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Flatline

Flatline BSN, RN

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  1. I work in the 3M laboratory and wanted to condense and post some resources for all of you. As someone who is pushing paper safe at home (working to get more PPE out the door among other things), I want to thank you and your families for all that you are doing! Respirator Demonstration and Training Videos Mask vs. Respirator. what is the difference? https://www.3m.com/3M/en_US/worker-health-safety-us/covid19/ Donning and Doffing Healthcare PPE with 3M™ Filtering Facepiece Respirators https://multimedia.3m.com/mws/media/1814380O/donning-and-doffing-ppe-for-healthcare-environments-ffr-hd.mp4 Tips for using a 3M™ Flat-Fold Filtering Facepiece Respirator 9210+ https://multimedia.3m.com/mws/media/1793207O/tips-for-using-a-3m-flat-fold-filtering-facepiece-respirator-9210.mp4 Tips for using a 3M™ Flat-Fold Filtering Facepiece Respirator 9105 https://multimedia.3m.com/mws/media/1793206O/tips-for-using-a-3m-flat-fold-filtering-facepiece-respirator-9105.mp4 Tips for using a 3M™ Filtering Facepiece Respirator 8511 https://multimedia.3m.com/mws/media/1793205O/tips-for-using-a-3m-filtering-facepiece-respirator-8511.mp4 Tips for using a 3M™ Filtering Facepiece Respirator 8210 https://multimedia.3m.com/mws/media/1793204O/tips-for-using-a-3m-filtering-facepiece-respirator-8210.mp4 Tips for using a 3M™ Flat-Fold Filtering Facepiece Respirator 1870+ https://multimedia.3m.com/mws/media/1793201O/tips-for-using-a-3m-flat-fold-filtering-facepiece-respirator-1870.mp4 Tips for using a 3M™ Filtering Facepiece Respirator 1860 https://multimedia.3m.com/mws/media/1793197O/tips-for-using-a-3m-filtering-facepiece-respirator-1860.mp4 General Respiratory Protection Information Respiratory Protection for Airborne Exposures to Biohazards https://multimedia.3m.com/mws/media/409903O/respiratory-protection-against-biohazards.pdf Comparison of FFP2, KN95, and N95 Filtering Facepiece Respiratory Classes https://multimedia.3m.com/mws/media/1791500O/comparison-ffp2-kn95-n95-filtering-facepiece-respirator-classes-tb.pdf Hospital Respiratory Protection Program Toolkit (OSHA, NIOSH, CDC) https://www.osha.gov/Publications/OSHA3767.pdf Respiratory Protection Frequently Asked Questions Respiratory Protection FAQ Healthcare https://multimedia.3m.com/mws/media/409903O/respiratory-protection-against-biohazards.pdf Respiratory Protection FAQ: Workplace https://multimedia.3m.com/mws/media/1792539O/respiratory-protection-faq-workplace.pdf Respiratory Protection FAQ: General Public https://multimedia.3m.com/mws/media/1791526O/respiratory-protection-faq-general-public-tb.pdf Respirator Selection and Use Considerations Respirators and Surgical Masks: A Comparison https://multimedia.3m.com/mws/media/957730O/respirators-and-surgical-masks-contrast-technical-bulletin.pdf Surgical N95 vs. Standard N95 – Which to Consider? https://multimedia.3m.com/mws/media/1794572O/surgical-n95-vs-standard-n95-which-to-consider.pdf Filtering Facepiece Respirators - Tips for Use https://multimedia.3m.com/mws/media/1796527O/3m-filtering-facepiece-respirators-tips-for-use.pdf Possible Alternatives to Surgical Filtering Facepiece Respirators: Healthcare https://multimedia.3m.com/mws/media/1803705O/possible-alternatives-to-surgical-filtering-facepiece-respirators-healthcare.pdf Comparison of FFP2, KN95, and N95 Filtering Facepiece Respiratory Classes https://multimedia.3m.com/mws/media/1791500O/comparison-ffp2-kn95-n95-filtering-facepiece-respirator-classes-tb.pdf Respirators Beyond Their Shelf Life – Considerations https://multimedia.3m.com/mws/media/1807271O/respirators-beyond-their-shelf-life-considerations-technical-bulletin.pdf Respirator Shelf Life Conditions Cleaning and Disinfecting 3M Reusable Elastomeric Half and Full Facepiece Respirators following Potential Exposure to Coronaviruses https://multimedia.3m.com/mws/media/1793959O/cleaning-and-disinfecting-3m-reusable-respirators-following-potential-exposure-to-coronaviruses.pdf Cleaning and Disinfecting 3M Powered Air Purifying Respirators following Potential Exposure to Coronaviruses https://multimedia.3m.com/mws/media/1793956O/cleaning-and-disinfecting-3m-paprs-following-potential-exposure-to-coronaviruses.pdf 3M Tech Talk- Disinfectants and General Information https://multimedia.3m.com/mws/media/1806346O/novel-2019-coronavirus-csd-ted-talk.pdf Cleaning and Disinfecting 3M™ Scott™ Reusable Full Facepiece Respirators Following Potential Exposure to Coronaviruses https://multimedia.3m.com/mws/media/1820232O/cleaning-and-disinfecting-3m-scott-reusable-full-facepiece-respirators-coronaviruses-tb.pdf Decontamination Methods for 3M N95 Respirators https://multimedia.3m.com/mws/media/1824869O/decontamination-methods-for-3m-n95-respirators-technical-bulletin.pdf Cleaning and Disinfecting 3M™ Powered Air Purifying Respirators following Potential Exposure to Coronaviruses - 3M™ Jupiter, 3M™ Adflo™ and 3M™ Scott™ Duraflow, Proflow and Tornado PAPR Assemblies https://multimedia.3m.com/mws/media/1824567O/cleaning-and-disinfecting-3m-powered-air-purifying-respirators-technical-bulletin.pdf Reducing the Risk of Secondary Complications ECG Alarm Response https://www.3m.com/3M/en_US/medical-us/coronavirus/secondary-complications/#ecgalarm Catheter-Related Complications https://www.3m.com/3M/en_US/medical-us/coronavirus/secondary-complications/#catheter Pressure Injuries https://www.3m.com/3M/en_US/medical-us/coronavirus/secondary-complications/#pressureinjuries Infected Wounds https://www.3m.com/3M/en_US/medical-us/coronavirus/secondary-complications/#infectedwounds
  2. Flatline

    CLABSI issues

    Some additional questions to consider: Were these CLABSI or CRBSI? Do you know if these were actually related to the catheter or was a central catheter just present? Were there any PIVs in place with these patients? Were they intraluminal or extraluminal infections? Was this a spike above baseline? Who does the dressing changes? When was the last time there was a training effort for dressing changes? Dr. Eggimann just published a MASSIVE 11 year catheter associated BSI reduction study in Intensive Care Med that is interesting. 18k patients, 155k catheter-days, 91k ICU days.
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    Are We Too PC?

    Not to be too off topic but although Jefferson was a slave owner, as were many wealthy individuals living in Virginia at the time, he actually attacked slavery and desired an end to the practice. Unfortunately, the southern colony economies required slavery at the time due to labor intensive agricultural practices, so abolishing slavery would have meant there would have been no union between north and south. The hope was that in a generation or two the union would figure out a way to abolish slavery. I guess P.C. was considered even back then.
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    The Grinch of allnurses.com

    Kids have liked that kind of stuff since time immemorial. I have a personal belief that it has something to do with social boundary and personal hygiene development. Remember the Garbage Pail Kids, Ninja Turtles that live in the sewer, the Toxic Crusaders, etc?
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    Is this discrimination?

    Do you know what the racial or ethnic affiliation of your leadership is? Skin color, while indicative, is not definitive. I would also ask what the public demographics mix? Just because a group is all a particular race or ethnicity is not evidence of discrimination. Did they get off of a plane? Medical tourism is real and I worked in a facility where this was sometimes a literal comment, as in transport would wait at the terminal. If it is factual then there is no harm and the statement itself is not discriminatory in itself. Ascribing negative traits to a particular race or ethnicity like Hispanic can be seen as racism in certain context but as a medical professional you know that there are real medical and biological differences between races and ethnicity. Genetics and culture play a significant role in out patient's health and we must acknowledge those difference. Arbitrarily assigning negative untrue attributes is definitely unethical however. Being bilingual generally is not grounds for a raise or promotion unless being bilingual is acknowledged as a formal positive contribution. The fact that it is not in your job description can actually be a negative for you. Most places I worked actually forbade interpretation by bilingual employees unless they underwent training, testing, and obtained a certification in that language. Misinterpretation was a real problem and if the patient needed a translator then it was generally best to use a formal certified translator than use someone who spoke that language informally. Just because you were born in the United States and associate yourself with the USA does not preclude you from being a minority if you otherwise meet that definition. Things like sex, race, ethnicity, and even age can place you into certain minority segments. Sounds like you are feeling disenfranchised and upset with the workplace culture. I would highly recommend that you speak to someone about your feelings so that you can discuss your concerns.
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    Privacy curtains are covered in MRSA

    Assume everything is covered in everything, if crime shows taught us anything it is that everything is covered in bodily fluids as well.
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    Excessive Absenteeism in the Nursing Profession

    Wow, these articles really do spawn debate. Well done OP!
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    Any recomendations for VACC study guide?

    Just get the VA-BC study guide and that is it. Super easy test, you should already know 99.8% of it.
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    Excessive Absenteeism in the Nursing Profession

    You shouldn't have to call in sick. You should get an allotted amount of short-notice time-off and that is it. I actually get a week of that at my current workplace and I love it, no excuses and no lies. I use it when I am sick, I use it when I need a mental health day, and I use it when I don't feel like wearing pants that day. The only time sick-time comes into play is for long-term disability stuff. You either get time off or you don't get time off, you shouldn't have to explain yourself or feel guilty. Time called off outside of that allotment should be harshly punished.
  10. Flatline

    Excessive Absenteeism in the Nursing Profession

    I would disagree with your definition of excessive absenteeism, "Excessive absenteeism refers to habitual absences or call-outs by an individual staff member." I would argue that excessive should be defined by absenteeism exceeding the allotted sick-time, PTO, or other predefined absences the employer/employee agreed to.
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    Tattoos, Piercings & Professionalism

    As someone who has tattoos, piercings such as snake eyes, large gauges, lip piercing, bullring etc I can tell you from personal experience that in nursing school you will likely be subjected to a strict dress code, either by the school or your clinical sites. I tell prospective nursing students to let their personal identities go for the time being, you are learning to become a nurse and should focus on adopting that culture instead of maintaining your own, it is easier, not required but easier. As far as the workplace it entirely depends, as was posted before. Your ability to actually function on the job has very little to do with the dress code, it is more of a professionalism thing and what the hospital or facility wants to communicate. Having extremes of anything will be career limiting but not career ending. Be prepared to work with a ton of geriatrics for several years, even if it is just in school clinicals. The endless questions can drive you insane.
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    Waste of time/money to earn extra certifications?

    Getting certifications is the only thing that allowed me to be competitive with nurses that had more experience than I had being alive. I owe my past several jobs and my ability to successfully transition into my ideal career making more money than I ever thought to those certifications. Certs allowed me to compete with MSNs and NPs.
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    Are Nurses First Responders?

    Depends on the specialty. There are RN-medics, RN-FD, RN-police, flight nurses, etc. This is especially true when you look outside of the U.S. Interestingly enough, when you call emergency in the UK you will even get a physician responding to the incident with the idea that they can initiate care at the site instead of defaulting to a faster transport (with mixed results, see Princess Diana).
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    Are nurses and doctors equal?

    Are plumbers equal to electricians? Hard to compare. The way I see it you have to compare individual education and experience in order to compare. In general, physicians have more education than the typical floor nurse but not every nurse is a floor nurse.
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    Bringing in the Boys: How to Attract More Male Nurses

    I do not know of any at a national level but I do know there are many state level women's focused nursing organizations. I know of at least one Filipino women's nursing organization, now that is getting specific!
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    Bringing in the Boys: How to Attract More Male Nurses

    I believe the pay gap exists but one has to realize that their are many factors that play into it. For example, women are more likely to stay home with children which puts them at a career disadvantage. Men are more likely to sacrifice family time for their career which puts them at an advantage. Men are more likely to move and take higher risks etc. It is likely that women are paid less not because of their sex but likely because of career choices. I have a real life case study right now, I have two colleagues that recently had children and went on leave. The male came back to work after a short period of time and the female is likely to be off a couple more months. There is a position open at this very moment that the male is applying for and is likely to get that the female will not hear about until she gets back. She will eventually be promoted but he is jumping ahead because he put career before family.