As The Hospital Pervs-- It's Overtime Time

[sweepthefloor]

Thank you, sweep.

Good feedback comes straight from the nurse's mouth.

I heard they did not get the ratio mandated.

 

[sweepthefloor]

Want to go with me to a tractor show?

A tractor pull?!

 

[sweepthefloor]

Nurse Jane, I need a propofol nap. Will you monitor me?

yes! an a bair hugger too!

 

[gotsnowgotslush]

The mandate to enforce ratios was rejected. Scare tactics were used. The spectre of small local hospitals closing, and and the threat of hours waiting in an emergency room frightened the voters off.

Small hospitals have already been closed, and people do wait for hours, anyways. So, I am guessing that voters feared it would get worse, when small hospitals were not able to afford to pay fines, or pay extra staff.

Huge, well-known hospitals get enough business to be able to afford the fines. Their problem is keeping enough staff to keep the system healthy.

Most Massachusetts hospitals are locked in with a behemoth system that dictates which hospitals are profitable.

 

[sweepthefloor]

It is sad. The nurses asked for help and they did not get it. You don't see nurses in every state asking for help and this means the working conditions must be unsafe.

 

[JCSTREET]

You prove the point that one should

I like to say and write in my note: "High Quality CPR given."
In the ER the techs/aides are always doing the compressions, it's hard work. In ICU our Residents do them. They line up, get told when to switch, and get feedback: deeper, faster, let the chest recoil. I haven't done chest compressions for about five years.

I like to be the recorder because it gives me a sense of the overall picture. I wrote a letter to my director that will be forwarded to the director of medical teaching about the last code blue x2 within an hour. The leadership and control was outstanding. It just proves my point about the third years and how fast they develop. I had no idea she was going to be such a great leader. I thought it was going to be a nurse driven mess.

We knew the patient was going to code-- anytime there is tachycardia that drops to the 50s without medication induced bradycardia-- something is wrong. We got ready, took the gown off the patient, got the code cart, got the step stool, got the first dose of epinephrine ready,marked the central pulse with a marker to find it easier with the doppler later, put the backboard under the patient and I went to the Residents desk and said: bed two is about to code.

By the time they got to the room at 1001-- asystole and CPR initiated. The awesome third year took immediate control and assigned roles. The communication was just like in the movie from class. She told the medication prep nurse what medication to prepare, the medication nurse communicated to me every time a medication went in, and the Resident kept saying to me: tell me when it's two minutes, and repeat to me medications given already. And she basically told everyone what to do: Continue CPR, check pulse, check rhythm, continue CPR, Vasopressin. Pulse!

Round Two: a shockable rhythm: pulseless v-tach she wanted a charge to 300 joules, continue CPR while charging, clear, deliver the shock- and the junior residents looked afraid to do it. I delivered the first shock and said: I can't record and work the LifePak at the same time. She assigned a Resident. Amiodarone was given and joules stacked to 360 delivered by the assigned resident. She didn't even forget to tell Respiratory to remove oxygen before shocking.

Did anyone call the family? And they did, and said stop. Time of death.......

I went to bed that night hearing her voice: tell me when it's two minutes, has it been two minutes yet? How many epi? How many bicarbs? I could hear my voice: one more minute to encourage the chest compressor because two minutes is a long time.

You are special.

never let an intern do a sub-clavian stick

 

[butters]

to all the nurses, everywhere, who work so hard, so long, for so little - you are not appreciated nearly enough, nor suitably rewarded for your struggles. it sucks. more than this, the pressure should be ameliorated by adequate staffing and training. it may never happen. can't blame anyone who leaves the profession but thank all those who remain.

 

[jomar]

i've got a fever and the only prescription is more sweep...

 

[sweepthefloor]

the madness is so real.

 

[sweepthefloor]

in the beginning it was all ages but mostly those over the age of 50
then it slowed down for the end of summer and we thought it was over.
the cold the winter beds were filled with laborers and those living in big households in close quarters.
in the spring it was all the young people- those that were not yet eligible for vaccination because it wasn’t their turn yet
and it remains all the young people
the ones that thought it was a hoax, the ones that didn’t believe they could get critically ill
the people that refuse to get the shot because they read on the internet that it’s not safe.
old people aren’t dying with covid anymore
the young people are dying with covid
they are dying in the ICU on vents
they are dying in the ICU because not even the ECMO cannulas can ensure recovery

some survive with long journeys
i have never seen hypoxemia like this before

 

[silver gurl]

in the beginning it was all ages but mostly those over the age of 50
then it slowed down for the end of summer and we thought it was over.
the cold the winter beds were filled with laborers and those living in big households in close quarters.
in the spring it was all the young people- those that were not yet eligible for vaccination because it wasn’t their turn yet
and it remains all the young people
the ones that thought it was a hoax, the ones that didn’t believe they could get critically ill
the people that refuse to get the shot because they read on the internet that it’s not safe.
old people aren’t dying with covid anymore
the young people are dying with covid
they are dying in the ICU on vents
they are dying in the ICU because not even the ECMO cannulas can ensure recovery

some survive with long journeys
i have never seen hypoxemia like this before

Thank you for all you do and for dealing and caring for these people. You are a better person than I am.

 

[RoryN]

I was waiting for this thread to be updated last year. (Well, more like dreading.) Figured you were busy.

Thank you for doing it, and for your service.

 

[IrezumiKiss]

in the beginning it was all ages but mostly those over the age of 50
then it slowed down for the end of summer and we thought it was over.
the cold the winter beds were filled with laborers and those living in big households in close quarters.
in the spring it was all the young people- those that were not yet eligible for vaccination because it wasn’t their turn yet
and it remains all the young people
the ones that thought it was a hoax, the ones that didn’t believe they could get critically ill
the people that refuse to get the shot because they read on the internet that it’s not safe.
old people aren’t dying with covid anymore
the young people are dying with covid
they are dying in the ICU on vents
they are dying in the ICU because not even the ECMO cannulas can ensure recovery

some survive with long journeys
i have never seen hypoxemia like this before

Nice to see you again. Continue to stay as safe as possible while doing your good work until we're past most of this crazy.

 

[thør]

........

Stay safe and well.

 

[sweepthefloor]

i didn’t end up crying until January 2021, and when the tears came out they didn’t stop for a while. it was crazy tears like sobbing in the car on my way home.

Thank you for all you do and for dealing and caring for these people. You are a better person than I am.

thank you, it’s a strange feeling compared to last year because now critical illness from Covid is preventable. it went from hopelessness to sadness. i wish i could understand why anyone would refuse to get a vaccine. i feel sorry for their children and their spouses, especially when the children are young. i feel sorry when the family member calls for an update and there is nothing good to say. if they do make it out alive, it is a long road to recovery because ARDS is hard and the treatment is harder.

I was waiting for this thread to be updated last year. (Well, more like dreading.) Figured you were busy.

Thank you for doing it, and for your service.

thank you, i wanted to come here and mention it but i feel like i worked and slept for an entire year + on repeat. i would strip down at the door, shower, crawl into bed and wake up, go to work. i slept a lot on my days off.

Nice to see you again. Continue to stay as safe as possible while doing your good work until we're past most of this crazy.

luckily the PPE worked and i never got sick but my face hurt! luckily i was able to get vaxxed early too. i hope we stay OK up here, i don't wanna go through it again... and our census in increasing. my nurse friends in florida are having a hard time.

Stay safe and well.

 

[jaF0]

i wish i could understand why anyone would refuse to get a vaccine.

Explain why so many nurses and other practitioners are refusing, some even to the point of suing or quitting their jobs.

 

[Wat_Tyler]

Good to see you.


Glad you're well.


How's the ivy???


Best wishes, always . . . .

 

[silver gurl]

i didn’t end up crying until January 2021, and when the tears came out they didn’t stop for a while. it was crazy tears like sobbing in the car on my way home.



thank you, it’s a strange feeling compared to last year because now critical illness from Covid is preventable. it went from hopelessness to sadness. i wish i could understand why anyone would refuse to get a vaccine. i feel sorry for their children and their spouses, especially when the children are young. i feel sorry when the family member calls for an update and there is nothing good to say. if they do make it out alive, it is a long road to recovery because ARDS is hard and the treatment is harder.

This makes me feel angry. That is why I couldn’t do what you do.
Please take care of you, stay safe.

 

[bodysong]

Thank you, for sticking to it.

I have been following this mess since it began. (Very early, like when NYC dumped
bodies in a mass grave on an island, because they encountered being overwhelmed
by the sheer quanity of the dead that resulted.) Before they knew what Covid-19 could
mean.

Now, there are surgery masks that are so advanced, they look like science fiction.

:thumbsup:

:virtualhug:

 

[sweepthefloor]

Explain why so many nurses and other practitioners are refusing, some even to the point of suing or quitting their jobs.

everyone in my unit is vaccinated . most doctors are vaccinated 96% (AMA) compared to 88 % of nurses (ANA). all of the nurses that i work with are vaccinated. the reality is that the majority of healthcare workers are vaccinated.

there are people who can not get the vaccine due to
medical reasons and they are exempt.

there are nurses who do not like the idea of being mandated anything. they may have fallen into conspiracy theories or misinterpret information. some are vulnerable to misinformation, just like all people. they are the minority.

now i don’t know if they will be fired for not getting the vaccine but the hospital will not make it easy for them. if this is the battle they choose to lose or quit their job over, that’s on them. i haven’t personally met any nurse who is refusing the vaccine but i have seen a few on social media accounts and they get much publicity because it is so outrageous.

so why does the hospital care so much? money. if a patient comes in without covid and then gets sick with covid while in the hospital, some healthcare worker exposed that patient to covid. it is cheaper and more prudent to enforce all public health safety measures for everyone.

they will not get anywhere legally. there are many conditions of employment within a hospital: we are mandated a yearly flu shot, we are mandated a yearly TB test by injection, and many other vaccinations upon hire.

 

[sweepthefloor]

Good to see you.


Glad you're well.


How's the ivy???


Best wishes, always . . . .

the ivy is back
last year i paid a landscaper to remove everything and it looked great but i didn't keep up with it! it is not up to the roof yet so there is still hope.

thank you, i am doing alright now! it's been a struggle but here we are

 

[sweepthefloor]

This makes me feel angry. That is why I couldn’t do what you do.
Please take care of you, stay safe.

i get angry sometimes too, but mostly at strangers on the internet typing false info. when i am in those rooms, it is just all sadness and adrenaline. the facetiming with spouses and teenagers is the worse. listening to kids talking to their deeply sedated father is awful saying, "get better" and "come home" or them talking about their day... i just keep trying to silence the alarms so it doesn't sound so bad.

and we make small goals: like just getting through a linen change without hours of recovery time because even a little small bed bath uses up so much oxygen. i've never seen so much ARDS in my career.

 

[sweepthefloor]

Thank you, for sticking to it.

I have been following this mess since it began. (Very early, like when NYC dumped
bodies in a mass grave on an island, because they encountered being overwhelmed
by the sheer quanity of the dead that resulted.) Before they knew what Covid-19 could
mean.

Now, there are surgery masks that are so advanced, they look like science fiction.

:thumbsup:

:virtualhug:

thank you
i still want my own PAPR. they only let us use the PAPR for surgical trach insertion at the bedside and i can't believe in the richest country in the world, we do not have a PAPR for every nurse and doctor. anyway, the N95, surgical mask and face shields work cause i didn't get sick in the thick of it.

so many people died especially during the first go round when we were not sure how to treat.

we did get better and survival chances increased but for those that get so critically ill, it is still a struggle.

 

[Wat_Tyler]

the ivy is back
last year i paid a landscaper to remove everything and it looked great but i didn't keep up with it! it is not up to the roof yet so there is still hope.

thank you, i am doing alright now! it's been a struggle but here we are

Yes, here we are. I have overgrowth. I need to hire goats.


Be good to you. You, to me, are one of the dwindling bright spots here.


Kinda skeert you were gone.


Glad you ain't.

 

[alabasterbreasts]

in the beginning it was all ages but mostly those over the age of 50
then it slowed down for the end of summer and we thought it was over.
the cold the winter beds were filled with laborers and those living in big households in close quarters.
in the spring it was all the young people- those that were not yet eligible for vaccination because it wasn’t their turn yet
and it remains all the young people
the ones that thought it was a hoax, the ones that didn’t believe they could get critically ill
the people that refuse to get the shot because they read on the internet that it’s not safe.
old people aren’t dying with covid anymore
the young people are dying with covid
they are dying in the ICU on vents
they are dying in the ICU because not even the ECMO cannulas can ensure recovery

some survive with long journeys
i have never seen hypoxemia like this before

I feel you sweep - it's been very disheartening being in healthcare. It's hard not to get angry at the misinformation, the politicization, and the feeling no one cares if we're overwhelmed, exhausted and depressed trying to fight a battle with a virus and save people and dealing with the antivax, anti-mask, conspiracy crowd to boot ...