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  1. I am trying to feel out if anyone else has declined the Covid vaccine and feeling backlash or tension with other co-workers? I have never heard so much discussion regarding nurse receiving or declining a vaccine in the 12 years I've been a nurse. Not sure why it should even matter but, I am getting a lot of pressure about it. I do not see why I am "crazy " if I made the decision against receiving the vaccine. I also do not understand co-workers pushing the vaccine on me and others, or insisting we are out of our minds. This is coming from management level as well as staff nurses. I am just appalled at the treatment and many of us who have declined the vaccine have kept to ourselves. For me, personally, I made the choice not to get it and I was done at that. It's been a month into our hospital vaccines and people will not just shut up about it. Is anyone else experiencing anything like this? How are you handing this? Please mind the poor spelling and grammar 🙂
  2. spunkygirl1962

    Battle Against Covid-19 Hits Home for RN

    COVID-19: The Battle Begins It started with an excruciating headache like I hadn't experienced in years. The pain just wouldn't go away, so I called in sick. I had no choice but to call in sick due to the pain. As a Registered Nurse, I work on the front lines of medical care. but it still never dawned on me what was really going on. I was shocked when a routine test by my employer showed that the disease that has ravaged millions of Americans had hit home for me. I had Covid-19. I wondered to myself-for a few more moments-where I could have contracted the virus. I had always felt fairly safe as my employer furnishes the medical staff with protective gear and the few businesses that I visit make sure that employees and customers wear mask and practice social distancing. Then I realized that it didn't really matter where I had picked up the coronavirus. There was no way to know, and stressing myself out wasn't going to provide any answers. My thoughts turned to others. Who had I been around in recent days? Had I unknowingly passed along the virus? Mostly, I worried about my precious mom and dad who are at high risk due to their advanced ages. I felt blessed that neither my parents nor anyone else close to me became infected, and my own health didn't suffer any dramatic declines. My symptoms never progressed beyond headache and fatigue. I basically self-isolated for the recommended 10 days and per my primary physician's advice via telephone. I rested and took over-the-counter medication. I stayed in touch with my hospital's occupational health department until I was symptom-free and could return to work. I Know I Was Fortunate Many people that I have talked to or read about have developed multiple symptoms at different stages of the novel virus. They have been very ill, even hospitalized. They have suffered grave conditions that range from dangerously high blood pressure to damaged lungs. Of course, we know that millions have died from COVID-19 around the globe, including 500,000 Americans. While the numbers of new cases and the death toll from the coronavirus have dropped in the United States in recent days. As health care professionals and citizens, we need to make sure to follow Centers for Disease Control guidance to help us and others stay safe. CDC Recommendations We probably all know the CDC recommendations by heart but they bear repeating: wash your hands often for 20 seconds stay 6 feet apart cover your mouth with a mask in public cough or sneeze into your elbow or tissue clean and disinfect surfaces avoid crowds and poorly ventilated spaces The CDC recommends that coronavirus patients who don't need hospitalization but live with other people create a "sick room," and use a separate bathroom if possible. During my illness, I lived in my bedroom which fortunately has its own bathroom. My Recommendations I recommend that you make sure you have ways to occupy your time for your own mental well-being. Personally, I read books, streamed numerous shows (thank goodness for streaming services!), and frequently communicated via text and phone with friends and family. If possible, I recommend a small refrigerator or cooler in your quarantine space. I frequently had food delivered to maintain my quarantine. I was fortunate to have family members who work in health care who were able to assist me during my quarantine. The COVID-19 Aftermath: Still Vigilant Even though I have recovered, I know I can't let my guard down. No one knows for sure if those of us who survived Covid-19 can infect others or be re-infected. So, it is best to use universal precautions just as we do every day with our patients for other diseases. We need to keep in mind that these times are trying for all. Understanding our shared vulnerability can be a frightening thing, but we should strive to stay connected and show each other kindness and support. If possible, try to develop a strong support system just in case the coronavirus hits home to you. It made a world of difference to me. Make sure to keep up with the current recommendations from the CDC and local health agencies as they see to change constantly. References CDC.gov
  3. Wonderful vignettes in the Smithsonian Magazine including pictures of female physicians in native dress and scrubs, in how they are using traditional customs, including a "medicine man" and modern medicine to treat COVID patients. Karen How Navajo Physicians Are Battling the Covid-19 Pandemic
  4. Superb communication skills and lifelong infectious disease public health advocacy helped Dr. Fauci win this award. Karen ABC News 2/15/2021 Fauci wins $1 million Israeli prize for 'defending science'
  5. Khalen Dietz

    New Jersey Hope and Healing

    Hi Everyone! My name is Khalen Dietz and I am with New Jersey's Hope and Healing Program, a Fema Grant through RWJBarnabas Institute for Prevention and Recovery. Currently we are offering free virtual connect together groups for all healthcare workers. We offer Monday morning coffee talk, Thursday's at 4pm Happy Hour, and Thursday's at 6:30 pm a wonderful Evening Stretch group. All of our virtual groups can be found at rwjbh.org/hopeandhealing. We also have a hope line at 833-795-4673. I hope you all have a great day! Khalen Dietz- Khalen.dietz@rwjbh.org
  6. ABC News 2/18/21 Biden to announce US will donate $4 billion for COVID-19 vaccines for poor countries
  7. 1gr8trnstudent

    Grocery store workers hazard pay

    Is anyone else irritated by the fact that there are countless professions who are required to work during covid but the new is always revolving around grocery store employee needing hazard pay? What about nurses, doctors, hvac, etc..what are your thoughts?
  8. DesiDani

    Do you agree with Gov. Cuomo?

    That the reason why COVID got into the nursing home is because staff brought it in while coming into work. It did not come from patients bringing it to the nursing homes. I assume that the patients coming in to the nursing home were new admits, or patient who got sent to hospital from nursing homes to discover that they have COVID.
  9. View live coverage of President Biden and VP Harris attempt to comfort the nation and U.S. families affected by Covid deaths. MSNBC 02/22/2021 President Biden addresses nation as Covid-19 toll exceeds 500,000 USA Today 'A truly heartbreaking milestone': President Biden honors 500,000 US COVID-19 deaths with moment of silence
  10. Just curious. Here in DFW I see hospitalizations are rising to 14%. How are things in the hospitals? Are things relatively normal? No more furloughs? Please share. I am not in acute care, but I am of course very interested in the effects on acute care staff.
  11. katfish67lpn

    COVID-19: Filed workers comp claim?

    I am wondering how many of us, working nurses, who have been infected with COVID at work have filed workers compensation claims? We need to stand up for ourselves if we have been infected at work and receive compensation.
  12. J.Adderton

    A Staffing Perfect Storm

    Things have changed since the early days of the pandemic when elective surgeries were at a standstill. Nurses accepted travel assignments to COVID “hotspots” to compensate for cancelled shifts, furloughs and layoffs. Other nurses eagerly stepped up to work outside of their own state to fight on the frontlines in a harder hit area of the country. Now, hospitals across the country are feeling the strain caused by the fall’s virus resurgence. The number of available hospital beds are shrinking and higher numbers of healthcare workers are getting sick. This time around, the virus is more widespread and there simply isn’t enough travel nurses to fill the gaps of a nationwide staffing crisis. Now, more than ever, healthcare leaders are being creative with new strategies for supporting healthcare workers on the front lines. A Public Plea A staffing “perfect storm” is brewing as COVID-19 patients flood hospitals across the U.S. The UW Health System in Wisconsin responded to the urgent situation by publishing a 2-page open letter in the Wisconsin State Journal. The ad asked residents to join healthcare workers in preventing further virus spread within their community. All of UW Health’s faculty, staff and colleagues from around the state signed the letter, making a powerful statement. You can read the full UW Health letter here: An Open Letter to the People of Wisconsin Hospital Execs Get Creative I recently read an interesting article in Becker’s Hospital Review, Strategies for COVID-19 Staffing Shortages from 8 Hospital Execs, that shared strategies used by 8 hospital executives to staff adequately during the pandemic. Here is a look at a few strategies used by executives in the article and other healthcare leaders. Increase the use of part-time and per diem staff for additional shifts. I know... you’re thinking “what part-time and per diem staff”? This strategy may require hiring additional part-time staff and being creative with their work hours. Perhaps a nurse is willing to work 6 hours during the shift’s busiest time. Deploy nurses who work away from the bedside to join frontline nurses in supportive roles such as vital signs, treatments, medication passes, admissions and discharges. Sharing resources within healthcare systems to prevent a single facility from becoming overwhelmed. Offering incentives to nurses at another affiliated facility interested in signing up for extra shifts at another struggling facility. In some cases, short-term contracts are offered to per diem nurses to fill a vacant full-time position. Identifying any duties of frontline nurses that could be performed by another person. For example: Assigning a phlebotomist to the ER or ICU to help with blood collection. Cross-training surgical and cath lab nurses to transfer and discharge patients to conserve beds in ICUs and intermediate care units. Adding a unit secretary position to nightshift Adding a “site manager” to COVID units to act as a runner for the care team. The site manager can get supplies or perform other tasks that decrease the number of times the nurse (or other healthcare worker) has to leave the COVID patient’s room. This will down the amount of time spent donning and doffing PPE. Using telehealth when physicians and other providers are quarantined and unable to provide in-person care safely. Reduce the risk of staff contracting or transmitting the virus. Implementing infection control teams to change the work culture by encouraging staff and faculty to speak up when they see safety issues. Send the message “everyone has a right to contribute to a safe work environment”. Moving PPE to facilities that need it the most. Enlisting the primary care and family physicians to help by working in an affiliated or local hospital. Many nurses hold supportive positions in departments throughout the hospital, such as information technology, quality management, and education and case management. Assigning these nurses times to work at the bedside can ease the workload for other staff. I’m almost certain you’ll hear a few “I haven’t taken care of patients in years” and “I’m not comfortable with my bedside skills”. But, it only takes basic nursing skills to change a simple dressing, follow-up on pain levels, call in consults and other time-consuming tasks. We Want to Know Are you part of an innovative plan or strategy to address staffing shortages? If so, we would love to hear your story. Tell us about the creative solutions and initiatives in your community.
  13. My parents cried, they were so elated to finally get the vaccine. "We can finally not worry anymore and have the whole family over!" My Mom said this with such enthusiasm and it was the first time over the last 10 months she seemed carefree. I wanted to immediately correct her since she had this "I am untouchable now I got the vaccine" way of thinking but I will let her revel in it until the 2nd Vaccine. Instead, I politely reminded her full immunity comes a week or so after the 2nd shot. If she starts planning an Easter party, I may need to have a discussion sooner. I thought to myself, how many people are thinking this way? Is this much anticipated, solution to our problems vaccine giving too many of us a false sense of security? (Of course, I'm exaggerating a little) After experiencing a similar emotion after my 2nd injection I sort of understand. I had a moment when I thought this changes everything, but does it really? As a nurse I already researched the vaccine, coming to the realization we don't know enough about the vaccine, and we can't to go back to regular life. I had to mourn the loss of my old life just like everyone else. Had to go thru the 5 stages of grief. The stages went something like this- 1-Denial This isn't happening! Covid Must be like another flu. (Boy were we wrong) 2- Anger Stay at Home! Can't tell me what to do...what, everything is closed...guess I will just stay home then. 3-Bargaining- Viva Las Vegas If I just wear my mask, stay far apart then my 2020 Vegas trip will be just like before...nope, not the same. Life just is not the same. 4-Depression My kids never going back to school, I am going out of my mind stuck in this house! On the super depressing side, I see patients, coworkers and friends dying. None of us have ever seen so much death. No time to dwell on this, no time to process these pesky emotions, back to work. I Will schedule appt with a therapist after all this is over... I.e. who knows when. 5- Acceptance Not sure I have reached this one yet. Is tolerating something the same as acceptance? If so then I wavier between this stage and the last three depending on the day. We all have our own version of this I assume. Every one of us going through this loss together but separately, not to mention the loved ones lost. I feel encouraged by the vaccine, all the while black clouds of uncertainty loom overhead. I read things like this and feel again like we have a long road ahead. - Safety and Effectiveness of a COVID-19 Vaccine What I mean is this, after I got the vaccine I felt relief knowing I am less likely to get COVID. Unfortunately, studies haven't been done yet to determine if I could still carry and transmit it. I think that's the part so many of us are forgetting, which is easy to do. Maybe they will do studies and find otherwise but until then I am considering every risk I take. Am I wearing a mask at home? Obviously not, but when my friends say to me we should go out now since I have the vaccine and my parents say come over, I think not yet. I am in the thick of this, working with COVID + patients every shift and the risk is still too great. I would rather not even think about it, any of it. Alas everywhere I turn these thoughts invade my mind, situations bring up these questions and others. I want to get out there so badly. I was even less cautious for maybe 4 months, back when things slowed down. Part of me wants to go out with them but wear a mask and be outside? I try to rationalize that if others see their extended families, then so could I. That's when my logical side kicks in and for me, at this point it's worth waiting a little while before a family reunion. I would feel horrible if I unknowingly brought an uninvited "guest". So, thanks for letting me say my piece (sometimes wondering off topic but will bring it full circle here😏) Now that you know my inner struggle on this topic (sometimes hopeful, sometimes reality gets too real), I am wondering about others point of view who have been vaccinated, are you staying away for now or is the vaccine a green light for you to be around others? I know it's a personal choice but want to see other nurses' inner dialogue to see the reasons behind those choices. Thanks, ❤ Schweet
  14. Hi guys, So I see LPNs (and RNs) are needed right now to test people and vaccinate people against COVID. I just finished the second dose of my vaccine (Pfizer) and I'm interested. Does anyone know the pros and cons? While being on leave from school (RN program) until September, I figured this might be something interesting to do while making good money.
  15. The “fine facility” that I work at made receiving a vaccination difficult. Long story. It was easier to go to a pharmacy to receive it. the pharmacy stated I would need to call the week before the 2nd dose was due to see if they had any and then call around or go to my facility to receive the second dose. I received the Moderna vaccine. I am the only one in my department that missed the first dose of Pfizer (they didn’t offer another time to go an get this dose at our facility until they offered the same group of employees their second dose. I had to schedule at another facility, at least 30 minutes away when they did finally have it I couldn’t leave work to go get it) anyhoo, my facility has decided since they didn’t give me the first dose they can refuse to give the second dose...can they do this? the government is the one through the states supplying this vaccine, to deny a person that wants it seems wrong. And if I can’t find a dose at that time, one of my coworkers suggested just go ahead and sign up for my first dose and don’t tell them it’s my second. Carry both vaccinations cards to show I had both doses. Very frustrating when you feel your employer cares very little about you or the patients you care for.  Open to suggestions   thanks
  16. The Boss, and it's Urgent My phone buzzed. It was a Friday night, but it was my boss, so I picked up. “Beth, please, please, can you come in tomorrow to orient a group of California Department of Public Health (CDPH) Strike Force Nurses?” “Who? What? Tomorrow...on Saturday?” “Yes, it’s urgent. They need mask-fit testing and skills validation before we can send them to the floor. They’ll be flying in in the morning, and be escorted straight to Human Resources. Charlene in HR is coming in to do their ID badges. They’re only here for 72 hours, they’ll go straight to the floor from you, and then work Sunday, Monday and Tuesday”. “That’s it? Seventy-two hours?” It sounded crazy to me, but we were in surge and desperate for nurses. Many of our own nurses were off sick themselves or working far too much overtime. The CDPH Strike Force CDPH had apparently reached out and contacted active and non-active CA nurses to recruit them to work short contracts during the pandemic. They were assured that they would be of help no matter what their background, and that they would be doing a great service in time of the pandemic. Our hospital was in disaster staffing mode, and nurses were streaming in from all different agencies to be oriented and sent to the floors. My job was to make sure they were competent on our Alaris infusion pumps and glucometer machines, to validate their Restraint competencies, and make sure they could document in our platform, Cerner. It was basically a week's orientation compressed to one day. Saturday morning I turned up early at 0730 to greet the new nurses. At 0800, a group of four nurses walked in. "Oh. My. Goodness.", I thought. This was a non-nurse-looking group if ever there was one. Hippy Harry Leading the pack was Hippy Harry. He walked in wearing a triangular red bandana on his deeply tanned and lined face, like a cowboy on a movie set. He wore a black T-shirt, khaki cargo shorts, leather sandals, and sported a puka shell necklace. Whenever he talked, his makeshift bandana slipped down off of his nose. I pointedly handed him a surgical mask and he reluctantly stuffed his red bandana into one of his pockets, donning the mask. I learned Hippy Harry had been volunteering in Africa and had not worked in a hospital in 15 years. I guessed Harry to be 73, but he volunteered that he was 68. He was warm and charming with twinkly blue eyes, and he struck me as quite the ladies man. Geriatric Barbie Next was Geriatric Barbie, a frail-looking, petite, retired school nurse in a pastel blue matching sweater set complete with a strand of pearls. She had bony hands with age spots and pink painted nails. Her manner was kind and gentle, and she really tried, but after several attempts, Barbie simply could not bar code scan the glucometer strips. Later, while I was teaching basic computer documentation, she needed 1:1 help with commands such as “right-click” and “re-size your window”. Dapper Dan Dapper Dan was a tall man with a chiseled face and artfully trimmed beard, looking as if he’d stepped right off of a GQ magazine cover. I could not mask-fit test him because of the beard and asked if he’d shave it. He stroked his jaw protectively “No way, my partner would kill me”. ‘OK, well, last I heard we were out of PAPRs but let me check again”. “Thanks”, said Dan, “and, I’ll need some scrubs to change into. Size medium but medium/tall if you have them. The agency said you’d provide them”. Right. Let's see if I can get those from Surgery. Tattoo Tonya Next was Tattoo Tonya. In the computer room when I was standing over her is when I first noticed the tattoos on her scalp, in between her dyed-blonde cornrows. The tats were black and swirly, vaguely matching the ones on her arms. She had ear cuffs and a nose piercing. She picked up on everything super fast, and leaned in to help Barbie frequently. It didn’t take long before I saw past her colorful presentation and realized she was the star of the group. She documented easily in Cerner and knew how to use the Alaris pump and NovaStat strip. I had no qualms sending her to ICU. Nurse Beth Pulls it All Together While they were busy on the computer, I started to make preceptor arrangements. I called the ICU Charge Nurse to find a preceptor for Hippy Harry. “Hi Ashley, I know you’re busy but I have a Strike Force nurse here who needs to be precepted from 1400-1930 today.” “Beth, my preceptors are all so burned out <sigh>, I hate to ask them. Let me ask Lindsey...no, she already has someone with her. I’ll call you back”. Later, Ashley called to say she had persuaded Stephanie to precept Harry. “Ashley, thank you so much! I appreciate it”. Right about then, Harry approached me. “Beth, I know I’m hired for ICU- and I can do it, don’t get me wrong, but you know- it’s been a while. I think I’d be more comfortable in ED”. He smiled charmingly and all I could say was, “Let me call ED and see what I can do”. After all, they were volunteers, right? ..Update Monday morning Harry walked into my office, hospital-issued scrubs neatly folded and badge in extended hand. “I’ve realized this just isn’t going to work out. I worked a half shift in ED and things have changed too much. I'm too far behind. I’m sorry to have taken up your time.” I smiled ruefully. It had truly been my pleasure to meet Harry and the whole group. Perhaps Harry was a romantic, responding to the plea for help, and seeking an adventure. I wished him the best. Later, I talked with Karen, the ICU educator. She said Barbie was not assigned patients but kept herself busy by going around patting patient’s hands and smoothing their covers. She was going to work one more shift. Tonya was a superstar as predicted and they were trying to recruit her to stay longer. A PAPR was found for Dan but it was discovered he did not pass his Basic Arrhythmia exam and he had to be pulled from the floor. Then she confided a bit of gossip. Apparently Harry and Barbie had spent quite a bit of time together in the hotel. Actually, the term “hooked-up” was used. Maybe Harry found his romance and adventure, after all.
  17. Mornin' all. I got my first dose today and I feel almost tearfully relieved and energized to be on this side of history. I thought I would start a thread dedicated to the experience of being vaccinated, so that we can share info with those who are still on the fence or who are watchful waiting to see how things go. My hospital got 5000 doses delivered on Tuesday. We have given almost half of that already in the last two days. Participation is voluntary and divided into tiered groups based on patient exposure. Those who volunteer (still paid but outside normal job duties) to work the employee Covid vaccine clinic we have set up can also get it, which is how I was eligible to get it already today. Getting the second dose is crucial for any protection, so we make an appointment to come back for the second dose on exactly day 21. We will get another shipment from Pfizer in time for that. My wait time in line was about 30 minutes in all. The first day employees showed up and waited over 2 hours, cheerfully. There is a LOT of positivity and hope going on here surrounding this, which feels amazing. We go to an observation room for 10 minutes after the injection, where we were given bottled water and single serving snacks while we observe for any allergic reaction. The injection itself was nothing. Easiest shot I have ever gotten by far. I don't even have any arm soreness so far. I will touch base if I start to get any kind of side effects. Anyone else getting theirs yet?
  18. Ado Annie

    Covid-19, No Beds, Ugly Stuff

    This is one of those times when I hope that no one recognizes me because I want to get real for minute. When patients decompensate with Covid, their respiratory status deteriorates quickly. Our small hospital doesn't have a respiratory therapist, doesn't have a BiPAP, doesn't have a vent. So a transfer is necessary, but there are NO BEDS to transfer to. In the entire STATE. It may take a few hours. When we finally have a bed, the decision has to be made whether to transfer without intubating or to intubate them and transfer them with a vent. The ER doc will come to intubate, get angry that something or other is not up to his expectations, and eventually get a tube in. It can be pretty ugly. And frequently there is not much likelihood of a good outcome. I have become very discouraged by this. I know that the likelihood of a good outcome is small anyway, but it sure feels as if we have failed these patients. Perhaps Covid patients, especially with comorbidities, who are full codes shouldn't even be kept at the small hospitals, because of the potential for respiratory failure? Even so, we had a patient who was hospitalized for something completely unrelated but days later showed symptoms of Covid. And if they're not IN respiratory failure, how do you manage to get them a bed to transfer to? You can't! I don't have answers, only questions. This has bothered me more and more. Throw telemedicine (which in general I think is a godsend) into the mix and sometimes that decision to transfer is delayed... sometimes too long. Thanks for your thoughts!
  19. There are many posts about nurses working LTC or in hospitals and covid, but I haven't seen any (maybe I missed it or didn't search correctly) in regards to Home Health Nurses and Covid - the concerns, if nurses in home health feel "safer" than in another clinical setting etc. I assume most home health nurses are wearing PPE when going into a home (or should be in my humble opinion) but I'm still interested in if nurses feel less stressed/safer in this venue than they would in a hospital/LTC setting. Has anyone left a home health job because of covid? Thanks in advance for replies.
  20. BsnBull

    COVID-19: No PPE!!

    Hello all !! I'm at a loss of words for what I witnessed at a well-known hospital's Covid unit!! I saw nurse's walk into Covid positive rooms with only scrubs and surgical or mask only! No shield no gowns, no goggles!! Then I saw many go into the ventilated patients rooms and then step back to the nurses station talking to friends and charting!! Many not even washing their hands just sanitizing!! Has anyone else seen this practice lately???
  21. NutmeggeRN

    What Has Been an Upside to Covid?

    I ask this because for the most part, I am typically a glass is half full girl. I really try to see the upside of life and not get too bogged down in negativity. My resolve has been tested mightily this past year. As with all of us, SO many things in my world have been cancelled, postponed or just eliminated. 1- My son's wedding was postponed, but that has given them (and me) more time to save. We are looking forward to a great celebration at the end of this Summer. 2- I cannot see my mom in long term care but the upside of that is that she is very well taken care of, much better than we all would be able to do if she were living alone. She was admitted just about a year before this started and she has thrived for the most part. Her facility has done a remarkable job to keep the few positive cases they have had, from spreading like wildfire. A remarkable feat. 3- I miss seeing my family on a regular basis. With a granddaughter (14m) living 600 miles away, I am SO thankful for the technology that allows us to Skype and video chat as often as we want. I miss my siblings and their families but we have made the effort to communicate more by phone, text, Skype etc. It is a good thing! 4- My son worked in food service for a number of years in a conference friendly town that is just about shut down. Food service is hard work and often (in his world) promises of advancement did not come through. He has made a career change and is thriving! He wishes he had done it years ago. He is selling a higher end car for a well established chain. Someone there has taken him under their wing and he is thriving. 5- For as long as I can remember I have worked 2 jobs. I got laid off the 2nd one as the LTC didn't want cross contamination from my primary (school nurse) job. I could always use the $$ but truth be told, it became more of a habit than a need over the past few years. I really enjoy my weekends and the knowledge I don't have to go out in really crappy weather anymore. I may or may not choose to return when they call (and they promised they would). 6- My principal has a new appreciation for the role I fulfill in school and just how important it is to have a full time nurse. Not every school does and that is so sad. He has gone to bat for me on several occasions as needed and let me take the lead in situations where it was needed. I have done a tremendous amount of education for staff and faculty and kids. I have append a lot of time on the phone with parents this year, in some really in depth conversations. I have gotten to know some parents that I had never needed to to connect with before. It has been (mostly LOL) a pleasure!! 7- My state has rolled out vaccines relatively smoothly and I'm due for my second in another week or so. The best part of it is the change in needing not to quarantine post travel or post unprotected exposure. I personally am not crazy about the masks but I wear it religiously and I suspect health care will see a fundamental shift to mask wearing, much like we moved to gloves after the AIDs crisis. It makes me feel better that if a kid is in here that is Covid-19 positive, I will be better protected than I have been all year. These are just a few. I know I am blessed to be working full time. I am SO grateful for that. I hope and pray that there never will be another time like in our lives. I told you all I'm a glass half full...so it begs the question, who is pouring??? Happy Friday Folks! Be Well!! #PandemicsAlwaysEnd #schoolnursing #sleevesupformyvaccine
  22. When I was in high school, I worked at an animal sanctuary/wildlife park. They wanted me to be a vet tech, so I was going to a vet tech program at the community college during my senior year in high school. That program wasn't even 2 years, so I was working as an active vet tech at the aforementioned wildlife park before I was even 19 – and I had some degree of exposure to the vet field as early as 14 years old, from being in the volunteer program at that park. While I was working there after my vet tech licensure, I got the opportunity to do all sorts of intubations (yes intubation is within a vet techs scope). I got to tube all sorts of animals ranging from large mammals to small reptiles & birds. It's definitely a perishable skill, but it isn't super difficult. I had double digits successful intubations before I got to medic school. Aside from that fact, paramedics can intubate (and I completed medic school & my first 2 years of nursing school together while working part time). I don't understand why intubation isn't a nursing skill. Nursing school is 4 years, there's plenty of unnecessary nursing theory fluff that could be replaced by clinical skills like intubation. If nurses can manage a ventilator (which is 100x harder than intubation), or titrate critical care meds, we should 100% having intubation included in our education and scope of practice. Especially when COVID-19 is running rampant, hospitalists should be doing much more ventilator management and nurses should be doing way more intubation. Just a rant post.
  23. Thunder274

    Giving COVID vaccine

    Anyone know what companies are hiring nurses to administer the COVID vaccine?
  24. Monoclonal antibodies are manmade versions of the antibodies that our bodies naturally make to fight invaders, such as the SARS-CoV-2 virus. Heard Dr, David Kessler Biden Admin Chief Science Officer, state tonight that Momoclonnal Antibiodies underutilized + available in mild-moderate COVID-19 illness for those being treated at home and to ask your physician if this therapy would be beneficial. HSS announced on January 11, 2021 website available to locate treatment site. Search HHS WebBased Locator for COVID-19 Outpatient Treatment Sites for Monoclonal Antibodies
  25. CampyCamp

    COVID-19: Pneumos

    Are other hospitals seeing an increase lately in tension pneumothorax/ pbeumomediastinum? It seems like it's 1 in 4 ICU patients with these complications in the last 2-3 weeks. All ages and comorbidities (or lack of comorbidities) We're talking about steroids and barotrauma but we haven't changed dosing protocols or bipap/vent use since Summer. We didn't have these issues in Summer or fall. I hate this disease, it seems like there's always something new just as we start feeling like we can manage treatment.