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tntrn

tntrn ASN, RN

L & D; Postpartum

Content by tntrn

  1. tntrn

    Concealed Carry for Caregivers

    Not that we would ever move back to CA, but IF we were considering it, that would take care of that.
  2. tntrn

    Concealed Carry for Caregivers

    Quail yes; deer, not. Many hunting experts say that the .223 ammo used in an AR-15 doesn't have the power to kill a large animal on contact. so they are not recommended for hunting.
  3. tntrn

    Concealed Carry for Caregivers

    head shot.
  4. tntrn

    Off duty RN scope of practice on an airplane.

    When he first started describing it to me, I said, "let me guess...it was like the keystone cops." I am sure we've all seen it. I should add that this was pre-911 and now the pilots do not leave the cockpit except to use the loo. Another pilot deadheading might do that now. But the cabin crew relays information to the Captain and he/she contacts Med-Link for the serious cases.
  5. tntrn

    Off duty RN scope of practice on an airplane.

    I worked 35 years in Labor and Delivery and the only chest compressions I ever did was on an infant. In all those years of nursing, there was never once a code called on an adult in my department. So even though I took ACLS, (talk about a fish out of water....the acronyms alone were a mystery the first time) I would hardly consider myself qualified to run a code.....or give the meds....maybe act as scribe, but nothing more.
  6. tntrn

    Off duty RN scope of practice on an airplane.

    Interesting thread: My husband is a retired airline captain with 38 years experience and has related many post-trip medical emergency stories to me. First of all,the crew doesn't make medical decisions unless they are very simple problems, such as a passenger who is hyperventilating. The cockpit crew is immediately notified of any serious problem and the cabin crew makes an announcement for any medical personnel to ring their call light. I have done this many times, had a FA quietly come to my seat, I tell them my credentials and experience (for me: RN: Labor and Delivery, OB, peds) and they decide later if I am needed or not. For serious problems, the flight crew contacts their medical advise folks, Docs at Med-Link I think it is. Those docs will give orders depending on what information is fed to them from those in the back. The captain is called the Pilot in Command for a reason and he or she will make a decision to request a diversion or to press on, with all the information being taken into account. One on occasion, my husband was mid-Pacific,half-way between the West Coast and Hawaii, when an old man coded. Not knowing at the time that he was DNR and going home to die, the crew started CPR and my husband contacted Med-link. Mind you, this guy was gone and there was 3 hours left in the flight regardless of pressing on or turning back. After talking to his wife, finding out he was DNR. my husband told the crew to dc CPR and do what they could to cover him reseated next to his wife. The wife sat with him holding his hand for the remainder of the flight. Med-link wanted them to continue CPR for the remainder of the flight. The PIC said "that's not happening." Med Link then said to restart CPR on approach (I guess to make a show of having done it according to the book) and again the PIC said, "and that's not going to happen either." Med-link will be notified for all serious medical problems. Years ago, before the Med-Link thing, he told me of a situation where 5 docs of different persuasions responded and my husband did a quick interview and he decided which one of them would be in charge. I told my husband that if I were ever on one of his flights and someone went into labor, I, the experienced L and D nurse, would be in charge. He knew I was serious. I am only about 1/4 joking about that, because unless there's a veterinarian, or an actual midwife or OB also on board, I can guarantee I would have had more recent experience and would have "caught"more babies than anybody else who might show..... I have made my presence known several times in flight...I have never actually had to help. But I would. Personally, going through an entire ACLS procedure mid-flight anywhere, without having any kind of facility for transport within 15-30 minutes from door to door seems like overreach to me.
  7. tntrn

    Ebola in Texas

    I received my Nurse.com magazine in the mail today. Of note is an article about a nurse who found that putting on and taking off all that protective gear isn't that easy "in an intensive 10 day class" she took. Ten days! Can you imagine intensive 10 day classes for all nurses (and other health care workers)?
  8. tntrn

    Ebola in Texas

    Um-hm..street lights, bike paths......voter registration....
  9. tntrn

    Ebola in Texas

    Wish I knew the source, or could remember it, but the Republicans actually voted to give Obama more than he requested for the CDC. And of course, over 90% of their budget goes for stuff that has nothing to do with pandemic prevention anyway. It's been diverted to community type stuff. And we are going to pay the price for that.
  10. tntrn

    Ebola in Texas

    And that is a great question. Our yearly "competencies" were computer based things with a 30-45 minute presentation to watch and then the test. The challenge was to take the test without ever watching the presentation......which saved lots of time if you could do it and since we had to do it while at work (not given extra time for it) it was fine with most of us. And since there was no penalty for taking the test until you passed it, that is what most of us did. Now factor into that the insane idea that we became "competent" on some things some of us, as OB nurses only, had NEVER EVER seen, let alone done and it's easy to see that our competency in some areas was non-existent, except on the record. I have to wonder what happens with the protective clothing once it is removed by the health care worker. Is it incinerated or otherwise disposed of, is it sanitized in some way, or do they think it can be reused? Clearly, if the virus can live on surfaces for a number of hours, the protective clothing itself becomes a source of potential contamination. I also don't believe, for a micro-second, that we are being told the truth about much of this.
  11. tntrn

    Ebola in Texas

    Right, but if someone is living there, perhaps they would be in situations in their life outside work where they might be esposed. After I posted that, I saw where they say he might have been exposed while cleaned a van where a patient had died. And that begs another question: The cameramen clean vans that transport patients?
  12. tntrn

    Ebola in Texas

    I think the cameraman has lived there for 3 years, so it is possible he was exposed in some way other than his work.
  13. tntrn

    Ebola in Texas

    Thanks for that information. With that, it begs the question, for me, as to why Dr. Nancy Snyderman and her crew will be going into isolation for 21 days. Unless they all had broken skin/mucous membrane contact with infected body fluids from someone known to have Ebola.
  14. tntrn

    Ebola in Texas

    I am still unclear about how one gets infected with Ebola....can one get infected from simply being in contact the the bodily fluids of one who is infected? Do the bodily fluids from one infected simply have to touch you, even if there your skin in intact and not mucous membranes?
  15. tntrn

    Ebola in Texas

    The Red Cross is supplying the family with food. They refused to quarantine themselves, as I understand it, and therefore, the legal order for them to stay inside. It may seem harsh, but I feel a necessary precaution.
  16. tntrn

    Ebola in Texas

    A photographer for NBC has tested positive now and he will be flown back to the US. Dr. Nancy Snyderman and her team (of which the camera man was part) are being flown back too, and will be in isolation.
  17. tntrn

    Ebola in Texas

    There is a patient in isolation for observation in Honolulu now.
  18. tntrn

    I Wasn't Called to Nursing, I Just Showed Up

    Thanks! That is what happened to me also. I am the eldest of three girls, born 1949-1953. The middle sister was indeed "called" into nursing.....actually she wanted to be veterinarian, but was convinced that nursing was a better fit for a married woman by her in-laws and a over-controlling EX. No way would she allow that now. Anyway, when I went to college, I didn't actually know what I wanted to be. I knew what I didn't want to be. My high school counselor decided I should go to a certain state school that trained teachers and I told him that wasn't going to happen. No way, no how. So off I go without a clear plan. I loved math, so I thought about becoming a CPA; I loved languages so I thought about that, but way back then, translators were like basket weavers, and none had actual jobs, and what else would one do with a language degree but teach? Again, not happening. Then I got married, and left the University I loved (and still do) for another state. By then, my sister was already out of a diploma nursing school and loving what she was doing (she later went back to school and became a Nurse Anesthetist and about 3 years ago, decided to get a BSN: which, she says, didn't make her a better nurse, but it did improve her power point skills). Anyway, I decided that nursing was something I could do and do anywhere life might take me. So I went to nursing school in Northern California. I graduated in 1976 and spent 35 years doing labor and delivery. Which I loved and was very good at what I did....in L and D. Not sure I would have been as successful in other parts of the hospital. One must know one's limitations. I am now retired and I don't miss the J O B at all. I would go back to the work in a heartbeat, but I have serious issues with the direction nursing is headed. There is far too much focus on the computers, having nurses do all the order entries, blood draws, even janitorial and housework, than on patients anymore....This is just my opinion after watching the trends for the last 15 years I was employed. That said, good luck to all who go there. You don't have to be "called" to be awesome!
  19. tntrn

    Step pay effect on older nurses getting hired?

    How sad that the older nurses' experience is last on this list does the older nurses' experience and knowledge and memory of how things can be done without a computer come into play. When the priority for hiring becomes the computer, we are in serious trouble. And I believe we are dangerously close to that. Aside from a couple of studies that wanted to prove that all BSN staffs produce better outcomes, I would bet that the older ADN nurses can wrik rings around newer BSN (but computer savvy) nurses. And that is why I believe strongly in having both very experienced and older nurses working alongside the newer ones. They can help each other learn skills. I had dinner last night with a friend who has over 30 years experience. She was relating how, as the only RN in the Cath Lab plus two techs she is supposed to be charting in real time while doing her actual job. She said, "I will be the one who has notations on sticky notes and will chart on OT because "my patient is my focus." Well, hoorah for her. Before I retired two years ago from 35 years in Labor and Delivery, I felt the same way. Do they really think that charting about a full-on hemorrhage WHILE that hemorrhage and the attempts to stop it are ongoing is even possible? Young and computer-savvy nurses may be quick on the keyboard, but do they realize how much body language they miss by having their nose to the computer screen instead of a face-to-face admission interview? And worse yet, doing the admit from the patient's office record (in our case the pre-natal record) while sitting at the nurses' station and maybe before the patient even arrives? As much as nursing is an honored profession and as much as I loved doing what I did, I will make my own assessment about when and if I will leave the bedside of a family member or close friend when they are hospitalized. Much of this is due to hospital policies and yes, the EMR system, which doesn't make nursing any quicker or easier or better. And until Nurses start crying Foul over it, it won't improve, and the term "bedside nursing" will become obsolete.
  20. I am always amazed at how much stuff has been done, to extreme degrees of expertise, by some folks. And that important and selfless thing?
  21. tntrn

    Nursing and the Ebola Virus

    yes, some hospitals put L and D and NICU in places they have never worked...it is called floating....and where I worked it was not safe formthe patients or the nurses' licenses.
  22. This could be because in most of our lifetimes, due to the availability and use of preventative vaccines in our country, seriously infectious and deadly diseases have been mostly eradicated.
  23. And that ammo supply problem hasn't diminished one little bit. Ammo sales are limited in stores because of supply and demand. Even shot is hard to come by, and the price has tripled in the last 6 years.
  24. So, fewer guns held by law-abiding citizens makes it more difficult for those who don't abide by the law to steal and then use them for murder? Okay, then....... Once again, the law-abiding people are the culprits.
  25. Aside from all the good advice offered, I would say your charge nurse or supervisor needs to be involved.....going that long without a meal break (and probably potty breaks, too) is unacceptable.
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