#Fatigued nurses

[puffyrice]

Gearing up for September already 😫

I have a dosage calc exam before school starts, and I can’t go to clinical if I don’t pass it (we can only get 1 question wrong). I got this book from Level Up RN to practice. Also learning some basic pharmacology to give me a head start for that.

Side note: I’m more active on Instagram now! I’m making content about chronic illness and being a disabled student. @thelupusnurse

[solarstices]

half coloured sketch page + new Hypnos design because he wasn't tired and traumatised-looking enough

The super sonic looking mf (/aff) belongs to @a-paper-fan15

[ink-asunder]

Okay, but I hate HATE it when service workers (nurses, waiters, retail workers) complain about having to do "extra work" for the sake of disabled people. I get it, you're not paid enough to do jack shit at your job (/gen), but you really cannot take it out on people who are FUCKING DISABLED.

"I hate people who modify orders at a restaurant," "I hate when people don't put their carts away," "I hate having to prepare chemo drugs because it's SUCH a pain." Shut the fuck up. It's not MY choice!! I can't control that I get put in the ER for eating A Fruit. I can't help that I'm on the brink of collapse and can't take a cart back into the store after a big shop. And I sure as FUCK am not taking a chemo drug because I think it makes me more interesting as a person. Ya can't say this shit to disabled people.

Disabled people are CONSTANTLY thrown under the bus, CONSTANTLY treated like shit over things they need to do to survive, CONSTANTLY given the "well, if you can't meet MY [ableist] expectations of a Good Person, then you don't deserve to be a part of society to begin with."

Say that. Say that to my face. Just get a little closer I just wanna talk 🏌‍

[alostwanderernotfound]

Hostile Power Takeover? Learnings on Urban & Domestic Warfare , “PANDEMICS: How We are Spreading Diseases”:

Want to Stop Pandemics?

We Need to Address How Our Systems Contribute to Disease Spread & How It Is Making Pathogens Stronger

1: Understaffing & too much workload

- When it comes to the greatest factor that influences every other issue in preventing the spread of infectious disease in healthcare settings it is workload vs amount of staffing. Overburdening staff results in more medical errors, more issues missed, less time with patients, less time able to be spent per patient, often limited ability to customize treatment plans, less diseases screened for, less infectious control practices used like hand washing, more grouping of sick people in close proximity, using unsafer practices to save time, attempting tasks distracted, & many other sources of both harm & pathogen spread. This issue is inseparable from safety.

2: Need for Universal safety practices in hospital culture

-Often times many hospitals throughout different regions have different training programs with some similar content & some very different content included in their training. There are some safety-related practices that are not taught universally. I think the lack of standardization across the world has really negatively impacted us. As healthcare, healthcare staff, our healthcare buildings change & evolve, these safety practices can get lost along the way.

For example: Pathogens all spread in a certain & defined way based off their characteristics. Some of the more common disease spread through making physical contact with the pathogen (for instance touching something contaminated), touching & inhaling pathogens in droplets, and by breathing in airborne pathogens. BUT, it is important to remember that we often forget that most of the pathogens that make us sick are autonomous & tangible things. They take up space & they move. It is very easy to not see something & not feel it & for it then to be on the bottom list of priorities. Two major examples of often unknown risk are in 2 common practices:

>New Toilets

- A lot of hospitals got rid of toilet lids. Flushing bodily fluids results in those infectious particles going into the air. Disease that weren’t originally airborne would then be airborne. These pathogens can possibly be breathed in. Even if toilets are moved to a different room to protect patients, staff will possibly breathe in these particles.

>Venipuncture?

- You DO NOT need to get a needle stick injury to get a blood borne illness from someone. Drawing blood (specifically winged butterfly sets)produces blood splatter at a significant rate. This means if you were following the disease precautions that we do for everything else, you should be required to wear protective equipment: goggles, disposable gown, & gloves when drawing blood. This is not a standard that is enforced in the culture & many forget or are not aware. (1)

3: Lack of infectious disease teams

- Staff should be dedicated to prevention, control, & monitoring for success in these topics in each hospital. For obvious safety reasons.

4: Disease Screening & Pathogen identification

- Often times screenings are skipped due to patient’s lack of access to healthcare, understaffing, & lack of resources. But there are MANY practices I will continue to advocate for to get funding & to be done around the globe. I’m going to reiterate strongly that not all systems are perfect, but currently the risk for the world is far too high. I’m in favor of universal screening for blood borne disease with at least all inpatient hospital stays and likewise universal testing for respiratory illness is a good approach during “winter seasons”.

- I also think identification of pathogens & their characteristics inside places where healthcare is done is necessary. Reevaluation of cleaning practices is necessary. The level of antibiotic resistance we now see with MRSA or antibiotic resistant staph could happen to ANY other pathogen & we are not taking enough steps to prevent it.

6: Where “Knowledge” Becomes Deadly

- Unfortunately a large proportion of our knowledge comes from observing problems and then frantically attempting to solve them in the middle of a crisis. We have studies on diseases and then we learn & teach everyone based off the most up to date scientific knowledge we have available at that time. I think our understanding of a lot of disease processes & body processes are very incomplete. I also think that people have been steered in a very dangerous direction over the course of history despite ample warning. The specific directions medicine went into for standards of care over history is deeply disturbing & highly suggestive that someone trying to hurt people was attempting to influence the medical sphere by any means necessary including force. Without a full understanding of all the different functions organs do, the standard in medicine many, many years ago became to just start removing things. This became the “gold standard” of care or best practice for a very common problem that can be treated in other & less invasive ways. But since funding, research, & general direction hasn’t been focused on getting more info on specific important topics- these are practices we still do to this day. To reiterate something I said long ago, when someone has a tummy ache, no one actually suggests to take out the stomach. Despite nonstop pushing for more federal regulation, there are still few regulations on supplements. This is dangerous and it’s hard to recommend these type of needed supplements when they are not standardized across the board in regards to their safety. All your organs do multiple things. If you take any out or damage them you will need some type of “replacement therapy” to feel normal again. The issue is that primarily books & research inform healthcare worker education. But if no one will fund the research or investigate specific topics, the interventions & meds that help never get taught. It’s not that the interventions don’t work, it’s just that someone established the norm to be the most painful/hardest on your body type treatment. I reiterate, that seems HIGHLY suspect for something being wrong in multiple domains to get us to this point.

There are forces trying to take us down a dark path & I continually hope it isn’t too late to prevent harm in all domains of our lives. I debate with myself about including links with each post due to how cluttered it gets. But I think it’s incredibly uncomfortable topics like drawing people’s blood has a somewhat unknown & higher risk for pathogen exposure than people say that’s been demonstrated in research & people don’t make a bigger deal about it. It’s hard information to find on google & many hospital cultures do not emphasize its dangers in the same way even that we do towards MRSA. It’s incredibly uncomfortable reality to find ourselves in, but something’s got to change.

(1) https://www.sciencedirect.com/science/article/abs/pii/S0196655308005427

[sparethedreamer]

Sick and tired of nurses and doctors having no idea what me/CFS is. Sick of hearing, "I've never heard of that.". So very tired of getting, "I've never seen someone in my office with that." I no longer wish to hear, "I have no idea what that is."

There are an estimated 2.5 million people in the USA (where I live) with myalgic encephalomyelitis. It has an estimated global prevalence rate between 0.2% and 2.8%.

Hello?? Medical community?? You might want to do at least a little bit of homework on this. I know you hate us, but especially with all the new peeps with Long Covid (very similar if not the same illness in many cases) you should at least know a tiny bit about this not-exactly-rare chronic illness.

[fantastic-mr-corvid]

anyway. the uk sucks ass and living here sucks ass too! NHS is sooo amazing until its soooo not!

[soft-serve-soymilk]

More random head children musings (aside from the really sad one because that deserves better than a throwaway post):

Honestly I think it’s very fortunate that Dism’s team isn’t *entirely* comprised of lucid dreamers.

[theirony-of-choking-on-this-dick]

so i had to call my doctor

so i can get a note

so i can submit it my job

so i can use my sick time

so i can take a couple mental health days

[spacedocmom]

Doctor Beverly Crusher @SpaceDocMom If medical appointments freak out you even when you have kind, supportive health care workers, communicate with them in advance to come up with strategies to mitigate your stress. Good HCWs want to set you at ease, and it's easier if they know what's needed in advance. emojis: black heart, blue heart, masked 1:44 PM · Aug 27, 2023

[puffyrice]

Hey guys :) I haven’t been active on here lately, but I did make an Instagram account for nursing, studying, and chronic illness content. If that interests you, check it out!

@thelupusnurse on ig

https://www.instagram.com/thelupusnurse?igsh=cmwyNzkzazZqbzlp

[duality-disability]

i had a esophagual motility test today; and while I definetely do not recommend it. The nurse was very nice and gave us encouragement for our next neurologist to actually be useful and help us.

Especially with ruling out MS, just generally finding the cause of our issues.

We talked a lot during the motility test bc it kept us distracted, and learning that a lot of our issues line up with how MS first presented in the nurse's case is both.. helpful and, worrisome.

i just wanna know what's goin on man.

[alostwanderernotfound]

Top Theories You Have, But Can’t Prove With Currently Available Research, Part 1:

HIV has a lot of unique traits (especially comparing strain 1 vs strain 2) that are suggestive it was genetically engineered, possibly to be used as a biological weapon.

[chronicallyillandcoping]

I had my implant replaced today and i have to say the nurse and doctor i saw were wonderful. They saw that im classed as a vulnerable patient and asked questions to make sure it was 100% my choice and i was okay (which it was and i am). I complain about the system and some of the people working in it a lot but genuinely for every asshole there is a lovely healthcare worker doing their best and im very thankful for that.

[neopet-euthanization]

anyone interested in self-advocacy particularly in a medical setting - please check out this youtube channel! he is a genuinely nice dude and he has ran hospitals and he is invested in patient welfare and self-advocacy. he is very available while he streams and answers questions about how to stand up for yourself and get the medical care you know you need! i have been feeling like a lot of people on tumblr could benefit from this guy's channel, so please check it out, subscribe, share the channel and/or this post!

[iliveinprocrasti-nationn]

sometimes the urge to become a hermit and forgo all medical care is strong

[booksflowersmoonwings]

you ever get sick and tired of thinking about how sick and tired you are of being sick and tired?

anyone have cute art of asra (the arcana), shino (naruto), or john doe (uncanny valley game) they feel like sharing?

or gush about something cool they just finished creating?

I dunno could use some. goodness.