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nursej22 MSN, RN

royal pain in the tuchus

Content by nursej22

  1. nursej22

    Domestic Terrorism

    Here is a thought-provoking opinion piece by a former DHS official. White supremacist terror is rising, and Trump's policies kneecap our ability to fight back I am neither for or against Biden, but I think our country needs to do more about domestic terrorism.
  2. nursej22

    Domestic Terrorism

    https://apnews.com/a403abbf520b4f84971c034c18fe14cd 2 dead in California school attack; gunman shoots self https://apnews.com/a403abbf520b4f84971c034c18fe14cd And the predictable NRA supported Republican response will be thoughts and prayers.
  3. nursej22

    Where are the healthcare professionals?

    Yeah, I don't give much stock to Stossel or a ten year old you tube video. And living close to the Canadian border I sense they are content with their system. And they don't depend on Go Fund Me for coverage. Oh, look! Premiums are predicted to fall. https://finance.yahoo.com/news/obamacare-premiums-going-down-2020-221229143.html
  4. nursej22

    The President Donald Trump Thread

    As director of European affairs for the NSC, Lt. Col. Vindman listened in a on the call. What he heard was so disturbing that he brought it to the attention of his superiors. A 340 page draft of his testimony has been released. https://www.washingtonpost.com/context/full-transcript-of-testimony-of-lieutenant-colonel-alexander-s-vindman-white-house-ukraine-expert/6c7d991c-1916-47a2-a320-cfbbea54eb52/
  5. nursej22

    Friday November 8, 2019

    Hi, housecleaning today, I should have done more yesterday, but I fell asleep with a warm pup in my lap, and then jumped up to go to a committee meeting and dinner. I am part of an advisory committee for a nursing program at the community college. We meet 3 times a year and do stuff like help review curriculum, make suggestions about clinical sites, and report on what is going on at our agencies. And then the college hosts a dinner for all the advisory committees every fall. The nursing program's biggest issue seems to be finding and retaining instructors. The state requires instructors to have a masters degree in nursing or a BSN plus a masters in education, but of course, the pay is lower that most other areas. I tried it for 1 1/2 years, but it wasn't a good fit. Anyway, it is partly sunny and mild. I'm gonna fill bird feeders and sweep the deck. Stars, you really need a respite! Hope it happens soon. BC, I trust your furnace is working by now. Workplace drama, we got that too. I try to stay out of it, and am thankful I am only there 2 1/2 days a week. There is a lot of "that's not my job" which just gets so tiresome. We were asked if we could go to the jail to help give Hep A vaccine and you would have thought we asked to amputate a limb. I've always heard good things about PFLAG. Good for you, Joe. Hi herring, and Dianah, and Amolucia, and everyone else who comes along, or back.
  6. nursej22

    Monday November 4 2019

    Hi. Semi-busy day today, in that I have been getting a lot of unexpected phone calls, at least 4 for a local pulmonology office. They printed some flyers with their contact number incorrectly listed as ours, so we get a fair number of these calls. I made a home visit where they had some beautiful, and I am guessing very expensive art displayed, on the walls of what looked to be a humble little cottage. Then zoomed back to watch the weekly online state wide TB case review. I find this the best way to actually learn, from actual case reviews and discussions. I had a nice weekend of yard and garage clean up, reading, and watched our team win the football game yesterday. I sent out a group message to family about Thanksgiving dinner--where and when. I am pretty sure everyone will assume it will at our house, which is fine because for the first time in years, I will have the day off before which makes life every so much easier. I had years when I would work until 11:30 pm the night before, and then cook a huge meal in the morning, and then have to leave to be back at work at 3 pm. Weather, not cold, not warm, not raining, not sunny. DST? Didn't really notice, although I did manage to reset my alarm clock Saturday night, but I almost always get up before it goes off. Angus doesn't really care much about food, I just put it in his dish and he eats whenever he gets around to it.
  7. nursej22

    Questioning Elizabeth Warren

    Frankly, I don't remember that. Have the Republicans, who had control of the House for 6 years of Obama's term, and 2 of Trump's done anything to reduce government handouts to higher education? Or, have there been any executive orders to that effect? I know the conservative press likes to rail against colleges because the students don't want people like Coulter and Shapiro speaking there but have they called for cuts? Perhaps I missed that too. But yes, college is ridiculously expensive and if lower and middle income people can't attend that just creates more economic imbalance.
  8. nursej22

    Thursday October 31, 2019

    Yet another, cool, clear day here. But I am stuck inside in a windowless office. I did get out to deliver meds to a patient's home, and will make another stop this afternoon. But with this stupid cough I have, I am wearing a mask, and not the type the kiddos are wearing today! I slept about 12 hours last night, waking up to cough about every 2-3 hours, but the cough didn't keep me awake. Our office is pretty quiet, people are out on vacation and gone to conferences. My really nice experienced co-worker is in India for a TB conference. The crazy one has been sort of freaking out about it (as I secretly heh heh about that). I just can't believe how much she will try to micro manage some of our clients, and then completely blow off other stuff. Sort of like she can't see the trees for the forest. I need to work on my driver safety training. Four hours of online, oof. Later
  9. nursej22

    Questioning Elizabeth Warren

    Interesting point. Do you have anything to back that up? Grants and loans were around in 1985 when I went to school, and costs were much lower then. I got a small grant and a small loan that I used to pay for childcare, and had it paid off in a year.
  10. nursej22

    Wednesday October 23, 2019

    Hi, worked a half (more like 3/4) day, to start my stretch off. One of our patients was having trouble with meds, so I had to run out to his house, which added an hour, plus had a staff meeting that started an hour before I usually start. It was about emergency preparedness, how would it affect yourself and family, and what do you think your role at work would be? I thought it was interesting, and I have finally taken to keeping a stock of bottle water, a case of chili, and a big bag of rice on hand. I came home, ate, and ran on the treadmill. I am starting the Couch to 5K app on my phone. You alternate walking and running, gradually increasing the time you run. This first week is run 60 seconds, walk 90 seconds, and its tough! My calves start cramping about 1/2 through. I figure I need some aerobic exercise during the winter. Just about to leave to go pick up dh. His staff is taking his company truck to some sort of buying show, so I will bring him home and he will take his own car for the rest of the week. I listen to podcasts before I go to sleep: I like "Stuff You Should Know" and "Stuff You Missed in History Class". In the car I usually listen to NPR, or the oldies rock station. Herring, your insurance friend is like my sister. She sold insurance for a while and likes to tell me all about it, and health care in general. I just say hmm, and let it go. And with that, I go too.
  11. nursej22

    Are you getting older --lol

    Most of my cardiac patients used to be my parents' age , then they were my age, now many are younger than me. EEK! did I take my simvastatin last night?
  12. nursej22

    Any of you have family members that hoard?

    Best wishes to you and your family. You may think about some counseling for yourself, perhaps as a safe place to vent. I am guessing this is going to be a long, arduous process and you may or may not succeed. My dh has some hoarding tendencies, our garage is stuffed, his home office has stacks and stacks of loose papers, and if I let him, our spare room would be full. I suspect it is related to him being very poor growing up and he has trouble parting with anything. And he has difficulty letting a day go by without purchasing something. He started watching A&E's "Hoarders" with me and has started to recognize some of his habits. It has helped, and we have a rule: when any new piece of clothing or pair of shoes comes into the house, something else has to leave. And the garage can and paper recycle bin are set out full every time.
  13. "Do professional obligations to protect patients from harm and to act in their best interest outweigh a nurses right to refuse treatment without a fear of retaliation?" This sounds very much like a potential topic suggested in my nursing ethics class, however because the OP stated this was not homework, I will offer my 2 cents. I am not sure a nurse ever has a right to refuse treatment as long as it legal, backed by scientific evidence and is in compliance with governmental guidelines. When one chooses to work for an employer, they agree to follow policies and procedures, which often include having up-to-date immunizations and routine screenings as recommended by federal, state and local guidelines. That being said, many employers will offer an employee an alternate choice rather than termination: taking leave, wearing a mask, etc. to avoid the cost of replacing an RN (which may be up to double an RN salary by the time orientation is complete). Also maintaining a good relationship with the staff may seem more desirable than laying off noncompliant RNs. When RNs have a bargaining unit they have an even bigger voice to object and encourage employers to offer choices. Now if a nurse was hired with the understanding that he/she would have the right to refuse immunizations that would be different. Likewise if the treatment was unproven or not recommended by the CDC. But I don't think that is the case with flu shots.
  14. nursej22

    You win lottery, quit or keep working?

    Peace Corps
  15. nursej22

    Dumbest medical mistakes you've seen on TV

    Shocking asystole, on top of clothing and once sinus rhythm resumes some yells " he's going into shock!". Uh, I'd say he's going into death:rolleyes: Checking a BP without putting the stethoscope into one's ears. Critically patient in a darkened ICU room with the blinds closed, no IV's, ekg wires but no monitor. Side rails are never up!