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Emergent RN

Hello

Content by Emergent

  1. I see a lot of fiercely independent seniors who haven't planned well for the next phase of life. In the rural areas, they are used to living on their own, sometimes on properties that are deteriorating due to their owners creeping infirmities, or lifelong patterns of sloppiness. Some have had hoarding tendencies that have gotten out of hand. EMS will give colorful reports on that. What a good way to help these stubborn folk, who need to be guided into assisted living, or toward accepting family help? Sometimes adult children are spread out, or alienated from their parents.
  2. OK, so nurses should not try to guide and influence patients towards healthier choices of living, but just "let them die on their own terms". Message received.
  3. Emergent

    Critical Access Hospitals

    Does anyone work at a critical access hospital? I've worked in 3 of them. My new job is really interesting and dynamic. It is really providing an enormous service to a rural part of my state. Of all the hospitals I've worked at, this one has the feeling of really being a rural outpost. The first critical access Hospital I worked at was relatively close to a major cardiac center. It was mostly served by the local Fire Department that had its ownparamedics. It was a level 4 Trauma Center. The second critical access Hospital where I worked had its own medic units attached to the hospital. It was in a tourist town in the mountains, and it mainly fed into a large Hospital about 50 minutes away. It was a level five Trauma Center, and saw a lots of weekend warrior stuff, but anyting looking and all seriously was immediately diverted down to the local medical center which was a level three. My new job is very cool. It's in an area that is mainly a logging economy, but also near a national park and other major recreational areas. EMS is mostly supplied by various rural fire stations that are mainly comprised of volunteer EMTs. I am doing things in this job that I have never done. My last job was in a medium sized hospital that always had Pharmacy in house, and other ancillary support. In just a few weeks of orientation I have mixed up critical IV meds, patients who would have been intubated in the field at my other jobs arrive requiring high level interventions. I'm getting to apply skills and learn new ones that I never dreamed I would have to do. The closest cath lab is an hour and a half away, therefore thrombolytics are much more routine. The staff is very skilled, resourceful, and versatile. If anybody thinks that critical access hospitals are merely Band-Aid stations, you need to come here.
  4. Emergent

    No Scott Toilet Paper?

    Why is my favorite TP no longer available? What is happening with our distribution network? Why no Scott? What other shortages are you all encountering?
  5. 1) Living room interviews, especially the ones with poor audio and video quality, which is most of them. 2) Covid themed commercials. "We're here for you in these challenging times. (No, you are trying to make a buck, that is why you are advertising) 3) A field reporter all by him or herself, wearing a mask. Substitute anyone out doors, all by themselves, wearing a mask, and I'm out. I was driving by a flagman the other day, all by himself out there on the road, wearing a mask (yes, I know he was being forced to). That is stupid. Kind of like the idiots alone in their cars, wearing masks, before they even get out of it to go to the supermarket. Seriously? Why do you need a mask when you are alone in your car? That kind of mindless 'compliance' rubs me the wrong way.
  6. Emergent

    I can't get a job!!

    Interesting, I sent the OP a private message about a sure job in a different part of WA that she might consider. No courtesy of a reply. I think she started this thread just to whine and complain.
  7. Emergent

    My post-polio patient

    It's actually now believed in many quarters that FDR suffered Guillain-Barre, not polio.
  8. Emergent

    My post-polio patient

    I had a delightful patient the other day with post-polio syndrome. She has vivid memories a being in an iron lung. She got polio when she was 1 1/2 years old, and was in an iron lung for 2 years. She remembers people dying, many of the people in iron lungs ended up dead. She recalls the big room full of other patients. She had to have multiple surgeries to correct physical problems from atrophy while she was in the iron lung. It took her years to learn to walk. Her mother wasn't able to visit often because of other children in the house. She said she was paralyzed and knew nothing else, so doesn't feel like she was traumatized by something that sounds so horrible and surreal to all of us. It's obvious that the nurses and caregivers did a nurturing job with her, because she was obviously a well adjusted lady, with a marvelous intellect. She went on to marry, have one daughter, divorce, and have a dynamic career. 'Coincidentally', polio thankfully disappeared shortly after the vaccination the population on a large scale.
  9. Emergent

    My post-polio patient

    I'm a libertarian about vaccines, but I think those who buy into the conspiracy theories about them are woefully ignorant about the diseases they have virtually eliminated. McDonald's, Burger King, Pepsi and Coke are the real destroyers of health, certainly not vaccines.
  10. Emergent

    My post-polio patient

    I'm here on this earth because of polio. My birth mother graduated from UC Berkeley. Her Aunt Connie, who was age wise more of a cousin, contracted polio. My mother went to upstate New York to care for Connie's 3 children while she recovered. After Connie recovered, Hoppo (my birth mother) went to NYC to be a roommate to her college friend Clare in Greenwich Village and met my handsome father, who was a captain in the Airforce at the time. And, here I am.
  11. I foresee one positive from this covid will be the downfall of a corrupt educational system. Public, private educational systems have drained an enormous amount of our economy in the last 20 years. Schools and universities have become gluttonous and overreaching. Some schools push certain social agendas on the public. Public schools have also become dispensers of charity, some of which is harming the population. Much of our obesity problem is definitely emanating from the public schools. They hand out food that is cheap, and not nutritious. Part of our crisis in healthcare emanates from the many chronic conditions that Health Care is trying to treat. Covid-19 has given parents control over their own children's education. Many parents who have never before homeschooled, are choosing to do next year. Homeschool groups are popping up all over the nation. This is a good thing.
  12. The Links at the top of the page that lead you back to, say General Nursing, or whatever category that you are in, are missing. I am using my Android phone. I haven't checked on my tablet to see if it's the same. So if I click on a thread, and then want to go back to the category that I'm under, which is usually General Nursing, the link is missing.
  13. Emergent

    Transgender nurses?

    I consider a trend as, a direction that a part of society is going. It's not a moral judgment to say so, in my opinion.
  14. You need to carefully read your contract, start to finish. If you can't make heads or tails of it, have a legal professional do so, and explain it to you. Of course, you should have done that ahead of time. As far as 'being scared for your license', that's kind of a nursing urban legend. People don't lose their nursing licenses very easily. It has to be a pretty egregious event to lead to that.
  15. Emergent

    What to do about an abusive parent, home health

    I'm sure the agency is well aware of this women's abusive nature. Their goal is to satisfy the client and make money. They are not interested in mediating, or bringing truth and justice, or solving family dysfunction. When you are in someone's home you are basically at their mercy. I did two home cases years and years ago, and definitely found that that wasn't my cup of tea. Mothers of children with chronic health problems definitely can become understandably over-protective, I found when I did inpatient Peds in a small community hospital. Not my favorite demographic at all. Once they have had a negative experience with a nurse or other caregiver, they can become hyper-vigilant.
  16. Radonda's trial is supposed to start this month. This article in the Tennessean really does a good job of laying out the timeline. Amazing that Vanderbilt escaped any consequences for what amounts to a criminal coverup. It seems that hospital executives are untouchable in our society. The RaDonda Vaught case is confusing. This timeline will help.
  17. Emergent

    Harming Ourselves and the Planet?

    Recent data?😆 That's hilarious. They needed a new study to prove what is as obvious as the nose on my face? THAT is funny!😂
  18. Emergent

    HELP PLEASE!! ER Nurse with Newborn at Home/COVID 19

    Enjoy your baby! You'll never regret that. You'll also be able to live off less money because you'll have more time to cook from scratch and search for bargains. Your baby will be healthier with your bountiful supply of mother's milk!
  19. Emergent

    Radonda Vaught Fatal Error Case Timeline

    My intuition about Radonda is that she was that gal at school, who always attempted to obtain answers to homework from her classmates. She knows how to ingratiate herself to others. She has a lot of social confidence, and is able to use her likability to get others to help her out, or cover up her weaknesses.
  20. Emergent

    Open Conversations (need help)

    I'd be happy to help.
  21. Emergent

    Nurses and narcotics

    She sounds very sketchy. She's likely a diverter from what you describe. You should keep a log of all this. Dates, times, quotes, etc. What you describe is troubling.
  22. Emergent

    The road not taken. my RN midlife crisis.

    It's not rude to give advice, when asked. I agree with @Been there,done that, enjoy life and start your family. Don't get so goal oriented that you become consumed. You sound like a really great guy who will be a fantastic family man. Your wife can get around to that BSN, meanwhile, you can continue to move towards advancing towards your goals.
  23. Emergent

    New protocol - No report from ER to floor...

    I've found that ICU nurses are generally better about researching patients ahead of time on the computer before I call for report. They are very detail oriented as a rule. The hospital where I did the contract, that had this policy, still had phone report for ICU and stepdown patients, like I mentioned. It was only lower acuity patients that went up without verbal report. This biggest problem for nurses on the general wards of course, is that they are juggling more patients, and lack the time for that detailed research. That's why opening up the computer in the room, while getting the patient settled and admitted, is such a vital tool.
  24. Emergent

    New protocol - No report from ER to floor...

    LOL, you used the word crap twice, and crappy once.
  25. Are they being paid? I know here in the US, people get paid to participate in trials. I'll bet the going rate is cheaper in Africa. These pharmaceutical companies are all about profit! Are they being paid? I know here in the US, people get paid to participate in trials. I'll bet the going rate is cheaper in Africa. These pharmaceutical companies are all about profit!
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