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SunCityInsPhysical's Latest Activity

  1. SunCityInsPhysical

    6,500 Nurses to Go Out on Strike 09/20/19 in Four States

    I support you in your stand for realistic nurse patient ratios. I've retired after 40+ years of being expected to work short staffed and overtime. All the mandatory on Call hours. HOLD FAST. ITS WAY PAST DUE FOR AN UPDATE TO WHAT FLORENCE NIGHTINGALE STARTED. SHAME ON THE STAND INS.
  2. SunCityInsPhysical

    Legal obligation for disaster relief

    I'm so glad to see this topic under discussion. Should NOT be left up to individual states or hospitals. Way past due for Nation licenses and protocols. I was victim of short staffing crisis.After a grueling 12 hours on my feet staffing level one trauma OR My relief was a no show. Administration promised to relieve me so I could rest up for my12 hour in the am. They signed my time card mandating I stay on duty until relieved. I got no relief. Cafeteria was closed when we had break in the action. So no nourishment available. At 24 hour mark,When my be scheduled shift was due to start I. notified admin I was too tired and requested relief. I was threatened with being written up and told they would relieve me if I could just get the first case going. They again signed my time sheet. Long story short, I had13 signatures on my time card acknowledging my Notices of being unfit to continue and request for relief. When I finally got off, I requested Operations coordinator, Risk management, to meet me in the ER. That was 2014, my feet and lower legs were in such bad shape I was unable to walk, or wear shoes for several months and to date I can not tolerate walking orstanding for more than an hour. I ended up on disability. For those who think I've gone off topic, you're wrong. This can happen to anyone caught in an emergency response or short staffing situation. The expectations of the general public and administration who are not Feet on the Ground responders have NO CLUE and unreasonable expections. It behooves us Nurses and All Healthcare workers to be involved in the decision and policy making that can affect us legally,physically and financially. Please contact your state board of Nursing, and review policies of the healthcare system you work for. Don't wait till it's too late.
  3. SunCityInsPhysical

    Make a Not to Do List

    Great advice. So obvious that we all overlooked it. My new years plan was to keep a progressive TO DO list which is a hard cover notebook. I made a list of guidelines for the list. I use one half or whole page per project (if complex task). I keep track of date placed on list, vendors, prices/estimates progress and receipts. It also has a TA DONE. Check off box. I add a gold star to encourage myself. They add up rather quickly once you get out of inertia and into momentum mode. Latest accomplishment was to study for Chemo certification. The text Book was 667 pages of fine print and many online videos. I Planned my time and learning goals. Big part of success was No Procrastinating. Having a plan was a big part of staying on track. Upon your great advice I'm going to add another Guideline on my list. I'm now Keeping separate list of Ideas I've considered and decided NOT TO DO. I will write in pro's and con's and build confidence in decision making skills and reward myself for Not Overburdening myself. I just completed a periodic review of what is on the To Do list and doing a root cause analysis of why there is little or no progress will help to clear the list of things that probably didn't belong on the list in the first place. Thanks do much for your advice.
  4. Your artical caught my eye. Well written and valid content. After two on the job injuries I had to be Medically retired 5 years ago. I wasn't ready, after only 35 years. Hahaha, if I added up all the overtime I've worked I've probably got 50+ years under my belt. I Would dearly love to continue working,but on a limited basis I was forced to work 36 straight hours in the OR due to staffing shortage, poor management, admin and risk management. My feet have been problematic ever since. So, to focus on the current Nursing shortage I have to laugh. I love the OR, I have been looking for a position in which I can continue to utilize my expertise. I can manage to be on my feet for an eight hour shift two days a week. Can I find such a position? NOPE. Every hospital in a 45 mile radius ONLY hires 40 plus on call. I guess all those Ivy League administrators missed the class about the last severe nursing shortage. I gets calls or emails inviting me to hiring fairs or notifying me of openings, they offer insanely high amounts of hiring bonuses. When I return calls out of courtesy or curiousity it's always the same result. 40+ on call. I always ask about job sharing. NOPE. So, I politely decline and try to hold my laughter until after I hang up. There is no learning curve. The nursing shortage is industry induced. Just like in the 80s There are plenty of licensed nurses young and old. Single and married. With children or dependent parents or retired husbands who like to travel or play golf with us. Many nurses who would like to work but we aren't working. We are available for limited days or short shifts. After years of working overtime, or having days off cancelled or being fired because of too many times when We needed to care for chilfren or parents or have balance in our lives. We have called a halt. We want balance,we refuse to be used and abused. I didn't know what I was missing in life UNTILL I got disabled. It was a blessing in disguise. I was always at the bottom of the list. I'm healthier now, physically and emotionally. I won't go back to the old self sacrificial ways. I won't go back to unrealistic expectations, lack of professional recognition, and a healthy professional and personal work schedule. I sincerely hope the Nursing Nation wakes up, speaks up and puts their foot down. We have the numbers to demand a change. Will the ANA step up? I haven't seen it yet, I've been a nurse since 1978. We don't have a national license, retirement or insurance plan. Hmmm. Why? Florence Nightingale syndrome and kick the can is my diagnosis. Too late for me. I'll still be praying for a change for the rest of you. As for me, I've recently reinvented myself. I got educated and certified for doing infusions at a Cancer clinic two days a week. Mon and Thurs. I'm well rested, I have time to play and I am always eager to go to work. I feel respected and appreciated. I plan to continue working for another 5 years. Wishing you the courage and conviction to push for change in our profession.
  5. SunCityInsPhysical

    Off duty RN scope of practice on an airplane.

    Having worked as a Nurse for 38 years ten of them doing travel contracts, some offshore and some in the bush, I've criscrossed the country and have had many oportunities to make the decissIon to make known my training as a Nurse and decide whether or not to render aide, very scary, especially if there is no MD aboard or available or there are extreme obstacles, weather conditions or distances to be taken into consideration. Even scarier if the MD has no cardiac arrest training, or the situation may require surgery. I salute you both for coming forward. I Discussed this scenario with coleagues whom I frequently consult with as experts in their field. One is an AHA certified ACLS Trainer, another is the Chief of Trauma at a large Level One Trauma Hospital, another a Board Certified Cardiologist, and finally with Certified Legal Nurse Consultants. We hope to reassure you so you can breathe a little easier. You did not say whether the patient/victim survived or not, we'll assume that he did. The consensus was that your actions whether comfortable or not were absolutely acceptable practice and we would be very surprised and saddened if any legal action were to be brought against you, and shame on them. Had you been in house, an MD familiar with leading a code may have been available with in a short time frame, you would be expected to continue to follow the protocol until a) the victim becomes stable (with or without AED assisted pacing ) b) you are relieved of leading the code by a superiorly trained provider or c) the patient expires, flat lines, bleeds out. In your situation, once you responded, assessed the tools and drugs available and your training kicked in, I got the impression that you followed the current AHA logarithm of AED ASSISTED assesment, airway, breathing, compressions, defibrillation, and drugs according to AHA Protocol. This protocol is the same one followed by EMT's and hunting guides, etc in the AK Bush when out of range of cell/ radio service. In most if not all states and Federal Air space you should be covered by good Samaritan Laws. Again, my kudos to you for stepping up. I hope this will spur action by the FAA to address this issue, They missed the plane with regard to addressing it pre-emptively and publicly. Perhaps the ANA &AMA will step up to the plate to join the discussion and decision making process. Will follow this link for update.
  6. SunCityInsPhysical

    Well, Isn't This Special

    The hospital I used to work for issued cells that the patients could call us on, it was educational for the patient I was working on. Excuse me, delivering quality one one bedside care...oops don't forget to mention x 5 plus all their families, friends an flowers and trash that had to moved or stepped around. he hey had listen to it ring while while my hands were gloved and busy. The other option is to place it on auto answer and talk to all the other patients. We could also use it to call the nurse or aide for the other pt in the room who isn't assigned to us instead of taking a moment to Explain for the umpteenth time that you are not her nurse (we all look alike) how about if they put a picture of Florence Nightingale on it. We could go back to the good old days of 4 to 8 bed wards so the patients knew where we were and how hard we work. With the advent of single patient "private rooms" I wore a pedometer a few times....stopped when the average was ten plus miles. Now I know why my feet and legs hurt. Took early retirement at 62 due to arthritis. I'm struggling but I don't miss the job. I no longer call it a profession. I think I could have stayed a waitress and done as well financially, a good friend of mine and I sat and compared our lives, hers was better.

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