Nurses Aren't Interchangeable

In the hardest hit regions of COVID-19, mostly due to bad public health policies, redeployment of nursing staff is one tool to staff ICUs. ER nurses are often the first to moved. But the skills aren't interchangeable. Each discipline has very specific competencies. Care suffers when different disciplines need to extend themselves. Here's another thread on the subject. Nurse redeployment & ICU capacity - LONG thread. Nurses aren't interchangeable. We're highly skilled, educated, evidence-informed professionals. The @canadanurses certifies 22 specialties from premature babies to burns to hospice, though there are almost 100 specialties. — Matthew J Douma (@matthewjdouma) September 26, 2021

Nurses Make Care Happen

As the slow incremental reforms in the American healthcare system amble forward, within the change lies great opportunity. In seeking to avert the collision course of an aging chronically ill population with a financial burden to maintain the current system, policy makers have had to reflect and discover a hitherto unrealized fact: nurses are the backbone of the health care system. This is both by virtue of their numbers and diversified involvement in caring for patients. With informatics being mandated into the health care system the nursing profession is in an ideal position to create a synergy between their work and technology. The Alliance for Nursing Informatics(ANI) is a collaboration of many nursing informatics groups whose goal is to represent with one voice nurse informaticists nationwide. ANI has stated that if health information technology is used in a ‘meaningful way’ along with best practice and evidence based care that health care will improve throughout the nation. In t

Frontline Healthcare Workers Slowly Getting Vaccine

Let's ignore the minute healthcare practitioners who believe the conspiracy hype that vaccinations aren't to be trusted. The vast majority of frontline healthcare workers are receiving a reprieve, or perhaps just a little hope, with the Moderna and Phizer vaccines. Both require two doses and in most jurisdictions appear to be given to health providers first. That's great news. But the tide hasn't shifted yet. The chaos in our midst won't subside for sometime, especially given the insistance of too many to skirt healthcare regulations and simple mask wearing. Stay safe out there, and hopefully your managemenet is doing their job and getting the right people vaccinated fast.

The Unhealthy Culture of "Above and Beyond"

Is the work of a nurse supposed to be "above and beyond?" COVID has certainly shifted our expectations. There is more work to do as risk and critical care accommodates the massive influx and changes COVID-19 has brought. It means a lot more attention on frontline healthcare providers. Some of the narrative celebrating these workers include acknowledging the work--those who go "above and beyond" the normal work repsonsibilities to serve. But is that what we're after? In times of crisis above and beyond may be normal. Comes with the territory. But the expectation nurses go ABOVE and BEYOND all the time is NOT sustainable. It leads to rapid burnout at best. It makes performing critical care harder as management expectations go up. And you know who are the chief proponents of this unhealthy culture? NURSES! There is a peculiar assumption that nurses should overachieve by nature. That creates an internal culture where doing more than what's required in your j

finding rhythms, wear your mask, the er is disaster Have you found rhythm in your daily work routines amidst COVID craziness? You do what you have to do to cope. But note, this is trauma. Inundated ER rooms look like war zones, and with government officials doing little to curb the rapid acceleration of the virus, we can expect it to get worse. This is trauma for healthcare providers. Frontline workers may find rhythm in the chaos today, but bear in mind that it's taking a toll on all of our bodies. Be mindful of the stress and plan for a long recovery when we get to the other side of this. Any mechanism or strategies you've tried to cope with new stress and hazards?

Shot out to the front line

You're safe where you're at and that you're not suffering from shortages of PPE. Frontline healthcare workers are receiving acknowledgement from everyone these days. But we know what it means sit exhausted on the front lines as the world seems to deteriorate inside the hospital. Some of you are on the front lines of a pandemic that doesn't seem to be slowing down. In someplace it's actually picking up. We see you in the struggle and how you put your body on the line. Keep sharing the story that COVID-19 remains dangerous and we should all be on high alert. Keep encouraging people to wear their masks in public. Hopefully we get over this but it's not gonna be soon....

Ya, it's not over, ICUs still overrun

COVID 19 is the worst disease process I’ve ever worked with in my 8 years as an ICU nurse. When they say “recovered” they don’t tell you that that means you may need a lung transplant. Or that you may come back after d/c with a massive heart attack or stroke bc COVID makes — Cherie Antoinette (@sheriantoinette) June 14, 2020 COVID-19 is vicious. This is an ER Nurses blog but we know there's crossover. Many pulled into pandemic response (most in fact). But special shout out to our family in the ICU!