Shania Lynn
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The Great Resignation: Nurse PTSD

January 6, 2022 by NurseTwain

They say cardiovascular disease is the “silent killer”, but did you know that many nurses post Covid are suffering from the silent killer of PTSD?

During the peak of Covid, frontline staff were plunged into a plethora of uncertainty. No one knew what Covid was, how it effected the body, what the disease process was, what type of isolation was appropriate, etc. Then came concerns over PPE supply, vaccination status, and most recently, questionable CDC guidance. Nurses lived in a constant fight or flight response as they obsessively watched O2 monitors and prayed for an uneventful shift. The Delta variant proved to be brutal and rampant as more patients were intubated at bedside and transferred to the ICU than many of us saw in our whole nursing careers combined. These patients were so sick and everyone was so critical that nursing had to prioritize patients who were originally healthy and able-bodied, full codes, in order to preserve respiratory equipment as much as possible.

Crisis protocols were in place and meant that we reused single-use PPE and placed a 6L nasal cannula plus a nonrebreather on a patient because we didn’t have enough high flow cannulas. Allow these things to continue for nearly 2 years and now dealing with the third Covid variant, means that nurses are tired and burnt out.

Many nurses are leaving to travel and make more money for the same job duties, some are leaving the bedside and stepping into less stressful job positions, and others are retiring or even just leaving the profession for good.

The struggle we face as a facility and as a nation is critical staffing shortages. Patients will never stop flooding the ER, but what happens when we have no healthcare professionals to properly care for all of these people? More money and incentives are only temporary. A long-term solution involves staff retention and recruitment coupled with staff engagement and empowerment.

Until next shift,

Shania

Filed Under: patient stories Tagged With: COVID19, hospital, medicalsurgical, medicine, nurse, NursePTSD, nursing, patient, patienttalk, PTSD, staffing

‘Twas the night (shift) before Christmas

December 24, 2021 by NurseTwain

‘Twas the nightshift before Christmas, when all through the unit

All creatures were stirring, even at midnight.

The IV fluids were hung on the pole with care,

In hopes, the nurses would not wake the bear,

The patients once snug in their beds,

Now jumping over the rails, despite their meds.

And Betty Lou in her gown, and I with my mask,

Wrestling back to bed, proved quite the task.

Finally, back to the station, the nurses heard a clatter,

We sprang from our chairs to see what was the matter.

Into the next room, we flew in a flash

Tore open the curtain, and found the ash.

“You can’t smoke in this room, no!”

“If you don’t comply, then you may go.”

When, what to my wondering eyes should appear,

Five visitors wandering the halls… Oh dear.

Only 2 visitors allowed, I said quick.

No exceptions, the policy must stick.

The patients, we could not keep tame,

They whistled, shouted, and called us by name.

“Nurse! Nurse! Call the doctor,

Help me! Help me! I have fallen!

Get me up, 911 I call!

Now, leave me alone all!”

As personal dangers arise,

bilateral upper limb restraints, we had to tie.

So, the clock slowly drew

Us, nurses were quite tired, too.

And then, in a twinkling, we heard some shoes,

“Here, take some candy and chocolate as a thank you.”

As I drew in my head, and was turning around,

A bed was alarming all through the town.

A patient, undressed from his head to his foot

And, unfortunately, covered in what looked like soot.

Poop covered his back,

I no longer wanted my chocolate for a snack.

He just smiled and said to “Be Merry”.

Grinning from cheek to cheek, said his name was Larry.

We bathed and tucked him in, like so.

Maybe the night will settle, I hope.

It was Christmas, we reminded ourselves to seek.

A circle of urinals on the wall, we called a wreath.

Med-surg could be quite smelly,

But we did have treats that were filled with jelly.

Some of us dressed like elves,

Bringing some Christmas cheer into ourself.

The hours of 3-5am were always to dread.

Fighting sleep and simply dreaming of bed.

An IV beeping, going berserk.

Fluids and meds and tubing and stickers, back to work.

“Lab called about a critical, did you know?”

There is a do not call order in, MD chose.

30 more minutes… Come on, dayshift, Hustle!

Into my bed, I will soon nestle.

We gave report, and left out of sight.

“Happy Christmas to all, and to all a goodnight”

Filed Under: patient stories Tagged With: christmas, hospital, medicalsurgical, medicine, nightbeforechristmas, nightshift, nurse, nursing, patient, patienttalk, twasthenight

Funny Tidbits of Nursing Knowledge/ Nursing Advice

December 7, 2021 by NurseTwain

  • Be careful not to nurse the computer
  • Not everyone showers regularly
  • Everyone’s anatomy is different
  • It is not exactly like the case studies
  • I have never inspected so many butts
  • No, you cannot bring your monkeys to the hospital
  • If you smell smoke, one of your patients is probably smoking in their room
  • If you are a patient and walk across the street to taco bell, you will be forced to leave AMA
  • Allowing a patient to leave AMA will probably make your shift so much better- don’t take it personally!
  • It is a good morning when you only have one fingerstick.
  • Ensure quality > quantity
  • Sometimes the best position to place a foley is side-lying or doggy style
  • Just because a patient is in the hospital, does not mean that they can treat you like trash
  • You do not work for the doctors, you work for the hospital.- Stick up for yourself!
  • Family members are often worse than the patients, however if you listen, they can turn out to provide valuable information
  • Stay humble!- You will not know everything and there is always a resource to learn more
  • Be involved within your unit- building personal relationships with coworkers will make going into work so much better
  • The best nurses are those that start from the ground-up- Remember to appreciate and help EVS, NTs, etc.
  • Offer things the patients are allowed, rather than focusing on things they cannot have or cannot do

Filed Under: Uncategorized Tagged With: hospital, medicalsurgical, nursetwain, nursing, nursingadvice, patient, patienttalk, talk

My anxiety got the best of me. Moments at the bedside.

December 2, 2021 by NurseTwain

According to the Anxiety and Depression Association of America, 18.1% of the US population suffers from anxiety, however only 36.9% of those people with anxiety seek treatment.

One of the many benefits of being a nurse is time spent at the bedside. The patients I remember most are those that I have found a connection with through talking to them. Along with educating them on their diagnosis or treatment, one of the most beneficial things we can do as nurses is to build a relationship… I know, I know easier said than done. We often feel like we don’t have enough time to connect with people, but it is in those moments that we can discover things. We may find out the reasons for their noncompliance, that it is their 50th wedding anniversary, that today is the anniversary of their daughter’s death, or even that they have no running water at home. Simply speaking to the person in the bed, making eye contact, and truly engaging in conversation, alone, can help relieve any fears that they may have and can also make for an easier shift.

Discovering like interests and creating conversation away from their hospital stay lightens up the room for both the patient and family. In a stressful situation, talking about things other than their current state can help divert their attention away from their pain and illness. We can make an impact by just being present with them in the moment and stepping away from our computers. Rapport is also a way to bring the humaneness of nursing back amidst the plethora of hospital protocols and technology scanners. Just like “skin is the nursing domain”, so is communication. Being transparent with patient and families is what they want and need. Keeping them up to date, while also connecting on a personal level can help alleviate any unnecessary worry in a less ideal environment.

Until next shift,

Shania

Filed Under: patient stories Tagged With: anxiety, hospital, medicalsurgical, medicine, mentalhealth, nurse, nursetwain, nursing, patient, patienttalk, talk

Addiction: A Disease Mentality

October 26, 2021 by NurseTwain

“History of IV drug use, positive for heroin and meth. HIV and Hep C positive. Constantly requests pain medication.”

What are your immediate thoughts when getting information like this in report? Most likely, it’s thoughts of judgement, disregard, lack of care and trust for the patient. Although these are valid thoughts, what about taking a step back and thinking about the reasons behind their IV drug use. What happened in their life that needs to be numbed by such harsh drugs?

Addiction is defined by the American Society of Addiction Medicine as ” a treatable, chronic medical disease involving complex interactions among brain circuits, genetics, the environment, and an individual’s life experiences. People with addiction, use substances or engage in behaviors that become compulsive and often continue despite harmful consequences.”

Everyone wants to be happy; no one chooses to do things because they know it will make them unhappy. Often times, the perfect combination of an addictive gene plus a poor life circumstance and environment leads someone to choose a substance as a coping mechanism. Society encourages people with a bad day to “go have a drink” after a rough day. So many scenarios can become the ultimate formula that leads someone to a substance and the individual then is a slippery slope into a life of addiction.

Do they choose the drug to feel good? They keep searching for that next high, but develop an increasing tolerance so they need more and more until an accidental overdose. Do they choose the drug to numb a hurt? It’s easier to drink a beer “socially” than it is to do yoga, meditate, go on a walk. It’s justifiable and becomes rationalized.

Some realize the problem, others do not admit that they have a problem. Those that want to change, now must detox safely in a facility. What started as a way to cope from a tragic event led to a life of pain and hurt from a drug that only fuels the fire.

A majority of addictions are not illegal, but trigger the same brain chemistry. Think about your own addictions and how hard it may be to break those and then compare it to a pill or form of liquid death that it’s sole purpose is to disrupt a certain brain-body signal. Addictions to sugar, caffeine, nicotine, technology…

Until next shift,

Shania

Filed Under: patient stories, Uncategorized Tagged With: addiction, ASAM, hospital, medicalsurgical, medicine, nurse, nursetwain, nursing, patient, patienttalk

Patient prayers

September 15, 2021 by NurseTwain

Every morning during huddle, the off going shift provides updates to the oncoming shift and then we say a prayer to start off the day right. Nowadays, there is less news and more avid prayers.

We pray for peace and healing to ourselves and patients as everyone is emotionally drained.

We pray for unity and strength for both ourselves and patients to fight the unrelenting covid virus.

We pray because it’s all we have right now.

Last Sunday night was such an emotional day. Several patients coded, one died that family was not ready for, 3 patients were placed in restraints.

Nurses spend their entire shifts watching oxygen monitors and running into rooms when numbers drop.

We expand critical care to 3 different floors, place two patients in one room, compromise oxygen supplies because we don’t have enough supply, and we pray that machines become available as patients need them.

Confused patients pull off their masks and some die because of it.

Adults in their 30s and 40s are intubated and will never leave the hospital.

The average patient stay is roughly 10 days inpatient.

Patients ask if they are going to die. Some come in with their family members and are discharged alone.

Right now is not a fun time to be a nurse, so we pray.

Until next shift,

Shania

Filed Under: patient stories Tagged With: COVID19, hospital, medicalsurgical, medicine, nurse, nursing, patient, patientstories, patienttalk, RN

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