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LockportRN

LockportRN

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LockportRN's Latest Activity

  1. LockportRN

    If Truth Be Told...

    The last article I read here was talking about execs getting their bonuses and many nurses that that it was fine and dandy. But this is yet another reason why I think not. Your post really puts things in perspective. It does sadden me though, that we, as a group of professionals, can't be heard. There are enough of us don't you think?
  2. LockportRN

    Executives Receive Bonus, Staff Asked to Sacrifice

    I could not disagree more with those thinking that these bonuses are OK. We are in a pandemic. People are sick and dying. Hospitals have laid off and cut hours of staff. Many units have closed. OK, so I hear some of you saying that this is a business and they have to keep this business operational. Then hear from so many working without PPE's, hours cut, short-staffed, and some being punished for calling off for being sick. Some even having to take pay cuts. Why then, would they take this money? I don't know how old some of you are, but we did this during the recession. Took pay cuts and split hours to keep the 'business' running. If it is such a concern for these execs then NO, they should NOT take bonuses. It is not just a matter of 'poor timing', it is disgustingly greedy. Sitting up far away from the virus and still getting paid and getting bonuses on top of that? All the while all the people, not just nurses that got laid off, are suffering along with their families. Not-to-mention, putting their health and the health of their families on the line. Oh but let's feel sorry for them? I really don't know where you people come from. I just don't.
  3. LockportRN

    Legal obligation for disaster relief

    So, not really. I have worked during many a storm. Unable to get to my children in time to help them! But was sure stuck at work.....LONG after my shift ended. This went on for years until the last time. A tornado ripped through my state. Actually several that year. After this last one, once the sirens go, we can't leave. I quickly called my children to get to the basement. Once it was over, got home just in time to watch a large tree fall onto my house. And it was right over my sons bedroom...where he had been. I could have lost so much more than losing a job by staying. I am a single mom and should have been able to be there as it was a full 5 hours after my shift ended. Does that make me not a human because I would have rather and should have been near my children instead of at work? I don't think so and seeing what you wrote, well, it's wow, just wow!
  4. LockportRN

    Legal obligation for disaster relief

    Sooooo, by your snarky response, I assume that whenever there is a disaster, you jump up and go there to assist in any way that you can right? You just up and leave your home and family and/or pets and volunteer your time? So nice of you!
  5. LockportRN

    New York Nurse Steals Narcotics from Cancer Patients

  6. LockportRN

    Illinois Nurses are Banding Together For Safer Work Environments

    I am kind of surprised. No, really surprised at not one response to this topic. As an Illinois nurse, this definitely got my interest. As for mandating change, that is a hard one and not one that I particularly think 'we' will win. At least not until we can pull together as a profession and force this change. It seems that our country has focused mainly on the economy, jobs and to do this, has allowed the few to ban together, form lobbies and get laws changed that only enhances the fiscal economy of owners, CEO's etc. Seems that true focus on patient care, or even good healthcare in general, is not a real thing. Our country woke up to the 'healthcare crisis' by Obama and the new healthcare rules. It is too bad that his initiative was fully formed before passing it into law. But people did start to wake up. Unfortunately, so did those that own/run healthcare facilities. They learned even better ways to continue to make lots of money, but better patient care? No. Not even close. And as for staff, well that got worse for us as well. Add to the fact that Obama was the first African American US president and well, people seemed to only focus on that and instead of watching what new laws were being passed, either sided with or against Obama. Therefore, nobody was paying attention to the new law. Nobody could look past color, research the law and contact their states congressman to get them to hear what was going on. So we are here. The law is ...well, gone. People have even higher insurance rates that prior and are getting less healthcare. Many can't afford the deductables. And I know of 2 hospitals near me that are closing. Another has entire wings shut down. Many, many nurses have lost their jobs. Many more are waiting to hear if their hospital will be closed. So short staffing abounds. Corners being cut on many levels (housekeeping, closing coffee stations and even lunchrooms or shortening their hours). How can we do this? It can't be one area of nursing at one time, then another area of nursing. The people in power just walk right over us. I think WE will have to come up with the solution. Can WE do it? Can we work together...forget about "you have 3 initials after your name but I have 4". Can we forget that one works ER, one ICU, one HH, and another in Hospice, to see the value in each other. The VALUE of our profession, and force real change? I would love to be a part of that. I would love to be able to stand tall, draw a line in the sand that no pencil pusher or Business Management Company or even CEO could argue with KNOWING that all of my fellow nurses are standing right there beside me. In agreement, as professionals, that deserve and require respect and safe working conditions. For us, as well as for patient safety. Ahh, what a dream.
  7. LockportRN

    Exploding Demand for Family Nurse Practitioners

    "The country needs more nurses who have earned a Master of Science in Nursing to confront this nursing shortage head-on." Ah, so now the solution to our big problem of the nursing shortage is to further increase the educational requirements (and years in school and racking up school loans), by having all the newbies become Masters prepared? No other of level of education that a nurse has could solve this problem! You so funny!!😂
  8. LockportRN

    Who is in Charge Here?

    I really liked reading about the interventions. And like Davey said, "I've worked with patients diagnosed with dementia who could waylay a staff member with one punch and have no memory of it five minutes later. Having the zippity-do-dah knocked out of you, wrestling the patient down to prevent injury to him and others, giving a chemical restraint, and then have no idea when the next time he's going to go off is a patient with advanced dementia and difficult with which to deal." We had a patient with mid to late stage Alzheimer's as his diagnosis, though with advancing medical research, it would probably be more associated with TBI. You see, he had been a boxer his whole career. One Monday, he was so agitated, he punched a male CNA in the chest hard enough to actually stop his heart. After this, the staff wouldn't go near him alone, always with 2 but usually with 3 or 4. I was in my office later in the week and heard shouting that was done by multiple people and getting louder. I went to see the commotion and saw this resident being held down in his wheelchair by several staff members, while he fought them. One look at this mans face told me he was more scared and confused as to why they were holding him. I told them to leave him go and approached him in my usual calm manner, getting down to his level and asked him what he needed. After stuttering several incoherent words, I assured him I was there to help and got him to focus only on me, and not the surrounding 'army' of staff. He calmed enough to tell me that he had to use the bathroom. This poor man was simply agitated by the need to use the bathroom. As he was unsteady, he was in a wheelchair and staff saw his trying to get up as a possibility that he would try to hit them as he had done to the earlier mentioned staff member. They were all betting that when I approached him alone that he would punch me and kill me...literally. But hopefully, they saw that all he needed was assurance that someone would listen and take the time to allow him to work through his anxieties long enough to find the words to communicate his needs. I walked him to the bathroom myself and returned him to his chair with no further problem. There are many different ways to approach those with various Dementia's. Not all of them can be listed here. But watch and learn...from ALL of your staff. You may be surprised at the imaginative ways that help! And take the next step for the sake of your patient's and fellow staffers, include these interventions in the care plan and daily report. There is reason to reinvent the wheel when the very real possibility of harm to self, other patients or staff could be a potential problem and the solutions so easy. Best of luck to you!
  9. LockportRN

    Ripe for Exploitation

    Thank you for such a well written and well thought out article. These are all things that know but in our frustration, often find it hard to put into words without using....venom. Lol, well I can say that for myself only. These problems were a big reason that I finally accepted management positions...I thought I could help my fellow nurses as I never had a nurse manager seem to 'help' us. And often I did, but in the doing so, burnt myself up to a 'crackly crisp'! I am a fighter. Or was. But fighting alone wore me down. I used to think that ANA or INA would be our 'group voice' helping us to make the changes in healthcare that most of us agree needs to be done. But I see that I was wrong. Seems they are bought and paid for as well. What they agree to and vote on are more often than not, contrary to what I believe. Contrary to what I saw as a nurse everyday. Now, well I work for myself. I advocate for my patients whether it is popular or not. And it isn't always welcome, but I continue to give the best care that I can and push others for the same. As for working in a hospital or other healthcare setting again? I just don't know that I can...especially with my big mouth lol. We had a HHN come to see a patient yesterday (I only see 2 x'x a month) and is frustrated and worried if the care is being given. I suggested she call the family in for a meeting and tell them. To give them care reports directly, but she fears for her job. Sad. She is young with a new and growing family with LARGE student loans to pay. You may be right about what the CEO's/HCF plan was with forcing higher and higher educational standards on the nursing profession...if you owe so so much money, the ability to pay depends on you keeping your job or hurt your family and risk your ability to even work at the profession you love when your license gets suspended for nonpayment. Ok, 'nough talking for me. But thank you again! I hope you keep up the writing as you did a wonderful job!
  10. LockportRN

    CEO Says More Nurses Won't Improve Care

    Sigh, I have long suspected this as too many times they appear to back them up and not us nurses.
  11. LockportRN

    Tips for Returning to Nursing After a Gap

    I'm impressed! Also, would love to know how you set up your resume. I currently do private duty nursing but am a bit bored and wanted to get back 'in' the game but never thought of using my patient/families or volunteer experience as 'professional references'. Thanks!
  12. LockportRN

    Is this insubordination? How do I deal with this PSW?

    Got my first laugh of the day! Thanks!
  13. LockportRN

    Continuing Education --Getting staff to complete it

    Glad to hear. The extra laptops help getting them done I am sure! As for having to be part of transitioning from paper to EMR, I sooo don't envy you there. Many blessings to you!
  14. LockportRN

    Ataxia s/p Brain Tumor

    Thanks for your response. My first instinct is to send to the ER. They have been there so many times and have had no hydrocephalus diagnosed but 'headache' that it becomes frustrating to know when to go to the ER for them. I have heard of new device made that is based on temperature of shunt placement equalling the temp down the path of the shunt. Do you know if it is use as of yet?
  15. LockportRN

    Ataxia s/p Brain Tumor

    First off, I will state that I am not a neuro nurse but could use your valueable input! I will be caring for a patient with a resected brain tumor that had a shunt placed which remains very unstable, with his last revision done about 3 1/2 weeks ago. At times he has too much fluid buildup and at others it drains too much to the point he will get severe headaches upon sitting. What are signs that I may need to send him to the ER for shunt failure? Does a shunt failure happen quickly, or slowly with symptoms worsening? Is it always an emergency or do the fluid shifts even out? Any advice you can give in regards to caring for a person with these types of problems would be greatly appreciated. Thanks in advance!
  16. Thanks for your response Libby. I will be moving there in a few weeks and agree with you 100% that he should see a marked improvement in nearly all areas just by getting one:one care. That being said, he has a GT, JT, stoma from trach hasn't yet healed, only gets ice chips per ST at present, F/C, Stage IV to coccyx, recieves Neb txs, O2 prn and suctioning prn as he occassionally aspirates if JT clogges. These things are all manageable by me. I would like therapy to continue in the home at least to help us to help him manage in the home environment. The issues with blood draws for coumadin, continual problems with low HGB and elevated K levels will need to be managed. Sooo, after all this is seems as though we won't want Hospice as the hope for a better recovery remains. But was unsure what exactly Palliative Care would help us do or better to just try to go with Home Health referral? I am thinking Home Health but from what the hospital explained, equipment-wise, they won't help much. There is so much to think about but it helps so much for me to just write it here. Thank you to any and all that reply...helps to calm me down and focus to think that there are others that have done this. That it can be done, even when it sounds overwhelming. Yes, I am a nurse, for a long time...but this is my dad. Will be treated at home without all the resources I am used to being able to just order up from maintanence and I really never gave much thought to patient payer sources but now I must. After being in ICU so many months, I am not sure where their finances stand.