- recent estimates are that H1N1 was kicking around in small clusters for about 10 years before the 1918 pandemic broke out, thats by retrospective study on the samples available, old public health data, and of all things bird specimens collected and kept in museums! We just dont know when. We do know that the experts think it could happen with only one or two small mutations. the virus has alredy made several mutations away from the genetic structure that kept on the other side of the species barrier, and grown much closer to human flu sequences. That means we are only a couple of amino acids away from a pandemic. I havent yet found a professional who will estimate it. But since last year, many of the pros have changed their statement from not "if" it breaks out, to "when it breaks out". They have become much more concerned and many are prepping. Even Dr Webster, one of the worlds leading flu experts from St Judes, has recently admitted he has prepared his family with food and supplies for 6 months.
  14. LMonty911

    Are you prepared for Avian Flu?

    augigi, thanks for the correction! I apprecicate it, sorry for my error. and I admit- I am a bit jealous :) Tulip, the pandemic in the 60's wasnt H5N1 it was another strain, H3N2, and that was about the first it circulated widely, and was believed to be created by antigenic drift from the human circulating H2N2 that it replaced. Because it was antigenically related to an already circulating human virus the impact was less than a virus which jumps rapidly into humans. Part of the reason anyway, but virulance seems to be a combination of factors, some genetic in the virus itself (like receptor site amino acid sequences), and some related to host susceptability. Steroids are no longer recommended for ARDS, and have been shown to increase mortality. They had no beneficial effect on recent H5N1 victims. No help there. The flu is such a promiscuous virus and mutates so rapdly, that you can have a strain one year, and still catch the same named strain the following- it may have changed just enough to outwit your immune system. Thats why flu vaccine is reformulated every year, to include the most current and likely to be circulating strains. Anitbiotics- yes, that's a definite plus! It should help reduce the deaths caused by secondary pneumonia. But H5N1 is currently killing via primary bacterial influenza pneumonia not secondary. Antivirals like oseltamivir have shown some benefit, but need to be started within a day or two of infection to be most effective-by the time the cytokine storm hits, they apparently have little beneft. So yes, we do have lots of good things now- we know a lot more about infection control and how to avoid getting sick. We have PPE. We have antibiotics. We have ventilators. And nowhere near enough of any of them. Estimates by some planners are they current stcoks are good for about 2 weeks if we are lucky. Waves last 60-12 weeks or longer and can recur two or more times, with a few months in between. After those supplies go, we are back to pretty close to what they could do in 1918-supportive care, and hope for the best. It doesnt have to be 1918 again- it could be much worse. Theres no guarantee that 1918 was the worst pandemic and things cant be worse, and soem researchers feel older pandemics have had even higher mortality rates than 1918. I sure hope it isnt worse, dont get me wrong , I am hoping for the best while preparing for the worst! if we get very very lucky, maybe it will be mild like 1968 or 57. The longer I watch and learn about this, the more convinced I am that we need ot be proactive and prepare. Its not going to be business as usual evening a mild pandemic, health care has changed so much since the mild one in 68 that it will have huge impacts on HCW. A serious or severe pandemic could be devastating. We cant stop it, if it does jump but we can prepare and mitigate the impacts on our communities, facilites and our families.
  15. LMonty911

    Are you prepared for Avian Flu?

    Yes, they CAN force you to work-executive order- and no, they dont have to provide the PPE if it runs out- they simply can't at that point. It doesnt necessarily mean you get to go home. It does mean theres a real likelyhood the rules change. And I'll bet we wont like those changes...
  16. LMonty911

    Coping skills for dealing with trauma

    Last time it happened to me- and I can relate to almost the exact feelings you've described, but from a different department- I got hold of the EAP counselor. Saved me from some serious burnout, by dealing with it promptly. I'd strongly suggest that for anyone in the same circumstances. Its a good place to start.