“In critical situations, no room for self doubt. Decisive, firm instincts and actions from years of work experience matters. Seconds and minutes matters.”
It’s the Third Year Month Anniversary of COVID. 6 million Global lives lost, close to 1 Million Americans lives lost. These numbers will keep increasing by the day.
Did time, experience and lessons made us smarter? Are we better? Did we really learned anything or nothing? What I see, tells me our collective approach to the Pandemic is the worst that its ever been. What I observe tells me how bad People have become in treating other People. Selfishness is at its all time high, but that’s nothing new.
COVID for Dessert
Back from Lunch Break, Registration Staff hurriedly told Nurse, “I have a COVID Patient. What should I do?” Nurse told her, “Don’t worry. I’ll take care of it.”
Quickly, Nurse put on an N95, called the Patient’s name, verified his identification and directed him to the nearest room. Nurse asked Patient for confirmation, “Are you diagnosed with COVID?” Sounding confused, he replied, “No, I’m vaccinated, but I would like to be tested for COVID.” Nurse answered, “Yes, we can test you for COVID.”
Walking from chair to bed, about 5 feet away, Patient said, “I’m short of breath just from walking. I feel so tired.” Patient looked clammy and diaphoretic. Patient initial oxygen saturation reading was 91% in room air ( normal is 95% and above) with Blood Pressure on sitting of 94/42. Nurse first taught, “He’s Hypoxic with signs of Hypovolemic Shock. I better speed this up, he can go into Cardio-Pulmonary Arrest quickly.”
Nurse calmly told Patient, “We have to call 911 and transfer you to the Emergency Room.” Nurse explained to Patient why and Patient verbally agreed. Nurse told Patient, “But first, I want to make sure you’re safe and okay.”
Nurse elevated Patient’s legs to promote blood venous return and started him with oxygen at 2 liters per minute via nasal canulla. Nurse quickly swabbed Patient for COVID test just prior to starting oxygenation.
And the Australian Nursing and Midwifery Federation (ANMF) research showed almost 60 per cent of staff in the industry plan to quit their current jobs within the next five years.- Sarah Sharples, 3/3/22, News.com.au
Nurse had to keep Patient awake and conscious by talking. Nurse forgot what he was talking about as Nurse was multi-tasking from physically helping and observing patient to documentation, communicating to the Doctor, calling 911 dispatch, giving SBAR report to Emergency Room Charge Nurse and ambulance Medic. Nurse adrenaline was pumping max for focus and efficiency. Nurse felt like he had 10 hands and on skates. Super Nurse Mode activated!
Patient oxygen saturation improved to 99% at 2 liters oxygen. His BP increased to 140/65 without I.V. fluids. First aid for Orthostatic Hypotension worked. His respiration still fast and labored at 26 respirations per minute which indicates he is still having Respiratory Difficulty.
Patient history of present illness. Worsening cough, fatigue, runny nose, fever, chills, loss of taste and smell and shortness of breath for 2 days. He is fully COVID vaccinated with booster. He had a telephone appointment with his Doctor and he was in the building simply to pick up his Albuterol Inhaler and other medicines. He denies any past Pulmonary Problems.
The U.S. has a long way to go before the pandemic is over and life returns to semblance of normalcy as deaths from Covid-19 remain far higher than seasonal respiratory viruses such as the flu, a group of health experts said on Monday. -CNBC
Californians are excited. March 14, 2022 is the official “No Mask” Independence Day for indoors and school. It’s also the Anniversary of the first Pandemic Lockdown that halted everything in the World. But is the daily COVID community transmissions over? No it has not. But, we feel like celebrating a battle not fully won, so we celebrate. We self declared the virus as Endemic when we have more infection and deaths than most Countries in the World. The confidence is amazing and bizarre. Like many, I want it to be “normal” badly.
Patient suddenly developed shortness of breathing just from walking from car to pharmacy. On the way out the pharmacy, he saw an Urgent Care and decided to ask for help.
Going through the events, Nurse realized how lucky Patient was. Patient was exactly at the right place at the right time. Patient was having Acute Respiratory Distress with Hypovolemia. Patient could be having Sepsis as well. If Patient decided to go home struggling to breathe, he would have not made it. But Patient gut feeling told him to ask for help and it saved his life.
After Patient left via ambulance on sirens, Nurse jokingly told Registration Staff, “Thanks for the COVID Dessert.” She replied laughing, “You’re welcome. You want more?” Nurse laughed and said, “No, I’m Full,” and moved on to the next Patient that needed care.
Healthcare Workers and Patients will be the last one to remove their masks, if that is even possible. Part of Joint Commission Standard of Care is Infection Prevention in Hospitals and Clinics. And if wearing mask is the no. 1 safety precaution, then it answers every Healthcare Worker question, “When can I remove my mask at work?” The Answer is Never because COVID will exist everyday and forever.
JHU data: Above 42,000 COVID new cases today with above 1,300 deaths. Isn’t this showing we have more deaths to new cases ratio than last February when it was 180,000 cases per 2,300 deaths? I was never good in Math but looks like more are dying as compared to the same Month last year.
It annoys me when News Reporters announced smiling and happy, “Our COVID deaths are reduced,” while omitting how many really died that day. People’s lives are not bargain things on marked discount. No respect to the dead, their living orphans, and the people who took care of them to their last breathe.
This is a normal day for any Nurse and Doctor that works in Family Medicine, Primary Care, Urgent Care and Emergency Care. Clinical Eye for more than 2 years of the Pandemic made us experts in detecting suspicious manifestations of COVID. It made us comfortable, even excited on facing the next COVID challenge. We follow our common sense and gut feelings together with Science we studied and practiced for more than 20 years. If we can’t get it accurately and timely with all that we got, then we’re not good Healthcare Providers at all.
Forbes article above is one proof that Nursing Work Conditions and Personal Work Experience are being handled in a very aesthetic, superficial, cover up, bandaid fashion.
First idea should have been, “Treat Nurses as Human Beings.”
Second, “Listen and addressed the realness of their stories, needs, work trauma and stress.”
Third, “Don’t treat Nurses like they are stupid and does not observe Administration and Management actions and fake sincerity.”
Fourth, “Value, appreciate, compensate what the Hard Workers and your top Work Assets do and not play Politics by pleasing the Lazies and the Liabilities.”
Your Hard Workers may not tell you but they remember all the details of what you did or did not do. Remember, they have degrees that happened because they are one of the smartest people in this Planet, on top of being the most caring and selfless. Once you repeatedly loose your Nursing Staff loyalty and trust, you may never be able to gain them back no matter how much you try. Like everyone else, they get calloused and their heart can close indefinitely.
Of course, we don’t pretend to be Gods so we humbly accept mistakes when they happen. We are only Human. We also ask for God’s help in silent prayer when nothing works and miracles are our only hope. Not everything is cured nor explained by Science.
Today, I get to show you what I and all Medical Professionals routinely see and do, feel and think as the Invincibles behind the scenes.
Today is about Raw Professional Reality. It’s real life, day to day ordinary events of Healthcare Providers all around the World day and night, 365 days a year.
Today is advocating for all Nurses and Doctors who are either two busy healing others or too afraid to advocate for themselves.
Today, is all about Patient Advocacy and providing the Safest and Highest Quality Patient Care possible Joint Commission on Accreditation of Healthcare Organizations will be so proud of.
Nursing is about caring. Medicine is about healing. No discrimination. No Personal Judgement and comfort. They require lots of Heart, Courage, long years of Clinical Skills, Knowledge and Experience to remain in the Profession in a Planet inflicted by many constantly evolving Global Diseases and Illnesses.
If you are a new Nurse/Doctor or studying to be one, be ready for the most thrilling, challenging, life-changing adventure of your life. Be ready to be that Hero that will save the day, again and again. Overwhelmed is just a catchy word for News Headlines. We don’t get to be overwhelmed nor have the luxury for Mental Health Self Care. We go full blast, full speed till we are out of batteries. It’s just how we are and what our Profession demands.
Real Superheroes don’t wear sculpted spandex. They wear stained, worn out scrubs. They don’t hide their identity because their faces are instantaneously forgettable. Do we remember the Face of the last Nurse and Doctor that made us feel better? Exactly!