KSEFLINK

THERE IS AN ORGANIZATION THAT UTILIZES DOCS AND NURSES TO DO THE TYPE OF WORK YOU WANT TO DO, AND IT IS IN SEATTLE. THEY FLY IN AND OUT OF DIFFERENT COUNTRIES TO HELP OUT IN DIFFERENT SCENARIOS. TRY LOOKING UNDER "MERCY CORPS" THERE HAS ALSO BEEN A COUPLE OF ARTICLES IN THE LAST 2-3 YEARS IN THE SEATTLE TIMES ON THEM SO YOU COULD ACCESS INFO. GOOD LUCK

There are some nurses working with many patients with asthma through the Seattle King County Public Health Department in conjuction with the Children's hospital as well. You may want to see if you can get to them through the websites to the Seattle Public Health.

One time, when I worked in New York, we coded a man in the ICU and after we had resuscitated him, he stated he was someone else!!!This man kept insisting on us contacting his "wife". We called the wife and found out that her husband had died the week before. After we had contacted this woman, the patient we actually had in the bed coded again and did not make it. This story was absolutely true and I have thought about it many times since. I wish I had talked to this man more after the first code. I think that the man wanted to let his wife know he was okay... Scary to think about, but about 10 of us were present to see it for real... Sometimes as nurses we get to glimpse a part of things we might not want to believe in, but this event has helped me to be aware of supernatural happenings

I think all of the above posts are great, but you may want to start thinking about how you will provide translation for these folks. I do not know what the laws are in your state, but ours dictates that any non-English speaking patient be offered translation services at the hospitals expense. That means that the translator stays for the duration of labor. You may also want to look into your phone companies ability to provide translation for you. AT&T has a translation line you can be a user of. You would need a speaker phone for the patients room. You could also hire a translator at the hospital or find out if any of your staff can speak Spanish and would be willing to help out with translation. Good luck...

I live two hours north of Bakersfield,but can tell you that you would be working in some great hospitals. The weather would definitely be different. For instance yesterday we were in the mid 70's and sunny!As it is so close to LA, you would be seeing lots of up to date technology and would be close to many other extracurricular activities. I would tell you to come out and see it. Housing market is much better, you can get a VERY NICE house in BAkersfield for about 200,000 less than what it would cost you in LA. (100-150,000 for a 4 bedroom) We are also looking for some great nurses in FResno, if interested!!!

With a crit that low she should be transfused. Some OB's prefer to do the wait and see routine, but I can tell you she will not feel very well for a long time. A nurse friend of mine had a crit of 7.5 on return home after bleeding and ended up having to come back to get blood outpatient and not enjoying her baby (literally cuz she did not have an ounce of energy). Have her get a second opinion! There are always the inherent risks of transfusion reaction and a little greater risk of problems post delivery. Be an advocate for her

You may want to check with your Security dept. They will usually get mailings from companies that do "healthcare related" education on this subject. I have also helped with putting on classes in the past where we used our internal experts such as clinical RNs/specialist in psych, EAP, Employee Health and we even got one of the local police experts in to teach us how to deescalate patients.

It sounds as if you have had a rough go of things lately. All of us have had those days, weeks and months too. I know it does not help make it any better for you, but know that we will be praying for and thinking of you. Don't forget to put your family first. Make sure you have balance with family being priority. I know it is hard to be the "insurance", I carry that burden also. Somedays I wish someone else would take it on so I could work just a couple of days per week. Make your workplace as enjoyable as possible given the circumstances and know that it isn't much better anyplace else. I will be putting you in my prayerlists!!

It sounds as if you have had a rough go of things lately. All of us have had those days, weeks and months too. I know it does not help make it any better for you, but know that we will be praying for and thinking of you. Don't forget to put your family first. Make sure you have balance with family being priority. I know it is hard to be the "insurance", I carry that burden also. Somedays I wish someone else would take it on so I could work just a couple of days per week. Make your workplace as enjoyable as possible given the circumstances and know that it isn't much better anyplace else. I will be putting you in my prayerlists!!

Any nurse can also ask for a work accomodation for any of these situations. They need to be covered by a medical note from a care provider and your employee or occupational health provider can work with you on these. Many institutions also have forms for nurses to fill out in the case of "moral" situations that you feel you cannot assist in. These include blood hanging or assisting in abortions. Check 0ut what is available for you

Any nurse can also ask for a work accomodation for any of these situations. They need to be covered by a medical note from a care provider and your employee or occupational health provider can work with you on these. Many institutions also have forms for nurses to fill out in the case of "moral" situations that you feel you cannot assist in. These include blood hanging or assisting in abortions. Check 0ut what is available for you

All blood is not being routinely tested, as HIV testing must be consented for by the patient IN WRITING. It is also an expense that is not necessary in the majority of the population. If you are seeing more cases in Georgia, it may be that you are now living closer to an "at risk" population, such as IV drug users, a larger homosexual population or a larger number of pediatric cases. If you do find that your organization is routinely testing admitted patients, then it has a risk management dilemna on its hands.

All blood is not being routinely tested, as HIV testing must be consented for by the patient IN WRITING. It is also an expense that is not necessary in the majority of the population. If you are seeing more cases in Georgia, it may be that you are now living closer to an "at risk" population, such as IV drug users, a larger homosexual population or a larger number of pediatric cases. If you do find that your organization is routinely testing admitted patients, then it has a risk management dilemna on its hands.

PLEASE CONTACT THE LOCAL AMERICAN CANCER SOCIETY OFFICE. THEY CAN GIVE YOU ALL TYPES ON INFO AND EVEN GET SOMEONE IN TOUCH WITH YOUR BROTHER WHO HAS BEEN THROUGH SIMILAR SITUATIONS. I WILL BE PRAYING FOR YOU AND FOR HIM (AND YOUR WHOLE FAMILY) HANG IN THERE

WHAT LIES UNDER THE RIBS AND STERNUM...START THERE.... WHAT TYPES OF COLON ISSUES MAY THE LAST SCENARIO BE? IF IT WAS "ONLY" AN INFECTION, WOULD PYREXIA BE INTERMITTENT?IS MALABSORPTION HAPPENING? AS A NURSE YOU MUST START USING SOME CRITICAL THINKING SKILLS. I'M SORRY, BUT THE PATIENT IN SCENARIO #1 IS ALREADY DEAD, AS TOO MUCH TIME HAS PASSED WITH THINKING ABOUT WHAT THIS MAY BE. WHAT ARE YOUR IMMEDIATE ASSESSMENTS AND INTERVENTIONS AND WHAT "MUST" YOU RELAY TO THE MD? THE MD WILL GUIDE YOU THE REST OF THE WAY! THINK VS, HEART SOUNDS, LUNG SOUNDS-WHAT MAY BE HAPPENING?