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Refusing Care of a COVID-19 Patient Due to Inappropriate PPE

Disasters   (14,239 Views | 218 Replies)

EDboundSN has 5 years experience as a EMT-B and specializes in the Emergency Department.

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You are reading page 10 of Refusing Care of a COVID-19 Patient Due to Inappropriate PPE. If you want to start from the beginning Go to First Page.

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No wonder more and more nurses, and most likely other HCWs, are questioning whether they should be working during this time. 

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Where are the N95 mask when you need them? We go through all of the hastle to get fitted every year and when the time comes when you actually need the dang thing, someone is hiding them in the vault in Fort Knox, Kentucky.

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1 hour ago, Workitinurfava said:

Where are the N95 mask when you need them? We go through all of the hastle to get fitted every year and when the time comes when you actually need the dang thing, someone is hiding them in the vault in Fort Knox, Kentucky.

I’ve never been “fitted” for an n95, we have fit kits and n95’s hidden and locked away right now - our first presumptive positive patient runs tomorrow.  
 

Because there are still no tests in my area, and no current way for our providers to order them, we’re running half-a-dozen coughing patients next to a dozen other compromised patients in the same room.  Everyone who’s had a micro course ought to know what the outcome here is.  
 

if there’s anything that we should have picked up from the Ebola fiasco it’s that donning and doffing are kinda important, and even with protective equipment, you’re pissing in the wind if you make even a tiny mistake.  
 

We aren’t making tiny mistakes right now.  We’re making big ones because we are in deep denial.  

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1 hour ago, Workitinurfava said:

Where are the N95 mask when you need them? We go through all of the hastle to get fitted every year and when the time comes when you actually need the dang thing, someone is hiding them in the vault in Fort Knox, Kentucky.

*hassel

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Here.I.Stand has 16 years experience as a BSN, RN and specializes in SICU, trauma, neuro.

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On 3/21/2020 at 2:24 PM, Gampopa said:

We are told to adhere to the CDC recommendation of N95 for aerosolizing procedures covered by a procedure mask and just a procedure mask for all other pt interactions with r/o COVID pts. I hear repeatedly from my manager that is all you need and since CNAs do not do these procedures they shouldn't even get N95s. Coughing does not qualify as aerosolizing since the CDC doesn't include it in their list. I fail to comprehend how coughing is not aerosolizing and I disagree with hospital policy. I understand that we're rationing the remaining stock of N95s for when we get hit with pts but we're already taking care of r/o pts who may or may not be positive. I ask myself would I go into a r/o COVID pt room w/o an N95 and my answer is no way so how can I insist that other staff do so? Perhaps it's time to resign from my position.

Thank you... if coughing does NOT qualify, how the **** did this become a pandemic?  

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hppygr8ful has 15 years experience and specializes in Psych, Addictions, Elder Care, L&D.

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9 hours ago, Workitinurfava said:

Where are the N95 mask when you need them? We go through all of the hastle to get fitted every year and when the time comes when you actually need the dang thing, someone is hiding them in the vault in Fort Knox, Kentucky.

I read last night that a large part of the problem is that most of the N95 and P100 masks along with a lot of other PPE is manufactured in China. When the virus was at it's peak there the government shut down manufacturing and other business much as the USA has now done. Chinese workers are returning to their jobs and masks are being produced - 3M corporation is trying to get approval to send private cargo or even military cargo plans to bring these much needed supplies to the US. 

https://nymag.com/intelligencer/2020/03/distributors-are-racing-to-import-n95-masks-from-china.html

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If surgical masks are sufficient then why did they require the N95. Statement not a question. Obviously the surgical mask is not sufficient. 

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55 minutes ago, hppygr8ful said:

I read last night that a large part of the problem is that most of the N95 and P100 masks along with a lot of other PPE is manufactured in China. When the virus was at it's peak there the government shut down manufacturing and other business much as the USA has now done. Chinese workers are returning to their jobs and masks are being produced - 3M corporation is trying to get approval to send private cargo or even military cargo plans to bring these much needed supplies to the US. 

https://nymag.com/intelligencer/2020/03/distributors-are-racing-to-import-n95-masks-from-china.html

I don't work on a med-surg floor. We had enough mask to go around prior to COVID but now all of a sudden we can't find any and none are becoming accessible. There is something off about this and it leads me to believe that this is being done on purpose. I hear what you are saying about the government but for mask to disappear in a matter of a week......hmm.

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emmyers has 6 years experience as a RN and specializes in ICU, CVICU.

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I’m a 34 yo mom of 2 little ones, CCRN RN, have a mortgage to pay, and husband laid off due to COVID19.  I also have severe asthma and am on a prednisone burst right now.  My state licensing board has addressed this by saying we are required to follow guidelines set by CDC and to refuse care is to lose our license.

I feel obligated and I feel like I’m risking my life.  I did not sign up for unsafe practices, I don’t care who thinks we need to sacrifice our lives, I think it’s blatantly wrong.  In addition to that, we always talk about flattening the curve, but if we aren’t caring for nurses, the line we are flattening the curve towards also drops as nurses get sick and some die.  
 

I want to raise my kids.  I want to pay my mortgage.  I want to keep people alive.  I don’t want to die doing it. 

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TXRN1012 has 12 years experience and specializes in Home Health & Hospice.

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What about invoking safe harbor?

This is part of what it says in Texas at least:

The Texas Board of Nursing (BON or Board) has safe harbor nursing peer review forms available to make the process faster and easier for a nurse who believes he/she is being asked to accept an unsafe assignment, engage in conduct beyond his/her scope of practice, or engage in unprofessional or illegal conduct. ...

It sure seems it would fall under “unsafe assignment.”

Edited by TXRN1012
Omitted a word

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We didn’t go into this job to risk our lives due to unsafe and unacceptable equipment a FB standards. It’s preposterous that the CDC lowers its standards and facilities mindlessly follow. 
we aren’t military, we shouldn’t be expected to sacrifice our health and lives for our job.  Police don’t go into action without vests and firearms, firefighters won’t run into a burning house without equipment and oxygen, and a soldier doesn’t go into a battlefield with a nerf gun. 
pardon my French but give me a ***ing break. We can’t allow this to be acceptable, both the low standards as well as expectations to just go and risk our lives. 
 

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Nurselexii specializes in Non judgmental advisor.

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17 minutes ago, emmyers said:

I’m a 34 yo mom of 2 little ones, CCRN RN, have a mortgage to pay, and husband laid off due to COVID19.  I also have severe asthma and am on a prednisone burst right now.  My state licensing board has addressed this by saying we are required to follow guidelines set by CDC and to refuse care is to lose our license.

I feel obligated and I feel like I’m risking my life.  I did not sign up for unsafe practices, I don’t care who thinks we need to sacrifice our lives, I think it’s blatantly wrong.  In addition to that, we always talk about flattening the curve, but if we aren’t caring for nurses, the line we are flattening the curve towards also drops as nurses get sick and some die.  
 

I want to raise my kids.  I want to pay my mortgage.  I want to keep people alive.  I don’t want to die doing it. 

I wonder if this can qualify you for fmla, so you can keep your job and your kids safe? I will actually look into it and get back

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