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11blade RN

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11blade is a RN and specializes in OR.

11blade's Latest Activity

  1. 11blade

    Covid-19: Contacted by your state’s BON

    Uh, yes, I can speak definitively for ALL BON's on the issue on their purview and regulation of nurses, it's in every state statute published online for your review. "Nursing force"?! I wasn't aware I joined a 'force' when I got a license. Nursing may have been refined by the army, after Flo Nightengale, but if joined the reserves or the army I want their benefits, too-VA healthcare, GI bill, cemetary plot, etc.. "$10,000"....what is YOUR life worth? That amount is STILL not enough to make me go to a job where the people I work with won't even take the basic precautions to prevent transmission-handwashing, wearing a mask ALL the time, social distancing on/off work. I'm referring to NURSES I've seen at work, blowing their nose with gloves on, throwing the tissue in the trash, then grabbing a chart and going to take a patient to surgery! No glove change, no handwashing, no distancing in break room, and not wearing a mask when patients have left the department. "Email blast"?...going to the same SPAM folder as all other 'blasts'....
  2. 11blade

    Struggling! LPN School

    The other posts about studying are on target. There are a lot more resources now (Youtube, online resources, this forum) to help you teach yourself. The big thing I would stress at this point is SELF CARE. You recognize that you've been out of school, and seem committed to putting in the work to get up to speed. There is a hack I used when I went to school that allowed me to recharge after a full day at class....naps. As soon as you get home from class, get 30-45 minutes in bed, sleeping or napping, NO MORE time than that. It resets your brain chemically and makes it MUCH easier for you to grasps new concepts and remember things. Then, be back in bed no later than MIDNITE...ALWAYS. The less you upset your 24 hour circadian rythm, the more effectively you will be able to study, write and work the next day. The first time you try to nap be sure to set an alarm AND go to bed, even if you don't sleep. If all you do is lie quietly for 30 minutes, that is a start. Once you find out how effective this technique is, you'll be eager to get to bed at 4pm, up at 445 pm then working like it's a new day, with energy until midnite. The nap makes it feel like you got an extra nites sleep, and the deadlines for your work aren't so scary, since you now have more energy than right after your last class.
  3. 11blade

    Worried About Getting Sued—Traveler

    Unfortunately, YOU threw yourself under the bus. Even though you gave report to the receiving nurse, and, called again before you left your unit, dropping the patient off in the room, monitored or un monitored, and leaving is a BIG problem for YOU, not the receiving nurse. You have a duty to the patient to transfer their care to another equally licensed or higher level of care provider, not just leave them with an RT at bedside. I have transported patients from the OR to the floor, after phone report, and waited, used the call bell, and waited more time until the nurse arrives in the room BEFORE I leave the patient's bedside. Sometimes, I have my OR mgr. on my comm device squawking about WHY aren't you back in the OR yet? Legally, I cannot leave the patient until I've transferred care...period...no matter what state you are working as a traveler. Years ago, a hospital I worked per diem at decided that the nurses on the floor were delaying us too much, so the managers in the OR came up with the brilliant idea to 'fax written report' to the unit secretary, who would take the paper to the RN receiving, freeing us to drop and run...WAIT...WHAT?! When I confirmed their paper was 1. not part of the legal chart, just a worksheet to be thrown away, and, 2. the form had not been authorized by the hospital forms committe, I politely informed the manager I would NOT be doing that. Everything that comes out of a manager's mouth isn't kosher with the nurse practice act....
  4. 11blade

    Can't get covid at work

    Not working, NOT feeling guilty. In fact, training to get my CDL (Commercial Driver's License) so I don't have to take another nursing job until it is 'safe' to do so. Feel sorry for all y'all that just got out of nursing school and feel obligated to work as a nurse to pay back loans. Nursing work AND saving shrewdly has afforded me this 'pause' to re-evaluate what makes me excited to get up in the morning. When hockey hurt more than it was fun, I put my skates and equipment away. I'm in the same space now, making a decision about working as a nurse. I worked at some of the largest HIV treatment centers in the U.S. (Houston), understanding my risk of HIV, Heb B, etc. was elevated from working in the OR, but I felt relatively safe in my practice. This was because I could control what I did, being careful handling blood & body fluids and appropriate PPE. This pandemic is entirely different. In the past year, working in two different states that had mask protocol orders in place, I found myself in communities in those states that were living in an alternate universe. The non medical town folk, AND, the should know better nurses I worked with wouldn't wear a mask?!? Other colleagues report working in doctor owned surgical facilities that 3 of 5 doctors are COVID positive, and, never quarantined, never missed a day...came to work POSITIVE and thought that was okay because they were wearing masks?! I have experienced the COVID break room risk, with no distancing, people with masks OFF much longer than it takes them to eat or drink, and, managers that can't or won't lead in these difficult times. There is a turning over of reptilian management in healthcare, to something that is even MORE malignant and focused on dollars not patients or the infrastructure to provide care to patients, nurses. It was always 'bad' but it is orders of magnitude worse now. They expect nurses to battle COVID defenseless, without adequate PPE. This baloney about mask reuse was malpractice a year ago, and, in the elapsed year, production has afforded more supply to the market. One place I went to did a fit test on a very good N95, then switched the brand when you got to the clinical area, to something that didn't fit....criminal behavior, if I cared to file a report with CMS....I don't. Don't believe the doe-eyed looks they give you about 'lack of PPE', they know EXACTLY what they are doing, because their budget metrics tell them what supply levels they SHOULD have based on pt DRG's. Their cost saving bonuses are coming at the expense of not just PATIENT lives, but NURSE lives...they KNOW that! Will I take another contract RN job? Maybe, more likely NOT.
  5. 11blade

    How to handle covid exposures from other staff

    So the virus is AIRBORNE, and, the original poster points out the RT spends 'all day' in one room where people are eating and drinking WITHOUT HER MASK ON. That is NOT paranoid, that is a break in technique that management needs to address. The RT has the HIGHEST risk of catching COVID from the activities she is involved with. Planting her in the break room (confined space with LESS AIR EXCHANGES than other spaces) is a recipe to take out the whole unit's staff.
  6. 11blade

    Covid-19: Contacted by your state’s BON

    There is no infrastructure to contact nurses by the boards because that is not what their function is. At best, they can sell the list of licensed nurses to a company that would contact you. Nursing boards function are to regulate the practice of nursing, not advocate for the nurse. They 'protect' the public from inadequate NURSES, not disease.
  7. 11blade

    Intubation Should Be A Nursing Skill, Especially Now

    My practice area is operating room, so I've assisted on thousands of intubations. The fudge factor for IO insertion is much less than that for sucessful intubation. It depends on why you need to intubate the patient. If you can maintain an airway and Sat with ambu, nasal or oral airway, keep doing that. The problem with pushing an RT or RN up to the head to intubate when you CAN'T maintain the airway is that the patient would present a higher degree of difficulty to an experienced provider, nevermind someone who is playing off the bench. Having seen the BEST of the best providers sweating on difficult airways, I would hesitate to rush to intubate as an RN, having seen what I've seen. Like starting an IV, sometimes it's better to look at a situation and realize there are better people for the job than you. And, having said that, situational exceptions may occur. IF I was in the middle of no where, AND, there was no upper level provider, AND I had adequate materials to do an intubation (crash cart, Glide scope, Eschmann, Rhino kit, etc.) would I attempt intubation IF THERE WAS NO OTHER capable provider? Maybe, maybe not. I've seen intubation shitshows where the parade of residents 'attempts' swelled the airway so bad, the staff anes. doc had nothing to work with....do I wanna be THAT provider? If the airway can be maintained without invasive monkey shines, stay in your lane.
  8. 11blade

    COVID-19: Envo N95 mask

    Absolutely get the money together to buy one of those masks. I bought one last Summer, after seeing them in use by surgical assistants in the OR. In the OR we still have to put another mask OVER them because the vent flap allows our exhaled air to blow out, unfiltered. The MAIN thing I like about the mask is that they are so comfortable. The fitting around the face is similar to an ambu bag mask, form fits to all kinds of face shapes. The form fitting + soft silicone material provides a MUCH better seal than any other N 95 mask I've worn. The next BEST thing about the mask is the frame that holds the filter material away from your face. Your face feels DRY all day, because the exhaled moist air isn't precipitating the moisture on the barrier type masks that are in constant contact with your face. The only thing I don't like about them is their weird straps with ear pieces. The ear pieces are too uncomfortable to wear longer than an hour or two. I just tied them together, because I haven't decided if I want to just cut them off entirely. Pro tip: Take time to get the mask comfortable on face, fitting the straps, etc. at the beginning of your shift and you will have longer filter use. The more fiddling with it, adjusting on your face, taking it on & off, the more wear and tear on the filter in the filter holder. Once the filter won't seat properly in the frame, it's time to throw it out and get a new filter. The mask comes with 5 filters and a container to store the mask. Buy an extra 25 filters when you buy the mask to save on shipping.
  9. 11blade

    Sleeping In Vehicle Between Shifts

    This is ABSOLUTELY done in California, where rent is so high. I worked with a surgical scrub tech (both of us are travelers) that told me about heading back to a 2nd assignment at a California hospital (large city) where she would spend the entire 13 weeks living out of her van in the parking garage ROFL! She was very low key about her footprint in the parking garage. The van windows are blacked out with insulation (reflectix) and curtains so that no one can see inside. She is very careful about who is around when she enters/exits the van. Showers are done in the OR locker room showers. She leaves the parking garage on the weekends so she can cook, since food odors coming from the van would be a giveaway. She works all the OT they throw at her and they are overjoyed they have someone who will work all the hours. A year is a bit of a stretch, but if you are careful it might be done.
  10. 11blade

    Concealed Carry...as a nurse?

    "Extreme circumstances" don't appear on a schedule....I'm scheduled to get robbed today, so I think I'll carry my gun today. Likewise, carrying a gun is not an innoculation against criminal behaviour. Accuracy and judgement aren't conferred by osmosis just by picking up a gun. Consistently practicing with a weapon, including getting it out of a concealed posture, are mandatory. The gun is not the weapon, YOU are the weapon. If you don't go the next step and get the proper training it's like turning a16 year old loose with the family car and NO driving lessons. If you are not willing to make the commitment to training to safely operate a weapon of mass destruction (car, gun, chainsaw, etc.) you are right to decline to do those things.
  11. 11blade

    Concealed Carry...as a nurse?

    I guess you haven't experienced 'extreme circumstances' yet. I have-burglar at top of stairs in townhouse, me waking up to go into work on Sat. for on-call ortho case...me: no gun, burglar: armed? Unknown, couldn't see his hands. Thank goodness I convinced him I was armed (total BLUFF) and he ran down the stairs and out the window he removed to get in. Or, my neighbor, cycling with her two small children on the local bike path 1 mile from my home in a 'nice' area, robbed of her wedding rings by man with knife last week. If you have some magic wand, other than a gun, that immunizes YOU from being a victim of criminal behaviour, please share where I can get one, too. Until then, I carry, legally and lawfully. This means CC in places that do not discriminate against legal & lawful gun owners. Do I go to a movie theater? Not if they demand I be unarmed. I will stream what I want to see if theaters want me to leave the gun in the car. Do I carry in a hospital, govt building? Hell NO! As I mentioned, LEGAL & LAWFUL are keys to being a concealed carry license holder.
  12. 11blade

    Nothing changes as long as you obey

    The wake up call most nurses have gotten (as if they didn't ALREADY know) is that management will sacrafice as many FTE's as it takes to preserve their own bonuses. The marching orders from the pointy headed ones in finance will be to push the envelope of safety with staffing numbers vs patient census as the screams for MORE VOLUME, MORE PATIENTS (with insurance, of course) come from the C Suites. Expect to see the suits in your clinical areas MUCH more in the coming weeks. Whether your work area is covered by collective bargaining or not, please read the linked article to find peace with yourself as we go forward into this 'new' not-normal workspace. https://www.zerohedge.com/political/nothing-changes-long-you-obey
  13. 11blade

    Nursing Is No Longer Worth It

    Thanks, but I'm not anyone very 'special', even though my mother always told me I was. It is an election year, so it's a good time to put some words in the mouths of the politicians that want our votes. If no one calls/writes/emails about problems they just do the same old thing. I'm seriously thinking about drawing early Social Security, and I'm okay with that...maybe being poorer, but having a quality of life, or just a 'life'. I'm even driving slower on the road....and my nickname used to be 'Leadfoot'.
  14. 11blade

    Nursing Is No Longer Worth It

    I could not have written a better assessment of the profession. PREACH, sister! This is so well done, I would like your permission to attach it to the letter I'm sending to my Senate and House representatives, giving you credit anonymously, if you wish. This is the kind of thing that needs to be heard in Washington. Would you consider your writing being written into the Federal Record if one of my representatives catches the fire you've lit?
  15. Sounds like you made the right move. Your hospital management ABSOLUTELY endangered your and your co-workers lives with their idiotic actions. You obviously absorbed enough of good nursing sense to understand that, otherwise you wouldn't have made the decision to do what you did. And, that was not a decision you made lightly. I applaud you. I don't know that I could have done that at my first year in. To compare: HIV was the big deal when I came out of school, but it has nothing on this bug. At least we had a chance to protect ourselves from blood and body fluids with protection provided. No one told us NOT to wear gloves when starting an IV on an unknown HIV patient...that would have been patently STUPID. Apply for unemployment IMMEDIATELY! Your state UI office will try to deny, but your employer forced you to quit by not providing Federally mandated PPE. There will be class action lawsuits about this when the dust settles, mark my words. In the meantime, DON'T pay any school loans...just yet. If the govt comes out with a stimulus to forgive loans for a promise of service for a year or two in an underserved area, you may have some other options. Start a job search...for any job, not just nursing, right now, and take care of yourself. You are one of the 'good' ones with a head on your shoulders, you figured it out before the rest. Don't worry about trying to convince others about your decision, you convinced yourself and that was enough to get you out of a dangerous situation. Take the time to grieve your loss (symptoms you are reporting is grieving), then thank the Universe or what ever higher power that you believe in that you were given a 'sign' that you are to take another path. You are on the road to greatness, dear!
  16. 11blade

    Nursing Is No Longer Worth It

    Amen, sister! The COVID thing has just exposed to the rest of the world what we who have been slogging along in this dysfunctional system have known all along. We truly ARE expendable! Advertise pay a few dollars higher than what some nurse in Podunk, Ms, Tx, La, etc. is making and they will drive nite & day to fill that position. Dangerous? No problem! Could lose your life, or, cause your family to lose their lives? Pay a few dollars more and there will be a warm body in that overcrowded ER/ICU/makeshift ICU in the PACU, etc.. I have worked contract for the past 20 years to be able to control my work schedule as to where and when I work. There is no work for what I do right now. There are 500 contract operating room nurses looking at or applying for the 5-10 travel jobs that are at places that you wouldn't take your dog to. I'm not just sitting out, but actively seeking work in any thing OTHER than nursing...not because I'm afraid of COVID19...I fear the idiots that are going to stampede the GDP (general dumb public) into operating rooms in ASC's and hospitals in the next two weeks. The NIH recommendation to add as much as 30 minutes to OR turnover times because of the droplet contamination during intubation and extubation is going to drive some surgeons WACKY, as if they weren't already whining about turnover time. That process change 'might' happen on the first day, until the big swinging dick in the OR screams at administration about turn over time. I KNOW that OR's will jump back to 'bidness' as usual, and then it's ON for the SECOND wave of infections. I left the last OR job I had in February, listening to idiot co-workers poo-poo the virus, "I'll just do the usual hot toddy tonite & I'll be good to come back to work tomorrow (through dripping nose and coughing)"....nice. I fear going to work with those morons MORE than going into a grocery store!