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Topic: ICU RN perspective..
Replies: 38   Last Post: Mar 21, 2020 9:44 AM by: allinallorangeallthetime52®
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Replies: 38  

ICU RN perspective..

emoji_events [62]
Posted: Mar 12, 2020 10:55 AM
 

Y'all talk all the smack you want, but if you aren't on the front line seeing pts die, putting yourself and therefore your loved ones at risk, and watching the very very real struggle for resources (and I work for the very well off Kaiser Permanente, not a community hospital), then you really should think twice about the your "factual" opinions and chit talkin.

Sure, it's my job. I could leave and choose another. Is that really what you want your experienced RNs and MDs, RTs, and other care providers doing?

Been doing this 14 years, don't get rattled by much.. Not much of a news guy at all so I don't get caught in the hype, but I am in it, seeing it, and living it. This one is real. I'm a healthy 41 yr old and am simply banking on my immune system to get me through WHEN I do get exposed.

Take precautions, take care, and maybe think twice before you allow your limited understanding and experience drive what is actually in the best interests of public health.

Cheers y'all, take care of one another, and GOOO TIGERS!!!

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Re: ICU RN perspective..

[4]
Posted: Mar 12, 2020 11:00 AM
 

I'm not trying to contradict you. I am just trying to get more information.

Your bio says Charleston SC. There haven't been reports of patients dying in the state of SC at this point right?

Are you somewhere else to help where the virus is bad or are there deaths in Charleston that nobody is telling anyone about?

I am also in the Low Country and would like to know if people are hiding the effects of the virus in our area.

Also I have 2 young children and have heard very mixed thoughts on how the virus affects children.

Do you have any insight in that regard?


There don't appear to be any Kaiser Permanente

[2]
Posted: Mar 12, 2020 11:08 AM
 

facilities anywhere in SC so i would assume his bio is just outdated.

2020 white level member

I think hes in California somewhere

emoji_events [5]
Posted: Mar 12, 2020 11:11 AM
 

I remember a post he had awhile back about his daughter saying he was in CA. Hope she is doing well!


Profile still says I split time between Chas and Sacramento

emoji_events [12]
Posted: Mar 12, 2020 11:32 AM
 

I own a home in West Ashley. I work 6 days in Sacramento, 8 days off in Chas.

We have positive patients and many many rule out pts.

The problem comes in that flu A & B are rampant this year, and the symptoms present like COVID.. We send multiple people/coworkers home to their families everyday to "self isolate" after caring for presumed flu that results as positive COVID. So staffing is thin. Add in the anxiety of coworkers going home to their young children fearing that potential exposure.

We are literally under construction in response to set up air borne isolation rooms and I believe are only a few more cases away from starting MASH style units in some parts of the hospital.

Now, I will say, none of my coworkers have gotten sick.. yet. My HOPE is that this settles out somewhere similar to H1N1.. but the virulence of this particular strain does create reasonable concern and I believe should be treated with an abundance of caution.

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Re: Profile still says I split time between Chas and Sacramento

[1]
Posted: Mar 12, 2020 12:29 PM
 

Thank you for your response.


Re: Profile still says I split time between Chas and Sacramento


Posted: Mar 13, 2020 7:25 AM
 

Sacramento California? If you are working around a lot of COVID-19 infected people and by your own admission it's not a question of "if" but "when" you are infected - doesn't your travel pose a significant risk of spreading COVID-19 on these cross country flights? Especially if you are infected and travel before you are symptomatic?

I'm not trying to be a jerk so please don't take the questions as such. We desperately need good folks like you doing the Lord's work by caring for those in medical need. But we keep hearing that in addition to cruise ships - airplanes present a high risk for disease spread/infection and I'm curious as to how you are mitigating this. Are you just staying in California now?

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@Tabbyplague


Posted: Mar 14, 2020 1:36 PM
 

No offense taken.. read down the thread a lil further my friend ??

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Oh, and yes, thank you.. My little one will be

emoji_events [8]
Posted: Mar 12, 2020 11:35 AM
 

18 on monday and seems to be doing well. Couldn't have asked for a better time personally for the Tigers to have this amazing run.. Kid caught 7 games this year!!
Appreciate the kind thoughts ??

2020 purple level memberbadge-donor-05yr.jpg

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Re: Oh, and yes, thank you.. My little one will be

[4]
Posted: Mar 13, 2020 7:03 AM
 

Thanks for your insight, and thanks for the update on your daughter. I think of you fairly frequently as a result of those posts and have been curious for an update. My wife and I prayed for you guys on several occasions.


From an ER doc in MA...

emoji_events [20]
Posted: Mar 12, 2020 11:14 AM
 

Just sharing... here’s the latest from the chief in the ER...

“Well everyone, the beast is at our doorstep. I made a post awhile ago about how we will survive this scourge. The media, at the time, was portraying this as a death sentence, hence some levity was needed in the form of statistics.

Now that it is here, please understand the reasoning for the states of emergency out there. This disease is likely to infect millions of people without a major shift in our daily lives. With a 2-3% mortality rate, that’s 20,000 to 30,000 people dead per million tested positive. Of every million, 200,000 will need hospitalization. 50,000 will require ICU level care. Our medical system is not able to handle this.

The horror stories in the emergency wards in Washington and Italy are absolutely terrifying. Italy is literally rationing ventilators and if you need one and are older than 65, you’re going to be made comfortable and die. There aren’t enough resources to handle the amount of illness overseas or domestic. All elective medical care will cease. Our emergency departments will become COVID-19 units and be paralyzed to do anything else

So friends my age, yes, we will likely survive this. But if you have living parents or still have some living grandparents, they might not. If you have friends or family with lung or heart issues, they might not. If you have friends or family who are immune compromised, they might not. The goal here is to not let this become as prevalent as the flu. The flu kills people, yes, but it’s deadly tally is based on a massive amount of people who get it. For 2018-2019, the flu infected 43 million people. 647,000 people had to be hospitalized. 61,200 died. If this virus hits as many people as the flu did in 2018-2019, 8.6 million people would be hospitalized. Over a million people will die.

So what can we do? Panic isn’t the answer. Wash your hands when you touch pretty much anything. Try a wave instead of a high five or a hug. Avoid large gatherings in close quarters. Put off travel plans. If you’re ill, don’t fight through it, stay home. If you come in contact with someone who was diagnosed with it, call the DPH and follow their recommendations. Starve the virus of potential hosts and it will die off. Don’t go out and buy up the mask supply, doctors and nurses need those to keep you alive while protecting themselves during high transmissibility procedures. I don’t understand the run on toilet paper. I like the run on hand sanitizer and Lysol.

In short, don’t let this become the flu. I applaud the early emergency declarations. I only hope you all can heed this. Take care”


Re: From an ER doc in MA...

[1]
Posted: Mar 12, 2020 11:18 AM
 

Thank you for the information.

Anything on children and how they handle the virus if they contract it?


So far children have faired well overall

[4]
Posted: Mar 12, 2020 12:16 PM
 

Seems to be effecting those with older age and co-morbidities more. Children even infants have not had substantial infectious rates. Health care workers obviously more at risk for this with repetitive exposures. Most people infected will have mild symptoms but concern is high level of infections over-saturation hospital and ICUs. It is true in Italy they are making rules on who can get ventilators and ICU level of care with age limits and those with shorter life expectancies due to incurable cancers etc not getting those resources. We are seeing shortages in masks where I work and the bone marrow transplant world is starting to being affecting by access to transplant marrows as many come from Europe. Hopefully we can control to have slower spread and less immediate oversaturation of healthcare system.


Re: From an ER doc in MA...


Posted: Mar 12, 2020 12:19 PM
 

How did she figure out the mortality rate? They don't know how many people have / have had the virus.
They say it's 10 times more deadly than FLU, which has .01 mortality rate


Medically I agree mathematically mortality

[2]
Posted: Mar 12, 2020 12:44 PM
 

Rate is overstated due to unreported and undiagnosed cases

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Re: ICU RN perspective..

[3]
Posted: Mar 12, 2020 12:34 PM
 

My wife was a pediatric ICU RN at MUSC until she burned out. My most sincere thanks and hopes that you and yours come through this unscathed.

2020 orange level member

Re: ICU RN perspective..

[4]
Posted: Mar 12, 2020 11:08 AM
 

Thank you for the job you do.

2020 white level member

Preach Soy. Preach.***

[1]
Posted: Mar 12, 2020 11:14 AM
 



2020 orange level memberbadge-donor-15yr.jpg2012_pickem_champ.jpg

In military terms, ICU RNs 'have the point'.. Front & center

[2]
Posted: Mar 12, 2020 11:18 AM
 

Hope all goes well for you and yours...

Sister-in law was ICU RN for around 20 years, though just recently moved... Often understaffed and overworked were her complaints.

2020 purple level memberbadge-donor-05yr.jpg

Thank you for the work that you and all our front-line medical folks do

[2]
Posted: Mar 12, 2020 11:37 AM
 

And for your perspective on this crisis. I'm a financial guy and the stock market reaction tells me we are in for quite a battle. This goes beyond just a "panic over the flu."

Message was edited by: CTiger423®


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I have a question...

emoji_events [6]
Posted: Mar 12, 2020 11:53 AM
 

@soywaker®. Given current circumstances, are you still moving between CA and CHS? Or, are you remaining in your 'ground zero' state for the foreseeable future?

I ask only in that, it would seem there are two facets to this battle:
1. Contain where it exists
2. Prevent its arrival where it isn't.


Fabulous question.. and I almost addressed it in my op

emoji_events [17]
Posted: Mar 12, 2020 12:27 PM
 

I had a convo with fam last night and had to break the news that Papa isn't coming home for a while.

It's a real sacrifice. Likely a couple months before I'm in Chas again. But like everyone, I'll continue to assess and make the responsible decision.

I didn't post it initially bc I recognize we have many brave men and women who make this choice daily for our military and are gone for much longer periods and I didn't want it to come across like I was seeking an atta boy or what not.

2020 purple level memberbadge-donor-05yr.jpg

null


Pragmatic wins the day...and at this point,

emoji_events [7]
Posted: Mar 12, 2020 2:10 PM
 

You and your colleagues are the 'domestic military'. It's on us to support your profession's efforts the same as our men and women at sea, in the air and overseas. Limiting the virus' expansion allows for moving healthcare assets into 'hot spots' to further the containment effort and relieve you and your team. All of which were the basis to my question...so thanks for the update!


Re: Fabulous question.. and I almost addressed it in my op


Posted: Mar 21, 2020 9:44 AM
 

I was once upon a time married to a RN that worked most of her career as a SICU nurse. And she was in the first group of nurses that was shipped out to a field hospital in Kuwait, in the U.S./Iraq Gulf War in 1991. Her biggest concerns were always a shortage of needed supplies to take the best care of the American and Kuwaiti soldiers that came in needing emergency surgery. But you would think that with the cost of being hospitalized in civilian American hospitals, that there would be enough of supplies to handle any kind of an emergency as in this virus outbreak. I mean two tylenol in a civilian hospital is about $12-15 bucks, and at CVS, 120 tylenol is about $15 bucks. Supplies in a civilian hospital should never be in shortage bc they are a huge money maker for them!!!

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Re: ICU RN perspective..

[4]
Posted: Mar 12, 2020 12:04 PM
 

An excellent video on YouTube is presented daily by John Campbell,MD... He is an immune specialist who cuts to the chase..About 15 minutes...Worth you time...

2020 white level member

Re: ICU RN perspective..

[1]
Posted: Mar 12, 2020 2:30 PM
 

Watching now. Thank you for the link.

2020 purple level memberbadge-donor-05yr.jpg

Re: ICU RN perspective..

[1]
Posted: Mar 12, 2020 12:10 PM
 

So you believe someone needs expertise/knowledge/experience before making comments on an anonymous message board?

Just as well shut down Tnet as only about 1% are qualified to comment on any given topic.


Do really want an answer? Look at the board..

emoji_events [9]
Posted: Mar 12, 2020 12:32 PM
 

I know i appreciate folks who can provide informed or first hand accounts on things I may not be well versed in. In this instance, I can. So I did.

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null


Worthless post.***

[1]
Posted: Mar 13, 2020 7:19 AM
 



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My older brother was in ICU Trauma after a car wreck. He

emoji_events [8]
Posted: Mar 13, 2020 12:31 PM
 

had severe head trauma and didn't make it. soywaker® reached out, sent me a T-Mail and invited me to contact him since this is his job. He was very professional and provided me with a lot of information, explained what was going on, what to expect and questions to ask the doctors. He didn't have to go out of his way and spend ten to fifteen minutes talking with someone he doesn't know and hopefully one day, I'll be able to thank him in person.

2020 purple level memberbadge-donor-05yr.jpg

Re: ICU RN perspective..

[4]
Posted: Mar 12, 2020 12:36 PM
 

Prayers for you and all your colleagues that are on the front lines. So glad to hear your daughter is doing well! Take care of yourself, God Speed, and Go Tigers!


Re: ICU RN perspective..

[3]
Posted: Mar 12, 2020 12:48 PM
 

Thank you for what you do People are not grasping the gravity of what this virus does Perfectly heathy people will be fine but they risk passing it to elderly parents and people with weakened immune systems Not knowing how many people have it affects how it is contained Praying you stay safe! We will get through this but it will get worse before it gets better


Re: ICU RN perspective..

[3]
Posted: Mar 12, 2020 2:32 PM
 

Thanks for your work. I understand why all the cancellations and precautions can seem overblown, but it's becoming more and more clear that this situation would get very bad if we sit back and do nothing. They are digging mass graves in Iran and have already buried many more bodies than the death toll they are reporting.



https://www.washingtonpost.com/graphics/2020/world/iran-coronavirus-outbreak-graves/?itid=hp_hp-top-table-main-8-12_iran-virus-burials-1035am%3Ahomepage%2Fstory-ans


Re: ICU RN perspective..

emoji_events [5]
Posted: Mar 12, 2020 3:04 PM
 

Thank you soywaker for the information and for being there to help others. Praying for your safety and your familiy’s safety.

2020 orange level memberbadge-donor-05yr.jpg

Re: ICU RN perspective..


Posted: Mar 13, 2020 2:55 AM
 

My mother is a hospital administrator, oversees all new processes, nursing, surgery, infusion, oncology, mohs, and budget. She is not in respiratory but has daily meetings with 2 other administration. They have not had a case servicing a population of around 75-100k. She is obviously aware of the concern and having trouble ordering simple items like face masks, sanitary wipes, etc. But she is very level headed and doesn't think it will be anywhere near the numbers being expressed by the extremist.

That said, just think if this was Ebola where people were being put it pits and burned then covered to reduce further exposure?


Re: ICU RN perspective..

[4]
Posted: Mar 13, 2020 6:38 AM
 

Your mother is likely very aware of the containment effort Soy is referencing. That's the hope we should all have...choke the virus out where it is, severely restrict its' spread...and use your mother's assets, and others, to relieve Soy and his colleagues at their 'ground zero'. The extremists want air time, and/or to politicize this. The professionals simply want to do their jobs and help return this nation and world to a (new) state of normalcy. It will be a new one, have no doubt.


Thank you, and best wishes to you.***

[3]
Posted: Mar 13, 2020 5:52 AM
 



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Re: ICU RN perspective..

[1]
Posted: Mar 13, 2020 1:04 PM
 

Thank You for all your service. It is much appreciated!


Re: ICU RN perspective..

[1]
Posted: Mar 14, 2020 2:46 AM
 

Thank You Soy and all who work in the medical field each and everyday year round. I pray for all's safety and health.

2020 orange level member

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