Feminism

fem-i-nisn (noun): the advocacy of women’s right on the basis of equality of the sexes

I believe in:

  • promoting equality between women and men and girls and boys, and supports constitutional and statutory measures to gain full equality locally, statewide, nationally, and globally.
  • supporting safe, legal and accessible abortion, contraception, and family planning, including Medicaid funding and access for minors.
  •  civil rights for all people, including affirmative action programs for women and people of color.
  • supporting lesbian, gay, bisexual and transgender rights.
  • promoting non-violence and works to eliminate violence against women (and men!). No one should be the subject to acts of violence.

I wasn’t aware of the rallies that were planned today, but all over the United States and the world. People are standing up for women’s right. Photos from Women’s Marches

I understand that many individuals are afraid that the some of our rights as humans and rights specifically for women are being taken away under our new president.

I support the rallies and the advocation for individuals rights as long as the rallies are not acting in violent manors.

I also want to encourage more individuals to not only march,  but more people need to reach out to their state representatives and congressman by writing letters or making appointments.  You need to participate in voting for not only the presidential elections, but your local elections to. These are the people that you elect to speak for you, your family, and friends.

As a nurse I dedicated my life to advocating for myself and others. To make a peaceful and healthy world. I believe in the Upstream approach: preventing problems before they occur rather than how now we already have problems and treat them.

My message to all is use your voice in a positive manner to advocate for what you believe in, thank you.

P.S. please watch this video He for She Speech at the UN

 

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GCS

gcs

This tool was created in 1974 as a way to communicate a patient’s LOC (level of consciousness) after an acute brain injury. In 1980 it was promoted to help assess all patient’s after an injury. It is now used in 80 countries worldwide and has become a gold standard.

As you study the chart above you will notice the chart is easily divided into 3 steps/assessments.

  • 1st step: Patient’s visual or eye response
    • Score your patient a 4 if he/she can open their eyes spontaneously
    • Score your patient a 3 if they open their eyes to verbal speech “Mr. X”or light touch
    • Score your patient a 2 if your patient requires painful stimuli to open their eyes
    • Score your patient a 1 if their eyes do not open. Patient is unresponsive.
  • 2nd step:Patient’s verbal response (if intubated or tracheotomy score NT=not testable)
    • Score your patient a 5  if patient is oriented x 3 (He or she knows who they are, where they are, and what the date is)
    • Score your patient a 4 if you not they are having some confusion or forgetfulness (unable to answer all orientation questions)
    • Score your patient a 3 if they are not understood and using inappropriate words  (i.e. swearing, unrelated words, aggressive)
    • Score your patient a 2 if they are not able to form words and just can make sounds
    • Score your patient a 1 if they are unresponsive and make no noises
  • 3rd step: Patient’s motor response
    • Score your patient a 6 if able to follow all commands in moving extremities
    • Score your patient a 5 if moves extremities to localized pain
    • Score your patient a 4 if extremely flexs to pain
    • Score your patient a 3 if patient is in decorticate position
    • Score your patient a 2 if patient is in decerebrate position
    • Score your patient a 1 if patient has no movements

motorresponse

 

To score your patient the range will be from 3 to 15.  The higher the score the better. Anyone with a score under 8 is said to be comatose. I have also come across the saying “Under 8 intubate”

How often should you observe a patient’s GCS: the glaucoma coma scale states on a half hour basis until score is 15. If 15 then every 30 mins for 2 hours, then 1 hour for next 4 hours, then every 2 hours. Should the score deteriorate observations should go back to every 30 mins.  BUT ALWAYS FOLLOW YOUR HOSPITAL/FACILITY POLICY!

ALSO PLEASE REMEMBER:

GCSis different for children!

Pediatric GCS:

Eye Opening Verbal Response Best Motor Response
Spontaneous Talks normally Obeys commands
To sound Words Localises pain
To pain Vocal sounds Flexion to pain
None Cries Extension to pain
None None
Verbal Motor Expected Normal
Total Score
Birth Cries Flexion 9
6 months Vocal sounds 10
6-12 months Localises 11
1-2 years Words 12
2-5 years Obeys 13
>5 years Orientated 14

 

REFERENCES: http://www.glasgowcomascale.org

 

Medical Symbol

With my upcoming travel assignment to Texas, I started to think about also getting another tattoo.  I was thinking of some type of tattoo related to travel or maybe nursing.

When it comes to nursing tattoos people have a stethoscope, some time of EKG strip, or this pictured below.caduceus

I have seen this image a million times almost, but I had no idea what it was called.  So naturally I typed into my browser.  “Medical symbol.” One of my results is the “Caduceus.”

The Caduceus is seen all over Western medicine and this is the tattoo that many people have.  (I actually have a chime that hangs from my rear view mirror in my car of this.

BUT DID YOU KNOW THAT THIS MAY NOT BE WHAT YOU MEANT TO GET?!

Caduceus

The Caduceus is the wand of the Greek God Hermes.  You may already know a little of Greek mythology.  I remembered Hermes as the messenger god which is correct; BUT I didn’t know he is also the guide of the dead, and the protector of gamblers, liars, and thieves. Hmmm.. the first doesn’t bother me as much. Maybe he is helping guide the dead to where they belong but protecting liars and thieves? I don’t like that so much.

hermes

Now the word caduceus comes from greek kerukeion meaning “herald’s wand”   (herald meaning public messenger).

The origin of Caduceus is unclear. There are several different mythology stories.  One is the story of the Tiresias, who saw two snakes copulating and killed the female with his staff.  Tiresias immediately became a female and remained until he repeated the act with the snake every seven years.  Another tale geared more from Roman mythology is that the snakes were in combat and Hermes separated the two snakes and brought about piece.

To connect the symbol to a medical foundation is quite difficult. However it was seen as a symbol of medicine approx. the 1400s when it first used in that context.

ROD OF ASCLEPIUS

rodofA.pngThis may be the thing you want instead.

Rod of Asclepius comes from the Greek god of medicine and healing, Asclepius who carried the pictured rod below.  In some tales he was also married to Hygeia, the goddess of healing. His children also became known for healing and the art of medicine. God Asclepius also had several sanctuaries across Greece that promoted healing.

Asclepius died as a result of Zeus striking him with a lightening bolt because of his medicinal and healing powers.  He was afraid Asclepius was bring humans and gods to close together. and lessen the eternal divide.

 

Recap how to tell the difference:

  • Caduceus has two serpents and angel wings
  • Rod of Asclepius a staff with a single snake

onevstwo.jpg

 

 

 

 

Next time look to see who is using what symbol.  I found this quite interesting since I had never seen the Rod of Asclepius.  I also love Greek Mythology so this was so fun to read about.

 

References:

  1. http://www.newworldencyclopedia.org/entry/Caduceus
  2. http://www.ancient.eu/Asclepius/
  3. http://humanism.med.ufl.edu/chapman-projects/art-of-medicine-project-2005-2006/whats-in-a-symbol/

Compression stockings

At first I dreaded the word.  It was a skill I didn’t possess as a nurse: putting them on patients swiftly. I was taught the plastic bag trick, yet still I hated them.  Secondly, I also hated it for the patient.  They looked so uncomfortable.

One day at work, a coworker’s pants were hiked a little too high so I could ultimately see where their ankle would be.  Instead I saw these crazy pattern socks. I said “Sue* what are you wearing?”  She rolled up her pants even higher.  The socks went all the way to her knees. She said, “They are compression socks.  You need to wear them if you’re a nurse.”  I bursted out laughing. Why would she need compression stockings? Why would a nurse need them?

Naturally I researched:

  1. Compression stockings help with swelling (This is one of the main reasons we place them on patients).  Nurses will also have mild SWELLING due to being on their feet for 12+ hours.  True, my ankles do look a little puffer after a long day and I do try to elevate them on a nearby chair at work cause it’s more comfortable. Maybe I will consider them.
  2. Another side effect for standing to long. Spider veins. After a shift or a hundred, you probably will not see this side effect. However, spider veins occur after long periods of standing; it allows the blood to start pooling.  More blood to one area, your veins must accommodate so they dilate, causing SPIDER VEINS. Oh, I’d rather not get those.
  3. Compression stockings improve circulation.  After standing by the OR table for 5 hours or running back in the medication room twenty times for a diauildid run, my legs start to go numb.  But if I had compression stockings on would that have helped? The answer YES. AND YES I NEED A PAIR NOW.

So after about a half hour to an hour of research I am now a proud owner of compression stockings.

stockings.jpg

 

Please check out amazon.com (where I buy most of mine) for your first pair as well or to add a crazy pattern to your collection. Also a great, inexpensive gift for a nurse for Christmas or a birthday.

crazystock.jpg

 

Who can you trust?

Nurses! According to the Gallup poll posted TODAY, nurses are ranked #1 (again #1) for  highest honesty and ethical standards for the 15th consecutive year in a row! This is not just in the medical field, but a wide variety of professions.

number-one

“Every day, millions of nurses are on the front lines in the fight to improve the health of all Americans,” said Pamela F. Cipriano, PhD, RN, NEA-BC, FAAN, president of the American Nurses Association. “Whether nurses are by the bedside or in the board room, we continue to be a trusted resource and a vital part of our nation’s health care system. This poll reflects the trust the public has in us, and we’ll continue to work hard to keep that trust.”

nursesgroup

The results 84% of Americans who participated in the study said nurses honesty and ethical standards was very high or high.

As we all know trust is very important in the relationship between a nurse and patient. I am proud to be a registered nurse and a part of such a wonderful, honest, hardworking group of people.

#highfivefornurses #thankanurse #lovenurses

For more information please check out: http://www.gallup.com/poll/180260/americans-rate-nurses-highest-honesty-ethical-standards.aspx

Safe Patient Ratios

My first post under my Nursing tab is something near and dear to my heart.  Something I advocate all the time for. I have written letters to Congressman and Senators to make a change.  I am part of a national legislative committee.  This is issue is important!

dcinmay

Nurses take DC is a nurse-driven movement to make patient ratios a reality for all nurses in the United States.

This year nurses will gather in Washington, DC for a National Rally to raise public awareness regarding the importance of safe nurse-to-patient ratios and to support pending legislation. The goal is to raise public awareness regarding the importance of safe nurse-to-patient ratios and to support PENDING legislation.

State staffing laws tend to fall into one of three general approaches:

  • The first is to require hospitals to have a nurse driven staffing committee which create staffing plans that reflect the needs of the patient population and match the skills and experience of the staff.
  • The second approach is for legislators to mandate specific nurse to patient ratios in legislation or regulation.
  • A third approach is requiring facilities to disclose staffing levels to the public and /or a regulatory body.

States with Staffing Laws
14 states currently addressed nurse staffing in hospitals in law / regulations: CA, CT, IL, MA, MN, NV, NJ, NY, OH, OR, RI, TX, VT, and WA.

  • 7 states require hospitals to have staffing committees responsible for plans (nurse-driven ratios) and staffing policy – CT, IL, NV, OH, OR, TX, WA.
  • CA is the only state that stipulates in law and regulations a required minimum nurse to patient ratios to be maintained at all times by unit. MA passed a law specific to ICU requiring a 1:1 or 1:2 nurse to patient ratio depending on stability of the patient.
  • MN requires a CNO or designee develop a core staffing plan with input from others. The requirements are similar to Joint Commission standards.
  • 5 states require some form of disclosure and / or public reporting – IL, NJ, NY, RI, VT 

#NURSESTAKEDC 2017: MAY 4-5, 2017

Thursday May 4th: Patient Safety Conference: Nurses Resuscitating Healthcare
The 2017 Patient Safety: Nurses Resuscitating Health Care Conference , will take place on May 4th 11a-6p at the Hilton Mark-Alexandria in Virginia. Join  #NursesTakeDC and thought leaders in the healthcare industry to challenge and educate Nurses and industry professionals with an innovative program of tutorials, talks, panels and in-depth content that will inspire, educate and empower.

Friday, May 5th: Nurses Rally on the Steps of the Capitol
The 2017 Rally for Nurse-Patient Ratios , will take place on May 5th 11a-4p at the Capitol Building, in Washington, DC. #NursesTakeDC , a grassroots movement led by Show Me Your Stethoscope, is organizing thousands of nurses across the country to rally in Washington DC to demand Safe Nursing-Patient Ratios to save the lives of our patients and the nursing profession. #NursesTakeDC is calling for the passing of the Bill HR1602 & S864 that provides nurse patient ratios.

Source  nursestakedc.com and nursing world.org (Please take a moment and check out both pages)

DON’T FORGET TO SAVE THE DATE MAY 4-5, 2017. SEE YOU THERE!