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Patient Safety Advocate; HAI Prevention
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KathyDay specializes in Patient Safety Advocate; HAI Prevention.

KathyDay's Latest Activity

  1. KathyDay

    The COVID 19 Battle Cry for Retired Nurses

    I admire you for that, but my health, age and physical condition would not make me a good choice for them in the clinical setting. Plus, after being out of nursing for so many years. I am not really qualified to do clinical nursing. I truly believe I have found the best job for myself during this awful time. Each of us has to make that decision for ourselves and for our families.
  2. KathyDay

    The COVID 19 Battle Cry for Retired Nurses

    I called my local hospital's Human Resources department and asked if they had considered using retired RNs as a resource during this crisis. I suggested that we do remote work as telephone hotline nurses, doing triage and giving advice. They had not considered that, and thought it was a great idea. I start working from my home tomorrow. It may be that because you are considered "higher" risk because of your age that they do not want to hire to to do front line work. I am 70, and I would not do that anyway. Too risky.
  3. KathyDay

    The COVID 19 Battle Cry for Retired Nurses

    At my age I would not go back to the bedside during this pandemic. But, many facilities are using nurses to help with telemedicine and also nurse telephone triage. That is what I will be doing for my local hospital. I start in the next few days.
  4. KathyDay

    Am I Crazy To Consider Going Back To Work?

    I have been retired for 20 years (retired from clinical nursing at 50yoa) and I am 70 years old. I called my local medical center and asked if they had remote work for retired nurses. They loved the idea and I recruited 5 other retired nurses. We will do remote COVId 19 triage calls. At my age, and risk level, I would not go back to a clinical setting, no matter where it was, but we are all different and your choice is yours alone. Best wishes in whatever you choose.
  5. KathyDay

    The COVID 19 Battle Cry for Retired Nurses

    Have you called your hospital to see if there are any remote jobs you can do, at home. That is what I was hired for, telephone triage for COVID, working from home.
  6. Just a few weeks ago, I was helping with a list of classmates from my nursing school class of 1970. Yes, it was so we could plan our 50th class reunion. I was looking at the young fresh faces on my class photo, including my own. I have worked as a patient safety advocate for the past 10 years, as a volunteer. I have not worked clinically for 20 years. It is surreal for me to be out of school for 50 years. All of those anniversary festivities have been canceled. As those party planning emails came, the news on TV was getting more urgent about this new virus. COVID 19 had floated around for a few months. We heard stories about it when a bunch of people got sick on cruises. There were decisions being made about whether or not those people should be allowed back into the US. There were some pretty frightening images of the Chinese who were all wearing masks on the streets and many were dying. Some of the dying were doctors. This article is featured in the Spring 2020 issue of our allnurses Magazine... Download allnurses MagazineThe news got more and more scaryThe few nursing home patients in Washington State became the beginnings of an epicenter for this disease. Then New York City, then parts of California. Just a few weeks later, here we are. Every State is affected including Maine with our very small, but older population. The news is dire, every single day. Every day citizens are stocking up on face masks and hand sanitizers and clearing shelves of other necessities like toilet paper and food staples. There isn’t enough PPE for nurses, doctors and other frontline workers. There aren’t enough testing materials so that every single person who is exposed to COVID 19, or who has a risk factor or who may even have some symptoms, can be tested. We are all being trusted to socially distance ourselves, or to self-quarantine if we have a risk factor or symptoms. All of us are being asked to stay away from others and stay at home as much as possible. Basically we must consider every person around us to be infected…it helps us to socially distance. Businesses and borders are closedStill, irresponsible Spring breakers gathered in FL and other warm places, and COVID spread. Some large churches held big gatherings and services in spite of all of the warnings, and COVID spread. A few of our Senators and Representatives got it. Tom Hanks and his wife got it. This virus doesn’t care how famous, religious, rich or powerful you are….it will invade your body. It is a great opportunist. My son is out of work as of Friday. My husband and I have been spending most of our days at home, but we drive somewhere daily. Our little dog has been the star of our isolation show, and we take him everywhere with us. One day we enjoyed a short trip to the coast of Maine, and I am so luck to be so close to such beauty. And, this old nurse is going back to workI knew there was something I could do. I communicated with other healthcare workers and with my patient safety colleagues. The effort to keep patients away from crowded clinics and ERs meant that someone was going to have to keep telling them that it was the safest thing for them, unless they had life threatening symptoms. I called my local hospital. I asked if they had considered using retired nurses for some sort of telephone triage line. They hadn’t but they were very excited about my idea. Some of their staff was working on a phone tree and an algorithm. I offered to work from home, taking calls. I also offered to recruit other retired nurses to do the same. So, I have recruited 5 other nurses. 4 of us have had our physicals and background checks done already. We hope to be working within the week. We all can help ...We all can help, even those of us who are “older’, retired and at a higher risk of disease. Find a way. And for those nurses who are working with COVID 19 patients on the front lines, my hat off to you. Your courage and dedication just blows me away. I do hope that most of you will not face a shortage of needed PPE, and yes, I do know that some of you already have. We are all in this together. Doing what the experts are telling us is our social responsibility, but nurses young and old can do so much more. We all need to stand together albeit remotely.
  7. KathyDay

    Nurse Gives Lethal Dose of Vecuronium Instead of Versed

    I am a retired RN, who graduated nursing school in 1970. Most working nurses now would consider me a dinosaur, and in most cases they would be absolutely correct. But, some things have not changed. The 5 rights of medications is still the rule of the land, correct? Another thing that has not changed is that nurses are considered expensive bodies in the workplace, and nothing more. Hospitals expect all nurses to know all nursing things and that is just horribly unsafe. Nurses generally specialize and learn specifics of that specialty early on. Some then become certified. I was an ER nurse so sending me to Maternity would haven been very dangerous for Moms and babies. Nursing graduates come out of nursing training or college programs and start jobs in busy hospital settings. When I did that, I learned quickly that I had to learn short cuts, and work arounds to survive a shift. I don't think that has changed either, and it must. Until Hospitals observe mandatory nurse to patient ratios, that will never happen and things like this tragic horrid harm will continue happening. Non specialized nurses will be expected to do specialized tasks, without the appropriate experience or certification, because hospital management mentality is that a nurse is a nurse is a nurse. That is simple not so. Also, the list of things that went wrong in this article....#1 should have been "The patient died and it was 100% preventable". I work as a patient safety advocate/activist these days, and the stories I hear about preventable harm and death are astounding. It simply cannot stand. We as the bedside nurses of the world must put a stop to it.
  8. Our TV drones on day after day with more and more outrageous stuff from Washington DC. He said , she said, he lies, she forgets, he says one thing, she says another. What is the cure for all that? My Country calls me. It is time for this old retired RN to come out of retirement and to serve our country. I must do this while I still have hair on my head. Pulling hair out of my own head is a daily thing now. Here are some excellent nursing measures I can use when I go to DC. "I didn't hear that" seems to be a pretty regular response to Senate, Congressional and FBI questioning. I can do a mean ear irrigation. Things are said, some things much saltier than others, and crass and gross. I always hear that stuff. I don't have difficulty hearing it when it is around me, and I am darned near 70! So, if those Secretaries, and Senators and Congressmen, and aids cant hear, I have a nursing measure. I will bring a large irrigating syringe, an ophthamoscope, some peroxide and basins and I will irrigate those ears so they are sparkly clean and clear. Wax be gone! If that doesn't work, they I will get them hearing consults and hearing aids. "I don't recall that" This is the top response to questioning in DC. Is there something in the air or water down there. Is there an outbreak of selective dementia? Every one of those respondents who say that should get a memory assessment...I can do that. I don't have a nursing cure for selective memory loss, except maybe putting your cell phone on record, so your defective collective memories don't have to be intact. Unfortunately, there is no irrigation to clear the fog between your brain synapses. "He/she didn't say that" Lies are another thing altogether! Lying is bad and it gets us nowhere. It hurts the liar and it hurts the listener. The only cure for lying is an opposing truth. Tell the truth. The American people deserve it and that is who you work for. If telling the truth will lose you your job, that is pathetic. Is it worth it for you to lie (sell your soul) to keep a job? Another cure for lying is starting an IV and injecting so-called "Truth serum". I can do that. Smut talk, like S hole, S house, F this and that. My mother and the generation before that had a cure for this kind of talk. Potty Mouths got their mouths washed out with soap. A newer trend is eating laundry pods. Either way, mouth soaping may be a reminder to our leaders, who should be an example for all of us, including our children, to keep the language respectable and clean. Please note that this is not a recognized nursing procedure. FOS. Old nurses remember HHH enemas. I can do those!!! "High Hot and Hell of a lot" enemas could clean out the fullest, most impacted bowels. We mixed up a soapy solution with steaming hot water, hung a bag full of it on a pole, hooked up and inserted a lubricated tube. Let loose...to let it loose. After we were done, the recipient was no longer FOS. That doesn't mean it is clean enough to kiss or to crawl up in there and to lose your own perspective. I think this may be the most important nursing measure we could use in DC...because there seems to be way too much S floating around, figuratively, and in important discussions about the future of immigrants and all of us in this country. Immunizations. Inoculating our leaders for contagious and infectious diseases may be another way to stop the rampant widespread lying, deafness, forgetfulness, and foul stinky language. I'm not sure there is a vaccination for that, but certainly we can call on the CDC to help develop one. I can give 49 or 50 shots an hour... Yes, I can do that. Just line em up. I promise to be gentle. This old nurse is ready to use her skills and get our leaders in tip top shape. We need them that way to help us to move forward.
  9. KathyDay

    Forcibly removing piercings in psych patients

    What does this question mean, or imply?
  10. KathyDay

    Forcibly removing piercings in psych patients

    I agree. When I spoke to the man who is engaged to this woman, he felt the same way, but she was so traumatized by the assault that she was afraid. She refused to make a formal complaint to the police because she perceived them as in cahoots with hospital security. She also had a prior history of sexual abuse and this assault seriously affected her. It was a bad situation all around. Some heads certainly should have rolled in my opinion. I am a patient safety advocate and I work on safety issues on a State and Federal level. I advised this man that he should get his anger under control and try to make a difference in that ER. So, he joined with a mental health advocacy group and with his persistence, there is now a mental health crisis expert in that ER for 8 hours every day. It is a step in the right direction, but what about the other 16 hours in a day....I suppose there is just an on call expert. As a nurse I understand the need to keep the patient and also the staff safe, but this brute force, by a male on a female, smacks of sexual assault and/or abuse.
  11. KathyDay

    Forcibly removing piercings in psych patients

    That was my sense of things too. The person who shared this story with me was extremely angry about what happened to his fiance, but he showed me the photos of the lacerations that were caused. This woman had not been declared incompetent, or a danger, so it seemed like they went way overboard. If things happened the way they were described, this was assault and the patient's nurse did not protect her patients safety or rights.
  12. I have a very sensitive question. I have recently learned of a patient, who is bipolar and who was having a crisis, went to the ER. There, every patient has to go through a metal detector, and security checks bags. The smaller ER across town does not do any of that. This woman had piercings, nipple and belly button and she was told to remove them. I am not sure who made that demand, but when she refused, a security guard forcibly removed them lacerating both areas. Apparently a nurse was in the room. This exacerbated the woman's anxiety and she fought back...escalating the situation and she ended up netted and medicated. As a retired RN who worked many years in an ER, I found this appalling. If a patient refused anything I would have brought that to the attending ER doc and gone from there. NEVER would I have allowed unprofessional, untrained, brutes to forcibly remove sensitive piercings like that. I was also told that patients in mental crisis are stripped and searched at that hospital where I use to work. Is that routine? Is that done by security people or professionally by nurses? Are male security officers allowed to do such things to female patients? Is it right that male security people stay with female psych patients even in the bathroom? I understand that in order to protect patients from themselves if they are deemed potentially harmful to themselves, that some of these measures may be needed, but from what I was told, it seemed that patient was assaulted and that escalated her anxiety and combativeness. The results were disastrous. Exactly what is the general policy regarding people in mental crisis? How far should security people be allowed to go? Should male security people be allowed to even touch a female patient unless she is threatening to others? Would a professional nurse first look out for the patients rights to safety and privacy and seek the doctors opinion, before allowing such a horrible scene to take place. What about calliing in professional mental health crisis workers? I am very serious about this discussion and would love to hear from ER nurses who work with this type of issue every day.
  13. I am a retired nurse, who graduated in 1970. I was enraged by what happened to this nurse.
  14. KathyDay

    I'm So Over Nursing. I would rather work at Costco!!

    I wrote this last fall. Here is my blog about a Healthcare Calling and Subsequent Beatings. McCleary MRSA Prevention >> Health Care calling and the subsequent beatings
  15. KathyDay

    Strip searching and removing jewelry

    If a patient refuses to remove jewelry, what is the next step. Is it OK for male security to brutally remove it? Or does a professional nurse come and explain the reason and help to remove it gently? Or if a professional nurse makes a further assessment and decides it is not important to remove the jewelry, can she just document that this was her assessment and state that the patient refuses to remove her/his jewelry?
  16. KathyDay

    Strip searching and removing jewelry

    I guess a futher question would be, why would male security guards only remove nipple and belly button piercings from a woman and not other piercings. This seems like sexual assault to me.